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Grant 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: gOCC REQUEST suannirrED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kal"1'12 Stockton CONFIDENTIAL INFORMATION: ❑YES ®NO DATE: 4/24/2025 PHONE:2937 TYP141(S) OF DOCUMENTS SUBMITTED: (CHECK ALL THAT APPLY ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ®ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees []Budget ❑Computer Related [I 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 Reimbursement request from Renew on the American Rescue Plan Act (ARPA) Grant in the amount of $14,520.24 for March 2025 Suicide Prevention Services. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO Fm_1 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO W N/A DATE OF ACTION: APPROVE: DENIED D1: D2: D3: �f I 1 ABSTAIN 4/23/24 DEFERRED OR CONTINUED TO: WITHDRAWN: 9 Grant Behavioral Health S Wellness PO Box 1057 Moses Lake, WA 98837 Phone (509) 764-2643 Fax (509) 764-4124 BILL TO: Grant County Attention: Karrie S. Stockton PO Box 37 Ephrata, WA 98823 DATE: April 21, 2025 INVOICE # 3/31 /2025 FOR: Mar-25 DESCRIPTION Amount units Total Amount ARPA FUNDS - SUICIDE PREVENTION $ 14,520.24 1 $ 14,520.24 Total $ '14,520.24 Thank you!! *renew Urwt B Wafi e%$ SUICIDE PREVENTION- ARPA Mar-25 BAR Acct. Billing/Invoice to Courtr TOTAL EXPENSES GPLEDGER 108.150.00.9000.566.5 1. 1100 SALARY- Bethany Escamilla $ 5,712.52--- 108.150.00.9000.566.51.1202 OVERTIME $ � 108.150.00.9000.566.51.2100 Retirement $ 99.42 3 99.82 � 108.150.00.9000.566.51.2200 SSI 108.150.00.9000.566.51.2300 Medical $ 1,4 .20 108.150.00.9000.566.51.2301 FM LA $ 14 .96i' 108.150.00.9000.566.51.2400 L&I Total Salary/Benefits $ 8,091.75 108.150.00.9000.566.51.4152 IT Services portion $ 190.96 Apr-25 GL Apr-25 108.150.00.9000.566.51.4200 VOIP $ 22.06 GL 108.150.00.9000.566.51.4202 Cell Phone $ 41.32� Apr-25 GL 108.150.00.9000.566.51.3100 Working lunch for meeting W/AAS25 attendees 44.12 Mar-25 108.150.00.9000.566.51.4302 Staff Travel: Travel Allowance for Bethany, Connie, and Maria for AAS25 conference $ 1,401.00 r Mar-25 108.150.00.9000.566.51,4304 Staff Travel: airline for AAS25 conf for Bethany/Connie/Maria $ 2,780.01 r Mar-25 108.150.00.9000.566.51.4917 The Project Leadership Accelerated Certificate Program Virtual $ 629.00_- Mar-25 TOTAL OPER SUPPLIES $ 5,108.47 t TOTAL SALARY/BENEFITS/OPERATING SUPP $ 13,200.22 10% $ 1,320.02 Total ARPA- Suicide Prevention $ 14,520.24 $ - 4/23/2025 8:00 4/23/2025 8:00 ARPA FUNDS FOR 2024 $ 156,369.94 Ad m i n USED TO DATE $ 34,574.66 $ 3,457.46 TOTAL DIRECT & ADMIN $ 38,032.12 BALANCE $ 118,337.82 4/23/2025 8:00 DETAILED TRIAL BALANCE FOR 2025 COUNTY OF GRANT GENERAL LEDGER open Journal TRX Date Account Number Account Description %.reull Debit Amount Reference 2025 1008167 3/31/2025 108.150.00.9000.566S11100 MH... ARPA.REG SALARIES & WAGES 0.00000 5,712.52�REALLOC SALARY MAR 2025 2025 1008170 3/31/2025 108.150.00.9000.566512100 MH... ARPA.RETIREMENT 0.00000 520.42 4EALLOC RETIREMENT MAR 2025 2025 1008171 3/31/2025 108.1 S0.00.9000.566512200 MH... ARPA.SOCIAL SECURITY 0.00000 399.82/REALLOC SOC SEC MAR 2025 2025 1008172 3/31/2025 108.150.00.9000.566512300 MH... ARPA.MEDICAL & LIFE INSURANCE 0.00000 1,422.20 AEALLOC MED LIFE INS MAR 2025 2025 1008173 3/31/2025 108.1 SO.00.9000.566S 12301 MH... ARPA.STATEWIDE FMLA INSURANCE 0.00000 14.96_ REALLOC FMLA MAR 2025 202S 1008174 3/31/2025 108.150.00.9000.566512400 MH... ARPA.INDUSTRIAL INSURANCE 0.00000 21.83 : REALLOC IND INS MAR 2025 2025 1005094 3/14/2025 108.150.00.9000.566513100 MH... ARPA.SUPPLIES - OPERATING 0.00000 44.12�5300 - PREVENTION 2025 1003235 3/4/2025 108.150.00.9000.566S14100 MENTAL HEALTH ... ARPA.PROFESSIONAL SERVICES 0.00000 190.96, Renew 2025 100323S 3/4/2025 108.150.00.9000.566514200 MH... ARPA.COMMUNICATIONS 0.00000 22.06. -Renew 2025 1003227 3/4/2025 108.150.00.9000.566514202 MH... ARPA.COMMUNICATION S-CELLULAR 0.00000 41.32,,,287333762696 2025 1006702 3/25/2025 108.150.00.9000.566514302 MH... ARPA.TRAVEL-MEALS 0.00000 467.00/ESCAMILLA - ALLOWANCE 2025 1006703 3/25/2025 108.150.00.9000.566514302 MH... ARPA.TRAVEL-MEALS 0.00000 qCA 467.00 '`GUERRERO -ALLOWANCE 2025 1006704 3/25/2025 108.150.00.9000.566514302 MH... ARPA.TRAVEL-MEALS 0.00000 467.00 HALLATT -ALLOWANCE 2025 1005099 3/14/202S 108.150.00.9000.566514304 MH... ARPA.TRAVEL-OTHER TRANSPORTATION 0.00000 175.53 6886 - GRIS ML 2025 1005099 3/14/2025 108.150.00.9000.566514304 MH... ARPA.TRAVEL-OTHER TRANSPORTATION 0.00000 868.16 6886 - GRIS ML 2025 1005099 3/14/2025 108.150.00.9000.S66514304 MH... ARPA.TRAVEL-OTHER TRANSPORTATION 0.00000 68.16 '6886 - GRIS ML 202E 1005099 3/14/2025 108.150.00.9000.566514304 MH... ARPA.TRAVEL-OTHER TRANSPORTATION 0.00000 868.16 `6886 - GRIS ML 2025 1005094 3/14/202S 108.150.00.9000.566514917 MH... ARPA.MISC-TRAINING 0.00000 629.00 5300 - PREVENTION TOTAL FOR MARCH 2O25 13,200.22 DEDUCT FEB 2025 EXPENSES 254.35 ' APRIL 2025 EXPENSES FOR MARCH 2O25 254.34 TOTAL FOR MARCH 2O25 13,200.21 System: 412112025 8:34:40 AM User Date 412112026 �� I Zi tau Ranges., From: Date: 4/112025 Account: 108.150,00.9000,566511 IOU DETAILED TRIAL BALANCE FOR 2025 County of Grant tj General Ledger To: 4/211.2025 $ubtotal By. No Subtotals I 08150.00,9000,599999999 Sorted By: Fund Include: Posting, Unit Paget I User ID: rgonzales Account., 108.150.00,9000,56651 -1100 Description: .1. NIH,, ARPA,REG SALARIES & WAGES Beginning Balance: $17,137.57 Tray Date JrnI No. Orig. Audit Trail Distribution Reference 049, Master Number 069. Master Name Debit Credit *No transactions for this account* Net Change Ending Balance Account,, 108,150.Do.9000.566511100 Totals: $0.00 $17,137.67 - .00 $0.00 Account: 108.150MMM566511124 Description: MH,, .A PA. WAGE ALLOC. Beginning Balance: $135.48 Trx Date Jrnf No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108A50.00.9000.566511124 Totals: $0.00 $135A8 $0.00 $0.00 Account: 108.150.00M00,5665121 00 Description: MH_..ARPA.RETIREMENT Beginning Balance: $1,561.26 Trx Date irn.1 No,. Orig., Audit Trail Distribution Reference Orig, Master Number orig. Master Name Debit Credit *No transactions for this account"' Account: 108,150,00.9000.566512100 Totals: Net Change Ending Balance $0.00 $1,561.26 $0.00 $0.00 Account.- 108. 1 50. 00 .9000,566512200 Description: MK .,ARPA.SOCIAL SECURITY Beginning Balance: $1,21 9. 10 Trx Date Jrnl No. Orig, Audit Trail Distribution Reference Orig. Master Number Orig, Master .arise Debit Credit *No transactions for this account* Account- 108150.00.9000.566512200 Totals: Net Change Ending Balance . . . . ....... 111111 $0�00 $1,219.10 $0.00 VO.00 Account: 1M 150,00. 9000.566512300 Description: MH. ..ARPAMEDICAL & LIFE INSURANCE Beginning Balance: $4,232,75. Trx Date Jrnl No. Oria., Audit Trail Distribution Reference Ong. Master Number Orig. Master Name __ — Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.150,ft9000566512300 Totals: $0.00 $4,232,75 $0.00 $0.00 Account: 108.150.00.9000,566512301 Description: MH. .,ARPA,STATEWIDE FMLA INSURANCE Beginning Balance: $45.54 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig, Master Number Orig, Master Name Debit Credit wNo transactions for this account* Account: 108,150.,00.9000.566512301 Totals: Net Change, Ending Balance $0,00 $45.54 $0,00 $0.00 Account: 108.150.00,9000.566512400 Description-, MH., ARPA,INDUSTRIAL INSURANCE Beginning Balance: $57,95 Tr,x Date Jrnl No. Orig. Audit Trail Distribution Reference Orig, Master Number Orig. Master Name - Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.,150.00,9000�566512400 Totals: WOO $57.95 $0.00 $0-00 Account: 108.150.00.9000,566513100 Description: MH,.,ARPA.SUPPLtE,E,0 I PERATING Beginning Balance: $44,12 Trx Date Jrnl No, Orig. Audit Trail Distribution Reference Orl g.. Master Number Orig. Master Name Debit Credit 4114/2025 1,009,919 Pik TRX00030500 ARPA - AMAZON 7348 MAR 2025 WASHINGTON TRUST BANK. $37.96 systern: 4/2112025 8:34,40 AM L BALANCE FOR 2025 Page- 2 User Date: 4/2112025 DETAILED TRIA User ID: rgonzales Cot. rity of Grant NstChange Ending Balance Account: 108,150.009000.566513100 Totals: $37.96 $82.08 $37.96 $0.00 Account: 108.150,00,665 9000,513101 Description. MH ... ARPA.SUPPLIES-OFFICE Beginning, Balance: 456,34 $ Trx Date irni No. Orig. Audit Trail Distribution Reference Orig. Master Number 069, Master Name Debit Credit ............ .......... . Net Change Ending Balance *No transactions for this account* Account: 108,150.00.9000..566513101 Totals: $0.00 $456.34 $0.00 $0.00 Account. 108.150.009000.5665141 00 Description: MENTAL HEALTH_ ARPA, PROFESSIONAL SERVICES Beginning Balance. $381.92 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit - 4/1/2025 1,007,309 PMTRX00030408 ARPA TS Services 124-25 Grain County Tec hnical Services $190,96 Not Change Ending Balance Account: 108.150.00.9000.566514100 Totals: $190.96 $572.88 $190.96 $0.00 Account: 108.150-00.9000.566514200 Description: NIH, ..ARPA.COMlle UNICATIONS Beginning Balance: $85.43 Trx Date Jrnl No. 069. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 411/2026 1,007,309 PMTRX0003G406 ARPA VOIP Phones 124-25 Grant County Technical Services $22.07 S Not Change Ending Balance Account: 108,150.00.9000-566514200 Totals: $22.07 $107.50 $22.07 $0.00 Account: 108.150.00.9000.566514202 Description-, MH,..ARPA.COMMUNICATIONS-CELLULAR Beginning Balance: $82.64 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig, Master Number Orig. Master Name Debit Z1.11 Credit 4/8/2025 1,008,635 PMTRX00030438 ARPA Celt Phone 287333762696 MAR 22 AT&T $41,32 Net Change Ending Balance Account: 109.150.001000.566514202 Totals- $41,32 $123.96 $41.32 $0.00 Account., 108,150. 00.9000.566,514301 Descriptlow MENTAL HEALTH., ARPA,TRAVEL-LODGING Beginning Balance: $0.00 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 4/14/2025 1,009,918 P"TRX00030500 AR - PA -NORTHERN QUEST - BETH, 6886 MAR 2025 WASHINGTON TRUST BANK_ $262,75 4114,1'2025 1,009,918 PMTRX00030500 ARPA - NORARN QUEST MARIA 6886 MAR 2025 WASHINGTON TRUST BANK_ $262.75 4114/2025 1,009,918 PMTRX00030500 ARPA - NORTHERN QUEST CONN[ 6886 MAR 2025 WASHINGTON TRUST BANK., $262,75 Not Change Ending Balance Account: 108.150.00.9000.566514301 Totals: $788.25 $788.25 $788.25 $0.00 Account: 108,150.W9000.566514302 Description.- MH, , AR PA.TRAVE L- MEALS Beginning Balance: $1,401.00 Trx Date JrnI No. 009. Audit Trail Distribution Reference Orig, Master Number Orig, Master Name Debit Credit *No transactions for this account* Not Change Ending Balance Account: 108-160-00,9000.566514302 Totals: WOO $1,401.00 $0.00 $0.00 Account: 10 8,150.00.9 , 000.566514304 Description: MH ... ARPA.TRAVEL-OTHER TRANSPORTATION Beginning Balance-, $2,780.01 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig. Master Number Ong. Master Name Debit Credit "No transactions for this account* Net Change Ending Balance Account: 108,150.00,9000,566514304 Totals., $0,00 $2,780.01 $0.00 $0.00 Account: 108,,150,00.9000.566514400 Description: MH_ Beginning Balance: $500.00ARPA,ADVERTISING Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit System: 4/21/2025 8:34�40 AM DETAILED TRIAL BALANCE FOR I r Page: 3 User Date: 4/2112025 20 5 User ID: rgonzales County of Grant B *No transactions Net Change Ending alance for this account* I Account: 108.150.00.9000.566514400 Totals: $0.00 $500,00 $0.00 $0.00 f 7,', Account: 108.150.�7E�.9000.5 6514917 Description: MH,. ARPAMISC-TRAINING Beginning Balance: $4.',37 Try MAP Jrni No. Oria. Audit Trail Distribution Reference Orig. Master Number Orig. Master Nam Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.150.00.9000,566514917 Tota I s: $0.00 $4,376.00 $0.00 WOO Accounts Be Inning Balance Net Chan Endin . Balance Debit Credit Grand Totals: 17 $34,497.11 $1,080.56 $35,577.67 $1 080. 56 $0.00 SO LA. System* 412112025 8-08: 56 AM User Date: 4/21/2025 Ranges: From: Date: 3/1/2025 Account', 108, 150,00.9000,,566511100 DETAILED TRIAL BALANCE FOR 2025 County of Grant w � " General Ledger To- 3/3112025 108. 