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HomeMy WebLinkAboutGrant Related - BOCC (005)�O 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: DYES ONO DATE:6/10/2024 PHONE: 2937 IsUddESTED_11V Reimbursement request from OIC on the Community Developement Block Grant (CDBG), Public Service Grant (PSG) #22-62210-005 in the amount of $100,307.63 for the months of July 2023 - April 2024. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO Cl N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO Cl N/A DATE OF ACTION: APPROVE: DENIED ABSTAIN D1: D2: D3: 4/23/24 DEFERRED OR CONTINUED TO: ----------------- LU am ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ABPA 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 El Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution El Recommendation ❑Professional Sery/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies . ❑Thank You's ❑Tax Title Property ❑WSLCB IsUddESTED_11V Reimbursement request from OIC on the Community Developement Block Grant (CDBG), Public Service Grant (PSG) #22-62210-005 in the amount of $100,307.63 for the months of July 2023 - April 2024. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO Cl N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO Cl N/A DATE OF ACTION: APPROVE: DENIED ABSTAIN D1: D2: D3: 4/23/24 DEFERRED OR CONTINUED TO: ij STATE OF WASHIN DEPARTMENT OF COMMERCE 1011 P1vwSbreel SE, -PG Box 42525 *alyMpia-,Wa-shinoforf985O4-2525 *(36Q)725-4000 wwrommer-c-eva-gov Form 19AA VOUCHER DISTRIBUTION AGENCY: Short Code Commerce Contract N umrnbe NUMBER CMS Invoice ID: DE PARME NT OF 1030 22-62210-005 1-- 394992 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 8622 — 05Z Public Services $243,000.00 $100,307.63 $113,435.02 $.00 $129,564.98 8623 — 21A General Admin 1 $7,000.001 $.001 $3,500.00 $.00 $3,500.00 Non - Match Total: $250,000.00 $100,307963 $116,935.02 $.001 $133,064.98 PROGRAM 'APPROVAL D t a, e: the authority, (The -indiVidual S-ighing this'youch, arra h ts t have:t t voucher .6 sigh his ouchier DOC DATECURRENT- REFERENCE DOC NO VENDOR NUMBER and SUFFIX:' . DOCK NO. SWV0002426 03 ACCOUNT NO. ASD NUMBER - VENDOR MESSAGE 43260 ,TRANS.: REV MASTER SUB SUB IVIG MS _'GL ACCT :-SUB AMOUNT PROGRAM CODE ,�' 'CODE INDEX OBJ :SUB, SID INDEX OBJ I 622F0320 ---i NZ I62210 I I I 623F0320 I NZ I I I I I 1 1 622101 READY to BATCH PREPARER DATE WARRANT TOTAL I CREATED BY I Karrie Stockton (Kstockton2) I DATE 16/10/2024 8:48:33 AM I 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) 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 beenprovided without discrimination because of age, sex, marital status, race, creed, color, iflynn0grantcountywa.gov (Vendor Contact Email) national origin, handicap, religion or Vietnam era or disabled veterans status. 