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Grant 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: gOCC REQUEST SUBMITTED BY: Karrl@ Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kal"I'I@ Stockton CONFIDENTIAL INFORMATION: ❑YES ®NO DATE: 11 /17/2025 PHONE:2937 ❑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 60]"IM-Z ; EMT Reimbursement request from Big Bend Community College on the American Rescue Plan Act (ARPA) in the amount of $57,455.62 for the Expansion of the Medical & Nursing Program, and Expansion of the Healthcare Program Projects. 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: I /.M)j_' APPROVE: DENIED ABSTAIN D 1: D2: D3-. DEFERRED OR CONTINUED TO: WITHDRAWN: 4/23/24 INVOICE B% Bewd Invoice No: MSC-0000043151 COMMUNJi'YCOLLEGE Invoice Date: 11 /13/25 Page: 1 of 1 Remit To: 7662 Chanute Street NE Attn to: Moses Lake,WA,98837 Bill To: Grant County Attn: KARRIE STOCKTON PO Box 37 Ephrata WA 98823-0037 United States Customer Number: Payment Terms: Due Date: AMOUNT DUE: 001003947 Immediate 11 /13/25 57,455.62 U S D Immediate Amount Remitted For billing questions, please call 509-793-2024 Ori: "nal Line Identifier Description tion QuantityUOM Unit Amt Net Amount G.C. ARPA Funding 1.00 EA 57,455.62 57,455.62 146--114-26015-4021030-- Subtotal: Amount Due: Contract#2226-476 G.C. ARPA Funding - October 2025 K23-163-Expans. Med.& Nurs. Prog. $41,641.35 Bldg. 1500 K23-164 -Remodel of Nursing Lab K23-165- Expans. H. Care Prog. $15,814.27 Prog. Work '°" 57,455.62 577455.62 0`0* T FOR M STATE OF IVASKNGTON js A19-2AE2 INVOICE VOUCHER Oo Department of Enterprise Services Engineering & Architectural Sertices P.O.Box 41476 C)Iympla, WA 98504-1476 Atlin: Bal-ble Down' - --- --- - -- ----- -------------- - -- --- 'OR -LAINANT BANLIN Construction 320 W Columbia Dr Kennewick, WA 99336 ............ Total Earned *,o Date Plus 8.21/6 Washington State Sales Tax Gross Eames to Date ----------- Oz INVOICE OAT-E-*-' 2024-587 G (2-1) 9/30/2025 6 VENDOR'S CERTIFICATE. I HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE ITEMS AND TOTALS LISTED HEREIN ARE PROPER CHARGES FOR MATERIALS, MEIRCYtANDISE- OR SERVIUs FURNISHED TO THE. STATE OF �VVASHINIGTON. At4D THAT Z1-GOODS FLIPNISHED, OR SERVIZE - 'S RENDERED HAVE BEEN PROVIDED WITHOUT D tS*-'R UNIM1, ION ON THE GROUNDS OF RACE, CREM COLOR, NATIONAL ORIGIN, SEX, OR AGE, T HAT PREVAILING WAGES HAVE BEEN PAJD IN ACCORDANCE WITH THE PREFILED STATEMENT OR STATEMENTS OF INTENT ON FILEWITHTHE DEPARTMENT or LAE30R AND INDUSTRIES AS APPROVED BY THE INDUSTRIAL STATISTICIAN AND THAfa SU13 CONTRACTORS AND 1OR SUPPUERS HAVE RI 4 PAID Less EARNED RFIAINAGE AS THEIR INTEREST APPEARED IN THE LAST PAYMENT RECEIVED FEDERAL TAX ID NO.: 90-0810742 1-11'kl-URE TO PF-0'41IDEM THIS NUMBER WILL RESULT IN DELAY OF PAYMENT By,- mo A T 1 -111 E: Project Mana2er *.',:FOR ikGENCY-- , $6591,698A 2 $56s719.27 $748,417.69 Retained Percentage on Total Amount Ea#,ned to Date Less 5% Retained Not Including Saes Tax $34,584.92 Net Ewe~ to Date $713,832.77 Less. Previloisly Invoiced $672,191.42 AMOUNT DUE THIS INVOICE $41,641.350K- T his Centifies that Services Invoiced herewith have been received ------ ENGINEERING & ARCHITECTURAL SERVICES Department of Enterprise Services 020ct25 Date Updated 711/2016 APPLICA71ON AND CERTIFICATE FOR PAYMENT ON CONTRZACT C1l4;lr"Tf fok$*Ayk"f. to fo4w NWR cofe�cjl-x MCC-15001lemoda1 Lom*wv 7$82 Chamsts Stint. Mates Lakt, WA 0&637 cvv+ DANUN of COIL ftl 14--wo W. two* in Q-4*vla Am-mm so Q#m 44 A^* -PIS 40 EST I IA Mo '0 $1 i,000,009 xs $11,0MV4, !-I V0 I 10,wj 00 30,00 00 iac t, 4 * V =;lY= - .0 -0 i Seletbnv Cvmw- LabaA.ULwW I X-Mix; W1,W.010 U-7,000m t tMtAf Tram ACt GW8- SWmA,*,aft I ; =--Vj 111,5w,00 ttr *.1,500-00 S0,03 6 CO3d FwM#d Ica: Framirq; - &Wvtia;s 3 1W.J-00 $3,000,00 $1,000 00 10,00 e Co-J Fomed f-Ae.-tal Framing, - LubcA 1 5,OW 00 $14.00,00 ion 15000.00 MOO I -Cau'-woA - Shop Drawn,5gs 1 750 00 SMOO lam $7SD 00 U.1-00 a "mow* - Mase'la'! 18;5m- fro SICtw-00 I imm 1118,50-3-00 0 Cau*rjrk - LAbor 10,0W 00 S! 0,C-W,00 't" It 10 0 NO. 00 1.000VQ SIPW.00 Kv% 3*'Co0-w MOD is RM Vraw*Moom, Wood 00orm And Hwdmim - Wtorm $ 301V50-00 S30,05( OO lorm $30,V,-OM 10.00 t2 14ki FtamOD"% Wom-d VofM and Hwdware - Lubw S 0.000M S8.,000D0 lw% $0.00 ,* Gipl 'Shop Draw-mvp 1,2 00 SIZW,00 IDA SO tom'' $14200.00 34 G�vpv - Wtvl,* 1,5m 00 11 ,!m 00 00 11,w0j" Giaxv, Latw $0.00 $2,000,00 in I-k)w Pf erp - k"Ate, ia, 17 00 S1,=.00 i Ss,22 00,00 S0,00 ty Fk,.of Prrp - Lobor 03 33.000.t IW% S3,003.00 ob Ccrarnk Ik - MatvW 13,000 00 $13,000-00 ton IS Q,ox-.00 SOLO tp Cetarnk Tie - Latar 18,U0,00 I I 8,w- 51 0 twS 3 18=100 WOD 20 P�0*-nq Ntv & 1 r 5W -0 .0 S 1,5W,00 lorVr Som ri Relm&ml P-m & 1,m.m $I,MDD I clA $ODD 22 Rat*i*z, Tit, flowor, - &I-mmi-Al I 31,000woo 131.0 00 1" 131.=00 UA0 23 RcsWerd Tk, F kwing - Lobo?, t '12.420,00 $12,425.00 ims S12.425M $0.00 Gypoatubt.Sw rdoAfd Byp I I06 S %E*0,0 IOA 11.500 00 SOW zs74 G, SLabeyerial $7,W0.00 Iwort 1?.0010.00 $0,00 n GVm 74kq VWWW S t"Wo CO. "A I I.SW 00 SO-00 fit GWIS %Pr4 Li two SUM 00 IMN SO'DW 00 a 20 Paint - kwo-daft w $t,wo Co Im% 161.0m, W I t.