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: BOCC
REQUEST SUBMITTED BY: K Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: K81"1"le Stockton
CONFIDENTIAL INFORMATION: ❑YES ®NO
onrE:4/17/2026
PHONE:2937
0 94
❑Agreement / Contract
❑AP Vouchers
❑Appointment / Reappointment
❑ARPA Related
❑ Bids / RFPs / Quotes Award
❑ Bid Opening Scheduled
❑ Boards / Committees
❑ Budget
El Computer Related
❑County Code
❑Emergency Purchase
El 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
Reimbursement request from McKay Healthcare on the Strategic Infrastructure Program
(SIP) No. 2025-03, Kitchen Expansion Project in the amount of $12,541.80 for March
2026.
17! Cl C E;J!lL 1 :R Ci4t;V{rl[lL111 L 4�J111 ! [, d I"l[1CIfl4lid! IJ Z E?«il rIE?C L 7 UQmlSSIQIl.
J necessary, was this document reviewed by accounting? 1:1 YES 7 NO W N/A
u M-C
0
If necessary, was this document reviewed by legal? ❑YES ❑ NO 0 N/A
DATE OF ACTION: 7, �� � DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D 1: K,4�
D2:
y
D3: I Ll�
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 1 Kitchen Expansion
1, 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 authorized to
authenticate and certify to this claim. I also certify that this claim of ,$12,541.80_-is just
and due and is an unpaid obligation against Grant County.
Further, according to the SIP Project Funding Policies, I attest that at the next audit of my
entity, this project shall be called to the attention of the Washington State Auditor's
Office, and an emphasis audit will be requested to ensure that these funds were expended
toward the project and according to the intent of the proposal.
41 h I
'Zi 40=� wms
Signature
Audra Gutierrez-Ritari
Printed Name
rA I
11 J,14
Date tg
--Achninistrator,
Title
Administrator
Printed Title
Completed, signed original certification and invoice can be mailed to:
Grant Administrative Specialist, PO Box 37, Ephrata, WA 98823 or emailed to the
Grants Administrative Specialist, Kstockton@grantcountywa,,gov
Reimbursement # 8 in the amount of.$.12,541.80
ATTACHMENT 4
Rc§�gUMLEIR
275 Fifth Street, Suite 100
Bremerton, WA 98337
(360) 377-8773
SIP2025-03
Public Hospital District No. 4 of Grant County, Washington Invoice number 2023052.00-029
P.O. Box 819 Date 04/15/2026
Soap Lake, WA 98851
Project 2023052.00 McKay Healthcare SNF Pre -
Design - Master Planning
Professional services through 03/31 /2026
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
66,840.00
66,840.00
0.00
0.00
Scope 1 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 1 B.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 1 Design Development
213,000.00
213,000.00
2139000.00
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 1 CD
353,300.00
353,300.00
3533300.00
0.00
0.00
Change Order 06 - Phase 1 Food Service DD - CD
10,350.00
10,349.60
10,349.60
0.40
0.00
(Reduced by C08)
Change Order 09 - Food Connector Structural
12,850.00
12,850.00
12,850.00
0.00
0.00
Change Order 10A - LEED Assessment
91217.00
41417.80
21464.00
4,799.20
1,953.80
Change Order 10A - VE Assessment (Hourly
49800.00
4,006.95
3,838.95
793.05
168.00
NTE)
Change Order 10B - Kitchen Renovations -
37,280.00
10,420.00
0.00
26,860.00
10,420.00
Design -CD Fixed
Change Order 10B - Kitchen Renovations -
36,000.00
0.00
0.00
36,000.00
0.00
Hourly Permitting, Bid & CA
Reimbursable Expenses
4o925.79
4,925.79
4,925.79
0.00
0.00
Total 11166,114.79 1,074,472.44 1,061,930.64 91,642.35 121541.80
Invoice total 12,541.80
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 29,921.75
2023052.00-029 04/15/2026 12,541.80 123541.80
Total 42,463.55 121541.80 29,921.75 0.00 0.00 0.00
Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-029 Invoice date 04/15/2026
Washington