07/01/22 - 06/30/24 8622 — 05Z Public Services $243,000.00 $100,307.63 $113,435.02 $.00 $129,564.98 8623 — 21A General Admin 1 $7,000.001 $.001 $3,500.00 $.00 $3,500.00 Non - Match Total: $250,000.00 $100,307963 $116,935.02 $.001 $133,064.98 PROGRAM 'APPROVAL D t a, e: the authority, (The -indiVidual S-ighing this'youch, arra h ts t have:t t voucher .6 sigh his ouchier DOC DATECURRENT- REFERENCE DOC NO VENDOR NUMBER and SUFFIX:' . DOCK NO. SWV0002426 03 ACCOUNT NO. ASD NUMBER - VENDOR MESSAGE 43260 ,TRANS.: REV MASTER SUB SUB IVIG MS _'GL ACCT :-SUB AMOUNT PROGRAM CODE ,�' 'CODE INDEX OBJ :SUB, SID INDEX OBJ I 622F0320 ---i NZ I62210 I I I 623F0320 I NZ I I I I I 1 1 622101 READY to BATCH PREPARER DATE WARRANT TOTAL I CREATED BY I Karrie Stockton (Kstockton2) I DATE 16/10/2024 8:48:33 AM I Form 19-1A VOUCHER DISTRIBUTION .AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 22-62210-005 394992 COMMERCE I ❑D All Expenses under $1,000 1 Paid to Paid by Paid to Paid to Expense Paid by UBl Contractor . Paid to`UBI 'Amount Organization Name Type Or Name Org Type Type Subcontractor Tota Sub Subcontractor Total STATE OF WASHINGTON COMMUNITY DEVELOPMENT BLOCK GRANT - PUBLIC SERVICES GRANTS DEPT OF COMMERCE ATTN.- CDHG PROGRAM PO SOJA 42525 A ty ndthi "011're OLYMPIA, WA 98504-2525 ._Pqrf�v COMMUNITY ACTION AGENCY SUBRECIPIENT: CONTRACT NO: Signature: fir 01C OF WASHINGTON. 22-62210-005 815 FRUITVALE BLVD: REPORT PERIOD: Printed Name: Dere e Mekuria- ....... . . YAKMAVA 9890.2..' Apr -24 REPORT NUMBER: Title: -CFO 19 Date:..6/5/2024:_ TOTAL AMOUNT REQUESTED THIS PERIOD: $100,307.63 1. Name of Service Pro ram: Asset Develoement & Other Asset Develo ment IICDBG amount reguested for these 2rqgrjm activities this period: $661451A& Description of service program how low- and moderate -income (LMI) persons were served this period: Housing counseling, credit coaching_, foreclosure services, business start-up, financial education workshops and high school classes. Free tax -prep. 2. Name of Service Progtatir KneAtX.Assistance (�P7BG amount reguested for. these jerogram activities this.. period: S23,504.65 Description of service program how low- and moderate -income (LMI) persons were served this period: Energy assistance and conservation education. -- - -- ---------- ---- --- 3.Name of Service Activity: Asset Develop/Energy Assist Admin -Indirect Admin IICDBG amount requested. for, these program activities this-perio'd: S10,351 50 Description of service program how low- and moderate -income (LMI) persons were served this period: General administration expenses associated l with managing energy assistance and asset development activities oversight and assessments. Indirect admin. ------ - --- - ----- . ....... ... . . -- ---- ---- - ------- -- 4, Name of Service ActiviLy:, Contract. Recipient General Program Administration D BG am ount, reguested for these: program activities thisperiod: $0.00. 