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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: Karrie Stockton CONFIDENTIAL INFORMATION: OYES BNO DATE: 8/28/2024 PHONE:2937 ❑Agreement !Contract ❑AP Vouchers ❑Appointment /Reappointment DARPA Related El Bids / RFPs /Quotes Award ❑Bid Opening Scheduled El Boards /Committees El Budget ❑Computer Related ❑County Code El Emergency Purchase ❑Employee Rel. El Facilities Related ❑Financial ❑Funds ❑Hearing El Invoices /Purchase Orders BGrants —Fed/State/County ❑Leases ❑MOA / MOU ❑Minutes ❑Ordinances El Out of State Travel El Petty Cash ❑Policies ❑Proclamations El Request for Purchase El Resolution ❑Recommendation ❑Professional Serv/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB =49i EKE= IMEME= 'EMMEEMM Reimbursement request from Samaritan Hospital on the American Rescue Plan Act (ARPA) in the amount of $1,092,992.56 for July 2024 expenses. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 7 N/A. APPROVE: DENIED ABSTAIN D1: D3: 4/23/24 BILL TO: REMITTO: Contact: SAMARITAN HEALTHCARE All of us, for each of u, every time. Reimbursement Request Grant County Commissioners American Rescue Plan Act (ARPA) Grant Project: HVAC System for new Medical center P.O. Box 37 Ephrata, WA 98823 Submission Number 3 Submission Date 8/28/2024 DESCRIPTION Invoice Number Amount TOTAL 2201.2 HVAC Systems 2201.2 HVAC Systems 91124099 91124828 $ 1,041,535.26 $ 51,457.30 TOTAL $ 1,041,535.26 $ 51,457.30 $ 1,092,992.56 Samaritan Healthcare Attn: Suparna Saha - Accounting 801 East Wheeler Road Moses Lake, WA 98837 Suparna Saha, Accountant 509-793-9601 Ext: 9529 Owner Invoice Sales Doc# 55006136 Invoice# 91124099 Graham Construction & Management, Inc 12439 E Pinecroft Way, Suite 102 Phone: 509-534-1030 Spokane Valley, WA 99216 Project Number: W21038 Name: Samaritan Healthcare Medical Campus Owner: Grant County Public Hospital Dist. 1 Samaritan Healthcare Address: 801 E Wheel Road Moses Lake WA US 98837 Subject Invoice #: 91124099 Business #: 91-2144907 Invoice Date: June 25, 2024 Description: W21038 Pay App #14 06.30.2024 Send To Name: Grant County Public Hospital Dist. 1 Samaritan Healthcare Address: 801 E Wheel Road Moses Lake WA US 98837 Summary Original Value: 145,709,222.00 Change Orders: 4,475,755.49 Current Value: 150,184,977.49 Current Escrow Payment Amount Complete to Date: 44,527,085.83 Retention 348,387.49 Less Previously Billed: 37,559,336.19 Less: Bonded (146,012.83) Current Billing: 6,967,749.64 Due to WA Trust Bank 202,374.66 Less Retention: 202,374.66 Subtotal: 6,765,374.98 Tax: 592,258.74 Current Amount Due: 7,357,633.72 Retention To Date $ 1,261,907.09 Remittance Payments to: Graham Construction & Management, Inc Send to: 12439 E Pinecroft Way, Suite 102 Spokane Valley, WA 99216 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 Page 1 of 1 TO (OWNER): Grant County Public Hospital Dist. 1 Samaritan Healthcare 801 E Wheel Road Moses Lake WA US 98837 FROM (CONTRACTOR): Graham Construction & Management, Inc. 12439 E Pinecroft Way, Suite 102 Spokane Valley, WA 99216 CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for Payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703 is attached. 1. ORIGINAL CONTRACT SUM ...................................................... $ 2. Net change by Change Orders......................................................... $ 3. CONTRACT SUM TO DATE: (Line 1 +/- 2)...................................... $ 4. TOTAL COMPLETED & STORED TO DATE ..................................... $ (Column G on G703) a. 8.4% Sales Tax Prior to April, 2024 $ 2,206,131.81 b. 8.5% Sales Tax $ 1,552,407.03 Total Sales Tax $ 5. RETAINAGE a. 5% $ 2� (Column D + E on G703) b. 0.00 % of Stored Material $ (Column F on G703) C. Less bonded retention $ Total Retainage (Line 5a + 5b or Total in Column I of G703)........................................................ 