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Home My WebLink AboutGrant Related - BOCC (006)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: gOCC REQUEST SUBMITTED BY: Karrle Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE: 7/8/2024 PHONE:2937 ❑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 El 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 Reimbursement request from Hopesource on the Emergency Housing Fund (EHF) Grant #20-4619D-1 06 for the month' of 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: t • Z' APPROVE: DENIED ABSTAIN D1. o D2:�.. D3- 4/23/24 F DEFERRED OR CONTINUED TO.- WITHDRAWN - HopeSource\� 606 West 3rd Ave Ellensburg., WA 98926 Phone: 509-925-1448 Fax: 509-925-1204 -Ari-am Mehtsentu S i n a ture: Grant CounCourthouse Attn.lanice Flynn, Admin. Services Coordinator P.O. Box 37 Ephrata, WA 98823-0037 606 West 3rd Ave Ellensburg, WA 98926 Phone (509) 925-1448 • Fax (501-3) 925-1204 110 Pennsylvania Ave, Cale Elurn, WA 96922 Phone (509) 674-2375 Fax (509) 674-5187 Emergency Housing Fund- Grant Co. Grant # 24-4619D-106 Program Period: 7/1/2023 - 6/30/2024 Award : $320,571 1 Remaining Bal $0.00 For the Period f,�;,,y��;;; 1� —M -ay 2-024 -Ari-am Mehtsentu S i n a ture: Grant CounCourthouse Attn.lanice Flynn, Admin. Services Coordinator P.O. Box 37 Ephrata, WA 98823-0037 606 West 3rd Ave Ellensburg, WA 98926 Phone (509) 925-1448 • Fax (501-3) 925-1204 110 Pennsylvania Ave, Cale Elurn, WA 96922 Phone (509) 674-2375 Fax (509) 674-5187 Lead Grantee Name: Mki MOM List Sub Grantee Names Below Totals Invoice Period (Month/Year): June -24 Organization Name: HopeSource Admin $16,611.50 $161611.50 Operations $17,102.56 $171102.56 Facility Support $71091.21 $7,091.21 Rent $0.00 Totals $401805.27 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Invoice Total: $40,805.27 'TATE Of WASHMGTON DEPARTMENT OF COMMERCE 1011 Mum, S tre er 5 F "Po 8 or 4'525 * 04ffnpa, Washihol-P(360) 7254W %WW,C-0MM0fC0-%9A10V Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 24-4619D-106 397735 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 - 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 a I I goods furnished and/or services rendered have been provided without discrimination because of age, sex, marital status, race, creed, color, <kstockton�grantcountywa.gov> (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) 7/8/2024 8:24:27 AM 06/01/24 - 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 $162611.50 $86,746.05 $.00 $52,871.95 Operations - Unassigned $649,156.00 $17,102.56 $462,512.29 $.00 $186,643.71 Rent - Unassigned $27,153.00 $.00 $22,270.86 $.00 $4,882.14 Facility Support - Unassigned $338,411.00 $7,091.21 $284,129.70 $.00 $54,281.30 Non - Match Total: $1,154,338.00 $40,805.27 $855,658.90 $.00 $298,679.10 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 7/8/2024 8:21:53 AM Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number II NUMBER I I CMS Invoice ID: DEPARMENT OF 1030 24-4619D-106 397735 COMMERCE 0 All Expenses under $1,000 I Paid by U131anization Paid b Y Or Name Paid to Contractor Type Paid to U131g Paid to Organization Name Paid to Org Type Expense Type Amount Subcontractor Total Sub Subcontractor Total