The URL can be used to link to this page

Home My WebLink AboutGrant Related - BOCCGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC REQUEST suBnnirrED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton CONFIDENTIAL INFORMATION: ❑YES W NO DATE. 5/162024 PHONE:2937 SUGGEDVV`ORDING;FRA E ; NNAK 1�'ll'hr What, �lVhenrWh r.Ter�rry.cost------------------------------------------------------------------------------------ � e. Reimbursement request from Samaritan Healthcare on the American Rescue Plan Act (ARPA) in the amount of $220,142.61 for the months of November 2023, January 2024 and March 2024. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO Fw-1 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO W N/A DATE OF ACTION: Z'cI APPROVE: DENIED ABSTAIN D1: D2: D3: 4/23/24 DEFERRED OR CONTINUED TO: 'Eli m4i LU 14 1 mn=�. ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment C ARPA 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 ® Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑ Out of State Travel ❑ Petty Cash ❑ Policies' ❑ Proclamations ❑ Request for Purchase ❑ Resolution El Recommendation El Professional Sery/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB SUGGEDVV`ORDING;FRA E ; NNAK 1�'ll'hr What, �lVhenrWh r.Ter�rry.cost------------------------------------------------------------------------------------ � e. Reimbursement request from Samaritan Healthcare on the American Rescue Plan Act (ARPA) in the amount of $220,142.61 for the months of November 2023, January 2024 and March 2024. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO Fw-1 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO W N/A DATE OF ACTION: Z'cI APPROVE: DENIED ABSTAIN D1: D2: D3: 4/23/24 DEFERRED OR CONTINUED TO: BILL TO: REMITTO: Contact: M A R I TA N All of pus, for each of your every flMe. Reimbursement Request Grant County Commissioners American Rescue Plan Act (ARPA) Grant Project: HVAC System for new Medical center P.O. Box 37 Ephrata, WA 98823 Submission Number 1 Submission Date 5/14/2024 DESCRIPTION Invoice Number Amount TOTAL 2201.2 HVAC Systems 2201.2 HVAC Systems 2201.2 HVAC Systems 91119607 91120907 91121946 $ 3,685.75 $ 87,282.82 $ 129,174.04 TOTAL $ 31685.75 $ 87,282.82 $ 129,174.04 $ 2201#142.61 Samaritan Healthcare Attn: Suparna Saha - Accounting 801 East Wheeler Road Moses Lake, WA 98837 Suparna Saha, Accountant 509-793-9601 Ext: 9529 Owner Invoice Invoice# 91119607 Sales Doc# 55006136 Graham Construction & Management,, Inc 12439 E Pinecroft Way, Suite 102 Phone: 509-534-1030 Spokane Valley, WA 99216 Project Number: W21038 Name: Samaritan Healthcare Medical Campus Owner: Grant County Public Hospital Dist. 1 Samaritan Healthcare Address: 801 E Wheel Road Moses Lake WA US 98837 USubjmct Invoice #: Invoice Date: Description: Send To Nome: Summary Original Value: Change Orders: Current Value: 91119607 November 25, 2023 W21038 Pay App #7 11.30.2023 Business #: 91-2144907 Grant County Public Hospital Dist. 1 Samaritan Healthcare 801 EWheel Road Moses Lake WA US 98837 Amount Complete to Date: Less Previously Billed: Current Billing: Less Retention: Current Due: URetentionToDate Wernittance 145.708,222.00 - 145,709,222.00 91754022.88 614667023.59 90 31.287,999.29 [!64,399.97 ACR Code 01-340 $ 31399,791.26_ $ 3557999.22 Payments to: Graham Construction & Management, Inc Send to: 12439EPineoroftWay, Suite 1O2 CONTINUATION SHEET AIA DOCUMENT G703 ITEM NO. DESCRIPTION OF WORK GMP SCHEDULED VALUE CHANGE ORDERS BUDGET REALLOCATIONS CONTINGENCY USE (TOTALS) REVISED GMP TOTAL WORK COMPLETED MATERIALS PRESENTLYSTORED (NO TOTAL COMPLETED AND o /o (I/E) BALANCE TO FINISH (E -1) RETAINAGE LESS BONDED RETAINAGE BALANCE FROM PREVIOUS THIS PERIOD Buyout Status (TOTAL) APPLICATION INFORG) STORED TO DATE RETENTION A A Fee 0000 Fee Pre $106,000,000 GRAHAM 3,555,000.00 - - 3,555,000.00 209,590.51 106,577.62 - 316,168.13 8.89% 3,238,831.87 15,808.41 15,808.41 0001 Fee Post $106,000,000 GRAHAM 1,219,230.00 - - 1,219,230.00 - - - - 0.00% 1,219,230.00 - - 0002 B&O Tax GRAHAM 686,300.00 - - 686,300.00 29,467.80 14,934.50 - 44,452.30 6.48% 641,847.70 2,222.62 2,222.62 5,460,530.00 - - - 5,460,530.00 239,058.31 121,562.12 - 360,620.43 6.60% 5,099,909.57 18,031.03 - 18,031.03 A Fee Total: B B Specified General Conditions - - 0020 General Conditions GRAHAM 8,931,151.75 - - 8,931,151.75 533,498.00 64,368.47 - 597,866.47 6.69% 8,333,285.28 29,893.33 (26,674.91) 3,218.42 0030 Performance Bond GRAHAM 817,500.00 - - 817,500.00 817,500.00 - - 817,500.00 100.00% - 40,875.00 40,875.00 0040 General Liability Insurance GRAHAM 714,000.00 - - 714,000.00 31,684.62 16,111.75 - 47,796.37 6.69% 666,203.63 2,389.82 2,389.82 10,462,651.75 - - - 10,462,651.75 1,382,682.62 80,480.22 - 1,463,162.84 13.98% 8,999,488.91 73,158.15 (26,674.91) 46,483.24 B Specified General Conditions Total: C C Negotiated Support Services 0100 NSS Service Agreements GRAHAM 2,138,345.86 - - 2,138,345.86 121,240.55 18,120.39 - 139,360.94 0.00% 1,998,984.92 6,963.05 (3,511.93) 3,456.12 0110 NSS Utilities GRAHAM 178,890.00 - - 178,890.00 440.57 445.63 - 886.20 0.50% 178,003.80 44.31 (848.03) (803.72) 0120 NSS Materials & Equipment GRAHAM 676,037.00 - - 676,037.00 48,125.90 8,287.18 - 56,413.08 8.34% 619,623.92 2,820.65 (416.04) 2,404.61 0130 NSS Graham Labor GRAHAM 1,627,164.84 - - 1,627,164.84 10,197.52 15,640.00 - 25,837.52 1.59% 1,601,327.32 1,291.88 (755.29) 536.59 0140 NSS Winter Allowance GRAHAM 611,484.00 - - 611,484.00 - - - - 0.00% 