='100 14 pI - "bw S 13=40 313,OW00 inn $10,0MOO 3U0000 3S0 A.C'f G0- Ma lei LA 1 2,$W-0m0 S2,4w 0.0 1"" 1, 2 , It 00 "D $0-00 t ACI 06- L4-W 4 4,0m - $4m03 1 SA,ma.w S-10S 32 ACT - maws 1 3,1 00 13,=,00 Im% %3jt0,X.-1, $000 33 ACT - Lab 1 3. 11,5wr0o Uv's 11,4, X, U-00 34 sirmr t kuw, W i 2JI500M 12.5100s00 lon, 12.5W1 . V0 to VC 3s Sign4e LAbor S WD 0 15OW00 lam SW-00 30.00 36 Tj OEM Cram PWtMeAtS WWI* 12.000.00 S12,0WI00 112,000-00 SOW n %601 Comparttvwntz - Labor 00 SPA30 00 W",,CQ U.fry 'm Tojet, Sam ww Lw;r4�,y A.-,-- Valw*W 7. ri 0. 0 0 S 1, =, 0 V. 17,2w- 0-0 $0,013 , v i 03e, ' J t!aVi, at�d Latmft Act, Labw I S i'mo-Do SaDo 43 RxArit-lrr, - 750.00 S750-00 VSOM $0,00 sit 11%xibmg C+rr*i Labor slsw.vo 1w $0.00 4z Pkxrt*V RoWh in- Wit W 1 22,00 00 322,000.0-0 &U.irvo.00 35,00 Ai PhorbLN P�iiy.' h In - Labor SISWOXF41 fA pugrAtAv Tfirn - %U*rW' S 40,W- 00 Wwo OW 137,MN) Stfm1A 46 purwr; -&-.I - Lott, I 12; W-D 00 31Z. wo 410 IfIn., S10,0W .00 $2. '—wo *a Ek-cincal Demo 1 4,000 DO $4.DM,W, 1-4�00W,00 $3.00 47 EltCOVA) - U-1tewls eowroo. U,QW-D-v lots 37.600 r10 11.100.00 A# Ekctfical - Low 3 3. 0 0 1). 0 S 3,000 V Iw% 12,$50roo $450.00 Fire A36m, 14,0w 00 $14 . mn ') W, ttRYX 113,0<00 S1xv,w 1-m .14000 S000 I CUP 001 Demo A Reviatm Owklw F imir 322,402.11 $22,402 17 iw% 172.40117 so flro 2 GOP 002 AdJ Proms 1504 1W3, IWA- V, 13SAtl.18 SX0-52 - 10 lw% I COP M3 oplev �-m �yvmes (54,W0,8* 3000 COP 004 S Pa" Er.&&Mv $7,2_K SISAW A010 :1,4.07-.03 COP COS RoWct ACT o, Rx-r-ma 150t 15 S37,187.03 sulw-00 91% $U.,200,00 WOO COP W 1 R# f n 1xvt & F, c Pxt met' N'-.. $31,15104 131,1181cN V)ft, s3l,iel-0-4 $O C-0 i, COP Dos Rer"aw Em-,Lm & irlit S2,031.23 $2.03113 it 32-031.23 S3.00 6 COP 000 Rtvi!t 0 PC &Vovr- I LW-W!3T, $ t.ti13.75 $1.07375 Im% $1.07375 $DWI 0 CQIP 0 10 A,.kk- i A&b-v-,-v Pv-e--,3 Dom- 10,381,00 30,381,00 IV% 10,331,W SO 00 *0 COP ;it; AS I I 1—kworx-Arr C;-1v#v ,p, $Z,72*4 4-1, $2.725i.dt I'AA 32" 725, A i 11 COP 012 Cv, v 0,10- stkl�- N-Tm A f! U28D-31 1.5,2WO 3' Ion ,2, COP 013 *twr UANs in Re0oorn 3t1:445;22 18.145'121 IW% 17,3D0,M U45.22 13 COP 0 14 fr�.M cimet in C!2-&&rwm I Sw $2181&m $O.Do 14 COP 015 stna f Jlnior Day U.150.30 iw% 30,15C,30 SOM I& COP' 01 I Add BV�.t*. M C4o—*xaotn i!jU $SS.21052 vw% $15.21052 W COP 018 VAS' Sackkv at RR ISI? & VOW 17 COP 010 C�,Vw D'ht- m. S R"ta" in. Nt 31,3!Wx 114501.", $1.360-00 str.H-80 loft I Imn S 1. 3%00 31 :50 I Zv 10 COP 020 &-pCUp Dom & &A -me, kkcoji�isj S I ep,-) o' 00 WOO $'V-D00.00 10, COP 021 Em*ewx RR Wish 3I;C52 40 $1.652,481 i 31,052.48 $0,00 ZO COP 022 crelp-1 V.4 New Ofte 404 I-"" 11$,W 00) (ts.NmOO)l xx L ($5,co-1.001 $0.00 ,M COP 023 AtWJ ACT w, Commoo Ax#a 15C S2.fA-4 J5 S2,044.0$ S-2 C, OP 0 z 4 otor R* 0-oons pef fm v I �1 3111003 214 4-190125 t t 11„tXG:j S4,7 -,;i2s *13 FA 001 Sitm-wC 1, ArviaM GIV03 33 ", i S 13,00 1- 51 SO.w S,ho T OT-k- 18tti 3A JD TAX 6.20% SAJI.FS TAB; Mj 4 n ? G-,j 3704.7-58.53 S43,C.99.8t 7 01,A L 5 02 0. NO 7, 0 11 370.417,60 Lcms Retah-ne, 5% �7-1,191,42 S41,0541.35 NEE Lo" Pro-An-i-sf s#i?Txt'ita, . A��,waxl wx 0.00% 1, -7 W .f. itt., i 4 0 MOO r,1 ,7 M AV"?IT DUE UtS E-STWATE J.2S RGU Architecture & Planning 0-2-20.25 U031ed 1.1112010 STATE OF WASHINGTON CERTIFICATE FOR MATERIAL STORED ON JOB SITE —'n-I 1 s certificate is attached to and becomes a rw-,art of the "Application and Certificate for payment on Contract" whenever a claim is mad( for material stored on the job site.) CERTIFICATE: For period from: 9/1/2025 to 9130/2025 Contract for: BBCC - 1500 Remodel Date: 9/30/2025 Location.- 7662 Chanute Street, Moses Lake, WA 98837 Certificate NO.' 6 Contractor.- BANLIN Construction Contract No.: 2024-587 By v� - ------------- -- (Supervjislng Architect or Engineer Updated 7/1/2016 .APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF PAGES ro Owner: Big Bend Comm. College PROJECT': BBCC - 1500 Bldg. Remodel APPLICATION NO, 6 Distribution to: 7662 Chanute St. NE 7662 Chanute St. NE PERIOD: 911/25 - 90,30,125 OA-NER Moses Lake, WA 98837 Moses Lake. W"A 99937 ARCHITECT ICON7RACTOR From Contractor: Banlin Construction 'VLA ARCHHECT: RGU Architecture & Planning 320 W. Columbia Dr. 1222nd Streeti?O Box 841-0 CONTRACT DATE: Kennewick, USA 99336 Asot;n,NVA 994021 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Application is made for pa)rment. as shown below, in connection with the Contract. Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts, have been paid by the Contractor for Work for which pruvious Certificates for 1. ORIGINAL CONTRACT SUM ..................................... 5 S5 11,500.00 payment were issued and payments received from the Owner, and that current payment shown herein is now due. 2. Net change by Change Orders ........ ......... ....... 3. CON.-TXAC-T SUM TO DATE (Line I + 21 ...................... 