HomeMy WebLinkAboutGrant Related - BOCC (002)ME
GRAN"I-'COUN Y FIR DIS *NO* 3
1201 CENTRAL AVE. S.
PHONE (509) 787-2713
Keven Gardner, Commissioner PO BOX 565 Alan Williamson Commissioner
Carl E. Yeates, Commissioner QUINCY, W.A. 98848 Carmen Weber
Secretary
www-gdoblyt
September 17, 2019
Grant County Board of Commissioners
Attn: Jill Hammond
PO Box 37
Ephrata, WA 98823
Re: SIP 2018-15 Reimbursement Request #1— Partial Payment
y t
Trinidad/Crescent Bar Fire & Life SafeFacili "
ty ty
Grant County Fire District #3 requests a partial payment of 75%
of the bill
submitted from the Knutson General Contractor LLC.
Grant County Fire District #3 paid Knutson General Contracting LLC $ 145,859.49.
The 75% reimbursement would be $ 109,394.62.
The remaining 25% will be requested upon completion.
Thank you for consideration of the payment. If there is any additional information
that is desired, please feel free to contact me.
Respectfully submitted,
Carmen Weber
District Secretary
Board of Commissioners
Grant County Fire District #3
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Board of County Commissioners
Cram, County, ` -ashin ton
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Dist I Dist fl, I.__.w,_.. _.� Dist # I
i _ Dist. # 2 .�� ����...�.�Dist # 2
Dist #33 � Dist # 3 __..�.._ Dist # 3
GRAN COUNTY FIR DIS e NOe 3
1201 CENTRAL AVE. S. PHONE(509) 787-2713
Keven Gardner, Commissioner PO BOX 565 Alan Williamson, Commissioner
Carl E. Yeates, Commissioner QUINCY, WA. 98848 Carmen Weber, Secretary
www.gcfd3.net
September 13, 2019
Grant County County Commissioner
Attn: Jill Hammond
PO Box 37
Ephrata, WA 98823
Reimbursement Request #1— Partial Payment
SIP 2018-15 New Fire Station — Trinidad/Cres cent Bar
Attached is Project Certification (attachment 4) for reimbursement along with the
invoice, and supporting documents.
If there is any additional information that is required,p lease feel free to contact me,
SZinrely
Y9
Carmen Weber
District Secretary
Board of Commissioners
Grant County Fire District #
U
L
0 N E R
FF Reimb File
Reimbursement Request # 1
Partial Payment
GRtiNT COUNTY
STRATEGIC INFRASTRUCTURE PROGRAM
PROJECT CERTIFICATION
Tpi's form must be Ad eurn,
w4
e, or we approved fmidj*ng,,
be -fore reirn-bursement C -an be appraved by Grant County
SI
%-I P Plx)��act Proposat Nun
0, 18 �- I
SIP Fundiri.g Rec*.ipier.j*t,
Grant Ct, Fire J)�
SIP Project Desc.i-pti ""Iffit ar
Ncvk,- Fire Sl,�16011 - I`rinidad. t. C..j
the. underz')'Jg.ned, do herebry -ce..rtO,.ry- under pe.,.,.,. 11 -r
Pe:uurv- that th.e. inateriajls� have
f1irn"shed- tti.e , - - i %,
se.n!ices re:nder&f. and r dihe
labor pe.1- ibed in
f6ned as descrt tj .e
PT09 e Q t , proposal f r the above-refereneed SIP F'r(�iect and that I -am aut-horizied.
auth-enticate 4cmd certli;yr to tjj.i,S c I
A
la'na. th� t this claim. Is Just tand a-IR11 is
-in unpaid, obliganon against Gu.
ncmt Coun
Further, accon
cartest that a ----t the nex-1 a-Udif affl
(1k es,
tcl the S.T-P Pro'(�--A, Ft -id:it P)
-S .. -
ent tv� 'eet Eall be t() th at"e"tion of the Wasliin�cjtori St
Aad' ,r,s
Office and an ernphasis audil -will. J,) requested assure th
oward the cc ' L and accordir(L. _,vere eKPended
Ultent of the pavosaf,
A A 7
_..w ........................... . ... ......
�..._� .
........... .
s i g -11a turne � ,
. .........._......°...._
Don Fortier
. . . . ........ ............... . ..... . ... . ... . ....... . .....
Prilatetl Nan -
. . . ........ . I ... . ............. ----__-,,-,_..1 .......... ..
Date
District Fire Chief
P
red `..................... -11- 1--, ------
int*Fit:
1. 1J.
Compieted, Signed orlglna-1 certificatio-a a_nd iti-voice af-e to be Mailed to4
Ad ministrative Se ces A 98 8 2 3
, , nq , PO Box 3 71, Ephratia,
A-
C
a
Invoice,
5
Customer,
Don Fortier I Grant County Fire District #3
1201 Central Ave S Quincy WA 98848
509-787-2713
D, ay.
'Ile
8/9/2019
For
Fire and Life Safety
Building Trinidad
U
s
m a e e
J Ge,,-,,eral
If you have any questions concerning this Proposal, use the following contact informatiom
Mike Knutson 1:;nO 0
I - zyo- t 31-22 or email mikeknutson88@hotmall.com
Thank vnij fnr vni it hi tzinA=4zjzj
REORDER gel a - 'J.S. PATIEiNTINO. 5541,183- 5795353, 3964364,5()3+Jo
Vendor 1D Name-ount
A c Pavment Number
fV'heek Date Document Number
KNGNC KNUTSON, MICHAEL 940148080008/15/20 ==...
1 19 000000081891
Invoice Number Description Date — Amount Amount Paid Net Paid Amoun
190804001 08/14/2019 $1452859.49 $145,859.49 $145,859.49
rarit County Fire std 3,
' 201 Gena al Ave.. South
Quincy, WA 98848
P
R
Aj
01- `4 WROY 3-
4M,
ssz.-
STATE
PAY -ABLE THROUG
NT OuNOL : U IF W .AS:till -IN'CO-"T__ Y. -I 4 U:,S, BANK
�_800
TO THE TREASURER:0F GRANT COUNTY 1-888 - 8626
EPHRATAr WASHINGTON 96-671 Warmn.t. - Number
1232 914Rnn
One Hundred Forty Five Thousand Eight Hundred. Fifty Nine Dollars and 49 Cents
KNUTSON, MICHAEL
DBA: KNUTSON GENERAL CONTRA
PO BOX 774
QUINCE'", WA 98848
PAY THIS AMOUNT
$1451859.49
CHECK DATE
0,8/15/.2019