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Home My WebLink AboutGrant Related - BOCC (003)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: Kal'1"I@ Stockton CONFIDENTIAL INFORMATION: ❑YES ONO DATE: 10/21/2024 PHONE: 2937 11,14 wo 1:4 lei MEN= ;V1 A fir-1 92 ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment DARPA Related [-]Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code El 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 El Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution El Recommendation ❑Professional Serv/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB h77 Reimbursement request from Big Bend on the American Rescue Plan Act (ARPA) for the month of September 2024 in the amount of $37,621.84. Uleta a rirHancIal rcea 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 ❑ YES ❑ NO 0 N/A DATE OF ACTION: I 6- ��d�- ZC� DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D1: D2: D3: WITHDRAWN: 4/23/24 INVOICE Big Bend Invoice No: MSC-0000033216 COMMUNffYCO"EGE Invoice Date: 10/15/24 Page: 1 of 1 Remit To: 7662 Chanute Street NE Attn to: Moses Lake,WA,98837 Bill To: Grant County Attn Janice Flynn PO Box 37 Ephrata WA 98823-0037 United States Customer Number: Payment Terms: Due Date: AMOUNT DUE: 001003947 Immediate 10/15/24 37,621.84 U S D Immediate Amount Remitted For billing questions, please call 509-793-2024 Origfinal Line Identifier Description Quantity UOM Unit Amt Net Amount G.C. ARPA Funding 1.00 EA 37,621.84 37,621.84 146--114-26015-4021030-- Subtotal: Amount Due: Contract#2226-476 G.C. ARPA Funding -Sept K23-163-Expans. MedA Nurs. Prog. $37,534.74 Bldg. 1500 VO4 K23-164 -Remodel Nursing Lab Bldg. 1700 K23-165- Expans. H. Care Prog. $87.10 Prog. WorkvoO* 37,621.84 WA180 2025 3 7180 5080030 Private Auto Mi E 146 26U15 AKI'A - county Tunas 114 0/..LLJ CAHV-,%..L1J1V WA180 2025 3 7180 5050030 Purchased Servi E 146 26015 ARPA - County Funds 114 37.0534.74 AP00512814 37,621.84 (0 Lewis Medical Corporation co 167 Myers Corners Road Wappingers Falls, NY 12590 Order to: 877-LAERDAL Fax Order To* � (800) 227-1143 Email: customerservl'ce@laerdal.com CD ATTN: Katherine Christian +15097932130 katherinec@bigbend.edu BILL TO: 28010709 0 BIG BEND COMMUNITY COLLEGE > 7662 CHANUTE ST NE BLDG 1400 MOSES LAKE INA 98837 KCDA Contract 21-116 pricing & Free shipping applied SImMom SIN 377UMS3018005 - ------------- ------------ - ---- ---------------------------------- - -------- -- ------- --- ---- I EM 0 t 0 37 7 -B -Prof'ecli-�,% f _i\1 Sim.%fom ProTech Coverage Complete technical coverage for sixiiulator, 0 patient rnonitor, instructor haptop and or SimPad against defects, Includhig loaner cover-I,kge, updates and modificatic-ms to products, ProTech also includes the following v,,iluc,add items,. installs for new mankim, I periodic maintenance per year as requested, and Premium, Tech Support. S/N 377UMS301800.5) SimMan 3G Trauma SIN 21942150046 Page: I of) Laerdal helping save lives PROFORMA NUMBER: Q-1006036 CREDIT TERMS: 30 days INVOICE DATE.- 09-03-2024 PO NUMBER: ORDER NUMBER: TOTAL: $147908.64 REMIT TO: Laerdal Medical Corp. LOCKBOX 784987 Philadelphia, PA 19178-4987 TOTAL, $19,781.0 ITEM TOTAL.- $3090.14 SHIPPING/HANDLING: $0.00 ADDITIONAL CHARGE/CREDIT.- TAX: $484+0 ------------------------- TOTAL: $37,534.74 Page: 2) of 2 BBC TRAVEL EXPENSE VOUCHER g ,�. : IMiployee-, 11) Ntimher MonthiYear Name and Addrwst� of ClaiMarlt ' DtWa Goodtich 101063001 Sep-24 , .yip` t Official Residecce ,fir racy 3199 W. Lakeside Dr. Phone Nurnber Big Bend Community College 629 Moses Lake, Wa. 98837 509-771-2131 TRIP INFORIWNTION PER DIEM MOTOR VEHIGLE Aniount Subject to Kirpose 'I rip -F Iftle Per Meat Entitlement LODQING tAICS Driven Reim KA"Anfloo Grand DEPAR I' RETURN 13 L D psi to pt \Ad* City DATE FROM J'0 rod rcq'd 101AL R&M Alk.,1W Tc lay Payro1 Tax of Trip 9 19 2024 BBCC Coulee CMC diem $0,00 $0.00 $0.00 $0.00 65 0.670 S A 4-3,55 9 19 2024 C&4C BBCC 5prn $0.00 6 5 4 0.670 S 13.55 S 43.55 $0.00 0.670 MOU 0,670 S $ $0.00 0.610 $ $ Ir $0.00 0.670 $ $0,00 0.670 $ iw� N�� $0.00 0.670 is $0.00 0,670 $ $0,00 0.670 $ $0.00 0.670 $ $0,C)o 0,670 1.0,00 0,61-0 $ $0.00 .... . ..... 