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Home My WebLink AboutGrant Related - BOCCGRANT 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: Kafl"I@ Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE: 3/7/2025 PHONE:2937 ,TYPE(S) OF DOCUMENTS SUBMITTED: (CHECK ALL THAT APP []Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment j ❑ARPA 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 Ell -eases ❑ 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 Reimbursement request from McKay Healthcare on the Strategic Infrastructure Program (SIP) No. 2023-01 in the amount of $10,704.40. Remaining balance is $46,695.60. 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 ❑ YES ❑ NO 0 N/A DATE OF ACTION: 3 t& /�r APPROVE: DENIED ABSTAIN D2:�g� D3: DEFERRED OR CONTINUED TO: WITHDRAWN: 4/23/24 GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM PROJECT CERTIFICATION This form must be signed and returned, with an invoice, for the approved funding,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 $1h » o 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, 'te ndent. � - -------- Admimgrator/S enn 81, ::.n ...U'rel. Title Victor Odiakosa Printed Name /2Zm- Date Signed Administratot/Stinerintendent Printed Title Completed, signed original certification and "invoice are to be mailed to: Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823 Reimbursement # 25 in the amount of Rowo ATTACHMENT 4 McKAY HEALTHCARE 586 RiceFerausMiller 02/27/2025 94879 Invoice Number Invoice Date Description Gross Amount Discount Taken Net Amount Paid 2023052.00-016 01/22/2025 Admin-PS-SIP2023-01/2024-05 $55,345.47 $0.00 $55,345A7 2023052.00-017 02/17/2025 Admin-PS-SIP2023-01 /2024-05 $6,100.69 $0.00 $6,100.69 $61,446.161 $0.00 $61,446.I E McKAY HEALTHCARE us BANK 6041 094879 127 SECOND AVE SW - PO BOX 819 9"5111= SOAP LAKE, WA 9W51 02/27/2025 (509)24fi-1111 PAY TO THE ORDER OF � $C 1,446.16 Sixty One Thousand Four Hundred Forty Sic Dollars and 16 CenteoLLARs RiceFergusMiller 275 Fifth Street, Suite 100 Bremerton, WA 98337 gr MEMO=fFY 'Al ADD VCAATURE se uV 90 4 LO q 48 ? 9w' f: L 2 3 20 6 5 L 6i: L 5 3 2 L00 20 L 3 4«' 1Rv aoabD5,t 05 ft %Y\V o.- ao-c) S.. �q --- �5 1'- �) s, -"1 Li I . *"-I� ►h�� aoa3o5a.o�-�►lo aoazosa.�o �o10a".010 -3� aoa3-ol •yo �o �1oy do -h�-�cr1 io,0ay - oo aoa3-W total NgM�U=M 275 Fifth Street Suite 100 Breniertoix WA 98337 (360)377-8773 Public Hospital District No. 4 of Grant County, Washington Invoice number 2023052.00-016 P.O. BOX W 9 Date 01/2212025 Soap Lake, WA 98851 Ue Victor Odlakosa Project 2023052P,80 McKay U&C'Ne S"Ir Pliew Design - Nhmftr Planning Professional services #nugh 12131/2024 invoice Summary Contract TOW prior Contract Current Anuvint Afflad Ned Remaining RUM - - ------- - - - ----------- ------ Scope 1A sm ConcephM Design 100,184.00 100,184.00 97,944.00 0.00 U40.0 0 Scope 1A -w Schematic Design 78,936.00 66,o84O.00 63t256.00 12v096-00 Scope I&I -Site Plan Design 87,280.00 610620.00 57,320.00 25,760.00 4=00 Change Order 02 - Scopus 18.2 - Zoning Approval 40s000.00 13$727.90 13J27.90 26,272.10 0.00 Change Order 03 - Phase I Schematic Design 1749600.00 169*460.00 125*236.10 5,040,00 44,223.90 Change Order 03 - Phase 1 Design Development 213*000-00 0.00 0.00 213,000.00 04001 Reimbursable Expenses 3,447.93 ----------------------- 49545.50 31447.93 41097.57 1 a097.571 %4_05 Total 697,347.93 416,277.40 360,1931.93 281,1070.63 55,346.47 Reimbursable Expenses Reimbursables Billed Units Rats Amount Meals - Reimbursable 91-13 Lodging 513.68 Other Dftd Expenses 13.22 Consultant Billed Unks Rate Amount Mechanical Engineering Consultant IMEG Consultants Corp. 479.54 Phan subtotal 1l097.57 Invoice total 55,345.47 Ir Aging Summary Invoice Number Invoice Date kft!!W . Current Over 30 Over so Over 90 Over 120 20MO62-OM16 011221=5 55a30.467' 561,345.47 Total 55v345A7 552345.47 0.00 0.00 0.00 0.00 Public Hotel DWd No. 4 of Grant Courdys hwolm nuffdxw 202306ZOU 18 InMce data 01/222026 Washington Public HosplW DIsM No. 4 of Cent Cwmtyo WashftWit Invoice number 2023052.OQ-016 Pm Jed 202305:LaO McKay HoWthem SHIF P Ign • Mader lanW_ Date ON22025 For any quesdons pagarding this urn please, contact A WdhW at (380) 377-8773 orlwoffard@tfmerch.cam ftblic HOWtW Wretshi D#strlcx No. 4 of Orient Catnty. tnv�oits number ZdZ3D5�2►t1�1�i Invaioe� chyle 41P2ZZaZ5 ■ 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 01/31/2025 Invoke Summary Invoice number 2023052.00-017 Date 02/17/2025 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 100,184.00 100,184.00 100,184.00 0.00 0.00 Scope 1A - Schematic Design (Reduced by C07) 66,840.00 66,840.00 66,840.00 0.00 0.00 Scope 113.1 - Site Plan Design (Reduced by 77,200.00 62,200.40 61,520.00 149999.60 680.40 023-01- Change Order 04) Change Order 02 - Scope 1 B.2 - Zoning Approval 13,727.90 13,727.90 13,727.90 0.00 0.00 (Reduced by C07) Change Order 03 - Phase 1 Schematic Design 174,500.00 174,500.00 169,460.00 0.00 5,040.00 024-05 Change Order 03 - Phase 1 Design Development 213,000.00 0.00 0.00 213,000.00 0.00 Change Order 04 - Phase 2 Master Planning 51,940.00 0.00 0.00 51,940.00 0.00 Change Order 05 - Phase 1 CD 353,300.00 0.00 0.00 353,300.00 0.00 Change Order 06 - Phase 1 Food Service DD - CD 34,496.00 0.00 0.00 34,496.00 0.00 Reimbursable Expenses 4,925.79 4,925.79 41545.50 0.00 380.29 024-05 Reimbursable Expenses Consultant Civil Engineering Consultant Coughlin Porter Lundeen, Inc. Aging Summary Total 13090,113.69 422,378.09 416,277.40 6670735.60 6,100.69 Billed Units Rate Amount 380.29 Invoice total 61100.69 Invoice Number Invoice date Outstanding Current Over 30 Over 60 Over 90 Over 120 2023052.00-016 01 /22/2025 55, 345.47 55, 345.47 2023052.00-017 0211712025 6,100.69 6,100.69 Total 61,446.16 61,446.16 0.00 0.00 0.00 0.00 For any questions regarding this invoice please contact Jill Wolfard at (360) 377-8773 or jwolfard c@rfmarch.com Public Hospital District No. 4 of Grant County, Invoke number 2023052.00-017 Invoice date 02117/2025 Washington