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Home My WebLink AboutGrant Related - BOCC (004)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: KarrlE' Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kaft"I@ Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE Z/3IZO2F) PHONE: 2937 ❑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 M 0-- Me- -047 MIFIIF 7EIPM� Reimbursement request from Renew on the American Rescue Plan Act (ARPA) in the amount of $9,368.76 for November 2025 Suicide Prevention Services. x�nanc 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 ❑ YES ❑ NO 0 N/A DATE OF ACTION: APPROVE: DENIED ABSTAIN D2: D3: DEFERRED OR CONTINUED TO: WITHDRAWN: 4/23/24 0*0 renew Grant Behavioral Health a Wellness PO Box 1057 Moses Lake, WA 98837 Phone (509) 764-2643 Fax (509) 764-4124 BILL TO: Grant County Attention: Karrie S. Stockton PO Box 37 Ephrata, WA 98823 A-W, �'q � $ 7d� 1101 DATE: February 3, 2026 INVOICE# 11/30/2025 FOR: Nov-25 DESCRIPTION Amount units Total Amount ARPA FUNDS - SUICIDE PREVENTION - Salary & Benefits $ 8,080.44 1 $ 8,080.44 Operating supplies $ 436.61 $ 436.61 admin $ 851.71 $ 851.71 Arl Total 9,368.76 Thank you!! Contract #_ARPA SUICIDE PREVENTION Submitted to GC by: Reyna Gonzales Request for Reimbursement No. $9,368.76 Grant County's Subrecipient Checklist: State Auditor's Office Audit Procedures for Testing Activities Allowed And Not Allowed, As Published In 2007 Questions to ask before submitting a payment request Was the expenditure or cost: X_ Made for an allowable activity under the grant guidelines? _X_ Authorized (or not prohibited) under state or local laws or regulations? X Approved by the federal awarding agency, if required? _X_ Allowable per Circular A-87 (June 2004 version), Attachment B, items 1-43? for payroll transactions: _X_ Does the employee's time and effort documentation meet the requirements of Circular A-122? _X_ Allocable to the program? (i.e., was the dollar amount charged to the program relative to the benefits received by the program? Is the federal grantor being charged its fair share of the cost?) _X_ Based on actual costs, not budgeted or projected amounts? _X_ Applied uniformly to federal and non-federal activities (i.e., is the federal government being charged the same amount as if non-federal funds were being used to pay the cost)? X_ Given consistent accounting treatment within and between accounting periods? (Consistency in accounting requires that costs incurred for the same purpose, in like circumstances, be treated as either direct costs only or indirect costs only with respect to final cost objectives). _X_ Calculated in conformity with generally accepted accounting principles, or another comprehensive basis of accounting, when required under the applicable cost principles? _X_ Not included as a cost (or used to meet cost sharing requirements) of other federally -supported activities of the current or a prior period? _X_ Net of all applicable credits? (e.g., volume or cash discounts, insurance recoveries, refunds, rebates, trade-ins, adjustments for checks not cashed, and scrap sales). _X_ Not included as both a direct billing and as a component of indirect costs? _X_ Properly classified (e.g., some costs may be incorrectly claimed as a direct cost instead of being incorporated as part of the indirect cost rate). _X_ Supported by appropriate documentation? (e.g., approved purchase orders, receiving reports, vendor invoices, canceled checks, and time and attendance records.) Documentation may be in an electronic form. _X_ Correctly charged to the proper account code and grant period? Page 1 ACCOUNT TRANSACTIONS GL- REPORT Open Year Journal Entry TRX Date Account Number Account Description Credit Amount Debit Amount Reference 