611,484.00 - - 5,231,921.70 - - - 5,231,921.70 180,004.54 42,493.20 - 222,497.74 4.25% 5,009,423.96 11,124.89 (5,531.29) 5,593.60 C Negotiated Support Services Total: D D Cost of Work - Hospital 0301 Concrete Foundations and Slabs GRAHAM 5,209,870.00 - - 5,209,870.00 1,269,988.52 855,494.67 - 2,125,483.19 40.80% 3,084,386.81 106,274.16 (377.40) 105,896.76 0401 Masonry TBD 325,117.00 - - 325,117.00 - - - 0.00% 325,117.00 - - 0501 Metal Decking (Supply Only) TOMBARI 177,650.00 - - 177,650.00 177,650.00 - - 177,650.00 100.00% - 8,882.50 (8,882.50) - 0503 Structural Steel GRAHAM 8,271,415.90 - - 8,271,415.90 1,531,949.23 813,633.33 - 2,345,582.56 28.36% 5,925,833.34 117,279.13 (66,286.01) 50,993.12 0601.1 Millwork Cabinetry - - - #DN/0! - - - 0601.2 Finish Carpentry - - - #DN/0! - - - 0601.3 Countertops - - - - #DN/0! - - - 0601 Millwork and Finish Carpentry Subtotal INTERIOR WOOD PRODUCTS 1,935,500.00 - - 1,935,500.00 - - - 0.00% 1,935,500.00 - - 0701 Applied Fireproofing ANNINGJOHNSON 891,480.00 - - 891,480.00 - - - 0.00% 891,480.00 - - 0702 Membrane Roofing FLYNN BEC LP 2,751,000.00 - - 2,751,000.00 44,933.00 - 44,933.00 1.63% 2,706,067.00 2,246.65 (2,246.65) - 0703.1 Metal Siding _ _ - #DIV/0! - - - 0703.2 Slate Siding - - - #DIV/0! - - - 0703.3 Metal Roofing - - - #DIWO! - - - 0703 Metal Siding and Roofing FLYNN BEC LP 5,696,400.00 - - 5,696,400.00 - - - 0.00% 5,696,400.00 - - 0801.1 Exterior Glass Assemblies - - - #DIV/0! - - - 0801.2Interior Glass Assemblies - - - #DIV/01 - - - 0801.3 Doors Assemblies - - - #D1V/0! - - - 0801 Windows and Glass SKAUG BROTHERS 5,105,693.00 - - 5,105,693.00 - - - 0.00% 5,105,693.00 - - 0802 Doors, Frames, & Hardware Supply KINSHIP GROUP 1,261,950.00 - - 1,261,950.00 - - - - 0.00% 1,261,950.00 - - 0803 Doors, Frames, & Hardware Install G&T CONST. 345,750.00 - - 345,750.00 - - - 0.00% 345,750.00 - - 0901.1 Exterior and Interior Framing - - - #DN/0! - - - 0901.2 Interior Drywall, Tape, and Texture - - - #DN/0! - - - 0901 Wall Assemblies D9 CONTRACTORS 9,388,900.00 - - 9,388,900.00 - - - 0.00% 9,388,900.00 - - 0902 Ceiling Assemblies ELEVATOR ACOUSTICS 1,166,358.00 - - 1,166,358.00 - - - 0.00% 1,166,358.00 - - ! 0903.1 Resilient Flooring - - - #DN/01 - - - 0903.2 Tile Flooring - - - #DN/0! - - - 0903 Tile & Floor Coverings GREAT FLOORS 2,366,290.00 - - 2,366,290.00 - - - 0.00% 2,366,290.00 - - 0904 Painting PAINTMASTER 985,475.00 - - 985,475.00 - - - 0.00% 985,475.00 - - 0905 Wall Coverings TODD ROBINSON 99,340.00 - - 99,340.00 - - - 0.00% 99,340.00 - _ _ - #DN/0! - - - 1001.1 Radiation Shielding - - - #DN/0! - - - 1001.2 Wall Protection - - - #DIV/0! - - - 1001.3 Washroom Accessories - _ - #DIV/0! - - - 1001.4 Equipment Supports - - - #DIV/01 - - - 1001.5 Partitions, Grills, and Curtains - - - #DN/0! - - - 1001.5 Blocking and Backing - - - #DN/0! - - - 1001.7 Wall Accessories, Signage, & Loading 1001 Miscellaneous Specialties GRAHAM 4,375,000.00 - - 4,375,000.00 - - - - 0.00% 0.00% 4,375,000.00 284,900.00 - - _ 1201 Roller Shades VALLEY SHADES SCHINDLER ELEVATOR 284,900.00 1,650,000.00 - - - - 284,900.00 1,650,000.00 - 65,576.00 - - 65,576.00 3.97% 1,584,424.00 3,278.80 (3,278.80) - 1401 Elevators 2101 Fire Suppression FIRESHEILD 1,203,000.00 - - 1,203,000.00 - - - 0.00% 1,203,000.00 - - 2201.1 Plumbing Systems 16,037,751.09 - - 16,037,751.09 37,884.93 181,511.52 219,396.45 1.37% 0.04% 15,818,354.64 9,879,380.25 10,969.82 184.29 (1,028.35) 9,941.47 184.29 2201.2 HVAC Systems 9,883,066.00 9883066 - 3,685.75 3,685.75 2201.3 Controls 1,888,052.00 1888052 - - 0.00% 1,888,052.00 - - 2201 Plumbing, HVAC, and Controls APOLLO 27,808,869.09 - - - 27,808,869.09 37,884.93 185,197.27 - 223,082.20 0.80% 27,585,786.89 11,154.11 (1,028.35) 10,125.76 2601.1 High Voltage Systems (Service & Trans 558,000.00 558,000.00 21,740.00 205,000.00 226,740.00 40.63% 331,260.00 11,337.00 11,337.00 2601.2 Medium Voltage Systems (Building Dist 20,984,626.00 - - 20,984,626.00 229,022.22 469,000.00 698,022.22 3.33% 20,286,603.78 34,901.11 (9,651.11) 25,250.00 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 Page 1 of 1 z PROJECT: Samaritan Healthcare APPLICATION NO. 7 Distribution to: TO (OWNER): Grant County Public Hospital Dist_ 1 Samaritan Healthcare Medical Campus APPLICATION DATE: 11/25123 X OWNER 801 E Wheel Road PERIOD TO: 11130123 ARCHITECT CONTRACTOR Moses Lake WA US 98837 FROM (CONTRACTOR): VIA (ARCHITECT): ZGF Architects ARCHITECTS PROJECT NO.: CONST. MGR. Graham Construction & Management, Inc. 925 4th Ave, Suite 2400 PROJECT NO: W21038 12439 E Pinecroft Way, Suite 102 Seattle, WA 98104 CONTRACT DATE: April 11, 2022 Spokane Valley, WA 99216 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance Application is made for Payment, as shown below, in connection with the Contract. with the Contract Documents, that all amounts have been paid by the Contractor for Work for Continuation Sheet, AIA Document G703 is attached. which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM ...................................................... $ 145,709,222.00 2. Net change by Change Orders......................................................... $ 0.00 CONTRACTOR: Graham Construction & Management, Inc. 3. CONTRACT SUM TO DATE: (Line 1 +1- 2) ...................................... $ 145,709,222.00 �,4NNINN'�'!"