HomeMy WebLinkAboutGrant Related - BOCC (008)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: BOCC
REQUEST SUBMITTED BY: Karrie Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kat'f 12 Stockton
CONFIDENTIAL INFORMATION: []YES ® NO
DATE: 5/20/2025
PHONE: 2937
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SUBMITTED:
(CHECK ALL
THAT APPLY):
❑Agreement / Contract
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Reimbursement request from McKay Healthcare on the Strategic Infrastructure
Program (SIP) 2024-05 Phase 1 Master Planning, in the amount of $42,769.30.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO W N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO Fm_1 N/A
o
DATE OF ACTION. - � DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
WITHDRAWN:
4/23/24
GRANT COUNTY
STRATEGIC INFRASTRUCTURE PROGRAM
PROJECT CERTIFICATION
This form must be signed and returned, with an invoice, for the approved funding,
before reimbursement can be approved by Grant County.,
SIP Project Proposal Number:
SIP Funding Recipient:
SIP Project Description:
2024-05
McKay Healthcare & Rehabilitation
Phase 1 Master Planning
1, the undersigned, do hereby certify under penalty of perjury, that the materials have
been furnished, the services rendered, and/or the labor performed as described M* the
91
project proposal for the above -referenced SIP Project and that I am authorized to
authenticate and certify to this claim. I also certify that this claim of _,$L2,L69.30 is just
and due and is an unpaid obligation against Grant County.
I
Further, according to the SIP Project Funding Policies, I attest that at the next audit of my
entity, this project shall be called to the attention of the Washington State Auditor's
Office and an emphasis audit will be requested to assure that these funds were expended
-ml
toward the project and according to the intent of the proposal.
Signature
Audra Gutierrez
Printed Name
.......... --- - -----
Date Signea
Administrator/Snerintendent-
Title
Administrafor /S-W.enn tendent
Printed Title
Completed, signed original certification and invoice are to be mailed to:
Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823
Reimbursement # 7 in the amount of $42,769.30.
ATTACENENT 4
R erglAwn
275 Fifth Street, Suite 100
Bremerton. WA 98337
(360)377-8773
Public Hospital District No. 4 of Grant County, Washington
P.O. Box 819
Soap Lake, WA 98851
Professional services through 04/3012025
Invoice Summary
4115t k-1
L 12 wi-JO
el
Invoice number 2023052.00-020
Date 05/09/2025
Project 2023052.00 McKay Healthcare SNF Pre -
Design - Master Planning
Contract
Total
Prior
Contract
Current
Description
-Amount
Billed
Billed
Remaining
Billed
Scope 1A - Conceptual Design
100,184.00
100,184.00
1003184.00
0.00
0.00
Scope 1A - Schematic Design (Reduced by C07)
660840.00
66,840-00
66,84O.00
0.00
0.00
Scope 113.1 - Site Plan Design (Reduced by
77,200.00
67s162.00
62,200.40
10,038-00
4,961.60S-dP'202�:-
Change Order 04)
Change Order 02 - Scope 113.2 - Zoning Approval
13,728.00
133727.90
13,727.90
0.10
0.00
(Reduced by C07)
Change Order 03 - Phase I Schematic Design
174,500-00
174,500-00
174,500.00
0.00
0.00
Change Order 03 - Phase 1 Design Development
213,000-00
53,685-55
10,916.25
159,314.45
42s769-30 SIP2024-05
Change Order 04 - Phase 2 Master Planning
51,940.00
12,658.75
31703.75
39,281.25
8,955.00,4: 3,. P -2 0 2 -3
01
Change Order 05 - Phase I CD
Change Order 05 - Phase I CD - RFM
1669790-00
0.00
0.00
168,790.00
0.00
Change Order 06 - Phase I CD - Civil
44,800-00
0.00
0.00
44;800.00
0.00
Change Order 05 - Phase I CD - Landscape
28s560-00
0.00
0.00
28,560.00
0.00
Change Order 05 - Phase I CD - Structural
34,160.00
0.00
0.00
34,160.00
0.00
Change Order 05 - Phase i CD - MEP
723240.00
0.00
0.00
72,240.00
0.00
Change Order 05 - Phase I CD - Specs
69750-00
0.00
0.00
61750.00
0.00
Subtotal
353 2300.00
0.00
0.00
353,300.00
0.00
Change Order 06 - Phase 1 Food Service DD -'CD
34,496.00
0.00
0.00
34,496.00
0.00
Reimbursable Expenses
4,925.79
44925.79
42925.79
0.00
0.00
Total
110900113.79
493,683.99
436,998-09
5967429.80
56,685.90
Invoice total 56,685.90
W-M- ------ -
Aging Summary
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
2023052.00-020 05/0912025 56,685-90 56,685.90
Total 56,685.90 56,685-90 0.00 0.00 0.00 0.00
For any questions regarding this invoice please contact Jill Wolfard at (360) 377-8773 orjwoffard@rfmarch.com
Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-020 Invoice date 05/0912025
Washington
McKAY HEALTHCARE
AAR RiceFerausMiller 05/15/2025 95126
WHO i NO W"
McKAY HEALTHCARE US BANK 6041 095126
127 SECOND AVE SW - PO BOX 819 9"6111232
SOAP LAKE, WA 98851 05/15/2025
(509)246-1111
PAY TO THE $56j685.90
ORDER OF
Five Dollars and 90 CentsDOLLARS
Fifty Six Thousand Six Hundred .E'I,*
RiceFergusMIll-er
275 Fifth Street, Suite 100
P;0
Bremerton, WA 98337
MEMO AMORME4"TORE '
tA
. . . . . . . . . . . . .
W% 060
604 L09 S 126,10 1: L 232065 I C31: L532 100 20 L 3 Lt I"