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Home My WebLink AboutGrant Related - BOCC (002)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: gOCC REQUEST SUBMITTED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kal"f'12 Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE:12/3/2024 PHONE: 2937 � � - - - - - - - - - - LUM jjfATj, ggal ❑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 Serv/Consultant ❑ Support Letter ❑ Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB W U-1111 U13"aura= � Reimbursement request from McKay Healthcare & Rehabilitation Center on the Strategic Infrastructure Program (SIP) No. 2023-01 in the amount of $48,974.16. 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 ❑ YES ❑ NO 0 N/A DATE OF ACTION: ,Z" f 0, 7 tl DEFERRED OR CONTINUED TO: P� DENIED ABSTAIN D1: D2: � D3: WITHDRAWN: 4/23/24 GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM PROJECT CERTIFICATION This form must be signed and returned, with an invoice, for the approved funding,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 Description Phase 1 Architecture and Engineering Site Plan 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 $5,000.00 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 Narne Ile Date Signed Administrator/Superintendent Title Administrator/Superintendent Printed Title Completed, signed original certification and invoice are to be mailed to: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 14 in the amount of $5.000.00 ATTACHMENT 4 McKAY HEALTHCARE 592 GSI'Research WA (:t 08/2112024 94278 Invoice Number -- - -------- -- Invoice Date Description Gross Amount Discount Taken'; Net Amount Paid I NVI 198 06/25/2024 Admin - PS - SIP2023-01 $5,000.00 $0.00 - ---- $ , 51000.00 $5,000.00 $0.00 $5,000.001 McKAY HEALTHCARE US BANK 6041 004278 127 SECOND AVE SW - PO BOX 819 96-651/1232 SOAP LAKE, WA 98851 08/21/2024 (509)246-1111 PAY TO THE ORDER OF Five Thousand Dollars and 00 Cents MEMO $5,000.00 DOLLARS GS1 T I ransfo.min A Ven.tures dba -GS1 1 §80 -1* 1 2th v GS1 Ag e WE icy suite 210 Bei[e'vue'WA 99004 _on Ited States Oil I To McKay. Health-care 127 2n.d,A\j6 SW La .8 Soa 51 . ..keW.- -98 Unllted.St,Ates 'Tee ms DUO Da40 Palance. Forward $0000, i I nvoce INVOICE NUMBER: INV1198 INVOICE DATE: 6/2512024 Dimcript. on Q tit .Y Rat Amount ConsullAng Services .000.00 -$50000.,00 Ct summa, I AS* for Phases 1-4 to Include- Ne W Sk I dd Nursing- 6 M, care o ,assisted Ltv'*, Ing 10 . Independent 11ying, Units for purtha"s-ei a - n.—M -d' t H .-r� f eac e S or h 4f�h 6`40.ases t. d! "Add al' . e al p ect bud t Aollar d' c Intwesrequi.re.- estimare pre-finan e.— rs--necessary -s' ' I a d"' du*61 m "J) r-.0, L!" Ct s -c' hed U10 le e fn I jef6rdefi ry ;b f6 u he 171 2024 P. t ire on or e re Subtotal $5j'.0004M Tax (0%) 1nv&e_.T 0 ssioo Total SaMance $5- 0o,00 II IIIIIIIIIIIIIIII�IIIIIIII 1 Of 1. INVI 1'98 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 Description Phase I Architecture and Engineering Site Plan 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 1880.00 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 2- Date Signed Title Administrator /Supen*.ntendent Printed Title Completed, signed original certification and invoice are to be mailed to: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 15 in the amount of $880.00 ATTACHMENT 4 McKAY HEALTHCARE 586 RiceFerausMiller 08/28/2024 94301 Invoice Number Invoice Date Description Gross Amount Discount Taken