HomeMy WebLinkAboutGrant Related - BOCC (007)01
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: Karrie Stockton
CONFIDENTIAL INFORMATION: OYES BNO
DATE: 9/16/2024-
PHONE: 2937
all Iliq
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8 Grants —Fed/State/County
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[]Tax Levies
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❑WSLCB
s
Reimbursement request from Big Bend Community College on the American Rescue
Plan Act (ARPA) in the amount of $8,830.90 for August expenses.
If necessary, was this document reviewed b accounting? ❑ YE Y g S ❑ NO Fm-1 N/A
If necessary, was this document reviewed b legal? ❑ YES
Y g ❑ N O ❑ N/A
DATE OF ACTION: � � 7i ��� DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
WITHDRAWN:
4/23/24
L01
INVOICE
Invoice No:
MSC-0000032550
Invoice Date:
9/12/24
Page:
1 Of 1
Remit To:
7662 Chanute Street NE
Custom or Number:
001003947
Attn to:
Payment Terms:
Immediate
Moses Lake,WA,98837
Due Date:
9/12/24
Bill To: AMOUNT DUE: 8
Grant County ,830.90 USD
Attn Janice Flynn
PO Box 37
Ephrata WA 98823-0037
United States
Immediate
Amount Remitted
For billing questions, please call 509-793-2024
Line Identifier Description OriqinalQuantit _U0M Unit Amt Net Amount
1 G.C. ARPA Funding 1 .00 EA 8,830.90 8,830.90
146--114-26015-4021030--
Subtotal:
Amount Due:
Contract#2226-476
G.C. ARPA Funding -August
K23-163-Expans. Med.& Nurs. Prog. Bldg. 1500
K23-164 -Remodel of Nursing Lab Bldg. 1700
K23-165- Expans. H. Care Prog. $8,830.90 Prog. Work
8,830.90
X
81830.90uo"O'
0�n� ear Pere e mt. Ac o U count A cct Descr T e Fu d De D p n t e t Desc
1 � Yp p _ t�� r Gass Sum,Amou t Journal lD ,., peso S P : , , . , ., ,,, ,,, ���0 00� -► P - � t� .Mate. urposeStatus Date Subsid Source.. PG,,Status. +SumoStat Amt,,, Ref Line Qescr ,, Creation Date,,.,
WA180 2025 2 7180 5050040 Mgmt&Org Services E 146 26015 ARPA - County Funds 114 1,000.00 AP00504196 Accounts Payable N P 8/15/2024 AP 1 0.00 AP Accruals 8/17/2024 2:28
WA180 2025 2 7180 5081102 Conferences/Registrations E 146 26015 ARPA - County Funds 114 7,830.90 AP00507136 Accounts Payable N P 8/25/2024 AP 1 0.00 AP Accruals 8/27/2024 2:31