�"' 114it, Dated 1112812023 �� P� ��`��.x 4. TOTAL COMPLETED & STORED TO DATE ................... $ 9,754,022.88 �. ..........rr....:• .,.j� {Column G on G703}00. ,IN a. 8.4% Sales Tax $ 819,337.92 State o : -' '' 5_ RETAINAGE County of: Spokane z 0- Ape $ 487,701.15 Subscribed and sworn to before X,a. 5% �� me this 28th da f November, 2023 (Column D +Eon G703) $ /a b, 0.00 of Stored Material 0.00 ��`��.�'�'L�r;p�S,1r'4 _�,�,��•, Column F on G703 Notary Public: IttNt��ti�.� C. Less bonded retention $ 131,701.93 (;419 Total Retainage (Line 5a + 5b or My Commission expires: 07-10-2024 Total in Column I of G703).. ...................................................... $ 355,999.22 6. TOTAL EARNED LESS RETAINAGE .......................................... $ 10,217,361.59 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 + Line 4a Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR In accordance with the Contract Documents, baed on on-site observations and the data PAYMENT (Line 6 from prior Certificate} ................................ $ 6,817,570.33 comprising this application, the Architect certifies to the Owner that to the best of the $ 3,399,791.26 Architect's knowledge, information and belief the Work has progressed as indicated, the 8. CURRENT PAYMENT DUE............................................................ rdance with the Contract Documents, and the Contractor is 9. BALANCE TO FINISH, PLUS RETAINAGE .................................... 136,311,198.34 quality of the Work is in acco (Line 3 Less Line 6) entitled to payment of the AMOUNT CERTIFIED. CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total Change Orders approved in previous months by Owner _ Total Approved This Month TOTALS _ NET CHANGES by Change Order AMOUNT CERTIFIED ........................................... (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Continuation Sheet that are changed to conform to the amount certified.) ARCHITECT: By: Date: This certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 Page 1 of 1 TO (OWNER): Grant County Public Hospital Dist. 1 Samaritan Healthcare 801 E Wheel Road Moses Lake WA US 98837 FROM (CONTRACTOR): Graham Construction & Management, Inc. 12439 E Pinecroft Way, Suite 102 Spokane Valley, WA 99216 CONTRACTOR*S APPLICATION FOR PAYMENT Application is made for Payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703 is attached. 1. ORIGINAL CONTRACT SUM ...................................................... $ 2. Net change by Change Orders......................................................... $ 3. CONTRACT SUM TO DATE: (Line 1 +1- 2) ...................................... $ 4. TOTAL COMPLETED & STORED TO DATE ..................................... $ (Column G on G703) a. 8.4% Sales Tax $ 5. RETAINAGE a. 5% $ 487,701.15 (Column D + E on G703) b. 0.00 % of Stored Material $ 0-00 (Column F on G703) C. Less bonded retention $ 131,701.93 Total Retainage (Line 5a + 5b or Total in Column I of G703) ............................. I.......................... $ 6. TOTAL EARNED LESS RETAINAGE .......................................... $ (Line 4 + Line 4a Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) ................................ $ 8. CURRENT PAYMENT DUE............................................................ $ 9. BALANCE TO FINISH, PLUS RETAINAGE .................................... $ (Line 3 Less Line 6) PROJECT: Samaritan Healthcare APPLICATION NO: 7 Distribution to: Total Change Orders approved in previous months by Owner Medical Campus APPLICATION DATE: 11125123 X OWNER PERIOD TO: 11/30123 TOTALS ARCHITECT NET CHANGES by Change Order CONTRACTOR VIA (ARCHITECT): ZGF Architects ARCHITECT'S PROJECT NO.: CONST. MGR. 925 4th Ave, Suite 2400 PROJECT NO: W21038 Seattle, WA 98104 CONTRACT DATE: April 11, 2022 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 145,709,222.00 0.00 CONTRACTOR: Graham Construction & Management, Inc. 145,709,222.00,��"�'��'�.�NtN� 9,754,022.88 B-�t:--- Dated 1112812023 819,337.92 State oMTV County of: Spokane:` Subscribed and sworn to before # , me this 28th da f November, 2023 Notary Public: 14rlr% Goo 99 My Commission expires: 07-10-2024 6,817,570.33 3,399,791.26 136,311,198.34 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total Change Orders approved in previous months by Owner _ Total Approved This Month TOTALS _ NET CHANGES by Change Order ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, baed on on-site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED ........................................... (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Continuation Sheet that are changed to conform to the amount certified.) ARCHITECT: By: Date: This certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. Owner Invoice Sales Doc# 55006136 Invoice# 91120907 Graham Construction & Management, Inc 12439 E Pinecroft Way, Suite 102 Phone: 509-534-1030 Spokane Valley, WA 99216 Project Number: W21038 Name: Samaritan Healthcare Medical Campus Owner: Grant County Public Hospital Dist. 1 Samaritan Healthcare Address: 801 E Wheel Road Moses Lake WA US 98837 Subject Invoice #: 91120907 Business #: 91-2144907 Invoice Date: January 25, 2024 Description: W21038 Pay App #9 01.31.2024 Send To Name: Grant County Public Hospital Dist. 1 Samaritan Healthcare Address: 801 E Wheel Road Moses Lake WA US 98837 Summa Original Value: 14577097222.00 Change Orders: 178727917.08 Current Value: 14775827139.08 Current Escrow Payment Amount Complete to Date: 1677937968.35 Retention FDueto 205,573.30 Less Previously Billed: 121682,502.43 Less: Bonded 10 250.00 Current Billing: 471117465.92 WA Trust Bank 195,323.30 Less