6. TOTAL EARNED LESS RETAINAGE.......................................... (Line 4 + Line 4a Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) ................................ 8. CURRENT PAYMENT DUE............................................................ 9. BALANCE TO FINISH, PLUS RETAINAGE.................................... (Line 3 Less Line 6) 226,354.28 0.00 964,447.19 PROJECT: Samaritan Healthcare APPLICATION NO: 14 Distribution to: Medical Campus APPLICATION DATE: 06/25/24 X OWNER PERIOD TO: 06/30/24 ARCHITECT CONTRACTOR VIA (ARCHITECT): ZGF Architects ARCHITECT'S PROJECT NO.: 11CONST. MGR. 925 4th Ave, Suite 2400 PROJECT NO: W21038 Seattle, WA 98104 CONTRACT DATE: April 11, 2022 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 145,709,222.00 4,475,755.49 CONTRACTOR: Graham Construction & Management, Inc. 150,184,977.49 44,527,085.83 By: Dated 6/25/2024NX% , A State of: Washington 3,758,538.84 Spokane County of: Subscribed a sworn to before' z me this 25th a. of J ne, 20.4 I` WA. Notary Publi _ i �n.4 nn-7 nn My Commission expires: 07-10-2024 7,3577633.72 106,919,798.75 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total Change Orders approved in previous months by Owner 4,475,755.49 Total Approved This Month - TOTALS 4,475,755.49 NET CHANGES by Change Order ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, baed on on -site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED ........................................... (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Continuation Sheet that are changed to conform to the amount certified.) ARCHITECT: By: Date: This certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. CONTINUATION SHEET AIA DOCUMENT G703 APPLICATION NO: 14 ITEM NO. DESCRIPTION OF WORK Cost Type GMP SCHEDULED VALUE CHANGE ORDERS BUDGET REALLOCATIONS (TOTAL) CONTINGENCY USE (TOTALS) REVISED GMP TOTAL WORK COMPLETED MATERIALS PRESENTLY STORED (NOT IN F OR G) TOTAL COMPLETEDAND STORED TO DATE % (UE) BALANCE TO FINISH (E - 1) RETAINAGE LESS BONDED RETENTION RETAINAGE BALANCE FROM PREVIOUS APPLICATION THIS PERIOD A A Fee 0000 Fee Pre $106,000,000 GRAHAM LUMP SUM 3,555,000.0( - 3,555.000.0( 1,217,453.0 225,853.52 - - 1,443,306.6( - 40.60% 0.00% 2.111,693.4( 1,369,490.6-1 72,165.33 - 7--)165.33 - 0001 Fee Post $106,000,000 0002 B&O Tax A Fee Total: GRAHAM GRAHAM LUMP SUM LUMP SUM 1,219,230.0( 686, 00,00 150,260.64 20,535.42 - - 1,369,490.6, 706,835.42 171.170.2 - 31.754.33 - 202.924.6C 28.71% 503.910.81 10.146.23 10346.23 5,460,530.0( 170,796.06 - 5,631,326.0( 1,388,623.3f 257,607.85 - 1,646,231.2( 29.23% 3.985,094.8t 82.311.56 82,311.56 B B Specified General Conditions 0020 General Conditions GRAHAM GRAHAM LUMP SUM LUMP SUM 8,931,151.7 817,500.00 (285,500.51 31,636.67 8,645,651.2, 849,136.67 2,162,166.4t 949,136.67 401,1 10.7 - - 2,563,276.71 849.136.0 29.65% 100.00% 6,082,374.5 128,163.8f 42,456.83 (26,674.91' 101,488.94 42,456.83 0030 Performance Bond 0040 General Liability Insurance GRAHAM LUMP SUM 714, 00.00 25.178.56 739,178.56 739.178.56 - - 739.178.56 100.00% 36.958.93 36,958.93 10,462,651.7' (228,685.28: 10,233,966.4 3,750,481.6S 401,110.25 - 4,151,591.9 40.57% 6,082,374.52 207,579.61 (26,674.91,1 180,904.7( B Specified General Conditions Total, C C Negotiated Support Services 0100 NSS Service Agreements GRAHAM T&M 2,138,345.8( 2,138,345.8( 817,475.55 30,101.59 - 847,577.14 39.64% 1,290,768.7-- 42,378.86 572.81 (3,511.93) 38,866.93 (275.22) 0110 NSS Utilities GRAHAM T&M 178,890.0( 178,890.0C 11,163.87 292.36 - 11,456.23 6.40% 167,433.71 8,461.72 (848.03) (416.04) 8,045.68 0120 NSS Materials & Equipment 0130 NSS Graham Labor GRAHAM GRAHAM T&M T&M 676,037.0C 1,627,164.8, 676,037.0C 1,627,164.8, 152,444.07 254,957.2 16,790.28 23,782.5 - - 169,234.35 278,739.77 25.03% 17.13% 506.802.65 1,348,425.0 13,936.99 (755.29) 13,181.70 4�810.20 0140 NSS Winter Allowance GRAHAM T&M 611,484.00 (65052.001 (65,052.00) - - 546.432.00 5,166,869.7( 96.203.94 1,332,244.7( - 70,966.73 - - 96.203. 