HomeMy WebLinkAboutGrant Related - BOCC (005)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: BOCC SATE: 7/16/2026
REQUEST SUBMITTED BY: K StocktonPHONE: 2937
CONTACT PERSON ATTENDING ROUNDTABLE: Kal"I'I@ Stockton
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Reimbursement request from McKay Healthcare on the Strategic Infrastructure Program
(SIP) No. 2026-03 Community Center Expansion Project in the amount of $2,400.
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
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DATE OF ACTION: 2t 2ce DEFERRED OR CONTINUED TO -
WITHDRAWN:
APPROVE: DENIED ABSTAIN
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4/23/24
GRANT COUNTY
;�TRATEGIC 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 I 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
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 $2,400,00, 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.
Signature
Audra Gutierrez-R.itari
Printed Name
Date Sued
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, Kstockton@grantcountywa.gov
Reimbursement # 7 in the amount of $2,400600
ATTACHMENT 4
INVOICE
From:
Sage Project Services LLC
3705 S Crestline St
Spokane, WA, 99203
ad min @sageprojectservices.com
Bill To:
McKay Healthcare
127 2nd Ave SW, Soap Lake, WA 98851
Cliff Sears
clears@nwi.net
Invoice #
6
Payment:
Issue date
7/12/2026
ACH preferred. If paper check,
mail to address above.
Due date
8/11/2026
Bank Wells Fargo
PO / Ref
Routing # 125008547
Account# 1900285873
6/1/2026 Labor
Memory Care and Assist plan review prep for 6/2 checkin mtg
1.00
Rate
$200.00
Amount PO/Ref
$200.00
6/2/2026 Labor
Memory Care and Assist checkin with cliff and audra and review/edits of the parkin
1.50
$200.00
$300.00
6/4/2026 Labor
Memory Care and Assist McKay project checkin, and project budget review.
2.50
$200.00
$500.00
6/18/2026 Labor
Memory Care and Assist review and responses to Lorie's questions on notes on the
1.00
$200.00
$200.00
6/19/2026 Labor
Memory Care and Assist checkin mtg with Cliff, review comments from Lorie on the
2.50
$200.00
$500.00
6/22/2026 Labor
Memory Care and Assist review kitchen renovation plans
0.50
$200.00
$100.00
6/24/2026 Labor
Memory Care and Assist project checkin meeting and plans review with Cliff
2.50
$200.00
$500.00
6/25/2026 Labor
Memory Care and Assist kitchen review mtg with MEP
0.50
$200.00
$100.00
Date Type Project/Category Description
12.00 Labor Subtota $2AW.00
City Unit Cost Amount
Expenses Subi $0.00
Expenses Mar $0.00
Subtotal $2,400.00
Tax $0.00
Total $2,400.00