Retention: 195 323.30 Subtotal:j_,_3,916 -------- 142.62 ACR Code 01-100 LACR Code 01-340 Tax: 345,363.13 ACR Code 07-210 Current Due: $ 41261,505.75 Retention To Date $ 693, 990.92 Remittance Payments to: Graham Construction & Management, Inc Send to: 12439 E Pinecroft Way, Suite 102 Spokane Valley, WA 99216 DaW0i1..,aaL&4a Damon Gardella (Mar 19,2024 11:53 PDT) r0NTTNTTAT10N ,9HFFT AIA DOCUMENT G703 APPLICATION NO: 9 AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractors signed Certification, is attached. APPLICATION DATE: 1/25/2024 In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 1/31/2024 ARCHITECT'S PROJECT NO.: ITEM DESCRIPTION OF WORK Cost Type GMP CHANGE BUDGET CONTINGENCY REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE LESS RETAINAGE FROM PREVIOUS THIS PERIOD NO. SCHEDULED VALUE ORDERS REALLOCATIONS USE (TOTALS) GMP TOTAL PRESENTLY STORED (NOT G) COMPLETED AND (I/E) TO FINISH (E - I) BONDED BALANCE (TOTAL) APPLICATION IN F OR STORED TO DATE RETENTION A A Fee 0000 Fee Pre $106,000,000 GRAHAM LUMP SUM 3,555,000.00 - - 3,555,000.00 411,092.24 133,269.58 - 544,361.82 15.31% 3,010,638.18 27,218.09 27,218.09 0001 Fee Post $106,000,000 GRAHAM LUMP SUM 1,219,230.00 62,893.54 - - 1,282,123.54 - - - 0.00% 1,282,123.54 - 0002 B&O Tax GRAHAM LUMP SUM 686,300.00 8,479.56 - - 694,779.56 57,798.35 18,737.30 - 76 535.65 11.02% 618,243.91 3,826.78 3,826.78 A Fee Total: 5,460,530.00 71,373.10 - - 5,531,903.10 468,890.59 152,006.88 - 620,897.47 11.22% 4,911,005.63 31,044.87 - 31,044.87 B B Specified General Conditions 0020 General Conditions GRAHAM LUMP SUM 8,931,151.75 (285,500.51) - - - - 8,645,651.24 742,965.87 240,857.74 - 983,823.61 11.38% 7,661,827.63 49,191.19 (26,674.91) 22,516.28 0030 Performance Bond GRAHAM LUMP SUM 817,500.00 16,874.84 - - 834,374.84 834,374.84 - - 834,374.84 100.00% - 41,718.74 41,718.74 0040 General Liability Insurance GRAHAM LUMP SUM 714,000.00 13,442.73 - - 727,442.73 62,512.95 664,929.78 - 727,442.73 100.00% - 36,372.14 36,372.14 10,462,651.75 (255,182.94) - - 10,207,468.81 1,639,853.66 905,787.52 - 2,545,641.18 24.94% 7,661,827.63 127,282.07 (26,674.91) 100,607.16 B Specified General Conditions Total: C C Negotiated Support Services 0100 NSS Service Agreements GRAHAM T&M 2,138,345.86 - - 2,138,345.86 515,541.25 63,117.37 - 578,658.62 0.00% 1,559,687.24 28,932.93 (3,511.93) 25,421.00 0110 NSS Utilities GRAHAM T&M 178,890.00 - - 178,890.00 1,462.38 3,209.20 - 4,671.58 2.61% 174,218.42 233.58 (848.03) (614.45) 0120 NSS Materials & Equipment GRAHAM T&M 676,037.00 - - 676,037.00 58,858.06 2,000.10 - 60,858.16 9.00% 615,178.84 3,042.91 (416.04) 2,626.87 0130 NSS Graham Labor GRAHAM T&M 1,627,164.84 - - 1,627,164.84 35,357.52 19,832.25 - 55,189.77 3.39% 1,571,975.07 2,759.49 (755.29) 2,004.20 0140 NSS Winter Allowance GRAHAM T&M 611,484.00 - - 611484.00 - - - - 0.00% 611484.00 - 5,231,921.70 - - - 5,231,921.70 611,219.21 88,158.92 - 699,378.13 13.37% 4,532,543.57 34,968.91 (5,531.29) 29,437.62 C Negotiated Support Services Total: D D Cost of Work - Hospital 0301 Concrete Foundations and Slabs GRAHAM T&M 5,209,870.00 5,752.00 - - 5,215,622.00 2,607,242.88 337,635.00 - 2,944,877.88 56.46% 2,270,744.12 147,243.89 (377.40) 146,866.49 0401 Masonry TBD T&M 325,117.00 121,023.00 - - 446,140.00 - - - 0.00% 446,140.00 - 0501 Metal Decking (Supply Only) TOMBARI T&M 177,650.00 - - 177,650.00 177,650.00 - - 177,650.00 100.00% - 8,882.50 (8,882.50) 0503 Structural Steel GRAHAM T&M 8,271,415.90 234,335.00 - - 8,505,750.90 2,824,622.13 657,250.20 - 3,481,872.33 40.94% 5,023,878.57 174,093.62 (66,286.01) 107,807.61 T&M 0601.1 Millwork Cabinetry T&M - - - #DN/0! - - 0601.2 Finish Carpentry T&M - #DIV/0! - 0601.3 Countertops T&M - - - #DIV/0! - - 0601 Millwork and Finish Carpentry Subtotal INTERIOR WOOD PRODUCTS T&M 1,935,500.00 11,980.00 - - 1,947,480.00 - - - 0.00% 1,947,480.00 - 0701 Applied Fireproofing ANNING-JOHNSON T&M 891,480.00 7,980.00 - - 899,460.00 - - - 0.00% 899,460.00 - 0702 Membrane Roofing FLYNN BEC LP T&M 2,751,000.00 155,460.00 - - 2,906,460.00 44,933.00 8,000.00 52,933.00 1.82% 2,853,527.00 2,646.65 (2,246.65) 400.00 T&M 0703.1 Metal Siding T&M - - #DIV/0! - - 0703.2 Slate Siding T&M - - - #DN/O' - - 0703.3 Metal Roofing T&M - - - #DIV/0. - - 0703 Metal Siding and Roofing FLYNN BEC LP T&M 5,696,400.00 574,600.00 - - 6,271,000.00 - - 0.00% 6,271,000.00 - 0801.1 Exterior Glass Assemblies T&M T&M - - - 9DIV/0! - 0801.2Interior Glass Assemblies T&M - - #DIV/0! - - 0801.3 Doors Assemblies T&M - - - 0.10/0! - - 0801 Windows and Glass SKAUG BROTHERS T&M 5,105,693.00 54,143.00 - - 5,159,836.00 - - - 0.00% 5,159,836.00 - 0802 Doors, Frames, & Hardware Supply KINSHIP GROUP T&M 1,261,950.00 - - 1,261,950.00 - - - - 0.00% 1,261,950.00 - 0803 Doors, Frames, & Hardware Install G&T CONST. T&M 345,750.00 - - 345,750.00 - - - 0.00% 345,750.00 - 0901.1 Exterior and Interior Framing T&M T&M 4,402,664.00 16,100.00 - - 4,418,764.00 75,111.20 205,000.00 280,111.20 6.34% 4,138,652.80 14,005.56 (]4,005.56) 0901.2 Interior Drywall, Tape, and Textt T&M 4,986,236.00 - - 4,986,236.00 - - - 0.00% 1 4,986,236.00 - 9,388,900.00 16,100.00 - - 9,405,000.00 75,111.20 205,000.00 - 280,111.20 - 2.98% 0.00% 9,124,888.80 1,166,358.00 14,005.56 - (14,005.56) 0901 Wall Assemblies D9 CONTRACTORS T&M 0902 Ceiling Assemblies ELEVATOR ACOUSTICS T&M 1,166,358.00 - - 1,166,358.00 - - 0903.1 Resilient Flooring T&M T&M - - - #DIV/O _ 0903.2 Tile Flooring T&M - 2,366,290.00 - - - - - - #DN/0. 