1,403,211.4-: 17.61% 27-16% 450.228.01 3,763,658.T 4.810.20 70.160.58 (5,531.29) 64,629.25 C Negotiated Support Services Total: 5,231,921.7( D D Cost of Work - Hospita 0301 Concrete Foundations and Slabs GRAHAM T&M 5,209.870.0c 28,479.53 - 5,238,349.5- 4,746,026.6- 229,066.5S - 4,975,093.2- 94.97/b 263,256.31 248,754.6e (248,754.66: - 0401 Masonry TED TOMBARI T&M T&M 325,117.00 177,650.00 121,023.00 - - - - 446,140.0( 177,650.00 177,650.00 77,650.00 0.00% 100.00% 446,140.0( - - 8,882.50 (8,882.50) - 0501 Metal Decking (Supply Only) 0503 Structural Steel GRAHAM T&M T&M 8,271,415.9( 288,382.01 18,117.00 51,637.00 8,629,551.91 8,006,647.8 272,383.0Z 8,279,030.8S 95.940/a 350 521-0 413,951.5,� (66,286.01,1 347,665.53 0601.1 Millwork Cabinetry T&M 1,611,850.00 33,181.00 - - 1,645.031.0( - 9,761.00 9,761.00 - 0.59% 0.00% 63 1,165,270.0 165,500.0 5 500.0 1 488.05 - 488.05 - 0601.2 Finish Carpentry T&M 165,500.00 158.150.00 - 165,500.01 158,150.0 - - - - - 0.00% . 158,150.0 - - 0601.3 Countertops 0601 Millwork and Finish Carpentry Subtotal INTERIOR WOOD PRODUCTS T&M T&M 1,935,500.0( 33,181.00 1,968,681.0( - 9,761.00 9,761.00 0.50% 1,958,920.0( 479,047AS 488.05 30,048.48 488.05 30,048A8 0701 Applied Fireproofing ANNING-1OHNSON T&M 891,480.00 20,937.00 - 167,600.0C 172,000.0C 1,080.017.0( 3,095,959.0( 335,808.51 1,070,043.0( 265,161.0C 488,359.0C 600,969.51 1,558,402.0( 55.640/a 50.340/a 1,537,557.0( 77,920.10 (77,920.10,' 0702 Membrane Roofing FLYNN BEC LP T&M T&M 2,751,000.0( 171,759.0C - 1,200.00 0703. 1 Metal Siding T&M 1,098,350.00 642,232.00 1,740,582.0( - - 0.00% 0.00% 1,740,582.0( 2,146,310.0( - 0703.2 Slate Siding 0703.3 Metal Roofing T&M T&M 2,146,310.00 670,790.00 - 2,146,310.0( 670,790.00 1,780,950.0( 239,400.0C 39,000.04 - 278,400.00 0.00% 15.63% 670,790.0C 1,502,550.0( - 13,920.00 (13,920.00' 0703.4 Insulation & Girts 0703 Metal Siding and Roofing FLYNN BEC LP T&M T&M T&M 1,780.950.00 5,696,400.0( 642,232.0( - 6,338,632.0( 239,400.010 39,000.00 - 278,400.00 4.39% 6,060,232.0( 13,920.00 (13,9220.00, - 0801.1 Exterior Glass Assemblies T&M 3,052,461.95 71,593,00 3,124,054.95 127,091.3-3 5,215.73 - 247,033.5-1 379,340.63 - 12.14% 0.00% 2,744,714.3-- 578,212.93 18,967.03 - 18,967.03 - 0801.2 Interior Glass Assemblies T&M 576,320.51 1,476,910.54 1,892.42 8176.71 578,212.93 1.485.087.25 - - 0.00% 1,485,087.2f - - 0801.3 Doors Assemblies Glass SKAUG BROTHERS T&M T&M 5,105,693.0C 81,662.13 5,187,355.1 127,091.3- 5,215.73 247,033.5 379,340.63 7.31% 4,808,014.5( 18,967.03 18,967.03 0801 Widows and 0802 Doors, Frames, & Hardware Supply KINSHIP GROUP G&T CONST. T&M T&M 1,261,950.00 345,750.00 21,911.45 - 1,283,861.4' 345,750.0C 21,192.05 - 15,000.00 1,610.00 - 36,192.05 1,610.00 2.82% 0.47% 1,247,669.4( 344,140.0C 1,809.60 80.50 1,809.60 80.50 0803 Doors, Frames, & Hardware Install 090 1. 1 Exterior and Interior Framing D9 CONTRACTORS T&M T&M 4,402,664.00 - 48,849.00 4,451,513.0C 1,998,700.2( 483,567.010 2,482,267.2( 453,250.010 55.76% 8.97% 1,969,245.8( 4,597,829.0( 124,113.36 22,662.5C (124,113.36 (22,66150, - 0901.2 Interior Drywall, Tape, and Texture D9 CONTRACTORS T&M 4.996.236.00 64,84300 5-051-079.0C 9,502,592.0( 167,000.0( 2,165,700.2( 286,250.0C 769,817.00 2,935,517.2( 30.89% 6,567,074.8 146,775.8� (146,775.86 0901 Wall Assemblies 0902 Ceiling Assemblies D9 CONTRACTORS ELEVATED ACOUSTICS T&M T&M 9,388,900.0( 1,166,358.0( 113,692.00 1,166,358.0( 43,439.0C 43,439.00 3.720/a 1,122,919.0( 2,171.95 2-171-95 0903.1 Resilient Flooring T&M T&M - #DIV/01 - 0903.2 Tile Flooring T&M 2,388,787.3( - 0.00% 2,388,787.3( 0903 Tile & Floor Coverings 0904 Painting 0905 Wall Coverings GREAT FLOORS PAINTMASTER TODD ROBINSON T&M T&M T&M 2,366,290.0( 985,475.00 99,340.00 22,497.3C 2,322.00 1,099.57 987,797.0C 100,439.5-1 - - - 0.00% 0.00% 987,797.0( 100,439.5-1 1001.1 Radiation Shielding 100 1. 