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Home My WebLink AboutGrant Related - BOCC (005)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: Kal"1"I@ Stockton CONFIDENTIAL INFORMATION: ❑YES 8 NO DATE: 7/10/2024 PHONE:2937 hog 0.10121IN!, L ED: M1 (CHECK ALL THAT APPLY) - ❑Agreement /Contract ❑AP Vouchers ❑Appointment /Reappointment ❑ARPA Related ❑Bids /RFPs /Quotes Award ❑Bid Opening Scheduled El Boards /Committees El Budget ❑Computer Related ❑County Code ❑Emergency Purchase ❑Employee Rel. El Facilities Related El Financial ❑Funds ❑Hearing El Invoices /Purchase Orders BGrants —Fed/State/County ❑Leases ❑MOA / MOU El Minutes ❑Ordinances El Out of State Travel [:]Petty Cash El Policies 1:1 Proclamations ❑Request for Purchase El Resolution El Recommendation El Professional Sery/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB Reimbursement request from OIC on the Community Development Block Grant (CDBG) Public Service Grant (PSG) #22-62210-005 in the amount of $20,312.66 for services in the months of April 2024 -June 2024. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/ A If necessary, was this document reviewed by legal? ❑ YES ❑ NO W N/A DATE OF ACTION - _--7c � APPROVE: DENIED ABSTAIN D1: D2:.. D3: 4/23/24 DEFERRED OR CONTINUED TO: STATE OF WINfN DEPARTMENT OF COMMERCE 1011 Pkim Street SE&PO Box 42525 * 98504-2525 - 36p) Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER I I CMS Invoice ID: DEPARMENT OF 1030 22-62210-005 398214 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 Janice Flynn (Vendor Contact Perso of the entity identified in the Vendor/Claimant section. The individual n) signing below certifies under penalty of u that the items and Y perjury 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 beenp rovided without iflynnna�grantcountywa gov discrimination because of age, sex, marital status, race, creed, color, l (Vendor Contact Email) national origin, handicap, religion or Vietnam era or disabled veterans status. 07/01/22 - 06/30/24 (Contract Period) Karrie Stockton Kstockton2) 7/9/2024 4:08:38 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 Contract Total $.00 $.00 $.00 $.00 $.00 8622 — 05Z Public Services $243,000.00 $16,812.66 $226,187.34 $.00 $16,812.66 8623 — 21 A General Admin $7,000.00 $3,500.00 $3,500.00 $.00 $3,500.00 Non - Match Total: $250,000.00 $207312.66 $229,687.34 $.00 $20,312.66 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 43260 TRANS REV MASTER SUB SUB MG MS GL ACCT SUB AMOUNT PROGRAM CODE CODE INDEX OBJ SUB SID INDEX OBJ 622FO320 NZ 62210 623FO320 NZ 62210 READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY Karrie Stockton (Kstockton2) DATE 7/9/2024 3:53:11 PM ��-•� .r� ; , _; • WASHINGTON STATE DEPARTMENT OF COMMERCE AGENCY NUMBER 1030 IDIS PROJECT NUMBER 2021-0019 Commerce Contract Number 21-62210-00.5 A19 VOUCHER DISTRIBUTION AGENCY NAME INSTRUCTION DEPAR'rME\T OF COMMERCE ATTN- CDBG PO BOX 42525 OLYMPIA, WA 98504-2525 TO VENDOR OR CLAIMANT: Submit this form to Bairn payment for materials, merchandise or services Show complete detail for each item. Vendors Certificate: I hereby certify under perjury that the items and totals listed heroin are proper charges for materials, merchandise or services furnished to the State of Washington, and Chat all goods furnished and/or services rendered have been provided without discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion or Vietnam era or disabled veterans status. VENDOR OR CLAIMANT (Warrant is to be payable to:} Grant County PO Box 37 Ephrata, WA 98823 v m.