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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: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: K81'1"I@ Stockton CONFIDENTIAL INFORMATION: ❑YES 8 NO DATE:H/ZH/ZO26 PHONE:2937 EmaNUUMMUN im 01 1 1:111:11111 11-1 -05, Ill I "I il i '' 1, 11 '' 1, 1 '' 0110 F0 19 10� "`1- 0" ME ❑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 ;� NOR I n Y_C IF Reimbursement request from Beverly Water District on the Strategic Infrastructure Program (SIP) No. 2025-04 New Reservoir project, in the amount of $121,249.85. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO R N/A DATE OF ACTION: APPROVE: DENIED ABSTAIN D1: K k6) D2: D3: DEFERRED OR CONTINUED TO: WITHDRAWN: 4/23/24 GRANT COUNTY STRATEGIC INFRASTRUCTURE PROGRAM PROJECT CERTIFICATION This form must be signed and returned, with an invoice, for the approved funding,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: 2025-04 SIP Funding Recipient: Beverly Water District SIP Project Description: New Reservoir Project 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 authenticate and certify to this claim. I also certify that this claim of $121,249.85ris 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 accordm*g to the intent of the proposal. Printed Name fl,2 071"-;_0 6 if Date Signed A* oeln�� Title I' Printed Title Is 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 ATTACHMENT 4 BEVERLY WATER DISTRICT Project: Reservoir Project Fund: SIP Period: June 17., 2026 thru August 14, 2026 Historical Review/ Bid Documents Environmental Cultural (Design Vendor Invoice # Invoice Date Review Review Engineering) Construction Total Invoice P.O.W. Contracting, LLC App #5A 8/14/2026 121,?249.85 121,249.85 Reimbursement Request #2 121.,249.85 $ 121,,249.85;oe Note: Total invoke amount due vendor = $127,954.62; reimbursement request from SIP = $121,249.85 CONTRACTOR'S APPLICATION FOR PAYMENT Owner: Beverly Water District Engineer: Anderson Perry & Associates,, Inc. Contractor: P.O.W. Contracting, Inc. - 0 ---- ProJect: New Reservoir, Well, and Site Improvements Application No.: 5A Application Date: 8/14/2026 Application Period,. From 7/17/2026 to 8/14/2026 1. Original Contract Price $ 11139,887400. 2. Net change by Change Orders $ 65.o79-5.47 3. Current Contract Price (Line 1 + Line 2) S 1,,205..682.47 4. Total.Work completed and materials stored to date (see attached) $ 1,04%308.74. 5. Retainage Withheld (N/A) $ 6. Retainage Paid $ 7. Sales Tax (8.2%) $ 84,640.30 8. Liquidated Damages Withheld $ - 9. Less Previous Applications for Payments $ 996,994.42 10. Amount due this application $ 127,954.62 Contractor's Certification The undersigned Contractor certifies, to the best of its knowledge, the following: (1) All previous progress payments received from Owner on account of Work done under the Contract have been applied an account to discharge Contractor's legitimate obligations incurred in connection with the Work covered by prior Applications for Payment; �2) Title to all Work, materials and equipment 'incorporated in said Work, or otherwise listed in or covered by this Application for Payment, will pass to Owner at time of payment free and clear of all liens, security interests, and encumbrances (except such as are covered by a bond acceptable to owner indemnifying Owner against any such liens, security interest, or encumbrances); and (3) All the Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective; (4) Record -Drawings and required job photos are up-to-date, accurate, and complete for Work performed; and (5) certified payroll forms are current and account for all applicable personnel. Contractor 010* aqmm by,%Cd sagum 0-pow cm"C", Scott Seguin 'CN=* 'Swd'S'eEgu In""""' By (signature): Daft 2026,GS.141113:15-MO? Title: Project Manager Date: 08/14/26 Recommended by Engineer DN: C�US, &a**xxTjxcmG4wwwwnpsrqy,wm, Brent Thompson Dwu"rwhyaw1r"� 13Y (signature): OOMd~ Pwry". CN-Btwffwnpsm Title: Contract AdmJnistrator I Date: 8/14.112026 Approved by Owner By (signatum): Title: Date: 8/1412026 Page I of 3 App4PayNoSSehA—BWD—NewResWell5itetmp_7008-794-069,xlix Progress Estimate Contractor's Application for Payment Owner: Beverly Water District Engineer: Anderson Perry&Associates, Inc. Contractor: P.O.W. Contracting, Inc. Project: New Reservoir, Well, and Site Improvements Application No.: 5A Application Period: From 7/17/2026 to 8/14/2026 Application Date: 8/14/2026 Bid Item Contract information Previous This Period Total to Date Qtyy Unit Unit Price Value of Bid Item Qty. Amount Qty. Amount Qty. Amount No. Description Original Contract _ Schedule A- Reservoir and Site Improvements Al Mobilization/Demobilization All Req'd LS $83,300.00 $83,300.00 s 75% $62,475.00 � 0% $0.00 �^ 75% $62,475,00 A2 Construction Facilities and Temporary Controls All Req'd LS $4,000.00 $4;000.00 60% $2,400.00 0% $0.00 60% $2,400.00 A3 Temporary Protection and Direction of Traffic/Project Safety All Req'd LS $1,000.00 $1,000.00 60% $600.00 40% $400.00 100% $1,000.00 A4 Earthwork All Req'd LS $25,000.00 $25,000.00 85% $21,250.00 15% $3,750.00 100% $25,000.00 A5 Trench Excavation Safety System ALI Req'd LS $1,000.00 $1,000.00 95% $950.00 5% $50.00 100% $1,000.00 A6 Potholing All Known Connections and Known Utility Crossings All Req'd LS $10,000.00 $10,000.00 100% $10,000.00 0% $0.00 100% $10,000.00 A7 4-inch Drain Pipe 10 LF $300.00 $3,000.00 10 $3,000.00 0 $0.00 10 $3,000.00 A8 8-inch Drain Pipe 210 LF $130.00 $27,300.00 187 $24,310.00 33 $4,290.00 220 $28,600.00 A9 8-inch Restrained Ductile Iron (DI) Pipe 130 LF $285.00 $37,050,00 69 $19,665.00 69 $19,665.00 138 $39,330.00 A10 12-inch Restrained DI Pipe 60 LF $465.00 $27,900.00 60 $27,900.00 0 $0.00 60 $27,900.00 All 8-inch Gate Valve 2 EA $2,500.00 $5,000.00 2 $5,000.00 0 $0.00 2 $5,000.00 Al2 8-inch Butterfly Valve 2 EA $4,250.00 $8,500.00 2 $8,500.00 0 $0.00 2 $8,500,00 A13 12-inch Gate Valve 2 EA $4,500.00 $9,000.00 2 $9,000.00 0 $0.00 2 $9,000.00 A14 Connection to Existing Water Line 4 EA $4,500.00 $18,000.00 2 $9,000.00 2 $9,000.00 4 $18,000.00 A15 Pressure Transducer, Vault, and Appurtenances All Req'd LS $11,000.00 $11,000.00 86% $9,460.00 14% $1,540.00 100% $11,000.00 A16 6-inch Well No. 1 Meter/Injection, Vault, and Appurtenances All Req'd LS $23,000.00 $23,000.00 87% $20,010.00 13% $2,990.00 100% $23,000.00 A17 6-inch Well No. 3 Meter/injection, Vault, and Appurtenances ALL Req'd LS $23,000.00 $23,000.00 87% $20,010.00 13% $2,990.00 100% $23,000.00 A18 Electrical and Telemetry All Req'd LS $141,000.00 $141,000.00 62% $87,420.00 32% $45,120.00 94% $132,540.00 A19 Concrete Reservoir and Appurtenances All Req'd LS $545,000.00 $545,000.00 99% $539,550.00 0% $0.00 99% $539,550.00 A20 Crushed Surfacing, Site Improvements 270 CY $50.00 $13,500.00 0 $0.00 288 $14,400.00 288 $14,400.00 A21 Crushed Surfacing, Reservoir Structural Fill 250 CY $50.00 $12,500.00 250 $12,500.00 52 $2,600.00 302 $15,100.00 A22 Geotextile for Reservoir Pad 100 SY $15.00 $1,500,00 140 $2,100,00 0 $0,00 140 $2,100.00 A23 Boulder Removal and Disposal (rocks 12 inches in diameter and larger) 25 CY $50.00 $1,250.00 75 $3,750.00 50 $2,500.00 125 $6,250.00 A24 Chain Link Fence 280 LF $60.00 $16,800.00 0 $0.00 280 $16,800,00 280 $16,800.00 A25 Chain Link Gate, 20-foot 1 EA $2,100.00 $2,100.00 0 $0.00 1 $2,100,00 1 $2,100.00 A26 Chain Link Gate, 16-foot 1 EA $1,800.00 $1,800m 0 $0.00 1 $1,800,00 1 $1,800.00 A27 Erosion/Water Pollution Control 1 FA $1,000.00 $1,000.00 01 $0.00 0 $0.00 0 $0.00 8/14/2026 App4PayNo5SchA_BW D_N ewResWellSiteI m p_7008-794-069.xl sx Page 2 of 3 Progress Estimate Contractor's Application for Payment Owner: Beverly Water District Engineer: Anderson Perry & Associates, Inc. Contractor: P.O.W. Contracting, Inc. Project: New Reservoir, Well, and Site Improvements Application No.: 5A Application Period: From 7/17/2026 to �8/14/2026 Application Date: 8/14/2026 Bid Item No. Description Contract Information Previous This Period Total to Date Qty. Unit I Unit Price Value of Bid Item Qty. Amount Amount Qty. Amount Original Contract Totals $1,0531500.00 $ 898,8190.00 _Qty. $129,995.00 $1,028,845.00 Sales Tax (8.2%) $86,387.00 Original Contract Total $1,139,887.00 Change Orders 1-1 2-1 3-1 3-2 3-3 4-1 Grant County Building Permit (non-taxable) Added Concrete for Pipe Incasements Al-1: Mixing System, New Reservoir A2-1: Mixing System, Existing Reservoir Remobilization Rotating Valves in Pump House ALL Req'd All Req'd All Req'd All Req'd All Req'd All Req'd LS LS LS LS LS LS $8,110.00 $2,003.74 $22,850.00 $22,450.00 $4,660.00 $1,350.00 $8,110.00 $2,003.74 $22,850.00 $22,450.00 $4,660.00 $1,350.00 100% 100% 0% 0% 0% 0% $8,110.00 $2,003.74 $0.00 $0.00 $0.00 $0.00 0% 0% 0% 0% 0% 1000/0 $0.00 $0.00 $0.00 $0.00 $0,00 $1,350.00 100% 100% 0% 0% 0% 100% $8,110.00 $2,003.74 $0.00 $0.00 $0.00 $1,350.00 Change Order Totals $61,423.74 $10,113.74 $1,350.001 1 $11,463.74 Change Order Sales Tax (8.2%) $4,371.73 Change Order Total $65,795.47 Materials Stored to Date A8 A9 A14 A15 A16 A17 A19 8-inch Drain Pipe 8-inch Restrained Ductile Iron (DI) Pipe Connection to Existing Water Line Pressure Transducer, Vault, and Appurtenances 6-inch Well No. 1 Meter/injection, Vault, and Appurtenances 6-inch Well No. 3 Meter/Injection, Vault, and Appurtenances Concrete Reservoir and Appurtenances �- _ 210 130 4 All Req'd All Req'd All Req'd All Req'd LF LF EA LS LS LS LS $39.00 $85.50 $1,350.00 $3,300.00 $6,900.00 $6,900.00 $163,500.00 $8,190,00 $11,115.00 $5,400.00 $3,300.00 $6,900,00 $6,900,00 $163,500.00 23 61 2 25% 25% 25% 0% $897.00 $5,215.50 $2,700.00 $825.00 $1,725.00 $1,725.00 $0.00 (23) (61) (2) -25% -25% -25% 0% ($897.00) ($5,215.50) ($2,700.00) ($825.00) ($1,725.00) ($1,725.00) $0.00 0 0 0 0% 0% 0% 0% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Materials Stored to Date $205,305.00 $13,087.50 _ ($13,087.50) $0.00 Original Contract, Change Orders, and Materials Stored to Date Pre-tax Total $1,053,500.00 $911,937.50 $74,778.87 $116,907.50 $9,586.42 __P___$1,124,949.04 $1,028,845.00 $84,365.29 Sales Tax (8.2%) $86,387.00 �$8,110.00 Change Order 1-1 (non-taxable) $8,110.00 $2,003.74 $0.00 $1,350.00 $8,110.00 $3,353.74 Change Orders (taxable) $53,313.74 Change Order Tax (8.2%) $4,371.73 $164.31 $996,994.42 $110.70 $127,954.62 $275.01 Retainage (N/A) TOTAL $1,205,682.47 8/14/2026 App4PayNo5SchA_BWD_NewResWellSitelmp_7008-794-069.xlsx Page 3 of 3