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HomeMy WebLinkAboutGrant Related - BOCC (002)GRANT 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: K Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kat"1"I@ Stockton CONFIDENTIAL INFORMATION: DYES BNO DATE: 3/27/2026 PHONE:2937 ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award [:]Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code El Emergency Purchase El Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ® Grants — Fed/State/County Ell -eases ❑ 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 ------------------------- MEM 911a Reimbursement request from McKay Healthcare on the Strategic Infrastructure Program (SIP), Phase 1 Kitchen Expansion project, No. 2025-03 in the amount of $33,847.25 If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 7 N/A APPROVE: DENIED ABSTAIN D1: D2: D3: 7 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: 2025-03 SIP Funding Recipient: McKay Healthcare and Rehabilitation Center SIP Project Description: Phase I Kitchen Expansion I, the undersigned, do hereby certify under penalty of per ury, that the materials have been fumished, the services rendered, and/or the labor performed as described in the project proposal for the above -referenced SIP Project and that I am authorized to authenticate and certify to this claim. I also certify that this claim of L1 25.00 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 ensure that these funds were expended toward the project and according to the intent of the proposal. I r-A AL S I* gnature ,Audra Gutierrez-Ritari Printed Name Date Signed. —Administrator Title 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@grantcountywagov Reimbursement # 4 in the amount of $3 9 2 5. 0 0 3 ATTACHMENT 4 McKAY HEALTHCARE 405 Gorman McClellan Resources, LLC 03/05/2026 95840 Invoice Number Invoice Date Description --------------- Gross Amount Discount Taken'' Net Amount Paid 2025-12-01 12/31 /2025 _ _ .. $3,712.50 $0.00 $3,712.50 2026-01-02 01 /31 /2026 $212.50 $0.00 $212.50 $3,925.00 $0.0Q $33925.00 PAY TO THE ORDER OF MEMO McKAY HEALTHCARE USBANK 6041 095840 127 SECOND AVE SW - PO BOX 819 W65111232 SOAP LAKE, WA 98851 03/05/2026 (509) 246-1111 Gorman McClellan Resources, LLC Pt] Box 696 Soap Lake, WA 98851 1111604 109 58 40[1" 1: 1 2 3 20 6 5 L 6". IS 3 2 100 20 L 3 411" 405 Gorman McClellan Resources, LLC $3,925.00 03/05/2026 95840 Invoice dumber Invoice Date Description Gross Amount Discount Taken Net Amount Paid 2025-12-01 2026-01-02 12/31 /2025 01 /31 /2026 $3,712.50 $212.50 $0.00 $0.00 $3,712.50 $212.50 $3,925.00 $0.00 $31925.00 GMR, LLC-PMc invoices only P.O. Box 696 Soap Lake, WA 98851 invoice Date Invoice # - ----------- -- -- 12/31/2025 2025-12-01 Project Date Item Description Qty Rate Amount 12 / 18 /2 6 2 IMeeting___ project meeting to discuss fire protection Attend proj 0.75 50.00 37.50 needed 12/24/20251 Document Prepare consultant's report -project photo supplement 1,251 50.00 62.50 Transmittal Sending project info, specs or messages via e-mail 0.5 50.00 25.00 Meeting-w/CS Attend project meeting to provide information 0.5 50.00 25.00 needed 12/26/20251 Document Prepare consultant's report for MACC+print 0.75 50.00 37,50 12/29/2025Meeting-w/CS 1, Meeting to review progress -via phone 1.5 50.00 75.00 12/30/20251 Phone contact A direct project related communication action 25 50.00 1.250.00 Ongoing Services Performance of needed services to manage project 0.5 50.00 25.00 Total $3.712.50 Payments/Credits $0.0 0 .. . . . ................ Balance Due ------ -------- $3,712.50 Phone # Fax # E-mail 360-632-0370 360-246-8015 perry.mcclellan@gmail.com Page 2 GMR, LLC-PMc invoices only P.O. Box 696 Soap Lake, WA 98851 Date Item 11/24/20251 Field Supervision 11/29/20251 Meeting-w/CS i 12/1/2025 Meeting-w/CS 112/2/2025 t Planning 112/3/2025 Meeting Drafting and documentation 12/5,12 025 Field Inspection t 112/6/2025 1 Revisions 12/9/2025 Consultation 'Revisions 112/10/2025 Meeting Revisions 12/12/2025 Revisions Field Inspection i 12/15/2025 Meeting Revisions Drafting and documentation 12/16/2025 Revisions Transmittal 12/17/20251 Document r Project Invoice Date Invoice # ------------- --------------- 12/31/2025 j 2025-12-01 Food Service Project I I Description I Qty I t Organize, and/or supervise tank decommisioning field work on Project Meeting to review progress of Food Service project Meeting to