HomeMy WebLinkAboutGrant Related - BOCC (003)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: Karrie Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kal'fl@ Stockton
CONFIDENTIAL INFORMATION: []YES ® NO
DATE: 6/10/2026
PHONE:2937
---------------
---------------
❑Agreement / Contract
❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related
❑ Bids / RFPs / Quotes Award
❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget
❑Computer Related
❑ County Code ❑ 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
Reimbursement request from Port of Warden on the Strategic Infrastructure
Program (SIP) No. 2021-04
Phase 2 Road and Rail Infrastructure ' Expansion Proj
� e ct
ect
in the amount of $35,000 for April/May 2026.
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
i
-, � 0....._.-,..... �_..i .. _ ........ .,.. _. /-. " �ii" _ ,� ,_/ i .i _ � .... ,_. _ is ....
_
VYi ... _. _ ___ ., i_%:" i.-" "/_ _.., /,..� ._ ,.
DATE OF ACTION: /7/,' 07
APPROVE: DENIED ABSTAIN
i
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
WITHDRAWN:
4/23/24
GRANTCOUNTy
STRATEGIC INFRASTRUCTURE PROGRAM
PROJECT CERTIFICATION
This farm must be signed and returned, with an invoice,
for the approved fundin
before reimbursement can be approved by Grant County,
SIP Project Number: 2021-04
SIP Funding Recipient:
SIP i*y Port sr
Sr
08
Port ofWnProject Descriton:p,
Phase 2 Rail & Road h&astructure Ex pans,on
PrOject-Road Design & Engineming Porton
L the undersigned. , do hereby certify under penalty of pe�ury,
been fiunished, the services rendered that the materials have
project proposal for the above_ref and/or the labor Perfonned as described M- the
erenced SIP Pro jec t and t Ila t I am
authenticate and certify to this claim. I also certf y that th
is claim to
an unpaid obligation against Grant County, is just and due, and is
Further.% according to the SIP Project Funding Policies, I attest that at th n ii " ,
entity- this Project shall be called to the attentin of the n audit
office and an emphasis audit will be reau.t-,4 +-, ., Washington State Auditor*s
toward the project and according to - - A %f%& 16%1 "asure that these fimds were expended
the intent of the proposal,
Signature
Printed Name
Date Signed
Title /100r
Printed Title
* 000.
completed, signed Or4#nal certirIcation and invoice are to be mailed to:
Administrative Services Coordinator, PO Box 371, Ephrata, WA 98S23
ATTACHMENT 4
Western Pacific Engineering & Survey,,, Inc.
1224 S. Pioneer Way, Ste.A
Moses Lake, WA 98837
To:
Port of Warden
Pat Millard
P.Q. Box 841
Warden., WA 98857
Date
5/31/2026
-------
Amount Due ------,Amount
Enc.
$25t000.00
Date
Transaction
Amount
Balance
25433-
04/30/2026
IN V #23772. Due 05/30/2026. Or Amount $25,,000.00.
25,00.0.00
25;000,00
CURRENT
SS 30 DAYP
1AST 31-60 DAYS PAST El-90 DAYS PAST
DUE DUE DUE
-------
OVER 90 DAYS
PAST DUE
Amount Due
0100
0.00
25:0000.00
0.00
0.00
$255000.00
Ecosystems N.W.
BILLING
STATEMENT
Port of Warden
Road Project
Date Invoice # Description
Retainer request for road expansion project
Thank you
05/15/2026
Due Date
Client Purchase Order
My Reference Port Warden
10433 RD. 5.7 NE
Moses lake, WA
98837
Amount Payment Balance
Request
Subtotal
Total Due $ 10,000.00