2 Wall Protection T&M T&M T&M - - - - - - - #DIV101 #DIV/01 #DrV/01 - - - - - - - - - 1001.3 Washroom Accessories Equipment Supports T&M T&M - #DIV/01 - - - 1001.4 1001.5 Partitions, Grills, and Curtains T&M - - - - #DIV/01 #DrV/01 - - - - - - 1001.6 Blocking and Backing T&M - - #DrV/01 - - - 1001.7 Wall Accessories, Signage, & Loa T&M T&M 4,375,000.00 35,095.05 4,410,095.0-' - - 0.00% 4,410,095.0' - - 1001 Miscellaneous Specialties 1201 Roller Shades GRAHAM VALLEY SHADES T&M 284,900.00 1,650,000.0( - 235,520.0( - - 284,900.0C 1,885,520.0( 953,048.0C - - 953,048.0C 0.00% 50.55% 294.900.0C 932,472.0C - 47,652.4C (3,278.80) - 44,373.6 1401 Elevators 2101 Fire Suppression 2201. 1 Plumbing Systems SCHINDLER ELEVATOR FIRESHEILD APOLLO APOLLO T&M T&M T&M T&M T&M 1,203,000.0c 16,037,751.09 9,883,066.00 18,896.010 580,738.05 421,643.43 - 1,221,896.0( 16,618,489.14 10,304,709.43 266,398.5. 5 3,066,180.6( 907,007.44 79,750.2 401. 1 942,5356 41, .0 346,148.75 4,008,582.2, 1,948,542.7( 28.33% 24.12% 18.91% 875,747.2f 12,609,906.8' 8,356,166.T 17,307.44 200,429.11 97,427.14 (1,028.35) 17,307. 199,400.76 97,427.14 2201.2 HVAC Systems 2201.3 Controls 2201 Plumbing, HVAC, and Controls APOLLO APOLLO T&M T&M 1,888 052.00 27,808,869.OS - 1,002,381.4� 1,888,052.00 28,811,250.5- 90,298.08 4,063,486.1.' 5 3.530.2 2,037,467.6' 143,828.8C 6,100,953.7- 7.62% 21.18% 1,744,223.2( 22,710.296.8( 7,191.44 305,047.6S (1,028.35) 7,191.44 304,019.34 260 1. 1 High Voltage Systems (Service & ', VALLEY ELECTRIC T&M T&M 558,000.00 1,103,633.50 1,661,633.50 348,004.0( 5,139,039.2-- 956,014.00 240,000.00 348,004.0( 6,335,053.2' 20.94% 28.48% 1,313,629.5( 15,907,415.71 17,400.20 316,752,66 (17,400.20) (316,752.66,' - 2601.2 Medium Voltage Systems (Building VALLEY ELECTRIC T&M 20,984,626.00 1,277,160.00 (19,317.00 22,242,469.00 8-510.239.00 237.200.0( 198,000.0c 435,200.00 5.11% 8,075,039.Oq 21,760.00 (21,760.00) 2601.3 Low Voltage Systems VALLEY ELECTRIC T&M T&M 9510.239,00 30,052,865.0( 2,380,793.5( (19,317.00) 32,414,341.5( 5,724,243.2: 1,154,014.0( 240,000.0C 7,118,257.2' 21.96% 25,296,094.21 355,912.8( (355,912.86, - 2601 Electrical, Communications, and Technolo! VALLEY ELECTRIC T&M - 559,115.OS 559,115.OS 89.65% 64,534.01 27,955.75 27,955.75 3101. 1 Site Earthwork Cut& Fill 3101.2 Ufflides - Sewer System ADVANCED EXCAVATIO1 ADVANCED EXCAVATIO1 T&M T&M 623,649.10 210,917.36 - 13,576.21 623,649.10 224,493.57 176,942.2: 157,194.7C 176,942.22 157,1943C 78.82% 67.74% 47,551.35 74,875.35 8,847.11 7.859.74 8,847.11 7,859.74 3101.3 Unities- Storm System ADVANCED E)(CAVATIO1 T&M 186,696.50 45,373.55 232,070.05 540,822.71 445,222.2C - 445,222.2( 82.32% 95,60051 22,261.11 22,261.11 3101.4 Uffitles - Water System 3101.5 Building Excavation and Backfill ADVANCED EXCAVATIO1 ADVANCED EXCAVATIO1 T&M T&M 473,398.36 161,572.56 1,537,616.6s 67,424.35 - 193,695.7( 65,052.00 161,572.56 1-796.364.4.' 161,245.0C 1,286,250.9- 270,415.91 161 ,245.00 1,556,666.Y 99.80% 86.66% 327.56 239,697.52 8,062.25 77,833.35 (7,744.91) 8,062.25 70,088.44 3101.6 Site Surface Preparations 3101 Earthworks and Undergrounds Paving ADVANCED EXCAVATIO ADVANCED EXCAVATIO1 CENTRAL WA ASPHALT T&M T&M T&M 3,193,850.5( 955,828.00 320,069.8-1 65,052.00 - 3.578,972.4 955,828.0 - 2,785,970.1, 270.415.9c - 3,056,386.1- - 85.40% 0.00% 522,586.3( 955,828.0( 152,819.31 - (7,744.91) 145,074.4( - 3201 Asphalt 3202.1 Curbs T&M T&M T&M 511,334.00 643,666.00 - 14,000.00 26,889.82 525.334 0(1 0. 8, 67 555 287,403.00 39,700.00 90,810.00 23,200.00 378,213.00 62,900.00 71.99% 9.38% 147,121. 607,655.8 18,910.65 3.145.00 18,910.65 3,145.00 1,155,000.0( 3,640,000.0 40,889.822 - - 1,195,889.8.- 3.640000-0( 327,103.00 34.738.9C 31,087,986.41 114,010.00 5,751,031.2, 487,033.51 441,1110C 34-738.90 37,326,051.27 36.89% 0.95% 29.54% 754,776.82 3,605 261.1( 89,010,562.9 ! 