150.00.9000.599999999 Subtotal By: No Subtotals Sorted By: Fund Include: Posting, Unit Page: I User 10: r9onzales A ccount: 108.150.00.9000 566511100 Description: MH. . ARPA,REG SALARIES& WAGES Beginning Balance: $11,425.05 Trx Date irnt No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 3131/2025 1,0018a 167 GL.TR.X(.)0035589 REALLOC SALARY MAR 2025 $5,712,52 Not Change Ending Balance Account: 108.150.00,9000,566511100 Totals: $5,712.52 $17,137.57 $5,712,52 $0.00 Account: . 108,150.00,9000.566511124 Description: MH ... ARPA.HR WAGE ALLOC. Beginning Balance: $135.48 Try MOP Jrn1 No- Orta. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108,150.00.9000.566511124 Totals: $0.00 $1136.48 $0.00 $0.00 Account: 108.150.00,9000.566512100 Description: MH. AR PA. RETIREMENT Beginning Balance: $1,040.84 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit - 3.131/2025 1,008,170 GL'TRX00035589 REALL,0C R�ETIREMENTMAR 2025 $520.42 Net Change Ending Balance Account: 108.150.00.9000.566512100 Totals; $520.42 $1,561.26 $520.42 $0.00 Account: 108.150.00.9000.566512200 Descriptions. MH. . ARPA. SOCIAL SECURITY Beginning Balance: $819.28 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig. Master Number 069. Master Name Debit Credit 3/31/2025 1,008,171 GL'TFRX00035589 FALL C tC SEC MAR 2025 $399.82 Net Change Ending Balance 04 Account., 108.150.00.9000.566512200 Totals: $399.82 $1,219.10 $399.82 / $0.00 Account: 108.150.00,9000.566512300 Description: MH ..ARPA.. MEDICAL & LIFE INSURANCE Beginning Balance: $2,810.55 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 3/3112025 1,008,172 GLTRX00035589 REALLOC MEO LIFE INS MAR 202f $1,422.20 Net Change Ending Balance Account: 108-150-00.9000.566512300 Totals: $1,422.20 $4,232.75 $1,422.20 $0.00 Account: 108.150.00.9000.566512301 Description: MH. ,,ARPA.STATEWIDE 'MLA INSURANCE Beginning Balance-, S30.58 Trx Date Jrni No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 3/31/2025 1,008,173 GLTRX00035589 REALLOC FIALA M2025 $14,96AR Not Change Ending Balance Account: 108.150.00.9000,566512301 Totals: $14.96 $45.54 $14.96 $0.00 Account: 108.150.00.9 , 000.566512400 Description: MH. . ARPA.INDUSTRIAL INSURANCE Beginning Balance: $36.12 Trx Date Jrn1 No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 3/3V2025 1,008,174 GLTRX00036589 REALLOC IND IN MAR 2025 $21.83 oci Totals: Account: 108.150.00.9000.566512400 Net Change Ending Balance $21,83 $57.95 $21.83 $0.00 . ............. ....... Account: 108.150.00,9000.566513100 Description: MH_.ARPA.SUPPLIES- OPERATING Beginning Balance: $0.00 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig, Master Number Orig, Master Name Debit ?_1 Credit 1,005� PMTRX00030314 ARPA - T1!E BOOKERY 5300 FEB 2025 WASi11NG TON TRUST BANK., $44,12 0111 3114/2025 094 1,, � Page System: 412112025 8:08:56 AM DETAILED TRIAL BALANCE FOR 2025 User, 2 ID: r9onzales User Date: 412112025 County of Grant, Account: 108.150.00.9000.566513100 Not Change Ending Balance Totals,.- $44.12 $",.12 $44.12 $0.00 Account: 10& 150.00,9000.566513101 Description: MH. .ARPA.SUPPLIES-OFFICE Beginning Balance: $456.34 Trx Date Jrnl No. Orig, Audit Trail Distribution Reference Orig. Master Number Orig. Master Name --- Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.150,00,9000,566513101 Totals: $0?0 $456.34 $0.00 $0.00 Account: 108.150.00.9000.5665 . 14100 Description: MENTAL HEALTH.. ARPA. PROFESSIONAL SERVICES Beginning Balance: $190.96 Trx Date Jrnl No. Orig., Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 3/412025 1,003,235 PMTRX00030245 ARPA Tech Services, 85-25 Grant County Technical Services $190.96 Not Chang* Ending Balance Account: 108.150,00,9000.566514100 Totals: $190.96 $381.92 $190.96 $0.00 Account: 108.150.00.,9000.566514200 Description: MH-ARP.A.COMMUNICATIONS Beginning Balance: $6137 Trx Date Jrnl No. Orig.. Audit Trail Distribution Reference 069. Master Number Orig. Master Name - Debit Credit 3/4/2026 1.003,235 PMTRX00030245 ARPA Phone 85-25 Grant County Technical Services $2106 Net Change Ending valance Account, 108.150.00.9000.566514200 Totals: $22.06 $85.43 $22.06 $0.00 M Account: 108.1%,00.9000.566514202 Description: MH...ARPA.COMMUNICATIONS-CELLULArN, Beginning Balance.* $41.32 Trx Date Jrnl No. Orig, Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 3/4/2025 1,003,227 PMTRX00030245 ARPA Cell Ph - on I e 11 02272025 RENEW AT&T $41.32 Net Change Ending Balance Account- '108.150.00,9000,56651,4202 Totals* $41,32 $82,64 $41.32 $0.00 Account: 10& 1 50.00.90W5665 1 14302 Description: W-ARPA.TRAVEL-MEALS Beginning Balance: $0.00 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit . . . ........ .. 3/25/2026 1,006,702 PMTRX000'30378 AAS 2025 CONFERENCE MARCH 2025 BETHANY ESCAMILLA $467. 00 3/25/2025 1,006,703 PMTRX00030378 AA S 2025 CONFERENCE MARCH 2025 CONNE GUERRERO $467.00 3/25/2025 1,006,704 PMTRX00030378 AAS 2025 CONFERENCE MARCH 2025 MARIA HALLATT $467.00 Not Change Ending Balance Account: 108.150,00.9000.566514302 Totals.- $1,401.00 $1,401.00 $1,401 .00 $0.00 Account: 10&150 00. 9000.566514 304 Description: MH.,.ARPA.TRAVEL-OTHER.TRANSPORTATION Beginning Balance: $0.00 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Cirig. Master Name Debit Credit 3114/2025 3114/2025 1,005,099 PMTRX00030314 1,005,099 PMTRX00030314 ARPA - TRAVEL GAURD ARPA UNITED BETHANY A. 6886 FEB 2025 6886 FEB 2025 WASHINGTON TRUST BANK.. WASHINGTON TRUST BANK., $175.53 $868.16 "S 3114/2025 1,005,099 P11+"iTRX00030314 - ARPA - UNITED CONNE G. 6886 FEB 2025 WASHINGTON TRUST BANK.. $86& 16 3/14/2025 1,005,099 PMTRX00030314 ARPA - UNITED MARIA H, 6886 FEB 2025 WASHINGTONTRU$T BANK., $M, 16 Net Change Ending Balance Account•# 108.15000.9000,566514304 Totals: $2,780.01 $2,780.01 $2,780.01 $0.00 Account: 108.150,00.9000,,566514400 description: MI-I-ARP.A.ADVERTISING Beginning Balance: $500.00 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number 009. Master Name Debit Credit *No transactions for this account' NetChange Ending Balance Account: 108.150.00,9000.566514400 Totals: W60 $500.00 $0.00 $0.00 Account: 108.150.00.9000,566514917 Description: MI-I-ARPAWISC-TRAINING Beginning Balance.* $3;74'7.00 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 4121/2025 8:08:56 AM =te: 4121/2025 3/1412025 1,005,094 PMTRX00030314 ARPA - SKILLPATH Account: 108.150.00.9000,566514917 DETAILED TRIAL BALANCE FOR 2025 Page: 3 User ID: rgonzales County of Grant 5300 FEB 2025 WASHINGTON TRUST BANK.. $629-0043' Net Change Ending alance Tbtals-9 $629.00 $4t376-00 $629.00 $0.00 Accounts Beginning Balance Not Chan-go Ending Balance Debit Credit Grand, Totals: 16 $21,296.89 $13f200.22 1 $34t497.11 $133200.22 $0.00 renew NON-EXEMPT Printed Name: Betbany Escamilla Pay Period: "ay P *,iod Employee ID 5634 t � S Sig ttire. Stiff Si tore: Supervisor ignature:e: *,*'*L*ave S,ffvs,fAA.., Supervosor Initials for Non�,,,tandard WqdvAmm*.—. Pay Period:115/ 2 0 2 5 (mm/dd/yyyy) p*y ate Fob 16 Fob 17 Fed 18 CLINICAL Sun Mon T Fol� Feb 20 Feb,21 Wed Thu �Feb22 $at Feb23 Feb24 Fcb,25 Sun Mon T-ue .Feb 26 Feb Thu Feb28 -,Fri' Mar -7L fat TOTA —Wed ARPA 9000 OTHER HOURS WORKED Kou 8.00 � __...__ .- _.__ 72,00 80�_ 0 9.00 800 9,OD — JURY DUTY Total WorkW Hrs 8.00 8.00 9.00 7.00 6.00 8.00 8.00 9.00-1 9.001 72.001 1,001 ANNUAL SICK HOLIDAY OTHER (Bereavement. I Military) - -- - ----- FLEXICOMP TAKEN Lwolp i TOTAL HOURS 1 8.00 9.001 11001 1 6.00 8.00 1.- - -1 9.001 9.00 60A0 Total Worked I-irs LV taken 2 MI OP ENTER%&. LEAVE PAYROLL SPREADS T ion Ira annina sickno snt holne milp ayl oc bervne civil sa"o 80.00 0.00 0.00 i 72.00 0.00 0.00 8.00 0.00 40.E 40.00 0.00 40,00 LWOP '*PAYRML PURPOSES - 00 NOT WRITE IN THIS SECTION "' Renew -March 2025 TS Netwofk & Security Services System Administration Services General, Helpdesk & ASSet Management System Administration Services Accounting Apptication- GP Software as a Service $ 1.186.19 $ 822.45 $ 14,548.80 $ 1,265.62 $ 663,84 $ 6,146.77 VOIP-PHONE 4,258.32 $ 24,63167 $ 28,891i99 ACCOUNT 4152 $0.00 129 $ 190,96 108.150.W0000.564.12.4152 564 109 20,766,75 108.150.00.0000,566.00.4152 566 .11 2,100,55, MHBG- 8053 2 381.92 Recovery Coach -Crisis - 8079 2 381-92 CV-2 DCR- Rick G. - 7609.564.41 1 190.96/ ARPA SUICIDE PREV BETHANY- 9000 1 190-96 ARPA-PsyctiolLanny A. 9000,564,41 1 190'. Housing- 50%- CBRA 8078 0.25 47.74 Prevention - MIL SUPTRS 9097 1 lm% Prevention- City of Quincy 9064 1 190.96 Edne tics V01P Services (Phones) 193.00 4,258.32 ACCOUNT 22-06 4200 MHBG 169.00 564 3,728-79 SUD 11 566 242.70f. MHBG 2 8053 44,13 recovery coach 2 8079 44.13./ CV-2 DCR- Rick G. - 1 7609-41 22.06/ ARPA SUICIDE PREY -Betha 1 9000 22.06 ARPA-Psychol- Lanny A. 1 9000,564.41 22.06 Moses Lake 1 90,97 22.06 4,148,00 $ 4,148.00 DCL- 3 8003 66,19 1 8002 22,06 1 8001 22,06 110-32 24 $ 4,258.32 $ 4,258.32 20-25 24,633.67 $ 28,891.99 $28,891,99 $0.00 Renew without DCL- March 2025 (2o2'Estj OtedSuppo.,rr(Cover ge) Renew—Usem. 129 726 17.793103% Renew SERVERS.. -7 125 5.6000000% Renew,NETWORK.DE'IC ES.* 771 7.5226978% Renew OP.Wers; 76 6.41025,64% IftnewSmers; 7 1251 545000000%] NeW&O.rk &--,.Sv<:udtY SmIces HIVyear Hourly Rate 'Total Yearly Quarterly Mont ly John Martin $, 90.97+$-189,217x60 $ 14,234�27 $ 3,558-57 1,186.19 S 14.23427 qe,% Hourly Rate lotal Quarterty monthly Keith Conley 84.73 176,23.5.40 Is 9,869.35 S 2,46-T34 $ 822.45 $ 9,869.35 $ 2,46734 822.45 Phone Services rumm Rate Total yearty Quarterty Monthly Ednetics VOIP Se ices (Phones) 193.00I 22,06383 $4,258.32 $51,099,84 $12,774.96 $ 4,,258.321 General,HeWesk.4 AsseManalement H.Ls/yeaf Hourly Rate Total YearlyQuarterty MOMMY Vanessa Brown 2080-00 $ 56,23 $ 116,958+40 $ 20,810,53 $ 5,202.63 $ 1,734.21 Ricky Gutierrez 2080-00 $ 76.81 $ 11-59,764,80 $ 28,42. 12 $ 7,1M78 $ 2,368-93 Jeremy Hatt 2080.00 $ 657,79 W't -141,003,20 $ 25,088.85 $ 6,272.21 $ 2,09034 Evan LiMe 2080.00 $ 7T94 $ 162,115,20 $ 28,845.33 $ 7,211.33 $ 2,403.78 Seth Sampson 2080M $ 69.25 $ 1-44,040-00 $ 25,629.19 $ 6,407-30 $ 2,135,77 ALexSukhovetskjy 2080.0%11 $ 66-73_ $ 138,798.40 2A.,696.54 $ 6,174.14 2,058.05 Luke I-ankhaar 2080.00 56, 8 1 S -118,518,40, $ 21,088,10 $ 5,27Z03 $ 1,757.34 4585 Systems Administration Services Tatat Cost Years TotNr Yearty Quarterly Monthly TeamViewer (Year I of 3 Year Contract) $ 34,773.61 3-00 1-1.5-91,20 $ 649.11 $ 162,28 $ 54M Ednetics/SMARTnet Maintenance $ 22,000.00 IM $ 22,000,00 S 1,232.00 $ 3MOO $ 102.67 Netapp Storage Hardware Service $ 33,15&00 1,0() $ 33,158,00 $ 1.856.85 $ 464.21 $ i 5434 Ednetics One $ 24,978.38 100 $ 24,97838 9 1,398,79 $ 349.70 $ 116,57 Rubrik (Reptaced Veeam) $ 538,428.91 3.00 $ 170,476.30 $ 10,050.67 $ 2,51,U2.67 $ 837+5 6 $ 15,187.42 1 $ 31796,85 $ 1,26562 Accounting, Appticaficn Totat Cost Years Tot/Yr Yearly Quarterty Month[y .DynamicsGP $ 124,270-00 1,001 S 124,270.00 $ 7,966M $ 1,991.51. $ 66164 $ 1 j991.51 S 663.84 Users User Cost yearlyQt�artert Mbnthly Exchanae Ontine Plan IG 5,017,19 5.00 $ 41+8 1 209.05 $ 52.26 S 17.42 Office 365 G3 $ 169,819.44 123,00 $ 1180.03 34,443#69 8,610.92 $ 2,870-31. Azure Active Directory Premium Nan I $ 45,205,40 151.00 62.79 $ 9,481.29 2,370,32 $ 790,11 Adobe Acrobat Pro S 18,328.21 28-00 113.14 $ 3,167-92 $ 791.98 $ 263.99, Adobe Mustrator $ 1,785.39 1.00 446-15 $ 41 4 6.35 $ 111a59 $ 37.20 Adobe Creative Mud Alt Apps S 14,930.93 2M $ 933.18 $ 1,866+36 $ 4665.59 $ 155.53 Barracuda Email Archaivetand Anti -Spam $ 38,33133 150M $ 159+72 $ 23,958.00 1,996.50 Blue Beam $ 1.00 S 188.62, 1.88,62 $ 4T16 $ 1572 Laserfiche DMS Maintanance Coax $S 3,70145 35.00 $ 105�81 is 3,703.45 $ 925,86 $ 308-62 1$ 7317-61.28 18,44032 6.,146,Hj REV Ver 86,67, �5 .96 !:�- :, 'Jai r 'In'' ias F RSTNET. -4 Built with AT&T ... Wireless continued Page: 4 of 249 Issue Date* Mar 19, 2025 Account Number: 287333762696 Foundation Account: 62317818 Invoice: 287333762696XO3272025 Activity Monthly charges Company Government since fees & fees Number User page last bill Plan Equipment surcharges & taxes Total 509.770.5000 MADISON GONZALEZ 163 - $32.22 $2.78 $4.42 $1.90 ------------- - - $41.32 509.77U442 MELODY DAVIS 165 - .$32.22 $2.78 $4.42 $1.90 $41,32 509.770.5458 ROBERT WEST 167 - $32.22 $2.78 $4,42 $1.90 $41.32 509.770.5675 WISE ENGLISH 169 - $32.22 .