HomeMy WebLinkAboutGrant Related - BOCC (005)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: KarrlB Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kat"Cle Stockton
CONFIDENTIAL INFORMATION: ❑YES 8N0
DArE:12/19/2024
PHONE:2937
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Mr. 4G
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(Who, What, When, Why, Term,
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cost, etc.y
Reimbursement request from McKay Healthcare & Rehabilitation Center on the
Strategic Infrastructure Program (SIP) 2023-01
in the amount of $38,192.91.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A
If necessary, was this document reviewed by legal? El YES ❑ NO
DATE OF ACTION: z- 3/12_4 DEFERRED OR CONTINUED TO:
WITHDRAWN:
APPROVE: DENIED ABSTAIN
D 1: �� vcT►
D2:
D3:
0 N/A
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 I Architecture and Engineering Site Plan
L 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 $38,192.91 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
,lZl/7 �zc-�--
Date Signed
Administrator/Superintendent
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 # 21 in the amount of $38,192.91
ATTACHMENT 4
McKAY HEALTHCARE
586 RiceFergusMiller
------- ---------
Invoice Number Invoice Date Description
2023052-00-014 11/18/2024 Admin - PS - SIP2023-01
PAY TO THE
ORDER OF
McKAY HEALTHCARE
127 SECOND AVE SW - PO BOX 819
SOAP LAKE, WA 98851
(509)246-1111
RiceFergus Miller
275 Fifth Street, Suite 100
Bremerton, WA 98337
12105/2024 94624
Gross Amount Discount Taken Net Amount Paid
$38,192.911 $0.001 $38,192-91
$ $389192.91
Thirty Eight Thousand One Hundred Ninety Two Dollars and 91 C@&,IARS
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MEMO J1
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m y eius ER
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 10/31/2024
Invoice Summary
0
Invoice number 2023052.00-014
Date 11118/2024
Project 2023052-00 McKay Healthcare SNF Pre -
Design - Master Planning
Contract
Total
Prior
Contract
Current
Description
Amount
Billed
Billed
Remaining
Billed
Scope 1A - Conceptual Design
100o184.00
94,360.00
940360.00
51,824.00
0.00
Scope 1A - Schematic Design
78,936.00
59,975.52
54l870-56
180960.48
5,104.96
Scope I B.I.- Ste Plan Design
87,280.00
54,800.00
54,800-00
32,480-00
0.00
Change Order 02 - Scope 113.2 - Zoning Approval
40,000.00
11,565.10
91522.60
289,434.90
21042.50
Change Order 03 - Phase 1 Schematic Design
174,500.00
60,905.70
30,005.00
113,594.30
30,900.70
Change Order 03 - Phase I Design Development
213l000.00
0.00
0.00
213,000.00
0.00
Reimbursable Expenses
0.00
3,190.62
3,045.87
-31190.62
144-75
Total
693,900.00
284,1796.94
246,604.03
409,103.06
384192.91
Change Order 02 - Scope 113.2 - Zoning Approval
Labor
Dean Kelly
Loreta L. Cook
Change Order 02 - Scope 1 E3.2 - Zoning Approval subtotal
Reimbursable Expenses
Reimbursables
IRS 2024 Mileage Reimbursables
Aging Summary
E� tyi 1�. 4"' :7,
C. d, C�
lo, 2- !:P
Ole
Units
Rate
Billed
Amount
0.25
250-00
62.50
9.00
220.00
it X0.00
IM A-0 pool
21042.50
Billed
Units
Rate
Amount
193.00
0.75
144,75
Invoice total 381192.91
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
---------------- -
2023052.00-012 09/13/2024 6,352.60 61352.60
2023052.00-014 11/18/2024 38p192.91 38,192.91
Total 44,545.51 38,192.91 0.00 61352.60 0.00 0.00
-----------------
Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-014 Invoice date 11/18/2024
Washington