22.055.65 1.736.95 1,866,302.5' (1.736.95) (932,241.00, 22,055.65 - 934,061.5f 32OZ2 Sidewalks 3202 Concrete Curbs and Sidewalks 3203 Landscaping GRAHAM BAGLEYLANDSCAP T&M T&M D Cost of Work - Hospital Total: 120,297,501.5� 5,582,823.71 65,052.00 391,237.00 126,336,614.2, E E Construction Contingency EOOO Construction Contingency 3,007,438.0( - (223,637.0 2,783,801.0( 0.00% 0.00% 2,793,801.0( 32,400.0 0. E999 Escalation Contingency 1.249.179.0( 256,617.0c L�' (1.049,179.001 (1,049,179.00-- - - (167600.00 (391,237.0 1 32,400.00, 2,816,201.0 0.00% 2,816,201.0 E Construction Contingency Total: Grand Total - Pre Taxi 1 - 145,709,222.0( 4,475,755.4q -1 150,184,977.4? 37,559,336.11 6,480,716.01 487 033.57f 44.527,085.81 29.65% 105.657,891.6J 2,226,354.24 (964,447.191 1,261,907.0 �Zfl..L All FA'Vjrj Owner Invoice Sales Doc# 55006136 Invoice# 91124828 Graham Construction & Management, Inc 12439 E Pinecroft Way, Suite 102 Phone: 509-534-1030 Spokane Valley, WA 99216 Project Number: W21038 Name: Samaritan Healthcare Medical Campus Owner: Grant County Public Hospital Dist. 1 Samaritan Healthcare Address: 801 E Wheel Road Moses Lake WA US 98837 Subject Invoice #: 91124828 Business #: 91-2144907 Invoice Date: July 25, 2024 Description: W21038 Pay App #15 07.31.2024 Send To Name: Grant County Public Hospital Dist. 1 Samaritan Healthcare Address: 801 E Wheel Road Moses Lake WA US 98837 Summary Original Value: 145,709,222.00 Change Orders: 5,736,615.49 Current Value: 151,445,837.49 Current Escrow Payment Amount Complete to Date: 51,732,174.96 Retention 360,254.45 FDueto Less Previously Billed: 44,527,085.84 Less: Bonded (137,495.13) Current Billing: 7,205,089.13 WA Trust Bank 222,759.33 Less Retention: 222,759.33 Subtotal: 6,982,329.81 Tax: 612,432.58 Current Amount Due: 7,594,762.39 Retention To Date $ 1,484,666.42 Remittance Payments to: Graham Construction & Management, Inc Send to: 12439 E Pinecroft Way, Suite 102 Spokane Valley, WA 99216 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 Page 1 of 1 TO (OWNER): Grant County Public Hospital Dist. 1 Samaritan Healthcare 801 E Wheel Road Moses Lake WA US 98837 FROM (CONTRACTOR): Graham Construction & Management, Inc. 12439 E Pinecroft Way, Suite 102 Spokane Valley, WA 99216 CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for Payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703 is attached. 1. ORIGINAL CONTRACT SUM ...................................................... $ 2. Net change by Change Orders......................................................... $ 3. CONTRACT SUM TO DATE: (Line 1 +/- 2)...................................... $ 4. TOTAL COMPLETED & STORED TO DATE ..................................... $ (Column G on G703) a. 8.4% Sales Tax Prior to April, 2024 $ 2,206,131.81 b. 8.5% Sales Tax $ 2,164,839.61 Total Sales Tax $ 5. RETAINAGE a. 5% $ 2,586,608.74 (Column D + E on G703) b. 0.00 % of Stored Material $ 0.00 (Column F on G703) C. Less bonded retention $ 1,101,942.32 Total Retainage (Line 5a + 5b or Total in Column I of G703)........................................................ $ 6. TOTAL EARNED LESS RETAINAGE.......................................... $ (Line 4 + Line 4a Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) ................................ $ 8. CURRENT PAYMENT DUE............................................................ $ 9. BALANCE TO FINISH, PLUS RETAINAGE.................................... $ (Line 3 Less Line 6) PROJECT: Samaritan Healthcare Medical Campus VIA (ARCHITECT): ZGF Architects 925 4th Ave, Suite 2400 Seattle, WA 98104 APPLICATION NO: 15 Distribution to: APPLICATION DATE: 07/25/24 X OWNER PERIOD TO: 07/31/24 ARCHITECT CONTRACTOR ARCHITECT'S PROJECT NO.: CONST. MGR. PROJECT NO: W21038 CONTRACT DATE: April 11, 2022 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 5,736,615.49 CONTRACTOR: Graham Construction & Management, Inc. 151,445,837.49 51, 732,174.96 By: Dated 7/25/2024 State of: Washington County of: Spokane Subscribed and sworn to before me this 25th d f July, 2024 Notary Public: My Commission expires: 