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: Kal"fl@ Stockton
CONFIDENTIAL INFORMATION: ❑YES 8 NO
oarE:5/15/2026
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
❑ 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. 2026-03 Continuation of Assisted Living, Memory Care Wing,
and Community Center Expansion in the amount of $8,350.00
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO 7 N/A
DATE OF ACTION:5 7124, ZAP
APPROVE: DENIED ABSTAIN
D1:
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WITHDRAWN: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-, 2026-03
SIP Funding Recipient: Hospital District 4, dba McKay Healthcare & Rehabilitation
SIP Project Description: Phase 1 Continuation of Assisted Living, Memory Care Wing,
Community Center 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
projectproposal 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,8,350.00 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 assure that these funds were expended
toward the project and according to the intent of the proposal.
Audra Gutierrez-Ritari
Printed Name
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 A►.dministrative Specialist, Kstockton@grantcountywa.gov
Reimbursement # 3 in the amount of.$8,350-00
ATTACHMENT 4
710 2nd Avenue Suite 925
Seattle, WA 98104
Tel: 206-621-8626
ar@obrien360.com
TO: Cliff Sears '
McKay Healthcare and Rehabilitation
2505 2nd Ave
Ste 200
Seattle, WA 98121
csears@nwi.net
S I P2026-03
INVOICE
TAX ID: 65-1313009
INVOICE DATE: 4/30/2026
INVOICE NUM: 9023.26
BILLING THROUGH: 4/30/2026
ProjectAcKay Healthcare !Managed By: Katrina Morgan
CONTRACT
PREVIOUSLY
CURRENT
REMAINING
INVOICED % INVOICED
PHASE
TYPE
AMOUNT
; INVOICED
INVOICED
CONTRACT
TO DATE
TO DATE
Design Phase
Fixed
$7,000.00
$0.00
$7,000.00
$0.00
$7,000.00
100%
Construction Phase
Fixed
$15,000.00
$0.00
$0.00
$15,000.00
$0.00
0%
Performance Period
Fixed
$20,000.00
$0.00
$0.00
$20,000.00
$0.00
0%
Reimbursable Expense
Fixed
$2,000.00
$0.00
$1,350.00
$650.00
$1,350.00
68%
TOTALS
$"9000.00
$0.00
$35,650.00
$8,350.00
19%
TOTAL CURRENT INVOICE
$8,350.00
SUBTOTAL $8,350.00
AMOUNT DUE THIS INVOICE $8,350.00
This invoice is due on 5/30/2026
Page 1 of 1