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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"I'I@ Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO SATE: 5/15/2026 PHONE: 2937 ki • • ------- ---- :• .� ❑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 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 " s> - r y ILL Reimbursement request # 9 &10 from McKay Healthcare on the Strategic Infrastructure Program (SIP) No. 2025-03 Phase 1 Kitchen Expansion in the amount of $2,842.81 If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION: S11— 42-ee APPROVE: DENIED ABSTAIN D2: D3: DEFERRED OR CONTINUED TO: WITHDRAWN: 4/23/24 GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM PROJECT CERTIFICATION This form must be signed and returned, with an invoice, for the approved funding,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 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 $1,1-800.00. -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-Ritanu Printed Name Administrator Title Achninistrator 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 # 9 . in the amount of $1,80,0.00 ATTACHMENT 4 ��i' G,,r�, Y }- au a5 - U3 I I AN Lh AJrENW TO: Public Hospital District No. 4 of Grant County, WA PO Box 819 Soap Lake, WA 98851 Attn: Audra Gutierrez-Ritari Professional Service's through 412412026 Total Budget: Prior Amount Billed: Current Invoice Amount: Total Amount Billed: Amount Remaining: McKay Healthcare & Rehabilitation Center Total Fee INVOICE # 31794 Invoice Date: May 06,2026 TENW PROJECT ID: 2026-098 TENW PROJECT NAME: McKay Healthcare & Rehabilitation Center $3,000.00 $0.00 $1,800.00 $1j800.00 $1,200.00 $19800.00 Total Professional Services: $1,,800.00 Outstanding Invoiqe.-, Invoice # Invoice Date Invoice Amount Balance Due 31794 5/6/2026 $1,800.00 $1,800.00 Total Outstanding Balance Due $1,800.00 Remit to Address: 520 Kirkland Way - Suite 100 - Kirkland, WA 98033 iromw INVOICE # 31794 Invoice Date: May 06,2026 Page 2 TENW Project Name: McKay Healthcare & Rehabilitation Center TENW Project No.: 2026-098 Budget Summary Through: 4/24/2026 Task Task Fixed Fee T&M Task Name Billing Budget Prior Arnt Billed This Invoice through this Arnt No. % Complete % Spent Type Billed invoice Remaining 100 Trip Generation Fixed Fee $3,000.00 60,00% - $1,800.00 $1,800.00 $1,200.00 Memorandum Total $3,000.00 $0.00 $1,800.00 $10800.00 $12200.00 Remit to Address: 520 Kirkland Way - Suite 100 - Kirkland, WA 98033 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 L 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 7 authenticate and certify to this claim. I also certify that this claim of $1. 042: 'mm, 3 . i,,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 any 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 Date Signe, .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, Kstocktonggrantcountywa,,gov Reimbursement # 10 in the amount of $1,042.81 ATTACHMENT 4 H.E.S- F-lectricaItHVAC Industftt/Cammerc-lafflesld 2254 Melody Lane NE 4" Moses Lake, WA 98837 USA -o�H*E*S'� +15093500055 ELECTRICAL MVAC info@homeelectrical.net INDUSTRIAL (COMMERCIAL f RESIDENTIAL homes lectrica 1. not hftps://homeelectrical.net/ 509m35OmOO55 INVOICE BILL TO SHIP TO Mckay Health Care Mckay Health Care P.O Box 951 P.0 Box 951 Soap Lake, WA 98851 Soap Lake, WA 98851 DATE ACTIV17Y Instatlaten H.E.S will assisist in getting new motor on roof building maintenance to join us then H.E.S will connect the motor to the existing circuit. H.E.S will provide a new dissconect the current one is not out door rated Any additional PUD fees are customer responsibility SUBTOTAL In the course of doing this work sheet rock repair may be required. TAX The sheet rock repair is not included in this price. TOTAL Site Prep Requirements: BALANCE DUE Work must be clear & accessible prior to arrival. This includes crawl spaces clear of animal debris or any other hazardous materials. If these or similar issues are present the work will need to be rescheduled and additional charges will be incurred. Uncleared areas of hazardous materials will have a minimum charge of an additional 500.00. This includes human or animal excrement, used needles, and or dead animals. Excavations: Not responsible for any damage that may occur to underground sprinkler systems. Excavating & grounding may incur additional charges if unforeseen obstacles i.e.: caliche or cement are encountered. lN�ys to pay BANK To cancel or reschedule please call 509-350-0055 https://financirg.app.intuit.com/home Contractor License #'s: HOMEEES813KL, HOMEEES813CM 0 SIP2025-03 INVOICE# 9742 DATE 05/12/2026 DUE DATE 05/12/2026 TERMS Due on receipt RATE AMOUNT 962.00 962.00T 962.00 80.81 1,042.81