401 WASHINGTON STATE DEPARTMENT OF COMMERCE - AGENCY NUMBER 1030 115 PROJCT t ER 2021-0019 Ztottr l i ' 21-62210-005 A19 VOUCHER DISTRIBUTION AGENCY NAME rctsrRucrwN Ta VENQOR oR DEPARTMENT OF COMMERCE Sutxnti this form to claim payment %r materials, merchsru�ise or serves �a 5�-� n � � � � f� � � ATTN•• CDBG� ,'i if:.: 3 # a Y%fi J � 3 h� h-M1t/' "tc� 3 �iCF- C�,}' 7r."f K; .a,. xo, -�, x � S ✓y f< t #� * rY .fig S . s�s�1.ti1N'C'Q et�3.d,l.,�Ql',e1Cl'1 dsma, W •j-: �+£ 3%rY�. [,. >ti ,, t� yX '�•ax:i yyL�.�F{ Y C�i'A`� 1 v ,Y -, _ PO )107% 42525 �.` 3` : i _f<,f`.. T krF. y{ M' �y,,r V 53 ?•'A' H7 Q. S.' >�4fr E.05!"1 { '."`, OLYMPIA, VISA, 9$SU�-ZS S 'y.3: F 3 R = S <2 Y E �. 3 K.. iC_: Vend/a�rs Certlticate..i heleby certify urxier perjury thak.th�.ibemst d totals Ilsted herein tkr+s 'r: ,T F✓r�:,i?Y"t* X^' >,,n �a"y-,V- 3,te:r,. ra-' 'h"3%''`'�� i ProP� chargas:fo� materials, ndisa e� 'er�►lGM turnt�hh� e � { �rteta► that-ail:: Dods burn � . � rK -� � r= `tom } t Med and d.fe- 0iIWe' a rendared, haw %� .". -. �. ,:, /C N tYt.'.gn s?= ;r `moi ,'%'�j,- ss: .. .YdQY_M�1.•A.N.�i� 0f•d zfr, because pf age, ae=. marital status race, cr+�ed. ycolor� national pin;,ttan�dl�c p reiEgi f 4=: . _ 5!'U 11��J1 �f R.#J4\ W�,��11,T�Ai • .. _. VENDOR ■ rK�y r{/�. y�•.�F(� CLAIMANT 'VT (Warrant �s to be payable to.jfF� s a S y& Fritsr�srrrii «J: GrantCounty r r § x 5 �£er s7�4?GP Fv�r a� w a PO Box 37 2 ,�' ,t' .S<' F k Sr S} Y fd ; L> J 3 s# A h L tX sr;�yiW� >. $ : 1 -� - ,r.h# L`^tj, i r :. t £ .y e ';- Ch y x, Ephrata, WA 95823 Y C� VGslrFOE>i'r(� 1r� f- SAM r3 q 7"'A ii?q< Si xs? js( RX F 1 f X% E�3 '.. S.F �, f,r}.r . - C i F,t rt fr" '�5b- . •, F'lti .SfS'1 Y T ,y K h r 'i l' { -4, `>r 4 �riksrT 44f 7. k k`t''' �qt<-✓C' ,9 yrs <3,,,.3• 2.# 's. Y£ h st,F t" 3 s x £ ,� yt .t�"!��.�'4'+�yi3 �r .'� 7� �` „a� � >Y" F.raa�s�,t,���,r<,k Fsx �' }s,� ,✓ : � � � F . EPtRTING PERIOD: July 2023 hr12024f y t u A r>i A i'T" - R h ,At`^ a .h?,'il .F ✓er �-3'. ( "t f,.t' �1N,.�_ s°, � s✓ 'i 5f i '�"TP .,F fi> dr.�6'hF„ C�: E SE ur E r aAT Description QUANTITY AMOUNT IDIS PREVIOUSLY AMOUNT REMAINING Activity ID _....._. _ _ . _.._ BUDGET REQUESTED THIS INVOICE BALANCE 8622 05Z - Other Public Services not in 03T,05A-05Y $ 2439000.00113,435.02 100,307.63 $2%257.35 - $0.00 8623 21A,- General Program Administration 71000.00 $3,500.00' $0.00 $35500,00, _ $0.00 �0 00 $0.00 . ............-... _ $0,00 TOTAL I'ETREQ U'Sfi W09000.00 $116,035.02 100,307.63. $3.2 757.35 below elow fo>r De-pt--of e�k-t. p...tofi l• ng. rc:.e is:. EZ.verr�.y..�-,.:._>-t�h...,iCr.,.o�.,,.� •� -i+�.. ...iny.�:.e .- ,a ,r .',_�> b...,....>a.--....i.«. . x - .}s� .:...Y... v ..,r..n ... .I,.- .: -!I...k.. v �.,N�1...._>nf:_:✓�.�' ,>.< . :. ,.1,...GFP:,,:c^3',,:c.✓ .K�.�..':. ,.�„✓ti. m iia..3 :.,...✓,-. T:� _.,.'-ct _sS.-,i.i:.A. JL..' .. ..., 5v,. .F r. {.. st,".�.r•v. -$ r�,.--> �.