Loading...
HomeMy WebLinkAboutGrant Related - BOCCGRANT 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-Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE. Karrie Stockton CONFIDENTIAL INFORMATION: E]YES ®NO DATE:2/20/2026 PHONE: 2937 ElAgreement / Contract 7AP Vouchers ElAppointment / Reappointment *ARPA Related [I Bids / RFPs / Quotes Award OBid Opening Scheduled El Boards / Committees El Budget E]Computer Related ElCounty Code E]Emergency Purchase E]Employee Rel, ElFacilities Related El Financial EFunds 7 Hearing 17 Invoices / Purchase Orders *Grants — Fed/State/County 0 Leases EIMOA / MOU El Minutes El Ordinances El Out of State Travel []Petty Cash ElPolicies [I Proclamations 7 Request for Purchase 0 Resolution El Recommendation E Professional Serv/Consultant E]Support Letter E]Surplus Req. E]Tax Levies DThank You's E]Tax Title Property EIWSLCB Reimbursement request from Big Bend Community College on the American Rescue Plan Act (ARPA) in the amount of $50,624.76 for January 2026. If necessary, was this document reviewed by accounting? El YES D NO 7 N/A If necessary, was this document reviewed by legal? 1:1 YES El NO 9 N/A DATE OF ACTION- APPROVE-.. DENIED ABSTAIN D1: D2- D3: DEFERRED OR CONTINUED TO: WITHDRAWN- 4/23/24 INVOICE Big .Send Invoice No: MSC-0000045538 � CCWMUCOLA-EGE Invoice Date: 2/13/26 Page: 1 of 1 Remit To: 7662 Chanute Street NE Attn to: Moses Lake,WA,98837 Bill To: Grant County Attn: Karrie Stockton PO Box 37 Ephrata WA 98823-0037 United States Customer Number: Payment Terms: Due Date: AMOUNT DUE: 001003947 Immediate 2/ 13/26 50,624.76 USD Immediate Amount Remitted For billing questions, please call 509-793-2024 Ori final Line Identifier Description Quantity UOM Unit Amt Net Amount 1 G.C. ARPA Funding 1.00 EA 50,624.76 50,624.76 146--114-26015-4021030-- Subtotal: Amount Due: Contract#2226-476 G.C. ARPA _Funding January 2026 K23-163=Expans. Med "urs. Prog. $36,695.68 Bldg. 1500 K23-164 -Remodel of Nursing Lab K23-165- Expans. H. Care Prog. $13,929.08 Prog. Work •�` 50,624.76 50,62Z76 Amont' tat -Am -n R Fune rqnce�.- bescr 1E jo D 17NA ate big - lip i E d ate. d, n 11217.08 0.20 2743605 REG - Reg Earns PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 191.63 0.03 2772588 Holiday- Oth ERN PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 138.11 0.03 2743605 Holiday- Oth ERN PAYROLL 1/15/2026 101044306 Richlinejeni M 1/15/2026 973.63 0.16 2772627 Vacation- Oth ERN PAYROLL 1/31/2026 101044306 Richlinejeni M 1/31/2026 138.11 0.03 2772627 Holiday- Oth ERN PAYROLL 1/31/2026 101044306 Richlinejeni M 1/31/2026 85.09 0.02 2772566 Comp SL- Oth ERN PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 146.74 0.03 2743605 Vacation- Oth ERN PAYROLL 1/15/2026 101044306 Richlinejeni M 1/15/2026 763.89 0.15 2743544 REG - Reg Earns PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 1,884.38 0.25 2772588 REG - Reg Earns PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 390.19 0.06 2772627 REG - Reg Earns PAYROLL 1/31/2026 101044306 Richlinejeni M 1/31/2 . 026 86.07 0.02 2743544 Holiday- Oth ERN PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/20-26 764.87 0.14 2772566 REG - Reg Earns PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 191.63 0.03 2743566 Holiday- Oth ERN PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 86.07 0.02 2772566 Holiday- Oth ERN PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 1,812.52 0.25 2743566 REG - Reg Earns PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 71.86 0.01 2743566 Comp SL- Oth ERN PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 86.07 0.02 2743544 Vacation- Oth ERN PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 121.17 0.03 2772529 Holiday- Oth ERN PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 11079.36 0.19 2772529 REG - Reg Earns PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 117.22 0.03 2772529 Comp SL- Oth ERN PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 63.69 0.00 2772529 Employer FICA OASDI PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 8.24 0.00 2743605 Employer FICA OASDI PAYROLL 1/15/2026 101044306 Richlinejeni M 1/15/2026 44.79 0.00 2743544 Employer FICA OASDI PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 58.09 0.00 2772627 Employer FICA OASDI PAYROLL 1/31/2026 101044306 Richlinejeni M 1/31/2026 4.99 0.00 2772566 Employer FICA OASDI PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 11.04 0.00 2743566 Employer FICA OASDI PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 72.62 0.00 2743605 Employer FICA OASDI PAYROLL 1/15/2026 101044306 Richlinejeni M 1/15/2026 8.75 0.00 2743605 Employer FICA OASDI PAYROLL 1/15/2026 101044306 Richlinejeni M 1/15/2026 5.05 0.00 2743544 Employer FICA OASDI PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 104.39 0.00 2743566 Employer FICA OASDI PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 11.04 0.00 2772588 Employer FICA OASDI PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 8.24 0.00 2772627 Employer FICA OASDI PAYROLL 1/31/2026 101044306 Richlinejeni M 1/31/2026 23.28 0.00 2772627 Employer FICA OASDI PAYROLL 1/31/2026 101044306 Richlinejeni M 1/31/2026 44.85 0.00 2772566 Employer FICA OASDI PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 4.14 0.00 2743566 Employer FICA OASDI PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 6.92 0.00 2772529 Employer FICA OASDI PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 5.05 0.00 2772566 Employer FICA OASDI PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 7.15 0.00 2772529 Employer FICA OASDI PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 5.05 0.00 2743544 Employer FICA OASDI PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 108.53 0.00 2772588 Employer FICA OASDI PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 1.62 0.00 2772529 Employer FICA IVIED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 1.17 0.00 2772566 Employer FICA IVIED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 1.18 0.00 2743544 Employer FICA IVIED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 1.18 0.00 2772566 Employer FICA IVIED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 1.93 0.00 2743605 Employer FICA IVIED PAYROLL 1/15/2026 101044306 Richlinejeni M 1/15/2026 0.97 0.00 2743566 Employer FICA IVIED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 14.90 0.00 2772529 Employer FICA IVIED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 1.67 0.00 2772529 Employer FICA IVIED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 25.38 0.00 2772588 Employer FICA IVIED PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 16.98 0.00 2743605 Employer FICA IVIED PAYROLL 1/15/2026 101044306 Richlinejeni M 1/15/2026 1.18 0.00 2743544 Employer FICA IVIED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 2.06 0.00 2743605 Employer FICA IVIED PAYROLL 1/15/2026 101044306 Richlinejeni M 1/15/2026 1.93 0.00 2772627 Employer FICA IVIED PAYROLL 1/31/2026 101044306 Richlinejeni M 1/31/2026 10.49 0.00 2772566 Employer FICA IVIED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 24.42 0.00 2743566 Employer FICA IVIED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 10.47 0.00 2743544 Employer FICA IVIED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 2.58 0.00 2743566 Employer FICA IVIED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 2.58 0.00 2772588 Employer FICA IVIED PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 13.60 0.00 2772627 Employer FICA IVIED PAYROLL 1/31/2026 101044306 Richlinejeni M 1/31/2026 5.45 0.00 2772627 Employer FICA IVIED PAYROLL 1/31/2026 101044306 Richlinejeni M 1/31/2026 6.46 0.00 2772566 TIAA-CREF-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 97.37 0.00 2772627 TIAA-CREF-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 6.46 0.00 2743544 TIAA-CREF-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 13.81 0.00 2743605 TIAA-CREF-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 14.68 0.00 2743605 TIAA-CREF-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 14.37 0.00 2772588 TIAA-CREF-DED PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 6.76 0.00 2772529 PERS 2-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 5.39 0.00 2743566 TIAA-CREF-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 135.94 0.00 2743566 TIAA-CREF-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 141.33 0.00 2772588 TIAA-CREF-DED. PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 6.54 0.00 2772529 PERS 2-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 57.29 0.00 2743544 TIAA-CREF-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 13.81 0.00 2772627 TIAA-CREF-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 14.37 0.00 2743566 TIAA-CREF-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 6.46 0.00 2743544 TIAA-CREF-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 57.37 0.00 2772566 TIAA-CREF-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 121.71 0.00 2743605 TIAA-CREF-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 39.02 0.00 2772627 TIAA-CREF-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 60.23 0.00 2772529 PERS 2-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 6.38 0.00 2772566 TIAA-CREF-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 0.48 0.00 2743566 MedAid ER-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 0.19 0.00 2743566 MedAid ER=DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 3.90 0.00 2743605 MedAid