Big Bend Community College
Voucher Distribution TODAYS DATE
VENDOR NAME AND ADDRESS 8/7/2024
Jeremy Springer Vendor Number AGENCY
36 Forest Hill Lane 0000064103 WAS.
Goldendale, WA 98620
USE SPACE BELOW AS A WORKSHEET TO DEVELOP OR EXPLAIN THE ACCOUNT DISTRIBUTION
SERVICES FOR DATE:
Per contract 2425-595
CHECK:
AMOUNT $
INVOICE,*
"State Purpose
-Not Related to IT: "N"
,,Related to IT:
oAcquisffion/New Development: "XII
oMaintenance & Operations: "Y"
DATE:
August 5, 2024
INVOICE #
1018
CUSTOMER -
Big Bend Community College
CONTRACTOR JOB
Dr. Jeremy A. Springer, DSW, LCSW External Review
TO Big Bend Community College
Joe Auvil, Contract Manager
7662 Chanute St
Moses Lake, WA 98337
(509) 793-2016
PAYMENT TERMS
Due on receipt
DUE DATE
08/31/2024
QTY DESCRIPTION UNIT PR1rrZ I IMP TnTA I
MAKE ALL CHECKS PAYABLE TO JEREMY SPRINGER
Thank you for this Opportunity to review your proposall
DR. JEREMY A. SPRINGER, DSW, LCSW 1 36 FOREST HILL LIB I GOLDENDALE, WA 98620
PHONE: 541-861-9128 1 FAX: 509-800-2190
9 CONTRACT # 2425-595
BIG BEND COMMUNTTY COLLEGE
GRANT/CONTRACT INFORMATION
DATE 6/26/24
Gran , tffig/contracting organization:
SBCC Dr, Jeremy Springer, 36 Forest Will Ln, Goldendale, WA 98620
Title of gmnt or contract pro ject BAS
Start date: 7/1/24 End date: 7/26/24
IBCC pLoject manwer/directon. Joe Auvil
Anticinated grant/contract amount: $1000.00
Summary of Grant/Contract:
ext: 2016
act to review BBCC and VWCs BAS-Behavioral Health program proposal In order to assess the
Ility, design, relevance, rigor, and effectiveness of the proposed BAS program.
Institutional match or other costs Enuired? No Yes
If ye
s, please explain (amount and source):
APPROVALS:
Reviewed and approved for signature, .-,� � (, Z� 2
DiwctoKof Purchasing Date
��,yIReviewed and approved for signature: SchoLr�r�wca lcey� 6-26-2024
VP for Finance & Administration Date
P Ai
Grant Proposal/Contract approved: 6/26/24
President
BUSINESS OFFICE USE ONLY
BUDGET CODE: 2.05004-0446-26-01154.14 100%
BUDGET CODE:
Date
K.
7g ra 11 111!
i
A-
11 WAS
THIS CONTPA CT is made and entered into by and between Big Send Community College, State of
Washington, hereinafter referred tO a$ `613CV or the "AGENCY", and Dr. Jeremy Springer, 36 Forest Hill Ln.,
I
Goldendale, WA 98620, hereinafter referred to as the "CONTRACTOR" I for the express purposes set forth in the
following provisions of: this contract.
NOW THER.F—::FORE, the AGENOY and CONTRACTOR mutually agree as follows-,
The CONTRACTOR will provide the following services:
Contract to review BBCC and WVC BAS-Behavioral Health program proposal in order to assess the credibility,
design, relevance, rigor, and effectiveness of the proposed BAS program. This critical feedback will provide BBCC
and WVC with comme-E-mridations, concerns (if any), and suggestions that need to be addressed prior to submission
to State Board of Coir inunity and Technical Colleges. BCC will provide contractor with a rubric template to
outline the reviekiv. Ccintractor may use the rubric template to provide the review or may choose to provide a written
narrative instead. VVhfichever format chos%el, contractor should address the criteria outlined in the rubric: concept
and ovennew, program learning outcomes, curriculum alignment, academic relevance and rigor, general education
requirements, preparation for grad program acceptance, faculty, resources, membership and advisory committee,
and the reviewer�s •overall assessment and necommenda"iOns. Contractor will submit a resume and the Completed
rubric/report by ernaill to Anne Ghinazzi by '12:00 pm, Pacific Standard Time, on Friday, July 26. 2024.
PERIOD OF PERF04RMANCE
Subject to other contract provisions, the period of performance under this contract will be Monday, July 01 , 20241
or date of execution, winichever is later, through Friday, July 26, 2024, unless sooner terminated or extended as
provided herein.
Business Declaratf'c>n Forip.... (!2MWBE1Nvers1'tV
Per WAC Title 326, Washington State agencies are required to track and encourage purchases and contracts with
businesses owned by at woman, a minority, a veteran, or a small business. All contractors are required to indicate
on the attached Bus1n1----_--ss Declaration form ifyour business meets any of these criteria and be prepared to provide
documentation to verlthat standing if requested. Per RCW 49-60.400(l), no preference will be included in the
evaluation ot'contractors, no minimum level of OMWBE participation shall be required as a condition for receiving
an award of contracted work and contractors will not be rejected or considered non -responsive if they do not meet
the criteria of OMWBE participation.
