HomeMy WebLinkAboutGrant Related - BOCCGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: BOCC DATE:12/16/2025
REQUEST SUBMITTED BY: Kal"1"le Stockton PHONE: 2937
CONTACT PERSON ATTENDING ROUNDTABLE: K81'fl@ Stockton
CONFIDENTIAL INFORMATION: ❑YES BNO
❑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
Reimbursement request from Big Bend Community College on the American Rescue
Plan Act (ARPA) in the amount of $72,562.65 for November 2025.
DATE OF ACTION: �O�•o�,� • Coe S
APPROVE: DENIED ABSTAIN
D2:
D3:
DEFERRED OR CONTINUED TO:
WITHDRAWN:
4/23/24
INVOICE
Big Beptid Invoice No: MSC-0000043868
Nb&r COMMUNUTY COLA-EGE Invoice Date: 12/11/25
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
12/11/25
72,562.65 U S D
Immediate
Amount Remitted
For billing questions, please call 509-793-2024
Ori 9nal
I inn lelftntifilar nnar-ri ['Minn As 2.2r%*;* %I I inu 1 10%2'6 A ww%& &I-& A
E
G.C. ARPA Funding 1.00 EA
146--114-26015-4021030--
Subtotal:
Amount Due:
Contra ct#2 226-4 76
G.C. ARPA Funding - November 2025
K23-163-Expens. Med.& Nurs. Prog t $5,6,746.62 Bldg. 1500
K23-164 -Remodel of Nursing Lab
K23-165- Expans. H. Care Prog. $15,816.03 Prog. Work
72,562.65 72,562.65
72,562.65
72,562.65
oil
MR
T'ATE O `F IN N
Al 9-2AE=2
INVOICE VOUCHER
Cie Department of Enterprise Services
Engineering & Architectural Services
P.O.Box 41476
Attn: Barbie Downie
ANLIN Construction
320 W Columbia D
Kennewick, WA 9 336
VENDOR'S CERTIFICATE. I FIERILY CERTIFY UNDER PENALI Y OF PERJURY THAT THE IT -EMS Al D
TOTALS LISTED HEREIN ARE PAUPER CHARGES FOR I4lATERIALS§ MERCHANDISE OR SERVICES
FURNISHED TO THE STATE OF WASHINGTON+ AND THAT- ALL GOODS FURNISHED OR SERVICES
RENDERED HAVE BEEN PROVIDED WITHOUT I ISCRatS; INATION ON THE GROUNDS OF RACE§
CREED, COLOR. NATIONAL ORIGIN, SEX, OR AGE, THAT PREVAILING WAGES HAVE BEEN PAID IN
ACCORDANCE IVRH THE PREFILE.D STATEMENT OR STATEMENTS OF INTEN t ON FILE W TH THE
DEPARTMENT OF LABOR AND INDUSTRIES AS APPROVED BY THE INDUSTRIAL STATISTICIAN;
AND THAT ALL SUB CONTRACTORS AND JOR SUPPLIERS HAVE BEEN PAID LESS EARNED
RETAINAGE AS THEIR INTEREST APPI ARED IN THE LAST PAYMENT RECEIVED,
FEDERAL TAX ID O.: 90-0810742
FAILURE TO PROVIDE THIS NUMSER WILL RESULT IN DELAY V PAYMENT.
BY:
TITLE: Project Manager
FOW
ENCY'
a;
w1ft
+ ♦ e a
• a - r _ - .. r s a s .. x . - a � cif 4f -
' a i n§ fi Y ± r♦ f
fi s f F n§ 4 k•.6 a f ♦ • i w
Total Earned to Date $746,685.45
Plus 8.2% Washington hington State Sales Tax $61,228.21
ores5 Earned to Date $ 07, 13.6
Retained Percentage Total Amount Earned to Date
Less 5% Retained Not, Including Sates Tax $37t334.27
+4
. a
swi
Net Ear.-ieCi to Date.... $770,579.39
, 13, 2.77
Less Previously Invoiced ..
