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HomeMy WebLinkAboutGrant Related - BOCC (003)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00prin on Thursday) REQUESTING DEPARTMENT:BOCC REQUEST SUBMITTED BY:Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE.. Kc`ai'1"le Stockton CONFIDENTIAL INFORMATION: DYES 0 N DATE. 5/20/2024 PHONE:2937 ---------- AN SCh ;fir .. .cam .. _ . � A ND �,.� ,/ ../. W a,% Reimbursement request from New Hope on the Emergency Housing Fund (EHF) #24-4619D-106 in the amount of $32,623.67 for April 2024. If necessary, was this document reviewed by accounting? F-1 YES El NO 0 N/A If necessary, was this document reviewed by legal? 0 YES F-1 NO .0 N/A DATE OF ACTION: � ' �" 2'� APPROVE: DENIED ABSTAIN Dl: D2: D3: 4/23/24 DEFERRED OR CONTINUED TO: ElAgreement Contract EIAP Vouchers ElAppointment Reappointment - --- --------- EIARPA Related El Bids / RFPs / Quotes Award E]Bid Opening Scheduled F1 Boards / Committees El Budget OComputer Related E]County Code 0 Emergency Purchase ElEmployee Rel. DFacilities Related ElFinancial El Funds 0 Hearing El Invoices / Purchase Orders ®Grants — Fed/State/County El Leases El MOA / MOU E]Minutes E]Ordinances ElOut of State Travel E:]Pefty Cash ❑ Policies El Proclamations 7 Request for Purchase El Resolution 7 Recommendation F Professional Serv/Consultant OSupport Letter OSurplus Req. E]Tax Levies F]Thank You's E]Tax Title Property F-IWSLCB' ---------- AN SCh ;fir .. .cam .. _ . � A ND �,.� ,/ ../. W a,% Reimbursement request from New Hope on the Emergency Housing Fund (EHF) #24-4619D-106 in the amount of $32,623.67 for April 2024. If necessary, was this document reviewed by accounting? F-1 YES El NO 0 N/A If necessary, was this document reviewed by legal? 0 YES F-1 NO .0 N/A DATE OF ACTION: � ' �" 2'� APPROVE: DENIED ABSTAIN Dl: D2: D3: 4/23/24 DEFERRED OR CONTINUED TO: DEPART MRww"a °!T OF CMNE .CE fsRin 98504-2525 (361®r) 72540,00 130i I flful ll 11.+W SE # 'PC) ox ,42, 25* Ofpyh�g�ip:ia,pk }i!Shill Form,19"1A VOUCHER DISTRIBUTION AGENCY, Shoe Code Commerce Contract Number NUMBER,-.,,, CMS Invoice ID: DEPARMENT OF 1030 24-4619D_106 393875 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 Kerrie Stockton warrants they have the authority to do so as authorized and on behalf of the entity identified in the Vendor/Claimant section. The. individual (Vendor Contact Person) signing below certifies under penalty of perjury that the items and (509) 754-2011 ext 2937 totals listed herein are proper charges for materials, merchandise or �"�"`�`"�•"•"'"`°`°�`°°°�`°M`�"���°�`'ra�"�"`�"`�"`�r„°"r��°`�w�"�"°urW (Vendor Contact Phone) services furnished to the State of Washington, and that all goods furnished and/or services rendered have been provided without <kstocktonC@ rantcountywa.gov> discrimination because of age, sex, marital status, race, creed, color, ��r��`t`�`�"�`r" (Vendor Contact Email), in national ori , on or Vietnam era or disabled veterans g� handicap, religion g� status. 