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Grant Related - BOCC (003)
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 aY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: KafTl@ Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE: 7/10/2024 PHONE:2937 LU, ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ABPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code El 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 ❑ Recommendation ❑ Professional Sery/Consultant ❑ Support Letter ❑ Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB i Reimbursement request from New Hope on the Emergency Housing p g y s g Fund (EHF) #24-4619D-1 06 in the amount of $29,913.29 for June 2024 expenses. 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 ❑ YES ❑ NO 0 N/A DATE OF ACTION: APPROVE: DENIED ABSTAIN D1: D2: D3- 4/23/24 DEFERRED OR CONTINUED TO: WITHDRAWN: STATE WASHINGION DEPARTMENT OF COMMERCE 1011 PAUM street SE 1 C) BOX 42525 r OtymPW, WaSMPOR.Y# 504- - d 7254004 04 Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 24-4619D-106 398529 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 Kerrie Stockton --------------------=-- --- --- - - - (Vendor Contact Person) of the entity identified in the Vendor/Claimant section. The individual signing below certifies under penalty of rY perJ u that the items and totals listed herein are proper charges for materials, merchandise or (509) 754-2011 ext 2937 e,. d '. - "'yl"""" nor Contact Phone) services furnished to the State of Washington, and that all goods furnished and/or services rendered have beenrovided without <kstockton grantcountywa.gov> c� discrimination because of age, sex, marital status, race creed, (Vendor Contact Email) color, national origin, handicap, religion or Vietnam era or disabled veterans status. 07/01/23 - 06/30/24 (Contract Period) Karrie Stockton Kstockton2) 7/10/2024 3:57:34 PM 04/01/24 - 06/30/24 ,. (REPORT PERIOD) (SUBMITTED BY) (SUBMIT DATE) DESCRIPTION BUDGET REQUESTED EXPENDED TO AMOUNT THIS AWARD AMOUNT DATE INVOICE REMAINING Admin - Unassigned $139,618.00 $.00 $1031357.55 $.00 $36,260.45 Operations - Unassigned $649,156.00 $28,022.56 $479,614.85 $.00 $169,541.15 Rent - Unassigned $27,153.00 $.00 $22,270.86 $.00 $4,882.14 Support - Unassigned $3381411.00 $1,890.73 $291,220.91 $.00 $47,190.09 rFacility Non - Match Total: $1,154,338.00 $299913.29 $896,464.17 $.00 $257,873.83 AM APPROVAL Date ividual signing 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 4620C READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY Karrie Stockton (Kstockton2) DATE 7/10/2024 3:52:19 PM Lead Grantee Name: Emig ��FAim- pm List Sub Grantee Names Below Totals Invoice Period (Month/Year): June 1-30, 2024 Organization Name: New Hope NH Shelter RRH Hotel Vouchers Date Admin $0.00 Operations $281022.56 $28,022.56 Facility Support $0.00 Rent $1/890.73, $1,890.73. Totals $28,022.56 $0.00 $11890.73 $0.00 $0.00 $0.00 $0.00 Invoice Total: $29,913.29 Amount charged to the EHF Voucher Detail Code Salaries Calculation grant Invoice Documentation: Salaries Staff Name Suzi Fode 565501100 9840.92 30% $ 2,952.28 Shelter Operations Becky Garcia 565501100 5415.26 16% $ 866.44 Shelter Operations Elsa Borrego 565501100 4470.14 41% $ 1,832.76 Shelter Operations Martha Galicia 565501100 2047.2 40% $ 818.88 Shelter Operations Paola Gil 565501100 4978.54 