,AMOUNT DUE THIS INVOICE � 5 6.62
This Certifies that Services
Invoiced herewith have been received
ENGINEERING & ARCHITECTURAL SERVICES
Department of Enterprise Service
31Oct25
. Y it P14>•[11 sr E_`OP FNTFviri
Ah
F
i
( i.♦raxasew♦>are »w�§eeatMfar. L
L)�.6:.s 1..�#-ss f�_.igTDtr�E DATE
F p� i jl:.. i`.i { S�tei��. NO, rHEF .�L t10 � Y� a NUM —DER ....,�,eruR_,n...cn..rrfa....,.�.,., USE
VENDOR
' G•e..� w.,,rr.,o�.rir.*�,.a.�+»r�,...,�,.,.w_...,,.,.,.f>wr�m«:e 1 i tx � ti >w"
•...,..•_.....� .i f .i ,Y I<��I1;3I> �t.�.._ +£E�€,�DOR I.IEaG€-.
HN
PILF TEA1 S O FUND AFIr'EN PR06> S' - " SUB ORG ; (_'LASS Ors 'WN .. 0-INVOICE I', , FE
SUF CC )V VE D INDEX INDEX :lcsj OWSCI € CC UNIT M 0 413
=.,�+er++«....»a se.u-aoaaa" .a....w?wwvsrr �v.�ne.r.r.w»...es ns�" - � .. .. - jymw.safra�r�sweeriaerrm�an�.erorms���awvefsusaww.e»a+m~rn§e...>�..+..d.w.+♦ 's
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...._.�...........�_. _.... ..vn......-..."�-..-..._. ..,.w.,.,"..o.s�. �/' .j�.�_...,,...=_i�.....,; §((�7�7� `qo� �` 1M./ 1// ij%�1i1/ � .��. ; �. « �.�_.��..�...,.♦...�♦yrrrr.�..�_�«.e,r....•x.,.v,.rr.",_.�_..
-• £t £: s � ��;.ti PAYMENT
s, s ....,,,o )t- �. t Y 4
rY t [-�7*;ARRAMNT
tt, OR PA MEN BY ,� CA E T� AL O*,R, �. .-� : N _. � "F R
f
"7 ct
�.nv. rR
Updated 711 /2016
Year Period O er Unit Account Acct Descr
De t Dept Descr -1
Class Sum Amount Journal ID Descr !{
Date I Source Sum S Line Descr ��
creation Date
Unit
����
WA180
2026
5 7180
5000030 Exempt Professional/Technical
26015 ARPA - County Funds
114
41513.97 PAY0693604 HR Payroll Journals
11/15/2025 PAY
0.72 HR Payroll Journal Line
11/20/2025 20:35
WA180
2026
5 7180
5000030 Exempt Professional/Technical
26015 ARPA - County Funds
114
4,513.97 PAY0699027 HR Payroll Journals
11/30/2025 PAY
0.72 HR Payroll Journal Line
12/5/2025 20:21
WA180
2026
5 7180
5000100 Community College Classified
26015 ARPA - County Funds
114
1,220.50 PAY0693604 HR Payroll Journals
11/15/2025 PAY
0.25 HR Payroll Journal Line
11/20/2025 20:35
WA180
2026
5 7180
5000100 Community College Classified
26015 ARPA - County Funds
114
1,220.50 PAY0699027 HR Payroll Journals
11/30/2025 PAY
0.25 HR Payroll Journal Line
12/5/2025 20:21
WA180
2026
5 7180
5010010 Old Age and Survivors Insur
26015 ARPA - County Funds
114
339.54 PAY0693604 HR Payroll Journals
11/15/2025 PAY
0.00 HR Payroll Journal Line
11/20/2025 20:35
WA180
2026
5 7180
5010010 Old Age and Survivors Insur
26015 ARPA - County Funds
114
339.53 PAY0699027 HR Payroll Journals
11/30/2025 PAY
0.00 HR Payroll Journal Line
12/5/2025 20:21
WA180
2026
5 7180
5010020 Medicare
26015 ARPA - County Funds
114
