HomeMy WebLinkAboutGrant Related - BOCCGRANT 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"I"le Stockton
CONFIDENTIAL INFORMATION: ❑YES ® NO
DATE: 8/8/2024
PHONE:2937
11liq -1.11 is
--
I
-d
❑Agreement /Contract ❑AP Vouchers
-EM
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❑ WSLCB
Reimbursement request from City of George on the Strategic Infrastructure Program
(SIP)#2019-04 Well No. 3 generator, in the amount of $112,627-60.
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:
DEFERRED OR CONTINUED TO:
WITHDRAWN:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
4/23/24
GRANT COUNTY
STRATEGIC INFRASTRUCTURE PROGRAM
PROJECT CERTIFICATION
0 # A%
This form must be signed and returned, with an mvoice, for the approved funding,
before reimbursement can be approved by Grant County.,
SIP Project Proposal Number: 2019-04
SIP Funding Recipient: City of George
SIP Project Desctiption.- Well No. 3 Generator
1, the undersigned, do hereby certify under penalty of pe�ury, that the materials have been
fin-nished, the services rendered, and/or the labor perfonned as described in the project
proposal for the above -referenced SIP Project and that I any authorized to authenticate and
certify to this claim. I also cer* that this claim 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 Auditer 'ys 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.
*12
igptiature
- ------ --- -
Printed Name
14
Date Signed
Title C
Zff__eFV0r
Printed Title
Completed, signed original certification and invoice are to be mailed to:
Administrative Services COOrdivator, PO Box 3Ephrata, WA 98823
ATTACHMENT4
]PROIGUSS ESTIMATE I
OCTOBEK1
CITY OF GE
ORANT COUNTY-
WASUNGTON
PROlEcT.-
=y OF GMRCTE
WELL SrMS ELEMWCAL AND MYAVMTRY BeROWMENTS
G&O JOB NL)IMER#16064.12
PROGRESS ESTBMTE PERIOD
JUKE K, 2021 TO SEMMBPR 260 2021
CONTRACTOR:
SHANNON imusTRiAL coNTRAcToRs,, iNc.
P.O. -BOX 3886
COEUR VALEMP ID 83816
UMMY CMUFy TBE ABOVE ESTMATE 19 A
TP-UE AND CORRMT STATEMENT OF TFM I REMY CELTIFY THAT TMJCL HAVE BM PAID W
WORK PEIFORMM UNDEk TiM CONTRACT. ACCORDAWCE WrM WW .79. 12 (PREVAXWG WAGES).
(MAY& OSROWO� JNQ
SHAMON DMUS TRUL CONTRACMR% WC.
-co
SUMMARY AND DISTRMUUON OF pAyha=,S
PAY
UT PRO GMS ESTWATS PMIOD EARNM PER SALES M TAX ----
NO. ------ DATES - ------- PERJOD RATE AMOUNT TOTAL
HAM PAYbONT
$0.00
moaftwumsoolow — ------ — --------
TOTAL: MA0,00 $7,129.92 $(Loa
Page 2 orf 2
ftvmft*r,At*l.*w
PROGRESS ESTWATV, 1
OCTOUR % 2021
crly OF GEORGE
GRANTCOUNTY
WASMOTON
PROJECT:
CrTy OF GEORGE
WEU sms EucnucAj., AND TELENEIRY DeROWUMM
OW JOB KAMM #I 60IS-4-12
N. DESCREMON
I MobilLudw W Demobalmom
2 M01*4 TOIMWY anA Mwtv��
Moms EsTjmATp, pMol)
JUNE l4v 2021 TO SEPMMM 2C 2021
CONIRAMR:
SHANNON EMDUSIMAL CONTUMRS, RqC.
