HomeMy WebLinkAboutGrant Related - BOCC (002)C0PWf"'L,C7'1E1)
GRANT COUNTY
BOARD OF COUNTY COMMISSIONERS
To: Board of County Commissioners
VI/I I
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Boud of County Com
missioners
Grant Counly, W"as-hington
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Dist #1 Dist #1 Dist #I
Dist #2' ;.— Dist #2 Dist #2
Dist #3 - Dist #3 Dim #3
From: Janice Flynn, Administrative Services Coordinator
Data May 19, 2021
Re: Authorization for Release of BOCC Approved Funds, SIP #2019-03-
Port of Moses Lake, Sewer Extension to Grant County InternationalAirport Infield from Westside Employment Center
The Port of Moses Lake has certified the requirements for release of funds in the
above -referenced SIP project, which was approved by the BOCC pursuant to
Resolution No. 19 -050 -CC dated June 18, 2019. Theproof of requirements is in
the form of a signed Project Certification form from the Port and supporting
invoicing of the project that meets the SIP grant award amount.
To that end, I am requesting the release of funds on this SIPproject as follows:
(1) The grant award amount of One Hundred, Fifty Thousand and
No/1 00 Dollars ($150,000) to the Port of Moses Lake.
Thank you.
M
GRANT COUNTY
STRATEGIC INF A
RASTRUCTURE PROGRAM
man
PROJECT CERTIFICATION
This form must be signed and returned, with aninvo*I
ce, for the approved funding.,
before reimbursement can be approved by Grant County. %_.e'
SIP Project Proposal Number: 2019-03
SIP Funding Recipient: Port of Moses Lake
SIP Project Description: Sewer Extension to Grant County . International
Airport infield from Westside
Lente Employment
r
1, the undersigned, do hereby certify under penalty of perjury, that the in have been
furnished, the services rendered, and the labor performed as described in the
proposal for the above project
-referenced SIP Project and that I am authorized to authenticate and
certify to this claim. I also certify that this claim 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` of my
entity, this project shall be called to the attention of the Washington State Auditor5s 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 ward
proposal.
Signature;bo +
Title
Printed Name
Date Signed
Printed Title ------------
0
Completed, signed original certification and invoice are to le to;
Administrative Services Coordinator, PO Box 37, Ephrata, WA 98823"
ATTACHMENT 4
Grant County Port District No. 10
Moses Labe, WA 98837
Port of Moses Labe
Bili To
Administrative Services Coordinator
Board of County Commissioners
Grant County
POBox 37
Ephrata WA. 98823-0037
Date Invoice #
5/13/2021 15695
P.O. No.
Terms
Project
Due on receipt
Quantity
Description
Rate
Amount
Grant County SIP Grant - For Wastewater Extension SIP No. 2019-03
1503000.00
150,000.00
Phone # Fax #
Total $150,000.00
509-762-5363
509-762-2713