79.40 PAY0699027 HR Payroll Journals
11/30/2025 PAY
0.00 HR Payroll Journal Line
12/5/2025 20:21
WA180
2026
5 7180
5010020 Medicare
26015 ARPA - County Funds
114
79.44 PAY0693604 HR Payroll Journals
11/15/2025 PAY
0.00 HR Payroll Journal Line
11/20/2025 20:35
WA180
2026
5 7180
5010030 Retirement and Pensions
26015 ARPA - County Funds
114 q
444.20 PAY0699027 HR Payroll Journals
11/30/2025 PAY
0.00 HR Payroll Journal Line
12/5/2025 20:21
WA180
2026
5 7180
5010030 Retirement and Pensions
26015 ARPA - County Funds
114
444.21 PAY0693604 HR Payroll Journals
11/15/2025 PAY
0.00 HR Payroll Journal Line
11/20/2025 20:35
WA180
2026
5 7180
5010040 Medical Aid
26015 ARPA - County Funds
114
17.24 PAY0699027 HR Payroll Journals
11/30/2025 PAY
0.00 HR Payroll Journal Line
12/5/2025 20:21
WA180
2026
5 7180
5010040 Medical Aid
26015 ARPA - County Funds
114
17.25 PAY0693604 HR Payroll Journals
11/15/2025 PAY
0.00 HR Payroll Journal Line
11/20/2025 20:35
WA180
2026
5 7180
5010050 Labor &Industries
26015 ARPA - County Funds
114
17.76 PAY0693604 HR Payroll Journals
11/15/2025 PAY
0.00 HR Payroll Journal Line
11/20/2025 20:35
WA180
2026
5 7180
5010050 Labor &Industries
26015 ARPA - County Funds
114
17.73 PAY0699027 HR Payroll Journals
11/30/2025 PAY
0.00 HR Payroll Journal Line
12/5/2025 20:21
WA180
2026
5 7180
5010060 Health Life and Disability Ins
26015 ARPA - County Funds
114
2,532.70 PAY0693604 HR Payroll Journals
11/15/2025 PAY
0.00 HR Payroll Journal Line
11/20/2025 20:35
WA180
2026
5 7180
5010090 Supplemental Retirement Pay
26015 ARPA - County Funds
114
5.84 PAY0693604 HR Payroll Journals
11/15/2025 PAY
0.00 HR Payroll Journal Line
11/20/2025 20:35
WA180
2026
5 7180
5010090 Supplemental Retirement Pay
26015 ARPA - County Funds
114
5.85 PAY0699027 HR Payroll Journals
11/30/2025 PAY
0.00 HR Payroll Journal Line
12/5/2025 20:21
WA180
2026
5 7180
5010160 Paid Medical Leave
26015 ARPA - County Funds
114
3.20 PAY0693604 HR Payroll Journals
11/15/2025 PAY
0.00 HR Payroll Journal Line
11/20/2025 20:35
WA180
2026
5 7180
5010160 Paid Medical Leave
26015 ARPA - County Funds
114
3.20 PAY0699027 HR Payroll Journals
11/30/2025 PAY
0.00 HR Payroll Journal Line
12/5/2025 20:21
WA180
2026
5 7180
5081250 Repairs and Maintenance
26015 ARPA - County Funds
114
561746.62,1"AP00688090 Accounts Payable
11/6/2025 AP
0.00 AP Accruals
11/7/2025 2:15
72,562.65.o*
iC
4
STATE OF WASHINGTON
CERTIFICATE FOR MATERIAL STORED ON JOB SITE
This certificate is attached to and beairne,z; a pairl, of cthe "A-vlicatlon and Certificate for payment on Contract wIl-lenewer a rinirn
i 0 is rniad,-
for material stored on the job site.)