$2.78 $4.42 $1.90 $41.32 5093715969 ME AN CLOYD 171 - $32.22 $2.78 $4.42 $1.90 $41.32 509.77U546 JUAN PADILLA 173 - $312.2 $2.78 $4A2 $1.90 $41.32 509370.9154 TANNER LONG 175 - $32.22 $2.78 $4,42 $1,90 $41,32 5,09.771,4324 B�THANY E$CAMILLA 177 - $32*22 $2,78 $4,42 $1.190 $4 1.3 000� 509371.5032 THOMAS MITCHELL 179 - $32.22 $2.78 $4.42 $1.90 $41.32 50U71.5037 VERONICA GONZALEZ 181 - $32.22 $2.78 K42 $1.90 $41.32 509.771.5038 ELEISER PANDO 183 - $32-22 $2.78 $4.42 $1 .90 $41.32 509,771,5043 KIMBERLY BAILEY 185 - $3222 $2.78 $4,42 $1.90 $4132 509.771.5055 SARAH NELSON 187 - $32.22 $2.78 $4.42 $1.90 $41.32 509.771,5062 A,RLENE BELTRAN 189 - $3222 $2.78 $4,42 $1.90 $41-32 509.771.5207 TA RYA NUNEZ 191 - $35.00 $22.23 $4.42 $1.90 $63.55 509J71.5334 CINTHIA LLAMAS 193 - $32.22 $2.78 $4.42 $1.90 $41.32 509.771.5530 SONIA FERNANDEZ 195 - $32.22 $2.18 $4.42 $1 �90 $41,32 7001 VELMA DE LA ROSA 197 - $32.22 $2.78 $4.42 $1,90 $41.32 509.771 ,7105 INDELISA SALINAS 199 w $32.22 $2.78 $4.42 $1.90 $41.32 509.771.7263 LISA STOBER 201 $32.22 $2.78 $4A2 $1 .90 $41.32 509.771.7374 VISA HAMILTON 203 $32.22 $2.78 $4A2 $1.90 $41,32 509.771.7633 JASON AVILA 205 $32.22 $2.78 $4.42 $1,90 $41.32 509.771.7634 MEGAN WATSON 207 - $3222 $2.78 $4.42 $1,90 $41.32 509,7 71 X7661 SCOTT DERTING 209 - $32.22 $2.78 $4.42 $1.90 $4.1.32 509.7910005 JAMIE MULL NIX 211 - $32.22 $2.78 $4,42 $1.90 $41.32 509.793.0016 KILAH KING 213 - $32.22 $2.78 $4.42 $1.90 $4132 509.793.0640 RYAN HARDY 215 - $32.22 $2.78 $4.42 $1.90 $41.32 509.793,5794 JASMINE ARROYO 217 - $44-99 - $4.56 $1.96 $51.51 509.7916001 ANGELA CLAY 219 - $44.99 $4.56 $1.96 $51.51 50q,.793.8959 ZULEMA GUTIERREZ-CO... 221 - $44.99 - $4.56 $1,96 $51.51 5 9,79 .524 CRYSTAL CCUZ 223 $32.22 $2,78 $4A2 $1.90 $41.32 509.855.0347 TINA STEINMETZ 225 $35.00 $2.78 $4.42 $1.90 $44.10 509.855.03-50 JENNICA ROCHA 227 $35.00 $2.78 $4,42 $1 r90 $4410 509�855.0355 BROOKE DE LIBBER 229 $35.00 $218 $4.42 $1.90 $44,10 509.855,0383 ZACHERY NYGREN 231 $44.99 - $4.56 $1.96 $51.51 509.855,1236 CECILLIA GODINEZ 233 $44.99 $4.56 $1-96 $51.51 509.855.3215 ARASELI VERDUZCO 235 - $44.99 $4.56 $1.96 $51.51 509-855.3276 MALEENA LOPEZ 237 - $44.99 $4,56 $1.96 $51 X51 509.855,3281 IZABELLA VALDEZ 239 - $44.99 $4.56 $1,96 $51.51 509,989.1048 FERNANDO GALARZA 241 - $36.80 $3.24 - $40.04 509.989.3150 SAMUEL SCHEELKE 243 - $44.99 $4.56 $1.96 $51.51 Wireless continues... American Rescue Plan (Cares Act — ARPA) Today's Date: 2/5/25 Vendor. The Bookery Vender: 0 Received Supervisor Approval El Scanned supporting documents 1:1 File into binder 0 Item(s) received Rece*t Date: 2/5/25 Detailed Des M* tion: Meals for AAS25 Lunch Meetinq.- Attendees: Beth"n . Escamilla P I Corms Guerrero, & Maria Hallatt 0 `Charge to Ajq'Month. 0 July 2024 El January 2025 F August 2O24 ;2 February 2025 El September 2024 El March 2025 0 October 2024 0 April 2025 El November 2024 0 May 2095 n Deceinber 2024 0 June 2025 Deliverables: U General Taskforce supplies 0 Goal i.-. MH Literacy & BH Promotion 0 Goal 2: POAVentiOn 11 Goal 3: Perception attitudes 0 Staff Travel / Professional Development Requested by-, _ G`�I.tt�r�l E'`�.a�C„Gi2. Form of Payment L' VISA 5.300 0 Invoice (paid) El Invoice (needs paid) 0 Other: Charge Accoimt: 0 ARPA (g000) El Other: $ 44.12 Date: 2/5/25 Supervisor Signature, Date: Prevention Requisition Form Revised 07.2024 � Food 01%30t 09havIoNI neOM 0 wallness The Rookery I Basin St NW February 5,, 2025 Ephrata, WA 12J5 PM 98823 (509) 754-5321 Ticket: Bethany Receipt: LVS1 Authorization: 005534 VISA CREDIT AID AO 00 00 00 03 1010 FOR HERE Coke Zero $2.50 Soup $8.50 Bowl Stephen Hawking $13.00 White, Tim' s original chips, Cheddar, Ham No n7ustardO49764.00 Buddha $14.00 Bud SaladJim's Jalaper . 0 chilps Sprite $2.75 Subtotal $40-75 Tax included in sale price (0%) $0,00 Grant County (8.2.6%) $3,37 Total $44.12 Visa 5300 (Contactless) $44.12 Returns are ac(-.eptedfor 30 days after date of Purchaset Iterns must be unopened and must have ra(,-.1ept r new lavont Behavioral Health 6 Wollness . Bethany Escamilla Name. Dates 1/22/2025 Item(s) Requested (include a photo if you need a specific item): (3) Lunch for working lunch meeting w/AAS25 attendees a Approximate Cost, $45 Funding Source, if known: jjj$j VA IMIS4 , Vg Reason for Request: Postvention liq 2/5/2025 PM Please have your supervisor sign the form and then submit it to finance, SIGN IN SHEET Date: 2-5-25 Event: AAS25 Lunch Meeting The Bookery, Ephrata Locations. 'Na'me ara'i'V P c N mk f, bmescamilla@granteountywa.gov N/A 2) !Maria Hallaft Maria Hallatt(Feb 6,2025 12:55 PS-0 mhallatt@grantcountywa.gov N/A 3) Conne Gugrero... Qinne Guerrero (Feb 5, 2025 15:17 PST) cfguerrero@grantcountywa.gov N/A 4) 6) 7) 8) 9) 10) Lunch Sign In Sheet 2.5.25 Final Audit Report 2025-02-06 Created: 2025-02-05 By: Bethany Escamilla (bmescamilla@grantcountywa.gov) Status: Signed Transaction 10: CBJCHBCAABAAjA1-m40BOxDuLCPUut1 a4rFa,._yC4qs1 Q "Lunch Sign In Sheet 2.5.25" History Document created by Bethany Escamilla (bmescamilla@grantcountywa.gov) 2025-02-05 - 11:02:05 PM GMT Pe",44 Document entailed to Maria Hallatt (mhallatt@grantcountywa.gov) for signature 2025-02-05 - 11:02:09 PM GMT E-4 Document emailed to Conroe Guerrero (cfguerrero@grantcountywa.gov) for signature 2025-02-05 - 11:02:09 PM GMT In Email viewed by Conne Guerrero (cfguerrero@grantcoLintywa.gov) 2025-02-05 - 11:17:23 PM GMT Document e-signed by Conne Guerrero (cfguerrero@grantcountywa,gov) Signature Date: 2025-02-05 - 11:17:43 PM GMT - Time Source: server Email viewed by Maria Hallatt (mhallatt@grantcountywa.gov) 2025-02-06 - 7:42:30 PM GMT Document e-signed by Maria Hallatt (mhallatt@grantcountywa.gov) Signature Date: 2025-02-06 - 8:56:08 PM GMT - Time Source: server Agreement completed. 2025-02-06 - 8:56:08 PM GMT a Adobe Acrobat Sign Group SkillPath Courses Ck Search Courses USA sign in SkiflPath LZ Training Unlimited Thanks for your r erl You will receive an email confirmation shortly. Be sure to print this page for your records. Order ID'P, 600022756 Personal Information Bethany Escamilla briiescamilla@grantcountywa.gov Billing Information Grant County PO Box 37 Ephrata, WA 98823 Ph,one:5097659239 Approving Supervisor Dayana Ruiz druiz@grantcountywa.gov Payment Information Credit Card GRIS PREVENTION GRANT COUNTY Virtual Seminar The Project Leadership Accelerated Certificate Program Mar 17 - 190 2025,9 11:00 AM - 2:00 PM Pacific Bethany Escamilla -S-699 s629 Order Summary Subtotal $699.00 Shipping and administrative fees $0.00 Tax Discount Total REE Q E I V E D FEB 1 1 2025 0 r new RENEW Gronb Flandvlordl Health B. wellness Must attach training information including agenda, start and end times and meal. information. #+++ Forms missing any of the required 'Information will be returned for completion. -++.o+ All fields must be filled in completely, 0 1 n -State Training El Out -of -State Training (Must be received 30-days In advance) (Must be received 90-days In advance) Employee Name: Bethany Escamill'a Train in g N a nee'. The Project Leadership Accelerated Certificate Program Dates of training: March 17 - 1.9 Departing Date: NIA DepartlngTiMe: NIA Registration Cost,: $699.00 Hotel: 0 Yes ® No Are there any room Mocks for this training at a specific hotel? Today's Date: 2/11/25 Location: Virtual Returning Date. NIA Returning Ti im e: NIA Transportation: 0 Personal Car 0 Company Car (If requestingto take personat car, direct supervisor signature is required belo* Airfare-, El Yes Flight / alirport preferences? X No 9 Webinar How will this training add value to the organization?. This training will improve my ability to lead the Grant County Suicide Prevention Taskforce by teaching me skills in teambuilding, coaching, persuasian, and conflict resolution - all of which are useful as a coordinator. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY � Estimated Cost: Training Approved: IN Yes 101 No Direct Supervisor Signature: Personal Car Approvat.,9 11 Yes 171 No Direct Supervisor Signature: Executive Staff Approval: z Yes Executive Staff Signature: 9000 - ARPA Funding Source.. Date, 2/11/2025 Date: 00 No Date: a ate: RECEIVED 0*0 0 0 *renew Gran� BehovIoral HeQlVh 6 Wellnen Must attach training information including agenda, start and end times and meat information. Forms missing any of the required Information wit[ be returned for completion. All fields must be fitted in comptetely. 0 In -State Training X Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Bethany Escarnilia Training Name: AA S 25 Annual Conference Dates of training: March 30 - April 41 2025 Departing Date.. MarchX, 2025 %9 DepartlngThe4 N/A Registration Cost: $1,249 DEC 13 2024 RENEW 0 Web'inar Today's Date: 12/13/24 Location: Columbus, OH Returning Data: April 5, 2025 ReturningTimq: NIA Hotel: a Yes DNo Are there any room blocks for this training at a specific hotel? Hilton Columbus Downtown Transportation: DPersonal Car XCompanyCar (if requesting to take personal car, direct supervisor signature is required below) Airfare: 9 Yes El No Flight airport preferences? Spokane, Tri Cities, or Wenatchee. Flight departure no earlier than 8 am if poselble due to travel time. How will this training add value to the organization? By attending this conference I will have the opportunity to learn about recent advancements in in the study of suicidology. I will bring what I learn back to the Grant County Suicide Prevention Taskforce to help in the planning and implementation of suicide prevention goals* TO 13E COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost. Funding Source: 900o � t' - Training Approved: 9 Yes El No Direct Supervisor Signature: a Kmlt�l Personal Car Approval: Direct Supervisor Signature: El Yes 0 No Executive Staff Approval: WYes jw epadlad JuanNadilb (Vvc 1:3. 2024 11M iRSTI Executive Staff Signature: Date: 12/12 Date: j2/13/24 D ate:_.. GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of Te Board by 12:00pm on Thursday) RE -QUESTING DEPARTMENT: Renew DATE: 1/9/25 . REQUEST SUBMITTED BY: Anna Serrano PHONE- (509) 765-9239 ext 5353 CONTACT PERSON ATTENDING ROUNDTABLE. Dell Anderson CONFIDENTIAL INFORMATION: DYES WNO I T N pry !!W 911--lkal- '0113131 W - DAgreement I Contract DAP Vouchers DAPPointment / Reappointment DARPA Related 0 Bids I R.FPs I Quotes Award 0 Bid Opening Scheduled 0 Boards / Committees it Budget OCornputer Related 0 Cou ntq Code 0 Emergency Purchase DEMployee Rel. DFacilities Related DFInancial DFunds, OHearino 0 Invoices I Purchase Orders ©Grants - Fed/State/County OLeases 0MOA I MOU DMInutes 00rdinances R Out of State Travel []Petty Cash 13poricies []Proclamations PRequest for Purchase CIResolution EIRecornmendation DProfessional Serv/Consultant DSuppoft Letter CISUrplus Req, DTax Levies FlThank You's 0 Tax Title Property DVISLCB Ram Out-of-state travel request for Bethany Escamilla, Maria Hal at & Conne Guerrero .AAS25 58th Annual Conference - Columbus, OH, March 29th - April 4th, 2025 Estimated Cost: $4,240.20 each 1 $12,720.60 Total Funding: 108.150.00.9000.566.51.xxxx (ARPA - SAli eide Prevention) If necessary, was this document reviewed by accounting? 13 YES El NO R N/A If necessary, was this document reviewed by legal? 0 YES 0 NO Do N/A DATE OF ACTION:._ j_.] APPROVE: DENIED ABSTAIN DI: D2: D3-. 4P-3124 DEFERRED OR CONTINUED TO: WTHDRAWN: NVA U ^R4?N1I4T COUNTY COMMISSIONERS AGENDA MEETING REQUXE-ST FORM -1 1 (Nlust be submitted tO the Clerk of the Board by -12:00pin on Thursday) RE-EQUE-STING DEPARTMENT: Renew REWEST SUBMITTED BY: Anna Serrano CONTACT PERSON ATTENDING ROUNDTABLE- Dell Anderson CONFIDENTIAL INFORMATION: OYES JRNO DATE: 1/91'25 PHONE- (509) 765-9239 ext. 5353 DAgreement / Contract 13AP Vouchers OAppointment I Reappointment OARPA Related 0 Bids RFPs / Quotas Award 0 Bid Opening Scheduled 013oards I Committees ElBudget OComputer Related 0 County Code DEmergency Purchase DEmploytn- ReL e�z OFacilities Related CIFInancial 017unds Ell-learing []Invoices I Purchase Orders Cl rants — Fed/state/County 0Leases 11NIOA I MOU DMinutes 00rdinances LiR Out of State Travel []Petty Cash opolicies OProclamations 0 Request for Purchase EIResolution DRecorrimendation OProfesslonal Serv/Consultant DSupport Letter []Surplus Req, DTax Levies nThank You's OTax. Title Property OWSLCE3 Out-of-state travel request for Bethany Escamilla, sari a Hat'.1att & Conne Guerrero AAS25 58th Annual Conference - Columbust OH, March 29th - April 4th, 2025 estimated stimated Cost: $4, 40. each / $12,720.60 Total Funding- 108.150.00.9000.566.51.xxxx (ARPA - Suicide Prevention) If necessary, was this &CLlment reviewed by accounting? 