ER-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 0.45 0.00 2743605 MedAid ER-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 0.48 0.00 2743605 MedAid ER-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 0.43 0.00 2772529 MedAid ER-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 2.75 0.00 2743544 MedAid ER-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 0.48 0.00 2772588 MedAid ER-DED PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 0.31 0.00 2743544 MedAid ER-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 4.81 0.00 2772588 MedAid ER-DED PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 0.45 0.00 2772627 MedAid ER-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 2.76 0.00 2772566 MedAid ER-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 3.94 0.00 2772529 MedAid ER-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 0.45 0.00 2772529 MedAid ER-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 0.31 0.00 2743544 MedAid ER-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 0.31 0.00 2772566 MedAid ER-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 0.31 0.00 2772566 MedAid ER-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 4.60 0.00 2743566 MedAid ER-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 1.25 0.00 2772627 MedAid ER-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 3.11 0.00 2772627 MedAid ER-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 0.57 0.00 2772529 Ind Ins ER-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 5.22 0.00 2772529 Ind Ins ER-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 0.59 0.00 2743605 Ind Ins ER-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 3.64 0.00 2772566 Ind Ins ER-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 0.63 0.00 2743605 Ind Ins ER-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 5.16 0.00 2743605 Ind Ins ER-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 0.59 0.00 2772529 Ind Ins ER-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 3.64 0.00 2743544 Ind Ins ER-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 0.24 0.00 2743566 Ind Ins ER-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 1.65 0.00 2772627 Ind Ins ER-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 4.14 0.00 2772627 Ind Ins ER-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 0.59 0.00 2772627 Ind Ins ER-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 0.41 0.00 2743544 Ind Ins ER-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 0.41 0.00 2772566 Ind Ins ER-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 0.65 0.00 2772588 Ind Ins ER-DED PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 0.41 0.00 2772566 Ind Ins ER-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 0.65 0.00 2743566 Ind Ins ER-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 6.12 0.00 2743566 Ind Ins ER-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 0.41 0.00 2743544 Ind Ins ER-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 6.36 0.00 2772588 Ind Ins ER-DED PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 666.50 0.00 2743605 HCA Avg-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 466.55 0.00 2743544 HCA Avg-DED PAYROLL 1/15/2026 201586139 Allinson,Niki.Porter 1/15/2026 733.15 0.00 2743566 HCA Avg-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 8.16 0.00 2772627 MI Er SUT PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 2.07 0.00 2743605 MI Er SUT PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 18.26 0.00 2743605 MI Er SUT PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 20.39 0.00 2772627 MI Er SUT PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 2.89 0.00 2772627 MI Er SUT PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 2.19 0.00 2743605 MI Er SUT PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 0.11 0.00 2772566 HERP SUP-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 0.25 0.00 2772588 HERP SUP-DED PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 0.18 0.00 2743605 HERP SUP-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 0.09 0.00 2743566 HERP SUP-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 1.58 0.00 2743605 HERP SUP-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 1.27 0.00 2772627 HERP SUP-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 0.11 0.00 2743544 HERP SUP-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 0.11 0.00 2743544 HERP SUP-DED PAYROLL 1/15/2026 201586139 Allinson,Niki Porter 1/15/2026 2.36 0.00 2743566 HERP SUP-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 0.18 0.00 2743605 HERP SUP-DED PAYROLL 1/15/2026 101044306 Richline,Jeni M 1/15/2026 0.99 0.00 2743544 HERP SUP-DED PAYROLL 1/15/2026 201586139 