CERTIFICATE For perlodfrorw 10/1/2025to10/31/2025
Contract for: BBCC - 1500 Remodel Date.- 10/3112025
Location: 7662 Chanute Street, Moses Lake, WA 98837 Certificate No.: 7
Contractor., BANLIN Construction Contract No.: 2024-587 q—1)
ITEM AIL -AMOUNT.,:�'-
N DET
item'descripton and reference to Schedule of Values iter-n #4 so.00
it
I tic at)ove amounts are inciu(jeci unaer the correspondinq item numbers of the "Application and Certificate for payment on Contract
BANLIN Construction
(Contracting Firm)
v
(SSupervising Architect or Engineer)
Updated 7/1/2016
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G 02 PAGE ONE OF PAGE"S
'ro Owner: Big Bend Comm. College, PROJECT: BBCC - 1500 Bldg. Remodel APPLICATIONTNO. 7
I= Distribution to:
7662 Chanute St. NE 7662 Chanute St. NE PERIOD: 10111-'15 - 10131/25 OWNTER
Moses Lake, WA 98837 Nloses i2ke, WA 9-0937 ARCHITECT
I C 0 NNTRACTOR
From Contractor: Banlin Construction VIA ARCHITECT: RGU Architecture & Planrolic,
.:0 '01 W. Coliumbla Dr. 122 2nd Streev'PO Box 820 CONTRACT DATE:
KC,inckvick, WA 99336 Asotin, 4-VA 99402
COINTRACTOR'S APPLICATION FOR PAYMIENT The undersigned Contractor certifies that to the best of the Contractoes knowledge, inforination and belief the
WU
�lcation is made for payment. as shown below, in connection with the Contract, Work covered by s Application for Payment has bexn completed in accordance with the Contract
IF"iDocuments, that ail amounts have been, paid by the Contractor fior Work- for which , prev ious Certifi,,-Wes for
I. ORIGINAL CONTRAcr sum . .................................... $ S5 11,500,00 payment were issued and payments received from the Owner, and that current payment shown here -in is now
due.
2. Net chanue by Chance Orders__ � .............................
-7 41 1. 0 6 S-35- 4
T SUM TO DATE (Line 1+ 2) ...................... XONTRAC'.
Vi,59.341.06
4� TOTAL CO';VIPLETED & STORED TO DATE .................
S7 4 6, 6 8 5, 4 5
5. RETAINAGE:
a. 05 % of Completed Work i07,
S 3 3 4. 7
%of Stored Nklaterial
Total Retainage (Line 5a --;- 5b)
S 5371,334.27
6. TOT.AL EARNED LESS RETAINAGE ........................
S709.351.18
(Lin-- 4 less Line 5 Total)
7. PLUS NVS.S.T.
S61 ,228.2 I
8. LESS PREVIOUS CERTIFICATES FOR PAYMENT
(Line 8 plus Line 9 from prior Certificate) ............................. _V7 3,832.77
9. CURRENT PAYMENT DUE ....... ............... .............. $56,746.62
10. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6) v$159,2227.64
CHANGE ORDER SUMINIARY
ADDITIONS
DEDUCTION'S
F(Ital 71an es approved in previOus
9
nionths by ON,,ner
S _3 47.84 1.06
S
Total approved this Month
's
TOTALS
341,841-06 11s
NET CHANG-TES by Change Order
$347,841.06
CONNTPLA OR:
By:
Date: _A/
Statc of- Washington
County of- Zex\
`oNwI111111111, �jl* v
Subscribed and sworn to before
me thiS2.�\ day of 0Ckolocr
—NJ _g t
1: F
07-
'rotary Public
A
Nly Commission expires:
OWNER'S REP CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on on -site observations
and the data comprising this
application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and
belief the Work has progressed as, indicat4 the quality of the Work is in accordance with the Contract
Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED.