0.00% - 2,366,290.00 - 0903 Tile & Floor Coverings GREAT FLOORS T&M 2,366,290.00 - - 985,475.00 - - - 0.00% 985,475.00 - 0904 Painting PAINTMASTER T&M 985,475.00 - - - 0.00% 100,439.57 - 0905 Wail Coverings TODD ROBINSON T&M 99,340.00 1,099.57 - - 100,439.57 - 1001.1 Radiation Shielding T&M T&M - - - - - #DN/0! #DIV/0! - - 1001.2 Wall Protection T&M - #DIV/0! - - 1001.3 Washroom Accessories T&M - - - - #DIV/O' - - 1001.4 Equipment Supports T&M - - - #DN/0. - - 1001.5 Partitions, Grills, and Curtains T&M - 1001.6 Blocking and Backing T&M - #DIV/0! - 1001.7 Wall Accessories, Signage, & Lo T&M - 4,375,000.00 - - - - 0.00% 4,375,000.00 - 1001 Miscellaneous Specialties GRAHAM T&M 4,375,000.00 - - 284,900.00 - - 0.00% 284,900.00 - 1201 Roller Shades VALLEY SHADES SCHINDLER ELEVATOR T&M T&M 284,900.00 1,650,000.00 235,520.00 - - - 1,885,520.00 65,576.00 887,472.00 953,048.00 50.55% 932,472.00 47,652.40 (3,278.80) 44,373.60 1401 Elevators 2101 Fire Suppression FIRESHEILD T&M 1,203,000.00 16,709.00 - - 1,219,709.00 11,232.00 44,928.00 56,160.00 4.60% 1,163,549.00 2,808.00 2,808.00 2201.1 Plumbing Systems APOLLO T&M T&M 167037,751.09 196,852.60 - - 16,234,603.69 472,941.17 340,954.10 813,895.27 5.01% 15,420,708.42 40,694.76 (1,028.35) 39,666.41 2201.2 HVAC Systems APOLLO T&M 9,883,066.00 (100,000.00) 9,783,066.00 3,685.75 87,282.82 1/ 90,968.571 0.93% 9,692,097.43 4,548.431 47548.43 2201.3 Controls 2201 Plumbing, HVAC, and Controls APOLLO APOLLO T&M T&M 1,888,052.00 27,808,869.09 96,852.60 - - 1,888,052.00 27,905,721.69 - 476,626.92 428,236.92 - - 904,863.84 0.00% 3.24% 1,888,052.00 27,000,857.85 - 45,243.19 (1,028.35) 44,214. 2601.1 High Voltage Systems (Service & 2601.2 Medium Voltage Systems (Buildir 2601.3 Low Voltage Systems 2601 Electrical, Communications, and Techn VALLEY ELECTRIC VALLEY ELECTRIC VALLEY ELECTRIC VALLEY ELECTRIC T&M T&M T&M T&M T&M 558,000.00 20,984,626.00 8,510,239.00 1,424,594.00 - - - - 558,000.00 22,409,220.00 8,510,239.00 252,740.00 1,317,022.22 133,200.00 18,000.00 305,000.00 10,000.00 270,740.00 1,622,022.22 143,200.00 48.52% 7.24% 1.68% 287,260.00 20,787,197.78 8,367,039.00 13,537.00 81,101.11 71160.00 (9,651.11) 13,537. 71,450. 7,160. 30,052,865.00 1,424,594.00 - - 31,477,459.00 1,702,962.22 333,000.00 - 2,035,962.22 6.47% 29,441,496.78 101,798.11 (9,651.11) 92,147. T&M 3101.1 Site Earthwork Cut & Fill 3101.2 Utilities - Sewer System 3101.3 Utlities - Storm System 3101.4 Utiities - Water System 3101.5 Building Excavation and Backfill 3101.6 Site Surface Preparations 3101 Earthworks and Undergrounds 3201 Asphalt Paving ADVANCED EXCAVATION ADVANCED EXCAVATION ADVANCED EXCAVATION ADVANCED EXCAVATION ADVANCED EXCAVATION ADVANCED EXCAVATION ADVANCED EXCAVATION CENTRAL WA ASPHALT T&M T&M T&M T&M T&M T&M T&M T&M 623,649.10 210,917.36 186,696.50 473,398.36 161,572.56 1,537,616.69 149,757.75 - - 623,649.10 210,917.36 186,696.50 473,398.36 161,572.56 1,687,374.44 515,067.28 149,004.00 69,864.00 356,178.00 151,760.00 734,709.34 63,990.48 515,067.28 149,004.00 69,864.00 356,178.00 151,760.00 798,699.82 82.59% 70.65% 37.42% 75.24% 93.93% 47.33% . 108,581.82 61,913.36 116,832.50 117,220.36 9,812.56 888,674.62 25,753.36 7,450.20 3,493.20 17,808.90 7,588.00 39,934.99 (7,744.91) 25,753. 7,450. 3,493. 17,808. 7,588. 32,190. 3,193,850.56 955,828.00 149,757.75 - - - - 3,3432608.31 955,828.00 1,976,582.62 - 63.990.48 - - 2,040.573.10 - 61.03% 0.00% 1,3032035.21 955,828.00 102,028.65 - (7,744.91) 94,283. T&M 3202.1 Curbs T&M 3202.2 Sidewalks 3202 Concrete Curbs and Sidewalks 3203 Landscaping D Cost of Work - Hospital Total: GRAHAM TBD T&M T&M T&M 1,155,000.00 3,640,000.00 - - - - 1,155,000.00 3,640,000.00 - - - - - - 0.00% 0.00% 1,155,000.00 3,640,000.00 - - 120,297,501.55 3,105,905.92 - - 123,403,407.47 9,962,538.97 2,965,512.60 - 12,928,051.57 10.48% 110,475,355.90 646,402.56 (113,501.29) 532,901. E E Construction Contingency E000 Construction Contingency E999 Escalation Contingency E Construction Contingency Total: 3,007,438.00 1,249,179.00 (1,049,179.00)1 - - - - 3,007,438.00 200,000.00 - - - 1 0.00% 0.00% 3,007,438.00 1 200,000.00 - - - - 4,256,617.00 (1,049,179.00) - - 3,207,438.00 - - - 0.00% 3,207,438.00 - - rronA"T��i .-PiwitnY 145,709,222.00 1,872,917.08 - - 147,582,139.08 12,682,502.43 4,111,465.92 16,793,968.35 11.38% 130,788,170.73 839,698.41 (145,707.49) 693,990., APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT 6702 Page 1 of 1 TO (OWNER): Grant County Public Hospital Dist. 1 Samaritan Healthcare 801 E Wheel Road Moses Lake WA US 98837 FROM (CONTRACTOR): Graham Construction & Management, Inc. 12439 E Pinecroft Way, Suite 102 Spokane Valley, WA 99216 PROJECT: Samaritan Healthcare APPLICATION NO: 9 Medical Campus APPLICATION DATE: 01/25/24 PERIOD TO: 01/31/24 VIA (ARCHITECT): ZGF Architects ARCHITECT'S PROJECT NO.: 925 4th Ave, Suite 2400 PROJECT NO: W21038 Seattle, WA 98104 CONTRACTOR'S APPLICATION FOR PAYMENT , Application is made for Payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703 is attached. 1. ORIGINAL CONTRACT SUM ...................................................... $ 145,709,222.00 2. Net change by Change Orders......................................................... $ 1,872,917.08 3. CONTRACT SUM TO DATE: (Line 1 +/- 2) ...................................... $ 147,5821139.08 4. TOTAL COMPLETED & STORED TO DATE ..................................... $ 16,793,968..35 (Column G on G703) TOTALS a. 8.4% Sales Tax $ 1,410,693.33 5. RETAINAGE $ ",` 64,6 9&.