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Home My WebLink AboutGrant Related - BOCC (004)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: K81"1'12 Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO SATE: 7/11/2024 PHONE:2937 IMP -W • �•�IN ❑Agreement /Contract ❑AP Vouchers ❑Appointment /Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code ❑Emergency Purchase El Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ® Grants — Fed/State/County ❑ Leases ❑ MOA / MOU []Minutes El Ordinances ❑Out of State Travel El Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Sery/Consultant ❑ Support Letter ❑ Surplus Req. q ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB Reimbursement request from City of Moses Lake on the Emergency Housingg y Fund (EHF) Grant #24-4619D-1 06 in the amount of $57,142.42 for June 2024 expenses If necessary, was this document reviewed by accounting? ❑ YES ❑ NO Fm -1 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION: t C /�C l/'I DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D1: 64 D2: D3: 4/23/24 WITHDRAWN: +s, ? ats'v STAGE Of, WASHINWON DEPARTMENT OF COMMERCE Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER 24-4619D-106 CMS Invoice ID: DEPARMENT OF 1030 398668 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 perjury that the ' P Y P 1 ry 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 <kstockton c�__grantcountvwa.gov> discrimination because of age, sex, marital status, race, creed, color, (Vendor Contact Email) national origin, handicap, religion or Vietnam era or disabled veterans status. 07/01/23 - 06/30/24 (Contract Period) Karrie Stockton Kstockton2 7/11/2024 11:14:23 AM 016/01/24 - 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 $29946.49 $1039357.55 $.00 $36,260.45 Operations - Unassigned $649,156.00 $29,464.87 $479,614.85 $.00 $169,541.15 Rent - Unassigned $27,153.00 $.00 $22,270.86 $.00 $4,882.14 Facility Support - Unassigned $338,411.00 $24,731.06 $291,220.91 $.00 $479190.09 Non - Match Total: $1,154,338.00 $57,142.42 $896,464.17 $.00 $257,873.83 PROGRAM APPROVAL Date (The individual 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 7/11/2024 11:09:45 AM Lead Grantee Name: • • I is" , ky "gawbum List Sub Grantee Names Below Totals Invoice Period (Month/Year): Jun -24 Organization Name: CITY OF MOSES LAKE 7/8/2024 Admin $21946.49 $2,946.49 Operations $291464.87 $29,464.87 Facility Support $241731.06 $241731.06 Rent $0.00 Totals $571142.42 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Invoice Total: $57,142.42 INVOICE k. CrTy Cr MOSES LAKE !Mir City of Moses Lake DATE June 27, 2024 PO Box 1579 DEPT: ADMINISTRATION Moses Lake, WA 98837 INVOICE #10-06-2024 TO: Grant County Attn: Karrie Stockton EMERGENCY HOUSING FUND Via EMAIL Description - June 2024 "Open Doors" Sleep Center Operations Amount Subcontract work for Grant County Dept of Commerce Controct 24-4619D-106 $1389.89 o"o Ground Works (ground lease) $5, . 041-67 V/1 Modern (restroom lease) $895.13 W"' Willscot (office lease) $2089.85 V00000 Grant County PUD (electricity)_ ._. ,,,,�- $ 6 City of ML Utilities $880.36V Basic Septic (Sanitizer Stations) $220.00 V10' General Laundry $1839.05/ Pacific Security $7649.1.0 toe' HopeSource$32,411.36 Z Amazon $233.52 v#'O* HomeDepot $1389.89 o"o WalMart $375.82 vo"* Costco $2409.21 v'0' Chef's Store $13.0.28 60' WalMart $9.83 '.✓ WalMart $47.66 v##O' Description -.June 2024 ► OpenDoors" Sleep center Operations Amount amazon Home Depot $1037.13 � Pet Registrations- 2 total $10 each $20.00 � Balance Clue $57,142.42 Payment is due within 30 days of invoice date. REFERENCE ACCOUNT NUMBER: 110-000-33321-019"-1000-0896-00 ON PAYMENT TO ENSURE A PROMPT RESPONSE Make all checks payable to City of Moses lake or call 509-764-3715 or 3719 to pay with a credit card. If you have any questions concerning this invoice, contact the Finance Deparf ment at 509,764.3732 or -3735. Page 2 of 2