HomeMy WebLinkAboutGrant Related - BOCC (002)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 suBnnirTED Bv: Karrie Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kal'I"12 Stockton
CONFIDENTIAL INFORMATION: ❑YES ® NO
DATE: 7/7/2025
PHONE: 2937
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Reimbursement request from McKay Healthcare on the Strategic Infrastructure Program
(SIP) No. 2023-01 Architecture and Engineering Site Plan in the amount of $14,790.50
for the month of June 2025.
� 0 -C--7,
DATE OF ACTION:
APPROVE DENIED ABSTAIN
D1:
D2:
D3:
❑NO ON/A
DEFERRED OR CONTINUED TO-
WITHDRAWN -
Fm_1 N/A
4/23/24
GRANT COUNTY
STRATEGIC INFRASTRUCTURE PROGRAM
PROJECT CERTIFICATION
This form must be signed and returned, with an 'invoice, for the approved funding,
before reimbursement can be approved by Grant County.
SIP Project Proposal Number: SIP2023-01
SIP Funding Recipient McKay Hospital& Rehab
SIP Project Description Phase 1 Architecture and Engineering Site Plan
. a ^
I, the -undersigned, do hereby certify under penalty of pejury, that the materials have
been furnished, the services rendered, and/or the labor performed as described in the
project proposal for the above -referenced SIP Project and that I am authorized to
' 7 :
authenticate and certify to this claim. I also certify that this claim of $14 0.50 is just
and due and is an unpaid obligation against Grant County.
Further, according to the SIP Project Funding Policies, I attest that at the next audit of my
entity, this project shall be called to the attention of the Washington State Auditor's
Office and an emphasis audit will be requested to assure that these funds were expended
toward the project and according to the intent of the proposal.
Signature
Audra Gutierrez
Printed Name
Date- �ijnM
Adminigtor/Sunetintendent
Title
AdM Ltfi$tator/S e ntendent
Printed Title
Completed, signed original certification and invoice are to be mailed to:
Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823
Reimbursement # 28 in the amount of §rl .47 0050.0
ATTACHMENT 4
Rq.(e- igumum
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 05/31/2025
Invoice Summary
Invoice number 2023052.00-021
Date 06/ 19/2025
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
1000184.00
100,184.00
0.00
0.00
Scope 1A - Schematic Design (Reduced by C07)
669840.00
66,840.00
66,840.00
0.00
0.00
Scope 1 B.1 -Site Plan Design (Reduced by
77,200.00
73,350.00
67,162.00
3,850.00
69188.00 SIP2023-01
Change Order 04)
Change Order 02 - Scope 1 B.2 - Zoning Approval
13,728.00
13,727.90
13,727.90
0.10
0.00
(Reduced by CO7)
Change Order 03 - Phase 1 Schematic Design
174,500.00
174,500.00
174,500.00
0.00
0.00
Change Order 03 - Phase 1 Design Development
2139000.00
1463522.00
53,685.55
66,478.00
92,836.45SIP2024-05
Change Order 04 - Phase 2 Master Planning
51,940.00
21,261.25
12,658.75
30,678.75
8,602.50 S I P2023-01
Change Order 05 - Phase 1 CD
Change Order 05 - Phase 1 CD - RFM
166,790.00
20,065.00
0.00
1460725.00
20,065.00 SIP2024-07
Change Order 05 - Phase 1 CD - Civil
44,800.00
0.00
0.00
44,800.00
0.00
Change Order 05 - Phase 1 CD - Landscape
28,560.00
0.00
0.00
28,560.00
0.00
Change Order 05 - Phase 1 CD - Structural
34,160.00
0.00
0.00
34,160.00
0.00
Change Order 05 - Phase 1 CD - MEP
72,240.00
0.00
0.00
72,240.00
0.00
Change Order 03 - Phase 1 CD - Specs
6,750.00
0.00
0.00
6,750.00
0.00
Subtotal
353,300.00
203065.00
0.00
333,235.00
20,065.00
--------------- -- -
Change Order 06 - Phase 1 Food Service DID - CD 34,496.00
0.00
0.00
34,496.00
0.00
Reimbursable Expenses 40925.79
4,925.79
41925.79
0.00
0.00
Total 1,090,113.79
621,375.94
493,683.99
4688737.85
127.691.95
Invoice total 127,591.95
Aging Summary
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
2023052.00-021 06/19/2025 127,691.95 127,691.95
Total 127,691.95 127,691.95 0.00 0.00 0.00 0.00
For any questions regarding this invoice please contact Jill Wolfard at (360) 377-8773 or jwolfard a@rfmarch.com
Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-021 Invoice date 06119/2025
Washington
McKAY HEALTHCARE
586 RlcePergusMiller
nvoice omb r Invoice Date Description
M052.0i -02 106/19/2025 Admin - PS - SIP
07/0312025 95267
Gross Amount Discount Taken Net A o . unt Paid
$127,691.95 $0.00 $127l691.95
PAY TO THE
ORDER OF $127,691.95