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HomeMy WebLinkAboutGrant 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 SUBMITTED BY: Karrl@ Stockton CONTACT PERSON ATTENDING ROUNDTABLE: K81"fl8 Stockton CONFIDENTIAL INFORMATION: ❑YES 8NO DATE: 10/27/2025 PHONE:2937 r .. ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment WARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code El Emergency Purchase El 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 71 Reimbursement request from Renew on the American Rescue Plan Act (ARPA) in the amount of $9,350.34 for September 2025 Suicide Prevention services. Ij If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A ©HI Tor rear«ter If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION: E DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D1: D2: J D3: WITHDRAWN: 4/23/24 Z Grenew iss PO Box 1057 Moses Lake, WA 98837 Phone (509) 764-2643 Fax (509) 764-4124 BILL TO: Grant County Attention: Karrie S. Stockton PO Box 37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: October 23, 2025 INVOICE # 9/30/2025 FOR: Sep-25 DESCRIPTION Amount units Total Amount ARPA FUNDS - SUICIDE PREVENTION $ 9,350.34 1 $ 9,350.34 Total $ 9, 350.34 Thank you!! ACCOUNT TRANSACTIONS- GJ REPORT FOR SEPT. 2025 ARPA- SUICIDE PREVENTION Onen Year Journal Entry TRX Date Account Number Account Description Credit Amount Debit Amount Reference 2025 1036424 9/30/2025 108.150.00.9000.566511100 MH... ARPA.REG SALARIES & WAGES 2025 1036427 9/30/2025 108.150.00.9000.566512100 MH... ARPA.RETIREMENT 2025 1036428 9/30/2025 108.150.00.9000.566512200 MH... ARPA.SOCIAL SECURITY 2025 1036429 9/30/2025 108.150.00.9000.566512300 MH... ARPA.MEDICAL & LIFE INSURANCE 2025 1036430 9/30/2025 108.150.00.9000.566512301 MH... ARPA.STATEWIDE FMLA INSURANCE 2025 1036431 9/30/2025 108.150.00.9000.566512400 MH... ARPA.INDUSTRIAL INSURANCE 2025 1033575 9/15/2025 108.150.00.9000.566513100 MH... ARPA.SUPPLIES - OPERATING 2025 1033575 9/15/2025 108.150.00.9000.566513100 MH... ARPA.SUPPLIES - OPERATING 2025 1033577 9/15/2025 108.150.00.9000.566513100 MH... ARPA.SUPPLIES - OPERATING 2025 1033582 9/15/2025 108.150.00.9000.566513100 MH... ARPA.SUPPLIES - OPERATING 2025 1033573 9/15/2025 108.150.00.9000.566513500 MH... ARPA.MINOR EQUIP <$550 2025 1033577 9/15/2025 108.150.00.9000.566513500 MH... ARPA.MINOR EQUIP <$550 2025 1033582 9/15/2025 108.150.00.9000.566513500 MH... ARPA.MINOR EQUIP <$550 TOTAL SALARY & BENEFITS DIRECT EXPENSES REFUND TOTAL SALARY/BENEFITS & DIRECT EXP ADMIN FEE TOTAL INVOICE - 5,881.74 ALLOC SALARIES SEPT 2025 - 328.20 ALLOC RETIREMENT SEPT 2025 - 412.77 ALLOC SOC SECURITY SEPT 2025 - 1,422.20 ALLOC MED&LIFE INS SEPT 2025 - 15.42 ALLOC FMLA SEPT 2025 - 21.04 ALLOC IND INS SEPT 2025 - 36.33 6613 - GRIS AUG 2025 -**' - 327.29 6613 - GRIS AUG 2025"'o.-P 2 07348 - PREVENTION AUG 2025 � � ��'� - 7348 PREVENTION AUG 2025 CM at \za\ ;V \\� - 55.32 5508 - AMAZON AUG 2025: ��2 7348 -PREVENTION AUG 2025 �\ „\55.32 � 7348 PREVENTION AUG 2025 CM 8,081.37 676.17 (257.23) 8,500.31 10% 850.03 9,350.34 , 8,081.37 676.17 257.23 418.94 American Rescue Plan (Cares Act — ARPA) 41 "ate: __� Today s "a te,-8/11/25 V?-endor: Amazon Business r _. , - d SuperN,,-isor Appr al Receive ov 0 Scanned supporting documents :1 File into binder 0— Item(s) received Receipt Date: 8/5/25 Detaffed.Descr*iption.