HomeMy WebLinkAboutGrant Related - BOCC (002)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 suBnniTrED BY: Karrie Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kal'fl2 Stockton
CONFIDENTIAL INFORMATION: ❑YES ® NO
DATE: 1 /26/2026
PHONE: 2937
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Reimbursement request from McKay Healthcare and Rehab Center on the
Strategic Infrastructure Program (SIP), Project 2024-07 Phase 1 Master Planning
Continued in the amount of $110,148.00
MUH-SVTWtl
If necessary, was this document reviewed by accounting? ❑ YES
DATE OF ACTION: 09 1 1.)S0
APPROVE: DENIED ABSTAIN
D1: Kf—
D2:
D3: u, 1
❑NO 7N/A
DEFERRED OR CONTINUED TO:
WITHDRAWN:
4/23/24
GRANT COUNTY
STRATEGIC INFRASTRUCTURE PROGRA
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 1 Master Planning
I, 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 $110,148,00 is Just
and due and is an unpaid obligation against Grant County.
Further, according to the SIP Project Funding Policies, I attest that at the next audit of my
entity, this project shall be called to the attention of the Washington State Auditor's
Office and an emphasis audit will be requested to assure that these funds were expended
toward the project and according to the intent of the proposal.
Signature
Audra Gutierrez,
Printed Name
0
Date Qn d
Administrator/Suverintendent
Title
AdhiM'1.sttat0t/SgW;g . ri *ntendent
Printed Title
Completed, signed original certification and invoice are to be mailed to:
Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823
Reimbursement 1# 7 in the amount of .$I 10a 48,00 9.
ATTACHMENT 4
erg,
275 Fifth Streets 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 11/30/2025
Igloo
Invoice Summary
5 1,/i qCA4r C)q
Invoice number 2023052,00-026
Date 12118/2025
Project 2023052-00 McKay Healthcare SNF Pre -
Design - Master Planning
Contract
Total
Prior
Contract
Current
Description
Amount,,,,.
Billed
- Billed
Remaining
Billed
Scope I A - Conceptual Design
100,184-00
100,184-00
100,184.00
0.00
0.00
Scope I A - Schematic Design (Reduced by C07)
66,840.00
669840.00
66,840-00
0.00
0.00
Scope I B.1 - Site Plan Design (Reduced by
77,200.00
77v200.00
77,200-00
0.00
0.00
Change Order 04)
Change Order 02 - Scope 113.2 - Zoning Approval
13,728.00
13,727.90
13,727.90
0.10
0.00
(Reduced by C07)
Change Order 03 - Phase 1 Schematic Design
1741500.00
174,500.00
174,500.00
0.00
0.00
Change Order 03 - Phase 1 Design Development
213,000.00
213,000.00
213Y000.00
0.00
0.00
Change Order 04 -phase 2 Master Planning
51o940.00
28s75O.40
28,750.40
23,189.60
0.00
Change Order 05 - Phase I CD
353,300.00
302,038.75
193,604.35
51,261.25
108,434.40
Change Order 06 - Phase I Food Service CAD - CD
34,496.00
81635.20
61921.60
25,860.80!
11713.60
Reimbursable Expenses
41925.79
4,925.79
41925.79
0.00
0.00
Total
19090,113.79
989,802.04
879,654.04
100,311.75
110,148.00
Invoice total 1109148.00 '1000
Aging Summary
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
2023052.00-025 11/21/2025 108,517-35 108,517.35
2023052.00-026 12/18/2025 110,148-00 110,148.00
Total 218,665.35 218,665.35 0.00 0.00 0.00 0.00
For any questions regarding this invoice please contact Lori Hoggard at (360) 362-1433 or Ihoggard@rfrnarch.com.
Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-026 invoice date 12118/2026
Washington
McKAY HEALTHCARE
PAY TO THE
ORDER OF
MEMO
Rice FergusM 1 Iller
- -- -----------------
US BANK
McKAY HEALTHCARE
01/20/2026 95747
6041 095747
127 SECOND AVE SW - PO BOX 819 96-651/1232
SOAP LAKE, WA 98851
(509) 246-1111 01/2012026
R'lceFergusMiller
,275. Fifth Street, Suite 100
Bremerton, WA 98337
I i's C30 Ll L09 S 7L, ?ilt 1: L 23 20 C3 S L 61: L S 3 2 100 20 L I Lt""
RiceFergusMiller 01/20120261.1.1. 95747 1
586 —.1 ............. nt Taken Net Amount Paid
Invoice Number Invoice Date Des6rip ton Gros� Amount Discou
$0.00 $108151735
$108,517.35
2023052.00-025 /2025 SIP 2024 07
2023052.00-026 12/18/2025 SIP 2024-07 $110, '148.00 $0.00 $110,148.00
--------- -
$218t665A51 $0. 00't $218,665.35