Allinson,Niki'Porter 1/15/2026 2.45 0.00 2772588 HERP SUP-DED PAYROLL 1/31/2026 101044712 Ghinazzi,Anne Marie 1/31/2026 0.51 0.00 2772627 HERP SUP-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 0.11 0.00 2772566 HERP SUP-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 0.25 0.00 2743566 HERP SUP-DED PAYROLL 1/15/2026 101044712 Ghinazzi,Anne Marie 1/15/2026 1.00 0.00 2772566 HERP SUP-DED PAYROLL 1/31/2026 201586139 Allinson,Niki Porter 1/31/2026 0.18 0.00 2772627 HERP SUP-DED PAYROLL 1/31/2026 101044306 Richline,Jeni M 1/31/2026 0.38 0.00 2772529 MLI-ER-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 3.49 0.00 2772529 MLI-ER-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 0.39 .00 2772529 MLI-ER-DED PAYROLL 1/31/2026 101065176 Morris,Tiffany A 1/31/2026 $13,929.08 V 000 toot E 01111k =UFT -R=T-770� illvo 2024-587 G (2-1) 12131/20111?5 9 VT-NDOR'.S CERTIFICATE, I HEREBY CERTIFY UNDER -PENN-TY Or- PERJURY THAT THE ITEMS AND TO TAL S L I ST E D H E-RE IN AR E P R 0 P ER C HARG E S F 0 R KIA I E R IALS. It! ERC HANDIS EC SERVICES FURNISHED TO THE STATE OF'iVA.SftINGTON. AND THAT ALL GOODS FURNISHED OR SERVICES RENDERED HAVE BEEN PROVIDED WITHOUT DISCR ItA NATION ON THE GROUNDS OF RACE, CREED, COLOR, NATIONAL ORIGIN, SEX, OR AGE; THAT PREVAILING WAGES HAVE BEEN PAID IN ACCORDANCE WITH THE PREFILED STATEMENT OR STATEMENTS OF INTENT ON FILE WITH 1HE DEPARTMENT OF LABOR AND INDUSI'RIES AS APPROVED BY THE INDUSTRIAL STATISTICIAN: A.1110 THAT ALL SUB CONTRAGI` ORS AND ;OR .13UPPUERS HAIIir, BEEN PAID LESS EARNED RETAWAGE AS THEIR INTEREST APPEARED IN THE I.AST PAYMENT RECEIVED, FEDERAL TAX ID NO.: 90-0810742 FAE-URE TO PROVIDE THIS NUM13ER WILL RESULT IN DEt"AY Or F`Ayf4IENT. 8,y TITLE. GTOt FF 0 R Ni S TA T 0 F 14,A SH I NG -4 Al 9-2AE:2 'R INVOICE VOUCHER 4�- SIRV, ---- ------ -- ---- -- ------ L P A -ENCY:NAMJE', Engineering & Architectural Services c/o Department of Enterprise Services P.Q.Box 41476 Olympia, WA 98504-1476 Attn: Barbie Downing -VENDOR.'ORCL-AINIANT BANLIN Construction 320 W Columbia, Dr Kennewick, WA 993-'36 ON 04 -0of"01— 11 1,10 mom 111 .110 !0100, 04.0 01 TC ZN hq A-Kj Pr9ject Manager, AMIOUNT', :FORAGENCY:-�� Total Earned to Date $865o3O9.89 Plus 8.2% VtJashington State Sales Tax $70j955.41 ............. Gross EaMed to Date $936,265.30 -- -- - Retained Percentage on Total Arnount r--arnffl to Date Less 5% Retained Nol I including Sales Tax $43,265.49 I Net Earned to Date $892,999.81 --- -------- -------------- ----- --- — ------ — — ------ — ----------------- ... ... Less Previously Invoiced $810,827.39 ANPIOUNT DUE THIS INVOICE $82J72.42 This Certifies that Services Invoiced herewith have been received ENGINEERING & ARCHITECTURAL SERVICES Department of Enterprise Services 05Jan26 By Date - - ---- ------------------------------------- ------- ...... . Updated 7/1/2016 MR;5=04" APPLICATION AND CERTIFICATE FOR PAYMENT ON CONTRACT ftf;W&I Ntac I �VIM2lX cwfwlho: aucc - I&W flemodgi t."*w T#0 Charuta SU40L Maass Lakt. WA PUIT Gwo.lor !!ANufl Conrad W f..4.iwp. ki ewmeaM.�rtu on*. EAU QF.WW&""' pFPS... A. 4. Staff Up I0X0.00 S, 1.000M SIG.wmoo ion 31 IWO Do Sm% $IDIO00-,0D $0.00 30-00 Stlect'vo Nino- IabovNiateda, motal FiamkVACTIOWS - SLtgnM,*s Witriab 87.000-00 I 1.5caza 3.000.M 381.w0m S1.50000 I S3.000,00 $box 3.87.01.0.0 goo's 31,500 Co illcs 57,000.02 zoo* 3000 %0.02 s cold FAxrmtd Metal FtemvV - a Ca;d Famed Mow Fiarrxg -L2wr K 5.000m I 35.00010 son 35,V10,00 $ova Ca=mrk - U*p Drawras C23*iwk - Aulig'sa., 7tS4.00 # 18X*100 f 1750.00 S7000.0 tws S750tv I=% 338.50000 $000 low 6 casewovit -Law to Twmal knuaWn 10.004 DO 3 1.000-W 1*0 000 00 I . . $f,bmoo tans $ 10,000.04 W& 3 1,000 CD $0.00 SOW # is tJkj FraraatGocra, %Vood C-ors and limsiviarc - hAakfia Hardiwwa L 4 3a.054.0 S 6,omoo 538,om, au 28.000.00 t00% 531.950.00 Ion SUO0.02 1000 SOIDo 1, HtA FfasnolDoots. Wood Doors ond - abD( ut Gls;*v - SUP Dra%ftsl 11,20AM 51,200,00 100% $1.200.00 SOIGO 14 GU'.*V - M310ml 1.500,w I t'600,00 100% 31.60010D $0,00 if, obairv-Law to Roorkep-Witasw 2.00.to t 3,C0R.O0 32,000,00 11,200,00 13,00OZO t00% SZOOOM twS 100% S34g0,g0 j $0.00 SQOO SGUO it FW'Psep-Law if CerAmc 7,m-1Uftr4 to CityAmI.- ism -Lab" ;m Aes.Urd Daze & A=*nwias - Matefol S MOMM 1 1 & wo w 1 4.500.00 S33,000.00 318:500.00 sf=zo ims 3 11,000-IM Iw% SI8.50.00 Imx 11100.m Y so GO S0,00 21 Ralsom base A A.-Cal=kS - I.abx n Ras&fd Ti:* Fbo" - Malailal 1 1.200 GO 4 3*.00000 ST.2w.oa IS31.00.00 twx 51.2004-0 Ives s31.000.00 3O.00 $0.0.3 21 ka:oert TAI Fbativ - Utw 24 OW D=d - k*"- *T 4 I I, -Dam 7. ".1 00 312,425.00 $1-044.00 S7.000.00 twIL 312,425,000 t00% S1.500,00 140%, 37.003*00 110A0 SOW 40.00 is op, Doard - LaLvf 21 ow" Taping - Wiefial 3 1 1,500-0 514000.00 10.000.00 Imax S1,500.00 $0,000.00 "*0.00 $0.00 27r 0148 Urlig,tatw Is za 3 0.600.00 S, 2bW.00 513,000" 37400.00 ion $6,50D.0a tarsi 313.0mea tw%! S2.5W 00 $4,00 U.00 50,00 ACT - 1,14itsW xs AZT -Labor 375000 3 3.50 co t4.000.00 13,75040 13„500,00 I05I61 44AW.00 1 toni 3a,750.00 iW%! 