P.O. BOX 3896
COEUR VAUR®R, M $3 g 16
v mu UNT TMAL TOTALI
PFJMj PEKOqDIDATE
I LS $1000.00 50.00% 50,00%
1 Ls $149,00.00 $3.61% S341%
AMOK TES
AMOUNT TO
W
FERCENTOF
CONIVACT
'�CEE
PER=
m2
T
ja
DATE
ry
$510mloo
✓SO%
$790980.00
$79,,UO.00
54%
MAINUALS ON HAM IFAU% $791M.92 $7.129.92
TOTAL $0.00 $0.00
CONTUCTOR ZU UTAW&CE TIOPW $9%009.92 M009-92
TOTAL LONM TO DiTE LICS8 IWTAINAGN
MA".92
-xz9sA9f)um
MIMPUSLYPAW
TOTAL PAYNmw ljoW loUp,.
01UMNAL CONTPACT AMOUPQT MMOVr TAX)
CONTRAcT PxgcxNTAGE To N)ATE
POP I of 2
$1590000.00
S3%
ACERB 39,221.29
Ifs 529788.63 -
MY OF GEORGE
GRANT COLNW
WASMNOTON
PROJECL
MY OF GEORGE
WELL SIMS BLBMUCAL AND TELEW-MY nvMoVUWMM
G&O 10B NtRaER #16064.12
NO, DESCRWnON
I Mobffinfix ud Dn"Wliafto
2. HlecWC4 Talemofty *od jnoowma�
CftNGE ORDEM:
001 11*MJ-W#,114A=kg4HjtwoWo112
PROGRESS ESTMATE PMOD
SEPTEMER A 2021 TO APREL 15112022
CONTRACTOX,
SHAMON NDUSTkLkL CONTRACMRS, INC.
P.O. BOX 3886
COEUR VALENE, M 83 $16
TOTAL T=
I
TOTAL To
Amot)NTODIMS
AMOUNT TO
FERCMUOF
Y tM UNTr PRICE
PWOD
I DATE
PMDATE
=MUXr
11,011
WOMEN
I LS SlOoOOD-00
1 LS $149,000.00
12,50%
4128%
62-50%
9$XS%
iwo.00
63%
$63.000.001
S142,880.00
I LS 4o$45.991 9;s.00% 1 95.00%
$4.31L691 StAlkow I 0aw-
M&TEMAIS ON H&" NAM $5*759.77 $120889.69
TOTAL $0.0.0 $0.00
CONT&AX!TOR W RETAINAGE BOND $74,328.46 SlOrS38.39
$0100 $0.00
TOTAL ZUMD TO DATE LIN WrAJNAGE
si"V33838
XESS AMOUNTS PREVIOUSLY PAM
TOTAL PAYhWM _IOW DUEp,
ORIGRIAL CONTRktTr -&Mfwrwr
$92.009-92
A6 $74MRA6
19WAk&
%"'UVL AtjAj $1590000.00
CONTRACT PERCENTAGE TO DATE
f ol 1; -
Telemetry - CERB Eligible $203567.48 <— lnc1ude__dt_'__his request
. Q_-3enenator - SIP Eligible - $63y760,98
................
........... rw. . . . . . .
PROGRESS ESTIMATE 2
APRIL 82022
MY OF GEORGE
GRANT COUNTY
WASHWGTON
PROJECT:
MY OF GEORGE
VMU SIM ELECTRICAL AM TEEEVMTkY 1WROVENIRM
G&O JOB WMER #16064.12
PROCIRESS ESTRVfAIE PERIOD
SF -PT ER 276 2021 TX) AP RIL 15.) 2022
CONTRACTOEL-
S14ANNON INDUSTRML CONTRAcTORS
P.O. BOX 3886 INC.
COBUR. UALENE, ID $3816
1 M"By MTJTY IM ABOW EM"TH IS A I MMY MM7Y THAT TEE WAMS HAVY,"HEW PAM W
TRM= S
AMMCORUCT STATEMENT OF Tw ACCORDANCE WITH WW 39-12 (rPXVA=a WACES),
WPF36D UNDER MS CONTRACT.
GRAY& 0009NE, mc.
