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: gOCC
REQUEST SUBMITTED BY: Karrl@ Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: KBCt"le Stockton
CONFIDENTIAL INFORMATION: ❑YES ® NO
DATE: 2/27/2026
PHONE: 2937
TNNALUMMMUP �1!11� 11,11iii
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❑WSLCB
Reimbursement request from Renew on the American Rescue Plan Act
(ARPA)Grant
in the amount of $4,088.49 for the Boys & Girls Club services in January 2026.
i
ooRst corm o
If necessary, was this document reviewed by accounting? ❑ YES
LEGAL
If this document reouires legal review, route to legal for review
prior'
If necessary, was this document reviewed by legal? ❑ YES ❑ NO
❑NO ON/A
DATE OF ACTION: DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3: a
WITHDRAWN:
W N/A
4/23/24
PO Box 1057
Moses Lake, WA 98837
Phone (509) 764-2643 Fax (509) 764-4124
BILL TO:
Grant County
Attention: Farris S. Stockton
PO Box 37
Ephrata, WA 98823
DATE: February 23, 2026
INVOICE #
FOR: Jars-- 26
----------------- ---------------------
DESCRIPTION
ARP A FUNDS -BOYS & GIRLS CLUB
Amount
$ 4�088.49
------- ------------------ I -------------------
units
1
----- - ---------
Total Amount
$ 4,088.49
-------------
Total
4,088.49,10
Thank you!!
Contras t# ARP A BOYS & GIRLS CLUB
Submltt�d to GC by: Joseph '""cue
Request for Reimbursement No. $4088.49
Grant Gounty's Subrecipieni Checklist:
State Auditor's Office Audit Procedures for Testing Activities Allowed
And Not Allowed, As Publish In 2007
Questions to ask before submitting a payment request
111VI IIIIIIIIIq 1111111'' 111111111111111 111 11111111q� �I
I I 11A I 1 19 111
_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-1 22?
_X_ Allocable to the program .7 .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 ([.e,,, is the federal
government being charged the same amount as if non-federal funds were being
used to pay the cost)?
t r%.
_X_ Given consistent accounting treatment within and between accounting perioas-�
(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),
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 (car used to meet cost sharing requirements) of other
I &�%
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).
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.
I e
—X— Correctly charged to the proper account code and grant period?
Pale
FFB
06,.7
p16
BILL TO
At Reyna Gonzales
Renew Grant Behavioral Health & Wellness
PO Box 37 Ephrata, WA 98823
2/612026
*JAN26
Payment Due Upon Receipt
BSS Salary, January 1 - 1519 2026 *Deducted 44 hours that vet
Santiago Alba
44.00 $ 28.89
1,271.16
billed to MLSD
RSS Salary: January 16 - 31, 2026 Teducted 44 hours that
Santiago Alba
43.50 28191
1,25C72
were billed to MLSD
DATE OF SERVICE: JANUARY 1 - 31,
2026 - BEHAVIOR SUPPORT SPECIALIST:
---
SUBTOTAL $
---------- ------
PERSONNEL TAXES & BENEFITS
---------------
BSS Benefits: Jan I - 15, 2026
Santiago Alba
w$ ---------
-
SSS Taxes: Jan. 16 - 32026
Santiago Alba
$
420 22
SSS Benefits: Jan. 16 - 31, 2026
Santiago Alba
$
131.76
BSS Taxes: Jan. 16 - 31, 2026
Santiaqo Alba
417.SS
SUBTOTAL' $
1, 11 101 . .6700000
%.f r A.W "W�I%jq A %wl A.M" are V M I WIM
:ti-antlagO AM
01.20.26 - Verizon - Work Cell hone Santiago Alba
5177
SU8TOTAL
STAFF TIME
TAXES & Bee'FITS $
EXPENSES
87,26,
00
SUBTOTAL,
ADMIN FEE 10%
37168
`
—Balance Due',,
venzon
business
Account: 242783542-00001
Invoice- 6131567281
Billing periodt. Nov 22 - Dec 21, 2025
Due date: 01/20126
Explanation of Charges:
Account Charges and Line Charges
Page Monthly
Usage and Equipment Surcharges &
Taxes,
Third -Party Total
Voice
hlsg
Data Voice Msf)
Data
NUFnher Charges
Purchase, Charges Other
Governmental
Charges Charges
Plan
Usage
Usage Roaming Roaming
Roaming
charges Charges and
Surcharges &
(includes
Usage
. .......... . _._ -------
cre-tats
-------
Fees
Tax)
. .........
Linos Charges
509- 750--4094 Kirnberty Pope5,,.4fi 6 S43.00
$8.31
136
7
1.509GS � G75
760- 8105 KirnbeHy Pope C;te 'c9v $43.00
$8.31
S2.4C
$1531rf
14
500.160-8180 Kimberly Pope-j_ee.*-j2 $43.00
$8,131
VAC>
3.77
134
is
.661G13
609- 760 9710 Kimberly Pope (�*1�;rJ7 17 $43.00
$8.31
$2.46
5
001GB
F-7-73 15 4
770-594 7 Kimberly Pope 19 'T'20r00
S2.60
$ 22, 6 0
500-793,5177 Kimberly Pope S43-CK)
$8.1131
$2.46
S53.777
is
.12
054GS
ff
of
509- 797-4847 Mark BOLIrgWlt swx)o
S2.139 $4M
$0,115
$9'1.84
509-855-1412 Kimberly Pope LCLv_-A4 $67,99
M49
$2-58
$79.06
97
6
3,107GGB
�5 �V
509-856-2148 KimlwrlY Pope '5o, 48 $43.00
$8.31
$2.46
-
S6337
28
24
Of)(-IGB
Si-855-2771 Kimbetly Pope t, $67.99
$8.40
52.58
$79.06
211
216.669(AS
4 .
