HomeMy WebLinkAboutGrant Related - BOCC (006)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: Karrl@ StOCI(tOCI
CONTACT PERSON ATTENDING ROUNDTABLE: Kal"fle Stockton
CONFIDENTIAL INFORMATION: ❑YES ® NO
DATE:11 /6/2025
PHONE:2937
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Reimbursement request from McKay Healthcare &Rehab Center on the
Strategic Infrastructure Program No. 2024-07 Phase 1 Master Planning Project
in the amount of $54,147.00.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO R N/A
If necessary, was this document reviewed by legal? El YES ❑ NO
DATE OF ACTION: 10 DEFERRED OR CONTINUED TO:
WITHDRAWN:
APPROVE: DENIED ABSTAIN
D1: d
D2:
D3:
4/23/24
Fm_1 N/A
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: 2024-07
SIP Funding Recipient: McKay Healthcare and Rehabilitation Center
SIP Project Description: Phase I Master Planning
1, the undersigned, do hereby certify under penalty of pe&ry, that the materials have
been ftu-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 $54,147.00.*es 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
Admimstrator/Superintendent
Title
Administrator/Superintendent
Printed Title
Completed, signed original certification and invoice are to be mailed to:
Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823
Reimbursement # W~3 in the amount of $54,147.00
"0*0
ATTACHMENT 4
eg,UALLEJR
275 Fifth Street Suite 100
Bremerton, WA 98337
t360) 377-8773
Public Hospital District No. 4 of Grant County, Washington
P.O. Box 819
Soap Lake, WA 98851
Professional services through 08/31/2025
Invoice Summary
Invoice number 2023052.00-023
Date 09/1512025
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
100,184-00
0.00
0.00
Scope 1A - Schematic Design (Reduced by C07)
66,,840.00
662840.00
66,840.00
0.00
0.00
Scope I B.1 - Site Plan Design (Reduced by
77,200.00
77,,200.00
77,200.00
0.00
0.00
Change Order 04)
Change Order 02 - Scope 113.2 - Zoning Approval
13j728-00
13,727.90
132727.90
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
213,000.00
213,000-00
0.00
0.00
Change Order 04 - Phase 2 Master Planning
51,940.00
28,750.40
28,750.40
23J89-60
0.00
Change Order 05 - Phase I CD
353,300.00
741212.00
201P065.00
279,088.00
541147.00 J
Change Order 06 - Phase I Food Service DD - CD
34,496.00
61921-60
29307.20
27,574.40
4,614.40
Reimbursable Expenses
4,925.79
4,925.79
4,925-79
0.00
0.00
- - ------------------------------------- --
Total 1,090,113.79 760,261.69 7011,500.29 329,852.10 58,761.40
------------- ---------- - -- - ------ - - - -------
Invoice total 58,761.40
Aging Summary
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
2023052.00-023 09/15/2025 58,761.40 58,761.40
Total 58,761.40 58,761.40 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 2023052.00-023 Invoice date 09/1512025
Washington
McKAY HEALTHCARE
586 RiceFergusMiller 10123/2025 95525
Invoice Number Invoice Date Description Gross Amount Discount Taken Net Amount Paid
2023052P.00-023 09/15/2025 Admin - PS - SIP $58,761.40 $0.00 $581761,40
- --------- $58,761.40 $D.00 $58,761.40
PAY TO THE $ ORDER OF $581761.40
Fifth Eight Thousand Seven Hundred Sixty One Dollars and 40 CentROLLARS
R'IoeFergusMiller
275 Fifth, Street, Suite 100
Bremerton, WA 98337
X
- - - - - - - - - -
-41
MEMO
wg[�Oti 109 S S 2 S W' 1: 1 2 3 201� S I 6 1: LS32LOO 20 13 411*
586 RiceFergusMiller 10/23/2025 95525
-----
- ---- ---------- 'id
...... Gross Amount Discount Taken Net Amount Paid
Invoice Number Invoice Date Descripbon - - ------------- ....... . ..
2023052-00-023 09/1.5/2025 AAmin - PS - St. $58,761.40 $0.00 $58761.40'
. . .......... $583761 POO .40 $0.00 $58176-1.40