-7-9- 79. a. 5% $ 839,698.41 131,4821161.65 (Column D + E on G703) . . . . . . . . . JAA b. 0.00-% of Stored Material $ 0.00 (Column F on G703) C. Less bonded retention $ 145,707.49 Total Retainage (Line 5a + 5b or ADDITIONS Total in Column I of G703) ........................................................ $ 693,990.92 6. TOTAL EARNED LESS RETAINAGE .......................................... $ 1715107670.76 (Line 4 + Line 4a Less Line 5 Total) - 7. LESS PREVIOUS CERTIFICATES FOR TOTALS PAYMENT (Line 6 from prior Certificate)................................$13,249,165.00 $ 1 8. CURRENT PAYMENT DUE ...................$.4,261,505.76 $ ",` 64,6 9&.-7-9- 79. 9. BALANCE TO FINISH, PLUS RETAINAGE .................................... 131,4821161.65 (Line 3 Less Line 6) Adjusted 02/27/24 to actual amount received.Az . . . . . . . . . JAA CHANGE ORDER SUMMARY ADDITIONS DEDU IONS Total Change Orders approved in previous months by Owner 1, 872, 917.08 Total Approved This Month - TOTALS 1, 872, 917.08 NET CHANGES by Change Order CONTRACT DATE: April 11, 2022 Distribution to: X OWNER ARCHITECT CONTRACTOR CONST. MGR. The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. CONTRACTOR: Graham Construction & Management, Inc. n By: Daniel Peta�ky (Mar 19, 202 4:19 PDT) Dated 01/25/2024 ''��`°� A1111114. State of: Washington' County of: Spokane ' Subscribed and sworn to before me this 24th dad o January, 2024 e . �,, .: Notary Public: My Commission expires: 07-10-2024 ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, baed on on-site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED ........................................... $4,2611505.76 (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Continuation Sheet that are changed to conform to the amount certified.) ARCHITECT: :RTf_ M a r 19 2024 By: Kevin Snook (Mar 19,2024 11:55 PDT) Date: � This certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. Owner Invoice Sales Doc# 55006136 Invoice# 91121946 Graham Construction & Management, Inc 12439 E Pinecroft Way, Suite 102 Phone: 509-534-1030 Spokane Valley, WA 99216 Project Number: W21038 Name: Samaritan Healthcare Medical Campus Owner: Grant County Public Hospital Dist. 1 Samaritan Healthcare Address: 801 E Wheel Road Moses Lake WA US 98837 Subject Invoice #: 91121946 Business #: 91-2144907 Invoice Date: March 25, 2024 Description: W21038 Pay App #11 03.31.2024 Send To Name: Grant County Public Hospital Dist. 1 Samaritan Healthcare Address: 801 E Wheel Road Moses Lake WA US 98837 Summary Original Value: 14517091222.00 Change Orders: 2,774,246.70 Current Value: 1487483,468.70 Current Escrow Payment Amount Complete to Date: 26,263,473.92 Retention 161,842.86 FDueto Less Previously Billed: 23,026,616.71 Less: Bonded (41,625.00) Current Billing: 31236,857.21 WA Trust Bank . Less Retention: 120,217.86 Subtotal: 3,1167639.35 ACR Code 01--100 ACR Code 01-3 0 Tax: =6.Q,l Current Amount Due: 31388,535.36 Retention To Date $ 983,225.25 Remittance Payments to: Graham Construction & Management, Inc Send to: 12439 E Pinecroft Way, Suite 102 Spokane Valley, WA 99216 Vapgoll 44a Danson Gardella (Mar 28, 202418:50 PDT) M a r 28, 2024 nnNTiNiIATinN SHFFT AIA DOCUMENT G703 APPLICATION NO: 11 AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is attached. APPLICATION DATE: 3/25/2024 In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 3/31/2024 ARCHITECTS PROJECT NO.: ITEM NO. DESCRIPTION OF WORK Cost Type GMP SCHEDULED VALUE CHANGE ORDERS BUDGET REALLOCATIONS CONTINGENCY USE (TOTALS) REVISED GMP TOTAL WORK COMPLETED MATERIALS PRESENTLY STORED (N TOTAL COMPLETED AND ° /° (I/E) BALANCE TO FINISH (E -1) RETAINAGE LESS BONDED RETAINAGE BALANCE FROM PREVIOUSiiPEittUi2 (TOTAL) APPLICATION INFORG) STORED TO DATE RETENTION A A Fee 0000 Fee Pre $106,000,000 GRAHAM LUMP SUM 3,555,000.00 - - 3,555,000.00 746,387.67 104,919.90 - 851,307.57 23.95% 2,703,692.43 42,565.38 42,565.38 0001 Fee Post $106,000,000 GRAHAM LUMP SUM 1,219,230.00 93,151.39 - - 1,312,381.39 - - - - 0.00% 1,312,381.39 - - 0002 B&O Tax GRAHAM LUMP SUM 686,300.00 12,563.08 - - 698,863.08 104,939.88 14,751.42 - 119,691.30 17.13% 579,171.78 5,984.57 5,984.57 5,460,530.00 105,714.47 - - 5,566,244.47 851,327.55 119,671.32 - 970,998.87 17.44% 4,595,245.60 48,549.95 - 48,549.95 A Fee Total: B B Specified General Conditions 0020 General Conditions GRAHAM LUMP SUM 8,931,151.75 (285,500.51) - - - - 8,645,651.24 1,340,755.97 188,470.40 - 1,529226.37 17.69% 7,116,424.87 76,461.33 (26,674.91) 49,786.42 0030 Performance Bond GRAHAM LUMP SUM 817,500.00 21,942.93 - - 839,442.93 839,442.93 - - 839,442.93 100.00% - 41,972.15 41,972.15 0040 General Liability Insurance GRAHAM LUMP SUM 714,000.00 17,507.11 - - 731,507.11 731,507.11 - 731,507.11 100.00% - 36,575.36 36,575.36 10,462,651.75 (246,050.47) - - 10,216,601.28 2,911,706.01 188,470.40 - 31100,176.41 30.34% 7,116,424.87 155,008.84 (26,674.91) 128,333.93 B Specified General Conditions Total: C C Negotiated Support Services 0100 NSS Service Agreements GRAHAM T&M 2,138,345.86 - - 2,138,345.86 621,240.21 30,737.52 - 651,977.73 0.00% 1,486,368.13 32,598.89 (3,511.93) 29,086.96 0110 NSS Utilities GRAHAM T&M 178,890.00 - - 178,890.00 5,163.19 904.00 - 6,067.19 3.39% 172,822.81 303.36 (848.03) (544.67) 0120 NSS Materials & Equipment GRAHAM T&M 676,037.00 - - 676,037.00 67,232.21 10,559.76 - 77,791.97 11.51% 598,245.03 3,889.60 (416.04) 3,473.56 0130 NSS Graham Labor GRAHAM T&M 1,627,164.84 - - 1,627,164.84 98,249.77 28,120.00 - 126,369.77 7.77% 