The URL can be used to link to this page

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: KarrlB Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Karrie Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE: 8/02/2024 PHONE:2937 k WA;j all . �. ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA 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 ❑ 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 mm w Reimbursement request #12 & 13 from McKay Healthcare on the Strategic Infrastructure Plan (SIP) #2023-01, Architecture & EngineeringSite Program in the amount of$1,905.00. g If necessary, was this document reviewed by accounting? ❑ YES ❑ NO R N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION: �,, `Z APPROVE: DENIED ABSTAIN D1: D2: D3: 4/23/24 DEFERRED OR CONTINUED TO: WITHDRAWN: GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM. PROJECT CERTIFICATION This form must be signed and returned, with awinvoice, for'the approved ending, before r b so t Cbeapproved by Grant County. elm ... ur men, SI Project Proposal. Numbev IP2023"01 SIP FunRe en ding.: qipi f -McKa'y 140- spit4l & Rehab SIP P ect-Description Phas'e, 1 Ar6hiftedure and E *oee Plan r0i rMg Site d.,, do here.. -Y certi-ty under penalt e 1 the - un' _y of perjurylthat the materials hav been furnished, the services rendered, and/or the labor- erfo -d as de S- c- rdbed 'in Me P rme project fro-posal Cdr the above-r6feren ced. SIP Prof ect . and, that I am awhoriiz od to-. I cati that tbis olaim of t authenticate and ceitify to this cla- m, I also fy 1,13222- 50 1, jus . a0d, dua--n-disanunpa-i*dobligati.on,again s ran :ounty. Fuit�P:her,according to the SIPect Fund n Pol*ces, 'I attest. that at. then ta t __Uly o entity, this proiect shall be called to the attention of the Washington State Auditor'si Office and aneophasis- audit will be requested to assure that these funds were expended �tbi jtoward thde c tand. according to the ifitoli of the - Sal propo, . ''. .I -- - - - -- --------- ------- ---- ------ ------------------- * ------------ - ------------------ kere Vfetor 0diakosa Printed 'NAMe Date Signed Ad finktrator/sLiprintendent Title AMI M'* Str4to- r/SuDerintendent Pftted Title tle omploted, signed onkinaltertificaton and m*voi*ce are to iDe mailed -to..' Administrative Servicesoordm*ator, PO Box 37, Ephrata, WA 98823 R0, &" eunbursement # 12 In the amount of $1,222,0V 6-w" ATTACHMENT 4 RIC§C>1','qUSM I LLER 275 Fifth Street. Suite 100 Bremerton, WA 98337 (360)377-8773 Public Hospital District No. 4 of Grant County, Washington P,O. Box 819 Soap Lake, WA 98851 Victor Odiakosa Professional services through 05/31/2024 ... ........ Invoice number 2023052.00-009 Date 06/11/2024 Project 2023052.00 McKay Healthcare SNF Pro - Design - Master Planning Invoice total 1 ,222.50 Aging Summary invoice . . Nu . rnber Invoice Date Outstanding Curre . nt Over 30 over 60 OVir 90 Over 120 2023052.00-009 06/11/2024 11222.60 11222.50 Total 11222.50 11222.50 0.00 0.00 0.00 0.00 For any questions regarding this invoice please contact dill Wolfard at (360) 377-8773 oriwotFard@rfmarch.com Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-009 Invoice date 06111/2024 Washington Contract Total Remaining Current Description Amount Billed Contract Billed Scope 1A - Conceptual Design 100,184.00 94,360.00 5,824.00 0.00 Scope 1A - Schematic Design 78,936.00 64,296.00 24,640.00 0.00 scope I B.1 -Site Plan Design 67,280.00 54,800-00 32,480.00 0.00 Change Order 02 - Scope I B.2 - Zoning Approval 40,000.00 1,222.50 38,777.50 1 ,222.50 Total 306,400.00 204,678.50 101 t721.50 11222.50 Invoice total 1 ,222.50 Aging Summary invoice . . Nu . rnber Invoice Date Outstanding Curre . nt Over 30 over 60 OVir 90 Over 120 2023052.00-009 06/11/2024 11222.60 11222.50 Total 11222.50 11222.50 0.00 0.00 0.00 0.00 For any questions regarding this invoice please contact dill Wolfard at (360) 377-8773 oriwotFard@rfmarch.com Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-009 Invoice date 06111/2024 Washington McKAY HEALTHCARE 586 RiceFee gusMiller 07/021,2024 ..94132 sAmount Discount Taken Net Amount P 1Invoice Number Invoice Date Description Gros$1,222-50 $0woo $1,222-501 2023052.00- 009 1061 11 /2024 lAdmin - PS - Sip2023-01 -$ 04 0 $1,222.5 1;222.50 A !Q...; . . . . . . . . . . . . . ..... J.. j. us BANK: -.6041 094132-- KAY'. HEALTHCARE:' 127 SS0bfqD AVE SW - PO BOX 8.19 9"611f232. PLAKE, WA98851 07/02/2024 (509)246-1.1.11 -$I 222.50.. g PAY TO THE' ORDER O n'Thousad d Two Hundred'TWenty Two D611n: rs and 50 Ce cOLLA Fjs e .......... Rice5of9usMiller . :27 Fifth Street-: .