Amon CERTff.]ED ............................................. S
(Attach explanation if amount certified dljersfrom the amount appliedfor Initial all figures on this
Application and on the Continuation Sheet that are changed to conform to the amount certified)
Owner Rep:
By: Date:
This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named
herein. Issuance, payment and acceptance ofFpayrnent are widiout prejudice to any rights of the Owner or
Contractor under this Contract.
ESTIMATE OF WORK COMPLETED
APPLICATION NO. 7 PERIOD: 10/1/25 -10/31/25
PROJECT: 1500 Bldg. Remodel
CONTRACTOR: Banlin Construction
. . . . . . . .
. . . . ....... * ..... '' 11 ''",
.. . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . .
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. . . . . .
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. . . . . . . . . . . . . .
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. . . . . . .
.. .. .. .. .. .. .. ...
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.. ...... .. ........ ....
..... ...... ...... ........... ... .#.. .............................
........... .... ....I ....I ..... ..... ...... ........ ..................1 ............
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..
.. . .. . . .. .......
•
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.4 .........
....
....... . ..
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-ICATMP
.
....
'
-10A-10N
I
Mobilization/Project Start Up
$ 11,000.00
$ 111000.00
$ -
$ 11,000.00
100%:-..
$
2
Bond/insurance
$ 10,000.00
$ 1%000.00
$ -
$ 10,000.00
100%$
3
Selective Demo-Labor/Material
$ 87,000.00
$ 87,000.00
$ w
$ 87,000.00
100%
$
4
Metal FramingACT/GWl3 - Submittals
$ 1,500.00
$ 150o.00
$ m
$ 1,600.00
100%
$
6
Cold Formed Metal Framing - Materials
$ 3,000.00
$ 3go0o.00
$
$ 3,000.00
100%
$
6
Cold Formed Metal Framing - Labor
$ 61000.00
$ 61000.00
$
$ 61000.00
100%
$
7
Casework - Shop Drawings
$ 750.00
$ 760.00
$
$ 760-00
100%
$
8
Casework - Material
$ 18,500.00
$ 18,600.00
$
$ 180600.00
100%
$
9
Casework - Labor
$ 10,000.00
$ 10,000-00
$
$ 10,000.00
100%
$
io
Thermal Insulation
$ 11000.00
$ 1,000.00
$
$ 1,000.00
100%
$
11
HM Frame/Doors, Wood Doors and
Hardware - Material
$ 36,950.00
$ 38,950.00
$
$ 30,960.00
100%
$
12
HM Fr-ame/Doors,, Wood Doom and
Hardware - Labor
$ 81000.00
$ 80000.00
$
$ 81000.00
100%
$
13
Glazing - Shop Drawings
$ 1,200.00
$ 1,200.00
$
$ 11200.00
100%
$
14
Glazing - Material
$ 19600.00
$ 10500.00
$
$ 1,500.00
100%
$
is
Glazing - Labor
$ 2vOOO.00
$ 2,000.00
$
$ 2,000.00
100%
$
16
Floor Prep - Material
$ 11200.00
$ 1,200.00,
$
$ 11200.00
100%
$
17
Floor Prep - Labor
$ 31000.00
$ 3,000.00
$
$ 3,000.00
100%
$
18
Ceramic Tile - Material
$ 13,000.00
$ 131000.00
$
$ 13,000.00
100%
$
19
Ceramic Tile - Labor
$ 18s5Q0.00
$ 18,500.00
$
$ 18,500.00
100%
$
20
Resilient Base & Accessories - Material
$ 11500.00
$ 1,500.00
$
$ 1*500.00
100%
$
21
Resilient Bass i Accessories - Labor
$ 1,200.00
$ 1,204.00
$
$ 11200.00
100%
$
22
Resilient Tile Flooring - Material
$ 31,000.00
$ 319000.00
$
$ 31 t000.00