Net Amount Paid 2023052.00-011 08/1112024 Admin - PS - SIP2023-01 $880-00 $0.00 $880.00 $880.00t $0.001 $880.001 - - - - - - - - - - McKAY HEALTHCARE US BANK 6041 094301 127 SECOND AVE SW - PO BOX 819 9"51/1232 SOAP LAKE, WA 98851 08/28/2024 (509) 246-1111 PAY TO THE ORDER OF RiceFergusMiller 275 Fifth Street, Suite 100 Bremerton, WA 98337 Eight Hundred Eighty Dollars and 00 Cents DOLLARS MLLER 275 Rfth5treet.Stifte 100 Bre'ri-knom. WA;99M7 1.36OY377-8773 Public Hospital District No. 4 of Grant County, Washington P.O. Box 819 Soap Lake, WA 98851 Victor Odiakosa Professional services through 07/31/2024 Invoice number 2023052.00-011 Date 08/11/2024 Project 2023052.00 McKay Healthcare SNF Pre - Design - Master Planning Contract Total Remaining Current Description Amount Billed Contract Billed Scope IA - Conceptual Design 100,184.00 94,360.00 5,824.00 0.00 Scope 1 A -Schematic Design 78,936.00 54,296.00 24,640.00 0.00 Scope 1 BA - Site Plan Design 87,280.00 54,800.00 32,480.00 0.00 Change Order 02 - Scope I B.2 - Zoning Approval 40,000.00 2o785-00 37,215.00 880.00 Total 306,400.00 206,241.00 100,159.00 880.00 Invoice total Aging Summary Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120 2023052.00-011 08/11/2024 880.00 880.00 Total 880-00 880.00 0.00 0.00 0.00 0.00 For any questions regarding this invoice please contact Jill Wolfard at (360) 377-8773 orfivolfard@rftnarch.com 'WAW. Vendor #,* Bars code. Name Awn Pa Dept. Head Approval LZ LDJ D 0 z1I.- Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-011 Invoice date 08/1112024 Washington I 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 Description Phase 1 Architecture and Engineering Site Plan 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 any authorized to authenticate and certify to this claim. I also certify that this claim of $800.00 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/Superintendent Title Administrator/Suvenntendent Printed Title Completed, signed original certification and invoice are to be mailed to: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 16 in the amount of $800.00 ATTACHMENT 4 MCKAY HEALTHCARE 22 City Of Soap take 09/ 19/2024 94385 Invoice dumber invoice Date Descripflon Gross Amount Discount Taken Net Amount Paid 92182024 09I1812024 lAdmin - P - Other $700.00 $0.00 $700-00 $700.001 $0.001 $700.00 McKAY HEALTHCARE Us BANK 6041 094385 127 SECOND AVE sw - PO Box 819 96-65111232 SOAP LAKE, WA Wffil 09119/2024 (609)a4s-1 1 1 t PAY 70 THE V �7oa.oa ORDER OF $ Seven Hundred Dollars and 00 Gents DOLLARS Receipt: 51502 09/24/2024 Acct #: -- 1128 City Of Soap Lake PO Box 1270 239 2nd Ave SE Soap Lake, WA 98851-1270 509-246-1211 McKay Heathcare & Rehab Center 14 n PO Box 819 Soap Lake, WA 98851 Building Permits Memo Rezone app & sepa checklist reveiw Bldg/fence/demolition 700-00 Permits Non Taxed Amt: 700.00 Total: 700.00 Chk: 4385 700-00 AVON oovawfmw� Ttl Tendered.- 700.00 Change: 0.00 Issued By: Coley 09/24/2024 10:43:14 McKAY HEALTHCARE 22 City Of Soap Lake 10/2312024 94473 Invoice Number invoice Date Description Gross Amount Discount Taken Net Amount Paid 10172024 10/17/2024 Admin - PS - Other _ _ _ $100.00 $0.00 $10 0 $100.00 $0.00 000 McKAY HEALTHCARE USBANK 6041 094473 127 SECOND AVE SW - PO BOX 819 96-65111232 SOAP LAKE, WA 98851 1012312024 (509) 246-1111 IVIC"Y rlr.AL I MoAr1r. rlif,,,r of -qn!mn I nkp PAY TO THE ORDER OF McKAY HEALTHCARE 127 SECOND AVE SW - PO BOX 819 SOAP LAKE, WA 96851 (609)246-1111 City of