07/01/23 - 06/30/24 ussrsraswaea,"aaaxe.e,-"xaaxmrmsaver„r: wsras,uammvaJ,T•srsxsapr».w,ysssn,snssrysss✓esrrssro,anrsra✓mro:assrrnseaeaex•..esrsusasrsa-.:sr y.m+,rs.awrou,e»senaw ;.., w..aserne-•,r (Contract Period) 04/01/24 - 04/30/24 .vx..u.msrorrt..rasrz+.smcm*a.x*n+ruxsmrsseexw+.•rwrs+.errors•.,srrraaarasuirwex:+osrraraarrerrrowers+nssrncuateam.aware-,grav,..wrmreray.•awa-•..sre .anau...tr..sa...+r'm,...,..: Karrie Stockton Kstockton2 5/20/2024 1:35:35 PM (REPORT PERIOD) (SUBMITTED BY) (SUBMIT DATE). DESCRIPTION 13UDET ; REQUESTED,: EXPENDED'0 . ` /MOUNT:THIS- • AMOUNT DATE I.N.1%OICE = = REM�4, NING Admin - Unassigned $139,618.00 $2,124.55 $67,746.28 $.00 $71,871.72 Operations - Unassigned $649,156.00 $20,607.24 $317,894.88 $.00 $331,261.12 Rent - Unassigned $27,153.00 $9,891.88 $5,584.38 $.00 $21,568.62 Facility Support - Unassigned $338,411.00 $.00 $218,333.85 $.00 $120,077.15 Non - Match Total: $1,154,338.00_.l $32,623.67 $609,559.39 $.00 $544,778.61 ROGRAM APPROVAL - , • Det The individual .Sqning this ,voucher Warrants the have, the -authorit to- sin phis vbucher•. DCC DATE CURRENT. REFERENCE'DOC IVO. VENDOR NUMBERand SUFFIX DOC. NO. - SWV0002426 03 ACCOUNT N®. ASD NUMBER VENDOR MESSAfE 45761 TRANS R EV MASTER. SUS SUB IVIG MS GL ACCT SUD A�tIC�IJNi` PROGRAM CODE CODE INDEX. OBJ SUE SID INDEX 013J 46ECO220 NZ 4620C READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY Karrie Stockton (Kstockton2) DATE 5/20/2024 1:30:11 PM Form 19 -'IA VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER, CIVIS Invoice IDs DEPARMENT OF 1030 24-4619D-106 393875 COMMERCE El ,All Expenses under $1,000 Paid b Paid to y Paid by UBl � � Contractor Organization Name ,Type Paid to UBp - Paid to Paid to Ex ense P, Amount Organization Name Org Type Type Subcontractor Total Sub Subcontractor Total Amount charged to the EHF Voucher Detail Code Salaries Calculation grant Invoice Documentation: Salaries Staff Name d� f�..r�j '�*°�• 1 5 _ �, �7 tidi ,t,rt 9� ' �Y 4'` ,y'i���✓ +� 3M odic'" n. , Suzi Fode 565501100 9840.92 20% $ 1,968.18 �sa Shelter Operations Elsa Borrego 565501100 4470.14 44% $ 1,966.86 Shelter Operations Tara Dieng 565501100 5276.64 15% $ 791.50 Shelter Operations CA. (, Z Maria Hallatt Alyce Barrientoz 565501100 5157.64 565501100 5269.64 7% $ 19% $�1:001�'2�3d`mF'fnM�fC7' 36103 SheJ.lt(+e;r O++p;erations .{ t,'.Ur�l[.l ' ,"i�•l Yn�llr ti4.�i��13k�F�C j11n'r "_'•Y "" ouche:r v /HotelrV Sx. Ana Rivera 565501100 4448.06 4% $ 1'` 77.92 Shelter Operations #" Hildai Cruz -Aviles Tara Dieng - Overtime 565501100 3864.58 565501202 371.03 11% $ O. 15/ $ 425.10 55.65 r v • Cr ,r 1" r , rw1A41T'� sT1b+zL Admin/RRH �� .`66�� t �' �...,Gr`7�+ Shelter OperationsTotal $ 61747.47 Invoice Documentation: Benefits Suzi Fode 565502*** 2690.22 o 20/ $ 538.04 Shelter �t x a l■a51 Elsa Borrego 565502*** 1905.38 44% $ 838.37 �S pima Operations ys T r k. t 1 r- r JA r r :7 'i�..t.�i•.1.