1,500,795.07 6,318.49 (755.29) 5,563.20 0140 NSS Winter Allowance GRAHAM T&M 611,484.00 (65,052.00) - 546,432.00 2,507.98 33,787.88 - 36,295.86 6.64% 510,136.14 1,814.79 1,814.79 5,231,921.70 - (65,052.00) - 5,166,869.70 794,393.36 104,109.16 - 898,502.52 17.39% 4,268,367.18 44,925.13 (5,531.29) 39,393.84 C Negotiated Support Services Total- D D Cost of Work - Hospital 0301 Concrete Foundations and Slabs GRAHAM T&M 5,209,870.00 14,053.83 - - 5,223,923.83 3,716,890.78 445,005.70 - 4,161,896.48 79.67% 1,062,027.35 208,094.82 (377.40) 207,717.42 0401 Masonry TBD T&M 325,117.00 121,023.00 - - 446,140.00 - - - 0.00% 446,140.00 - - 0501 Metal Decking (Supply Only) TOMBARI T&M 177,650.00 - - - 177,650.00 177,650.00 - - 177,650.00 100.00% - 8,882.50 (8,882.50) - 0503 Structural Steel GRAHAM T&M 8,271,415.90 288,382.01 - 51,637.00 8,611,434.91 6,627,970.08 545,512.91 - 7,173,482.99 83.30% 1,437,951.92 358,674.15 (66,286.01) 292,388.14 0601.1 Millwork Cabinetry T&M T&M - - - #DTV/0! - - - 0601.2 Finish Carpentry T&M - - - #DTV/0! - - - 0601.3 Countertops T&M - - - - #DTV/0! - - - 0601 Millwork and Finish Carpentry Subtotal INTERIOR WOOD PRODUCTS T&M 1,935,500.00 21,765.00 - - 1,957,265.00 - - 30,460.00 - 30,460.00 0.00% 2.82% 1,957,265.00 1,049,557.00 - 1,523.00 - 1,523.00 0701 Applied Fireproofing 0702 Membrane Roofing ANNINGJOHNSON FLYNN BEC LP T&M T&M 891,480.00 2,751,000.00 20,937.00 168,460.00 - - 167,600.00 172,000.00 1,080,017.00 3,091,460.00 - 52,933.00 9,000.00 61,933.00 2.00% 3,029,527.00 3,096.65 (3,096.65) - 0703.1 Metal Siding T&M T&M 1,098,350.00 - 642,232.00 1,740,582.00 - - 0.00% 1,740,582.00 - - - 0703.2 Slate Siding T&M 2,146,310.00 - 2,146,310.00 - - '0.00% 2,146,310.00 - - - 0703.3 Metal Roofing T&M 670,790.00 - 670,790.00 - - 0.00% 670,790.00 - 0703.4 Insulation & Girls T&M 1,780,950.00 - 1,780,950.00 75,000.00 75,000.00 4.21% 1,705,950.00 3,750.00 (3,750.00) 0703 Metal Siding and Roofing FLYNN BEC LP T&M 5,696,400.00 642,232.00 - - 6,338,632.00 - 75,000.00 - 75,000.00 1.18% 6,263,632.00 3,750.00 (3,750.00) - 0801.1 Exterior Glass Assemblies T&M T&M 3,052,461.95 - 71,593.00 - - 3,124,054.95 - 106,952.33 106,952.33 3.42% 3,017,102.62 5,347.62 5,347.62 0801.2 interior Glass Assemblies T&M 576,320.51 - - - 576,320.51 - - - 0.00% 576,320.51 - - 0801.3 Doors Assemblies Glass SKAUG BROTHERS T&M T&M 1,476,910.54 - - - 1,476,910.54 - - - 0.00% 1,476,910.54 - - 5,105,693.00 71,593.00 - - 5,177,286.00 - 106,952.33 - 106,952.33 2.07% 5,070,333.67 5,347.62 - 5,347.62 0801 Windows and 0802 Doors, Frames, & Hardware Supply KINSHIP GROUP T&M 1,261,950.00 16,911.45 - - 1,278,861.45 - 21,192.05 - 21,192.05 1.66% 1,257,669.40 1,059.60 1,059.60 0803 Doors, Frames, & Hardware Install G&T CONST. T&M 345,750.00 - - - 345,750.00 - - - 0.00% 345,750.00 - 0901.1 Exterior and Interior Framing D9 CONTRACTORS T&M T&M 4,402,664.00 - 16,100.00 - - 4,418,764.00 509,493.20 297,500.00 806,993.20 18.26% 3,611,770.80 40,349:66 (40,349.66) = 0901.2 Interior Drywall, Tape, and Texture D9 CONTRACTORS T&M 4,986,236.00 41,651.00 - - 5,027,887.00 - 0.00% 5,027,887.00 - - 9,388,900.00 1,166,358.00 57,751.00 - - - - - 9,446,651.00 1,166,358.00 509,493.20 - 297,500.00 43,439.00 - 806,993.20 43,439.00 8.54% 3.72% 8,639,657.80 1,122,919.00 40,349.66 2,171.95 (40,349.66) - 2,171.95 0901 Wall Assemblies 0902 Ceiling Assemblies D9 CONTRACTORS ELEVATED ACOUSTICS T&M T&M 0903.1 Resilient Flooring T&M T&M - - - - - - - #DTV/0; #DTV/0. _ = _ 0903.2 Tile Flooring 0903 Tile & Floor Coverings GREAT FLOORS T&M T&M 2,366,290.00 22,252.72 - - 2,388,542.72 - - - 0.00% 2,388,542.72 - 0904 Painting PAINTMASTER T&M 985,475.00 2,322.00 - - 987,797.00 - - - 0.00% 987,797.00 - - 0905 Wall Coverings TODD ROBINSON T&M 99,340.00 1,099.57 - - 100,439.57 - - - 0.00% 100,439.57 - - 1001.1 Radiation Shielding T&M T&M - - - - - - #DTV/0' #DIV/0. _ = _ 1001.2 Wall Protection T&M - - - - #DTV/0! - - - 1001.3 Washroom Accessories T&M #DIV/0 1001.4 Equipment Supports T&M - - - #DTV/0., - 1001.5 Partitions, Grills, and Curtains T&M - - #DIV/O! 1001.6 Blocking and Backing T&M - - - #DIV/0! - - - 1001.7 Wall Accessories, Signage, & Loa 1001 Miscellaneous Specialties GRAHAM T&M T&M 4,375,000.00 13,897.78 - - 4,3 - - - 0.00% 4,388,897.78 - - 1201 Roller Shades VALLEY SHADES T&M 284,900.00 - - 4,897.78 284,900.00 1,885,520.00 - 953,048.00 - - 953,048.00 0.5 % 50.55% 284,900.00 932,472.00 - 47,652.40 (3,278.80) - 44,373.60 1401 Elevators SCHINDLER ELEVATOR T&M 1,650,000.00 235,520.00 - - 50,544.00 112,320.00 9.21% 1,107,389.00 5,616.00 5,616.00 2101 Fire Suppression FIRESHEILD T&M 1,203,000.00 16,709.00 - - 1,219,709.00 61,776.00 2201.1 Plumbing Systems APOLLO T&M T&M 16,037,751.09 351,617.75 - - 16,389,368.84 1,339,810.10 323,59236 1,663,402.46 220,142.61 10.15% 2.25% 14,725,966.38 9,562,923.39 83,170.12 11,007.13 (1,028.35) 82,141.77 11,007.13 2201.2 HVAC Systems APOLLO T&M 9,883,066.00 (100,000.00) 9,783,066.00 90,968.57 129,174.04 2201.3 Controls APOLLO T&M 1,888,052.00 1,888,052.00 -0.00% 1,430,778.67 452,766.40 - 1,883,545.07 6.71% 1,888,052.00 26,176,941.77 94,177.25 (1,028.35) 93,148.90 2201 Plumbing, HVAC, and Controls APOLLO T&M 27,808,869.09 251,617.75 - - 28,060,486.84 2601.1 High Voltage Systems (Service & VALLEY ELECTRIC T&M T&M 558,000.00 - 283,347.50 841,347.50 291,737.00 2,341,022.22 443,000.00 291,737.00 21784,022.22 - 34.67% 12.37% 549,6T0.50 19,720,302.78 14,586.85 139,201.11 (14,586.85) (139,201.11) 2601.2 Medium Voltage Systems (Building VALLEY