Nonor ,%:;Evmv
WANNON DMUSnUL CONTRACTOINC.
SUMM"Y AM DIMMUUON (w p,&yMEM
04;
-- ---------- - -
'gz
EST
NO.
PP-OGMS EST&UTE PEWOD
DAUS UMW'PER &ALES T"
TAX
1�"TERULS ON
g
TOTAL
I
JUNE 1 2021 UXOD RAOM
"O"Tr
PAYMMOr
2
SEnEMOBER 27s 2021 To ArpjL 15, 2022
129.912'
soloo
8A0%
SSJ$9.77
$74,328.46
TOTAJU $153,448.69
$12s8$9.69
Page 2 oft
P"ma ftensm ZAN
PROGRESS ESTIMATE 3
JM IS., 2022
CITY OF GEORGE PROGMS ESTWATE PERIOD
GTLANTCOUNTY APRIL 16., 2022 TO JUM 102, 2022
WASMN=N
PROWICT.. CONTRACTOR.,
CITY OF GEORGE SHAMON INDUMIAL CONTRACTORS, INC.
WELL Sr M ELECTPJCAL AND TELEMETRY B"ROVIEMENTS P.O. BOX 3 986
G&O JOB NUI�MEFL#16064.12 COEM VAIENE, ID 93816
-.00 ----------
UANUTM.
- - - - - - - - - - - -
----------------- --- - --- -
co
"OLW TO
- - - - -
- - --------
pmc.moF
CONUACT
NO. DESCRIMOR Umff UNff'PRJCE
TOTAL nW
?ER10D'j%"'L'
TO
DATE
AMOMMS
wft,
--,PEUOD
DATE
I Mobi ffiation wd DaMMUzagm I ar.0 sic"000.00
I ElwWc4 Tokattry and JU$UU=ntg&n I Ls $149:0000.00
U.WA
1.12%
V.50%
A$00.00
99%
97.01%
$IoA70.40
$144,530.00
917%
CHANGEORDFM:
C01 Item I - Well 4 Aoslog SpjkDu� WCH 2
F=91bfift I Ls WrS45.99
b02 bta I - WOU 2 1%w Mew and
5.00%
100.00%
$227.30
,545.99
10%
PWVM=img ILS S19p910.41
CO3 It= I - Well 3 Amlog $pfitter I Ls $1,725.001
MM
100-00%
50.00%
$90955.21
,
1
$9$955.21
59yo
100.0ov.
$1 :,Moo
$1,725,001
t00%
Page I of 3
PROGRESS ESTVA TE 3
JUNE Iri, 202
crry OF GEORGE
COUP
MOGTMS EST ATE PERIODGRANT
WASFWGTOW
RIL 16, 2022 TO JUNE 10r 2022
PROJECT:
MY OF GEOR E
CONTRACTOR. -
WELL SY� `, H=MCAL AND TEL y PRO
MMON INDUMIAL CONTRA rO INC.
'
G&O JOB NUAMMt #16
P.O. BOX 3986
t12
COEUR D'.,A.�� ID 83516
TOTAL
$0.00
$0.00
"" ♦
�VMaf+M'
TOTAL FARNED TO DATE LUS WrAPUGE
S1 N7 S
LESS Algo f n FREVI()UBLY P
PROGRESS ESTSUTZ 2
S9209.92
{
TOTAL PA'itl+cM NOW Dom:
S17,428.02
ORRW " CONTAGrAmOUNT{W7M}LTTAX)
$1570 0yaV
a
COMUiC AMOUNT W�MiE7R+DUS 1-3
CONTRACT PUCENTAGE AODA Z
4p <-� Included thi r� ue
Tlri+ E-SIP
st
n Eligible - 2A582.0
�
Page 2 of 3
"�F43.^f^$tt'+�+��^��w5'b6¢� ::�i4��jY..Fn i-:.K'�'.°.�''�X•?'J.'�i�h 7'Q,. '10`. ,�+.4*:4fi%tf�.m`,%.Zr�i4WM"' �"sH%4C�"M°.42kt�z�a's�aT�,1'"^'i'�tc.�G�" '.'�^.�'
ids`¢o'✓'�N".2.F::..::Y�2:u�'�43Y�.k2R2y.'is :/ ' d. ..
iX ?.f3' �
. .•�5"�t:�'?,P x"v%3�8'�(!:'?i7dh4L>?>�' POdX�o•P+%2�5."a�kfl°.�T�FYV?s'�iswA�+�-
.