�.4 +. a s•.t.r. SL ,L,. Shelter Operations Tara Dieng 565502*** 2137.86 15% $ 320.68 Shelter Operations Maria Hallatt 565502*** 3348.15 7% $ 234.37 _ Shelter Operations Alyce Barrientoz Y * * * 565502 2710.02 19/ ° $ �x4 M 5149`Q Aid mr%Hof_erltso uch� Ana Rivera 565502*** 1807.56 4% $ x 72.30 Shelter Operations Hildai Cruz -Aviles 565502*** 1666.51 11% $ 183.32 Admin/RRH Total $ 21701.98 Total Amt Total Amt Billed Vendor: Code Description Billed to EHF Program Billed GC Human Resources 565501124 HR Service Fee $ 1,354.67 $ 97.75 Shelter Operations Devries Record Mgmt 565503100 Document Shredding $ 13.80 $ 1.00 Shelter Operations Lindsay Water 565503100 Office Supplies $ 79.67 $ 5.55 Shelter Operations Office Depot 565503100 Office Supplies $ 391.63 $ 28.26 Shelter Operations Basin Refrigeration 565504100 Shelter Repair $ 102.98 $ 102.98 Shelter Operations Damon J's Interior 565504100 Shelter Repair $ 2,940.89 $ 1,513.53 Shelter Operations Archer's Cabinetry 565504100 Shelter Repair $ 4,650.00 $ 4,650.00 Shelter Operations*'"" Vyve 535504260 Shelter Internet $ 206.31 $ 206.31 Shelter Operations✓'' Kelley Create 565504100 Copier Maint $ 2,048.83 $ 123.32 Shelter Operations V0000 Kelley Create 591657000 Copier Lease $ 290.91 $ 17.51 Shelter Operations oo* Eric Kornbilt 591657001 Shelter Lease $ 2,250.00 $ 2,250.00 Shelter Operations -o*** Mario Padilla 591657001 Office Lease $ 7,726.21 $ 330.54 Shelter Operations -o" Mario Padilla 565504700 Office Utilities $ 11362.78 $ 82.02 Shelter Operations'' PB Janitorial 565504107 Janitorial $ 950.00 $ 57.18 Shelter Operations'` US Linen 565504107 Janitorial $ 276.55 $ 16.65 Shelter Operationswoo- ATT 565504201 Office Phone $ 52.40 $ 3.15 Shelter Operations r''* Century Link 565504201 Office Phone $ 393.22 $ 215.24 Shelter Operations -' Mario Padilla 565504100 Office Weed Spray $ 123.84 $ 5.30 Shelter Operations/ GC Tech Services 565504202 On Call Phone $ 1,690.66 $ 118.49 Shelter OperationsV City Of Moses Lake 565504700 Shelter Utilites $ 200.81 $ 200.81 Shelter Operations / Cascade Nat Gas 565504700 Shelter Utilites $ 107.44 $ 107.44 Shelter Operations ,r" GC PUD 565504700 Shelter Utilites $ 71.45 $ 71.45 Shelter Operations Quality Inn 565504502 Emer.Shelter $ 387.48 7 8 Renti G � ' chafe � 1 $ Patel Vouchers ?',*c Quality Inn 565504502 Emer.Shelter $ 1,980.90 $ A 980-,9.0 O erations =Hotel '► Courtyard b Marriot Visa Y Y (Visa) 565504502 Emer.Shelter $ 633.66 :��p T. $ ,6336G�R.ent-Hote�lVouchers� Ste hanie Burgess p g 565504580 Client EFA -Renta $ 2,700.00 j $ 2 60--00 Re6j'AM , N Catholic Charities 565504580 Client EFA - Renth"� $ 2,780.00 $ 2;,7 0 QO nf,R`RH /' Guadalupe Havel LLC p 565504580 Client EFA - Rent1,884.00 $ atiY Windermere Visa (Visa) 565504580 Client EFA - Rent $ 941.74 _` $ 941,.7 Rin hi> Suglani/Quality Inn -Visa 565504580 Client EFA - Rent $ 565.00 $ -OO:ert:RH Walmart (Visa) 565503180 Shelter Groceries $ 314.85 $ 314.85 Shelter Operations Walmart (Visa) 565503181 Shelter Supplies $ 265.00 $ 265.00 Shelter Operations, --,O Lowe's (Visa) 565503160 Shelter Supplies $ 59.02 $ 59.02 Shelter Operations•/' Amazon (Visa) 565503160 Shelter Supplies $ 517.31 $ 368.53 Shelter Operations --� Amazon (Visa) 565503100 Office Supplies $ 89.84 $ 6.48 Shelter Operations --� Vivint (Visa) 565504100 Shelter Security $ 56.47 $ 56.47 Shelter Operations Loc Citizens (Visa) 565504100 Shelter Security $ 26.61 $ 26.61 Shelter Operations Total $ 40,486.93 $ 23,174.22 TOTAL EHF Billing: $ 32,623.67