Page I of 4
Contract # 2425-595
COVI Pra�taecols
CONTRACTOR shall comply with all BBCC COVID safety protocols and procedures in effect at the i
are rendered. CONTRACTOR and all the CONTRACTOR's employees t me services
to provide proof of beingfull vaccinated. who will be on campus, may be required
Y
N.o di12ftina#ian
a. .Nondiscrimination Reauirement. During the term of this Contract, Contractor, includingan subcontractor,
shall not discriminate on the bases enumerated at RCW 49.60.530(3). y ntractor,
subcontractor, shall give written notice In addition, Contractor, including any
9 tice of this nondiscrimination requirement to any labor organizations with
which Contractor, or subcontractor, has a collective bargaining or other agreement.
b. Obi at an to C000erate. Contractor, including any subcontractor, shall cooperate and cons '
Washington state agency Investigation regarding an allegation R ply with any
has engaged in this
y 9 tha#Contractor, including any subcontractor,
g prohibited by this Contract pursuant to RCW 49.60.530(3).
C. Notwithstanding any provision to the contrary, BBCC may suspend Contractor, i
subcontractor, upon notice of a failure to participate and coo p � including any
alleged discrimination prohibited A A cooperate with any state agency investigation into
p ited by this Contract, pursuant to RCW 49.50.530(3). Any such suspension will
remain In place until BBCC receives notification that Contractor, including an subcontractor, is '
with the investigating state agency. In the event Contractor, or y � cooperating
in discrimination identified at RCW � subcontractor, is determined to have engaged
49.60.530(3), BBCC may terminate this Contract in whole or in pact, and
Contractor, subcontractor, or bath, may be referred for debarment as provided in RCW
Contractor or subcontractor may be given a reasonable time in v►is p 39.26.�00.
which to cure this noncompliance, including
Implementing conditions consistent with any court -ordered injunctive relief or settlement agreement.
g nt.
d. Rernedigibr BMach. Notwithstanding any provision to the contrary, in the event of Contra .
suspension for engaging in discrimination Contractor, � � termination or
, subcontractor, or both, shall be liable far contract
damages as authorized by law including, but not limited to, any cost difference between the original
and the replacement or cover contract and all administrative contract
contract, which damages are distinct ' directly related to the replacement
S from any penalties imposed under Chapter 49.60, RCW. BBCC shall
have the right to deduct from any monies due to Contractor or subcontractor, or that thereafter b
an amount for damages Contractor or subcontractor will owe BBCC become due,
for default under this provision.
PREVAiLINt3 WAGE Of aaplicable)
Contractor agrees to comply with all Labor & Industries (L&I) requirements for paying an of C
employees that perform any work an site on the AGENCY'S A Y 9 ..Y CONTRACTOR'S
L&I for Grant County. CONTRACTOR p�Ae�Y the current prevailing wages as defined by
Q tY . R agrees to file with L&I all the appropriate Statement of intent to Pa
Prevailing page forms, and to provide AGENCY with copies of these farms prior to y
AGENCY property. If the total of this contract is � p performing any work on
$2600.00 or less, AGENCY agrees to allow CONTRACTOR to file
the "Statement of Intent to Pay Prevailing Wages! form directly to AGENCY.
-'gNSAT1..0tJ ARO PAYMENT
• Total compensation payable to CONTRACTOR for all performance of services under this
$1 QQO.Q�D, inclusive of all travel expenses, lodging, labor, materials, contract shell not exceed
Payment(s) shall be made to Dr. Jere 9 � r, eriais, permits and Inspection/filing fees.
Jeremy Springer, 36 Forest Hill Ln., Gold endale, WA Ses20, and will be delivered
following the completion of work as described In the scope of work sermon above
competed Invoke listing this contract number. upon receipt of a properly
The CONTRACTOR is responsible for invoicing the AGENCY fbr payment. The AGENCY will
an receipt of a m pay the
CONTRACTOR upon p p periy completed invoice, which shall be submitted to the Contract Manager.