- Privacy screens for computer monitors andrnter ink `Charge to A19'Month : El JUIV 2024 JanuarV 202"' ED AugUSt 2024 Ell Februan' 202- 3 Eli September 2024 IL_j March 2025 E October 2024 E! Apri1202- E November 2024 1:1 MaV 202- LI December 9024 El June 2021.) August 2025 Defiverables: 0 General TasIdoree supplies 0 Goal i: MH Literacy & BH Promotion C1 Goal 2: Poshrention 0 Goal 3'. Perception/ attitudes C3 Staff Travel I Professional Development Requested by: ---- ---------- --- Supervisor Signature: Form of Payment 2 vj�N ****7348 �7 Invoice (paid) :1 Invoice (needs paid) D Other: 9 Charge Account. * ARPA(g000) * Other s 257.23 ---------- I Date: 8/11/25 8/11/25 Date: Prevention Requisition Form *9 0 Revised 07 1-001.4 9 renewoffo* 0000040*110 b"O" 6 UI**%*M EN Hello, Anna De fiver er to R e r,-:-- --o. All Search Amazon Business* 0 Moses Lake 98837 Account for Grant County Alt Get the Capp Back to School Back to Campus Buy Again Today's Deals Business only savings Lists - Business Prime Your refund is credited You're att set! $-155.32 has been credited to the original payment method, Don't see your refund yet? Continue shopping Aug 12 Aug 13 A u g -13, Aug 20 Products related to your return -3 *7 Ar-z I r I t- t' 0, rd Dr000ed off RefUnd Issued Refund Credited 4VO� n-aon Basics Surge A, 43,4 15 $6014 Add to Cart Buy Now Total refund $55-32 Woriginal nent method Amazon Basics 30% 41 $55.32 refunded to your originat payi 3,975 View invoice $88-89 Add to Cart Buy Now UPS Return Instructions Logitecl H-590 Wired 9,.3 'If 7 $22,99 Add t6 Cart Buy Now 200 Pack, ID Badge [(Hader 20 PACK Add to Cart k Buy Now HumanCentric Mount 594 Get to Know Us Careers Blog About Amazon Sustainability Press Center Investor Rotations Amazon Devices Customer Service Shipping Rates & Policies Business FAQ Contact Us Have an idea to help us improve? Send feedback ) Work with Amazon Sett on AmaZon Business Sell on Ama--,,on Futfittment By Amazon Advertise on Amazon Amazon Global Setting Business Solutions Amazon Busir-ess Capp Amazon Business Solutions Manage Suppliers Purchasing Systems Amazon Business Card Pay by invoice Purchasing Line Amazon Business BILog Business Settings Add people Simplify Your Reporting Bitting & shipping Manage your Budgets (Btanket PO) Buyinq Policies & Approvals Tax Exemption & licenses System integrations businessprime Buy For Your Business Buy wholesale Today's Deals Buy Again PPE for Work Request for quote renew60*100OM! 1400, 6 U*kmu ------- ---- - Names Bethany Avey 0 Date* 8/4/2025 Item(s) Requested (include a photo if you need a specific item): Privacy screen for desktop and ink I i N*1 =1 Funding Source, if known: 9000 - ARPA Reason for Requests Taskforce supplies IMMOONA"� Date Needed By: Upon approval zz--� Supervisor's Signature 8/4/2025 Date Please have your supervisor sign the form and then submit it to finance. amazon.com Order Placed: August 5, 2025 Amazon.com order number-, 112-8348287-0492238 Order Total.- $257.23 Shipped on August 5, 2025 Items Ordered 1 of; [2 Pack] 423 Inch Privacy Screen for Computer Monitor 16.