11 YES El NO 9 N/A If necessary, was this document reviewed by legal? El YES (7-1 NO W N /A DATE OF ACTION: DLEFERRED OR CONTINUED TO- W T H D PWAIN: APPROVE: DENIED ABS TAIN 6:5 D2: A U` 4/23/24 OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Travel Type* Maria Hallatt Case Manager EI/91:2025 Out of State Travel Departure D a*te* Return Date* Grant* Fund/Dept* =3/2912CO)25 [4/4/2025 Yes, ARPA 05:00 AM I =1:4 5 PM Destination (City., County., State)* Purpose of Travel* Columbus, Franklin, OH Anierican Association of Suicidology 68th Annual Cc nference Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required $131.00 $234,00 Conference Rate No le 4* 1 Hotel Total* Conference Fee* Daily M&IE at Rental Car Cost per ........... A-A-wy . I $1,649.70 $1,249.00 Destination* day* --- -------- - - ------------------ --- $80.00 $0.00 Explanation for Rate (required if hotel cost is greater than per diem, or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* United $767 $4�240.20 /d X# I Preparer's Name* Preapproved by EO/DH?* Yes LIU Preparer"s Title* Accounting Technician Use of travel card to fill a rental vehicle gas tank prior to its return is recommended. r-4 RECEIVED JAN 2 2025 ....... ....... ....... rel lew W Grant Behavioral Heolth 9 Wellnen Must attach training information including agenda, start and end times and teal information. Forms missing any of the required information wilt be returned for completion. ♦ All fields must befitted incomptotety. D In -State Training but-of-StateTraining Cl Webinar (Must be received 30-days in advance) (Must be received 90-days in advance) EmpLoyee Name: _AA e� ri Today's Date:— i t Training Name: LA t a Location: C-66PK�Ctg 11 6 Dates of training:_, Mnnz 6--__ --- -Y Departing Date* --&I\ Returning Date. DepartingTime: ReturningTime,0 Registration Cost: Hotel-, 0 - " Y-�e s 0 No Are there any room bLocks for this training at a specific hotel? Transportation: ElPersona[ Car odcompanyCar (if requesting to take personal car, direct supervisor signature is required Wow) Airfare. 2yes 0 No Flight/ airport preferences? How wilt this training add value to the organization? r-n la f[ 11Y./l/L Ut cam 'T -L - I ,*I TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Training Approved-, es El No Direct Supervisor Signature: Personal. Car Approval: 11 Yes 0 No Direct Supervisor Signature: N Executive Staff Approval: el 'Ye Is 0 No Executive Staff Signature: Funding Source: LION)-* A _PVTft Date.. `: Z L. [4 ;a)- 4. Dateq Dated D- I a_6a!� GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM qViust be submitted to the Clerk of the Board by 12.00pm on Thursday) REQUESTING DEPARTMENT: Renew DATE: 1/9/25 REEST SUBMITTED y. Anna Serrano (509) 7065-9239 ext. 5353 QUB . PHONE: CONTACT PERSON ATTENDING ROUNDTABLE- Dell Anderson CONFIDENTIAL INFORMATION., OYES igNO OAgreernent I Contract DAP Vouchers CIA . ppointment / Reappointment E. Related 0 Bids I RFPs I Quotes Award Mid Opening Scheduled 0 Boards / Committees DBudget OCornputer Related ElCounty Code OErnergency Purchase OEmployee Ref. DFacilities Related [IFInancial OFunds ClHearing 0 Invoices / Purchase Orders OGrants — Fed/State/County OLeases EDA0A / WU DMinutes 00rdinances @Out of State Travel OPetty Cash OPolicies OProclamations ORequest for Purchase OResolufion ORScornmendation CIProfessional Serv/Consultant OSuppoft Letter C]Surplus Req. DTax Levies 0Thank You's OTax Title Property DINSLOB _Pmll Out-of-state travel request for Bethany Escamilla, Maria Hallatt & Conn Guerrero AA 58th Annual Conference --Columbus, OH, March 29th - April 4th, 2025 Estimated Cost: $4,240.20 each / $12,720.60 Total Funding: 108.150.00.9000.566.51.xxxx (ARPA - Suicide Prevention) If necessary, was this document revie-wed by accounting? 0 YES F1 NO R N/A If necessary, was this document reviewed by legal? [I YES 11 NO 5R NIA DATE OFACTION: DEFERRED OR GONTINUED TO: WITHDRAWN APPROVE: DENIED ABSTAIN DI: D2: D3: 4/23124 OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Cornmilttee* Date of Request* Travel Type* -Conne Guerro Therapy 11/9/2025 Out of State Travel Departure Date* Return Date* Grant* Fund/Dept* 3/29/2025 4/4/2025 Yes ARPA j 06:00 AM 11:45 PM Destination (City,, Countylr State)* Purpose of Travel* Columbus, Franklin, OH Anterican Association of Suicidology 58th Annual Conference Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required $131.00 .$234,00 Conference Rate No Hotel Total* Conference Fee* Daily MME at Rental Car Cost per - -------- - - $1,649.70 $11249.00 Destination* day* $80.00 $0.00 Explanation for Rate (required if hotel cost is greater than per diem, or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* United $767 $4,240.20 1 /01 PreparGr's Name* Preapproved by EO/DH?* Yes V Preparer's Title* Accounting Technician Use of travel card to fill a rental vehicle gas tank prior to its return is recommended. RECEIVED OEC 3 0 2024 Gig e renew 0 RENEW OPant Behavioral Health 0 Wollneos e4t Must attach training information 'Including agenda, start and end times and meat information. Forms missing any of the required information will be returned for compLetion. All fields must be filled incompletely, El In -State Training 9 Out -of -State Training I] Webinar (Must be received 30-days in advance) (Must be receNed 90-days in advance) Employee Name: Conne'u-1-urim cn"efrefo Today' Date: 12/18124 AA Annual Conference -0 Training Name; Location, Dates of training: March 30- April 4, 2025 Departing Date: March 29,2025 Returning D@te.0 April 4th, 2025 DepartlingTimel., Returning Time: Registration Cost: 1124 Hotel: ® Yes F1 No Are there any room blocks for this training at a specific hotelo? Hilton Columbus Downtown Transportation: OPersonaLGar ACompanyCar (If requestingto take personal car, direct supervisor signature is required below) Al rfa re: IN Yes 0 No Flight / airport preferences? Now gill this training add value to the organization? Assist Outreach team and supporting in suicide prevention work in the branch locations. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY � Estimated Cost: Training Approved: 1. Ye 8 0 No Direct Supervisor Signature: Personal Car Approval: El Yes 0 No Direct Supervisor Signature: Executive Staff Approval: 8 o 0 N Executive Staff Signature: Funding Source: -A-OW V� Date: Date: D ate:-- ( 2'... V� Z Travel Guard' Your Policy Below is important information regarding your travel insurance plan for your upcoming trip, Please click the Policy of Insurance link below for the complete policy wording for the plan you. purchased. If you have any questions, please b contact our World Service Center at 1-877-934-8308. A Travel Guard service representative is available 24 hours a day, 7 days a week to assist you. Thank you for your trust in Travel Guard. Have a safe and enjoyable trip! Travel Guard Policy #983167650 Domestic Air Ticket Plan 009522 WA21 5/2024 Coverage Effective Date: 02/05/2025 Total Cost: $175.53 Trip Details Departure Date Return Date Trip Deposit Date Trip Cost Contact Information BETHANY AVEY PO Box 37 Ephrata, WA 98823 03/29/2025 04/05/2025 02/05/2025 $2)604.48 abserrano@grantcountywa.gov Insured on Policy Traveler BETHANY AVEY Coverages and Benefit Limits STANDARD PACKAGES TRIP CANCELLATION TRIP INTERRUPTION SINGLE OCCUPANCY TRIP DELAY MISSED CONNECTION BAGGAGE COVERAGE BAGGAGE DELAY NON -FLIGHT ACCIDENTAL DEATH & DISMEMBERMENT TRAVEL INCONVENIENCE - RUNWAY DELAY TRAVEL INCONVENIENCE - FLIGHT DIVERSION TRAVEL INCONVENIENCE -TRIP DELAY TRAVEL MEDICAL ASSISTANCE WORLDWIDE TRAVEL ASSISTANCE OPTIONAL PACKAGES 100% Per Insured 125% Per Insured 100% Per Insured $600 Per Insured $200 Payout Limit Per Day $500 Per Insured $500 Per Insured $300 Per Insured $ 100 Payou-11- Limit Per Day $25,000 Per Insured $200 Per Insured $200 Per Insured $200 Per Insured Included Per insured Included Per Insured Trip Cost $868.16 PRE-EXISTING CONDITION WAIVER Included Per Insured Traveler CONNE GUERRERO Trip Cost $868.16 Traveler MARIA HALLATT Trip Cost $868.16 "Coverage varies by state. Please refer to your Policy of Insurance for complete d eta is. If N a m e Yo u r Fa m 1 IyO Cove rage was purchased, please email name to Farm yCc�verage@ 1 Jg.com." Travel Insurance ID Cards Please cut out along the dotted lines and carry this identification card with you at all times while you are on your trip: r =I" All mcs " M AUM W2 M M M = W 4= M " M 4W MV MM NfK M MR" =Vm M M C04 AIGTravel GuardO Identification Cardri Travel GuardO Assistance 24 Hour Emergency Network USA -Toll Free: 800.826,1300 international - Call: +1.715.345.0505 I D #: 983167650 i Product #: 009522 WA21 5/2024 BETHANY AVEY PO Box 37 Ephrata, WA 98823 No mom M %Mw win mmm S910 00 0aMffi1VWjM M 0 ota 441410M k4wom%mal M AIG Travel GuardO Identification Card Travel GuardO Assistance 24 Hour Emergency Network USA -ToH Free: 800,826.1300 International- Call-, +1.715,345.0505 ID #: 983167650 Product #-., 009522 WA21 5/2024 CONNE GUERRERO PO Box 37 Ephrata., WA 98823 L Al rWe W'% 10-4 744 Boa dfaa giA MRV MF � W" M4 e Wo � x4 r- W-'1 JAW Iftn -Kf4 IM " Ats . u Z" =-p m1m pAx =W per AIG Travel Guard" identification Card Travel GuardO Assistance 24 Hour Emergency Network 1 USA - To U Free.- 800.82 6.13 00 International - Call; +1.715.345,0505 I D #: 983167650 i Product#: 009522 WA21 5/2024 MARIA HALLATT PO Box 37 i Ephrata, WA 98823 be ka AW NW4 OM F&D Kra OLU Ufa WW W-P9 4M Wo W4 hm VPA 00 VW 100 W* ON Fm R" ME M *0 ON 4nb U's ZM wS W* rft t." Wx mw *A GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM �Aust be submitted to the Clark of the ward by i2:00pm onThursday) REQUESTING DEPARTMENT: MENT: den a DATE: f 9/ REQUEST UBMITT D By: Anna Serrano PI+#ONE,(609) 765-9239 ext. ts353 . CONTACT PERSON ATTENDING ROUNDTABLE; Dell Anderson son ONF(DENTIAL INFORMATION., COY $ WN0 QA,greement I Coiitract DAP Veuohera OAppolntment t Reappointment EIARPA Related Q Bids I RFPs I Quotes Award 11151d Opening 60heduied 0I3oards I Committees 013udget E70omputer Related 0county code DEmergenoy Purohase 13EMp1eyee Rel. DPecillties Related EVInancial OFunds OHearing Cllinvolees / Purchase Orders 0Grants — Fed/State/County 0Leases 11MOA I Mou [Winutes M Ordinances SOut of State Travel 11 Petty Cash Elpolioies M Proolwations ,EI Request for Purchase El Resolution ORecommendation C lProfessjon;al erv/Consultant lippnrt Letter OSurptus Req. DTax Levi ]Thank You s dTax Title property 1IWSLCB Out-of-state navel request for Bethany Escamilla, Mari. Halloo & Conne uer ----,, ro AAS25 68th Annual Conference - Columbus, 01i, March 29th - April 4th, 20 Estimated Cost: $4,240.20 each 1$12,720.60 Total Funding: 10 .10.00-9000, . 1. xxx (ARPA - Suicide Pneventionl If Necessary, was this document reviewed by accounting? EJ YES 13 NO 19 /A If necessary, was this document reviewed by lager` 0 YES 0 NO 9 N/A DATE OF ACTION: . I :Q I D2: DEFERRED OR CONTINUED Tc�; � 1 a 4/23124 J AN t€ 202-11� .c OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Travel Type* Bethany Escamilla 'Suicide Prevention 11912025 Out of State Travel le Departure Date* Return Date* Grant* Fund/Dept* 3,129/2026, 4/4/2025 Yes ARPA- 05:00 AM 11:45 PM lee - Destination (City, County, State)* Purpose of Travel* Columbus, Frankl1n, OH American Association of Suicidoiogy 58th AnnLial Conference Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required $131.00 $234,00 Conference Rate No Hotel Total* Cofference Fee* Daily MME at Rental Car Cost per ....... - Destination* day* $1,649.70 :$11249.00 $80,00 $0.00 -lei Explanation for Rate (required 'if hotel c6stis greater than per diem, or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* United $767 $4,240.20 Preparer's Name* Preapproved by EO/DH 74* Yes i n- Preparer's Title* Accounting Technician Use of travel card to fill a rental vehicle gas tank prior to its return is recommended. 