&I . Ho REPORTING PERIOD:-UY 202 By; (SIGN IN BLUE INK) (TITLE) (DATE) Description QUANTITY AMOUNT IDIS Activity ID PREVIOUSLY BUDGET REQUESTED AMOUNT REMAINING THIS INVOICE BALANCE 8622 05Z - Other Public Services not in 03T,05A-05Y S 243,000.00 226,187.34 161812.66 $0.00 $0.00 8623 21 A - General Program Administration $ 79000.00 $39500.00 $3,500.00 $0.00 $0.00 .. �. S $0.00 - - $0.00 .. . $0.00 .......... $0.00. $0.00 TOTAL PA REQUEST $250,000.00 $2299687.34 20,312.66 $0.00 Everything below this tine is for Dept of Commerce FED TAX ID d PROGRAM APPROVAL (The individual signing this voucher vwrrants they have the authority to sign this voucher.) PRINTED NAME SIGNATURE: Jeff Hinckle DATE DATE CURRENT DOC. NO REFERENCE DOC NO. VENDOR WMER SWV # 0002426-03 UNT W. ASD NUMBER VENDOR MESSAGE 43260 CDBG # M TRANS 0 COIN: 0 sue YASTER SUB BUB GL ACCT INDEX OBJ OBJ sUBSID INVOICE AMOUNT NUMBER 622FO320 NZ $ 1283000.00 22-62210-005 0 $ 0 $ o $ SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL ACCOUNTING APPROVAL FOR PAYMENT BATE 11 11 STATE OF WASHINGTON COMMUNITY DEVELOPMENT BLOCK GRANT - PUBLIC SERVICES GRAN'T'S DEPT OF COMMERCE A`CTN: CDBG PROGRAM �- !' BOX 42525 CERTIFICATION: I certify that the inrormation on this form is a OLYMPIA, WA 9$504-2525 true and accurate report of the cash status and that all reported expenditures are &*pC14y chareenble to the referenced grant. - +C 011NIMUNl.` N" ACTION AGENCY SUBRECIPIENT: CONTRACT NO: Signature: 0110 OF WASHINGTON 22-62210-005 815 FRUIT1rALE BLVD REPORT PERIOD: � � Printed Name: A' Mekuria YAKIMA WA 98902 Jun-24 REPORT NUMBER- Title: CFO 21 Date: 7l9f2024 TOTAL AMOUNT REQUESTED THIS PERIOD: $20,312.66 1. Name of Service Pro �rzam,,--Asset Deveio .:n cut: & Other Asset Develo pent Iw�i�l3+� amount reguested for these pro earn activities this acro)d: 9 779.12 Description of service program how low- and moderate-income (LMI) persons were served this period: housing counseling, credit coaching, p p g foreclosure services, business start-up, financial education workshops and high school classes. Free tax-prep. 2. Name of Service ProjLraur li,'.neEgyAssistanceCDB amount a lcstc !for these err 3ran activities this period::til• i� Description of service program how low- and moderate-income (LMI) persons were served this period: Energy assistance and conservation p p g education. 3.Name of Service Acti itv,, Asset Develtq)IF�nc lv Assist Admin-Indirect Admin jCDBG amount requested for these program activities this gerW: $7.033.1.54 Description of service program how low- and moderate-income (LMI) persons were served this period: General administration expenses associated F p g with managing energy assistance and asset development activities oversight and assessments. Indirect admin. 4,.. Name of Service Activity: Contract Reci ricin General Program gram Administration e . uested for these rr°rrgr am activities this . er•iotl: S3,11-NO0.00 J 5( 51 5( 5( N 51 51 51 OIC of Washington CDBG Expense Summary - 267 Grant Period: 0710112022 - 06/3012024 22-62210-005 BILLING PERIOD: June 2024 A.R. F -T nFVEI_nPMI"MT it nwi:a a±C I:T mum nmucu-r vhr. xrn Sala 5311 $100,825.76 $94,373x31 $98,894.72 $4=521.41 $1,931.04 FICA, OIC Exp 5351 $72626.64 $6,821.02 $7,158.56 ✓ $337.54 $468.08 L AND I, OIC Share 5352 $576.56 $484.47 $511.45 ✓" $26.98 $65.11 State UCI,OIC Ex 5353 $11460.48 $931.31 $979.23 .......... ✓ $47.92 $481.25 PFML 5355 $733.52 $781.28 $815,15 ✓ $33.87 $81.63 Disability,OIC Exp 5360 $1,410.92 $1,220.43 $1,284.64 ✓ $64,21 $126.28 Medical Insurance, OIC Ex 5361 $20,571.24 $16,587.69 $17,166.86 ✓ $579.17 $3,404.38 Life Insurance, OIC Ex 5362 $561.84 $487.25 $51239 Vo $25.54 $49.05 Pension, OIC Exp 5363 $7,777.88 $7,006.73 _ $7,327.13 V $320,40 $450.75 Accrued PTO Exp 5364 $11,117.16 $81609.81 $8,982.37 $372.56 $2,134.79 Credit Reports De reciation Ex Equip 5411 5602 $0.00 $10.00 $140.70 $45.40 $.140.70 $46.98 $0.00 .......... $1.58 ($140.70) $36.98 Insurance 5910 $121.00 $260.71 $280.35 v $19.64 ($159.35 Liability Insurance 5912 $0.00 $25.44 $25.44 $0.00 $25.44 Communication (Telephone/Cell & ISP) 5960 $723.00 $2.919:x3 $3,198.77 $279.74 $2,475.77} Depreciation Exp Bldg".. 5601 _ $75.40 $748;16... $748.,19 $003 ($673.19) Depreciation _Exp Egu!p 5602 $0.00 $0.10 $0.11 $001 ($0.11) S ace 5611 $40.00 $1,591-83 $1,661.22$69.39 $1.621.22). Rent Payments 5512 $0.00 $8,915=50 $11,951.56$3,035.06 .......... $11,951.56 .Utilities 5630 $71.00 $39339 $409.32 ✓ $15,93$338.32 Build Repair/Maint. 5640 $88.00 $345.61 $367.78 %/.$22.17 $279.78 insurance 5910 $0.00 $0.81 $0.90 ..0' $0.09 Liability Insurance 5912 $22.00 $79.57 $$84,45 V00' $4.88 $62.45 SUBTOTAL $1539812.00 $152,769.55 $1.921548.+67 ., $9,779.12 _. ($8,736.87) ENERGY ASSISTANCE (64 Salary 5311 $279159.88 $27,424.32 $27,424.32 $0.00 ($264.44) FICA, OIC Exp 5351 $1,995.72 $2,019.31 $2,019.31 $0.00 $23.59 L AND {, OIC Share 5352 $163.60 $160:75 $160.75 ........ .............. . .. $0.00 . . $2.85 State UCI,OIC Ex 5353 $383.64$290,70 $29070 $0.00 $92.94 PFML 5355 $182.92 $228.00 $228.00 $0.00 .($45.08) Disability, OIC Ex 5360 $392.12 $431.21 $431.21 $0.00 ($39.09 Medical Insurance, OIC Exp 5361 $49521.80 $5,497;77 $5,497.77 $0.00 $975.97 Life Insurance, OIC Ex . 5362 $151.79_ $158.76 $158.76 $0.00 $7.00 Pension, OIC Exp 5363 $2.1024.24 $2,082.70 $2,082.70 $0.00 ($58.46 Accrued PTO Exp 5364 $22870.32 $2;584.02 $2.584.02 $0.00 $286.30 Insurance 5910 $42.00 $50.49 $50.49 $0.00$8.49) Liabilit Insurance Mri 5912 $0.00 H � F $2A2 $2.42 $0.00 $2.42} SUBTOTAL .. $391888.00 $409930.46 _ $40,930.45 $0.00 ,$1.642.461 ASSES' DEVELOPMENTIENERGY ASSISTANCE ADMIN - INDIRECT 009-02 --- Salaa Admin. Allocation 5312 $291148.68 $19,899.26 $24,611.73 $4,712.47 $4,535.95 P/R Tax & Ben. Adm Allocation 5354 $14,024.52 $9,027F94 $11,349.01 $2,321.07 $29675.51 h0psWaicofwashington sharepaint camisites/Fiscal/Shared Documents/Grants_Contracts Billings/Grants Contracts Current/267 CDBG (ES)12- Biilings,'YR 21CMG_Expense Tracking Summary - 267 71512024 Description, JACCOUNT Non Personnel Adm, Allocation I 5999 SUBTOTAL IT-0-TAL 05Z - OTHER PUBLIC SERVICES NOT IN 03T,05A-05Y YTD BILLED 4 YTD EXPENSED 1, 1 BUDGET BALANCE BUDGET (as of 05/31/24) a (as of 06130/24) DIFFERENCE (as of 06130/24) $6,126.80 $3,560,14 T $3,560.14 $0.00 $2,566.66 $49,300.00 1 $32,487.34 $39,620-881 7,033-64V $9,779A2 $2431000-00 $226,187.34 $243,000.00 '1 $16,812.6i $0.00 CONTRACT RECIPIENT0 Contract Recipient Fee 5415 7000.00 $3,560.60 $7,000,00 $3,5MO( $0.00 $711 $3500.00 1 $7tOOO.00 $3 SUBTOTAL 0-0-T F.n1509-00 $0.00 TOTAL GRANT $250M0 $229JI687.34 l $250,1000.00 $201,312.66 $0.00 hilps Hoicotwashington sharepoint com/sitestFisca I/Sh a red Docu men ts/Gran Is—Contracts— B ill ing s/G rants—C on Ira cl s—C u rren V267—C DBG (EB)12- Billings/YR 21CDBG_Expense Tracking Summary - 267 7/5/2024