0.670 $ $ TLI $0,00 0,670 t)i3trill of Other Exwnsule�-_. ' TOMS woo $0 '00 0 0.670 $ "'8700 $ 87.10 Dale Pd to For CLASS DEP"l- ACCOUNT STA"I E 'tR F�Ojecl'-', Activit Y iN lodgiry $0.00 '13d.00 Meals .5080010 OUT- ST 6080050" $0.00 -.Total Otherl (100 5080030 "S87.10 Wifials WNW, "00 I choose not to claim amount DATE: stiblect to payroll taxation. I hereby cerlify under ponatty of porjury that thir, Is a Inward "State Purpose Required Field Grand ToUn! cx)rrW dairn for necessary expenses Incurred by (no and that -Not Related to IT: 'N" 'Sp'edial F'unding f Yj puyment has W.4.n'i rcedvCd ty me on account thcrmf. -Relaled to rr: oA(x1uisitio!iYV CHECK: 41 All oMaif0Kaiice OpeaNls"" 8710 $. AMOUNT: Accou,d-rig Appi ),wa! ror rplavll)c \A 7 it Date Signature Cato Big Bend Community College-629 4-11 Y6116w bdxes atid -thart S"t01hd--se!6t1on.,.TRAVEL AUTHORIZATION:C6mPlete:7 -' q NEW Ampl 6.Nwn Or 0. -4,•• .2�j :. ' .: ' • . '.99.2024 -Aflied'HeAh .D.96r-a-G. obd-ch • ' '. - ' ' .5 %-TR P,URP e �OF, tos 1p -W -qP ee -Redruiltin e'n'fih'd `o6treach.* P I •R". -QT �A, RERAY-,,M0 L-.T-.1.10 -"f&iJAPPV,�; •fTAVLTMER0PS. TAje.: it Dote From TO Mode Code MODS CODE SYMBOL$: '2024 Cooles BBC -0 POV Privately Ovmed Vehicle ical Center, POV P - MV Motor Pool Vehlda RNTL - Rental W Aldhe AIR .�TVXENAL-IP, SE o P Estimated Travel Refer to current Per Diem Color -map Mileage PoInf.,to-PoInt charts . Expense SUBSISTENCE & LODGING: # of Days Estimated Departure Time: Return Time: %t�m Breakfast Lunch Dinner Lodging (nights) Meals 0.00 Count 0 ]Per Diem Rate Lodging 0.00 l:.. �/ �• TRAN51FORTATION: Airfare/Other Quote Airfarelother 0.00 Rental Car Quote • -40.00, Car Rental 0.00 Est. POV Auto Miles .130 0.67 POV Mileage 87.10 MISCELLANEOUS: Registration 10.00 Other $06,00 Other 1.40.00 -'.: ••�''.:$6-00 Other 'AUTHD• R. By Vouc�ier'L�istributi'on 0 Registration : :Prep4ld•BV Pt;rcti4sing Other Prepaid `0 Other EiMpj oye6*' 1. W.BBCC:Tr'• Other Pr0pait '•avell. Cii.d • TOTALS io Travel rules & info - 1/1/23 Mileage Point-to-point Per Diem Color Map -.1.0/2022 Once this travel authorization Is completed - contact Joe Awl! (Director of Purchasing) to arrange for a travel card to be Issued to you for this trip. 0.00 0.00 0.00 0.00 - Out of SWID travel requires 138CC PresidanVa approval Rre91di3ntALftavWngftj,,,,-1. WT- '• 'T 'UP IU . .M, -A- 17� 1 .1, 4 Ai, .. .; VAIr A?. T•it Ay $0,00 1 4 V-1• 1.01• rti51 �ew I •''7A•�4�3� • •Y'•.' .c • ` !• ' K r:+, q i't•�:• $0.00 e� ft6 • 9TN JW� $.00 0W- "State Purpose For business office use only *Not Raided to IT: "N" E U M oRelated to IT: W or "Y' , Big Bend Community College Voucher Distribution VENDOR NAME AND ADDRESS Laerdal Medical Corp 167 Myers Corners Road Wappingers Falls, NY 12590 TODAYSDATEE_ 9/9/2024 Vendor Number AGENCY V000035853 WA180 USE SPACE BELOW AS A WORKSHEET TO DE-VELOP OR EXPLAIN THE ACCOUNT DISTRIBUTION DATI SERVICES FOR Invoice: Q-1006036 SimMom Pro Tech Coverage and SimMan 3G Trauma Pro Tech Coverage Term: 24 months (#77-B- Pro Tech CHEI SMM-14,908.64) and 219 B-Pro Tech SMTR (19,,781.501) AIVIUUIM I INVOICE: RECElV-r) By E, Katherine Christian :SATE AC, OUP F: U N D D PARTMENT %C1 LASS STATE PURPOSE" APPR Project Acti qy AMOU� NT Net InvoiCe 5050030 146 26015 114 N 371S34.741 0.00 0.00 INVUICES I ()_FAI '47 q1A 7A taxes INV DATE INVOICE k3ROSS INV NET INV AMT Prepared ByfDate 2844.6 09/03/24 Q1006036 34,690.14 37.534.74 9/9/2024 TOTALS 0.00 "State Purpose -Not Related to IT: "N" Required Field -Related to IT: Special Funding osAcquisition/New Development "X" Grant Related Maintenance & Operations- "Y'