Soap Lake PO BOX 1270 .Rnnn I :;kp-. WA 98851 US BANK 96-65111232 0�;cac 4 10/2312024 94473 " ' " '" 0 91- DOLLARS AY HEALTHCAR5 22 City Of Soap Lake meNumber Invoice Date i��orlPtlor� 0 1,0117/2024 Adman - PS i I OCj ti ` 10/23/2024 94473 Gross Amount Discount Taken Net Amount ai i $100.00 - $0,00 $100 00 i $100.001 $0,00 E x. `f Receipt: 51641 10128/2024 Acct #9 1222 City Of Soap Lake PO Box 1270 239 2nd Arse SE Soap Lake, WA 08851-1270 509-246-1211 Misceilaneous Apr^ �Y Treasurer's Receipts Memo BLA Drawings from Western Pacific Miscellaneous Revenues 100.00 Non `Card Aunt: 100.00 Total, 100,00 Chk: 4473 100100 Ttl Tendered: 100,00 Change: 0,00 Issued By: Coley 10/28/202410.-16.018 TR 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 Description Phase 1 Architecture and Engineering Site Plan I, 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 $30,964.56 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. vw Signature victor Odiakosa Printed Name Z.4Z 1 Date Signed Admi inistrator/Su efintendent Title Administrator/Suerintendent Printed Title Completed, signed original certification and invoice are to be mailed to; Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 17 in the amount of $30,964.56 ATTACHMENT 4 McKAY HEALTHCARE 586 Rice Ferq usMj Iler 11107/2024 94531 --------- InVoice, Number invoice Date 'Description Gross Amount, Discount Taken Not Amount Pall 10/0312024 Admin PS - SIP2023-01 $30,964-56 $0.00 .$30t964.56 $301064.5611, $0_001 $30,964.56 - - - - ----------------- McKAY HEALTHCARE US BANK 6041 094531 127 SECOND AVE SW - PO BOX 819 96-651/1232 SOAP LAKE, WA 98851 11/07/2024 (509)246-1111 PAY TO THE ORDER OF RicefergusMiller 275 Fifth Street, Suite 100 Bremerton, WA 98337 $30,964.56 Thirty Thousand Nine Hundred Sixty Four Dollars and 56 Cents DOLLAREE, MEMO ------------------------ . 06 1109,04 10945 3 10 1: 123 206S LGI'w' LS3 2 100 20 L341111 :RC§bgUSM . 275 Fifth Street, Suite 100 Bremerton, WA 98337 (360)377-8773 RECEIVED NOV 041014 Public Hospital District No. 4 of Grant County, Washington P.O. Box 819 Soap Lake, WA 98851 Victor Odiakosa NOV 0 5 Z024 t b- k ota", 5V Invoice number 2023052.00-013 Date 10/03/2024 Project 2023052.00 McKay Healthcare SNF Pro - Design - Master Planning Professional services through 09/30/2024 8YQ 001 0 0 Invoice Summary Contract Totai Prior Contract Current Description Amount Billed Billed Remaining Billed Scope 1A - Conceptual Design 100,184.00 94,360.00 94,360.00 5,824.00 0.00 Scope I A - Schematic Design 78,936.00 54,870.56 54,1296.00 24gO65.44 574.56 Scope I S-1 - Site Plan Design 87,280-00 54,800.00 54,800.00 32,480.00 0.00 Change Order 02 - Scope 18.2 - Zoning Approval 40,000,00 91522.60 9,137.60 30,477.40 385.00 Change Order 03 - Phase I Schematic Design 174,500-00 30l005.00 0.00 1440495.00 30,005.00 Change Order 03 - Phase I Design Development 213,000.00 0.00 0.00 213.1000-00 0.00 Reimbursable Expenses 0.00 31045.87 3,045.87 -31045.87 0.00 Total 6931900.00 246,604.03 215,639.47 447,295.97 30,964.56 -- --------- - - Change Order 02 - Scope 18.2 - Zoning Approval Labor Loreta L. Cook Billed Units Rate Amount 1.75 220.00 385.00 Change Order 02 - Scope 1 B.2 - Zoning Approval subtotal 385.00 Invoice total 30,964.56 Aging Summary Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120 2023052.00-012 09/13/2024 6,352.60 6j352-60 2023052.00-013 10/03/2024 30,964.56 30,964.56 Total 37,317.16 37,317.16 0.00 0.00 0.00 0.00 For any questions regarding this invoice