+Yy?'vs?�i.'9'-A:."'b" b �C.��+i'QY.P43'tfis8`D�1y+s'r+3Y ..
PROGRESS ESTDIATE 3
JM 15* 2022
CITY OF GEORGE
GRANTCOLINTY
WASUNGTON
CITY OF GEORGE
L ATYWLLSrMSEECPCNDTERD&ROVEMNT-S
G&O JOB NUMBER #16064.12
PROORESS ESTUA&TE JYL-pjoD
AP RIL 1! 2022 TO RWE I o, 2022
CON7RACT01
SHANNON INDUSTRL&L CONTRACTORS, INC
P-0, BOX 3986
COEUR DALENE., ID 93816
HMMY CELTWY 7W ABOVE ESTO"TE IS A I fWMY CERWY THAT MM WAGM HAVE MW PAW IN
TRUE AND CORRECT STATEmW OF TM ACC ORDAWCE WITH RCW 39.12 (PRBVAILINO WAGM�
WORK PERFOD UMat TM9 CON 7RACr.
0"Y & OOORNK WC-
SHANNON JND7jsTpjAL CONTpACTORSONC.
SUMCM-Y AND DlST=VTl0N0FP,&YYXM$
PAY
---
EST
?ROOM$ ESTDdAT.E ?EEO])
DATES
LAMM PML &AM TAX
TAX
MATEMLS ON
TOTAL
--- ---- ----------- ------ ----- --
14.,202TTO 4
--- ------ -- RATE
AMUNT
HAND
2
MUMEMER 271,20211*0 APRIL 13, 20M
$94 9904-0 3.40%--i
$68256&69 &40%
�,129.W
3
APRIL 16,2022 TO XqqE J9, 2022
S3,759.77
$0.00
S74.328.46
SAM
$IXOJI
$0.00
$173,429.02
TOTAL; $169,126-20
$14,240.20 so.00 S183,,766.40
PW 8 Of 3 1
push= sidmw& win
MY OF onoRGE
GRANTCOUNTY
WASHMTON
I
Kabilizaign and Dembilimic.
2
MWrIC411, Toltmfty md hattumunur ma
CHANVIR ORDMI
COI
RM I - WO 4 Amlog sgitW, Well 2
Fand Mdft
CO2
ROM 1-'veil 2 Raw MaW UA
pwffammios
CC*
Um I - WeU 3 Andot SIgift
C04
Jkm I - W.0 EthmnW 3vjjf*
PROGRESS EMIMATE FMWD
JUNE It, 2()22 TO OCTOMM 7m 2022
CONTRACTOR.,-
SHANNON RMUSMAL COM.
6
Aus I -INI
y LWU UNrrMCa
ot - DATS
I Ls $10,0W.A0 L2.M% imm%
3
I Ls $149,(W.(* 1.24% 9&26%
I Ls $4v4545.9 OM%
1I Ls $$11,0725.,00-w%IC*,O
,3&.