-9 Aspect Ratio, Eye Protection Anti; Blue Light Glare Shield� 23i rich Removable Black Blackout Anti Spy Desktop Security Private Filter Sold by: Pes;v US Direct Business Price Condition: New Shipping Address: Bethany Avey (Escamilla) 840 E PLUM ST DOES LAKE WA 98837-1874 United States Shipping Speed: Delivery in fewer trips to your address Shipped on August 6, 2025 Item(s) Subtotal: Shipping & Handling - Total before tax: Sales Tax, - Total for This Shipment: Items Ordered 1 Of ; HP Origl`Ral 910XL Black, Cyan, Magenta- Yellow High -Weld /nk Cartridges (5-Paick) 1 Works Officeiet 801-0, 8020 Series Of ficeJelf Pro 8020, 8030 Series I Eligible for Instant In I 6ZA58API S i old by.- HITouch. Business Services a BU of Staples Conditiom New Shipping Address: Bethany Avey (Escap ill1a) 840 E PLUM ST MO SES LAKE, WA 98837-1874 United States Shipping Speed: Delivery in fewer trips to your address Payment information Payment Method: Visa I Last digits; 7348 Billing address GRI S PREVENTION GRANT COUNTY PO BOX 37 EPHRATA, WA 98823-0037 Price 1 $50,991 $50.99 $0,00 $50.99 S4,331 $55.32 Price $186.091 Items) Subtotal: S186.09 Shipping & Handling $0.00 Total before tax: $18&09 Sales Tax: $15,82 Total for This Shipment: $201.91 Item(s) Subtotal.- $237.08 Shipping & Handling, $0.00 Total before tax: $237-08 Estimated Tax; $20.15 United States Grand Total : $257.23 Credit Card transactions Visa ending in 7348" August 6, 2025.1 $201 �91 Visa ending in 7348. August 5, 2025: .55.32 r To view the status of your order, return to Qjd-er--$-uT..m r �jti n��--U P vL c (;p -0 1996-2020, Arna,,-on.com, Int-.. Ju On Co- - ict) C., A --- Anna B. Serrano From: abserrano@grantcountywa.gov Subject: FW-. Your refund for HP Original 910XL Black, Cyan.... From: return@amazon.com <return2amazon.corn> Sent: Sunday, August 31, 2025 11:15 PM To: Bethany Avey <brriavrants ountvwa,goy> Subject: Your refund for HP Original 910XL Black, Cyan.... Hello Bethany, NAle've received the item below and have issued your refund. Thank you for sending the item back. Your return is now complete, Return summary Order #112-8348287-0492238 Refund subtotal 10 0 Total refund J Refund will appear on your Visa in 3-5 business days. A Learn more about refunds Item returned: I $201,91 $201 .91A 1 Thank you for your order. 0 UPPdaters *--H tA-- SeAl tO gav For updares, visa 0de' f-f,--� .* order #- "'VP-78WX8H?2 Order date: must 1*12025 Shipping method shfPping address Silting address Payment method Standard Sarah Nelson Grant County visa $36-33 Estimated arrival Atilt11th Renew Revew 840 E Pl-ur- St PO Box 37 Moses Lake., 'Washington 98837-187-1 Ephrata, Washington 98823-0037 united States of America United States of America 5097659239 15097659239 Items Order sumnwy starwd st;sfness Cards Subt*tA 77 an -ME ShtvOma" S9.90 - ---- - ----- Tax S-185 Expected debver -r Monday, Aug 11 (twck status TotAl paid 0.0001, Y- � selectit-d options Item total $2349 Y-")u savetl Chat -with its. Thank you for your order. 0 Updates will be senrt to accountspayiblegrls�grantcountywa.gov. For updates, visit ordet history. Order #: V;-,-H60.NXD-1D Order date; Augjst21Ft 24025 Shipping method Standard Estimated arrival Aug 29th Items Shipping address Sarah Nelson Renew 840 E Plum St Moses Lake, Wasihington 98837-1874 United States oi America 5097659239 Standard Postcards Quantity. 500 Order placed Expected delivery. Friday, Aug 29 Check status Selected options item total $53.89. You saved $23.10 Selected options Itern total Standard Postcards Ouantity. 