HomeMy WebLinkAboutGrant Related - BOCC (002)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12-OOpm on Thursday)
REQUESTING DEPARTMENT:BOCC
. Karrie Stockton
REQUEST SUBMITTED BY.
CONTACT PERSON ATTENDING ROUNDTABLE. Karrie Stockton
CONFIDENTIAL INFORMATION: EIYES ® NO
DATE. 1/30/2026
PHONE: 2937
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Reimbursement request from McKay Healthcare
and Rehab Center on the Strategic
Infrastructure Program, Project No. SIP 2025-03 Kitchen Expansion in the amount
of $2,798.70.
11
If necessary, was this document reviewed by accounting?
El YES 1:1 NO W N/A
Ll H I Ir " �
If necessary, was this document reviewed by legal? El YES 7 NO *1 N/A
DATE OF ACTION: — 11) —_AT
APPROVE: DENIED ABSTAIN
D1:
D2-
D3-
DEFERRED OR CONTINUED TO:
WITHDRAWN: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: 2025-03
SIP Funding Recipient: McKay Healthcare and Rehabilitation Center
SIP Project Description: Phase 1 Kitchen Expansion
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 am aut rized to
authenticate and certify to this claim. I also certify that this claim of $24798 '70 S 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 ensure that these funds were expended
toward the project and according to the intent of the proposal. I
Signature
Audra Gutierrez-Ritari
Printed Name
.Administrator
Title
it ie
Administrator
Printed Title
Completed, signed original certification and invoice can be mailed to:
Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823 or emailed to the
Grants Administrative Specialist, Kstockton@grantcountywa,gov
Reimbursement # 3 in the amount of $2,798.70
ATTACHMENT 4
R A- LLER
lco- wel. U
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 12/31/2025
Invoice Summary
Invoice number 2023052.00-027
Date 01/14/2026
Project 2023052.00 McKay Healthcare SNF Pre -
Design - Master Planning
Contract
Total
Prior
Contract
Current
Description
Amount
Billed
Billed
Remaining
Billed
Scope 1 A - Conceptual Design
1009184.00
100,184-00
100,184.00
0.00
0.00
Scope I A - Schematic Design (Reduced by C07)
66,840.00
66,840.00
66,840.00
0.00
0.00
Scope I BA - Site Plan Design (Reduced by
77,200.00
77,200-00
77,200.00
0.00
0.00
Change Order 04)
Change Order 02 - Scope 113.2 - Zoning Approval
13,728.00
133727.90
13,727.90
0.10
0.00
(Reduced by C07)
Change Order 03 - Phase 1 Schematic Design
174$500-00
174,500.00
174,500-00
0.00
0.00
Change Order 03 - Phase I Design Development
213,000.00
2139000-00
213,000-00
0.00
0.00
Change Order 04 - Phase 2 Master Planning
511940.00
289750.40
28,750.40
23,189.60
0.00
Change Order 05 - Phase I CD
353,300.00
344,245.60
302,038.75
9,054.40
42,206.85
Change Order 06 - Phase 1 Food Service DD - CD
34,496.00
81635.20
8,635.20
251860.80
0.00
Reimbursable Expenses
4,925.79
4,925.79
41925.79
0.00
0.00
Total 1,090,113.79 1,032,008.89 989,802.04 58,104-90 42,206.85
Invoice total 42,206.85
Aging Summary
'2 19 t ID
Invoice Number
Invoice Date
Outstanding
Current Over3O
Over 60 Over 90 Over 120
2023052.00-025
11/21/2025
108,517.35
108,517.35
2023052.00-026
12118/2025
110j148-00
110,148.00
2023052.00-027
01114/2026
42,206.85
421206.85
Total
260,872.20
152,354.85 108,517.35
0.00 0.00 0.00
For any questions regarding this invoice please contact Lori Hoggard at (360) 362-1433 or Ihoggard@rfmarch.com.
Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-027 Invoice date 01/1412026
Washington