4. TOTAL CONIPLETED & STORED TO DATE. ............. S 5. RETAINAGE: a. 05 _*,Io of Completed Work $34,584.92 b. % of Stored Material Total Retainage (Line 5a + 5b) 6. TOTAL EAKNED LESS RETAINAGE ........................ (Line 4 less Line 5 Total) 7, PLUS W.S.S.T. 8. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 8 plus Line 9 from prior Certificate) ... ................ ............ 9. CLIRRENT PAYMENT DUE ................ ............ 10. BALANCE TO 171NISH, INCLUDING RETAMAGE (Line 3 less Line 61 $ S-1 15,9 74.26 S347,841.06 $859,34 1.06 CONTRACTOR: S691,698.42 icy. ,.IeeA Date: 130 _LZ State of. 'Washington X\\ IE IlAt4l 'Atl� County 'All of: NX_A� k-oum Subscribed and swom to before _pw J me this -s R _% a '. -01-5 7tAOTA day of Uv\ 534,584.92 Notary Public: MY Commission expires: I .\ S657,113.50 OWNER'S REP CERTIFICATE FOR PAY ENT ����'�'t�ittttt��'����s $56,719.27 In accordance with the Contract Documents, based on on -site observations and the data comprising this application, die Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract $672,191.42 Documents, and the Contractor is entitled to P-Irn- ent of the AINJOUNIT CERTHU-1). S41,641.35 AMOUNIT CERTIFIED .............. .............................. CHANCE ORDER SLJ'NZLNLXRY ADDITIONS --- ---- ---- DEDUCTIONS fotal changes approved in previous months by ONvner S 192,760,45 $ Total approved this Month S 155.080.61 --------- TOTALS... $ '14'71,841.06 LNIFT CIIANGES by Change Order $347,841.06 (rtach explanation if amount certifled difTersfrom the amount applied or Initial aJlJigTjre,5 on this Application and on the Continuation Sheet that are changed to conflonn to the amount certified) Oxxrner Rep: BY: Date: This Certificate is not negotiable. The ANIOUN'r CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of die Owner or Contractor under this Contract. ESTIMATE OF WORK COMPLETED APPLICATION NO. 6 PERIOD: 911/25 - 9/30/25 PROJECT: 1500 Bldg. Remodel CONTRACTOR: Banlin Construction .... .. . . . . . . . I I I I 1 1 1 1 97. .9. . . . . . . . . . . . .. .•. . . p p . . . # . . a . . . . , ... . . . . . . .... --------------•- '. . I . I . I . ., . " ." .1.1 . . . . . . .... . . . . . . . . . . . . I I ...... . . . . . . . . . . . . . . . . . .. - - - - - - - . . . . . . . . . . . . . . . . . . T . F;rMM--- ...... ........ . . . . . . . . .............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . •....... ..... ................................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .... ...... . .•. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .... .. ........... *KWMP . . . . . . . -Lq50::" . * ' ' . . . . . . . . . . . . . . . . . . . . . PAT.R.x. X-* ............. . . . ............ . . . . . . . . . . . . . . . . . . . . . . -:-:-:-,T. I N. 1% V: O:F X. -RFV-l0 ............. . . . .................... ...... . . . . . . . . . . . . . . •-4........ ....... I Mobilizatio Start Up $ 111000.00 $ 11,000.00 $ $ 11,000.00 100% $ 2 Bond/insurance $ 10,000.00 $ 10,000.00 $ $ 100000.00 100% $ 3 Selective Demo- Labor/Material $ 87,000.00 $ 87,000.00 $ $ 871000.00 100% $ 4 Metal Framing/ACT/GWB - Submittals $ 11500.00 $ 11500.00 $ $ 1,500.00 100% $ 5 Cold Formed Metal Framing - Materials $ 3,000,00 $ 3,000.00 $ $ 3,000.00 100% $ 6 Cold Formed Metal Framing - Labor $ 51000-00 $ 6900,0.00 $ $ 5t000.00 100% $ 7 Casework - Shop Drawings $ 760.00 $ 750.00 $ $ 760.00 100% $ 8 Casework - Material $ 18,600.00 $ 18,500.00 $ $ 18,500.00 100%-$ 9 Casework - Labor $ 10,000.00 $ 10,000.00 $ $ 101000.00 100% 00% $ lo Thermal Insulation $ 11000.00 $ 11000.00 $ $ 10000.00 100% 21:004% $ 11 HM FrametDoors, Wood Doors and Hardware - Material $ 36,960.00 $ 36,950.00 $ $ 360950.00 100% $ 12 HM Frame/Doors, Wood Doors and Hardware - Labor $ 81000.00 $ 80000.00 $ $ 89000.00 100% $ 13 Glazing - Shop Drawings $ 1,200.00 $ $ 11200.00 $ 1,200.00 100% $ 14 Glazing - Material $ 11600.00 $ $ 11600.00 $ 11500.00 100% $ 15 Glazing - Labor $ 21000.00 $ $ 2,000.00 $ 21000.00 100% $ 16 Floor Prop - Material $ 1,200.00 $ 19200.00 $ $ 11200.00 100% $ 17 Floor Prep - Labor $ 31000.00 $ 3.000.00 $ $ 30000.00 100% $ 18 Ceramic Tile - Material $ 13,000.00 $ 13,000.00 $ $ 13,000.00 100% $ 19 Ceramic Tile - Labor $ 18,600.00 $ 18,500.00 $ $ 18,500.00 100% $ 20 Resilient Base & Accessories - Material $ 10600.00 $ 11500.00 $ $ 11500.00 100% $ 21 Resilient Base & Accessories - Labor $ 11200.00 $ 1,200.00 $ $ 1,200.00 100% $ 22 Resilient Tile Flooring - Material $ 31,000.00 $ 310000.00 $ $ 31,000.00 100% $ 23 Resilient Tile Flooring - Labor $ 12,426.00 $ 12,425,00 $ $ 12,425.00 100% $ 24 Gyp. Board - Material $ 11600.00 $ 19600.00 $ $ 11500.00 100%1 $ 25 Gyp. Board - Labor IGWB $ 7,000.00 $. 