1 RECEIVED 0 9 ren w to Oront Behavlorai Hed-h a Wellnessi Must attach training information including agenda, start and end times and meet information. Forms missing any of the required information will be returned for comptation. ALL fields must be filled in completely. pEC 13 2024 RENEW El In -State Training 11 Out -of -State Traiping 1:1 Webinar (Must be received 30-days In advance) (Must be received 90-days in advance) Employee Name: Bethany Escamilla Today's Date: 12/13/24 Training Name; AA S 25 Annual Conference Location: Columbus, 011 Dates of training: March 30 - April 4, 2025 Departing Date; March V,2025 Returning Date: April 5, 2025 DepartingTime: N/A ReturningTime: N/A ... Registration Cost: $1,249 Hotel: a Yes 11 No Are there any room blocks for this training at a specific, hotel? r1ilton Columbus Downtown Transportation: 0 Personat Car X Company Car (if requesting to take persona[ car, direct supervisor signature is required Wow) Airfare: 9 Yes D No Flight / airport preferences? Spokane, Tr! Cities, arWenatchee. Flight departure no easier than 8 am if possible due to travel time, HowwiRthis training add value to the organization? By attending this conference I will have the opportunity to learn about recent advancements in in the study of suicidology. I will bring what I learn back to the Grant County Suicide Prevention Taskforce to help in the planning and implementation of suicide prevention goals. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost4, Training Approved: El No Direct Supervisor Signature: Personal Car Approval: Direct Supervisor Signature: 0 Yes O N o Executive Staff Approval: 0 Yes UNo Executive Staff Signature: Funding Source: 90ad — 4AVFpr 014 .10 Date-.-- 14, 14 Date: Date�2/13/24 GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (dust be submitted to th,C(ad( cat We Beard by 12:00pm are Thursday) REQUESTING D PARTMENT# Renew 1/9125 DA TE: . Anna Serrano , 609) 765-9239 axt. 5353 REQUEST SUBMITTED BY. PHONE. CONTACT PER ON ATTENDING ROUNDTABLE, Dell Anderson CONFIDENTIAL INFORMATION: 0YES WN0 Wu ......... ........ .... ..... ...... ... .... Emu= DAg reement I Contract DAP Voucher's ElAppo(o ent / Reappointment CIARPA Related DBlda I RFPs 1 Quotes Award 11BId Opening Scheduled 130oards / Ccmm[fees USudget 00ornputer Related OCounty Code L Emergency Purchase DEmployee Ref, OFacill tles Related ElFinanclal CJFunds IlHearino El Invoices I Purchase Orders E ]Gmnts — Fedl tate/County EXeases 0MOA I mou [INItnutes ❑ordinances 190ut of State Travel OPettY Cash oPolicies ElProoiamatiens EIRequest for Purchase [ IReoluflon ORecommendation 0Profassional am/consultant Q upport Letter 0 urplus Req, []Tax Lavies DThank You's LITa € Title Property 13LGR a Oust -of -state travel request for Bethany al ills, Maria Hail tt & Gonna Guerrero AAS25 58th Annual Conference - Columbus, OH, March th -. April 4th, 2025 Estimated Cost: $4,240.20 each 1 $12,720.60 Total Funding: 1 8.150.00.9000,666,,E1.x xx (ARPA - Suicide Prevention) If necessary, was this document reviewed by accounting? 13 YE8 El NO W NIA If necessary.. was this document reviewed by legal' 11 YES El NO W NIA DATE OF ACTION -, . - I . . L.... APPROVE,- I)� AI38TAIN 131: D& DEFERRED OR ONTi t)ED WITHDRAWN: 1 PFe11 iY� �111 i �'} �1L i.i 7A' I 4 3/24 77 OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Comrnittee* Date of Request* Travel Type* Maria Hallatt Case Manager 11/912025 Out of State Travel le Departure Date* Return Date* Grant* 'Fundffiept* �. . ................. E3/2912025 4/412025 Yes ARPA 05:00 AM 11:45 PM Destination (City, County, State)* Purpose of Travel* Columbus, rare [in: 011 American Association of Suicidology 58th Annual Conference 44 Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required $131.00 $234.00 Conference Rate No Hotel Total* Conference Fee* Daily MW at Rental Car Cost per $ 1,649-70 1,249,Destination* day* $00 $80.00 $6.00 �xplanation for Rate (required if hotel cost Is greater than per diem, or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* 'United $4,240.20 PrGparer's Name* Preapproved by EOIDH7* Yes V Preparer's Title* Accounting Technician Use of travel card to fill a rental vehicle gas tank prior to its return is recommended. 'RECEIVED J 2025 r n w RENEW Grant Behavlorol HeAh 8 Wellness Must attach training information including agenda, start and end times and meal information. Forms missing any of the required information will be returned for completion. AU fields must be fitted in comptetety. El In -State Training -ff'64ut- of- State Training El Webinar (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: C4 ri, CL Today's Date: 0 2— Training Name: tA i Location: C61QM�Qs 0 k i 6 Dates of training; m6a."k -30 DBpartlng Date:, Returning Date: Departing Time: ReturningTime: Registration Cost: Hotel: "Y S 0 No Are there any room blocks forthistraining at a specific hotel? Transportation: El Personal Car ecornpany Car (If requesting to take personal car, direct supervisor signature is required below) Airfare: i e S 0 No Flight/ airport preferences? Howwillthls training add value to the organization? am _ 6 _(_ ('16- W, 7b bir— el 1,t r r t Ir AW, -Ak TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Copt: Funding Source: �i+C �. Tra ining Approved: 9<08 0 No Direct Supervisor Signature: - --- 5�?� Personal Car Approval: 11 Yes 0 No Direct Supervisor Signature: Executive Staff Approval: Ef Y'e S 0 No Executive Staff Signature: D ate Date: gate: American Rescue Plan (Cares Act — ARPA) Today's Date: 3/25/25 Vendor: United Airlines ❑ Received Supervisor Approval ❑ Scanned supporting documents ❑ File into binder ❑ Item(s) received Receipt Date: 2/4/25 Detailed Description: Roundtrip Flights for Bethany Avey, Conne Guerrero, & Maria Hallatt for AAS25 `Charge to A19' Month: ❑ July 2024 ❑ January 2025 ❑ August 2024 ❑ February 2025 ❑ September 2024 2 March 2025 ❑ October 2024 ❑ April 2025 ❑ November 2024 ❑ May 2025 ❑ December 2024 ❑ June 2025 Deliverables: ❑ General Taskforce supplies ❑ Goal 1: MH Literacy & BH Promotion ❑ Goal 2: Postvention ❑ Goal 3: Perception/attitudes ld Staff Travel / Professional Development Requested by: Supervisor Signature: Form of Payment 2 VISA **** 6886 ❑ Invoice (paid) ❑ Invoice (needs paid) ❑ Other: Charge Account: 12 ARPA (9000) ❑ Other: $ 2,780.01 Date: 3/25/25 Date: 3/26/25 Prevention Requisition Form Revised 07.2024 e Grenew iss Passenger Civil Aviation Security Service Fee: 11.20 U.S.Passenger- Facility Charge: 18.00 T5����e[� ���,��K��� OtBlPerpa Total: 2604o48 USD Fare Rules Additional charges may apply for chancres |naddition toany fare rules listed, NONREF/OVALUAFTDPT Cancel reservations be -fore the scheduled departure time or TICKET HAS NO VALUE. Origin and de-Sti nation for checked I st ba2 2nd bag 1 st bag weight and 2nd bacy weight and Sat, Mar 29, 2025 Spokane, WA, US (GEG) to Columbus, OH, US (CMH -John Fri, Apr 04, 2025 Columbus, OH, US (CMH -John to Spokane, WA, US (GEG) Important Information about M|)eageP!us Earning =Accruals vary based on the terms and conditions of thetrave|et's frequent flyer[��m, frequent flyer status, and th;z selected itinerary. United MUeegePlusrp) mileage accrual is subject -to the rules of the MileeprePlus program. Once travel has started, accruals will no loncreir display. You can always view your MileagePlus account for posted accrual. a You can earn Lip to 75,000 award miles per ticket. The 75,000 award miles cap may be applied to your* posted flight activity in anorder different than shown. Accrual <sonly displayed for MUea�eP|usmembers vvhochoose coaccrue totheir Y�i|ea�ep\us account, eT|cket Rern|nders e Check -in Requirement Bags must bechecked and boarding passes obtainedat|east45minutesphortoschedu|ed depa�ure.Baggage vNUncnbeacce�edand advance seat ass�nmencsmay beosnceUed�th�condiUon|snotme��X���T/�0� VVhendepartina from Anchoraae, Atlanta, Austin, Baltirnore, Chica,;,o Cincinnati, Cleveland, Dallas/Ft. Worth, Denver, Detroit, Fort Lauderdale, Greenville -Spartanburg, Guam, Honolulu, Houston, Indianapolis, Jacksonville, Kona, Las Vegas, Los Angeles Maui, Miami, New York (LGA), Newark, Oranote County (SNA), Orlando, Philadelphia, Phoenix, Pittsburgh, RaleicVDUrham, Reno, San Diego, San Francisco, San Juan, PR(6Ominuces)'Savannah, Seattle, St. Louis, St. Thomas, U.S.Virgin Islands (GOm\nutes), Tampa, Washington, DC (both IAD and DCA), the check in requirement time for Passengers and Baas is 45 minutLes except where not�|. = E3oarding Requirement - Passengers must be pirepared to board at the departure gate with their, boarding pass at least 15 minutes prior toscheduled depauure. = Failure comeetthe Boarding Requirements may result in cancellation of reservations, denied boarding, removal of checked ba��a�e�omthea|rcra�and|ossofe|i�ibi!kyfordeniedboardin�compensac|on. 3 > Fare > Taxes and Fees Trip Insurance (Billed separately byTravel Guard Group, Inc.) Credit card payment-, $2, . isa **6886) Billed by United Credit cardpayment: $175.53 (Visa **6886) Billed by Travel Guard Group, Inc, Bethany Ave E m a *11 abserrano@)grantcountywa.gov Date of Birth, 5/13/1991 0 in Ccanne Guerrero Email* abserrano@grantcountywa.gov Date of Birth: 8/8/1992 Am& Mar*a Hallatt Email: abserr anoCa)grantcountywa.gov Date of Birth: $175.53 Passenger Civil Aviation Security Service Fee: 11~20 U.S.Passenger Facility Charge: 18.00 Total Per Passenger: `�������\��^� ������ l \� \T�l �\���''��`=��'��,^ '����=l ' Total:2604,48 USD Fare Rules Additional charges may apply for changes in addition to any fare rules listed. NONREFx]VALUAFTOPT Cancel rese-rvations before the scheduled departure time or TICKET HAS NO VALUE. qji Origin and destination for checked baggage I st bac; charge 2nd bag charge 1 st bag weight and dimensions 2nd bacy weight and dimensions I Spokane, WA, US (GEG) to COILImbus, OH, US (CMH -John i 1 Fri, Apr 04, 2025 Columbus, OH, US (CMH -John Ib to Spokane, WA, US (GEG) Important Information about n8Ueegel?}us Earning = Accruals vary based on the terms and conditions of the traveler's frequent flyer program, frequent flyer status, and the selected itinerary. United YN|\eegeP|us®RmUeacreaccrual issubject.uzthe rules ofthe W«UeaoreP|usprogram. Once travel has started, accruals will no loncrer display. You can always view your MileagePlus account for posted accrual. � You can earn LIP to 75,000 award miles per ticket. The 75,000 award miles cap may be applied to your posted flight activity in an order different than shown. Accrual is only displayed for MileagePlus members who choose to accrue to their MileacePlus account. eTicket Reminders e Check -in Requirement Bags must be checked and boarding passes obtained atleast 45 minutes prior to scheduled depairture.Ba��a��vNUnocbeaco�uedandadvanoeseatass�nmenusmaybeosncd�d�thiscondidonisnotme�.EXCEpDO0: When depau1n��omAmdhora��Acbnta.Au�|�8a�|mon�[h|ca��Cincinnati, Cleveland, DaUas/FtWorth, Denve�Oecrob Fort Lauderdale, GreenNUe-Speuanbuqg,Guam, Honolulu, Houston, Indianapolis, Jacksonville, Kona, Las Ve�a�LosAn�e|e� K4au|' Miami, New York (LGA), Newark, Orange County (SNA). Orlando, Philadelphia, Phoenix, Pittsburgh, Raleigh/Durham' Reno' San Diego, San Francisco, San Juan, pR(6Om|nutes)'Savannah, Seattle, St. Louis, St. Thomas, U.S.Virgin Islands (GOm|nutes), Tampa, Washington, DC (both IAD and DCA), the check in requirement time for Passengers and Bags is 45 minutes) except where noted. ° Boarding Requirement Passengersmustbepreparedtoboerdacchedeparturegacevvithchekboard}ngpassat|east15 minutes prior toscheduled departure. * Failure tomeetthe Boarding Requirements may result in cancellation of reservations, denied boarding, removal of checked ba��a�e�omdhea|rcna�and|ossofe|i�ibi|)tYfor denied board1n�compensation. 3 GRANTCOUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (P1ust be submitted to the Clerk of the Board by 9 :00pm on Thursday) REQUESTING DEPARTMENT: Renew DATE: 1/9126 REQUEST ITT � I : A.nn . errand PHONE. 