HomeMy WebLinkAboutGrant Related - BOCC (002)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 suBMrr-rED sY: Karrie Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton
CONFIDENTIAL INFORMATION: ❑YES ONO
DATE: 5/20/2024
PHONE: 2937
(WI � ._ .�r� Y
Reimbursement request from Hopesource on the Emergency Housing Fund (EHF)
Grant # 24-4619D-1 06 in the amount of $37,694.52 for April 2024.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A
DATE OF ACTION: S
APPROVE: DENIED ABSTAIN
D1:
D2:
D3: l.iV
4/23/24
DEFERRED OR CONTINUED TO:
MONISM=,
ME
❑Agreement / Contract
❑AP Vouchers
❑Appointment / Reappointment
❑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
El 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
(WI � ._ .�r� Y
Reimbursement request from Hopesource on the Emergency Housing Fund (EHF)
Grant # 24-4619D-1 06 in the amount of $37,694.52 for April 2024.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A
DATE OF ACTION: S
APPROVE: DENIED ABSTAIN
D1:
D2:
D3: l.iV
4/23/24
DEFERRED OR CONTINUED TO:
STATE G -F WASHN:5.10N
DEPARTNIENT OF COWMERCE
14311 Pilum So pren SE - F"10 SE oy 42525 -
'Vrnpa, Washi�jutvm 9-ST,504-2525 # f,.360.) 7.2540-00
Form 19-1A
VOUCHER DISTRIBUTION
AGENCY
Short Code
Commerce Contract Number
NUMBER
CMS Invoice ID:
DEPARMENT OF
1030
24-4619D-106
393900
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
I
Vendor's Certificate: The individual signing this voucher below
warrants they have the authority to do so as authorized and on behalf
Kerrie Stockton
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
totals listed herein are proper charges for materials, merchandise or
(509) 754-2011 ext 2937
(Vendor Contact Phone)
services furnished to the State of Washington, and that all goods
furnished and/or services rendered have been provided without
discrimination because of age, sex, marital status, race, creed, color,
<kstockton(�ilgrantcountvwa.gov>
(Vendor Contact Email)
national origin, handicap, religion or Vietnam era or disabled veterans
status.
07/01/23 - 06/30/24
(Contract Period)
04/01/24 - 04/30/24
(REPORT PERIOD)
(SUBMITTED BY) (SUBMIT DATE)
DESCRIPTION,
RE
BUDGET QUESTED EXPENDED TO
'AMOUNT, THIS AWARD
AMOUNT DATE
ANVOICE--REMAINING
Admin - Unassigned
$139,618.00 $1,713.99 $67,746.28
$.00 $71,871.72
Operations - Unassigned
$649,156.00 $21,492.65 $317,894.88
$.00 $331,261.12
Rent - Unassigned
$27,153.00 $.00 $5,584.38
$.00 $21,568.62
Facility Support— Unassigned
$338,411.00 $14,487.88 $2181333.85
$.00 $120,077.15
Non - Match Total:
$1,154,338.00 $37,694.52 $609,559.39
$.00 $544$778.61
PROGRAM APPROVAL
Date
(The individual sig ining this voucher warrants they have the authority to sign this voucher.)
DOC DATE.
CURRENT
REFERENCE. DOC NO.,
VENDOR NUMBER and SUFFIX
DOC. NO.
SWV0002426 03
ACCOUNT NO,
ASD NUMBER
VENDOR MESSAGE
45761
TRANS REV. MASTER
SUB
SUB
MG
MS
GL ACCT -SUB
-AMOUNT
PROGRAM
CODE CODE INDEX
OBJ
SUB
SID
INDEX
'OBJ
46ECO220
NZ
4620
READY to BATCH PREPARER
DATE
WARRANT TOTAL
CREATED BY
I Karrie Stockton (Kstockton2)
DATE
5/20/2024 2:18:36 PM
.Form 19--1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number
NUMBER
CMS Invoice ID: DEPARMENT OF 1030 24-461913-106
393900 COMMERCE
0 All Expenses under $1,000
Paid to
Paid by Paid to Paid to Expense
Paid by UBI Contractor Paid to UBI Amount
organization Name Type Organization Name org Type Type
Subcontractor Total
Sub Subcontractor Total
HopeSourc��
606 West 3rd Ave
Ellensburg, WA 98926
Phone: 509-925-1448
Fax: 509-925-1204
--------------- --.- ----- ----------------- ------- -------- -------------- ------------- - - ------
I -------- ------------- ....................... .... Progra.m.- niformation ...... ...... .......... ------
"FIT
0
Grant # 24-4619D-106
Program Period: 7/1/2023 - 6/30/2024
Award : $320,571 Remaining Bal:1 $91,847.00
For the Period
•
MISSION!
Ariam Mehtsentu
Si nature;
I Date: 15/16/24
brant County Courthouse
Attn:Janice Flynn, Admin. Services Coordinator
P.O. Box 37
lEphrata, WA 98823-0037
606 West 3rd Ave Ellen"sburg, WA 98926 Phone (509) 925-1448 Fax (509) 925-1204
110 Pennsylvania Ave, Cie Elurn, WA 98922 Phone (609) 674-2375 Fax (509) 674-5187
As the lead grantee for this contract, 1 certify that the sub grantee expenses listed above have been reviewed and are accurate.
Lead grantee staff name: Karrie Stockton
Date: 5/20/2024