HomeMy WebLinkAboutGrant Related - BOCC (003)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 suannirrED BY: Karrie Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kafl'I@ Stockton
CONFIDENTIAL INFORMATION: ❑YES ® NO
DATE: 7/7/25
PHONE: 2937
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Reimbursement request from McKay Healthcare on the Strategic Infrastructure Program
(SIP) No. 2024-05, Phase 1 Master Planning in the amount of $ 92,836.45 for
June 2025.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO R N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D2:
D3:
DEFERRED OR CONTINUED TO-
WITHDRAWN -
4/23/24
GRANT COUNTY
STRATEGIC INFRASTR ',OGRA.M VCTURE PR
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:
r0i
2024-05
McKay Healthcare & Rehabilitation
Phase 1 Master Planning
1, the undersigned, do hereby certify under penalty of perjury, that the materials have
been fin-nished, the services rendered, and/or the labor performed as described in the
project proposal for the above -referenced SIP Project and that I am authorized to
authenticate and certify to this claim. I also certify that this claim of 22,836.45, 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 Signed
AdministratLor/S.0 tend
t endent
Title
A.dnfinisttr ertendent
Printed Title
Completed, signed original certification and invoice are to be mailed to:
Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823
92L83,
Reimbursement # 8 in the amount of S k6*450
VMNNIEN�
ATTACHMENT4
Rufagi-mmLLER
275 Fifth Street, Suite 100
Bremerton, WA 98337
(360) 377-8773
Public Hospital District No. 4 of Grant County, Washington
Invoice number
2023052.00-021
P.O. Box 819
Date
06/19/2025
Soap Lake, WA 98851
Project
2023052.00 McKay Healthcare
SNF Pre -
Design - Master Planning
Professional services through 05/31 /2025
Invoice Summary
Contract
Total
Prior
Contract
Current
Description
Amount
Billed
Billed
Remaining
Billed
Scope 1A - Conceptual Design
1002184.00
100,184.00
1000184.00
0.00
0.00
Scope 1A - Schematic Design (Reduced by C07)
66,840.00
66,840.00
6+6,840.00
0.00
0.00
Scope 113.1 - Site Plan Design (Reduced by
770200.00
73,350.00
67,162.00
3,850.00
60188.00SIP2023-01
Change Larder 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 C07)
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
213,000.00
146,522.00
53,685.55
66,478.00
92,836.45SIP2Q24-05
Change Order 04 - Phase 2 Master Planning
51,940.00
212261.25
12,658.75
30,678.75
81602.50 SIP2023-01
Change Order 05 - Phase 1 CD
Change Order 05 - Phase 1 CD - RFM
166,790.00
20,065.00
0.00
146,725.00
208-065.00SIP2024-07
Change Order 05 - Phase 1 CD - Civil
44,800.00
0.00
0.00
441800.00
0.00
Change Order 05 - Phase 1 CO - 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 05 - Phase 1 CD - Specs
6,750.00
0.00
0.00
6,750.00
0.00
Subtotal
353,300.00
20,065.00
0.00
3332235.00
201j065.00
Change Order 06 - Phase 1 Food Service DD - CD
341496.00
0.00
0.00
34,496.00
0.00
Reimbursable Expenses
41925.79
4,925.79
41925.79
0.00
0.00
Total
1,090,113.79
621,375.94
493,683.99
468,737.85
127,691.95
Invoice total 127.691.95
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 orjwolfard@rfmarch.com
Public Hospital District No. 4 of Grant county, Invoice number 2023052.00-021 Invoice date 06/19/2025
Washington
McKAY HEALTHCARE
SAR RiceFerausMiller .07/0312025 95267
Invoice Number
-
Im-oice -Date
Description
Gross Amount
Discot Taken
Discount
Net Amp. Wd.
unt'P I
023052400-021
06/19/2025
Ad min'-- PS - S I P ---
$127,691-95
$1271691.951
$0.00
$0.00
$.127$ 691.,95'
12,95.
Mc"Y HEALTHCARE Us BANK 6041 095267
127 SECOND AVE SW - PO BOX 819 96-M1/1232
SOAP LAKE, WA 98851 07/03/2025
(509)246-1111
PAY TO THE ORDER OF $127,691.95
One Hundred Twenty Seven Thq4sapd Six Hundred Ninety One QAMEF