100%
$
23
Resilient Tile Flooring - Labor
$ 12,426.00
$ 12,425.00
1 $
$ 12,426.00
100%
$
24
Ga.. Board - Material
10500.00
$ 11500.00
$
$ 1.600.00
100%
$
25
Gyp. Board - Labor
$ 7,000.00
$ 79000.00
$
$ 71000.00
100%
$
26
GWB Taping -,Material
$ 19500.00
$ 1,500.00
$
$ 11500.00
100%
$
27
GWB Taping - Labor
$ 9,000.00
$ 91000-00
$ -
$ 92000.00
1000/0
$
28
Paint - Materials
$ 61600-00
$ 6,500.00
$ -
$ 6,600.00
100%
$
1
29
Paint - Labor
$ 13,000.00
$ 13,000.00
$ -
$ 13,000.00
100%
$
30
ACT Grid - Materials
$ 2,500 .00
$ 2,500.00
$ -
$ 21600.00
100%
$
31
ACT Grid - Labor
$ 4,000.00
$ 4,000.00
$
$ 4,000.00
100%
$
32
ACT - Material
$ 3L750-00
$ 3750.00
$
$ 31750.00
100%
$
33
ACT - Labor
$ 3,500.00
$ %600.00
$
$ 3,500.00
100%
$
34
Signage - Material
$ 21500.00
$ 2,500.00
$
$ 21500.00
100%
$
35
Signage - Labor
$ 500.00
$ 500,00
$
$ 500.00
100%
$
36
Toilet Compartments - Material
$ 12,000.00
$ 12,000.00
$
$ 12,000.00
100%
$
37
Toilet Compartments - Labor
$ 91000.00
$ 91000.00
$
$ 9,000.00
100%
$
38
Toilet, BathL and Laundy Acc. - Material
$ 7,200.00
$ 7,200.00
$
$ 7200.00 1
100%.§
39
Toilet Bath, and LaunclEy Acc. - Labor
1,000.00
$ 11000.00
$
$ 1 000.00
100%
$
40
Plumbing Demo - Material
$ 760.00
$ 760.00
$ 7
$ 750.00
1000/0
$
41
Plumbing Demo - Labor
$ 31600.00
$ 3,500.00
$ -
$ 3,600.00
100%
$
42
Plumbing Rough In - Material
$ 22,000.00
$ 22,000.00
$ m
$ 22j000.00
100%
$
43
Plumbing Rough In - Labor
$ 161000.00
$ 151000.00
$ a
$ 161000.00
100%
$
44
Plumbing Trim - Material
$ 409000.00
$ 40,000.00
$ w
$ 40,000.00
100%
$
46
Plumbing Trim - Labor
$ 12p000.00
$ 12j000.00
$ m
$ 12,000.00
100%
$
46
Electrical Demo
$ 4,000.00
$ 41000.00
$ -
$ 4,000.00
100%
$
47
Electrical - Materials
$ 89000.00
$ 89000.00
$ -
$ 81000.00
100%
$
48
Electrical - Labor
$ 31000.00
$ 3,000.00
$ -
$ %000.00
100%
$
49
Fire Alarm
$ 14,000.00
$ 149000.00
$ -
$ 149000.00
100%
$
50
Close Out 5%
"T$
$ 25,675.00
$
$ -
$ -
- 0O/01
$ 25,575.00
1 ----
-
Is
Is
$ m
1 ---0%1$
- I
ESTIMATE OF WORK COMPLETED
APPLICATION NO. 7 PERIOD: 10/1/25 - 10/31/25
PROJECT: 1500 Bldg. Remodel
CONTRACTOR: Banlin Construction
. . . . . . . . .
. . . . . . . . . .
. . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
..... ................
....
......
......
........................
. . . . . .
.. ....
... .........
.... .....
..........
1 ........
•.......
. . . . . . . . . . .
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.
. . . . . . .
.........
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•. . . . . . . . .
. . . . . . .
.
........
.
. . . . . . . . . . . . .
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. . . . . . .
............................................
........
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.......
.....................
............. F
.............................. ..
...................... ................
........ ......... * .............
......................
Pk
..................................
............ .....
.... 0 .. - ....................................... ..
.............. I ........ .............