please contact Jill Wolfard at (360) 377-8773 orjwolfard@rfmarch.com - - ------------- --------- ---------------_---------- - ----- --------- Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-013 Invoice date 10/0312024 Washington 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 Description Phase 1 Architecture and Engineering Site Plan I, 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 $4,520.00 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. -- ignature Victor Odiakosa Printed Name Date tgned A.drninistratrSu erintendent Title Administrator/Su tendent Printed Title Completed, signed original certification and invoice are to be mailed to: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 18 in the amount of $4,520.00 ATTACHMENT 4 McKAY HEALTHCARE 606 Western Pacific Engineering & Survey,Inc 11/14/2024 94554 Invoice Number Invoice -Date Description Gross Amount Discount Taken Net Amount Paid 14863 14885 10/28/2024 ' 10/31/2024 Admin - PS -, SI P2023-01 Admin - PS - SIP2023-01 $2,520.00 $2,000.00 $0.00 $0.00 $2,520.00 $2,000.00 $4,520.00 _ _ $0.00] U1520.00 PAY TO THE ORDER OF McKAY HEALTHCARE US BANK 6041 094554 127 SECOND AVE SW - PO BOX 819 9s-s51/1232 SOAP LAKE, WA 98851 (509) 246-1111 1111412024 $ $4,520.00 T71 Western Pacific Engineering & Survey, Inc. 1224 S Pioneer Way Moses Lake, WA 98837 (509) 765-1023 E-Mail accounting@wpeinc.inet Invoice RECEIVED NOV 06 2024 L I S-2 0-0 P3 - Invoice #: 14863 McKay Healthcare & Rehab Invoice Date: 10/2812024 ATTN: Cliff Sears Due Date: 10/28/2024 P.O. Box 819 Project: 23170 Soap Lake, WA 98851 P.O. Number: Description QTY Rate Amount Serviced *Licensed in Washington and 1daho, Payment shall be due within 30 days of billing unless prior arrangements have been made. This service shall bear interest at the rate of 1.5% per month on the unpaid balance, commencing 30 days from date of initial billing. A minimum charge of $1,00 per month shall be charged to all past -due accounts. Should the account be referred to an attorney or collection agency for collection, the undersigned shall pay reasonable attorney's fees and collection expenses. WPES reserves the right to lien your property for any unpaid balances until the time your balance is paid in full. Total $21520.00 Payments/Credits $0.00 Balance Due $2, 520.00 Western .Pacific Engineering &Survey, Inc. 1224 S Pioneer Way Moses Lake, WA 98837 (509) 765-1023 E-Mail accounting@wpeine.net Invoice N V P c App-ov!----il l Invoice #: 14885 McKay Healthcare & Rehab Invoice Date: 10/31/2024 ATTN: Cliff Sears Due Date: 10/31/2024 P.O. Box 819 Project: 23170 Soap Lake, WA 98851 P.O. Number: Description QTY Rate Amount Serviced *Licensed in Washington and Idaho Payment shall be duo with -in 30 days of billing unless prior armigements have been made. This service slial] bear interest at the rate of 1.5% per month on the unpaid balance, commencing 30 days from date of initial billing. A minimum charge of $ 1.00 per month shall be cliarged to all past -due accounts, Shot the acco'unt, bt, referr ' ed to arl attorney or olle the undersd shah collection agency fir fi6n, lgne 11 pay reasonable attorney's feess and C. C collection expenses. WPES reserves the right to lien your proporty for any unpaid Nalances until the time your balance is paid in full. Total $21000.00 PaymentsiCredits $0.00 Balance Due $2,000.00 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 Description Phase 1 Architecture and. Engineering Site Plan