^_.,Y,b.,,',-.. . e..3 hN_•*.9# aK:1,.. t'.. - E¢.- ..»�_I. :...-.sL ...^ ,7. «. . 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'.:. 14Cr�•. z9. ..A.:`,`+ r ... .. ^<. .,.:-..-.r _...,.. moi''.''. ,.:-:..:.,w: ..,.,,R. 622FO320 NZ ............... . $ 128 000.00 22-62210-005 _ , SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT OAT WARRANT TOTAL ACCOUNTING APPROVAL FOR PAYMENT _ __... -11. 1. _:DATE OIC of Washington CDBG Expense Summary - 267 Grant Period: 07/01/2022 - 06/30/2024 22-62210-006 BILLING PERIOD: J rill 2024 July -2023 2023 thru Ap I YTD BILLED YTD EXPENSED BUDGET BALANCE Description -------------- -- ACCOUNT .,..BUDGET- ._,Jas of 06/30123) (as of 04130124) - ------ .......... . .... ............ DIFFERENCE, .,(as of 04130124)_ T -E AS,SET':DEVELOPMENT/ENERGY,ASSIST-ANC, -ADMIN rINDIRE T"(00.M2 Salary Admin. Allocation 5312 $291,148.68 $12,587.23 $191256,58 . 6j6M.35 92.10 ....... $918 P/R Tax & Ben, Adm Allocation ---------- - 5354 $143024.62$5,606.25$8,716#35 $3,110,10 $6s308.17 https:/Ioicahvashington.sharepoint comisites/Fiscal/Shared Documents/Grants_Contrarts-Billings/Grants-contracts-Curreni/267-CDBG (EB)12. BillingstYR 21CDSG,_Expense Tracking Summary - 267 6/5/2024 Salary --- --------- --- -- 5311 $100,826.76 $49.1081-55 $87,977.40 $38895,85 _$'12,,848.36. FICA,.OIC En 5351 ................ $7.9626.64 �3,604.41 6 $ 344.45 V,1,740 .04 $'1,282.19 ---- --- - --------- - ---------y. w .,. .:...:..:.:. __, LAND 111 CJIC Share - ------ --- ----- $247.54 -$451.05; __$203.51 $125.51 State UCIP!q1XP 53531,1460.48 $ $520,25 $863.52, $343.27 $696.96 5351 PFML 5355 $733.62,$321.30 .$410.52 1731A-82 $1.70 -1--- 5352 Disability, OIC E XR ..... ... 5360 $ s4l0.92 $636.31 _$2.85 $507,16 $267.46. 5353 Medical Insurance, OIC-Ex5361 Life Insurance,, OIC Exp 5362 $20,,671.24 $8,549-22 $1546:. 66.09 _1450,51- $7,,116"87 $202.87 $4,905.15 5355 Pension OIC Exp,, 5363 $7,1777.88 $3,59204 $6,538.88, 946 $2, 184 $1,1239.00:: 5360 Accrued -PTO- Exp- - 5364 $11,117.16 _$41483.80 011 $3,528.00 $34105.36_ 5361 Credit Reports DepEe.ciation.Ex Ei uip 5411 5602.................................... $0.00. $10.00, $140.70. $17,79 ._$140,70. $3735 $0.00 $19-56 Life Insurance, OIC Exp,_ 5362 Insurance 5910 $121.00. $133,31 $240,41- so -($27.36) .$1 071014.1 -------- 5363 Liabili!yInsurance 5912 $0.00 $0.96 $21.54 $20-58 A$21.54) 5364 Comrnunication,.(Tele phone/Cell & "P) 5960 s$723.00 $15294-11 $2,384.66 $855.55 ($13661.66) 50 Deereciation Exp_l3ld 560 $76 .00 $11-05 $555.66 Liability -insurance 5912 Depreciation Exp., Equip [D 5602 $0.00.111- -04 $0- M08 $0.04 ($Q.08) S 5611 $40,00 $152.37 455.54 $1303.17 $'x..,415.54 50 Rent Payments .5612 $0.00' $2,25760 $8,745.77- $6t478.17. 50 Utilities 56_3_0 $7.1.00 $89.79 $305.48 $215.69 ($234.48) 50 Build Repair/Maint. 5640_ $88.00 199,04 $257.,19 $158,15 $169.19 50 Insurance 5910 $0.00 $0.32 10.69� $0.37 ($,0,..6 9) 50 ,Liability Insurance. ". -1_-_ '-'-._.j.1- - .