Each invoice will clearly indicate the AGENCY Contract Number. At the AGENCY discretion
confirmed with the Grantor business, entity, or organization for ,the invoice will be
�+' rg wham service was provided.
Page 2 of 4
Contract # 2425-595
GOVERNING LAW
This Agreement shall be governed by and construed in accordance with the laws of the State of
exclusive of its choice of law provisions. This contract will be subject to Washington,
terms, a copy of which is available upon qon re uest. the Big Bend Community College genera!
CONTRACT MANAGEMENT
The Contract Manager for each of the parties shall be responsible for and shall be the contact
communications and billings regarding the performance of the contract. Verson for all
The Contract Manager for CONTRACTOR is. -
Dr. Jeremy Springer, 36 Forest Hill Ln., Goldendale, WA 98620
Phone: (509) 527-2359
Email: Jeremy.springer@wallawalla.edu
The Contract Manager for AGENCY is:
Joe Auvil, Big Bend Community College, 7662 Chanute St, Moses Lake WA 98837
Phone: 509-793-2016
Email: io_e_a0-biQbend.edu
CONTRACT CHANGES MODIFICATIONS AND AMENDMENTS
This agreement may be changed, modified, or amended only by written agreement executed b '
y both parties.
!Q3MINATION
Either party may terminate this contract upon twenty (20) days written notice to the other a
termination of this contract, the terminating party shall be liable for performance party. In the event of
of termination. p once rendered prier to the effective date
THIS CONTRACT, consisting of (4) pages, is executed by the persons signingbelow who
the authority to execute the contract. warrant that they have
Page 1 — 3 Main Contract
Page 4 Business Declarations Form
Dr. Jeremy Springer Sara Thompson Tweed D.M.
Yt
Sidra
Con c or 612612o2a
I Me - Date
dn
Signature
President BBCC 6/26/24
Titre Date
Tax ID Number (Required if not on File with BBCC): On file
Budget code: 5050040-146-26015-114
Page 3 of 4
Contract # 2425m*595
Business Declaration For-7
Jeremy A. Springer, LCSW
Name offlusiness
36 Forest Fitt n
Address of Business
oldendale WA
City 98�20
State Zip
Jere S rin er 04' 861-9128
Name ofOvmer Phone Number
Please check each category that your business qualifies, for:
The business gratifies as a Small Business per RCW 39.26.010(22)
*Small business" means an in state busuuss, including a sole propcigtorship, corporation, partnership, or outer legs! entity, that:
(a) Certifus, under penalty of perjury, that it is owned and operated independently from all other businesses and has eithr.
(1) Fifty or fewer employees; or
(0) A sm revenue of less than seven million dollars mutually as reported on its federal income tax return, or its return fled with the department
the sevious three consecutive ,cars ep nt ofrcventce over
S LCOTn;molel
usiness is a Women Owned Business - -
n-owned buisiness enterprise," means a business concern, organized for profit, performing a commercially useful fftnctio which is legitimately
ed• by one or more women or womats business enterprises. The women owners must be United States citizens or lawful mman 'de s. owned and
Pe Ls.
. The business is a Veteran Owned Business
-`Veteran 0wneed Business" means a business cone m. organized for profit, performing a commercially useful fimcdon, which is ! 'dma,tef own *
by one or mom veteran(s) who have served in one ofthe USA military forces. The owram must be United Staff citizens or lawful permanent d and controiied
Pe residents.
The business is registered and certified by OMWBE (0flice of Minority and Women's Business En
terprises)
irthls option apply, please Indicate which criteria the business is certified listed below
The busioeess meets the criteria for a (MBE) minority business enterprise.
"Minority business enterprise," "minority -owned business enterprise' or "MBE" means a small business concern, orgetuaa! fee profit, performing
commercial ueful f utctioat, which is legitimately owned and controlled* by one or more minority individuals or minority busies � T r . OMWBE, TIM minorityowners must be Unitas States citizens or lawf d rmanent residents.. vc fEed by
■ The business meets the criteria for a (WBE) women's business enterprise.