07-10-2024 1.484.666.42 7,594,762.39 101,198,328.95 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total Change Orders approved in previous months by Owner 4,475,755.49 Total Approved This Month 1,260,860.00 TOTALS 5,736,615.49 NET CHANGES by Change Order ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, baed on on -site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED ........................................... (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Continuation Sheet that are changed to conform to the amount certified.) ARCHITECT: By: Date: This certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. CONTINUATION SHEET AIA DOCUNEM G703 APPLICATION NO: 15 AIA Document G702 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is attached. APPLICATION DATE: 7t2MO24 In tabulations below, amounts are stated to the nearest dollar. Use Column Ion Contracts when: variable retainage for line items may apply. PERIOD TO: 7/312024 ITEM NO. DESCRIPTION OF WORK Cost GMP SCHEDULED VALUE CHANGE ORDERS BUDGET REALLOCATIONS (TOTAL) CONTINGENCY USE (TOTALS) REVISED GMP TOTAL WORK COMPLETED MATERIALS PRESENTLY STORED (NOT IN F OR G) TOTAL COMPLETED AND STORED TO DATE % ([/E) BALANCE TO FINISH (E-1) RETAJNAGE LESS BONDED RETENTION RETAINAGE BALANCE FROM PREVIOUS APPLICATION THIS PERIOD * A Fee 0000 Fee Pre $106,000,000 GRAHAM LUMP SUM 3,555,000.0( - 3,555,000.0( 1,443,306.6( 232,549.6S 1,675,956.2! 47.14% 1,879,143.71 83,792.81 83,792.81 0001 Fee Post $106,000,000 0002 B&O Tax A Fee Total: GRAHAM GRAHAM LUMP SUM LUMP SUM 1,219,230.0( 686,300.00 192,580.24 26,474.07 - - 1,411,810.2 712.774.0 202,924.6C 32.835.96 235,760.56 0.00% 33.08% 1,411,810.2 477.013.5 1 - 1 11,788.03 - 11,788.03 5,460,530.0C 8,931,151.7 817,500.00 219,054.31 (285,500.51: 38,766.76 - - 5,679,584.31 8,645,651.2z 856,266.76 1,646w31.2( 2.563,276.71 849,136.67 265,385.65 389,979.38 7,130.09 1,911,616.84 2,953,256.0S 856,266.76 33.66% 34.16% 100.00% 3,767,967.4( 5,692,395.1 95,580.84 147,662.81 42,813.34 (26,674.91, 95,580.84 120,987.9C 42,813.34 * B Specified General Conditions 0020 General Conditions GRAHAM GRAHAM LUMP SUM LUMP SUM 0030 Performance Bond 0040 General Liability Insurance GRAHAM LUMP SUM 714,000.00 30 863.12 - - 744.863.12 739,178.5( 5,684.56 744,863.12 100.00% 37.243.1( 37,243.16 10,462,651.74 (215,870.63' - 10,246,781.1' 4,151,591.9, 402,794.01 4,554,385.9, 44.45% 5,692,395.1 227,719.31 (26,674.91 , 201,044.4( B Specified General Conditions Total: * C Negotiated Support Services 0100 NSS Service Agreements GRAHAM T&M 2,138,345.8( - 2,138,345.8( 847,577.14 36,888.96 894,466.110 41.36% 1,253,879.7( 44,223.31 (3,511.93) 40,711.38 0110 NSS Utilities 0120 NSS Materials& Equipment GRAHAM GRAHAM T&M T&M 178,890.00 676,037.00 - - 178,890.0( 676,037.0C 11,456.23 169,234.35 2,569.75 20,258.50 14,025.98 189,492.85 7.84% 28.03% 164,864.0-, 486,544Af 701.30 9,474.64 (848.03) (416.04) (146.73) 9,058.60 0130 NSS Graham Labor GRAHAM T&M 1,627,164.8 611.484.00 - (65,052.00, - - 1,627,164.8, 546,432.0C 278,739.71 96.203.941 64,292.50 462.75 343,032.2 96,666.69 j 21.08% 17.69% 1,284,132.5-, 449.765.31 17,151.611 4 833.33 (755.29) 16,396.37 4.833.33 0140 NSS Winter Allowance C Negotiated Support Services Total: GRAHAM T&M 5,231,921.7( - (65,052.001, - 5,166,869.7( 1,403,211.4 124,472. - 1,527,683.8S 29.57% 3,639,185.81 76,384.19 (5,531.29) 70,852.9C * D Cost of Work - Hospitat 0301 Concrete Foundations and Slabs GRAHAM T&M 5,209,870.0( 33,143.06 - 5,243,013.0( 4,975,093.2- 129,703.33 5,104,796.54 97.360/a 138,216.51 255,239-81 (255,239.83- 0401 Masonry 0501 Metal Decking (Supply Only) TBD TOMBARI T&M T&M 325,117.0C 177,650.00 121,023.0( - - - - 446,140.0( 177,650.0( 177,650.0C - - - 177,650.0( 0.00% 100.00% 446,140.0C - - 8,882.50 (8,882.50) 0503 Structural Steel GRAHAM T&M T&M 8,271,415.9( 341,478.01 18,117.00 122,207.04 8,753,217.9 8,279,030.8 353,883.91 8,632,914.8 98.63% 120,303.11 