I, 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 5457.00 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. V, �. P�. - � � Signature Victor Odiakosa Printed Name Date Signed Administrator/Su e ntendent Title Administratorr Su efintendent Printed Title Completed, signed original certification and invoice are to be mailed to: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 19 in the amount of $457.00 ATTACHMENT 4 McKAY HEALTHCARE 60 Grant County Auditor 11 /14/2024 94542 McKAY HEALTHCARE US BANK 6041 094542 127 SECOND AVE SW - PO BOX 819 W-65111232 SOAP LAKE, WA 98851 11 /14/2024 (509) 246-1111 PAY TO THE i `457.00 ORDER OF Four Hundred Fifty Seven Dollars and 00 Cents DOLLARS Grant County Auditor PO BOX 37 Ephrata, WA 98823-0037 MWO AUTHOSIM0,5413NATUAk lit 6041094S4211 1:L2320[;SLD: LS32LOO20i340 Outlook Re: Fw: 23170: Approval Letter & Recording Check Amount From csears@nwi.net <csears@nwi.net> Date F ri 11 /8/2024 10:3 7 AM To Lyudmila Shcheblanova <Iuda@mckayhealthcare.org> Cc Tina Tanguay <Tina@ mckayhealthcare.org >; Victor Odiakosa <Vbdiakosa@mckayhealthcare.org> Next week should be fine. Thank you.. From: Lyudmila Shcheblanova <Iuda@mckayhealthcare-org> Sent: Friday, November 8., 2024 10:29 AM To: csears@nwi.net <csears@nwinet> Cc: Tina Tanguay <Tina@ mckayhealthcare.org>; Victor Odiakosa <Vodiakosa@mckayheaIthcare.org> Subject: Re: Fw: 23170: Approval Letter & Recording Check Amount Yes we can do that. Tina should be able to do it early next week. I am out of the office since Wednesday due to family emergency and planning on being back on Monday. I will submit the board reports to you today. Thank you for understanding. Luda Shcheblanova Business Office Manager P: 509-246-1111 Ext.203 Direct: 509-246-8046 Fax: 509-246-0371 www.mckayh,ealthcace.org 127 2nd Ave SW PO BOX 819 Soap Lake, WA 98851 Vendor Bars Code N a rn e A mou tit Toe CYI) 46 0.. Dept., Head Approval. NOV 12 2o2a ..................... CONFIDENTIALITY NOTICE: The contents of thi's email message. and any attachments areintended sol,el.y for the eged in rm disclosure. If addressee(s) and may contain confidential and/or privi,lfo ation and may be legally protectod frorn agent, or if this message has been addressed to. you in error you are not the intended recipient of this message or their please immediately alert the sender by reply email and then delete this message and any attachments.. If you are not the intended recipient, you are hereby notified - that any use, dissemination, copying, or storage of this message or its attachments is strictly prohibited. On Fri, Nov 8, 2024 at 9:16AM csears,@nwihet <csears@nw_inet> wrote: Hi Tina and Luda: Can one of you handle this request for a check. Thank you. Cliff 0. From: Stevi Hall <shall@wpeinc net> Sent: Friday,, November 8, 2024 8:36 AM To: csears@nwi.0 <csearS@nwLnet>; Victor Odiakosa <vodiakosa0rnckg are.org> yhealthc Cc: Danielle Escamilla <dan I 1elIe@_w c.n.et>; Brad Bowers <bhowers w &L pein_ inc.net> Subject: RE: 23170: Approval Letter & Recording Check Amount Hello Cliff &Victor, WPES will need a check made payable to Grant County Auditor for $457.00 to record the BLA. The City confirmed they will only require a PDF once the BLA is recorded. Please mail the check to our office. The address is listed below Thank you both! Stevi Hall Planner LIF-Z WESTERN PACIFIC ENGINEERING & SURVEY, INC. WESTERN PACIFIC PLAZA 1224 S. Pioneer Way, Suite A Moses Lake, Washington 98837 Phone: (509)765-1023 Direct: (509)855-4422 This email is the property of WPES and may contain confidential and/or privileged information. If you are not the intended recipient or have received this e-mail in error please notify the sender immediately and delete this e-mail. Any unauthorized copying, disclosure or distribution of the material in this e-mail is strictly forbidden. From: Stevi Hall Sent: Tuesday, November 5, 2024 4:53 PM _C eca. To: csegr'@,.n�w.!..net: Victor Odiakosa <vod1ak_osa Pmckavh _a1thre.org> Cc: Danielle Escamilla <dani'ellg peing n >; Brad Bowers <bbowersEv Pelac.net> Subject: 23170: Approval Letter Hello Cliff &Victor, Please see attached approval letter from the City of Soap Lake. I will be in touch soon with recording fee amounts for two copies to be routed over to the assessor's office. Thank you, Stevi Hall Planner 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 Description Phase I Architecture and Engineering Site Plan 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 $6,352.60 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 4 -- - --- -------------- Date eSigned AdministratodSupen*ntendent Title Admi'nistrator/Supefintendent Printed Title Completed, signed original certification and invoice are to be mailed to: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 20 in the amount of $6,352.60 ATTACHMENT 4 McKAY HEALTHCARE 586 RiceFerousMiller 11/21/2024 94571 Invoice. Num.Wr ------- Invoice Date Description Gross Amount Discount Taken Net Amount Paid .2023052,00-012 09/13/2024 Admin - PS - SIP2023-01 $6,352-60 $6,352.60,1 $0.00 $0.00t $.61352.60 $6,.60 PAY TO THE ORDER OF ..... ----------- McKAY HEALTHCARE US BANK 6041 094571 127 SECOND AVE SW - PO BOX 819 9"6111232 SOAP LAKE, WA 98851 11/2112024 (509) 246-1111 RiceFergusMiller 275 Fifth Street, Suite 100 Bremerton, WA 98337 $6..352.60 Six Thousand Three Hundred Fifty Two Dollars and 60 Cents DOLLARS MEMO AU : QOWM- SIGNATURE II*�0ItI091,S?III* ': L 2 3 20 G S L GI: IS321002OL34ii" 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 08/31/2024 Invoice Summary Invoice number 2023052.00-012 Date 09113/2024 Project 2023052.00 McKay Healthcare SNF Preto Design - Master Planning Contract Total Prior Contract Current Description lion Amount Billed Billed Remaining . Billed Scope 1A - Conceptual Design 100,184.00 94,360.00 94,360.00 5,824.00 0.00 Scope 1A - Schematic Design 780936.00 54,1296.00 54,296.00 240640-00 0.00 Scope 113.1 - Site Plan Design 87,280.00 541,800.00 54,800.00 32,480.00 0.00 Change Order 02 - Scope I B-2 - Zoning Approval 40,000.00 9,137.60 20785.00 30,862.40 61352.60 Reimbursable Expenses 0.00 3o045.87 31045.87 -3,045.87 0.00 Total 306,400.00 215;639.47 209,286.87 90,760.53 6,352.60 Change Order 02 - Scope I B.2 - Zoning Approval Labor ".,�.:,;,' _.tip r' Billed Units Rate Amount Dean Kelly 2.00 250.00 500.00 Loreta L. Cook 11.75 220.00 2,585.00 Consultant L :"-t f Billed Units Rate Amount Civil Engineering Consultant Coughlin Porter Lundeen, Inc. 39267-60 Change Order 02 - Scope 113.2 - Zoning Approval subtotal 63352.60 Invoice total 61352.60 Aging Summary Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120 2023052.00-012 09/1312024 6,352.60 6,352.60 Total 61352.60 6,352.60 0.00 0.00 0.00 0.00 For any questions regarding this invoice please contact Jill Wolfard at (360) 377-8773 orlwoffard@rfmarch.com Public Hospital District No. 4 of Grant County. Invoice number 2023052.00-012 Invoice date 09/13/2024 Washington