HomeMy WebLinkAboutGrant Related - BOCC (004)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: Kal'1'18 Stockton
CONFIDENTIAL INFORMATION: ❑YES 8 NO
DATE: 7/8/2025
PHONE:2g37
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Reimbursement request from McKay Healthcare on the Strategic Infrastructure Program
(SIP) No. 2024-07, Phase 1 Master Planning Cont'd in the amount of $20,065.00
for June 2025.
❑NO ON/A
DATE OF ACTION: 1tr,),715 DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D1: Ql3
D2
D3:
4/23/24
WITHDRAWN:
0 N/A
GRANT COUNTY
STRATEGIC INFRASTRUCTURE PROGRAM
PROJE:CT 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: 2024-07
SIP Funding Recipient: McKay Healthcare and Rehabilitation Center
SIP Project Description: Phase 1 Master Plying
1, the undersigned, do hereby certify under penalty of perjury, that the matefials have
been fimiished, the services rendered, and/or the labor perfonned 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 $20,065.00 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.
2
Signature
Audra Gutierrez
Printed Name
A
Date ' Signed
Administrator/SuDerintendent
Title
0 0
Admnustrator/Sypgrintendent
Printed Title
Completed, signed original certification anti invoice are to be mailed to:
Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823
Reimbursement # 2. in the amount of $2020 - 5000
ATTACHMENT 4
RC aguAwa
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
1009184.00
100,184.00
100,184.00
0.00
0.00
Scope 1A - Schematic Design (Reduced by C07)
660840.00
66,840.00
66,840.00
0.00
0.00
Scope 113.1 - Site Plan Design (Reduced by
77,200.00
730350.00
673162.00
3,850.00
61188.00 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 C07)
Change Order 03 - Phase 1 Schematic Design
174,500.00
1749500.00
174,500.00
0.00
0.00
Change Order 03 - Phase 1 Design Development
213,000.00
146,522.00
53,685.55
66s478.00
92,836.45SIP2024-05
Change Order 04 - Phase 2 Master Planning
51,940.00
21,261.25
12,658.75
30,678.75
8,602.50SIP2023-01
Change Order 05 - Phase 1 CD
Change Order 05 - Phase 1 CD - RFM
166,790.00
20,065.00
0.00
1461,725.00
20,065.00SIP2024-47
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
349160.00
0.00
0.00
34,160.00
0.00
Change Order 05 - Phase 1 CD - MEP
720240.00
0.00
0.00
72,240.00
0.00
Change Order 05 - Phase 1 CD - Specs
61750.00
0.00
0.00
6,750.00
0.00
Subtotal 353 300.00
20,065.00
0.00
3339235.00
20,065.00
Change Order 06 - Phase 1 Food Service DD - CD 34,496.00
0.00
0.00
34,496.00
0.00
Reimbursable Expenses 43925.79
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 A Wolfard at (360) 377 8773 or jwolfard a@rfmarch.corrr
Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-021 Invoice date 06/19/2025
Washington
McKAY HEALTHCARE
586 RiceFergusMiller 07/03/2025 95267
Invoice Number
Invoice Date
Description
Gross Amount
Discount Taken
ken
Not oun Amt Paid
20230-52,00*01021
A.
06/19/2025
Admin - PS - SIP
$1271691.96
$0.00
$1271691.95
$127,691.951,
$0.001
$127.1691.95
---------------
- - - - - - --------------------
7 - 7
McKAY HEALTHCARE US 6 41- 995257
127 SECOND AVE SW - PO BOX 819 96"6 Z32.
SOAP LAKE, WA 98851 07/03/2025
(509) 246-1111
PAY TO THE
ORDER OF $127,691.95
One Hundred Twenty Seven Thousalio Six Hundred Ninety One QeWstg