609) 765.9239 exto 5353 CONTACT PERSON ATTENDING ROUNDTABLE: Dell Anderson CONFIDENTIAL INFORMATION: EIYES JRNO OAgreement 1 Contract 1JAP Voucher OAppolntment ! Reappclntment CIARPA Related [1BIds 1 R.FPs I Quotes Award E.1RId Opening Scheduled ElRoards I CommlRees DRudget OCemputer Related 0County code DEmergeney Purchase 0"Emplayee • ei. ElFaellitles Related [Yinanclal ElFunds OHearing Ulnvnlees f Purchase Orders Drants — Fed/ fiata/Co rnty ClLeases 13OA 1 mou I]Wnutes El Ord Inances Rout of State Travel Q Petty 081511 opallaies OProeiamations Ll Request for Purchase . QResolutlon ElRecommendatien ElProfessional ServiConsultant [i uppaa Letter 0Surplus Req. DTax Levies ElThank YOU'S El Tax Title Property 13w LCF Out-of-state travel request for Bethany Escami!!a, Maria Haliatt & Conneu rr ro AAS25 68th Annual Conference - Columbus, OH, March 2 th " April 4th, 2025 Estimated Cost: $4,240.20 each 1 $12,720.60 Total Funding: • 08.1 0Y00. Y0 ,66 .l ..J`s xx (ARPA SuicidePrevention) If necessary, was this document reviewed by actou Ming? 11 'DES E7 NO 9 NIA If necessary, was this document reviewed by legal? Q YES 11 NO ® NIA- BATE OF ACTION: - � -d Li2sDEFERRED OR GONTINUED TO: ITH D IAA► ; ROVE: DENIED S , D1: D2: I S i 4/23124 OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Travel Type* 'donne Guerro Therapy 1/9/2025 Out of State Travel so le Departure Date* Return Date* Grant* Fund/Dept* 3/29/2025 414/2025 Yes ARPA EO 5:-: 0 0 AM F I =I-:.45 P ; M Destination (City, Countyjr State)* Purpose of Travel* Columbus, Franklin, OH American Association of Suicidology 58th Annual Conference Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required . 1$131.00 11-$234.00 Conference Rate No Dote[ Total* Conference Fee* Daily MME at Rental Car Cost per $1,649.70 $1,249.00 Destination* day* $80.00 $0.00 . .......... .. .... Explanation for Rate (required if hote-1 cost is greater than per diem, or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (Include all cost totals)* United $767 $4,240.20 Preparer's Name* Preparer's Title* Accounting Technician rw Preapproved by Use of travel card to fill a rental vehicle as tank prior EO/DH?* to its return is recommended. Yes ivol RECEIVED DEC 3 0 2024 r new RENEW Grant Behavioral Health Er Wellness Must attach training information Including agenda, start and end times and meat information. Forms missing any of the required Information wM be returned for completion. Att fields must be filled in completely. 0 In -State Training A Out -of -State Training 1:1 Webinar (Must be received 0-days in advance) (Must be received 90-days'lln advance) -t P% 34Affjn EmpLoyee Name: Con ne_-G—DU1Q_1_1_V 6L4e-freco Today's Date-, 12/18124 Training Name: A AS Annual Conference Location: Dates of training: March 30- April 4, 2025 Departing Date: March 29,2025 Returning Date: April 4th, 2025 Departing Tune: returning Time: Registration Cost: 1124 H ote L: IN Yes ❑ No Are there any room blocks for this training at a specific hotel' Hilton Columbus Downtown Transportation: I]Personal Car 9 Company Car (If requestingto ta1<9 personal car, direct supervisor signature is required below) Airfare: K Yes El No Flight/ airport preferences? How wit[ this training add value to the organization? Assist Outreach team and supporting in suicide prevention work in the branch locations. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost; Training Approved: RLYes 11 No Direct Supervisor Signature: ti Personal Car Approval; El Yes El No Direct Supervisor Signature: Executive Staff Approval: 2Yes 0 N Executive Staff 'Signature: ...Q Funding Source: O&P Date - Date: Date: /V -I �� --a 5/ RENEW 1 011-41111--!% COUNTY AUDITOR GRANT COUNTY) WASHINGTON 0 Claimant: I Bethany Escamilla Claimant's Dept.: MH - ARPA Purpose of Travel: JAAS 2025 Conference Destination: Columbus, OH L+ MEALS J 00D ir C -- DATE BF L D IE TOTAL 3/28/2025 $16.50 $17.25 $27-00 $3.75 $64.50 3/29/2025 $20.00 $22.00 $33.00 $5.00 $80.00 3/30/2025 $20.00 $22.00 $33.00 $5.00 $80.00 - ----------- 3/31/2025 $20.00 $22.00 $33.00 $S.00 $80.00 4/1/2025 $20.00 $33.00 $5.00 $58.00 4/2/2025 $33.00 $5.00 $38.00 .. 15 4/3/202 -- -- --- ------------ I $33.00 $5.00 $38.00 TOTAL 1 $438-50 1 CERTIFICATION 1, the undersigned, do hereby certify under penalty of perjury that the 0 claim is a just, due and unpaid obligation against the County, and that I 0 am authorized to certify to said claim. Claimant Signature: Date- 3/17/25 I.4WJVNWWA%Wff WW0W.VAMWW A� 0 TRAVEL VERIFICATION 0 TO BE COMPLETED LLPON RETURN Q1VLY 1, the undersigpied, do hereby certify under penalty of perjury that the !planned travel referenced on this form did, in fact, occur on and for the 0 Iduration of the dates provided on this form. Additionally, I attest that 0 ,resultthe allowance provided prior to travel was rightfully owed to me as a of this travel. 0 1Claimant Name: I 0 ---- I ----------- -0 I Claimant Signature: 0 $Date: 0 IAW A"w 1WAWWW1AWW.01 Jftw 1W AMW -WAMW W AMW WAWW.W10"W W mow AV I 0 17 1 Departments shall maintain a copy of this form. The travel verification I 0 section must be completed, on the Department's copy, upon the 0 1 einployee's return from travel. The department shall retain the fully I 0 completed copy for six years or in accordance with the Washington Staten .&`......AWW Records Retenonchedule11-184ev..1Av,�,WAMWff -AMW AFMW AW.MW4W.~.WMWWAWW Ar "WAWdNW-.ffAWWiW.MW.W MILEAGE DATE FROM (CITY, ST) TO (CITY, ST) MILES RATE TOTAL $0.700 $0.00 $0.700 $0.00 $0.7001 $0.00 $0.700 $0.00 $0.700 $0.00 TOTAL 1 $0.00 1 *TOTAL REIMBURSEMENT CLAIM $438.50 *Amount may be different due to * rounding C1 Authorization required for Employees: ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): Signature: Date: uthorization required for County Commissioners or Elected Officials: I COUNTY AUDITOR Name (printed): Signature: Date: Authorization required for the County Auditor, Department I -leads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date: os RENEW TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: I Bethany Escamilla Claimant's Dept.: MH - ARIA Purpose of Travel: JAAS 2025 Conference Destination: Cohimbus, OH tA 2�o MILEAGE MEALSV fl �'O0G. 1 '; � DATE BF L D IE TOTAL 4/4/2025 $24.75 $3.75 $28.50 - --------- -- $0,00 $0.00 $0.00 --------- - ----------- - - ---------- ------ ---- ---$0.00 $0.00 $0.00 TOTAL 1 $211.10 1 CERTIFICATION 1, the undersigned, do hereby certify under penalty of perjury that the claim is a just, due and unpaid obligation against the County, and that I am authorized to certify to said clain.i. Claimant- Signature: 0 ---- ------ -------- — Date: 3117/25 Pw JWAMWAW"WrW.A�AP 0 TRAVEL VERIFICATION 0 TO BE COMPLETED UPON RETURN ONLY # 0 1, the undersigned, do hereby certify under penalty of perjury that the 0 1 oplanned travel referenced on this form did, in fact, occur on and for the o I duration of the dates provided on this form. Additionally, I attest that 0 the allowance provided prior to travel was rightfully owed to me as a 0 1 k� result of this travel. 0 Claimant Name: 0 Claimant Signature: Date: 0 WAMWAWIMW JW"WW "W AW.=W.W.ANW"A9W Departments ".ANRW.W AV i artments shall maintain a copy of this form. The travel verification 0 section must be completed, on the Department's copy, upon the 1 employee's return from travel. The department shall retain the fully Ocompleted copy for six years or in accordance with the Washington StateO I Records Retention Schedule (GS2011-184 Rev. t asANW.1, A=W Ar AWWW AWdOW Ar ANOW AW AMW AW AMW Ar ANOW " Amw.&, per Ar A=W.Ar Nmr �w 44r Awe DATE FROM(CITY, ST) TO (CITY, ST) MILES RATE TOTAL $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 - -- ----------- $0.700 ---- --- $0.00 $0.700 $0.00 TOTAL $0,00 I *TOTAL REIMBURSEMENT CLAIM $28.50 *Amount may be different due to rounding* Authorization required for Employees: ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE ft Name (printed): Signature: Date: > A thorization required for County Commissioners or Elected Officials: I COUNTY AUDITOR Name (printed): Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date: il GRANT COUNTY COMMISSIONERS AGENDA MEETHNG REQUEST FORM (Must be submitted to the Clerk ofthe Board by 12:00pirn on ThursiI REQUESTING DEPARTIMENT: Renew REQUEST SUBMITTED BY: Anna Serrano CONTACT PERSON ATTENDING ROUNDTABLE: Dell Anderson CONFIDENTIAL INFORMATION., DYES WN0 DATE: 1/9/25 PHONE- (509) 7655-9239 ext, 5353 U DAgreement / Contract DAP Vouchers OAppointment I Reappointment OARPA Related 013 ds / RFPs / Quotes Award OBid Opening Scheduled 0 Boards I Commidees DBudget 00omputer Related 0 C ou nty Code DEmergency Purchase ClEmployee Re[, OFacilities Related OFInancial OFunds OHearing 0involces / Purchase Orders OGrants — FedlState/County Ell -eases EIN10AISOU DMInutes 00rdinances ig Out of State Travel OPetty Cash opolicies OProclarnatlons 11 Request for Purchase 11 Resolution LIR;ecommendation OProfessional ServirConsultant 0 Suppoft Letter C]Surplus Req. DTax Levies OThank You's D Tax Trtle Property Out-of-state travel request for Bettianv Escamilla, Maria Hallatt & Come Gueerrero AAS25 58th Annual Conference - Columbus, OH, March 29th - April 4th, 2025 Estimated Cost: $4,240.20 each / $12,720.60 Total Funding: 108.150.00-9000.566.51.xxxx (ARPA - Suicide Prevention) If necessary, was this document reviewed by accounting? El YES 11 NO W NIA If necessary, was this dOCLIMent reviewed by legal? C� YES L9 N 0 1 R NIA ERRED OR CONTINUED TO: DATE OF ACT I DEF VVITHDRX.AJIN: APPROVE: DENIED A13STAIN DI: 4 62� D2: D3: 4/2-3/24 OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Travel Type* Bethany Escamilla Suicide Prevention 1119/2025 Out of State Travel v A Departure Date* Return Date* Grant* Fund/Dept* 312912025 4/4/2025 Yes ARPA 05:00 AM 11:45 PM Destination (City,, County, State)* Purpose of Travel* Columbus, Franklin, OH Arterican Association of Suicido.logy 58th Annual Cc reference 141 Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required $131.00 $234.00 Conference Rate No Hate[ Total* Conference Fee* $10649.70 $1,249.00 Daily MME at Rental Car Cost per Destination* day* $80.00 $0.00 I,e I Explanation for Rate (required if hotel cost is greater than per diemjr or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* United $767 $40240.20 /d Preparer's Name* Preapproved by EO/DH?* Yes %0 Preparees Title* Accounting Technician Use of travel card to fill a rental vehicle gas tank prior to its return is recommended. RECEIVED Grant Orant Uehovlorcil Heolth a Wollnesz. ,110 Must attach training information including agenda, start and end times and meat information. 44 Forms missing any of the required information will be returned for completion. + Attfields must be fitted incompletely. r-1 In -State Training 9 Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Bethany Escarnilla Training Name: AA S 25 Annual Conference Today's Date: DEC 13 2024 RENEW 0 Webinar 12/13/24 Location: Columbus, OH Dates of training: March 30 - April 4, 2025 Departing Date* MeirchXj 2025 6 Returning Date: April 5, 2025 Departing Time: NIA Returning Time: NIA Registration Cost:124 %? Hotel: 9 Yes El No ? Hilton Columbus Downtown Are there any room blocks for this training at a specific hotel. Transportation: 1:1 Personal Car X Company Car (If requestingto take personal car, direct supervisor signature is required below) Airfare: 9 Yes E3 No Flight airport preferences? Spokan% Tri Cities, or Wenatchee. Flight departure no earlier than 8 am if possible due to travel time, 4 How wIt(this training add value to the organization? By attending this conference I will have the opportunity to learn about recent advancements in in the study of suiddology. I will bring what I learn back to the Grant County Suicide Prevention Taskforce to help in the planning and implementation of suicide prevention goals. