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: gOCC
REQUEST SUBMITTED BY: Karrie Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kal"t"le Stockton
CONFIDENTIAL INFORMATION: ❑YES ® NO
DATE: 1 2/30/2025
PHONE:2937
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Reimbursement request from McKay Healthcare and Rehabilitation Center on the
Strategic Infrastructure Program (SIP) No. 2024-07 Phase 1 Master Planning
Project in the amount of $10,875.00.
01
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A
DATE OF ACTION: I- � ' Z � DEFERRED OR CONTINUED TO-
APPROVE: DENIED ABSTAIN
D 1.
D2:
D3:
WITHDRAWN -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: 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 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 any authorized to
authenticate and certify to this claim. I also certify that this claim of $10,875.00 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
Administrator/Suverintendent
Title
Ad.n in strator Superintendent
Printed Title
Completed, signed original certification and invoice are to be mailed to:
Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823
Reimbursement # 5 in the amount of $10,875.00
ATTACHMENT 4
Rlqbgumm
275 Fifth Street, Suite 100
Bremerton, WA 98337
(360) 377-8773
Public Hospital District No. 4 of Grant County, Washington
P.O. Box 819
Soap Lake, WA 98851
Professional services through 09/30/2025
Invoice Summary
Invoice number 2023052.00-024
Date 10/13/2025
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
66,840.00
66,840.00
0.00
0.00
Scope 113.1 - Site Plan Design (Reduced by
77,200.00
771200.00
77,200.00
0.00
0.00
Change Order 04)
Change Order 02 - Scope 1 B.2 - Zoning Approval
13,728.00
13,727.90
130727.90
0.10
0.00
(Reduced by C07)
Change Order 03 - Phase 1 Schematic Design
174,500.00
1749500.00
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
519940.00
28,750.40
281750.40
23,189.60
0.00
Change Order 05 - Phase 1 CD
353,300.00
851,087.00
74,212.00
2680213.00
10,875.00
Change Order 06 - Phase 1 Food Service DD - CD
34,496.00
6,921.60
6,921.60
27,574.40
0.00
Reimbursable Expenses
4,925.79
4,925.79
41925.79
0.00
0.00
Total
1,090,113.79
771,136.69
760,261.69
318,977.10
10,875.00
Invoice total 101,875.00
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
2023052.00-024 10/13/2025 103,875.00 10,875.00
Total 699636.40 69,636.40 0.00 0.00 0.00 0.00
For any questions regarding this invoice please contact Lori Hoggard at (360) 362-1433 or thoggard@rfmarch.com.
Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-024 Invoice date 10/13/2025
Washington
Date: Dec 23, 2025 McKay Healthcare & Rehab Center
Time: 10:28:53 PT Check Register
User: Luda Scheblanova 11 /1 /2025 -12/31 /2025 'age # 1
Check Numbers: 1 .999999999 Bank: General Fund Checking Account
Check Vendor Name Remit to Reference Check/Reversal Amount Type Status
Number Date
95603 RiceFergusMiller RiceFergusMiller 1534-28 11/19/2025 $10,875.00 Payment
Inv No Pending Discount Avail Discount Taken Payment Amount
2023052.00-024 $10,875.00 $0.00 $0.00 $10,875.00
Summary
1 check(s) issued $10,875.00
0 check(s) voided $0.00
0 check(s) reversed $0.00
0 direct payment(s) issued $0.00