$04iS45.99 1
Ls 19*910.41W 0lom% 00 00%
10D.0" $19s910.41 100%
I Ls vZ IODA% 100.00% So.00 $117Z.00 100%
VZOO S7.10A IW%
PM90 EfAmb4
CITY OF GEORGE
ORANT.COUNTY
WASHNGTON
PROJECT:
cTrMRGE
WELL YOFSMS M.ECTRICAL AND TELF00MY WROVEUgMS
G&O JOB NUMBER #16064.12
PROGRM ESTIMATE FMOD
RFNE 11, 2022 TO OCTOBER 12 2022
P.O. BOX 3886
C013UR ]VAL2M W 83816
OVAL430 AFL& 140% $1jIS9.64 W,399.04
MATUMU Off BAND $D.OD $O.OD
WrAL GH $0 $14,9U $198o731.24
CONTNtACrOR HAS RUTAINABOND
TOTAL LUOM TO DATE L= RUAINAGE
,kwAK0MM,F-jWVMU8LY-PAW
PRDGREN EnWATH I
PROMPM EVAIM 2
PKOORMM"MAU3
TOTAL 31ATMW NOW DUZ-.
OPJGDUL CO MALT AMOUNT (WrMOVJT TAX)
C0XMCrAM0UNTwnxCHAN9X ORDERS 14
CONMCT PMtCXfAGZ TO DATE
$15940MOD
$10v931.40
99%
$"81731.24
$9ZOO9.92
$74*328.46
$17,428.02
$14,964.94
Telemetry - CERB Eligible - $14,287.34 <-- Included this request
Generator - SIP Eligible - $677-50%,,,-�
fte:2 of a rMOWS MAW 4
CXry OF GEORGE
GRAW COUNTY
WASENGTON
A
PR0aRMSB17P 1MATEP33MD
JUNE It, 2022 To OMOBBR 7,2022
CONTRACTOR: .
SHANNON MU$1VALCONTp
P.O. BOX 3886 ACTORS', WC.
COS DALE M, W 83916
1 MMY CMVY nM ABOVP- HS"MATH B A RMUM CMTIFY THAT THE WAGES HAVE RUM PAID V
TRUE AM CORRECT STATEMMNT OF Tim ACCORDANCHW= RCW 39,12 VAtm aWG WAGES).
WORK PEPJKMMED UNDER T= CONTRACE
GRAY & OSBORNEt M
SMR"RY AND b(SMMUnor4 OF PAYM&M
PAY---
W
NO.
PROORMS 9sT1 fA:rB paWL)
DATES
EARNM PPlZ MRS TAX
TAX
MATM*LS ON
TMAL
I
2
.. I
AM 14, Ml To BR 26s 2021
58"MMER
ft. -19 PEMD R ATE
AMOUNT
J29.92
IXANID
M. FA'YMEW
3
27- 2M1 TO APRM 15, 2022
APNL 14 2022 70 AM lot 2=
$AO%
$5,7759.77
307-
so-00
RFX792
$74,32BA6
4
JUNE II, 2W To OMBER 7.22022
$16,077.51 8.40%
$13aWS.20
S1.3sul
$0.00
$l7s428.M
BAD%
31*159A4
$m
$14,964.94
TOTAL $183.331.40
$15.399.94
$0m
$M,,731.24
Pago 3 af .9
pmws"tmw"4
MWAL PROGMM FSMdATF, 5
NOVEMER 10, 2,022
CITYOFGEORGE
GRANT COUNTY
PR0GmsmTmAlipMu0D
WASHNGTON
OCTOBE. 's 2022 TO NOVEMER 10, 2022
PROJECT.-
Cr" or GEORGE
CONTRACTOR--
WML EIJDanRY BOROV134ENTS
SHANNON INDUSMLkL COMMACTORS, WC.
G&O JOB NUMBER #1 6WA. 12
P.O. BOX 3996
COEUR VALENK ID 83816
— - ---------
AmfTEM
------- - -------- ----CMOs,
DBSCMMOjN 4%wv..�
UM
DMPRIM-
rNO.