7,000.00 $ $ 7t000.00 100% N 26 Taping - Material $ 1,600.00 $ 1,500.00 $ $ 11500.00 100% -$ $ 27 GWB Taping - Labor $ 91000.00 $ 94000.00 $ $ 99000.00 100% $ 28 Paint - Materials $ 61500.00 $ 61000.00 $ 1,500.00 $ 6,500.00 100% $ 29 Paint - Labor $ 13,000.00 $ 10,000.00 $ 3,000.00 $ 13,000.00 100% $ 30 ACT Grid - Materials $ 2,,600.00 $ 2,600.00 $ $ 29500.00 100% $ 31 ACT Grid - Labor $ 41000.00 $ 41000.00 $ $ 41000.00 100% $ 32 ACT - Material 39760.00 $ 31750.00 $ 3750.00 100% 33 ACT - Labor $ 3*5W.00 $ 3,6W.00 $ $ 30500.00 100% $ 34 --_ Signage - Material $ 29500.00 $ 2,800.00 $ - $ 2,500.00 100% $ 36 Signage - Labor $ 500.00 $ 600.00 $ - $ 500.00 100% $ Toilet Compartments - Material $ 12,000.00 $ 12,,000.00 $ 0 $ 12,000.00 100% $ 37 Toilet Compartments - Labor $ 9$000-00 $ 91000.00 $ - $ 91000.00 100%1$ 8! - Toilet, Bath, and Laundry Acc. - Material $ 7t200.00 I $ 71200.00 $ .0 7.200.00 100% $ ±38 !39 Toilet Bath and Laundry Acc. - Labor === I $ 1.000-00 10000.00 $ - $ 11000.00 100% 4o Plumbing Demo - Material $ 760.00 $ 760.00 - $ op $ 750-00 100% $ 41 Plumbing Demo - Labor 1Plumbing $ 3,j5W-00 $ 3,600.00 $ $ 316W.00 100% $ 42 Rough In - Material $ 22,000.00 $ 221,000.00 $ $ 22,000.00 100% $ 43 Plumbing Rough In - Labor $ 16,000.00 $ 15,000.00 $ - $ 15,000.00 100% $ 44 Plumbing Trim - Material $ 40j000-00 $ 37,600.00 $ 2,500.00 $ 40,000.00 100% $ 45 Plumbing Trim - Labor $ 12*000.00 $ 10,000.00 $ 2,000.00 $ 12,000.00 100% $ 4e Electrical Demo $ 40000.00 $ 4,000.00 $ - $ 41000.00 100% $ 47 Electrical - Materials $ 810W.00 $ 7,500.00 $ 500.00 $ 81000.00 100% $ 48 Electrical - Labor $ 3,000.00 $ 2,850.00 $ 150.00 $ 39000.00 100% $ Fire Alarm $ 14,000.00 $ 13,000.001 $ 1,000.00 $ 14.000.001 100% $ 1 so Close Out 5% $ 25,675.00 $ - $ - $ - 0% $ 26s676.00 ff I$ I$ - 1 $ Is - 1 0%1-$ a ESTIMATE APPLICATION PROJECT:1500 CONTRACTOR: .. .•.•. .. OF WORK COMPLETED NO. 6 Bldg. Remodel Banlin Construction • .,.,.•. ., .,. ... ,• ..•.. . •.•.• . ..,.,.;.,. ..... -..,. . .,.,.,. PERIOD. 9/1 .... ... . . . .•.. /25 - 9/30/25 ... .... ,..... ....... . •.•.•. .. ..... ... . •. . ......... ... ,. ..... .. , . • :: � . .•..• ::...................,...,.•.• �,•., ..... ... .• .� �..• •.•. .•R IP S.•.• •. £t�lT:•.• ,.,. •.•:T4�R ' :.., •• :,:,:�.�.,.•.,.,. ::Y :I=EI! t3kl:., . ,.,.,.,. $ $ - $ - $ 0%$ .. .,. .,.,. ........ ::::::::::::::Su T.•... $ 571,5b0.00 470,57. 5.00 . $ 15,350.00 '$�485;825.00 ' . 95 �' • $ 25;575.00 CHANGE ORDERS COP 001 Demo & Replace Corridor 1 Flooring 22.402.17 22*402.17 0.00 22,402.17 100% 0.00 COP 002 Add Rooms 1502,1503,1504, 2 1505 & 1506 350052.18 35,052.18 0.00 35,052.18 100% 0.00 3 COP 003 Delete HM Frames 4,569.81 4,569.81 0.00 49669.81 100% 0.00 4 COP 004 Patch Walls & Paint Entrance 71257.63 5,850.00 19407.63 79257.63 100% 0.00 COP 005 Replace ACT in Rooms 1507, 5 1508 & 1509 37,187.03 34,200.00 0.00 34,200.00 92% 2,987.03 COP 007 Remove & Replace Doors in New 6 Office 31 9181.04 31,181.04 0.00 319181.04 100% 0.00 7 COP O08 Remove Existing Windows & Infill 29931.23 2,931.23 0.00 2,931.23 100% 0.00 8 COP 009 Revise Restroom Hardware 11073.75 19073.75 0.00 19073.76 100% 0.00 9 COP 010 Added Asbeston Piping Demo 9,381.90 9*381.90 0,00 9,381.90 100% 0.00 10 COP 011 ASI 1 Restroom Change 21726,41 21725.41 0.00 21726.41 100% 0.00 COP 012 Concrete Subfloor Demo & 11 Replace 69280.31 59280.31 0.00 f,280.31 100% 0.00 12 COP 013 Higher Ceilings In Restroom 8,145.22 7,300.00 845.22 8,145.22 100% Q.00 13 COP 014 Infill Closet in Classroom 1509 2,818.36 2,818.36 0.00 2*818.36 100% 0.00 • 14 COP 015 Existing Floor Box Replacement 60166.36 6,166.36 0.00 69156.36 100% 0.00 15 COP 017 Add Bulkhead in Classroom 1608 15,216.52 16*216.52 0.00 159216.52 100% 0.00 COP 018 Wall Backing at RR 1517 & vest 16 1516A 1,359.00 1,359.00 0.00 1.359.00 100% 0.00 COP 019 Concrete Demo & Replace In 17 New Office 1,591.86 11691.86 0.00 11591.86 100% 0.00 18 COP 020 Roll -Up Door & Misc. Electrical 155,080.61 0.00 16,000.00 16,000.00 10% 139#080.61 19 COP 021 Exterior RR Walls 10652.48 11652.48 0.00 1 *652.48 100% 0.00 COP 022 Credit far New Office Area 20 Flooring 51,691.00 5,691.00 0.00 5,691.04 100% 0.00 COP 023 Added ACT in Common Area 21 1606 21044.05 0.00 29044.05 29044.06 100% 0.00 22 COP 024 Door Revisions per RF1018 5,903.25 1,200.00 41703.25 5,903.25 100% 0.00 23 FA 001 Remove & Replace GWB 3,661.51 39661.51 0.00 31661.51 100% 0.00 7...... .. .. ..... :•.•••..': :•.$ • '•'•' :•ICE:T4TAL•:�'�.�.•.•'''•'•'•'•'•' 347,841'.06 $ 1809773.27 ' 25 000 '1 . 5 205;773.42 59% . $ 142,067.64 .. .. .. �:1"t'•T'�iL• �:� •... • a . 859 341 6 $ 651,348.27 $ 409350.15 $ 6911 98.42 0010 $ :•' 167-,642.64 1 APPLICATION AND CERTIFICATE FOR PAYMENT I 2 APPLICATION NO. 6 PERIOD: 9/1/25 - 9/30/25 3 PROJECT: 1500 Bldg. Remodel 4 PROJECT PAYMENT INFORMATION b 6 7 8 9 10 11 12 13 14 16 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 The undersigned Contractor certifies that to the best of his knowledge, information and belief the work 32 covered by * this Application for Payment has been completed In accordance with the Contract 33 Documents, that all amounts have been paid by him for Work for which previous Certificate of Payments 34 were issued and payments received from the Owner, and that current payment shown herein Is now due. 35 36 CONTRACTOR: 37 38 By: Date: 39 40 State of. Washington County of., Benton County 41 Subscribed and sworn to before me this day of 2019, 42 44 SUBTOTAL CO TOTAL SUBTOTAL SALES TAX @ 8.2al6 . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . .•. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. HMU- L. ................. ............... MA - L-*V-* F.; ::::::. .1 ...... WOW .................... ....... ................. N' P F L * 1 Q-A, Tj Q APPL-JO ATI ...... QN, .... -T. TAL- .......... 6ft A No. 8: 511,600.00 347,841.06 859,341.06 70,465.97 4709575.00 180,773.27 661o348.27 63,410.56 16,350.00 26,000.15 40,350.15 3t308-71 485,925.00 205,773.42 1 691 t698A2 56,719.27 26,576.00 1429067.64 167,642.64 13,746.70 TOTAL CONTRACT 929407.03 704j758-83 43,658.86 7489417.69 181,389.34 RETAINAGE - 5% 929407.03 (32,567.41) 672,191.42 (2*017.51) (34j584.921 41,641.35 713,832.77 6729191.42 41,641.35 34,584.92 TOTAL LESS RETAINAGE 215,974.26 PREVIOUS PAYMENTS DUE THIS ESTIMATE IUNPAID BALANCE L 216t974.26 I 45 Notary Public: 46 My Commission expires: 47 48 PARTIAL WAIVER AND RELEASE UPON PAYMENT (CONDITIONAL) PROJECT: BBCC 1500 Bldg. Remodel Company Name: Banlin Construction Company Address: 320 W Columbia Drive, Kennewick, WA 99336 Company Phone Number.- 509-586-2000 The undersigned declares that upon payment in the amount of $ 41-35 for labor, services, equipment, or material furnished to BBCC for the job of BBCC 1500 Bldg. Remodel project located at 7662 Chanute Street, Moses Lake, WA 98837fumished as of the date stated herein does hereby release any and all rights to a mechanic's lien, stop notice, or any right against a labor and material bond on the job to the extent of the aforesaid amount. The undersigned further certifies that all subcontractors, material, men, and suppliers xvxrborn through agreement with the above -named company have provided any labor or materials for the above reference project have been paid to date for services rendered plus any State or Federal Taxes owed for said services, Dated: Signed; io S41, Printed Name: Title: ma" ------- --- --- Witnessed By (Attest): Printed Name: Date of Witness: ro NOTICE: THIS DOCUMENT PARTIALLY WAIVES RIGHTS AND STATES THXr YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT. UNCONDITIONAL WAIVER AND RELEASE UPON PAYMENT' PROJECT: B13CC 1500 Bldg. Remodel Company Name: Banfin Construction Company Address: 320 W Columbia Drive, Kennewick, WA 99336 Co-,.-iipany Phone Number.- 509-586-2000 The undersigned has been paid S 191-673.07 in full for all labor, senilees. equipment, or material furnished to 13BCC for the job of BBCC 111."5100 Bld(,,,,,, Remodel Project l I" ocated at 7602 (1tanute Street, INLake, -loses L, WA 9883/ ca-nd does hereby release any and all riiyhts to a meehanie's lien, stop notiee. or a n*ght against a labor and material bond on the *gib, ny J The and ersi-gncd fijAber cam ffies that all subcontractors, materialmen and suppliers whom through agreement �Ndth the above narned company have provided any labor or materials for th(.- above 'a Is * ref-crencc project have been paid M* full: for s-eryi fo ices rendered ncluumo a State and Federal Taxes owed for said servikes. Dated: Signed: Printed Name: 2(U Title-* 0 Witnessed By (Attest) - Printed Name. - Date of Witiless'. NOTICE.- THIS DOCUMENT WAIVES RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT'BEEN PAID. IF YOU HAVE NOTBEEN PAID, USE A PARTIAL WAIVER AND RELEASE FORM. Contract # 2226-476 Submitted to GC by: anneq-(&-bic-ibend.edu Request for Reimbursement No.MSC-0000043151 Grant County's Subrecipient Checklist: State Auditor's Office Audit Procedures for Testing Activities Allowed And Not Allowed, As Published In 2007 Questions to ask before submitting a payment request Was the expenditure or cost: _X Made for an allowable activity under the grant guidelines? _X Authorized (or not prohibited) under state or local laws or regulations? Approved by the federal awarding agency, if required? _X Allowable per Circular A-87 (June 2004 version), Attachment B, items 1-43? For payroll transactions: _X Does the employee's time and effort documentation meet the requirements of Circular A-1 22? _X Allocable to the program? (i.e., was the dollar amount charged to the program relative to the benefits received by the program? Is the federal grantor being charged its fair share of the cost?) _X Based on actual costs, not budgeted or projected amounts? _X Applied uniformly to federal and non-federal activities (i.e., is the federal government being charged the same amount as if non-federal funds were being used to pay the cost)? X Given consistent accounting treatment within and between accounting periods? (Consistency in accounting requires that costs incurred for the same purpose, in like circumstances, be treated as either direct costs only or indirect costs only with respect to final cost objectives). x— Calculated in conformity with generally accepted accounting principles, or another comprehensive basis of accounting, when required under the applicable cost principles? _X Not included as a cost (or used to meet cost sharing requirements) of