43=00 $41.00 U11.00 3ir.00 hfaww S 2.50000 SWZO S2.WO,00 45W.Go IVA 1, $2,500m Iboxi S5w_-Q $0.00 3.1.00 Compments - Luierw sr Toile Compatirrients - Lab" 12,000.00 SIZO07,00 qvo%f $17.0w.co U.00 40.00 ze Tbaet 03tk and Lawdty A,-- - Mal crial $0,00 tio Takt, 04,0t wmd Uundty Mo. - Latot Ae Pk;mbko Coma- Maloewl S IXO.co 3 Mtn $750 00 teas 375O.g0 40.00 30z0 41 Purmkv Como - LaWt 4z �MimL*V Aouo m - kilawbi 3 3,500,00 1 22.0m 00 1,).50.00 322.000,00 10*1.1 31.5w.00 :m%l $22.000.00 40.00 40.00 41 tv pGwh z" - LaLzr 44 T;itn - S 16.000.90 315.000.00 S40,0W Do W%f St5.000.00 ws� s4k000w :aast 30= $0.60 4* Pkirrbivirrm-Utb" FW(=tW0eM 12. DWWG W $12,06*00 06 312.owm IWI, 54.000.00 SOZO As '41 EkizkAl - WrAfLals tf OtcuZal - Lato, E 8,3S000 S 3,000.00 l8.000'so s3AW.00 I 3a,000.00 if"! 43,0m,00 90,00 30.00 Ito rRe Alan w mse MISS% S 14I000-04 Sjm9,tD0.Db 4W%i 31c,000.00 SOM Smw $25,57.5.00 Charge Of"m rk., 1. COP W I Demo A 11COAZU Corridormm 2, COP 002 Add Rooms iW2.150.I. IW4. 1 v, $35.052.18 smo.-.v 83S.062 IA teo%"122.4D2-17 wAl S35,02AS 30160 $0.00 3. COP 003 Wete HIA F.'amas (S-4.509,80 ImS. (34,509.8t) $000 .4, COP 0" pa" vilou a P4411,114 emanc* 5 COP 605 AmrAxo ACT W Rxrns 150 Remmv & Replace Dews M flew 17.257.e3 331,187.03 r 131.16104 W,187,03 s3t.181m ICAM 1 $7.AtS-#.43 to"i 33T.187A3 lMy,, S_11.181�4 sow 2043 SUG c. COP,007 7 COP 008 Rrmw E;WM viwoows & bw a. COP COD Reyme, Restroorn Rudware 0 COP 010 Added AsbeV4.1 PAPgV Demo I ChmVtr S2,03123 1I.073.76 10.381.90 52.7254i 37.03123 51,073.7.ri ssoatw 12.725.41 Ir"i 3Z931,23 troy., 11.0TIT5 ion! mms,w Ir"! $2,725.41 SOW SO.Do SOICO Ulog to. COP Olt ASI Restroom III COP a 12 Ccilwato Subloof Como 6 plea 12 COP 0 13 1,10d; Ct&W TO Rc'-I(mn 38,145.22 10,145.22 .1 sslm�al :Wwkx 30.146,221 SO.DO $040 ta COP a 14 InAl Closet In Cbsslmn 1502 SZ40,35 s2m&_�a 1"! $2.818,14 ".Do 14. COP 0 0 Usft FIDDr box Sapf"arnant W Add UuWwad In CWsroorn ISW 38150.36 sn,218.52 W,158.36 $15,210.52 leas 5S,i54 8 106% W.210-52 $0,00 30.00 M COP to COP 0 to W4 Hackkq 2tRR M17 & Vast stxom SI,50t8t5 St,691-40 $1,35040 0.00 17. COP 019 CCMCED ULMO & B9061W in tie I& COP m plat -up, Door X. "it Rbaka S155.08081 SISSIM'sl 11,aS2.48 sax 1101j"50.00 S1,852.4a 146,318G51 101DO 12 COP Olt Uer;(w RR WARS 20 COP 022 Cietre for new 06:s Al" Flowwlf ACT ksCtk-m0A'eaI 41,652.48 195.091,M) 52.044.05 (Ssxw=�� 32,444.G5 i loot (15.02tm) 10016 S7,044-05 ULOO 21 COP *23Add&d 22- COP 024 Docr Ravisim.'s pat SH 00 SS.W3.25 15.QO3.25 23 F-11 001 1101710VO & RtFla= GWO 24 COP 025 Chou wag Si1ppoll TOM S0.0D $5,W3.03 SUBTOTAL 5865.309.21Q $806,300.40 SM.i JAX'� I'D 095 4 1 TOTAL S03t81Ci5.30 U38,285.30 Less Rotwr4ga. 6% 3-t3.2145.40 NET W2,=A1 Less Pre MAM Nrftfft. - 3810827.30 Addt"f-izx DX0% AMOUNT DUE "2.172AI 3350,11180 939"4.27 SWAS304 I 53,96IZ2 St1Y0,E27 30 382.1 42 1*1,02.42 RGU Architecture & Planning _ _i1/itiflij �41111frretiriri.._•..„....., tit Updaled,1111"Ifs STATE OF WASHINGTON CERTIFICATE FOR MATERIAL STORED ON JOB SITE This c rtifi all is attached to card becomes a part of the"Application and Cerlifficate for payment on Contract" wherever a claim is mad( m material stored on the job s<t .) CERTIFICATE: For period fro► � : 1 1 /2025 to 1 / 0/2 2-5 Contract for: BBCC 11500 Remodel I � Dates 12131/2025 Location: I-1.anute Street, Moses asks, WA 98837 Certificate No.: Contractor: BANLIN Construction Contract No.: � - 7 G ,Contracting Firm) .A.,��,,,r,.,...�................�,. (Sup(.,�rvising Architect or Engineer) Updated 7/1 /2a1 6 APPLICATION AND CERTIFICATE FOR PAYMENT ALA DOCUMENT G702 PAGE ONE OF PAGES To 0hvner: Big Bend Comm. Cotlege PROJECT: BBCC - 1500 Bldg. Remodel APPLICATION' NO. 9 Distribution to, 1662 Chanute St. NE 7662 Chanute St. NE PERIOD: 1211.125 - 12/31/25 MrNMR Moses Lake., WA 98837 Moses Lake, WA 99937 ARCHITECT ICONTRACTOR From Contractor: Banlin Construction VIA ARCHITECT: RGU Architecture & Planning 320 W. Columbia Dr. 122 2nd Strcet,?O Box 8 20 CONTRACT DATE: Kennewick, WA 99336 Asotin, WA 1.09402 CONTRACTOR"S APPLICATION FOR PAYMENT The undtn-i�ned Contractor certifies that to the best of the Contractor's knowledge, inf'ormation and belief the Work covered by this Application for Payment has bin cornpletcd in accordance with the Contract Applicanion is made for payment, as shown below, in connection with the Contract. Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for 1. ORIGINAL CONTRACT SUM ..................................... $ $511,500.00 payment were issued and payments received from the Owner, and that current paynient shown herein is now due. 2, Net change by Change Orders... ................................. S $353,809.89 3. CONTRACT SO4 TO DATE (Line I - 2) ...................... S $865.309.89 4, TOTAL COMPLETED & STORED TO DATE ...... $865.309.89 5. RETAIN AGE: a. 05 —%of Cornpleted Work S S43 ),265.49 b. % ox'Stored Material Total Re Wnagrre (Line 5a + 5b) S S43.265.49 6, T(YrAL EARNED LESS RETAINAGE ...... ....... ......... S (Line 4 less Line 5 Total) 7. PLUS XV.S.S.T. 8. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 8 plus Line 9 from prior Certificate) ................................. S 9. CURRENT PAYMENT DUE ..................................... S 10. BALANCE TO FINISH, INCLUDING RETAINFAGE (Line 3 less Line 6) S S43,265.49 CONURACTOR: A By: all/ Date: State of: Washington ,J51E HA IV ", * ei 0 , - *0 Coutiq7 of: uc *C x- #0 14,OTARy 0 Subscribed and sworn to before me this day of ')t.K_C_xx\z^C` PUBLIC Notar,j Public: 4.1 !Z� Nty Commission expires: OWNER'S REP CERTIFICATE FOR PAYMENT S70.955.41 In accordance with the Conti —act Documents, based on on -site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Worlic is in accordance with the Contract $8107827.39 Documents, and the Contractor is entitlW to payment of th- AIMOUNT CERTIF[ED. $82,172.421 ANIOUNT CERTIFIED ............................................. CHANGE ORDER SUMINMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner 353,809.89 $ To al approved this Month - $ TOTALS $ 353,809.89 S, NET CHANGES by Change Order 353,809.89 ),809.89 (9ttach explanation if amount certified differsfrom the amount appliedall figures it for Initial exit this Application and on the Continuation Sheet that are changed to conform to the amount certified.) 0",ner Rep: By: Date: This Certificate is not negotiable. The AMOUNT CERTTIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payrritmt are without prejudice to any rights of the Owner or Contractor under this Contract. ESTIMATE OF WORK COMPLETED APPLICATION NO. 9 PERIOD: 12/1/25 - 12/31/25 PROJECT: 1500 Bldg. Remodel CONTRACTOR: Banfin Construction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . d . . . . . . . . . . . . . . . . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . •. . . . . . . . 6 . . .. . . . . . . .. . •. 4 6 . h . . - - .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. TEN . . . . . . . . . . . . . . . . . . . . . . . .. OF WMK ..W50 1410,11014. . . . . . . . . . . . . . . . . . . . . ............... • .....#.........................................I........-...... • ..................... .. .... ..6 ...... .. ... . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . ...... 'Uft . . . . . . . ..... ...I . ......... .•. 6 . . .. . .. . . . . . . . . . . . . .•. . . . . . . . . . . . . . . . .. . . . . . . . . . % . . . . . . . . . .•d' 6 , , . . . . . . . . . . . . . AL I A. 0 .•.•.•.•. . . . . . ..... • . . . . . . . . . . 4 . . . 4 AP........• PLICA • . . . . . . . . . . . . . .. . ........... . . ...... :Al?=T N 1 Mobilization/Project Start Up $ 110000.00 $ 11,000.00 $ $ 118000.00 100% $ 2 BondAnsurance $ 10,000.00 $ 10,000,00 $ $ 10,000.00 100% 3 _.'Selective Demo- Labor/Material $ 87,000.00 $ 879000.00 $ $ 87,000.00 100% $ 4 Metal Framing/ACT/GWB - Submittals $ 1#500.00 $ 1,600.00 $ $ 11500.00 100% 0 $ 5 lCasework Cold Formed Metal Framing - Materials $ 3*000.001$ 31000.001$ $ 31000.00 100% $ e Cold Formed Metal Framing - Labor $ 59000.00, $ 59000.00 $ $ 5,400.00 100% $ 7 - Shop Drawings $ 750.00 $ 750.00 $ $ 760.00 100% $ 8 Casework - Material $ 18,500.00 $ 180500.00 $ $ 18,500.00 100% $ 9 Casework - Labor $ 101000.00 $ 100000.00 $ $ 10.000.00 100% $ 10 Thermal Insulaflon $ 19000.00 $ 11000.00 $ 10000.00 ----100% $ 11 HM Frame/Doors, Wood Doors and Hardware -.Matedal $ 36,950.00 36,960.00 $ $ 36o950.00. 100% $ 12 HM Frzm6Woors, Wood Doors and Hardware - Labor $ 80000.00 $ $1000.00 $ $ 89000.00 100% $ 13 Glazing - Shop Drawings $ 1,200.00 $ 1#200.00 $ $ 1,200.00 100% $ 14 Glazing - Material $ 1,500.00 $ 1,500.00 $ $ 12500.00 100% $ Is Glazing - Labor $ 2,000.00 $ 2,000.00 $ $ 21000.00 100% $ 16 Floor Prep - Material $ 1,200.00 $ 1,200.00 $ $ 1*200.00 100% $ 17 Floor Prep - Labor $ 3,000.00 $ 30000.00 $ $ 39000.00 100% $ IS Ceramic Tile - Material $ 13,000.00 13,000.00 $ $ 1311000.00 100% $ 19 Ceramic Tile - Labor $ 186500.00 $ 180500.00 $ $ 18,600.00 100% $ 20 Resilient Base & Accessories - Material $ 1o500.00 $ 11,600.00 $ $ 11500.00 100% $ 21 Resilient Base & Accessories - Labor $ 11200.00 $ 11200.00 $ $ 11200.00 100% $ 22 Resilient Tile Flooring - Material $ 310000.00 $ 319000.00 $ $ 31j000.00 100% $ 23 Resilient Tile Flooring - Labor $ 1-21426.00 $ 12,426.00 $ $ 12,426.00 100% $ 24 Gyp. Board - Material $ 11600.00 $ 19500.00 $ $ 11600.00 100% $ 25 IGyp. Board - Labor $ 7,000.00 $ 71000.00 $ - $ 79000.00 100% $ 26 GWIB Taping - Material $ 1,500.00 $ 1,500.00 $ - $ 1,500.00. 100% $ 27 GWB Taping - Labor $ 90000.00 $ 91000.00 $ - $ 9,000.00 100% $ 28 Paint - Materials $ 61500.00 $ 6,500.00 $ - $ 6*600.00 100% $ 29 Paint - Labor $ 13,000.00 $ 139000,00 $ $ 13,000.00 100% $ 30 ACT Grid - Materials $ 21600.00 $ 2,600.00 $ $ 21600.00 100% $ 31 ACT Grid - Labor I $ 41000.00 $ 41000.00 $ $ 4t000.00 100% $ 32 ACT - Material $ 31750.00 1 -, 32750.00 $ $ 3,750.00 100% $ I 33 ACT - Labor $ 3,500.00 $ 3,500.00 $ $ 3*500.00 100% $ 34 Signage - Material $ 2,500.00 $ 2,600.00 $ Zp600.00 100% h. -1 $ 35 Signage - Labor $ 600.00 $ 600.00 $ $ 500.00 100% $ 36 Toilet Compartments - Material $ 12,000.00 $ 12,000.00 $ $ 12,000.00 100% $ 37 Toilet Compartments - Labor $ 91000.00 $ 91,000.00 $ $ 99000.00 100% 38 Toilet, Bath, and ,Laurie MACC. - Material $ 71?00.00 $--- 7,200.00 _$ $ 7,200.00 100% -$ 39 Toilet, Bath and Laund!y Acc. - Labor I t000.00 $ 1 to00.00 $ - 1000.00 1-0-ow 40 Plumbing Demo - Material $ 760.00 $ 750.00 $ M $ 750.00 100% $ 41 Plumbing Demo - Labor $ %500.0 $ 3,500.00 $ - $ 3*600.00 100% $ 42 Plumbing Rough In - Material $ 22,000.00 $ 22jo000.00 $ - $ 22*000.00 100% $ 43 Plumbing Rough In - Labor $ 159000.00 $ 15*000.00 $ a $ 15,000.00 1000/0 $ 44 Plumbing Trim - Material $ 40,000.00 $ 40,000.00 $ - $ 40,000.00 100% $ 46 Plumbing Trim - Labor $ 121000.00 $ 12,000.00 $ $ 12*000.00 100% $ 46 Electrical Demo $ 41000.00 $ 41000.00 $ $ 4,1000.00 100% $ 47 Electrical - Materials $ 80000.00 $ 8,000.00 $ $ 89000.00 100% $ 48 Electrical - Labor $ 3,000.00 $ 3pGG0.00 $ $ 3,000.00 100% $ 49 Fire Alarm $ 140000.00 $ 14,000.00 $ $ 14,000.00 100% $ 50 Close Out 5% 1 $ 26o676.00 $ 1 $ 25.575.00 25,576.00 P 100% $ 1 $ 0 $ 1 $ - ESTIMATE OF WORK COMPLETED APPLICATION NO. 9 PERIOD: 12/1125 - 12/31/25 PROJECT: 1500 Bldg. Remodel CONTRACTOR: Banlin Construction . . . . . . . . . . . . . . . ....... .......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... •........ . . . . . . . . . . . . . . . . ................ . . . . . . . . . . . . . . ..... . . . . . . . . ....... . 1 4 0 .... ........ .• ...• ..... .• .......• ........•...•... ...... ....... ............. .................... ......• ..•....•........... ........... ........ ...... ........... ......... ..........••• .................. ........ ......... ........ .... ............... ........... .... •. W.... - ......... ...................•.. .... •......... .................. .... ...... ...... ,�UCATJ " MX OMEN ........... .. AAd.A ....... .. -500.00 '$...46s,926.,00:.$."..26;675.00'* $ 6 il'; 6' 0.: 0* 1.00%. CHANGE ORDERS COP 001 Demo & Replace Corridor 229402.17 22,402.17 0.00 22 t4O2.17 100% 0.00 IFlooring 2 COP 002 Add Roams 1502,1503,1504, 1505 & 1508 35,062.18 35,052.18 0.00 35.062.18 100% 0.00 3 COP 003 Delete HM Frames (4,669.81) (4,669.81) 0.00 41669.81) 100% 0.00 4 COP 004 Patch Wells & Paint Entrance 7,257.63 71257.63 0.00 7,257.63 100% 0.00 5 COP 006 Replace ACT In Rooms 1507, 1608 &1509 37o187.03 37,187.03 0.00 37,187.03 100% 0.00 6 COP 007 Remove & Replace Doors In New Office 31,181.04 319181.04 0.00 319181.04 100%1 0.00 7 COP 008 Remove Existing Windows & Infill 21,931.23 2,931.23 0.00 2,,931.23 100% 0.00 8 COP 009 Revise Restroom Hardware 19073.75 1t073.75 0.00 1,073.76 100% 0.00 9 COP 010 Added Asbeston Piping Demo 91,381.90 9..381.90 0.00 99381.90 100% 0.00 10 COP 011 A81 I Restroom Change 2*725.41 29725.41 0.00 29725.41 100% 0.00 11 COP 012 Concrete Subfioor Demo & Replace 5,280.31 59280.31 0.00 5,280.31 100% 0.00 12 COP 013 Hlghar Ceilings In Restroorn 409nt 8,145.22 81145.22 0.00 8,145.22 100%--- 0.00 13 COP 014 Infill Closet In Classroom 1609 20818.36 21818.36 0.00 21818.36 100% 0,00 14 Replacement COP 016 Existing Floor Box Replacement 6,166.36 61156.36 0.00 61156.36 100% 0.00 15 COP 017 Add Bulkhead In Classroom 1608 ICOP 15,216.52 16,216.52 30 0.00 16,216.62 100% 0.00 16 018 Wall Backing at RR 1617 & Vest 1516A 11359.00 1,359.00 0.00 111359-00 100% 0.00 17 iCOP 019 Concrete Demo & Replace In New Offlee 11591.66 1,691.86 0.00 11591.86 100% --- 0.00 18 COP 020 Roll -Up Door & Msc. Electrical 155,080.61 107,000.00 48o080.61 165,080.61 100% 0.00 19 COP 021 Exterior RR Walls ICOP 1,652.48 1,652.48 0.00 1,662.48 100% 0.00 20 022 Credit for Now Office Area Flooring (51691.00) �5,691.00) 0.00 (5.691.001 100% 0.00, 21 COP 023 Added ACT In Common Area im 2,044.05 2t044.05 0.00 21044.05 .100% 0.00 22 COP 024 Door Revisions per RF1 018 5,903.25 5,903.25 0.00 59903.25 100% 0.00 23 FA 001 Remove & Replace GWB 3,661.51 3t661.51 0.00 39661.51 100% 0.00 24 COP 026 CMU Wall Supports 5,968.83 0.00 .8 1 3 5,988.83 5t968.83 100 0.00 ............... T. $..202,760 48' U.040. -353,809.80 IGO%% 1. .... * * ....... ........ ........... ...... ............... "* '' * . ...... ........ ....... -1�1 '865 300. 89 1 $.'786,601$ '624.44 .79. - W*!M9.86 -100% . ....... 1 APPLICATION AND CERTIFICATE FOR PAYMENT 2 APPLICATION NO. 9 PERIOD. 12/1 /25 a 12/31/25 3 PROJECT: 1500 Bldg. Remodel 4 PROJECT PAYMENT INFORMATION b a 7 8 9 10 11 12 13 14 15 16 17 18 19 20► 41 22 23 24 25 26 27 28 29 30 31 The undersigned Contractor certifies, that to the best of his knowledge, Information and belief the work 32 covered by this Application for Payment has been completed In accordance with the Contract 33 Documents, that ai< amounts have been paid by him for Work for which previous Certificate of Payments 34 were Issued and payments received from the Owner, and that current payment shown herein Is now due. 35 36 CONTRACTOR: 37 38 By: Date: 39 40 State of: Washington County ol: Benton County 41 Subscribed and sworn to before me this day of 2019, 42 44 SUBTOTAL ••`�i►r• •r r r• °• �.� °•°• •°• °•'••••°. �.�.•. r r •• °•••�• r•.••r .♦ •r •••r• .rl•r •°•'••••• •r• L. ♦�• . • . • • • • ♦ •♦ . • • • •• °. . ••• ••.•••••• • •• • •• • • . •• e•• OW f'� • • • • • 9 • • • ••• •°•�•� •• �A�.•••.♦.°• • °• . • •. .�. • • •°•••• • • • °•♦• • • • • • . . . • . •'•••' 511,500.00 485,926.00 26,676.00 611 t600.00 0.00 CO TOTAL SUBTOTAL SALES TAX 0 8.2% 35309.89 S65,309.89 709956.41 299,750.45 785o685.45 6026.21 54,049.44 79,624.44 61529.201 353,809°89 865,309.89 70,955.41 0.00 0.00 0.00 TOTAL CONTRACT 1 VON-936,265.30 850,111.66 86,153.64 936,265.30 0.00 RETAINAGE w 6% (39,284.27) (3,981.22j (43,265.49) 810,827.39 82,172.42 892,999.81 810,827.39 821172A2 936,266.30 43.265.49 TOTAL LESS RETAINAGE 43,265.49 PREVIOUS PAYMENTS DUE THIS ESTIMATE UNPAID BALANCE 43,265.49 45 Notary Public: 46 My Commission expires: 47 48 PAR"FIA1,; WAIVER AND RELXASE UPON PAYMENT (CIONDITIONAL) PROJECT: BBC C 1500 Bldg. Remodel Company _Nanie: Ban.11rn Construction or Company Address: 320 W Columbia Drive, Kennewick, WA 99336 Company Plione Number: 509-586-2,000 The undersigned declares that upon payment in the ani ount of $ _" 112-� 172.42 for labor, selTices, equipment, or material flurnished to b"BCC for tic job of BBCC 1500 Bldg. Remodel project located at 76621 Chanute Street, Moses t,akc, WA 98837flurm*shed as of the date stated herein does- hereby release any and all rights to a mecharu*c's lien, stop notice, or any right against a labor and material bond on the job to the extent of the aforesaid amount. The undersigned further certifies that all subcontractors., material, men, and suppliers whom through agreement with the above-natned company have provided any labor or materials for the above reference project have been paid to date for services rendered plus anv State or Federal T;rlxes owed for said services. Datcd: Signed: -P-n-*nted Naine: dd,e, Title: 0,;& Witncssed By (Attest): 7- Printed Name: 4 Date of Witness: VL NOTICE: THIS DOCUMENT PARTIALLY WAIVES RIGHTS AND STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENTIS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, C I-N, T u- 1-i DITION AL WAIVER AND RELEASE UPON PAWMI-ENT PROJECT.- BBCC 1500 Bldg. Remodel Company Name: Ban.fin Construction Company Address: 3.2.0 W Columbia Dn*ve,. Kennew'ck, WA 996 Company Phone Number: 509-586-2000 I'lie Lind ersigned bas beeii paid $ 1— 40.248.00 __ in ffill fbr labor, services, equipment, or niaten'al fiurnislied to BBCC for the job of BBCC 151100 Bldg. Remodel p *ect lb r0i located at 7662 Chanute Street, Moses Lake, WA 98837 and does hereby relcase any and all ri Jcr its to a mechwaie's lien, stop notice, or any right against a labor acid material bond on the job. 'fhe and crsigped further certifies that all subcontractors, materialmen and suppliers virhoin through aorcernent with the above named conipany have. provided any labor or materials fir the above reference project have beeii praid in full for services rendered hicludiflo, nv State and Federal Taxes owed for said services. Dated: I ^ 1 &5 Signed-, Printed Name: W. NOTICE: THIS DOCUMENT WAIVES RIGHTS U NCON DITIONALL'Y AND STATES THAT YOU HAVE BEEN PAID FOR GIVING UP TIJOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST Y-OU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. 1 4 F YOU HAVE NO'T BEEN PAID, USE A PARTIAL WAIVER AND RELEASE FORNT. Contract # 2226-476 Submitted to GC by: anneg@bigbend.edu Request for Reimbursement No.MSC-0000043151 Grant Cou nty's Su breci pient 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? 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-1 22? _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