%itib 100 • Breirnnmol ,-WA'-,98337 41, MEMO 4A AUTHOR l26 MGf TIRE 60 L, L094 L 3 2 1"' L23206S h 6 I: IS 3 2 LOO 20 13 411" GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM PROJECT CERTIFICATION This form must be signed and returned, with an invoice, for the approved funding, before reimbursement can be approved by Grant County. SIP Project Proposal Number: SIP2023-01 SIP Funding Recipient McKay Hospital & Rehab SIP Project ect Description Phase I Architecture and Engineering Site Plan 01 %..? 1, the undersigned, do hereby certify under penalty of perjury, that the materials have been furnished, the services rendered, and/or the labor performed as described in the project proposal for the above -referenced SIP Project and that I am authorized to authenticate and certify to this claim. I also certify that this claim of 1$682.50 is just and due and is an unpaid obligation against Grant County, Further, according to the SIP Project Funding Policies, I attest that at the next audit of MY entity, this project shall be called to the attention of the Washington State Auditor's Office and an emphasis audit will be requested to assure that these funds were expended toward the project and according to the intent of the proposal. Signature Victor Odiakosa Printed Name Date Signed' Administrator/Suverintendent Title Administrator/Suverintendent Printed Title Completed, signed original certification and invoice are to be mailed to: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 13 in the amount of $682.50 ATTACHMENT 4 Rlcgk-IgUSMILLER 275 Fifth Street, Suite 100 Bremerton, WA 98337 (360) 377-8773 Public Hospi . tal Di.strict No. of Grant County, Washingtonr P.O., Box M Soap Lake, WA 98851 Victor Odiakosa Professional services through 06/3012024 Invoice number 2023052.00.,010 Datb 07/09/2024 Project 2023052.00 McKay Healthcare SNF: Pro - Design - Mastew,Planning Invoice total .68.2.50 Aging Sum , Mary s ng- Gur r -en 30 Over 60 fiver .9 . 0 0v . er'1,20 Invoice' plumber Invoice Date Cut: tand'it 2023052.00-010 07/09/2024 .682.50 682.50 Total 682.50 682.50 0.00 0.00 0-.00 0.00 Fo Vvoltardat(360)377-8773orjwoltard@rfmotch..c'om' r any questions regardIng this /0 o1C.e P/ease con.tact Jill Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-010 Invoice date 0710912024 Washington Contract Total Remaining. iCurrent Description Amount Billed Contract Billed Sc''Ope' I A - Conceptual Des -119" 1000,184.00 94360.00 51,824000 0*00 SCIDPe 1 SChomatic Deem 78,936.00 54o296-00 .24,640.00 0.00 Scope I B41 - Site Plan Design -87,280,00 54,800600 321,4804.00 0.00 C-hange Ord .. er 02. Scope. 18.2-26hing ApproVAl. 40100 0.00 1,905:00 3810950,00 682.50 Total 306,v400.00 20513.61.00 101,039;0}0 .00 682.50 Invoice total .68.2.50 Aging Sum , Mary s ng- Gur r -en 30 Over 60 fiver .9 . 0 0v . er'1,20 Invoice' plumber Invoice Date Cut: tand'it 2023052.00-010 07/09/2024 .682.50 682.50 Total 682.50 682.50 0.00 0.00 0-.00 0.00 Fo Vvoltardat(360)377-8773orjwoltard@rfmotch..c'om' r any questions regardIng this /0 o1C.e P/ease con.tact Jill Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-010 Invoice date 0710912024 Washington McKAY HEALTHCARE 586 Rice Ferg usMiller 07/25/2024 94193 Invoice Number Invoice Date Description Gross Amount Discount Taken Net Amount Paid 2023052.00-010 67109/2024 Admin - PS - IP 023-01 $682.50, - $0.00 $682.60 L..... . . $682.50] so.opr"" �'►-i =. '041 094193 US BANK - 127 srzc. oNp AvE sw - Po soX �i 9 %-65111232 SbAP LAKEo WA 9%51 07/25/2024 PAY TO THE -$682.50 ORDER -OF Six Hundred: Eighty Two Dollars -and 60 CenW DOLLARS Fri 0qP.8..egUSmiller:.-'. ..:275 fifth Street O.Suit , 6100 e re' ffi, rton WA ,08837. MEMO P604 4094 L93111 I'm' L 23 20r=5 LGIOW IS3 2 100 20 L34V