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Training Approved: ® Yes F-1 No Direct Supervisor Signature: ottlotlu%A. ew, Personal Car Approval: Direct Supervisor Signature: 0 Yes El No Executive Staff Approval: X Yes El No Executive Staff Signature: JuRn- Padilh (0ec 13,2024 1136 PST] FundingSource: 9000 - 4AY11FR Date: 12/12 Date: Datef 12/13/24 AL US, General r e nistration FY 2025 per diem rates for Airway Heights, Washington Meals and incidental expenses (M&IEj rates and breakdown F *1 rst Primary destination County MME fatal Breakfast Lunch Dinner Incidental and lastday expenses of travel Spokane Spokane $86 $22 $23 $36 $5 $64.50 312q11-6 US. ueneral Services AdHnIstratio.n. FY 2025 per diem rates for Columbus, Ohio Meals and incidental expenses (M&IE) rates and breakdown First Primary destination County MME Breakfast Lunch Dinner I I ncidental and lastday total expenses of travel Columbus Franktin $80 $20 $22 $33 $5 $60.00 312q --� L'i/L-A IQ,.G -� Ito -Fcee bGea.vtfs+ a+ Y�rt-.e1, )k A R TK lookurir 58T"ANNUAL CONFERENCE COLUMBUS, OHIO MARCH 30 -APRIL 4, 2025 Registration now open! There are four (4) types of registration types. There are member and non-member pricing. 1. Training & Certification Days: Sunday, Monday & Tuesday - Training & Certification Days are on Sunday and Monday. Two full days featuring multiple training and certification courses. Take advantage of this great opportunity and sign up for more than one course as long as they are not offered at the same time. Tuesday is Symposia Day and is included in Training & Certification Days registration. 2. Conference: Tuesday - Friday - The Conference begins with Symposia Day on Tuesday, and continues through Friday with various workshops, networking, exhibits, Annual Awards celebration, and receptions, and ends on Friday with the' alk Together for Healing and Hope, and the Healing After Suicide Loss Summit (HASLS), 3. Healing After Suicide Loss Summit (HASLS): Friday is the Walk Together for Healing and Hope, and the Healing After Suicide Loss Summit (HASLS) and included in Conference registration. If you are not attending the Conference, you may also register for the HASLS separately to attend in person. 4. World Pass: Includes Sunday - Friday, A great package deal to take advantage of! Early Bird Rate through February 12, 2025, 11:59 PM EST Early Bird Registration Member Price Nons-Member Price Training & Certification Days $649 $799 Conference g $829 lorld Pass $IpI24 $1 F249 -- �sealing After Suicide Loss Summit $75 $75 -lAsLS) Regular Rate starting February 13, 2025,12:00 AM EST RGgUlar Registration Felber Price Non,Member Price Training & Certification Days $699 $849 Conference $749 $879 World Pass $11175 $1 r299 Healing After Suicide Loss Summit (HAGS) $100 $100 What meals are provided? .Coffee Breaks Br a Vast S,unlayi M, arch $01" 1=17firr-1. Man dayi Marc h 3 1 Ttjasdav� AP-NL I-," - WQ-dwes;day� Ap.r1121 IN/ - ! I Th'68 -Apirk.Vg V. W F Id. syt Apr] t 4 th . . ......r View dining options inside the hotel here. View additional dining options in the area here. Questions'? Contact conforence@suicidology.org, RENEW TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: Conne Guerrero Claimant's Dept: MH - ARPA Purpose of Travel: JAAS 2025 Conference Destination: Columbus, OH MEALS -Qhlr�- % q 0 t cil 1 DATE BF L D IE TOTAL 3/28/2025 $16.50 $17.25 $27.00 $3.75 $64.50 3/29/2025 $20.00 $22.00 $33-00 $5.00 $80.00 3/30/2025 $20.00 $22.00 $33.00 $5.00 $80-00 3/31/2025 $20.00 $22.00 $33-00 $5.00 - ---- ---------- $80.00 4/1/2025 $20.00 $33.00 $5.00 $S8.00 4/2/2025 $33.00 $5.00 $38.00 4/3/2025 $33.00 $5.00 $38.00 TOTAL 1 $438.50 1 CERTIFICATION 1, the undersigned, do hereby certify under penalty of perjury that the claim is a just, due and unpaid obligation against the County, and that I am authorized to certify to said claim. Claimant Signature: Date: -J 2- 02 TRAVEL VERIFICATION 0 TO BE COMPLETED UPON RETURN ONLY 0 01, the undersigned, do hereby certify under penalty of perjury that the 0 planned travel referenced on this form did, in fact, occur on and for the Iduration of the dates provided on this form. Additionally, I attest that Othe allowance provided prior to travel was rightfully owed to me as a Iresult of this travel. 0 JClaimant Name: 0 Claimant Signature: 0 Date: 0,ff AWWWA=Wff AMWWAMWW IMWIWAMW 1W 1WM".V-AM=V0rA. .V IDepartments shall maintain a copy of this form. The travel verification 0 section must be completed, on the Department's copy, upon the 0 0 employee's return from travel. The department shall retain the fully I Ocompleted copy for six years or in accordance with the Washington State# Records Retention Schedule (GS2011-184 Rev. 3). ii MILEAGE DATE FROM (ctTy, sT) TO (cn-y, s`r) MI LES RATE TOTAL $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 $0.700 1 10-00 TOTAL $0.00 *TOTAL REIMBURSEMENT CLAIM $438-50 *Amount may be different due to rounding* - - -------- - Authorization required for Employees: ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): Signature: Date: IN I' Authorization required for County Commissioners or Elected Officials: COUNTY AUDITOR Name (printed): Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date: am RENEW TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR 'GRANT COUNTY, WASHINGTON Claimant: [Conne Guerrero Claimant's Dept.: RPA - ------- Purpose of Travel: JAAS 2025 Conference Destination: Columbus, OH ---- - - MEALS Cl"tr CJ0[psc GI, t+�()Q_ DATE BF L D 1E TOTAL 4/4/2025 $24.75 - ------------------ $3.75 . ...... --------- $28-50 - --------- -- $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL $-2-8.--5-0 ----- - CERTIFICATION 1, the undersigned, do hereby certify under penalty of perjury that the claim is a just, due and. unpaid obligation aty, ;against the Coun, and that I am authorized to certify to said claim. Claimant Signature: Date: �W"MW IWAMW.""W'AW 1M~JW IONW..W 1MWW.*F1.0WW..W4=W,0%AWW,1W, 1 TRAVEL VERIFICATION 0 0 0 1 TO BE COMPLETED UPON RETURN ONLY 0 0 11, the undersigned, do hereby certify under penalty of perjury that the I Pp travel referenced on this form did, in fact, occur on and for the 0 duration of the dates provided on this form. Additionally, I attest that I 0 the allowance provided prior to travel was rightfully owed to me as a 0 1 result of this travel. 0 Claimant Name: Claimant Signature: I Date; AMW W AWWW.�rWMW -AoMW W MXW WAftTW,&A=W WAMWffA~ W.Vow W Awwrp,.Qmr,*,=WW4 Departments shall maintain a copy of this form. The travel verification I 0 section must be completed, on the Department's copy, upon the i Iemployee's return from travel. The department shall retain the fully I 0 completed copy for six years or in accordance with the Washington Stateo I Records Retention Schedule (GS2011-184 Rev. 3). 1 0.W.�W,WANWAr,MWAr.M9r -"%MW-ffA=W AW."WiW ANW.W.�WW AMWWA=r ArAWW4W "W.WAMW AWAi MILEAGE DATE FROM (cnty, s•ij ---------------- TO CctTy, Si) MILES RATE TOTAL $0,700 $0.00 $0.700 $0.00 ----------- $0.700 $0..00 $0,700 $ , 0.00 0.700 $0.00 TOTAL 1 $0.00 _J *TOTAL REIMBURSEMENT CLAIM $28.50 *Amount may be different due to rounding* -- Authorization required for Employees: ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): J Signature: Date: Authorization required for County Commissioners or Elected Officials: COUNTY AUDITOR Name (printed): Signature: Date: Autliorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date-, A * a ServiceslImSw General �: FY 2025 per diem rates for Airway Heights, Washington Meals and incidental expenses (MWE) rates and breakdown First Primary destination County M&IE total Breakfast Lunch Dinner Incidental and rastday expenses of travel Spokane Spokane $86 $22 $23 $36 $5 $64.50 3I29 10505* US, General Services MmInflistration FY 2025 per diem rates for Columbus, Ohio Meals and 'Incidental expenses (M&IE) rates and breakdown First Primary destination Count y MME Breakfast Lunch Dinner Incidental and tastday total expenses of travel Columbus Franklin $80 $20 $22 $33 $5 $60.00 312q (25 1-1 / 1A I25 71 Al E R I C A N AS$QE1AVQN Of SUMMOLOGY 58T"ANNUAL CONFERENCE COLUMBUS, OHIO MARCH 30-APRIL 4, 2025 Registration now open! There are four (4) types of registration types. There are member and non-member pricing. 1. Training & Certification Days: Sunday, Monday & Tuesday - Training & Certification Days are on Sunday and Monday. Two full days featuring multiple training and certification courses. Take advantage of this great opportunity and sign up for more than one course as long as they are not offered at the same time. Tuesday is Symposia Day and is included in Training & Certification Days registration, 2. Conference: Tuesday - Friday - The Conference begins with Symposia Day on Tuesday, and continues through Friday with various workshops, networking, exhibits, Annual Awards celebration, and receptions, and ends on Friday with the Walk Together for Healing and Hope, and the Healing After Suicide Loss Summit (HA L ). 3. Healing After Suicide Loss Summit (HASL S): Friday is the Walk Together for Healing and Hope, and the Healing After Suicide Loss Summit (HASLS) and "Included in Conference registration. If you are not attending the Conference, you may also register for the HASLS separately to attend in person. i 4. World Pass: Includes Sunday - Friday. A great package deal to take advantage of! Early Bird Rate through February 12, 2025, 11:59 PIVI EST Early Bird Registration Member Price Non -Member Price rraining & Certification Days $649 $799 wonference $699 $829 krld Pass $17124 $1,249 leafing After Suicide Loss Summit $75 $75 IASLS) Regular Rate starting February 13, 2025,12:00 AM EST 11 w"mp-Gi wm i Regular Registration Member Price Non -Member Price Training & Certification Days $699 $849 Conference $74 $879 ,World Pass il,175 $1,299 Healing After Suicide Loss Summit $100 $100 (HASLS) What meals are provided? ... ..... .. . coff 0 a Break. 0'. Breskf-ist . . ....._ _Sunday, Miaroh 3W' W wpft-ft M. A H-Ondoyo March 3 11-1 �" .. .... ore Tuixaday-,Ap;r".. id Wedriesday, April 2"' N/ Thandayo AprK3!0* ------------ F t N4 Apd-It4th -.r View dining options inside the hotel here. View additional dining options in the area here. Questions? Contact conference@suicidology,org, GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (PAust be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUIESTING DEPARTMENT: Renew REQUEST SUBMITTED BY: Anna Serrano DATE: 1/9/25 PRONE: (509) 765-9239 ext. 53-03 CONTACT PERSON ATTENDING ROUNDTABLE, Dell Anderson CONFIDIENTIAL INFORMATION: DYES iiNO "N DAgreement I Contract EIAP Vouchers DAppointment I Reappointment DARPA Related DBIds / RFPs / Quotes Award OBid Opening Scheduled 0 Boards/ Committees DBudget OComputer Related OCounty Code OlEmergency Purchase ClEmployee Reif, 017acilities Related ElFinand'al DFunds OHearing Dinvoices / Purchase Orders C]Grants — Fed/StatelCounty DILeases 11 N1 OA I N1 OU DMinutes 11 Ordinances Out of State Travel OPetty Cash opolickes OProclamations 0 Request for Purcha3e CIResolution EIRecornmendation DProfesslonall ServIConsultant 0 Support Letter CISUrplus Req, E]Tax Levies 17IThank You's OTax Title Prom.n.,r4tv EIVISLCB F* Wilk j Out-of-state travel request for any Escamilla, Maria Hallatt & Can Guerrero AAS25 58th Annual Conference - ColumbUs, OH, March 29th - April 4th, 202 5 Estimated Cost-, $4, 4 . 0 each 1 $12,720.60 Total Funding: 108-150.00.9000.566.51.xxxx (AR A - Suicide Prevention) If necessary, vvas this dOGUment reviewed by accounting? 0 YES El NO 59 NIA If necessary, was this document reviewed by legal? 0 YES F-1- NO 7 NIA DATE OF ACTION: DEIFERRED OR CONTINUED TO: VVI TH D RAVAfN - APPROVE: DENIED ABSTAIN D1: D-9: D3: 4/23/24 OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Travel Type* Conne Guerro Therapy 119/2026 Out of State Travel v I.e 0 /01 . Departure Date* Return Date* Grant* FundlDept* E/29/2025 414/2025 Yes ARPA 3)A-" 05:00,AM, 11:45 PM Destination (City,, County,, State)* Purpose of Travel* Columbus, Franklin, OH An, I ierican Association of Suicidology 58th Annual Conference Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required 1$131.00 j Conference Rate No AI .. . . ....... ............ le Hotel Tota I* Conference Fee* Daily MME at Rental Car Cost per Destination* day* $1,649.70 $1,249.00 ------ $80.00 $0.00 41 Explanation for Rate (required if hotel cost is greater than per diem, or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* United $767 $4,240.20 Pwarer's Name* Preapproved by EO/DH?* Yes V Preparer's Title* Accounting Technician Use of travel card to fill a rental vehicle gas tank prior to its return is recommended. 14 RECEIVED DEC 3 0 2Q24 o renew Wont Qehov(oral Health a Wellness +++* Must attach training information including agenda, start and end times and rneaL information. *+++ Forms missing any of the required information wit[ be returned for completion. 4 �+ ALL fietds must be filled incompletely. 0 El In -State Training A Out -of -State Tral n '16 n g El Webineir (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: conned 1 6tAC_j_j-eC0 Training Name: AAS Annual Conference Dates of training: March 30- April 4, 2025 Departing Date: March 29, 2025 Departing Time: Registration Cost: 1124 Today's Date: 12/18/24 Location: Retu rn 1 n 9 D ate; April 4th, 2025 10 Returning Time: Hotel.: IM Yes El No Are there any room blocks for this training at a specific hotel?' Hilton Columbus Downtown Transportation.- 17 Personal Car 9 Company Car (If requesting to take personal car, direct supervisor signature is required below) Airfare: Yes DNo Flight / airport preferences? How will this training add value to the organization? Assist Outreach team and supporting in suicide prevention work in the branch locations. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Training Approved: 'es 11 No Direct Supervisor Signature,., Personal Car Approvat: El Yes 0 No Direct Supervisor Signature; Executive Staff Approval: Yes 11 N Executive Staff Signature: Funding Source: Date: 6. 1? Date .1; - I��� � — W RENEW A.. COUNTY AUDITOR kifl LM41 01-Ij�-I 12'L GRANT COUNTY, WASHINGTON Claimant; JMarlaHallatt ClalmanVs Dept.: M .. ARPA Purpose of Travel: I AAS 2025 Conference Destinatlon: Columbus, OH MEALS (!Wco I 5LO U G I Ho�-009 MILEAGF. DATE BE L B is TOTAL 3/28/20 5 .$16.50 $17.25 $27.00 $ .75 $64.50 3129/2025 $20.00 $22,00 $33.00 $5,00 $80.00 3/30/2025 $20.00 $ Z.00 $33.00 $5.00 $80.00 3/31/2025 $ 0.00 $22.00 $33.00 $5.00 $80.00 4/1/2025 $20.00 $33.00 $5.00 $50.00 4/2/2025 $33o00 $5.00 $30.00 4/3/2025 $33.00 $'S.00 $38.00 TOTAL $438.50 CERTIFICATION I, the undersigned, do hereby certll r nd r penalty of perjury that the claim is a !us% duo and unpaid i atio A the County, and that 1 am authorixed to certify to sat im ,..�-•. a Claimant; Signature: , d''' Date: �► �r.w�rr,au�r.R+,ea�r �r.�n►,wr,�.o+r.rr.rr.�wwr�r�r►�.vad.�►r,�..+r®rs®�.�.�..�,s� TRAVEL VERIFICATION p I I i, the undersigned, do hereby certify under peaty of perjury that the � lanned travel referenced on this form did in fact, occur on and for the duration of the dates provided on this form. Additionally, i attest that #the allowance provided prior to travel was rightfully owed to ine as a � Iresult of this travel. 0 1claimant Name: v Claimant Signature: I Date: 0 Departments shall maintain a copy of this form. The travel verification section must be completed, on the Departmenfs copy, upon the 0 employee's return from travel, The department shall retain the fully completed copy for six gears or in accordance with the Washington State P Records Retentions Schedule (CS2011-184 Rev, 3), 1 DATE FROM (ciw,M TO(cMTY,srl MILES RATE TOTAL $0.700 $0400 $0,70+0 $0.00 $0.700 $0.00 $0.700 $0.00 $0.7001 $0.00 T(YTAI, L.$0.00 *TOTAL REIMBURSEMENT CLAIM 43 140 *Amount may be different due to rounding* Authorization required for Employees; ELECTED OFFICIA L� DEPARTMENT HEADo OR. I)ESIGNEE Name (printed): Signature-, Date: Authorization required for County Commissioners or Elected Officials: COUNTY AUDITOR Name (printed); Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date: RENEW TRAVEL ALLOWANCE CLAIM COUNTYAUDITOR �.�LMA GRANT COUNTY, WASHINGTON Claimant: I Maria Halialt JClaimant's Dept: LIH - ARPA Purpose aFTravel: AAS 2025 Conference Destination: CalamEbus, OR MEALS % . �I� . �.�7 � � � �. MIi.EAU DATE Big L D jig TOTAL 4/4/2025 $24.75 $3.75 $28.5 $0.00 $0.00 0.00 •` $0.00 $0.00 CERTIFICATION 1, the undersigned, do hereby i claim is a just, due and unpaid am authorized to certify to sat, Claimant Signature: Date: le TOTAL $28450 *TOTAL REIMBURSEMENT CLAIM 2 S=50 *Amount may be different due to rounding* Authorization required for Employees. - of perjury that the ELECTED OFFICI► LO DEPARTMENT HEAD, OR DESIIGNEE e County, and that I 0 TMVIE . VERIFICATION + 1 1. f 0 TO PLC �► I �1, the undersigned, do hereby certify under penalty of perjury that the � planned travel reforenced on this farm did in f cc �+ a occur on and fOx the 0 duration of the dates provided on this florin, Additionally, I attest that Othe allowance prov(ded prior to travel was rightfully awed to me as a � I result of this travel, 0 �Claimant Name: I 0 Claimant Signature: 0 0 Tate: �F.A�►ys+sy�p'���,E'#�' IFa�I_,�'���r ors �eq+dl+MYM+'.q'.AMMhM'M",MY�.aY.'Mn�" Ir'�d.+'.a� Departments shall maintain a copy of this form. The travel verification / section must be completed, on the Department's copy, upon the 0 employee's return from. travel. The department shall retain the fully d completed copy for six gears or in accordance with the Washington Stated Records Retention Schedule (GS2011-184 Rev. 3)10 P Name (printed): Signature: Date: .31 Authorization required for County Commissioners or Elected Officials: COUNTY AUDITO R Name (printed): Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel; COUNTY COMMISSIONERS Corn issloner Commissloiler: Chairman BOM Date: 4 i�,S. Generalervic� Administration. FY 2025 per diem rates for Airway Heights, Washington Meals and incidental expenses (MME) rates and breakdown First Primary destination County M&[E total Breakfast Lunch Dinner Incidental and lastday expenses of travel Spokane Spokane - $86 $22 $23 $36 $5 $64.50 US, General Services, Ad ministra.-t Ion, FY 2025 per diem rates for Columbus, Ohio Meals and incidental expenses (M&IE) rates and breakdown First Primary destination County MME Breakfast Lunch Dinner Incidental and lastday fatal expenses of travel Columbus Franklin $8a $2Q $22 $33 $5 $60.00 3 !2q 125 -� �-t /�-1 l26 5&'"ANNUAL CONFERENCE COLUMBUSg OHIO A M E R k C A N 19 ASSOCIAT19h Of 5U(CtD0:;GY MARCH 30-APRIL 4, 2025 Registration now openl There are four (4) types of registration types. There are member and non-member pricing. 1. Training & Certification Days: Sunday, Monday & Tuesday - Training & Certification Days are on Sunday and Monday. Two full days featuring multiple training and certification courses. Take advantage of this great opportunity and sign up for more than one course as long as they are not offered at the same time. Tuesday is Symposia Day and is included in Training & Certification Days registration. 2. Conference: Tuesday - Friday - The Conference begins with Symposia Day on Tuesday, and continues through Friday with various workshops, networking, exhibits, Annual Awards celebration, and receptions, and ends on Friday with the Walk Together for Healing and Hope, and the Healing After Suicide Loss Summft (HASLS). 3. Healing After Suicide Loss Summit (HASLS): Friday is the Walk Together for Healing and Hope, and the Healing After Suicide Loss Summit (HA L) and included in Conference registration. If you are not attending the Conference, you may also register for the HASLS separately to attend in person. i 4. World Pass: Includes Sunday - Friday. A great package deal to take advantage of! Early Bird Rate through February 12, 2025� 11:59 PI II EST Early Bird Registration Member Price Non -Member Price Training & Certification Days $649 $799 Conference $699 $829 World Pass $1,124 $1,249 Healing After Suicide Loss Summit (HAIL} $75 $75 Regular Rate starting February 13, 2025, 12,rOO AM EST Regular Registration Member Price Mon -Member Price Training & Certification Days $699 $849 Conference $749 $879 World Pass $1,17 $1,2 9 Healing After Suicide Loss Summit (HAss Ls) $100 $100 What meals are provided? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-off e e Breaks B r4, f a I 95 unday, N arch 304h 0 M6n di* M-are h 3.1 ivaaday, wk 11� T Wednes- day, Aprit 24"" V., Thuradado APH't 3"' �,day,, Aprit Ah View dining options inside the hotel here. View additional dining options in the area here. Questions? Contact conference@suicidology.org. GRANT COUNTY C ONIPAUSS ION ER;-:31 AGENDA MEETING RECIUEST FORIIII (Muit be submitted to the Cfark of the Board by 12:00pm on Thursallay) REQUESTING DEPARTMENT: Renew REQUEST SUBMITTED By. Anna Serrano CONTACT PERSON ATTENDING ROUNDTABLE, Dell Anderson CONFIDENTIAL INFORMATION: DYES W N 0 DATE: 1/9/25 PRONE: (509) 7-05-9239 ext. 5353 Iry up ElAgreement I Contract DAP Vouchers ClAppointrnent l Reappointment DARPA Related Clads I RFPs / Quotes Award 013jd Opening Scheduled 13 Boards I Committees DBudget OCornputer Related OCounty Code OErnergency purchase ClEmployela Ral. []Facilities Related []Financial DFunds []Hearing OInvoices /Purchase Orders []Grants — Fed/StatelCounty 01-eases EIMOA i MOU DMInutes 00rdinances 19Cut oil State Travel []Petty Cash opolicies 11proclamations []Request for Purchase CiResolution CIRecommendation OProfessional ServlConsultant DSupport Leftpr C]Surplus Req. []Tax Levies ElThank Yout's DTax Title P CO3 p,,lerty DWSLCB mjumzffffl'�c . �[t���' $s �� Out-of-state travel reqUest for Bethany Escamilla, WrIca Halla. tt & Cones Guerrero AA 58th Annual Conference - Columbus, OH, March 29th - Al 4th, 2025 Estimated Cost: $4,240.20 each / $12, ` - Total Funding: 108.150.00.9000.566.51.xxxx (ARPA - SuiG"Ide Prevention) If necessary, was this document reviewed by accounting? El YES 0 NO 9 NIA if necessary, was this document reviewed by legal? 0 YES 11 NO W N/A DATE 01: ACTION', APPROVE: DENIED ABSTAIN DI: D2: D3: 43124 DEFERRED OR CONTINUED TO: V1,ATHDRNvx,T,J: OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Travel Type* Maria Hallatt Case Manager 1/9/2025 Out of State Travel lei 411 Departure Date* Return Date* Grant* Fund/Dept* F3129/22025 4/4/2025 Yes ARPA 05:00 AM 11:45 PM Destination (City, Countyr State)* Purpose of Travel* Columbus, Franklin, OH Anterican Association of $uicidology 58th Annual Co nference /d Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required ... .......... $131,00 $234.00 Conference Rate No 4 Hotel Total* Conference Fee* Daily M&IE at Rental Car Cost per $1,649.70 $15249.00 Destination* day* ---- - ------- $80.00 $0.00 .......... - Explanation for Rate (required if hotel cost Is greater than per diem, or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* United $767 $4,240.20 Preparer's Name* Preparer's Title* Preapproved by EO/DH?* Yes V Accounting Technician Use of travel card to fill a rental vehicle gas tank prior to its return is recommended, "RECEIVED 090 J N 2 Z025 RENEW renew Grant Sehavlomf 14001th 9 U1011ness; Must attach training information including agenda, start and end times and meal. information. Forms missing any of the required information will be returned for compLetion. AR fields must be filled in completely. 0-01* [I In -State Training -ff . Out -of -State Training n Webinar (Must be received 30-days in advance) (Must be received 90-days in advance) AA6irt'g,.. Employee Name: Tod a Date. Training Name: �A t' U Ot Drte't�ni� LP-1 Locatlon- C6[(_tMLQ-9 Dates of training: A-o P 1 I 1-.4,.. Departing Date: Q fL3a Returning Date: 9 DepartingTime: ReturningTirye: Registration Cost-, HoteL: Ery"�es 0 No Are there any room blocks for this training at a specific hotel? Transportation: 0 Personal Car wdcompanyCar (If requesting to take personal car, direelt supervisor signature is required below) Airfare: ZYes ONo Flight/ airport preferences? How witt this training add value to the organization?` ...MA. J54aWIC _0 el 1--�a� TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Training Approved: es 11 No Direct Supervisor Signature: U Personal Car Approval: 0 Yes ONo Direct Supervisor Signature: Executive Staff Approval, zrYe s El No Executive Staff Signature: 1 Funding Source: - 41000) 0* �eM Date: 1 12- 1 D_ -6 a.5 Date: Dated &-I 3-ba��