ELECTRIC T&M 20,984,626.00 1,519,699.00 - - 222504,325.00 183,200.00 183,200.00 2.15% 1 8,327,039.00 9,160.00 (9,160.00) - 2601.3 Low Voltage Systems VALLEY ELECTRIC T&M 8,510,239.00 8,510,239.00 443,000.00 3,258,959.22 1 10.23% 1 23,596,952.28 162,947.96 (162,947.96) - 2601 Electrical, Communications, and Technology VALLEY ELECTRIC T&M 30,052,865.00 1,803,046.50 - - 31,855,911.50 2,815,959.22 - 3101.1 Site Earthwork Cut & Fill T&M ADVANCED EXCAVATIO T&M 623,649.10 - 623,649.10 515,067.28 515,067.28 82.59% 108,581.82 25,753.36 .25,753.36 3101.2 Utilities - Sewer System ADVANCED EXCAVATIO T&M 210,917.36 - 210,917.36 167,629.48 167,629.48 79.48% 43,287.88 8,381.47 8,381.47 3101.3 Utlittes - Storm System ADVANCED EXCAVATIO T&M 186,696.50 45,373.55 232,070.05 69,864.00 52,398.42 122,262.42 52.68% 109,807.63 6,113.12 6,113.12 3101.4 Utiities - Water System ADVANCED EXCAVATIO T&M 473,398.36 - 473,398.36 400,700.22 22,261.11 422,961.33 89.35% 50,437.03 21,148.07 21,148.07 3101.5 Building Excavation and Backfill ADVANCED EXCAVATIO T&M 161,572.56 - 161,572.56 151,760.00 9,485.00 161,245.00 99.80% 327.56 8,062:15 8,062.25 3101.6 Site Surface Preparations ADVANCED EXCAVATIO T&M 1,537,616.69 149,757.75 65,052.00 - 1,752,426.44 817,669.86 220,089.42 1,037,759.28 59.22% 70.26% 714,667.16 1,027,109.07 51,887.96 121,346.23 (7,744.91) (7,744.91) 44,143.05 113,601.32 3101 Earthworks and Undergrounds ADVANCED EXCAVATIO T&M 3,193,850.56 955,828.00 195,131.30 - 65,052.00 - - - 3,454,033.86 955,828.00 2,122,690.84 - 304,233.95 - - 2,426,924.79 - 0.00% 955,828.00 - - 3201 Asphalt Paving CENTRAL WA ASPHALT T&M T&M - 3202.1 Curbs T&M - 3202.2 Sidewalks T&M - 3202 Concrete Curbs and Sidewalks GRAHAM T&M 1,155,000.00 (943.21) - - 1,154,056.79 - - - 0.00% 1,154,056.79 - - 3203 Landscaping TBD T&M 3,640,000.00 - - - 3,640,000.00 - - - 0.00% 3,640,000.00 - - 120,297,501.55 3,963,761.70 65,052.00 391,237.00 124,717,552 25 18,469,189.79 2,824,606.34 - 21,293,796.13 17.07% 103,423,756.12 1,064,689.77 (297,742.24) 766,947.53 D Cost of Work - Hospital Total: E E Construction Contingency - - E000 Construction Contingency 3,007,438.00 - (223,637.00) 2,783,801.00 - - - 0.00% 2,783,801.00 - - - E999 Escalation Contingency 1,249,179.00 1 (1,049,179.00) - (167,600.00) 32,400.00 0.00% 32,400.00 - - - 4,256,617.00 (1,049,179.00) - (391,237.00) 2,816,201.00 - - - - 0.00% 2,816,201.00 - - - E Construction Contingency Total: Grand Total - Pre Tax 145,709,222.00 2,774,246.70 - - 148,483,468.70 23,026,616.71 3,236,857.21 - 26,263,473.92 17.690/. 122,219,994.77 1,313,173.69 (329,948.44) 983,225.25 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 Page 1 of 'I TO (OWNER): Grant County Public Hospital Dist. 1 Samaritan Healthcare 801 E Wheel Road Moses Lake WA US 98837 FROM (CONTRACTOR): Graham Construction & Management, Inc. 12439 E Pinecroft Way, Suite 102 Spokane Valley, WA 99216 CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for Payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703 is attached. 1. ORIGINAL CONTRACT SUM ...................................................... 2. Net change by Change Orders......................................................... 3. CONTRACT SUM TO DATE: (Line 1 +1- 2) ...................................... 4. TOTAL COMPLETED & STORED TO DATE ..................................... (Column G on G703) a. 8.4% Sales Tax 5. RETAINAGE a. 5% $ 1,� (Column D + E on G703) b. .0.00.1/o of Stored Material $ (Column F on G703) C. Less bonded retention $ Total Retainage (Line 5a + 5b or Total in Column I of G703) ........................................................ 6. TOTAL EARNED LESS RETAINAGE .......................................... (Line 4 + Line 4a Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) ................................ 8. CURRENT PAYMENT DUE............................................................ 9. BALANCE TO FINISH, PLUS RETAINAGE .................................... (Line 3 Less Line 6) 0.00 329,948.44 PROJECT: Samaritan Healthcare APPLICATION NO: 11 Distribution to: Total Change Orders approved in previous months by Owner Medical Campus APPLICATION DATE: 03/25/24 X OWNER .. PERIOD TO: 03/31/24 TOTALS ARCHITECT NET CHANGES by Change Order CONTRACTOR VIA (ARCHITECT): ZGF Architects ARCHITECT'S PROJECT NO.: CONST. MGR. 925 4th Ave, Suite 2400 PROJECT NO: W21038 Seattle, WA 98104 CONTRACT DATE: April 11, 2022 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 145,709,222.00 2,774,246.70 CONTRACTOR: Graham Construction & Management, Inc. �,,,r,"'''``'I 148,483,468.70 .,.. 26,263,473.92 B - — —� Dated 3/25/2024 2,206,131.81 State of: as ��.'" - -., .. O #�� Count of: Spokane Subscribed to before :''` / `'d ' and sworn fi 1 W me this 25th da o arch, 2024 NotaryPublic: My Commission expires: 07-10-2024 983,225.25 3,388,535.36 123,203,220.03 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total Change Orders approved in previous months by Owner 2,774,246.70 Total Approved This Month .. TOTALS 2,774,246.70 NET CHANGES by Change Order ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, baed on on-site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED.. .......... $313881535.36 ............................... (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Continuation Sheet that are changed to conform to the amount certified.) ARCHITECT: M a r 29, 2024 By: Kevin Snook (Mar 29,2024 16:05 PUT) Date: This certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract: