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HomeMy WebLinkAboutOut of State Travel Request - Technology ServicesGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: GCTS DATE-1 /20/2026 REQUEST SUBMITTED BY: Keith Conley PHONE: 3362 CONTACT PERSON ATTENDING ROUNDTABLE: Keith Conley CONFIDENTIAL INFORMATION: ❑YES ® NO ❑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 Requesting approval for myself, Keith Conley, Evan Little, and Seth Sampson for out of state travel to attend the Laserfiche Empower for training Monday, April 27—Thursday, April 30 at the Mandalay Bay Resort & Casino. Our vendor, CDI will cover the early registration fee, we cover the cost of board and travel. Early registration ends on January 31, afterwhich the price increases by $1200 per person, which we'd have to cover the difference. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A APPROVE: DENIED ABSTAIN D1: �� D2: D3: RECEIVED �N 2 0 2.r"!' u T 4/23/24 GRANT COUNTY COMMISSIONERS Out of State Travel Request Application DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the following week's Consent Agenda. Traveler's Name(s): Keith Conley, Evan Little, Seth Sampson Department/Office: GCTS Purpose of Travel: Destination: Laserfiche Empower Conference Las Vegas, Nevada Dates of Travel: 4/27/2026 - 4/30/2026 Total Trip Cost Estimate: $ 4,467.99 (This line will auto -sum the costs listed below) Travel Type (Select One) : Fund Number/Department: Out of State Travel [� Out CONUS Travel (AK, HI or US Territory) Technology Services -Training [� Foreign Travel ❑ Extradition Grant Funded? If Yes, List Grant Amount: Cost Application (Select One): 0 Yes Q Government Rate No Q Conference Rate ❑ Regular Rate Hotel. - GSA Rate: Hotel - Nightly Rate: Hotel Total: $ 126.00'j $ 255.11 $ 2,295.99 Explanation for Rate: Required if hotel cost is greater than per diem orgovernment rate Conference Fee: Estimate - Highest estimated rate used for request g q $ Rental Car Required? If Yes, Rental Car Cost: Total Estimate of MI&E During Travel: ❑ Yes Is 903.00 ® No Air Carrier: Cost of Flight: Additional Expenses: Undecided - Cost Estimate I $ 1,269.00 Provided (Addt'l costs for extended stays, flight upgrades, etc. at the expense of the traveler) Preparer's Name/Title: Preapproved by EO/DH? If Yes, EO/DH Name: Keith Conley Q Yes GCTS ❑ No IN Agenda Travel FAQ Priclft Exhffiltors our r'nost POPLI.Iar sessions during reg - istration or on the Attendee Hub after your register,, Registrat'i'on Summary Take a moment to review YOUr regiStration before continuing, Keith Conley kcoT,iley@gr.an-tcotiri,tywa.gov .Edit , M �g- obile Organiz,at' 15097936816 Grant. County, WA Title city Systenns AdmiMistrator Ephrata Country/Region SiLA-te/P lmvi n ce Unitted States Washingtorl ,Job Level Indulstry -ii e r"t anager ....vern, Additional Informatior'l, / �I 1, First Nan-')eTflckname uountry/Region U -i 'i i + r Which optlion best describes your Laserfiche skill level? Advanced, I use Laserfiche extensively, How did you hear about Empower"? Laserfiic.he Representative Numt,)er of employees at YOUr organization': I T—ShIrt Size: Uni.:,s;ex X) 1\1 114 A In Mnat rez,..gion do you I.Ive?, Coa,,:,�'t,PalL,-,I-il"ll,,r,, No,ribiwest inne i s bee v ,c)t,jr + ti 't-tending E.,r.nf,.)i,-)wer'- Pla-1-torry"i C r re n U 14-0 e s erf"', i c 1, rn "k'D V I rl C, '(C' L :0 IPI �"j tg (,-•: I b r di I tz- c % ),ri p I a r, ^ti 0 J L I Cl� No Ung YOU fror'n rITIOV'11'rio, to the clotud.? Sec�,irj"-y ar I "' 1pliance Concerns What will drive your 17ligrat'lon td Laser -fiche Cloud? (select ali ff"'Ie apply) Stre� en seclurity and com�,pliance, Reduce IT workload and inf rastrudUe costs., Improve reliabilifty, scalability, and business continuity a Please review our Empower Registration Terms and Laserfiche im Privagy NoticeM By cheic-king this box, 1 acknooviedg(:1, and agree to the Empower Registration Terrns and L.a-"�erfiche Privacy Nofice,,, By checking this box, Laserfiche may send mmarkcton'frmte t-ae etingcorn.rnu2liaisoin1 -iWo timeregardiiigLserfic. h e p r o d uc, t and events,, I U tide r5-3ta irld I rnay unSubscribe at any time. Registration Details I te rn Date Price Registration fon ashe Usev $0.00 R.e.gistration Sessions 1/98/26, 8,.",,0 AM 4 ..