- 5912 $22.00. r $27.74 $61.95 $3.21 ($39.96)1 -E AS,SET':DEVELOPMENT/ENERGY,ASSIST-ANC, -ADMIN rINDIRE T"(00.M2 Salary Admin. Allocation 5312 $291,148.68 $12,587.23 $191256,58 . 6j6M.35 92.10 ....... $918 P/R Tax & Ben, Adm Allocation ---------- - 5354 $143024.62$5,606.25$8,716#35 $3,110,10 $6s308.17 https:/Ioicahvashington.sharepoint comisites/Fiscal/Shared Documents/Grants_Contrarts-Billings/Grants-contracts-Curreni/267-CDBG (EB)12. BillingstYR 21CDSG,_Expense Tracking Summary - 267 6/5/2024 s. "M.09i, M to 9 ENERG Y ISTAINIM; g4 _ _.. ---- --- - --------- - ---------y. w .,. .:...:..:.:. __, .4 . - ------ --- ----- ---------- - -- -------- - Salary . . .....5311 $2731169.88 $12,085.83 $27,42432. $151,338.49 sop-. FICA4_01C Exp 5351 $'1,995.72.1 $897.46 21 1931 $1 121.86 $23.59 LAND 1, OIC Share -1--- 5352 $163-60$72.21- $160.75 .$88,54 _$2.85 State- UCI,01C, Exp ............... 5353 $383.64 $1284,.12 $290.70 $162,58 $92.94 PFML 5355 $182.92 $104,44 $228.00 $123-56 ($45.08) 'Risa.billity,' OIC Ex 5360 $392.12 $21338 $431,21 $21783, ($39.09), Medical Insurance, OIC EX2 soo- 5361 $4,521.80 $1,683.90 $51497.,77 $3,813.87 ($976.97) Life Insurance, OIC Exp,_ 5362 .$1511.76 $7-1.901 $86.86 . ...... ($7.00) Pension, OICEx1p . .. .... ....... 5363 $23024.24 $913.90 $2,082,70 ...... $1,168,80. ($68.46) Accrued PTO Exp --------------- 5364 123870.32 $11,215.:22 $2,584.02. ......... . ........... ... ... . $1,368.80 $286.30 .Insurance. 5910 $42.00 $39.44 $50.49 $11-05 J$8.4 - 9), Liability -insurance 5912 $0.00 $0. 00 $2.42 1 $2.42 Ides-$2.42 SUBTOTAL , 00j. 1 $1 7 42 6080:;� I _ 1403 93Q* 46j ; ­'-�:�-$231604.66 42 .4 -E AS,SET':DEVELOPMENT/ENERGY,ASSIST-ANC, -ADMIN rINDIRE T"(00.M2 Salary Admin. Allocation 5312 $291,148.68 $12,587.23 $191256,58 . 6j6M.35 92.10 ....... $918 P/R Tax & Ben, Adm Allocation ---------- - 5354 $143024.62$5,606.25$8,716#35 $3,110,10 $6s308.17 https:/Ioicahvashington.sharepoint comisites/Fiscal/Shared Documents/Grants_Contrarts-Billings/Grants-contracts-Curreni/267-CDBG (EB)12. BillingstYR 21CDSG,_Expense Tracking Summary - 267 6/5/2024 io 000 0 71,242*65 $32 1 6 0 1 ........ .. TOTAL GRANT 2 ;14 CoHG (E8)12. Ilill-ingsr'M 080 Exptn se TmekmMa �nq &.-/ . 26- 7 .1 , , I . VC — YTD SILLED YTD EXPENSED BUDGET HALANCE ACCOUNT SUOGET (as pf 0013012�) .... . (a!a of 0413-0124)' of 04130124) Non P'-- ersonnel Adrn..MoCat'lon 5999 $6,126.80 .. $1,875,2 . 1 $2,44 , 7. �26 572-M SUBTOTAL $49t300.00 .69 .2010.6-8$I $30,42049- 0 1.36ISSO ----------- CONTRACTRECIPIENTUO). Con'tract 541.5 $7,000-00 $3,50.0.00 $31500 -00 - ----------- 'SUBTOTAL $7,000,00 $3600.00 3fftoloo $0.00 - - - - ------ -------------- ----- $-3-6000-00 - . I io 000 0 71,242*65 $32 1 6 0 1 ........ .. TOTAL GRANT 2 ;14 CoHG (E8)12. Ilill-ingsr'M 080 Exptn se TmekmMa �nq &.-/ . 26- 7 .1 , , I . VC —