431,645.74 (66,286.01' 365,359.7-3 0601.1 Millwork Cabinetry T&M 1,611,850.00 33,181.00 - - 1,645,031.0( 9,761.00 9,761.00 0.59% 1,635,270.0( 488.05 488.05 0601.2 Finish Carpentry 0601.3 Countertops T&M T&M 165,500-00 158,150.00 - 165,500.0( 158,150.0( - - - - 0.00% 0.00% 165,500.0( 158,150.00 - - - - 0601 Millwork and Finish Carpentry Subtotal INTERIOR WOOD PRODUCTS T&M 1,935,500.0( 33,181.00 1,968,681.0( 9,761.00 9,761.00 737,561.21 0.50% 68.11% 1,958,920.0( 345,373.75 488.05 36,878.06 488.05 36,878.06 0701 Applied Fireproofing 0702 Membrane Roofing ANNING-JOHNSON FLYNN BEC LP T&M T&M 891,480.00 --)751,000.0( 23,855.0C 171,759.0( - 1,200.00 167.600.0( 172,000.0C 1,082.935.0( 3,095,959.0( 600,969.51 1,558,402.0( 136,591.7( 554,057.0( 2,112,459.0( 68.23% 983,500.0C 105,622.9f (105,622.95' - 0703.1 Metal Siding T&M 1,098,350.00 642,232.00 1,740,582.0 - 0.00% 1,740,582.0( 0703.2 Slate Siding T&M 2,146,310.00 - 2,146,310.0( - 0.00% 2,146,310.0( 0703.3 Metal Roofing 0703.4 Insulation & Girls T&M T&M 670,790.00 1,780,950.0C (36,000.00 634,790.0( 1,780,950.0( 278,400.0C 104,700.0C - 383,100.0C 0.00% 21.51% 634,790.0( 1,397,850.0( 19,I55.0C (19,155.001 5,696.400.0( 606,232.0( - 6,302,632.0( 278,400.0C 104,700.0( 383,100.0C 6.08% 5,919,532.0( 19,155.0C (19,155.00 - 0703 Metal Siding and Roofing FLYNN BEC LP T&M T&M 0801. 1 Exterior Glass Assemblies T&M 3,052,461.95 71,593.00 3,124,054.9f 379,340.6-1 379,340.63 12.14% 2,744,714.3- 18,967.03 18,967.03 0801.2 Interior Glass Assemblies T&M 576,320.51 1,476,910.54 2,897.35 8,17631 579,217.86 1,485,087.2 - - 0.00% 0.00% 579,217.8( 1,485,087.7 - - - - 080 1. 3 Doors Assemblies 0801 Windows and Glass 0802 Doors, Frames, & Hardware Supply SKAUG BROTHERS KINSHIP GROUP T&M T&M T&M 5,105,693.0( 1,261,950.0( 82,667.06 140,842.1( 5,188,360.0( 1,402,792.1( 379,340.63 3619205 150,000.0C 379,340- 186,192.0 7.31% 13.27% 4,809,019.4 1,216,600.0' 18,967.03 9,309.60 18,967.03 9,309.60 0803 Doors, Frames, & Hardware Install 090 1. 1 Exterior and Interior Framing G&T CONST. D9 CONTRACTORS T&M T&M T&M 345,750.00 4,402,664.00 4,986.236.00 - 51,649.00 109.603.00 - 2,800.00 345,750.0( 4,454,313.00 5.098,639.00 - 6 2,482,2672 1 453,250.0 8,500.00 577,923.00 73,250.00 10,110.00 3,060,190.2( 526,500.0C 2.92% 69.70% 10.33% 335,640.0( 1,394,122.8( 4,572,139.0( 505.50 153,009.51 26.325.0C (153,009.51: (26.325.00: 505.50 - 0901. 2 Interior Drywall, Tape, and TextunE 0901 Wall Assemblies 0902 Ceiling Assemblies D9 CONTRACTORS D9 CONTRACTORS ELEVATED ACOUSTICS T&M T&M T&M 9,388.900.0( 1,166,358,0( 161,252.0C 2,800.00 - 9,552,952,0( 1,166,358.0( 2-935,517.2( 43,439.0C 651,173.0C 3,586,690.2( 43.439.00 37.55% 3.72% 5,966,261.8( 1,122,919.0( 179,334.51 2,171.95 (179,334.51' - 2,171.95 0903.1 Resilient Flooring T&M T&M - - - - 4DIV/01 - - 0903.2 rile Flooring T&M - - - #DIV/01 0903 Tile & Floor Coverings 0904 Painting 0905 Wall Coverings GREAT FLOORS PAINTIVIASTER TODD ROBINSON T&M T&M T&M 2,366,290.0( 995,475.00 99,340,00 22,497.310 2,892.00 1,099.57 - - - 2,388,787.3( 988,367.0C 100,439.5 - - - - - - - 0.00% 0.00% 0.00% 2,388,787.3 988,367.0( 100,439.5-1 100 1. 1 Radiation Shielding T&M T&M - - #DIV/O! - - 1001.2 WallProtecffon 1001.3 Washroom Accessories T&M T&M - - #DIVIO! #DIV/01 - - - - - 1001.4 Equipment Supports 1001.5 Partitions, Grills, Curtains T&M T&M - - #DIV/01 gbivlof - - - - - - and 1001.6 Blocking and Backing T&M - #DIV/01 - - - 1001.7 Wall Accessories, Signage, & Loa T&M - #DIV/01 - - - 1001 Miscellaneous Specialties 1201 Roller Shades 1401 Elevators GRAHAM VALLEY SHADES SCHWDLER ELEVATOR T&M T&M T&M 4,375,000.0( 294,900.00 1,650,000.0( 39,545.05 - 235,520.0C - - - 4,414,545.0 294,900.0C 1,885,520.0( - 953,048.0C 14,245.0C - 14,245.00 953,048.0C 0.00% 5.00% 50.55% 4,414,545.0' 270.655.0C 932,472.0C - 712.25 47,652.40 (3,278.80) - 712.25 44,373.60 2101 Fire Suppression FIRESHEILD T&M T&M 1,203,000.0( 19,666.00 - - 1,222,666.0( 346,148.7- 184,262.25 530.411.0C 43.38% 692,255.0C 26,520.55 26,520.55 220 1. 