- G4e, n e r a 11 z) e, s s i o n 41/28/26� 9:00 AM - $0•,00 4/281'26110:00 AM Product General 4/28/26? 200 PM $ 0, 0 0 S e S i o n 4/28/126300 PM .10 4/28112o.' (&00 PM - $ 0, 0 0 3 P IVI e a a �s �9_ A m AM F $IV-1 Pivi C i i A A C" 4/ 3 0'� 6, 8" 0 A �N'I Hotel Request .1 '.t t "\n,. M Date sino Mift*rmdalay Bay, Resort and Ca Standard Roomn I roomA p r 27, 2 02 6 - A p r 3 0 d 2 014216"' Payinct b�,'Ycheck? 'Have your code.ready below' If YOU IOSt YOUr code ort's , tI I i not working, contact events laserfiche.com. Int Order S-umma. y Keith Conley Q, Registration f or: VIfiche User Reg'stra"ion 1; 2 04.67 1 Hotel Rooms S Or bLandard Rmiill Niandalay Bay R,'. $7653"3 aild Casino I roon'i -for, 3 nicifitc, $01 0 Ei'A,'e'r yaur discr.3unt. Code Subtotal hefiwe $1`799 0,1,00 AT n ]v id 111 wilt '_ -q- "V -147 15 C InIft"y i I.. ID - 2 6 E u-i d aE: R.8 ,nI SAO a ayment ethoc 0 Credit Card . . . . . . . . . . . . . . . . . . . . . . . Previous Cancel Submit Trz,,idemark (,;ookie Sta"Lement Privacy Cc) 2025 L se f c e Term of Use -15 z mS..� Laserfiche EMPOWER 0 Agenda Travel FAQ Pricing Exhibitors Your Journey Starts Here April 27, 2026 —April 30, 20261 Mandalay Bay Resort & Casino Some sessions have limited availability — be sure to save your seats for our most popular sessions during registration or on the Attendee Hub after your register. Registration Summary Take a moment to review your registration before continuing. Evan Little ejlittle@grantcountywa.gov Edit Mobile Organization 15097936808 Grant County Title City System Support Specialist Ephrata Country/Region State/Province United States Washington Job Level Industry IT Professional Government Additional Information First Name/Nickname Evan Last Name Little Organization Grant County City Ephrata State / Province WA Country/Region United States Which option best describes your Laserfiche skill level? Intermediate, I am comfortable using Laserfiche. How did you hear about Empower? Laserfiche Representative Number of employees at your organization: 501-1,000 T-Shirt Size: Unisex h XXX L In -what region do you live? West Coast/Pacific Northwest Will this be your first time attending Empower? No What Platform are you currently using? Laserfiche Self -hosted Is your organization planning on moving to Laserfiche Cloud? don't know V What will drive your migration to Laserfiche Cloud? (select all the apply) Strengthen security and compliance, Reduce IT workload and infrastructure costs, Improve reliability, scalability, and business continuity Dietary Restrictions: Laserfiche honors special dietary requests for medical reasons, specifically food allergies. We will do our best to accommodate food preferences, however, if this request is of a religious observance or lifestyle choice, please be prepared with alternative foods agreeable as a supplement to the items being served. None Please review our Empower Registration Term. and Laserfiche Privacy Notml'%.,,.* By checking this box, I acknowledge and agree to the Empower Registration Terms and Laserfiche Privacy Notice. Registration Details Item Registration for: Laserfiche User Registration Sessions Breakfast General Session Lunch Product General Session Reception Breakfast Lunch Breakfast Hotel Request Item Date 4/28/262 7:30 AM - 4/28/267 8:30 AM 4/28/267 9:00 AM - 4/28/26, 10:00 AM 4/28/267 12:30 PM - 4/28/26, 2:00 PM 4/28/26, 2:00 PM - 4/28/267 3:00 PM 4/28/26, 8: 00 PM - 4/28/26, 10:30 PM 4/29/267 7:30 AM - 4/29/267 8:30 AM 4/2 9/2 6, 12 : 3 0 PM - 4/29/26, 2:00 PM 4/3 0/2 6, 7:30 AM - 4/3 0/2 6, 8:30 AM Date Price Mandalay Bay Resort and Casino Standard Room 1 room Apr 27, 2026 -Apr 30, 2026 Paying by check? Have your code ready below! If you lost your code or it's not working, contact events@laserfiche.com. Order Summary Review your order information and submit your payment. Evan Little Registration for: Laserfiche User Registration $17204.67 -$17204.67 $0.00 Hotel Rooms Standard Room, Mandalay Bay Resort and $765-33 $765.33 Casino 1 room for 3 nights Enter your discount code Subtotal before $1,970mOO F. ApP� discount CD-EMP26ERBundle Remove Total Discount-$17204.67 Order Total $76533 Payment Select Payment Method Credit Card Payment Vie-0IOCI r�i I ccjLJIfeii, Previous Cancel Submit Trademark Cookie Statement Privacy Term of Use California Notice of Collection Legal Laserf aiche's O 2025 Laserfiche Run Smarter " C\\\ N, \\\\\ a \\\ "\ \\e Qk \ A%\ �\\�\5 ,,,\\\� ,,,,,,,,,,,,,,,, \\\\\m, \\\\\ , CNJIORVIt \\�\\ \\\o\\ \ra\MO \\\\\\\\ \a,U" (041 \\\\\\\\\\,o`u,\„ \\I \\\\\\\\\\K (311.) 