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.................. .....
...................
.......
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... iW
...............
...........
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:::::::::VA
................
.............
... ..............................
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.............
..............
..............
................
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............................................
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..............
PLICA
........... .............
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$
$
$
$
0%
$ •
................. ....... I
.......... .........
.........
$ 51-10600.00
486,926 .00
485,925.00
.95%
E" 26t676.00
CHANGE ORDERS
COP 001 Demo & Replace Corridor
229402.17
22,402.17
0.00
229402.17
100%
0.00.
2 lFlooring
COP 002 Add Rooms 1502,1603,1604,
im & im
35o052.18
35,062.18
0.00
35,052.18
100%
0.00
3
COP 003 Delete HM Frames
J4,569.81
409-81)
0.00
1
(4l569.81)
100%
O.OD
4
COP 004 Patch Walls & Paint Entrance
79257.63
7,257.63
0100
71257.63
100%
0.00
1
5
COP 005 Replace ACT In Rooms 1507,
1508 & 1509
37,187.03
34,200.00
29987.03
37,187.03
100%
O.OD
6
COP 007 Remove & Replace Doors In New
Office
31,181.04
31,181.04
0.00
319181.04
100%
0.001
7
COP 008 Remove Existing Windows & Infill
2,931.23
21931.23
0.00,
2,931.23
100%
0.00
8
m
COP 009 Revise Restroom, Hardware
11073.75
1,073.76
N
0.00
1,073.75
100%
0.00
9
COP 010 Added Asbeston Piping Demo
9,381.90
91381.90
0.00
9.381.90
100%
0.00
10
COP 011 ASI I Restroom Change
21726.41
29726AI
0.00
2,725.41
100%
0.00
11
COP 012 Concrete Subfloor Demo &
Replace
5,280.31
5,280.31
0.00
Sj280.31
100%
0.00
12
COP 013 Higher Ceilings In Restroom
81145.22
81145.22
0.00
8o145.22
100%
0.00
13
COP 014 Infill Closet in Classroom 1509
2,818.36
29818.36
0.00
2,818.36
100%
0.00
14
COP 015 Existing Floor Box Replacement
6*166.36
6o156.36
0.00,
6,166.36
100%1
0.00
15
COP 017 Add Bulkhead in Classroom 1508
15,216.52
15,216.52
0.00
159216.52
100%
0.00
16
COP 018 Wall Backing at RR 1517 & Vest
1516A
11359.00
1,369.00
0.00
1o369.00
100%
0.00
17
COP 019 Concrete Demo & Replace In
Now Office
1,591.86
11591.86
0.00
11691.861
100%1
0.00
18
COP 020 Roll -Up Door & Misc. Electrical
155,080.61
160000.00
52,000.00
680000.00
44%
87,080.61
19
COP 021 Exterior RR Wails
1,652.48
I
19652.48
0.00
1.652.48
100%
0.00
20
COP 022 Credit for Now Office Area
Flooring
(5.691.00)
t5,691.00)
0.00
(59691.00)
100%
0.00
21
COP 023 Added ACT in Common Area
1606
21044.05
2,044.05
0.00
21044.051
100%
0.00
22
COP 024 Door RovIslons per RF1 018
5,903.25
5,903.25
0.00
69903.25
100%
0.00
23
FA 001 Remove & Replace GWB
3,661.51
3,661.51
0.00
3,661.51
100%
0.00
.......................
......
W: TOZA 11 ...•
. . . . . . . . . . . . .
$ 347,841.06-
.
$ .206;773.42
54,987.03
$ 260j760.45
.75%-
$ .870080.61
...... ..........
$ 659"341-.06.
691.469,8.42
$ 541"7.0..
.746,685.45
$
87-m
1
112,855.81
1 APPLICATION AND CERTIFICATE FOR PAYMENT
2 APPLICATION NO. 7 PERIOD. 10/1 /25 `! 0/31 /25
3 PROJECT: 1500 Bldg. Remodel
4 PROJECT PAYMENT INFORMATION
0
6
7
s
9
10
11
12
13
14
R5
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
. .