2025 1040320 11/30/2025 108.150.00.9000.5665' MH...ARPA.REG SALARIES & WAGES 0.00000 5,881.75 ALLOC SALARIES NOV 2025 2025 1040323 11/30/202S 108.150.00.9000.S665' MH...ARPA.RETIREMENT 0.00000 328.20 ALLOC RETIREMENT NOV 2025 2025 1040379 11/30/2025 108.150.00.9000.5665' MH...ARPA.SOCIAL SECURITY 0.00000 412.77 ALLOC SOCIAL SEC NOV 2025 2025 1040380 11/30/2025 108.1 S0.00.9000.5665' MH...ARPA.MEDICAL & LIFE INSURANCE 0.00000 1,422.20 ALLOC MED & LIFE INS NOV 2025 2025 1040381 11/30/2025 108.150.00.9000.5665' MH...ARPA.STATEWIDE FMLA INSURANCE 0.00000 15.42 ALLOC FMLA NOV 2025 2025 1040382 11/30/2025 108.150.00.9000.5665' MH...ARPA.INDUSTRIAL INSURANCE 0.00000 20.10 ALLOC INDUSTRIAL INS NOV 2025 SALARY & BENEFITS ARPA SUICIDE PREY. 8,080.44--##* 436.61 , Operating ARPA SUICIDE PREY. 11/2025 P 9 TOTAL SALARY/BENEFITS/OPERATING 8,517.0500' ADMIN 0.10000 851.71 s TOTAL ARP.A SUICIDE PREVENTION 11/2025 - 9,3t68.76 ACCOUNT TRANSACTION GL- TnER REPORT YEAR PERIOE INVOICE DAT VENDOR VENDOR NAME ACCOUNT ACCOUNT DESC DOCUMEN' AMOUNT F L DESC INVOICE WARRANT CHECK NO 2025 11 11/3/2025 9999 GRANT CO 108.0000.9000.5660000.531000. OFFICE & OPER SUPPLIES 5393 223.30ramazon 0200213 ARPA 9000 5393 0 2025 11 11/10/2025 10342 BOYS & GIRLS CL 108.0000.9000.5660000.541000. PROFESSIONAL SERVICES 4660 4,508.51 Oct 2025 Services OCT25 RN111925 501,302,247 2025 11 11/24/2025 11381 GRANT COUNTY TE 108.0000.9000.5660000.541000. PROFESSIONAL SERVICES 5957 190.96itvov 2025 TS/VOIP TS357-25 RN120325 501,302,580 2025 11 10/31/2025 14623 ROBERT E BATES 108.0000.9000.5660000.541000. PROFESSIONAL SERVICES 4161 3,045.00 Oct Services 5 RN111225 501,301,925 2025 11 11/10/2025 10342 BOYS & GIRLS CL 108.0000.9000.5660000.542000. COMMUNICATIONS 4660 143.05 t 2025 Services OCT25 RN111925 501,302,247 2025 11 11/24/2025 11381 GRANT COUNTY TE 108.0000.9000.5660000.542000. COMMUNICATIONS 5957 22.35/Nov 2025 TS/VOIP TS357-25 RN120325 501,302,580 2025 11 11/10/2025 10342 BOYS & GIRLS CL 108.0000.9000.5660000.549000. MISCELLANEOUS 4660 195.30 Oct 2025 Services OCT25 RN111925 501,302,247 TOTAL ARPA 9000 ACCOUNT 8,328.47 MINUS BOYS & GIRLS/VETERANS 7,891.86 TOTAL-ARPA SUICIDE PREV. 1112025 436.61 American Rescue Plan (Cares Act — ARPA) Today's Date: 10/9/25 Vendor: Amazon Business ❑ Received Supervisor Approval ❑ Scanned supporting documents ❑ File into binder ❑ Item(s) received Receipt Date: 10/9/25 Detailed Description: HP Original 910XL printer ink for Bethany's office printer `Charge to A19' Month: ❑ July 2025 ❑ January 2026 ❑ August 2025 ❑ February 2026 ❑ September 2025 ❑ March 2026 2 October 2025 ❑ April 2026 ❑ November 2025 ❑ May 2026 ❑ December 2025 ❑ June 2026 Deliverables: 12 General Taskforce supplies ❑ Goal 1: MH Literacy & BH Promotion ❑ Goal 2: Postvention ❑ Goal 3: Perception/attitudes ❑ Staff Travel / Professional Development Requested by: ag66�- 4�f Supervisor Signature: See SOF Form of Payment 2 vlsA **** 7348 ❑ Invoice (paid) ❑ Invoice (needs paid) ❑ Other: ■ 9 Charge Account: 0 ARPA (g000) ❑ Other: $ 223.30 /) Date:10/9/25 Date: Prevention Requisition Form a Revised 10.2025 !� � renewGiss Order Summary Order placed October 9, 2025 Order # 113-6664264-0200213 Ship to Payment method Order Summary Bethany Avey (Escamilla) Visa ending in 7348 Item(s) Subtotal: 840 E PLUM ST View related transactions � Shipping &Handling: MOSES LAKE, WA 98837-1874 Total before tax: United States Estimated tax to be collected: Grand Total: Placed by Bethany Avey Arriving Tuesday ,,, HP Original 910XL Black, Cyan, Magenta, Yellow High -Yield Ink Cartridges (5-Pack) Works OfficeJet 8010, 8020 Series OfficeJet Pro 8020, 8030 Series I Eligible for Instant Ink 16ZA58AN Sold by: MyOfficelnnovations/Stapies, Inc. Supplied by: Other $205.81 Get to Know Us Careers