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General Servkes AdmW trat o FY 2026 per diem rates for Nevada Meals and incidental expenses (M&IE) rates and breakdown First Primary destination County M&IE Breakfast Lunch Dinner Incidental and lastday total expenses P of travel Applies for all Standard Rate locations $68 $16 $19 $28 $5 $ 51.00 without specified rates Incline Village /Reno / Sparks washoe $80 $20 $22 $33 $5 $60.00 Las Vegas dark $86 $22 $23 $36 $5 $64.50 TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: I Keith Conley I Claimant's Dept.: GCTS Purpose of Travel: I Laserfiche Conference/Training J Destination: Las Vegas MEALS DATE BF L D IE TOTAL 4/27/2026 $29.75 $29.75 $5.00 $64.50 4/28/2026 $22.00 $23.00 $36.00 $5.00 $86.00 4/29/2026 $22.00 $23.00 $36.00 $5.00 $86.00 4/30/2026 $29.75 $29.75 $5.00 $64.50 $0.00 $0.00 $0.00 TOTAL 1 $301.00 CERTIFICATION I, the undersigned, do hereby certify under penalty of perjury that the claim is a just, due and unpaid obligation a the County, and that I am authorized to certify to said c i Claimant Signature: Date: ri�i�iri�r"Wi�Wi�i�r�irAV iW ri�iI 0 TRAVEL VERIFICATION 0 1 1 0 0 i TO BE COMPLETED UPON RETURN ONLY i 1 1 0 0 I, the undersigned, do hereby certify under penalty of perjury that the I /planned travel referenced on this form did, in fact, occur on and for the 1 I duration of the dates provided on this form. Additionally, I attest that I Othe allowance provided prior to travel was rightfully owed to me as a 0 1result of this travel. I I I Claimant Name: 0 I Claimant Signature: 0 0 1 Date: i I 1 i�iMWW AV AV i,�iAMWiri�Wi�i�i 1 I Departments shall maintain a copy 4 of this form. The travel verification section must be completed, on the Department's copy, upon the I � ' P P pY p 0 1 employee's return from travel. The department shall retain the fully I (completed copy for six years or in accordance with the Washington State/ I Records Retention Schedule , GS2011-184 Rev. 3). 1 MILEAGE DATE FROM (CITY, ST) TO (CITY, sT) MILES RATE TOTAL $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 TOTAL $0.00 *TOTAL REIMBURSEMENT CLAIM $301.00 *Amount may be different due to rounding* Authorization required for Employees: ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): v" 40,- Signature: Date: r Authorization required for County Commissioners or Elected Officials: COUNTY AUDITOR Name (printed): Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date: TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: I Evan Little I Claimant's Dept.: GCTS Purpose of Travel: I Laserfiche Conference/Training Destination: Las Vegas MEALS DATE BF L D IE TOTAL 4/27/2026 $29.75 $29.75 $5.00 $64.50 4/28/2026 $22.00 $23.00 $36.00 $5.00 $86.00 4/29/2026 $22.00 $23.00 $36.00 $5.00 $86.00 4/30/2026 $29.75 $29.75 $5.00 $64.50 $0.00 $0.00 $0.00 TOTAL 1 $301.00 CERTIFICATION I, the undersigned, do hereby certify under penalty of perjury that the claim is a just, due and unpaid obligation against the County, and that I am authorized to certify to said claim. Claimant Signature: Las..:;: Date: 0 TRAVEL VERIFICATION 0 I I 0 0 I I 0 TO BE COMPLETED UPON RETURN ONLY 0 0 0 II, the undersigned, do hereby certify under penalty of perjury that the I /planned travel referenced on this form did, in fact, occur on and for the 1 duration of the dates provided on this form. Additionally, I attest that I Othe allowance provided prior to travel was rightfully owed to me as a 0 Iresult of this travel. I I (Claimant Name: I 0 0 JCIaimant Signature: 0 I Date: 0 I._._.___.