HomeMy WebLinkAboutGrant Related - BOCC (004)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: K81"I'I@ Stockton
CONFIDENTIAL INFORMATION: ❑YES 8 NO
onrE:10/1/2026
PHONE:2937
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Reimbursement request from McKay Healthcare on the Strategic Infrastructure
Program
(SIP) 2025-03 Phase 1 Kitchen Expansion project in the amount $3,277.96
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
ROOM
DATE OF ACTION: DEFERRED OR CONTINUED TO:
WITHDRAWN:
APPROVE: DENIED ABSTAIN
D 1:
D2:
D3:
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: 2025-03
SIP Funding Recipient: McKay Healthcare and Rehabilitation Center
4-�
SIP Project Description: Phase I Kitchen Expansion
1, the undersigned, do hereby certify under penalty of perjury, that the materials have
been furnished, the services rendered, and/or the labor perfon-ned 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 $3,277.96 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 any
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 according to the intent of the proposal.
Signature
Audra Gutierrez-Ritari
Printed Name
Date Signed
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, Kstocktonggrantcountywa.gov
Reimbursement # 18 in the amount of $3,277.96
ATTACHMENT 4
RIC�'&T,�16VUER
275 Fifth Street, Suite 100
Bremerton, WA 98337
(360) 377-8773
SIP GRANT 2025-03
Public Hospital District No. 4 of Grant County, Washington Invoice number 2023052.00-031
P.O. Box 819 Date 06/11 /2026
Soap Lake, WA 98851
Project 2023052.00 McKay Healthcare SNF Pre -
Design - Master Planning
Professional services through 05/31 /2026
Invoice Summary
Contract
Total
Prior
Contract
Current
Description
Amount
Billed
Billed
Remaining
Billed
Scope 1 A - Conceptual Design
1001184.00
1001,184.00
100,184.00
0.00
0.00
Scope 1A - schematic Design (reduced by C07)
66,840.00
66,840.00
66,840.00
0.00
0.00
Scope 1 B.1 - Site Plan Design (Reduced by
77,200.00
77,200.00
770200.00
0.00
0.00
Change Order 04)
Change Order 02 - scope 1 B.2 - Zoning Approval
130728.00
13,727.90
130727.90
0.10
0.00
(reduced by C07)
Change Order 03 - Phase 1 Schematic Design
174,500.00
174,500.00
174,500.00
0.00
0.00
Change Order 03 - Phase 'I Design Development
213,000.00
213,000.00
2'131000.00
0.00
0.00
Change Order 04 - Phase 2 Master Planning
51,940.00
300453.36
28,750.40
21,486.64
19702.96
Change Order 05 - Phase 1 CD
353,300.00
353,300.00
353,300.00
0.00
0.00
Change Order 06 - Phase 1 Food Service DD - CD
10,350.00
10,349.60
10,349.60
0.40
0.00
(Reduced by COS)
Change Order 09 - Food Connector Structural
12,850.00
12,850.00
12,850.00
0.00
0.00
Change Order 10A - LEED Assessment
9,217.00
8,321.00
89113.80
896.00
207.20
Change Order 10A - VE Assessment (Hourly
4,800.00
41156.95
4,156.95
643.05
0.00
NTE)
Change Order 10B - Kitchen Renovations -
37,280.00
24,991.55
23,623.75
12,288.45
1,367.80
Design -CD Fixed
Change Order 108 - Kitchen Renovations -
36,000.00
0.00
0.00
36,000.00
0.00
Hourly Permitting, Bid & CA
Reimbursable Expenses
41925.79
4,925.79
40925.79
0.00
0.00
Total
1,166,114.79
10094,800.15
1,091 v522.19
71,314.64
31277.96
Invoice total 3,277.
Aging Summary
Invoice Number
Invoice Date
Outstanding
Current Over 30 Over 60 Over 90 Over 120
2023052.00-029
04/15/2026
12,541.80
120541.80
2023052.00-030R
05/28/2026
17,049.75
17,049.75
2023052.00-031
06/11 /2026
31277.96
3,277.96
Total
32,869.51
209327.71 12,541.80 0.00 0.00 0.00
Public Hospital District No. 4 of Grant County, Invoice number 2023052.00-031 Invoice date 06/11/2026
Washington
Public Hospital District No. 4 of Grant County, Washington Invoice number 2023052.00-031
Project 2023052.00 McKay Healthcare SNF Pro -Design - Master Planning Date 06/11/2026
For any questions regarding this invoice please contact Lori Hoggard at (360) 362-1433 or lhoggard@rfmarch. com.
Public Hospital District No. 4 of Grant County, Invoice number 2023052-00-031 Invoice date 06111/2026
Washington