Vonwes business enterprise," "women -owned business enterprise,■ or "WBE" means a small business conic
commercially usefeil function, which is legitimately owned and controlled* m* organized for profit, performing a
The women owners must be United States citizens or lawful cant Mika
�ose or more woman or wonten's business enterprises ce�tificd by OMWSE,
a The business meets the criteria for a (MWBE) minority wom - 's business enterprise.
"Minority women's business enterprise" air "MWBE" means;a small -burliness � �
which is legitimately owned and eontr+olled* by one or more minority women andcertifiedorgor anized
k performing g commercially csefuf function,
lawful rmanent residents,which
The owners must be United Stages citizens or,
IThe business does pst meet any of the previously listed criteria.
* "legitimately owned and controlled" means an
business.
of SW6 or more of the business, and actively engaged in the regular
3e 06/26/2024
Date MMENMENN�
Page 4 of 4
of the
Big Bend Community College
Voucher Distribution
VENDOR NAME AND ADDRESS
Coulee Medical Center
411. Fortuyn Road
Grand Coulee, WA 99133
USE SPACE BELOW AS A WORKSHEET TO DEVELOP OR EXPLAIN THE ACCOUNT DISTRIBUTION
$100 fee for Healthcare Department (MA/Nursing)
to participate in Coulee Medical Center's
Gathering of Wellness Powwow and Health Fair
RECEIVED BY
ACCOUNT FUND DEPARTMENT
5081102 146 26015
CLASS
114
wvoir.F.R
TOTALS
CHECK:
I AMOUNT $100.00
I INVOICE:
TODAYS DATE
8/23/2024
AGENCY
WA180
AMOUNT
Net Invoice
100.00
GROSS 1W
NET INV AMT
Prepared By/Date
100.00
8/23/2024
100.00
wwmate Purpose
&Not Related to IT: "N" Required Field
Related to 1T: :Special Futzding
Anne Ghinazzi 8/I5/2024
aAcqulsion/New Development: "X" .Grant 'Relatod
Checked& ... _ . � ..v. � .. ... ...... .._ ... .
approved for payment oMaintenance & Operations: "r
'5FV1'YbVKbH1P LEVEL: tPLEASE CHECK ONE)
EAGLE- $3,000 (or above) mmawmam
U ELK- $2,000 to $2,.999.99
mWommom
U DEER- $1,000 to $1,999.99 p"Immm
Lj SALMON- $100 to $999.99
PAYMENT METHOD: (PLEASE CHECK ONE)
MY CHECK MADE OUT TO COULEE MEDICAL CENTER IS ENCLOSED.
PLEASE INVOICE ME.
0 PLEASE CHARGE MY CREDIT CARD INFORMATION BELOW,
CARD TYPE,: (CIRCLE ONE)
NAME ON CARD:
EXPIRATION DATE:
CHARGE AMOUNT:
VISA MASTER CARD AMERICAN EXPRESS DISCOVER
CVV CODE ON BACK:
PLEASE RETURN THIS FORM BY MAIL OR EMAIL TO:
coulee Medical Center
ATTN: Shoshannah Palmanteer
411 Fortuyn as
Grand Coulee,. WA 99133
PHONE: (509) 633-6341 EMAIL: CMCPOWWOW@Cmccares.org
CARD NUMBER:
BILLING ZIP CODE:
t Oft AAu
Wu in vi t� t df�
IL It
COULEE MEDICAL CENTER'S GATHERING OF WELLNESS
Coulee Medical Center serves the greater Grand Coulee Dam area,
including the Colville Indian Reservation, Approximately 1/3rd of coulee
MedicaL Center's patients are American Indian, Coulee Medical Center's
Board of Commissioners and Coulee Medical Center staff recognize the
need to not only become aware of but also embrace the cultural needs
of, our community. On 9/19/2024, Coulee Medical Center will, hold our
nth Gathering of Wellness Powwow and Health Fair with Grand Entry
starting at 10 AM, We are excited to host this event as we continue our
journey towards bridging the cuLturaL gap in the healthcare field. We
hope you can partner with Coulee Medical Center as we Learn to meet
the cultural needs of our community by becoming a Powwow sponsor
and/or vendor. I have attached our powwow flyer, sponsorsh I p
registration form, sponsorship Levels, and our powwow vendor
registration form to this email, Thank you in advance for any support you
can give to make our nth Gathering of Wellness Powwow and Health Fair
a huge success!