____________________ 1 IDepartments shall maintain a copy of this form. The travel verification section must be completed, on the Department's copy, upon the I ' � p p PY 0 Iemployee's return from travel. The department shall retain the fully I /completed copy for six years or in accordance with the Washington StateO Records Retention Scheduh(GS2011- 8 Rev. 3) j MILEAGE DATE FROM (CITY, ST) TO (CITY, ST) MILES RATE TOTAL $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 TOTAL $0.00 *TOTAL REIMBURSEMENT CLAIM $301.00 *Amount may be different due to rounding* Authorization required for Employees: ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): r '' `cc(v- �c ,.... Signature: Date: Authorization required for County Commissioners or Elected Officials: COUNTY AUDITOR Name (printed): Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date: TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: I Seth Sampson I Claimant's Dept.: GCTS Purpose of Travel: I Laserfiche Conference/Training Destination: Las Vegas MEALS DATE BF L D IE TOTAL 4/27/2026 $29.75 $29.75 $5.00 $64.50 4/28/2026 $22.00 $23.00 $36.00 $5.00 $86.00 4/29/2026 $22.00 $23.00 $36.00 $5.00 $86.00 4/30/2026 $29.75 $29.75 $5.00 $64.50 $0.00 $0.00 $0.00 TOTAL 1 $301.00 CERTIFICATION I, the undersigned, do hereby certify under penalty of perjury that the claim is a just, due and unpaid o anon agai e County, and that I am authorized to certify to g m. Claimant Signature: c Date:C,/11161zoo6 0 TRAVEL VERIFICATION 0 1 1 0 0 i TO BE COMPLETED UPON RETURN ONLY i I i 0 0 11, the undersigned, do hereby certify under penalty of perjury that the I /planned travel referenced on this form did, in fact, occur on and for the 1 Iduration of the dates provided on this form. Additionally, I attest that I Othe allowance provided prior to travel was rightfully owed to me as a 0 1result of this travel. I I I I Claimant Name: I 0 I Claimant Signature: I 0 0 (Date: I 0 1_____-____...- 1 1 Departments shall maintain a copy of this form. The travel verification section must be completed, on the Department's copy, upon the I � ' P p pY P 0 1 employee's return from travel. The department shall retain the fully I /completed copy for six years or in accordance with the Washington Stater IA " � WW " RWcorAdNWs R�ntiW AffSchedu�AG�01� 8 R"�) j MILEAGE DATE FROM (CITY, ST) TO (CITY, ST) MILES RATE TOTAL $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 $0.700 $0.00 TOTAL $0.00 *TOTAL REIMBURSEMENT CLAIM $301.00 *Amount may be different due to rounding* Authorization required for Employees: ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed):, Signature: .N. Date: C Authorization required for County Commissioners or Elected Officials: COUNTY AUDITOR Name (printed): Signature: Date: Authorization required for the County Auditor, Department Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairman BOCC: Date: Payment Information Flight details Modify # 2227 r� 0 Mon 4/27 Gr%j w LAS 2 hr 20 min 1:30 PM 3:50 PM # 761 0 Thu 4/30 LAS i GEG 2 hr 20 min 7:40 AM 10:00 AM X Who's flying? Please make sere names match government -issued lDs, PASSENGER DATE OF BIRTH Evan James Little May 12, 1983 Rapid Rewards@ Acct # N/A � Seats Nonstop Basic Nonstop Basic GENDER Male O 0-© Price Passengers Payment Confirmation REDRESS# N/A PASSENGER FLIGHT SEAT Evan James Little GEG * LAS Seat assigned at check -in LAS + GEG Seat assigned at check -in ® Payment method Up to three forms of payment may be applied, 0 Base fare $299.68 1 Passenger(s) Taxes and fees $53.28 Flight total $352.96 KNOWN TRAVELER # N/A Edit FARE Basic 7"//Iv/",///"///////////"///I Basic /w/m/mIYANN/m/m/ Upgrade or modify seats Redeem Apply funds one at a time. Starting 4/22/2024, if you use Cash + Points as a form of payment, your points will be applied first. Flight credits are applied after Cash + Points and ahead of Southwest LUV VouchersCp). SouthwestDD gift cards, Southwest LUV Vouchers@, and SouthwestCR) flight credits can only be used on the flight portion of your trip. Learn more. 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With the exception of Southwest`'' gift cards, funds from proactively canceled reservations by Southwestr� will be returned to the original form of payrrient. Reservations paid for %,/Vith a Southwest`,/ gift card will have the amount applied from the gift card held as flight , ght credit for use by the Customer on a future Southwest Airfines"�' flight. Fare Benefits M Rapid Rewardslt-) Credit Card %Vle