250 Order placed Expected delivery. Friday, Aug 29 Check status Standard Postcards Quantity: 500 Order placed Expected delivery- Friday. Aug 29 Check status AI $6i.99 $43,39 Y6U saved $13 60 Billing address Grant County Renew PO Box 37 Ephrata, Washington 98823-0037 United States of America I 115097659239 Order summary Subtotal Savings Shipping-, Standard Tax Total paid Payment method EM Visa $327-29 "" 6613 $430.95 4129M FREE $25,64 $32729 /000 V j 7q q Nt 6, Chat with us Selected options Rem total Standard Postcards Quantity: '�50 Order placed Expected delivery-. Friday. Aug 29 Chec� status II II I N sellected optio-Ii !TLarn trial Standard Postcards Quantity- 500 Order placed Expected delivery. Friday, ALIg 29 Check status Selec'e'd options $;FG.99 $53.89 You saved $23.10 $6i.99 $4339 YPU saved $18'.60 Item. tozal 645$10709 You swifd $45-9n 4ftk n w Grunt, aahavioral Head 6 WaRnoss Date: 8/20/25 Bethany Avey (slj Requested (include a photo if you need a specific item),x Prints - CLIStOM postcards A p p roxirrofi a te Cost . $400 Fund"Ing S"ource, if known,: 9000 - ARPA Rq stj Mental health literacy and behavioral health promotion na 0 A to Needej t-ASAP yx --own"ROMIMM 8/20/25 Su= v"Ir"s Signature Nease have your supervisor sign the form and ,hen submit it to finance, renew NON-EXEMPT ***Leave Printed Name: Bethany Avey, Slips JAJL. Pay Period: August 17, 2025 Employee ID #: 5630 �6pervlsor Initials for Non-StandardVVorkweek Staff Signature: Pay Period: 8/17/2025 (mmtdd/yyyy) Supervisor Signature: �a�' '�. Pay Data:. 9512025 Aug 24 Aug 25 Aug 26 Aug 27 - Aug 28 Thu Aug 29 Aug 30 Sat Aw '1 -7 - -1 CLINICAL Sun Aug 18 Mon Aug 19 Aug 20 Aug 21 Aug 22 Aug 23 Tue Wed Thu Fri Sat Sun Mon Tue Wed Fri TOTAL 6700 ARPA 9000 8.00 900 800 800 7,00 900 (3 0c) 9.00 OTHER HOURS WORKED JURY DUTY -4 -7- Total Worked Hrs, 1 8.00 9.00 8.00 8.00 7.00 9.00 9.00 9.00 67,00 1.00 ANNUAL -- 8 GO 500 13.00 SICK HOLIDAY--------- OTHER (Bereavement f Military) - . .. . .................. FLEX/COMP TAKEN LWOP TOTAL HOURS 8.00 9.00 8.00 8,00 7.00 8.00 9.00 9.00 9.00 1 5.00 80.00 Total Worked Hrs "\" 40.00 LV taken GP ENTERED LEAVE PAYROLL SPREADSHEET., - .... - --.I 40,00 Zf.UU 13.00 40,00 LWOP *"*PAYROLLI PURPOSES - DO NOTWRITE IN THIS SECTION *41.* Grenew s NON-EXEMPT Printed Name: Bethany Avey Pay Period: August 31, 2025 Employee ID #: 5630 1 Staff Signature: t r; r. Supervisor iR;tia(5 for Non -Standard Workweek Supervisor Signature: i Pay Period: 813112025 (mmldd/yyyy) Pay Date: 909;2028 CLINICAL _ Aug 31 Sun Sep 01 Sep 02 1 Sep 031 Sep 04 Sep 051 Sep 061 Sep 07 Sep 08 Sep 09 Sep 10 Sep 11 Sep 12 Sep 13 Mon Tue Wed Thu Fri Sat Sun Man Tue Wed Thu Fri Sat TOTAL i ARPA 9000 8.00 850 800 750 800 9.00 9.00 9001 67 .CO soo.00x OTHER HOURS WORKED , _ 0.00% JURY DUTY 0.00% Total Worked Hrs - - 8.00 8.50 8.00 7.50 - 8.00 9.00 9.00 9.00 - - - 67.00 1.00 AN N UAL - SICK _ ( 5 co 5 co HOLIDAY 8.00 8.00 OTHER (Bereavement / Military) _ FLEXiCOMP TAKEN _ LWOP TOTAL HOURS - 8.00 8.OD 8.50 8.00 7.50 - - 8.00 9.00 5.00 9.00 9-op 80.00 Total Worked Hrs `` 27.00 LV taken 13•00 GP ENTERED LEAVE PAYROLLSPREADSHEET S 40.00 longne annlne sickne snect holne milpabervn l civil salyne ervne i 80.00 0.00 5.00 0.00 8.00 0.00 0.00 67.00 i ,� 40.00 twoP 3S.00 5.00 40 00, •"PAYROLL PURPOSES DO NOT WRJTE IN THIS SECTION "'