other federally -supported activities of the current or a prior period? _X Net of all applicable credits? (e.g., volume or cash discounts, insurance recoveries, refunds, rebates, trade-ins, adjustments for checks not cashed, and scrap sales). _X Not included as both a direct billing and as a component of indirect costs? _X Properly classified (e.g., some costs may be incorrectly claimed as a direct cost instead of being incorporated as part of the indirect cost rate). _X Supported by appropriate documentation? (e.g., approved purchase orders, receiving reports, vendor invoices, canceled checks, and time and attendance records.) Documentation may be in an electronic form. _X Correctly charged to the proper account code and grant period? Page 1 1 I Furx3 Ctass De t ld i amount Stat Amt Reference Line Descr fem Fate Aact Qate" Em t lt�JName " Pay Period End Date` ' LiablEx E n T Experae Code`jIlRefereme Earn `` Reference Earn' Off cle Check Dt 146 114 26015 N 0.19 2611619 HERP SUP-DED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E D 000034 CSL 0 N 10/24/2025 146 114 26015 N 8.30 - 2611619 Employer FICA OASDI PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E T E CSL 0 N 10/24/2025 146 114 26015 N 2.51 - 2611619 HERP SUP-DED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E D 000034 REG 0 N 10/24/2025 146 114 26015 N 1,932.29 0.26 2611619 REG - Reg Earns PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E E REG REG 0 N 10/24/2025 146 114 26015 N 733.15 - 2611619 HCA Avg-DED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E D 000990 REG 0 N 10/24/2025 146 114 26015 N 143.72 0.02 2611619 Comp SL- Oth ERN PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E E CSL CSL 0 N 10/24/2025 146 114 26015 N 4.53 - 2634296 MedAid ER-DED PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E D 000204 REG 0 N 11/10/2025 146 114 26015 N 2.45 2634296 HERP SUP-DED PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E D 000034 REG 0 N 11/10/2025 146 114 26015 N 4.66 2634296 Ind Ins ER-DED PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E D 000202 REG 0 N 11/10/2025 146 114 26015 N 1.02 2611596 MedAid ER-DED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E D 000204 VAC 1 N 10/24/2025 146 114 26015 N 38.38 - 2611596 Employer FICA OASDI PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E T E REG 1 N 10/24/2025 146 114 26015 N 18.21 2611596 Employer FICA OASDI PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E T E VAC 1 N 10/24/2025 146 114 26015 N 0.60 - 2634273 Ind Ins ER-DED PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E D 000202 VAC 1 N 11/10/2025 146 114 26015 N 763.89 0.15 2634273 REG - Reg Earns PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E E REG REG 1 N 11/10/2025 146 114 26015 N 16.93 - 2611537 Employer FICA MED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E T Q REG 0 N 10/24/2025 146 114 26015 N 0.15 2611537 MedAid ER-DED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E D 000204 CSL 0 N 10/24/2025 146 114 26015 N 3.09 2611537 MLI-ER-DED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E D 180704 REG 0 N 10/24/2025 146 114 26015 N 2.32 2611537 PERS 2-DED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E D 000014 CSL 0 N 10/24/2025 146 114 26015 N 2.31 2611656 MedAid ER-DED PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E D 000204 CSL 0 N 10/24/2025 146 114 26015 N 0.98 2611656 HERP SUP-DED PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E D 000034 CSL 0 N 10/24/2025 146 114 26015 N 26.09 2611619 Employer FICA MED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E T Q REG 0 N 10/24/2025 146 114 26015 N 191.63 0.02 2634296 Vacation- Oth ERN PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E E VAC VAC 0 N 11/10/2025 146 114 26015 N 0.46 - 2634296 MedAid ER-DED PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E D 000204 VAC 0 N 11/10/2025 146 114 26015 N 14.37 2634296 TIAA-CREF-DED PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E D 000001 VAC 0 N 11/10/2025 146 114 26015 N 42.65 2634273 Employer FICA OASDI PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E T E REG 1 N 11/10/2025 146 114 26015 N 72.40 2611537 Employer FICA OASDI PAYROLL 1O/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E T E REG 0 N 10/24/2025 146 114 26015 N 4.51 - 2611537 Ind Ins ER-DED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E D 000202 REG 0 N 10/24/2025 146 114 26015 N 76.40 2611656 TIAA-CREF-DED PAYROLL 10/15/2025 101044306 Richlineleni M 10/15/2025 E D 000001 CSL 0 N 10/24/2025 146 114 26015 N 1.79 2634332 HERP SUP-DED PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E D 000034 REG 0 N 11/10/2025 146 114 26015 N 4.28 2634332 Ind Ins ER-DED PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E D 000202 REG 0 N 11/10/2025 146 114 26015 N 1.94 2611619 Employer FICA MED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E T Q CSL 0 N 10/24/2025 146 114 26015 N 4.65 2611619 MedAid ER-DED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E