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: gOCC
REQUEST SUBMITTED BY: K Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kal'1"I@ Stockton
CONFIDENTIAL INFORMATION: ❑YES ®NO
DATE:1O/1/ZOZ6
PHONE:2937
=Nualmmult
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❑Agreement / Contract
❑AP Vouchers
❑Appointment / Reappointment
DARPA Related
❑ Bids / RFPs / Quotes Award
❑ Bid Opening Scheduled
❑ Boards / Committees
❑ Budget
❑Computer Related
❑County Code
El Emergency Purchase
[]Employee Rel.
❑ Facilities Related
❑ Financial
❑ Funds
❑ Hearing
❑ Invoices / Purchase Orders
8 Grants — Fed/State/County
Ell -eases
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[]Thank You's
[]Tax Title Property
❑WSLCB
NOW
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W 149 M1111
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Reimbursement request from Renew on the American Rescue Plan Act (ARPA) grant
in the amount of $9,593.10 for August 2026 under Suicide Prevention category.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO * N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO 9 N/A
5 =1-
01�Irs
3 e/ // / i.i
/yr %y ia
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
WITHDRAWN:
4/23/24
PO Box 1057
Moses Lake, WA 98837
Phone (509) 764-2643 Fax (509) 764-4124
BILL TO:
Grant County
Attention: Karrie S. Stockton
PO Box 37
Ephrata, WA 98823
DATE: September 30, 2026
INVOICE # 8/1/2026
FOR: Aug-26
DESCRIPTION
Amount
units
Total Amount
AI PA FUNDS - SUICIDE PREVENTION SALARY & BENEFITS
$ -
$ -
.ems}.
OPERATING EXPENSES
$ 8,721.00
8,721.00
ADMIN
$ 872.10
$ 872,10
----------------- ------
Total
9,593,10
Thank you! t
ACCOUNT
TRANSACTIONS GL - TYLER REPORT 9N-10
YEAR PERIOD INVOICE DATE VENDOR VENDOR NAME
ACCOUNT
ACCOUNT DESC
DOCUMENT TYPE STATUS
AMOUNT F LL OESC
INVOICE WARRANT
CHECK NO
2026 &
8/10/2026
'15061 NOEL. VALENCIA
108.C*W,90D0s5fy60000.531Wv1-
OFFICE & OPER SUPPLIES 31078
INV P
S4,119.009,13111A 4
002 RN082626
S01315012
2026 8
8/14/2026
10342 BOYS & GIRLS CL
108,0000,90M566MM.5410M.
PROFESSIONAL SERVICES
29867
INV P
$6641.76 10,410014 10.4200.1.4 ARPA 9000
July 2026 RN081926
501314715
2026 a
8/14/2026
10342 BOYS & GIRLS CL
10&W-)C--900(,).566W)0.54Z0W,
COMMUNICATIONS
29867
INV P
$84 34 12.41001-4 10,4200-1A ARPA 90000
July 2026 RN081926
501314715
20Z6 8
8/25/2026
11435 MIARISOL GONZALE
108,0000.9".56600".543000.
TRAVEL
31107
INV P
545-004f,4305.1.9, 1.3111.1.9
Aug 2026 RN082626
50131499919
2026 8
815/11026
13207 SOURCE ONE LLC
108,0`.9000,5660".544000-
ADVERTISING
28611
INV P
2,.5-S7,00^-4400.1-4, Advertising
0611 RN080526
501313874
TOTAL EXPENSES AUGUST 2.026 - 9L-R)O
SlSeWAO
TOTAL SCY(S & GIRLS CLUB
$6,726,10
TOTAL ARPA SUICIDE PREVENTION
P, -,,,i - I - ori
AMAIN IV,,
10
TOTAL ARPA SUICIDE. PREVFNTION INVOICE
Contract #—ARPA SUICIDE PREVENTION
Submitted to GC by.- Joseph Goe
Request for Reimbursement No. $9,693.10
Grant C nty' ubrecipient Checklist:
State Auditor's Office Audit Procedures for Testing Activities Allowed
And Not Allowed, As Published In 2007
Questions to ask before submitting a payment request
Was the expenditure or cost:
Made for an allowable activity under the grant guidelines?