Blog About Amazon Sustainability Press Center Investor Relations Amazon Devices Have an idea to help us improve? Send feedback > Let Us Help You Customer Service Shipping Rates & Policies Business FAQ Contact Us Work with Amazon Sell on Amazon Business Sell on Amazon Fulfillment By Amazon Advertise on Amazon Amazon Global Selling Scan the QR code to download the new Amazon Business app GET IT ON Download on the Google Play• • Store Business Solutions Amazon Business app Amazon Business Solutions Manage Suppliers Purchasing Systems Amazon Business Card Pay by Invoice Purchasing Line Amazon Business Blog $205.81 $0.00 $205.81 $17.49 $223.30 Buy For Your Business Buy wholesale Today's Deals Buy Again PPE for Work Request for quote business prime English United States A. .,:XSe}i. 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Click to see full view HP Original 91 OXL Black, Cyan, Magenta, $205.81 1$4116/count) Yellow High -Yield Ink Cartridgies (5-Pack} I .Ifprime Tomorrow Works Office Jet 8010, 8020 Series OfficeJet FREE Returns v Pro 8020, 8030 Series I El'igibte for Instant Ink FREE delivery Tomolirow, October 10. Order within 5 hrs 6ZA58AN 38 mins. 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HP OfftoeJet B01 0. 801 Oe. 801Ze, 8014e, 8015, SOF - Printer Ink Final Audit Report Created: 2025-10-09 By: Bethany Avey (bmavey@grantcountywa.gov) Status: Signed Transaction ID: CBJCHBCAABAAfvRSOKN1wgQL2N93AVegOM-40h-Y7ZVo "SOF - Printer Ink" History '67, Document created by Bethany Avey (bmavey@grantcountywa.gov) 2025-10-09 - 4:32:59 PM GMT ' Document emailed to Dayana Ruiz (druiz@grantcountywa.gov) for signature 2025-10-09 - 4:33:35 PM GMT Email viewed by Dayana Ruiz (druiz@grantcountywa.gov) 2025-10-09 - 4:34:13 PM GMT Document e-signed by Dayana Ruiz (druiz@grantcountywa.gov) Signature Date: 2025-10-09 - 6:48:47 PM GMT - Time Source: server � Agreement completed. 2025-10-09 - 6:48:47 PM GMT 2025-10-09 Adobe Acrobat Sign Renew without DCL- NOV2025 Ts __._---------- - _ — Netwo(k & Security Services System, Administration Services Geneial Helpde5k& Asset Management System Administration Services AcrountingApplication- (3P Software as a Service VOID -PHONE ACCOUNT 4152 $1.186.19 $ 822,46 MHBG $ 14,548.80 SUD $ 1,265.62 DESIGNATED CRISIS (DCR'S) $ 663-84 MHBG $ 6,146,77 ADUILT MOBLE CRISIS YOUTH MOBLE CRISIS DISIGNATED CO-RESPONDFRS YOUTH STABILIZATION TEAMS COSSUP Recovery Coach -Crisis - ?4,633.67 $ 24,6' 33.67 ARPA SUICIDE PREV BETHANY- $0.00 Prevention - ML PFS 129 $ 190.96 Prevention- 10fl.150,00.0000.5fA,00.4152 564 93 17,759.1.5 Ednefics VOW Services (Phones) ACCOUNT 19100 4,313.64 22,35 4200 160,00 564 3076.07 0 566 - DESIGNATED CRISIS (DCA'S) 8052 a 1,527V tVIH8C2_ 8063 2 381,92 33 Recovery Coach - Crisis - 8079 2 381-92. ADULT MORLE CRISIS 8081, 9 1,718.63 YOUTH MOBLE CRISIS 8082 5 954.79 DISIG )NATED CO -RESPONDERS 8083 2 381.92 YOUTH. STABILIZATION TEAMS 8084 3 5'72.Ba COSSUP 9118 2 381.9114 ARPA SUICIDE PREV 8 ETHt"%I,,fY- 9000 1 1,90.9c, Pfevpnvon -ESL PF5 9058 1 190-96 $ 28,947.31 Prpvention- QUINCY PFS 9062 1 190.96 $2819-ItZ31 6.874.51 $0.00 36 24,633.67 8052 175.BO 8053 44.70 8081 ?01JS 8082 111..75 8083 8084 67.05 9318 4430 8019 44-70 9000 22.35 04 9058 22-35 0 737..57 $ 737.57 4.313.8-4 4. 3; 13. C-1 Grant County Technology Servioes '35 C St NW Ephrata, WA 98823-1685 USA gc'Ls@grantcountywa.gov BILL TO Renew 840 E Plum Moses Lake, WA 98837 SRO Maintenance NCE SHIP TO Renew 840 E Plum Moses Lake, WA 98833 7 Site Maintenance November 2025 INVOICE# TS357-25 DATE 11 i241.112025 DUE DATE 12/0 1 /2025 TERMS Due on receipt T Y 'RAIL" MA01,JIN 1 28,947-31 28,947.31 BALANCE DUE $P28y947.31 r I � �nv 4 2 U 2 5 ail i.1 r, r a g 3 Cl C OL ro G w n M CL eC r. L Ca s m cd a< rc d EY s: d W u CD C ,�s