D 000204 REG 0 N 10/24/2025 146 114 26015 N 4.78 - 2611619 Ind Ins ER-DED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E D 000202 REG 0 N 10/24/2025 146 114 26015 N 8.98 2611596 Employer FICA MED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E T Q REG 1 N 10/24/2025 146 114 26015 N 0.39 2611596 HERP SUP-DED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E D 000034 VAC 1 N 10/24/2025 146 114 26015 N 12.91 - 2634273 TIAA-CREF-DED PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E D 000001 VAC 1 N 11/10/2025 146 114 26015 N 0.22 2634273 HERP SUP-DED PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E D 000034 VAC 1 N 11/10/2025 146 114 26015 N 9.97 2634273 Employer FICA MED PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E T Q REG 1 N 11/10/2025 146 114 26015 N 0.58 2634273 MedAid ER-DED PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E D 000204 VAC 1 N 11/10/2025 146 114 26015 N 0.60 - 2611537 Employer FICA MED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E T Q CSL 0 N 10/24/2025 146 114 26015 N 41.61 0.01 2611537 Comp SL- Oth ERN PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E E CSL CSL 0 N 10/24/2025 146 114 26015 N 68.11 - 2634214 PERS 2-DED PAYROLL 10/31/2025 201828287 Garcia-Sanchez,lsrael 10/31/2025 E D 000014 REG 0 N 11/10/2025 146 114 26015 N 2.29 - 2611656 Ind Ins ER-DED PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E D 000202 REG 0 N 10/24/2025 146 114 26015 N 763.91 0.13 2611656 Comp SL- Oth ERN PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E E CSL CSL 0 N 10/24/2025 146 114 26015 N 19.20 - 2634332 Employer FICA MED PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E T Q REG 0 N 11/10/2025 146 114 26015 N 1,376.77 0.23 2634332 REG - Reg Earns PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E E REG REG 0 N 11/10/2025 146 114 26015 N 0.38 - 2634332 MedAid ER-DED PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E D 000204 CSL 0 N 11/10/2025 146 114 26015 N 10.78 2611619 TIAA-CREF-DED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E D 000001 CSL 0 N 10/24/2025 146 114 26015 N 0.35 2611619 MedAid ER-DED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E D 000204 CSL 0 N 10/24/2025 146 114 26015 N 0.83 2611596 HERP SUP-DED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E D 000034 REG 1 N 10/24/2025 146 114 26015 N 634.78 0.12 2611596 REG - Reg Earns PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E E REG REG 1 N 10/24/2025 146 114 26015 N 57.29 - 2634273 TIAA-CREF-DED PAYROLL 10/31/2025 201586139 Allinson,Nik!Porter 10/31/2025 E D 000001 REG 1 N 11/10/2025 146 114 26015 N 2.67 2634273 Ind Ins ER-DED PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E D 000202 REG 1 N 11/10/2025 146 114 26015 N 2.23 2611656 MedAid ER-DED PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E D 000204 REG 0 N 10/24/2025 146 114 26015 N 666.50 2611656 HCA Avg-DED PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E D 000990 REG 0 N 10/24/2025 146 114 26015 N 738.02 0.12 2611656 REG - Reg Earns PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E E REG REG 0 N 10/24/2025 146 114 26015 N 73.80 - 2611656 TIAA-CREF-DED PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E D 000001 REG 0 N 10/24/2025 146 114 26015 N 12.50 2634332 TIAA-CREF-DED PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E D 000001 CSL 0 N 11/10/2025 146 114 26015 N 7.47 2634332 Employer FICA OASDI PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E T E CSL 0 N 11/10/2025 146 114 26015 N 0.17 2634332 HERP SUP-DED PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E D 000034 CSL 0 N 11/10/2025 146 114 26015 N 0.25 2634296 HERP SUP-DED PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E D 000034 VAC 0 N 11/10/2025 146 114 26015 N 11.06 2634296 Employer FICA OASDI PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E T E VAC 0 N 11/10/2025 146 114 26015 N 2.59 2634296 Employer FICA MED PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E T Q VAC 0 N 11/10/2025 146 114 26015 N 1,884.38 0.26 2634296 REG - Reg Earns PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E E REG REG 0 N 11/10/2025 146 114 26015 N 22.59 - 2611596 TIAA-CREF-DED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E D 000001 VAC 1 N 10/24/2025 146 114 26015 N 47.61 - 2611596 TIAA-CREF-DED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E D 000001 REG 1 N 10/24/2025 146 114 26015 N 2.22 - 2611596 Ind Ins ER-DED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E D 000202 REG 1 N 10/24/2025 146 114 26015 N 2.59 - 2634273 MedAid ER-DED PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E D 000204 REG 1 N 11/10/2025 146 114 26015 N 2.56 - 2611537 Employer FICA OASDI PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E T E CSL 0 N 10/24/2025 146 114 26015 N 65.78 - 2611537 PERS 2-DED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E D 000014 REG 0 N 10/24/2025 146 114 26015 N 3.20 - 2634214 MLI-ER-DED PAYROLL 10/31/2025 201828287 Garcia-Sanchez,lsrael 10/31/2025 E D 180704 