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Home My WebLink AboutGrant Related - BOCC (007)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: Karrl@ Stockton CONTACT PERSON ATTENDING ROUNDTABLE: K81"1'I@ Stockton CONFIDENTIAL INFORMATION: ❑YES 8 NO DATE: 1 /21 /2025 PHONE:2937 0- OWITT I Ed�7 Lu X 1,ium ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment - -IM ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related El 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 ❑ 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 --- ------------- -- ----------- BRIM Reimbursement request from McKay Healthcare on the Strategic Infrastructure Program (SIP) 2024-05 in the amount of $64,330.40. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO R N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION: 1�on),eso_ DEFERRED OR CONTINUED TO. APPROVE: DENIED ABSTAIN D1: NKP D2: � D3: WITHDRAWN: 4/23/24 GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM PROJECT CERTIFICATION This form must be signed and returned, with an invoice, for the approved funding,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: SIP Funding Recipient: SIP Project Description: 2024-05 McKay Healthcare & Rehabilitation Phase 1 Master Planning 1, the undersigned, do hereby certify under penalty of perjury, that the materials have been finished, the services rendered, and/or the labor performed as described M' 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 �64,230.40 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. S i gn, ature Victor Odiakosa Printed Name Datigned Administrator/Su rintendent Title Administrator/Soerintendent Printed Title Completed, signed original certification and invoice are to be mailed to: Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823 Reimbursement # 3 in the amount of $64,330.40 ATTACHMENT 4 RIC!fe-IgUSMEM 275 Fifth Street, Suite 100 Bremerton, WA 98337 (360) 377-8773 RECEIVED BEC 23 101d 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 Vendor #.:-5&.-- Bars Cade N a r". e. *21 a H d ppwovai} Invoice number 2023052.00-015 Date 12/16/2024 Project 2023052.00 McKay Healthcare SNF Pre - Design - Master Planning 1 45RQ-1-0� C� S3 Invoice Summary Contract Total Prior Contract Current Description Amount Billed Billed Remaining Billed Scope 1A - Conceptual Design 100,184.00 97,944.00 94,360.00 21240.00 3,584.00 Scope 1A - Schematic Design 78,936.00 63s256-00 590975.52 15,680.00 3t280-48 Scope I B.1 - Site Plan Design 87,280-00 579320.00 54,800.00 29,960-00 2,520.00 Change Order 02 - Scope 18.2 - Zoning Approval 40,000.00 13,727.90 11,565.10 --- 26 --- 1-27-2.1 2,,�;80 Change Order 03 - Phase 1 Schematic Design 174,500.00 125s236.10 60,905.70 49,263.90 64,330.40 5i? Zo'LA- 0-5 Change Order 03 - Phase 1 Design Development 213,000-00 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 1 B.2 - Zoning Approval Labor Billed Units Rate Amount Loreta L. Cook — a ` a 4, 10= I 2.50 220.00 550.00 Consultant Billed Units Rate Amount Civil Engineering Consultant Coughlin Porter Lundeen, Inc. 1,612.80 Change Order 02 - Scope 1 B.2 - Zoning Approval subtotal 2,162.80 Reimbursable Expenses Reimbursables Billed Units Rate Amount IRS 2024 Mileage Reirnbursables 20.00 0.75 15.00 Consultant Billed Units Rate Amount Landscape Architect Consultant Lyon Landscape Architects 242.31 Phase subtotal 257.31 Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-015 Invoice date 12/16/2024 Washington Public Hospital District No. 4 of Grant County, Washington Invoice number 2023052.00-015 Project 2023052.00 McKay Healthcare SNF Pre -Design - Master Planning Date .12/16/2024 - - - - -------- - - ----- -- Invoice total 76,134.99 Aging Summary Invoice Number Invoice Date Outstanding, Current Over 30 Over 60 Over 90 Over 120 2023052.00-015 12/16/2024 76s134-99 763134.99 Total 76,134.99 76t 134.99 0.00 0.00 0.00 0.00 For any questions regarding this invoice please contact Jill Wolfard at (360) 377-8773 oriwolfard@rfinarch.com Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-015 Invoice date 1211612024 Washington McKAY HEALTHCARE 586 MceFerq-usM!Iler 01/09/2025 94720 - ----------- Invoice Number ------- Invoice Date Description Gross Amount Q'iscount Taken Net Amount Paid 2023052.00-015 12/16/2024 Admin - PS - SIP $76t 134-99 $0.00 1134-99 176 $76,134.991 $0.001 $76 j 34,9S, McKAY HEALTHCARE US BANK 6041 094720 127 SECOND AVE SW - PO BOX 819 96-651R232 SOAP LAKE9 WA 98851 01/0912025 (509) 246-1111 PAY TO THE ORDER OF $763134.99 fficeFergusMiller 275 Fifth Street, Suite 100 Bremerton, WA 98337 MEMO Seventy Six Thousand One Hundred Thirty Four Dollars and 99 C&ILARS 1. 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