The URL can be used to link to this page

Home My WebLink AboutGrant Related - BOCC (006)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 suBnniTrED sY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: KBfI'I@ Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE: 1 /2 1 /2025 PHONE:2g37 ma Lu Ming IF -am ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑Boards / Committees ❑ Budget ❑Computer Related ❑County Code ❑Emergency Purchase El Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders *Grants — Fed/State/County ❑ Leases ❑ MOA / MOU [I 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 U=*1111 !Xlue iZ 19 1111 jMA 9 1 W1mVMTJT1.-.M1 Reimbursement request from McKay Healthcare on the Strategic Infrastructure Project (SIP) #2023-01 in the amount of $11,804.59. 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: -,2�,OT'— DEFERRED OR CONTINUED TO- APPROVE DENIED ABSTAIN D 1. D2: D3: WITHDRAWN - 4/23/24 GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM PROJECT CERTIFICATION This form must be signed and returned, with an invoice, for the approved funding,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 $11,804.59 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!4gned Admiffl* strator/Sgpen' ntendent Title * 41 Admimstrator/Suverintendent Printed Title Completed, signed original certification and invoice are to be mailed to: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 24 in the amount of $11804.59 ATTACHMENT 4 R eig ER 275 Fifth Street, Suite 100 Bremerton, WA 98337 (360) 377-8773 RECEIVED DEC 23 IM Public Hospital District No. 4 of Grant County, Washington P.O. Box 819 Soap Lake, WA 98851 Victor Odiakosa Professional services through 11/30/2024 Vend 4 a d C V �11 11 Invoice number 2023052.00-015 Date 12/16/2024 Project 2023052.00 McKay Healthcare SNF Pre - Design - Master Planning - 60 QG-z 3 Invoice Summary Contract Total Prior c ntract Contract Co C 0 n :nr Current Desedption Amount Billed Billed g4t' Remaining Remaining m Billed — ------- - Scope 1A - Conceptual Design 100,184.00 97.944.00 94,360.00 2,240-00 3,584.00 Scope 1A - Schematic Design 78,936-00 63,256.00 59,975.52 15,680.00 3,280-48 Scope 113.1 - Site Plan Design 87,280.00 57,320.00 54,800.00 29,960.00 2,520-00 Change Order 02 - Scope 1 B.2 - Zoning Approval 40,000-00 13,727.90 11,565.10 "J� 21162.80 - Change Order 03 - Phase 1 Schematic Design 174,500-00 125,236-10 60,905.70 49v263-90 33 .4 o,5 § Change Order 03 - Phase I Design Development 213v000-00 0.00 0.00 213.000.00 0.00 Reimbursable Expenses 3,447.93 3,447.93 3,190.62 0.00 257.31 Total 697,347.93 360,931.93 284.796.94 336,416.00 76,134.99 Change Order 02 - Scope 113.2 - Zoning Approval Labor Loreta L. Cook Consultant Civil Engineering Consultant Coughlin Porter Lundeen, Inc. Change Order 02 - Scope 1 B.2 - Zoning Approval subtotal Reimbursable Expenses Reimbursables IRS 2024 Mileage Reimbursables Consultant Landscape Architect Consultant Lyon Landscape Architects Billed Units Rate Amount 2.50 220.00 550.00 Billed Units Rate Amount 1,612.80 2,162.80 Billed Units Rate Amount 20-00 0.75 15.00 Billed Units Rate Amount Phase subtotal 242.31 257.31 ---------- Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-015 Invoice date 12J16/2024 Washington Public Hospital District No. 4 of Grant County, Washington Invoice number 2023052.00-015 Project 2023052.00 McKay Healthcare SNP' Pre-Des-Ign - Master Planning Date 12/16/2024 Invoice total 76,134-99 Aging Summary Over 90 Over 120 Invoice Number Invoice Date Outstandirig.............— Current , -------- .. Over 30 Over 60, -- ---- 2023052.00-015 12/16/2024 76,134.99 761r 134.99 Total 76,134.99 76)134.99 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 Invoice number 2023052.00-016 Invoice date 12116/2024 Public Hospital District Na. 4 of Grant County, Washington McKAY HEALTHCARE I;Ar Rir.eFerausMiller 01/09/2025 947.20 - % PAY TO THE ORDER OF . ......... McKAY HEALTHCARE US BANK 6041 494720 127 SECOND AVE SW - PO BOX 819 9"5111232 SOAP LAKE, WA 98851 01/09/2025 (509)246-1111 $763134.99 Seventy Six Thousand One Hundred Thirty Four Dollars and 99 QMLARS Rice FergusMiller 275 Fifth Street, Suite 100 Bremerton, WA 98337 060t, L094? 2011" L 23 206S LD: L53 2 LOO 20 L3411" THORUED SIGNATURE 'bO (PIA t'�5