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HomeMy WebLinkAboutGrant Related - BOCC (003)GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC REQUEST SUBMITTED BY: Karrl@ Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kat'I'I@ Stockton DATE: 1 /30/2026 PHONE:2937 CONFIDENTIAL INFORMATION: ❑YES ® NO %/.HiY//. ❑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 o 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 �. j ���/•ergg �� � i � �3 � 6 � 3 "��' 3 � �'?� 3 � ?�� � � '�Js �' � . � � � ���� ��� � ../// 33 � ; a l� '-"' � g � 9 3�' z "E��. 5iG�3ri����; ? f �� �� "'i��%����'��� � Reimbursement request from McKay Healthcare and Rehab Center on the Strategic Infrastructure Program, Project No.2024-07 Phase 1 Master Planning Cont'd in the amount of $39,408.15. 0113IP114 If necessary, was this document reviewed by accounting? ❑ YES ❑NO ON/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO DATE OF ACTION: -� DEFERRED OR CONTINUED TO- APPROVE: DENIED ABSTAIN D2: D3: WITHDRAWN - 0 N/A 4/23/24 GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM PROJECT CERTIFICATION This form must be signed and returned, with an invoice, for the approved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 1 Master Planning L 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 authorize to authenticate and certify to this claim. I also certify that this claim of $39.408.15 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. §7tgature Audra Gutierrez Printed Name ---- QS Date Igne. Administrator/Sul2erint,,dent Title ,Ad,t,ni*nistrat or/Suverintendent Printed Title Completed, signed original certification and invoice are to be mailed to: Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823 Reimbursement # 8 in the amount of $39,428.15 ATTACHMENT 4 RIC ER 275 Fifth Street Suite 100 Bremerton, WA 98337 (360) 377-8773 Public Hospital District No. 4 of Grant County, Washington Invoice number 2023052.00-027 P.O. Box 819 Date 01/14/2026 Soap Lake, WA 98851 Project 2023052.00 McKay Healthcare SNF Pre - Design - Master Planning Professional services through 12/31/2025 Invoice Summary 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 663840.00 66,840.00 0.00 0.00 Scope I B.1 -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 13,727.90 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 213,000.00 213,000.00 213,000.00 0.00 0.00 Change Order 04 - Phase 2 Master Planning 51,940.00 28,750.40 28,750.40 23,189.60 0.00 Change Order 05 - Phase I CD 353l300-00 344,245.60 302,038.75 91054.40 42,206.85 Change Order 06 - Phase I Food Service DD - CO 34,496.00 81635.20 81635.20 25l860-80 0.00 Reimbursable Expenses 41925.79 4,925.79 41925.79 0.00 0.00 Total 11090,1113.79 1,032,008.89 989,802.04 58,104-90 422206.85 Invoice total 429206.85 Aging Summary Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 OV0 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 2023052.00-027 01/14/2026 42,206.85 42,206.85 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 lhoggard@rfmarch. com. ---------- Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-027 Invoice date 01/14/2026 Washington