review progress on Food Service project further development of project Attend project meeting w/Audra 4 Conventional, CAD or computer aided documentation production Visit site and prqject area to inspect Incorporate changes required into documents or drawings Consult, reviewA discuss cost estimate including phone calls and e-mail Incorporate changes required into documents or drawings Attend prqject meeting w/staff to provide information I needed Incorporate changes required into documents or drawings Incorporate changes required into documents or drawings Visit site and project area to inspect Attend project meeting w/staff -forinforniation needed 1 Incorporate changes required into documents or drawings Computer aided documentation production & emails Incorporate changes required into drawings & plots Sending pro'ect info, specs or messages via e-mail Prepare consultant's report -file pictures Total 1 1 2.5 21 0. 21 41 1 2.5 0.75 0.25 Rate 50.00 50.00 50-00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Payments/Credits Balance Due, Phone # Fax # E-mail 360-632-0370 360-246-8015 perry.mcclellan@gmail.com Amount 50.00 125.00 50.00 50.00 50.00 150.00 50.00 100.00 1175.00 125.00 75.00 325.00 250.00 100.00 25.00 100.00 200.00 125.00 37,50 12.50 Page 1 GMR, LLC-PMc invoices only P.O. Box 696 Soap Lake, WA 98851 Date Item 1/2/2026 Design Development 1/6/2026 Ongoing Services 1/9/2026 Revisions Invoice Date Invoice # 1/31/2026 2026-01-02 Project Description Qty Rate 'i Amount Secondary planning. research or documentation -new 1.51 50,001 75.00 sheet sections Review cost estimates 0.751 50.001 3 7.5 0 Incorporate changes required into documents or 1 2 50.001 100.00 drawings -new smaller scope Total $212.50 Payments/Credits $0.00 Balance Clue $212.50 Phone # Fax # E-mail 360-632-0370 360-246-8015 perry.mcclellan@gmail.com 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 famished, the services rendered, and/or the labor performed as described in the project proposal for the above -referenced SIP Project and that I am authorized to authenticate and certify to this claim. I also certify that this claim of .$29,921.75 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 ensure that these funds were expended toward the project and according to the intent of the proposal. JOOW*% Signature Audra Gutierrez-Ritari Printed Name Date Signed .Administrator Title Administrator Printed Title Completed, signed original certification and invoice can be mailed to: Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823 or emafled to the Grants Administrative Specialist, Kstockton@grantcountywa.gov Reimbursement # 5 in the amount of $294921 m75 , -T)p ATTACHMENT 4 R1Crf01*N?UAU8- 275 Fifth Street, Suite 100 Bremerton, WA 98337 (360) 377-8773 Public Hospital District No. 4 of Grant County, Washington Invoice number 2023052.00-028 P.O. Box 819 Date 03/10/2026 Soap Lake, WA 98851 Project 2023052.00 McKay Healthcare SNF Pre - Design - Master Planning Professional services through 02/28/2026 Cam,n} a6acJ - c) -a's 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) 668840.00 66l840-00 66,840.00 0.00 0.00 Scope 113.1 - Site Plan Design (Reduced by 773200.00 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 1741500.00 174s500-00 174,500-00 0.00 0.00 Change Order 03 - Phase I Design Development 213,000.00 213l000-00 213,000.00 0.00 0.00 Change Order 04 - Phase 2 Master Planning 513940.00 28,750.40 28,750.40 23,189.60 0.00 Change Order 05 - Phase 1 CD 353,300.00 353,300.00 344,245.60 0.00 9,054.40 Change Order 06 - Phase I Food Service DD - CD 108350.00 10,349.60 81635.20 0.40 11714.40 (Reduced by C08) Change Order 09 - Food Connector Structural 12,850-00 12,850.00 0.00 0.00 121850.00 Change Order 1 OA - LE.ED Assessment 91217.00 21464.00 0.00 61753.00 2,464.00 Change Order 110A - VE Assessment (Hourly 41800.00 31838.95 0.00 961.05 3,838.95 NTE) Reimbursable Expenses ............ 41925.79 4l925-79 41925.79 0.00 -------- 0.00 Total 1,092,834.79 14061,930.64 11032,008.89 30,904.15 293921.75 Invoice total 293921.75 Aging Summary Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120 2023052.00-028 03/10/2026 29,921.75 290921.75 Total 29,921.75 293921.75 0.00 0.00 0.00 0.00 For any questions regarding this invoice please contact Lod Hoggard at (360) 362-1433 or lhoggard@rfmarch.com. Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-028 Invoice date 03/1012026 Washington