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Home My WebLink AboutGrant 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: K Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kal't'12 Stockton CONFIDENTIAL INFORMATION: ❑YES ®NO DATE'. 4/1 3/2026 PHONE: 2g37 ❑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 17111V Reimbursement request from McKay Healthcare on the Strategic Infrastructure Program (SIP) No. 2025-03 in the amount of $4,959.50. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO W N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO W N/A ----------- ------------ DATE OF ACTION: ' . `� DEFERRED OR CONTINUED TO- APPROVE: DENIED ABSTAIN D 1. D2: D3- WITHDRAWN - 4/23/24 GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM PROJECT CERTIFICATION This form must be signed and returned, with an 'Invoice, for the approved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 perfon-ned 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 ,776.00. 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. Signature Audra Gutierrez -titan. Printed Name D a:t . SA gn I e i, ed *. . * AMInIstrator- 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@granteountywa.gov Reimbursement # 6 in the amount of $4,776.00.,,---' ATTACHMENT 4 F-ARALLON C 0 N S U L T I N Gti PO Box 941.47. Seattle, WA 98124-6447 Terms: 2% 10; 1% 20; Net 30 days Wire/ACH to: First Interstate Bank Routing: 092901683 - Account: M352912 Now Accepting Credit Cards - 3% Fee Applies Emall: AccountingVfarallonconsultintcom invoice, Total $2196LO-' Audra Gutierrez-Ritarl March 05, 2026 Public Hospital District No. 4 of Grant County, WA D/B/A Project No: 03963-001-001 McKay Healthcare and Rehabilitation Center Invoice No: 0059146 PO Box 819 Project Mgr: Erin Burgess Soap Lake, WA 98851 Project 03963-001-001 Public Hospital District No. 4 of Grant County, WA D/B/A McKay Healthcare and Rehabilitation Center Critical Areas Assessment .Etof-essionJ.al SerVJ1qqa',.thLo _L_ _Ugo br-Oly-.2,., 2026, Task 001. Habitat Assessment Professional Personnel Hours Rate Amount Project Assistant/Support Dey, Jayeeta 2/9/2026 io 125-00 12.50 Staff Biologist 11 Burgess, Erin 1/6/2026 2.20 155.00 341-00 Burgess,, Erin 1/7/2026 2.50 155.00 387.50 Burgess, Erin 2/24/2026 .70 :155.00 1L08.50 Burgess, Erin 2/25/2026 5.50 155.00 852.50 Burgess, Erin 2/26/2026 2.50 155-00 387.50 Senior Scientist 11 Dirkse, Jason 1/9/2026 2.00 249.00 498-00 Dirkse, Jason 2/24/2026 1.00 249.00 249.00 Dirkse, Jason 2/25/2026 .50 249.00 124.50 Totals 17.00 2,961..00 Total Labor 29961.00 Total this Task $2p96J.00 Total this Invoice 12,96:LOO 0 z Please remember to include invoice number(s) with your payment. FARALLON CONSULTING Audra Gutierrez-Ritarl Public Hospital District No. 4 of Grant County, WA P/B/A McKay Healthcare and Rehabilitation Center PO Box 819 Soap Lake, WA 98851 PO Box 94147. Seattle, WA 98:L24-6447 Terms: 2% 10; 1% 20; Net 30 days VVIre/ACH to: First Interstate Bank Routing! 092901683 - Account: 101352912 Now Accepting Credit Cards - 3% Fee Applies Email: Acoauntlng@farallonconsultlngcom . 6 Total $1,:816001 11t=)VOIci April 01, 2026 Project No: 03963-001.001 Invoice No: 0059419 Project Mgr: Erin Burgess Project 03963-001-00-1 Public Hospital District No. 4 of Grant County,, WA D/B/A McKay Healthcare and Rehabilitation Center Critical Areas Assessment Professf nal SeMqqgAhrouA March. 74 2Q2 6 Task 001. Habitat Assessment Professional Personnel Hours Rate Amount Staff Biologist 11 Burgess, Erin 3/12/2026 4.00 155.00 620.00 Burgess, Erin 3/16/2026 3.50 :1.55.00 542.50 Burgess, Erin 3/17/2026 .1.20 165-00 186.00. Burgess, Erin 3/24/2026 .60 05.00 93.00 Senior Scientist 11 Dirkse, Jason 3/12/2026 .50 249.00 124.50 Dirkse, Jason 3/24/2026 1.00 249.00 249.00 Totals 10.80 1,815.00 Total Labor tf8i5.00 Total this Task $1.rS15.00 Total this Invoice $1*815.00 Outstanding Invoices Number Date Balance 0059146 3/5/2026 2p961-00 Total 2v96LOO Please remember to include invoice number(s) with your payment. 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 $1.8150-i's 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. Signature Audra Gutierrez-Ritari Printed Name A i,Q I, Qta Date �ibed Administrator Title Administrator PrintedTitle 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@granteountywa.gov Reimbursement # 7 in the amount of $183.50 / ATTACHMENT 4 GMR, LLC-PMc invoices only P.O. Box 696 Soap Lake, WA 98851 Bill To McKay Healthcare & Rehab }PO Box819 127 2nd Avenue SW Soap Lake, WA 98851 Date It --------- i 2/4/2026 Phone contact Research 3 3/1 1 /2026 '{ Transmittal 3 / 12l2026 t Transmittal 3/13/2026 'Transmittal 3�17/2026 ; Phone contact 3/120/2026 } Phone contact Field Inspection Phone # Fax # i 3 60-63 2-03 70 3 60-246-8015 Invoice Date + Invoice # t 3/31 /2026 2026-03-02 Project Sly' 2025rn3 � i Food Service Project i 1 1 Description Qty Rate Amount A call with C.Sears 0.25 50.01 12.50 ' Research necessary information to review RFM 0.5 ` 50.00' 25.00 scope revision � 1 Sending project info or messagets via email 0.75. 50.00 i 37.50 Sending project info or messages via email to RFM 1 50.00 50.00 Sending project info or messages via email to RFM 0.5 50.00 25.00 A direct project related communication action- call to 0.25 50.001 12.50 Audra A direct project related communication- C Sears re 0.25 50.001, 12.50 electrical panels Visit site and project area to inspect. measure or verify conditions E-mail ` perry.mcclellan@gmail.com 0.17 'f 50.00 (j(3 4 i 8.50 i Total $183.50 I rt Y Payments/Credits $0.00 3 Balance Due $183.50