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Home My WebLink AboutGrant Related - BOCC (008)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 suBnniTrED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kal"I'I@ Stockton CONFIDENTIAL INFORMATION: ❑YES ®NO DATE:11 /6/2025 PHONE:2937 • -am 77 � ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ 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 ��/�ii��i��i.��i��i��s�iiiti��/�iiias'�� i��.e�'��.�:a�j/i��%�%��.� ��✓%�� % �� Reimbursement request from McKay Healthcare & Rehab Center on the Strategic Infrastructure Program (SIP) No. 2024-05, Phase 1 Master Planning Project in the amount of $59,978.00. This is the final reimbursement on this project. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 7 N/A DATE OF ACTION: /� /C ' 2,L__ APPROVE: DENIED ABSTAIN D1: D2: D3: DEFERRED OR CONTINUED TO: WITHDRAWN: 4/23/24 GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM PROJECT CERTIFICATION This form must be signed and returned, with an invoice, for the approved funding,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: SIP Funding Recipient: SIP Project Description: 2024-05 McKay Healthcare & Rehabilitation Phase I Master Planning 1, the undersigned, do hereby certify under penalty of perjury, 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 authenticate and certify to this claim. I also certify that this claim of $59,978.00 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. Signature Audra --- Gutierrez Printed Name Date Signed Adm*in*istrator/-S-upeirintendent Title Admi ni strator/S Laperintendent Printed Title Completed, signed original certification and invoice are to be mailed to: Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823 Reimbursement # 9 in the amount of $59,978.00.00. ATTACHMENT 4 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: 2024-05 SIP Funding Recipient: McKay Healthcare e-habilitation X SIP Project Description: Phase I Master PI;Oliing 1, the undersigned, do hereby certify under penalty oV`perjurv� that the materials have perjury, been furnished, the services rendered, and/or the I or performed as described in the project proposal for the above -referenced SIP P :eject and that I am authorized to authenticate and certify to this claim. I also cerfi that this claim of $66 478.00 is 3 just and due and is an unpaid obligation against Gr County. zaw (Q 0 0 0 Policies, I attest that at the next audit of my '503-18,00 Further, according to the SIP Project Fundi entity, this project shall be called to th .. attention of the Washington State Auditor's Office and an emphasis audit will be req�ested to assure that these funds were expended toward the project and according to th_tent of the proposal. Signature Audra Gutien Printed Name Date Sign Admim'strator/SuMfintendent Title Admm*istrator/Suven* ntendent Printed Title Completed, signed original certification and invoice are to be mailed to: Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823 Reimbursement # 9: in the amount of $66,478.00. ATTACHMENT 4 REACT HICARE RERAKITAT ION CENTP SIP Project Proposal Numben SIP2024-05 Phase 1 Master Planning SIP Beginning Ralancp,- .0%' IRI-0floon Date Name invoice Date Paid- Check 9 Debit + Credit - Balance Used 101/3/2024 RiceFergus Miller - Change Orcfer03-Phase 1 Schematic Be' ign 2023052.00-013 11/7/2024 94531 $ 30,005.00 $ 350,995.00 11/2012024 Submitted Reimb #1 - Grant County $30,005.00 2023-01 12/11/2024 9201630238 $ (30,005.00) $ 350,995.00 11/1!V2024 RiceFergus Miller - Change Order 03-Phase 1 Schematic Design 2023052.00-014 12/5,12024 94-t62-41 :'P' 3 0, c, 00. 70 $ 320,094.30 VJ1712024 Submitted Reimb #2 - Grant County $30,,9W.70 2024-05 2/41202S 9201631382 $ (30,900.70) $ 320,094.30 12116,1202.4 RiceFergus Miller - Change Order 03-Phase 1 Schematic Design 2023052.00-015 1/9/2025 94720 $ 64, 3.3 0 . 