10% $ 497.85 Shelter Operations Tara Dieng 565501100 5276.64 25% $ 1,319.16 Shelter Operations Carmen Aguila 565501100 4727.61 20% $ 945.52 Shelter Operations Maria Hallatt 565501100 5157.64 20% $ 1,031.53 Shelter Operations Alyce Barrientoz 565501100 5269.64 24% $ 1,264.71 Shelter Operations Ana Rivera 565501100 4448.06 4% $ 177.92 Shelter Operations Total $ 11,707.06 Invoice Documentation: Benefits Suzi Fode 565502*** 2690.2 30% $ 807.06 Shelter Operations Becky Garcia 565502*** 1997.43 16% $ 319.59 Shelter Operations Elsa Borrego 565502*** 1889.91 41% $ 774.86 Shelter Operations Martha Galicia 565502*** 375.15 40% $ 150.06 Shelter Operations Paola Gil 565502*** 1966.86 10% $ 196.69 Shelter Operations Tara Dieng 565502*** 2045.32 25% $ 511.33 Shelter Operations Carmen Aguila 565502*** 3293.81 20% $ 658.76 Shelter Operations Maria Hallatt 565502*** 3337.69 20% $ 667.54 Shelter Operations Alyce Barrientoz 565502*** 2321.12 24% $ 557.07 Shelter Operations Ana Rivera 565502*** 1813.92 4% $ 72.56 Shelter Operations Total $ 4,715.51 ot 1 Amt Total Amt Billed Vendor: Code Description Billed to EHF GC Human Resources 565501124 HR Service Fee $ 1,354.67 $ 88.10 Devries Record Mgmt 565503100 Document Shredding $ 6.90 $ 0.45 Lindsay Water 565503100 Office Supplies $ 76.97 $ 5.01 NH Rev. Fund - Walmart 565503160 Shelter Supplies $ 138.88 $ 138.88 Archer's Cabinetry 565504100 Shelter Repair $ 4,659.30 $ 4,659.30 Monte Alto Lawn Care 565504100 Shelter Lawn Care $ 773.76 $ 773.76 Tatum Lawn Care 565504100 Shelter Lawn Care $ 566.27 $ 566.27 Vyve 535504260 Shelter Internet $ 206.31 $ 213.87 Kelley Create 591657000 Copier Lease $ 315.63 $ 19.00 Eric Kornbilt 591657001 Shelter Lease $ 2,250.00 $ 2,250.00 Mario Padilla 591657001 Office Lease $ 7,726.21 $ 330.54 PB Janitorial 565504107 Janitorial $ 950.00 $ 57.18 US Linen 565504107 Janitorial $ 92.13 $ 5.55 ATT 565504201 Office Phone $ 63.29 $ 3.81 GC Tech Service 565504202 On Call Phone $ 636.30 $ 44.77 Quality Inn 565504502 Emer.Shelter $ 1,890.73 $ 1,890.73 Cascade Natural Gas 565504700 Shelter Utilites $ 16.64 $ 16.64 City of Moses Lake 565504700 shelter Utilities $ 189.92 $ 189.92 GC PUD 565504700 shelter Utilities $ 67.96 $ 67.96 Mario Padilla 565504700 Office Utilities $ 737.94 $ 44.41 Lowe's (Visa) 565503160 Shelter Supplies $ 1,700.18 $ 1,700.18 Walmart (Visa) 565503160 Shelter Supplies $ 169.02 $ 169.02 Lowe's (Visa) 565503160 Shelter Supplies $ 21.70 $ 21.70 Walmart (Visa) 565503180 Shelter Groceries $ 141.93 $ 141.93 Staples (Visa) 565503100 Office Supplies $ 43.38 $ 3.25 Loc Citizens (Visa) 565504100 Shelter Security $ 26.61 $ 26.61 Vivint (Visa) 565504100 Shelter Security $ 56.47 $ 56.47 Amazon (Visa) 565503100 Office Supplies $ 83.36 $ 5.41 Total $ 24,962.46 $ 13,490.72 TOTAL EHF Billing: $ 29,913.29 Program Billed Shelter Operations Shelter Operations % Shelter Operations -� Shelter Operations Shelter Operations Shelter Operations Shelter Operations Shelter Operations / Shelter Operations Shelter Operations Shelter Operations / Shelter Operations Shelter Operations Shelter Operations Shelter Operations Rent - Hotel Vouchers,/' Shelter Operations / Shelter Operations Shelter Operations Shelter Operations Shelter Operations Shelter Operations Shelter Operations Shelter Operations Shelter Operations,-"' Shelter Operations, Shelter Operations .-- Shelter Operations �'