509- 855-3632 Kimberly Pope' :3-
$SA0
$258
$59.07
16
3 335G8
509-865-310SKimbeily Pope A,� j
$8.49
$2.58
$79.06
1.28SGa
5
500-869-3244 Kimberly Pope 43 $43.00
$8.31
$2.46
S5377
37
4
.273GB
Total Charges $662,97
$0.00 $2.39 $99.33
$28.39
.. . .........
$0.00 $793.08
Page Number 2
Boys & Girls Club of Columbia Basin Account # 78751
PO BOX 591 Phone # (509) 764-9694
MOSES LAKE, WA 98837 PIN # 511G6
Statement Date: 01/07/2026
Circuit IDs for Location: 426 N Paxson Or
this location:
Phone
Re-_g!�lated Services 01/01/2026 to 01131/2026
Reflects Discounted Amount
(509) 707-0284
(509) 764-9695
,,thl�.. Services ----- -
DID Sin6ie Number LT
ty
10
%a E4
E...Lq
(509) RSI-0105
.82 820
Call Forwarding Internet Down
2
,00 '00
(509) HS1-0106
VOIP Business Line
1
15.514 1554
VOIP Business Line
1
1&95 + 18-9 5
Data
509GFIBS54
VOIP Subr Line Charge Business
Subscriber
VOIP Unlimited Local Calling
2
2
6.50 13-00
.00 - 00
Security
ShoreTel Connect Dial Tone Path.
ShoreTel Business Class Service-
3
lot
12, 26 361 78
18,0 , 0 1 &00
509SMS0498
Hosted Shoretel LD500 - Minutes Plan
I
509SMS0504
VQlP Subscriber Line Charge Business
3
k00 .00
4.00 t I2.00,
509SMS0668
VOIP Business Basic Feature Pack w/o Voicemail
1
'00
Shore-rel 485E Monthly Rental
11
15.00
w.
Other
ShoreTel Connect Access Bundle
11
9,84 108-24
509ER10005
GC 1 G 6 Fiber Access Fee
1
4= 400
509ER110006
GC Fiber I GB Internet Service - Basic
1
6&43 68.43
509EP112177
!includes Premium Internet Tech Support
509EP,12253
Remote Interactive Service
6.00 6,00
509ER12298
Guardian MonAoring wl Cellular Dialing
GSM Guardian Commercial Fire Alarm Mon Ser
1
I
29.99 29.99
IS
50a 00 �5000
509ER12301
509ER12451
Itoring
Alarm.com First Door Access Control
1
9.95 9,95
509ER12407
Alai m,com Addidonal Door Access Control
4
4-.95
509MU2673
4 .... .......
* contract 2271 Expires: 061061'27
509ER12678
* Contract 2297 Expires. 0913W9
509BR12757
installation agreement end date for
509ZR12817
509SMS0668 - 06/07/27
Taxes, Fees & Surcharges
Local Sales Tax
10-90
Federal - FCC Regulatory VQIP
21
State Sales Tax at. 6.5%
35,51
Local Utility Users Tax
9,34
State W Tax at .40 Per Line - Voip t
2.00
Federal Excise Tax of 3%
1,85
County 11 at, .70 per line VOIP
3.50
Federal Universal Service VOIP
16,36
State E911 at .25 per line V01 P
1.25
Call Charges
You have accumulated 363,96 rollover minutes.
Nui� [led
6 n'a'.t in g Au". m' 6�r-': ... 0 9) � 6 4"--9'-6" 9-"4""
ry
Mln-
St biobo
11/03/2025
06,18PM
(509)450-3202
EPHRATA
WA
DIRECT DIALED CALL
0.26
VOIP-50
11/0312025
10:27AM
(772)359-9771
FORTMERCE
FL
DIRECT DIALED CALL
6.86
VOIP-50
11/03/2025
10:51AM.
(801)599-3038
SALT LAKE
UT
DIRECT DIALED CALL
1.27
VOIP-60
11/03/2025
11 -, I W4
(206)261-0586
SEATTLE
WA
DIRECT DIALED CALL
2.61
VOIP-50
11/04/2025
02:06P?A
(253)426-0593
TACOMA
WA
DIRECT DIALED CALL
0.79
VOIP-50
11/04/2025
02:49PM
(425)583-7279
EVERETT
WA
DIRECT DIALED GALL
0,79
VOIP-50
11/0412025
10'10AM
(509-A33-4941
LEAVENVITH
WA
DIRECT DIALED CALL
0.51
Volp-50
11/04/2025
12:20PM
(551)222-0829
JUPITER
FL
DIRECT DIALED CALL
1.43
VOIP-50
11/Q5/2025
06:16P1 1
(518)925-9897
ALBANY
YOR
DIRECT DIALED CALL
0.05
VOIP-50
11/05/2025
06*18PM
(478)697-2861
DUBLIN
GA
DIRECT DIALED CALL
0.68
VOIP-50
11 /Q512025
06:20PM
(516)925-9597
ALBANY
YOR
DIRECT DIALED CALL
0.06
VOIP-50
11/0512025
06:22PM
(509)906-6668
EPHRATA
WA
DIRECT DIALED CALL
0.46
VOIP-50
11 fO5/2025
06:26PM
(518'1925-9597
If
ALBANY
YOR
DIRECT DIALED CALL
0.62
VOIP-50