Authorised or not prohibited) under state or local laws or regulations?,
-.X- Approved by the federal awarding agency I if required?
_X_ Allowable per Circular A-87 (June 2004 version), Attachment B, items 1-43 ?
For payroll transactions,
_X_ Does the employee's time and effort documentation meet the requirements of
Circular A-1 22?
_X_ Allocable to the program? (i.e., was the dollar amount charged to the program
relative to the benefits received by the progrann? Is the federal grantor being
charged its fair share of the cost? )
Based on actual costs, not budgeted or projected amounts?
_X_ Applied uniformly to federal and non-federal activities (i.e., is the federal
government being charged the same amount as if non-federal funds were being
used to pay the cost)?
.-X- Given consistent accounting treatment within and between accounting periods?
(Consistency in accounting requires that costs incurred for the same purpose, in
like circumstances, be treated as either direct costs only or indirect costs only
with respect to final cost objectives),
_X_ Calculated in conformity with generally accepted accounting principles, or
another comprehensive basis of accounting, when required under the applicable
cost principles?
Not included as a cost (or used to meet cost sharing requirements) of other
federally -supported activities of the current or a prior period?
_X_ Net of all applicable credits? (e.g., volume or cash discounts, insurance
recoveries, refunds, rebates, trade-ins, adjustments for checks not cashed, and
scrap sales).
Not included as both a direct billing and as a component of indirect costs?
Properly classified (e.g,, some costs may be incorrectly claimed as a direct cost
instead of being incorporated as part of the indirect cost rate).
_X_ Supported by appropriate documentation? (e.g., approved purchase orders,
receiving reports, vendor invoices, canceled checks, and time and attendance
records.) Documentation may be in an electronic form.
_X_ Correctly charged to the proper account code and grant period?
Page I
DATE: O
Z[ [ }26
T..-s *y' L } }} ".G s S '+ `a.d r
INVOICE " s i 'Ic £ t' 1. f rt
,yam,-, "
CUSTO,v0'
n�
P o. box
Ephrci ci. WA 9 83k13i-
ERAO N PAYMENT E DUE DATE
N o- yt 5 ' 3 a l e ¢l i 0 icy} N e 3 0 10 - 8 $ 2 j
`s.✓ 5'W 's.L k a d c ° 3 �y�r 'ss 9 ' p iVs i l.i - , fat 4qf '.fir
Tr')s
and
SUB'TOTAL $3,800
S A, L E s TA, X 3 9
T mil''
Supply Request renew
Typ.e of Request It
Supoty Ruqjest oo 6- th—y Re. T .-. 4
Gift Card Request
Re�tlew Cf edit Card Check Out (E-Iinployeva IQ gtM rd, and order)
Premention Credit Ca.rd Check Otit
Pfvvent.on Promcj�cn re wit (,artj Oot
Employee. Date Time
Dayana Ruial 08/ 1 71�`O '16
Employee E-mail*
druiv grantcount'ywa.gov
Office to Deliver to,
lbern(s) Requested
Item Requested Quantity" Link Approximate Cost.,
INIVOICE - Taws Los Karriales
if you do not have a link, upload photo below
If no link jrS available please upload picture of request here
4
Funding Source, if known-
9000
Reason for Request: 4
Event; 0 o,%- u- rr ei i a r. -:-. c r e e r. , 5,' g f Oe.; d " 0 s r'�4
Date Needed By:
09/ 1712 02 6 4�
112
Manager/Supervisor: "
For Nlanager/Supervisor to complete
Approve Die-wy
Priority
H In
Supervisor's Signature �
For Finance to complete
Would you like Laserfiche to send an omail with Histructions?
Y --,I S
N Ilk
Expected Delivery Date
tw*fM/C)DiYYYY
Finance Comments (for printing)
Delivery Location
Date
Q� 434�21'(1121-1
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D C, LTA
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EXPENSE REIMBURSEMENT CLAIM ' ; `
COUNTY AUDITOR
GRANT COUNTY, WASHINGTON
----- --------
Claimant: Marisol Gonzalez Claimant's Dept.: LcLon_,_unity Relations
Purpose of Claim irsement Destination:
-- -- -------
IZIMAW
DKIT
BF
L,
1E
WTAI,
S 0, (11
SOX)(,)
WOO
TOTAL
S0�00
MILEAGE
DATE
F1,10NI
TO
N11 11, t
RATE
TOTAL
S 0 7 2 5
S0,00
so,
S fl) 0
so 2. S
so, 2. 3
- - -- - ------------
0 2' 5
cr,
s%4 7 2 S
TOTAL
WOO
H OTELS 9 te sj � f V ki
..... .. . ......