H.
•���• VA- W`�:••'•'
..8V I.M.
.PF L.1 kT- i0.Nx IE
•.. ..
A. R. PLf,CAT -10N
....
1TQ.:PAW:
• • A+A�V.0
. 1. . -
511,500.00
486,925.00
0.00
485,925.00
26,676.00
CO TOTAL
347,841.06
205,773.42
64,987.03
260,760.45
87,080.61
SUBTOTAL
859,341.08
69108.42
5087.03
746,685.45
1129655.61
SALES TAX @ 8.2%
70,465.97
669719.27
41508.94
61.228.21
9,237.76
TOTAL CONTRACT
929,807.03
748,417.69
599495.97
807,913.66
121,893.37
RETAINAGE - 6%
929,807.03
(34,584.92 (2,749.36)
713,832.77 56,746.62
(37,334.27)
770.679.39
713,832.77
56,746.62
37,334.27
TOTAL LESS RETAINAGE
159,227.64
PREVIOUS PAYMENTS
DUE THIS ESTIMATE
UNPAID BALANCE
159,227.64
45 Notary Public:
46 My Commission expires:
47
48
PARTIA1, WAIVER AND RELEASE't-TON PAYtM_'EN?_ 3,
(CONDITIONAL)
PROJECT: BBB C 15 )00 Bldg. Remodel
( I
,ompany Name: Banlin Construction
Company Address: 320 W Columbia Dn*ve, Kennewick, WA 99336
Company Phone Number.- 509-586-2000
Ttle undersigned declares that upon payment in the amount of $ 5627,46-,$) - hed A0 .for
for labor,
services, equipment, or mmi
at ftisto BBCC tbr tip e job of BBCC 1500 Bldg. Remodel
project located at 76624. Chanute Street, Moses Lak-e, WA 9883 7fu rini shed 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 whom through
agreement with the above -named company have provided any labor or mat eri,Zlls for the above
reference project have been paid to date for services rendered plus any Stalfe or Federal
Taxes owed for said services.
Dated:
Sic.yned:
Printed Nc-lme.-
Title:
_00
_--vex,
Witnessed By (Attest) -
Printed Name,
Date of Witness: �C)
NOTICE: THIS DOCUMENT PAR711ALLY WAIVES RIGHTSAND STATES THAT YOU HAVE
BEEN PAID FOR GIVIT,,,'G UP TIJOSE RIGHTS.THIS DOCUMEET IS El,\TFORCEA. LE AGAINST
YOU IF Y01J S K_'J'N IT.
I'AW"ONDITIONA1, WAIVER ANI-) RELEASE UPON PAYMENT
PROJECT: B13CC 1500 Bldg. Remodel
Company Name-. an in Construction
Company Address: 320 W Columbia Drive, Kennewick, WA 993.316
Conipany Phone Number.- 509-586--72_000
The undersigned has been paid ..41,,641.35 in full for all labor, services,
equipment, or material furnished to BBCC for the job of BBCC 1.500 Bldg. Remodel project
located at 7662 Chantite Street, Moses 1-,ake, WA 98837 and does hereby release any and all
rights to a mechanic's lien, stop notice. or any right against a labor and maten"al bond on the job.
The undersigred further certifies that all subcontractors, materialmen and suppliers'w-hom through
agreement -xvith the above named conipany have providcd any labor or materials for the above
reference projcethave been paid in full for services rendered includint), env State and Federal
4z
Taxes owed for said services,
Dated:
Signed:
Printed Narne: �,�,��t�(�_��p�A._._.__
Title: 1%
Witnessed BV (Attest):
Printed Name -
Date of Witness: 01
NOTICE: THIS DOCUMENIT WAIVES RIGHTS t-JINCONDITIONALLY 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 NOT BEEN PAID, USE A PARTIAL WAIVER AND RELEASE FORi\4.