REG 0 N 11/10/2025 146 114 26015 N 44.02 - 2611656 Employer FICA OASDI PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E T E REG 0 N 10/24/2025 146 114 26015 N 1.76 - 2634332 Employer FICA MED PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E T Q CSL 0 N 11/10/2025 146 114 26015 N 144.92 - 2611619 TIAA-CREF-DED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E D 000001 REG 0 N 10/24/2025 146 114 26015 N 25.44 - 2634296 Employer FICA MED PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E T Q REG 0 N 11/10/2025 146 114 26015 N 108.78 - 2634296 Employer FICA OASDI PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E T E REG 0 N 11/10/2025 146 114 26015 N 0.47 - 2634296 Ind Ins ER-DED PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E D 000202 VAC 0 N 11/10/2025 146 114 26015 N 4.26 - 2611596 Employer FICA MED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E T Q VAC 1 N 10/24/2025 146 114 26015 N 0.16 - 2611537 Ind Ins ER-DED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E D 000202 CSL 0 N 10/24/2025 146 114 26015 N 0.11 - 2611537 MLI-ER-DED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E D 180704 CSL 0 N 10/24/2025 146 114 26015 N 74.96 - 2634214 Employer FICA OASDI PAYROLL 10/31/2025 201828287 Garcia-Sanchez,lsrael 10/31/2025 E T E REG 0 N 11/10/2025 146 114 26015 N 17.53 - 2634214 Employer FICA MED PAYROLL 10/31/2025 201828287 Garcia-Sanchez,lsrael 10/31/2025 E T Q REG 0 N 11/10/2025 146 114 26015 N 10.29 - 2611656 Employer FICA MED PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E T Q REG 0 N 10/24/2025 146 114 26015 N 2.37 - 2611656 Ind Ins ER-DED PAYROLL 10/15/2025 101044306 Richline)eni M 10/15/2025 E D 000202 CSL 0 N 10/24/2025 146 114 26015 N 137.68 - 2634332 TIAA-CREF-DED PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E D 000001 REG 0 N 11/10/2025 146 114 26015 N 4.16 - 2634332 MedAid ER-DED PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E D 000204 REG 0 N 11/10/2025 146 114 26015 N 125.16 0.02 2634332 Comp SL- Oth ERN PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E E CSL CSL 0 N 11/10/2025 146 114 26015 N 0.36 - 2611619 Ind Ins ER-DED PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E D 000202 CSL 0 N 10/24/2025 146 114 26015 N 301.25 0.06 2611596 Vacation- Oth ERN PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E E VAC VAC 1 N 10/24/2025 146 114 26015 N 0.99 - 2634273 HERP SUP-DED PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E D 000034 REG 1 N 11/10/2025 146 114 26015 N 9.61 - 2634273 Employer FICA OASDI PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E T E VAC 1 N 11/10/2025 146 114 26015 N 1,178.89 0.24 2611537 REG - Reg Earns PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E E REG REG 0 N 1O/24/2025 146 114 26015 N 666.50 - 2611537 HCA Avg-DED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E D 000990 REG 0 N 10/24/2025 146 114 26015 N 4.39 2611537 MedAid ER-DED PAYROLL 10/15/2025 201828287 Garcia-Sanchez,lsrael 10/15/2025 E D 000204 REG 0 N 10/24/2025 146 114 26015 N 4.54 2634214 MedAid ER-DED PAYROLL 10/31/2025 201828287 Garcia-Sanchez,lsrael 10/31/2025 E D 000204 REG 0 N 11/10/2025 146 114 26015 N 0.96 2611656 HERP SUP-DED PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E D 000034 REG 0 N 10/24/2025 146 114 26015 N 45.57 2611656 Employer FICA OASDI PAYROLL 10/15/2025 101044306 Richline leni M 10/15/2025 E T E CSL 0 N 10/24/2025 146 114 26015 N 10.65 2611656 Employer FICA MED PAYROLL 10/15/2025 101044306 Richline,Jeni M 10/15/2025 E T Q CSL 0 N 10/24/2025 146 114 26015 N 0.40 2634332 Ind Ins ER-DED PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E D 000202 CSL 0 N 11/10/2025 146 114 26015 N 82.12 - 2634332 Employer FICA OASDI PAYROLL 10/31/2025 101044306 Richline,Jeni M 10/31/2025 E T E REG 0 N 11/10/2025 146 114 26015 N 111.55 2611619 Employer FICA OASDI PAYROLL 10/15/2025 101044712 Ghinazzi,Anne Marie 10/15/2025 E T E REG 0 N 10/24/2025 146 114 26015 N 141.33 2634296 TIAA-CREF-DED PAYROLL 10/31/2025 101044712 Ghinazzi,Anne Marie 10/31/2025 E D 000001 REG 0 N 11/10/2025 146 114 26015 N 466.55 2611596 HCA Avg-DED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E D 000990 REG 1 N 10/24/2025 146 114 26015 N 1.05 2611596 Ind Ins ER-DED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E D 000202 VAC 1 N 10/24/2025 146 114 26015 N 2.16 2611596 MedAid ER-DED PAYROLL 10/15/2025 201586139 Allinson,Niki Porter 10/15/2025 E D 000204 REG 1 N 10/24/2025 146 114 26015 N 2.25 - 2634273 Employer FICA MED PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E T Q VAC 1 N 11/10/2025 146 114 26015 N 172.14 0.03 2634273 Vacation- Oth ERN PAYROLL 10/31/2025 201586139 Allinson,Niki Porter 10/31/2025 E E VAC VAC 1 N 11/10/2025 146 114 26015 N 1,220.50 0.25 2634214 REG - Reg Earns PAYROLL 10/31/2025 201828287 Garcia-Sanchez,lsrael 10/31/2025 E E REG REG 0 N 11/10/2025 146 114 26015 N 4.67 - 2634214 Ind Ins ER-DED PAYROLL 10/31/2025 201828287 Garcia-Sanchez,lsrael 10/31/2025 E D 000202 REG 0 N 11/10/2025 s 15, st q 4 11