1 Plumbing Systems 2201.2 HVAC Systems APOLLO APOLLO T&M T&M 16,037,751.09 9,883,066.0C 1.888.052.00 1,044,172.00 421,643.43 - 17,081,923.09 10,304,709.43 1,888,052.0C 4,008,582 27 1,948,542.7( 143,928.8C 1,592,131.41 862,355.7C 53,530.72 5,600,713.& 2,810,898.4( 197.359521 32.79% 27.28% 10.45% 11,481,209.41 7,493,811.0- 1,690,692AI 280,035.68 140,544.92 9,867.98 (1,028.35) 279,007.33 140,544.92 9,867.98 2201.3 Controls 2201 Plumbing, HVAC, and Controls APOLLO APOLLO T&M T&M 27,808,869.0 1,465,815.4 - - 29,274,684.5: 6,100,9517 2,508,017.8- 9,608,971.6( 29.41% 20,665,712.9.' 430,448.5E (1,028.35) 429,420.2 2601.1 High Voltage Systems (Service & ' 2601.2 Medium Voltage Systems (Building 2601.3 Low Voltage Systems 2601 Electrical, Communications, and Technolo! VALLEY ELECTRIC VALLEY ELECTRIC VALLEY ELECTRIC VALLEY ELECTRIC T&M T&M T&M T&M T&M 558,000.00 20,984,626.00 8.510,239.0C 1,103,633.50 1,774,119.00 - (19,317.00 1,661,633.50 22,739,428.00 8310 239.0( 348,004.0( 6,335,053.2: 435,200.0C 919,602.00 339.779.00 348,004.0 C 7,254,655.2-, 774,979.0C 20.9494. 31.90% 9.11% 1,313,629.5( 15,484,772.71 7,735,260.0( 17,400.20 36Z732.76 38,748,95 (17,400.20' (362,732.76: (38,748.95,' 30,052,865.0( 2,877,7523 (19,317.00) 32,911,300.51 7,118,257.2: 1,259,381.0( 8,377,638.2. 25.46% 24,533,662.21 418,881.91 (418,881.91: 3101.1 Site Earthwork Cut & Fill 3101.2 Ulififfes - Sewer System ADVANCED EXCAVATIO1 ADVANCED EXCAVATIO1 T&M T&M T&M 623,649.10 210,917.36 - - 20,373.78 623,649.10 231 ,291.14 559,115.0S 176,942.2--, 32,602.21 9,312.58 591,717.3( 186,254.8( 94.88% 80.53% 31,931.80 45,036.34 29,585.10 9,312.74 29,585.87 9,312.74 8,733.07 3101.3 Liflides - Storm System 3101.4 Willies - Water System ADVANCED EXCAVATIO1 ADVANCED EXCAVAilOI T&M T&M 186,696.50 473,398.36 45,373.55 67,424.35 232,070.05 540,822.71 157,194.7( 445,222.2 17,466.70 - 174,661.4( 445,222.2( 75.26% 82.32% 57,408.65 95,600.51 8,733.07 22.261.11 22,261,11 8,062.25 3101.5 Building Excavation and Backffll 3101.6 Site Surface Preparations 3101 Earthworks; and Undergrounds 3201 Asphalt Paving ADVANCED EXCAVATIOf ADVANCED EXCAVATIO ADVANCED EXCAVATIOl CENTRAL WA ASPHALT T&M T&M T&M T&M 161,572.56 1.537,616.65 - 197,183.4 65,052.00 161,572.56 1,799,852.11 161,245.0( 1,556,666.9' 147,048.2� 161,245.0C 1,703,715.1, 99.80% 94.6611. 327.56 96,137.02 9,062.25 95,185.76 (7,744.91,) 77,440.85 3,193,850.5( 955,828.0C 330,355.15 - 65,052.00 3,589,257.71 955,828.0C 3,056,386.1 206,429.71 - 3,262,815.8-, - 90.91% 0.00% 326,441.8, 955.828.0C 163,140.8( - (7,744.91) 155,395.8� - 3202.1 Curbs 3202.2 Sidewalks T&M T&M T&M 511,334.0c 643,666.01] 14,000.0( 30,546.7( 525,334.0( 6742123( 378,213.0( 62,900.00 48,450.00 52,154.12 426,663.0C 115,054.12 91.22% 17.06% 98,671.00 559.158.51 21,333.15 5,752.71 1 21,333.15 5,752.71 1.155,000.0( 3,640,000.0( 44.546.7( 27,488.8 1,1991,546.7( 3,667,488.81 441,113.0( 34,738.9C 100,604.12 50.888.1( 541,717.12 85.627.00 45.160/a 2.33% 657,829.5E 3.581,861.81 27,085.86 4.281.35 (4,281.351 27,085.86 - 3202 Concrete Curbs and Sidewalks 3203 Landscaping D Cost of Work - Hospital Total: GRAHAM BAGLEYLANDSCAP T&M T&M 120,297,501.5 6,782,610.8 65,052.00 464,607.0 127,609,771.4 37,326,051.2' 6,412,436.9 - 43,738,488.21 34.28% 83,871,283.1. 2,186,924.44 (1,069,736.12 1,117,188,21 E E Construction Contingency EOOO Construction Contingency 3,007,438.0( 1,249,179.0( (1.049,179.00 - - - (297,007.04. (167,600.00 2,710,430.9( 32,400.0 0.00% 0.00% 2,710,430,9t 32,400.00 E999 Escalation Contingency E Construction Contingency Total: Grand Total - Pre Tax i 4,256,617.00 (1,049,179.00 - (46,t607.K 2,742,830.9 �151.445�.8317.4 0.00% 2,742,830.9t -j 145,709,222.0( 5,736.615.4� 1;_ 44.527,085.81 7,205,089.11 2,174.93 34.16% 99,713,662.3 2.586,608.74 (1,101,942.32i 1,484,666.41 We are asking for $51,457.30 from this invoice because we have reached $2, 000, 000 .