A.kl E C. i it. C K - IN 1) A'r E CHE'CK-4)1_'T DATE 110111, N L0CA*no,,,,,
o*rHER
DAT E DESCKIPTION REASON FOR i-AHNSF LOCATI N T101 A 1
8/ 1: 0 )o 6 Baggaige check Travel It-,iggoge c, I heck I °'r a j i k, I i t i, �)('a
8/25/2026 nuts szlfeway snacks for LPA Grant Wa
*Am.uunt inay beditlerent dUe tO r0iffldil1g, TOTAL $5 6
ivm. REIMBURSEMENT CLAIMI $56-49.0...J
"Rpm 11111111111110-11-11-111 NOW" - ----------------
'111 jf,V�'j 1,,jr 'I-11 P f (�j
CERTIFICATION Authorization rc%t
1, the u nd t, rsi a-, tied: do hereby certify Linder ponaity of pequrv� that thv
ELECTED OFFICIAL, DEPARTNIENT HEAD, OR DESIGNEE
claim ts,i just, caluezind unpaid the Cu-4AL,�t.
am,,.i Lit ho nzed t Or(-(_, r`j i to Sr) j(j (1,1 Ill U.-
Name (printed), ------
it ,
-7
Claimant Signature,. Signature.
Darte�
atlon. It JUIIJ:�d f0l' OLIMV Coirvii-ni-s-sifitivns or Fivoed (M-ticl,flAs,
COUNTY AUDITOR
Name (pruited)-
signt:
I ) , I t e
ALIthor-i7ation f,,t the Countv Auditor, Departn'tent
j)tjtSj(j( )f tj
i-0 state travel.
COUNTY COMMISSIONERS
Coln ill iss
C o I I I I -I I I S S 1 11 e I'll
Karen Hand
From: Dayana Ruiz
Sent-. Wednesday, August 26, 2026 2:44 PM
To: Karen Hand
Subject-. Re: Marisol Baggage Fee
Yes - thank you'
From: Karen Hand <khand@grantcounty Wa.gov>
Sent: Wednesday, August 26, 2026 2:34 PM
To: Dayana Ruiz <drui7.@grant countYwa.gov>
Subject-, Maril Baggage Fee
Da,
Are Marlsol's baggage fees to be paid from 9000?
Thanks!
Karen Hand A-
a-voig
Accounting Technician 46 . .
190fts. AM. W*Al
Ar Is
Ph: 509�.765.9239r @wxwA
r UJ
840 E Plurn St I Moses Lake, WA 1.nt Rehrjvlc,�fal Hewjlkll!k 6 Well ess
4A.AlL C NFIDENTIALIP� NQI[Q-f:
The contents of this e-rnail and any altac,,_*hments are intende..K.1 s%olety to( the addtessc.-e(s) and may toritc)in confidentic)i andlor lle�,
pfivilleged Informcition, It yoi.) are not the infilendecl recir,',;iFent of t" i -v-z or R !N5 message has been oddressed lo you in E,,-rjor, �,f I I S rn (,*�! s S
immediately aleft the sel,nder by eply e-rnall and then deet--,,,� this merssage Jac�hments, If are not the intenck-4cl r,cv J1 (,j.r,,y at n
N-) message or ony affaChmentiss strictly r nibiwd.
are; nofiifk,�d that Ony uie- dissernination, distribution copying or sdarc
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Total Due By jDatel
Supply Request
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Type of Request
Card, Recj�'es!
P
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Employee. Date Tirrc
O,avana -KU:7
Eniploy-ee E-mad
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Office to Deliver to
ltem(s'l Requestecl-
Item f1equested QU-.1f"Oty Link Approximate Comet
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INVOICE - Aunrijal Adwt�rtx>mg .)n St)ijr c.,- Orie NewS 4 S 7 ?)W
If no fink is avilable please upto picture. of re -quest here