HomeMy WebLinkAboutGrant Related - BOCC (007)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: K Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kal"fl@ Stockton
CONFIDENTIAL INFORMATION: ❑YES 8 NO
DATE 9/25/2026
PHONE:2937
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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 $25,000.00.
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: �� It
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WITHDRAWN: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 I Continuation of Assisted Living, Memory Care Wing,
Community Center 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 any authorized to
authenticate and certify to this claim. I also certify that this claim of-.$25,Q00.00 Zjust
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.
ignature,
-,Audra - Gutierrez- Rita ri,
Printed Name
Date sinea
.Administrator
Title
Aden intstnfor
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 # 11 in the amount of $25,000.00
ATTACHMENT 4
SOAP LAKE
SCHOOL DISTRICT #156
PO Box 1389
Soap Lake, WA 98851
509.246.1822 Fax 509.246.0669
Bill to
McKay Healthcare & Rehabihtation
PO Box 819
Soap Lake, WA 98851
Description
INVOICE
Invoice #
26-002
Dato
8124/2026
QuatWity $ 1 Unit Amount
Childcare Feasibility Study 1 $25,000-00 $ 25,000.00
$
.............
$
... ........ ..
Subtotal $ 25,000-00
Comments or Special Instructions: Discount
Thank you!
ce Use .O-
00
Tax
TOTAL $ 251000.00Z