4 0, $ 2.55,763.90 1/201202S Submitted Reimb #3 - Grant County $64,330.40 2024-OS 2/11/202S 9201631607 $ (64,M.40) $ 255,763.90 1122/2025 RiceFergus Miller - Change Order 03-Phase 1 Schematic Design 2,023052.00-016 1/22/2025 94975 $ 45,321.47 $ 210,442.43, 2117/2025 RiceFergus Miller - Change Order 03-Phase I Schematic Design 2023952.MCC-017 2117,12025 94S79 $ 5,420.29 $ 205,022.14 2/27/2025 Submitted Reimb #4 - Grant County $50,741.76 2024-OS-01 4/1/2025 920163323-4 $ (SO,741.76) $ 205,02-2.14 311Z/2025 RiceFergus Miller - Change Order 03-Phase 1 Design Development 20230,52.00-018 413/2025 94999 $ 4,160.00 $ 200,962.14 4/IS/2025 Submitted Reimb #S - Grant County $4,160.00 2024-OS(2) 5/9/2025 9201634491 $ (4,160.00) $ 200,8152.14 5111.2025 RiceFergus Miller - Change Order 03-Phase 1 Design Development 2023052.00-019 412412,025 9,5051 $ 6,.756.25 $ 194,10,5.89 5/i/2025 Submitted Reirnb #6 - Grant County $6,756.25 2024-OS-02 6/2/2025 92016535437 $ (6,756.25) $ 194,10,5.89 5, /912025 RiceFergus Miller - Change Order:03-Phase 1 Design Development 2023052.00-020 5/15/2025 95,126 $ 42,769.30 $ 151,336.59 S1191202S Submitted Reimb #7 - Grant County $42,769.30 2024-OS-03 6/101202S 9201635877 $ (42,769.30) $ 151,336.59 6113/2025 RiceFergus Miller- Change Order 03-Phase 1 Design Development 21 02303; 2, CDC,- 021 92,836.45 $ 58,500.14 7/21/2025 reimbursable expenses 2/17/2025 inv2023052.0O-017 MOVE to SIP.2023-01 202-3052.00-017 2,117/2025 94379 $ (380.29) $ 58,930.43 7/21/.2025 reimbursable expenses 1/22/20.25 i nv202305.2.00-016 MOVE. to SIP 2023-01 2023052.00-0116 1/221.2025 94879 $ (1,097.57) $ 59,978.00 711.512025 RiceFergus Miller - Change Order 03-Phase I Design Development :2023052.OD-022 8/13/2025 95-369 $ 66,478.00 $ (6,500-.00) 717/202S Submitted Ftelmb #9 - Grant County$92,836AS 2024-OS,,04 9/4/2025 920163763S $ (92,836.45) $ (6,500.00) 8/29/202S Submitted Reimb #7 - Grant County $66,478.00 $ (6,500.00) $ (6,5W00) $ (6,500.00) $ (6,500.00) (6,500.,00) 00) (6,,5.00.00) $ 387,500.00 $ ('322,499.86) SIP 2024-OS Remaining Balance: $ (6,SOO.00)1 PENDING County Reimbursement: . $ 65�,OW.14 IC6-TUAMM 275 Fifth Street, Suite 100 Bremerton, WA 98337 (360) 377-8773 RECEIVED AUG131�t5 Public Hospital District No. 4 of Grant County, Washington P.O. Box 819 Soap Lake, WA 98851 Professional services through 06/30/2025 ------ - ----- - Invoice Summary Z025 Invoice number 2023052.00-022 Date 07115/2025 Project 2023052.00 McKay Healthcare SNF Pre - Design - Master Planning Contract Total Prior Contract Current Description Amount - Billed Billed Remaining Billed Scope 11A - 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 66,840,00 66,840.00 0.00 0.00 Scope I B.1 - Site Plan Design (Reduced by 77,200.00 77,200.00 73,350.00 0.00 3,850.00SiP2023-01 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 I Schematic Design 174,500.00 1741500.00 174,500.00 0.00 0.00 Change Order 03 - Phase I Design Development 213,000.00 213,000.00 146,522.00 0.00 66,478.00SiP2024-05 Change Order 04 - Phase 2 Master Planning 51)940.00 28,750.40 21,261.25 23,189.60 71489-15SIP2023-01 Change Order 05 - Phase I CD Change Order 05 - Phase 1 CD - RFM 166,790.00 20,06U0 20,065.00 146,725.00 0.00 Change Order 05 - Phase I CD - Civil 44,800.00 0.00 0.00 44,800.00 0.00 Change Order 05 - Phase I CD - Landscape 28,560.00 0.00 0.00 28,560.00 0.00 Change Order 05 - Phase I CD - Structural 34,160.00 0.00 0.00 34,160.00 0.00 Change Order 05 - Phase I CD - MEP 72,240.00 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 201065.00 20,065,00 3-33v2-35.00 0.00 lowp'.'k MOO 44 Change Order 06 - Phase I Food Service DID - CD 34$496.00 2,307.20 0.00 -32-"8:8f.--- 7,3�6.80 2,307.20SIP202-,A-01 Reimbursable Expenses 4,925.79 41925.79 47925.79 0.00 0.00. Total 11090,113.79 701,500.29 621, 375.94, 388j613.50 80,124.35 Invoice total 80,124.35 Aging Summary Invoice Number Invoice Date Outstanding Current Over 30 Over6O Over 90 Over 120 2023052.00-022 07/15/2025 80,124.35 80,124.35 Total 80,124.35 801124.35 0.00 0.00 0.00 0.00 For any questions regarding this invoice please contact Jill Wolfard at (360) 3778773 orjwolfard@rfmarch.com Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-022 Invoice date 07/1512025 Washington McK.AY HEALTHCARE 586 RlceFergusMiller 08113/2025 95369 US BANK McKAY HEALTHCARE 6041 095369 127 SECON D AVE SW - PO BOX 819 96-+651/1232 SOAP LAKE, WA 98851 0811312625 r (509) 246-1111 PAY TO THE ORDER OF Eighty Thousand One Hundred Twenty Four Dollars and 35 CentSDOLLARS RI+ceFergusMiller 275 F fifth Street, Suite 106 ;. . . . . 4 . . . . . . . . Bremerton, WA 98337 .. MEMO AUTHORIZED SIGNATURE ,f601�L095369,121:12320[6SIDLS32LOO20LP,+0