TkW =AL AMOtWTMS AMOUNTTO COCTwrC
POWD DATE
pMCO DATE
I Wbftadon Wd Denv*0jzsAcd
2 UI6CWCa7o Teleme" and MAnmunmfion
is
I Ls
$10,00D.00
0.00%
100.00% $040 $10,000,00
$149,000.00
1.74%
100-00% U600.00 $149,000.00 100%
CEUNGE ORDIM:
COI Rem I - WeR 4 AxWqZ $Vfta, Well 2
BMW meter
CO2 It= I -Well 2 Flow h1cw aW
I Ls
0.00*
■100.0% $0.00 IW%
mmins
3 I-W3AnalogSp
CC004
I
I
$IV$725.0401
$lv710,
O0D%
100-00%% $"5.9
190910-41 100%I
IR=mv
M6MM
KSw
I LLss
10-1
O.%
0.%IM00
100.$MOO
0.00 $1.2.0010%
$0.00 $750.00 100%
pace I Of 3
PROJECT:
MY OF GEORGE
I �, k -
WEM SrfM EL
Lv.}Z#30)3 - k 10'r,
FINAL PROGMSS ESTM&TE 5
NOVFAWR 1% 2022
CONTRACTOR:
SHANNOX MUSTMAL CONTRACTORS, M.
P-0, BOX 3886
COEUR DAIEM 11D 83816
MAIMUMS ON BUM 8.40% $218-40 $15.618.24
TOTAL $0.00 $0.00
CONTRACTOR RAS B=AINA )BOND $41.8.40 UK549.64
$0.00 $0.00
TOTAL EAMM TO DATE LM RETAINAGE
$201sW64
j&q§ AMOUNN PAMOUSLY PAW
PROORM ESMMATE I
PROCAMS ESTMATE 2
$97.,OW92
PROORM BMIATE 3
$74,328.46
FROGMS ESTMAT13 4
$17,42&02
$14,964.84
TOTAL PxrNma Now DTjjm.. A818.40
ORIGMAL CONTRACT AMOINT (WITMUT TAX) $159,000.00
COMACTAMOUWvnmi CHANGE ORMS 1-4 $185,931.40
CONTRACT PERCENTAGE TO DATB I"
Telemetry - CERB Eligible - $0.00 <-- Included this request
Generator - SIP Eligible - $2,818.40 uo�
Page 2 of 3
ciryoFOBOROE
cRuw comw
WASMGTON
PROJECT:
CUT OF GEORGE
WML sffm
MAL PROD RM FSTMATE 5
NOVEMWRI0.120i
PROGMS ESTRAATF, PEMOD
OCrOBER 8,2022 TO NOVEL PR 10, 2022
CONTRACTOR:
SHANNON WDUSIRIAL CONTRACTOn , lNr.
P.O. BOX 3886
COEM VALEM ID 83916
1 HMMY CERTTFY T-UE ABOVE USnKATE IS A
TRUE AND CORRECT ST.*TmmqT OF TIM I UMMY CMTJWY IHAT THE WAGES HAVE IBEW PAID IR
WORK PERFOftSD M4DER TIM CWMACr, ACMRDANCE WZM.RCW 39.12 (FMVARWO WAGM).
GRAY & OSBOM INC
WIANNONMUSnUAL COMRACrORS, WC
0311AURY AND ]DU"I=UnoN OF PAYMMM
- - - - - ---------
EST
—NO.
PROMMS EKD&M PEWD
DA7E9
PARNEDPM
SAIM
UIWTAX TAX
1 ISO,
mATERLUS ON
TOTAL
* =1 To
RATE UNT
AMOK'
HAND
PAYMENT
2
SEPT'BbSER270
OnlibSEEL27o
3
APXX 16;0 2oz2
.2m
$0.00
$74j328A6
4
JUNF, i 1,2m2 To
$D.00
$17,428.02
5
OMBER 8- 2(M-MK()VEMMt 9,2022
9.40% $11,159.64
$0.00
$1419".94
- —
8.40% $2LB.40
--------- $0.00
$Z818-40
TOTAL: S185,931.40
$11�618.24
$0.00
=1".64
Paw 3 of 3
AM ftoa*