Sincerely,
Coulee Medical Center Staff
SEPTEMBER 19TH 0 COULEE MEDICAL CENTER
9 AM - 2:30 PM 411 FORTUYN ROAD
GRAND COULEE, WA 99133
Questions? Contact: Shoshannah Palmanteer
PHONE: (509) 633-6341 EMAIL: cmcPOWwow@cmccares.org
CMC is a 501c(3) organization, your donation is tax-deductible; a receipt will be provided,
Gau ard
Simulators for Hoalth Care Education
14700 SW 136th Street
Miami FL 33196
T: 305-971-3790 1 F: 305-252-0755
Quoted To:
Big Bend Community College
7662 Chanute St Bldg 1400, Accounts
Payable (Rec)
Moses Lake WA ' 98837-3299
USA
Customer ID:
Reference Number:
Shipping Method:
C 104373
Proforma Invoice
Proforma No.: 115882
Date: 05/09/24
Page: 1 of 1
Ship To:
Big Bend Community College
6842 30th Ave NE
Moses Lake WA 98837-3299
USA
Contact:
Katherine Christian
509-793-2130
kathednec@bi'gbend.edu
Qty. Item Description
Unit Price Amount
1 GC.GY.AP GC Gold 1 Year Extension Advanced Pediatric
Continental US. For year 6, 7 or 8 only $ 7,145.00 $ 7,145.00
For Serial Number. X1906191
Subtotal $ 7,145.00
Freight
Insurance 0.00
Tax 585.90
Total US$ $ 7,730.90
Upon receipt of order, Gaumard Cares service plan for Advanced Pediatric HAL will begin 06I17/2024
and expire 06/17/2025.
Prices and taxes are subject to change without notice.
f To
igather information about the products quote we invite you to visit our website: httpW www.gaumard.com
f you should have any questions. please feel free to contact your sates representative Rick Lubkeman at rick.lubkeman aumard.
This contractor and subcontractor shall abide by the requirements of 41 CFR §§ MI A(a , 60-300.5(a) and 60-741.5(a). These regucom
lations
against qualified Individuals based on their status as protected veterans or individuals = disabilities and prohibit disg ns prohibit discrimination
their race, color, religion, sox, sexual orientation, gender ides P discrimination a afnst all individuals based on
compensation, eirrocofMoreover, these �y and/or national origin, or for Inquiring about, discussing, or disclosing information about
regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment
sabilfir.
individuals without regard to race. color. reliaion. sex. sexual orientation. sender identity. national origin. oratected veteran status or di
Big Bend Community College
Voucher Distribution
VENDOR NAME AND ADDRESS
Gaumard
14700 SW 135th Street
Miami FL 33195
T-305-971-3790
TODAYS DATE
8/23/2024
AGENCY
WA180
USE SPACE BELOW AS A WORKSH EET TO DEVELOP OR EXPLAIN THE ACCOUNT DISTRIBUTION
GC Gold 1 year Fxtention Advanced Pediatric Co �-----
Continental US For year 0,7, or 8 only DATE:
Item #GC GY AP
CHECK:
AMOUNT $
INVOICE:
INV DATE
INVOICE
GROSS INV
NET INV AMT
-1 L I f ZX0, V V
Prepared By/Date
05/09/24
115882
7,145.00
.
Linda Chadwick
/ 8/23/2024
TOTALS
-�_- - -
.._..7,;�q.UpI-
- f-7 � -- -- -
Checked & approved for payment
*Not Related to IT: "N" .Required Field
Related to IT: .Special ;Fundlng
oAcquisition/New Development: "X" -:.Grant Related
oMaintenance # Operatjons: "Y" w _..,.... _