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Home My WebLink AboutGrant Related - BOCCRN WASHINGTON STATE DEPARTMENT OF COMMERCE AGENCY NUMBER 1030 IDIS PROJECT NUMBER 0021 Commerce Contract Number 18-62210-005 A19 VOUCHER DISTRIBUTION AGENCY NAME INSTRUCTION DEPARTMENT OF COMMERCE; ATTN: CDBG PO BOAC 42525 OLYMPIA, PIA, NVA 98504-2525 VENDOR OR CLAIMANT (Warrant is to be payable to:) GRANT COUNTY PO BOX 37 EPHRATA, WA 98823-0037 REPORTING PERIOD: March 2019 TO VENDOR OR CLAIMANT: Submit this form to claim payment for materials, merchandise or services. Show complete detail for each item. Vendor's Certificate: I hereby certify under perjury that the items and totals listed herein are proper charges for materials, merchandise or services fumished to the State of Washington, and that all goods furnished and/or services rendered have been provided without discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion or Vietnam era or disabled veterans status. By: (SIGN IN BLUE INK) Tom Taylor, BOCC Chair (TITLE) (DATE) Description QUANTITY AMOUNT PREVIOUSLY AMOUNT REMAINING BUDGET REQUESTED THIS INVOICE BALANCE 7714 05 Public Services 117,597.00 25,083.58 10,645.35 $81,868.07 $0.00 $0.00 7717 21A General Admin 3,500.00 3,500.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PAYMENT REQUEST $121,097.00 $28,583.58 10,645.35 $81,868.07 Everything below this line is for Dept of Commerce FED TAX to# PROGRAM APPROVAL DATE DOC DATE CURRENT DOC. NO. REFERENCE DOC NO. VENDORNUMBER SWV0002426-03 ACCOUNT NO. ASD NUMBER 34112 VENDOR MESSAGE CDBG P mt # M SUB TRANS 0 MASTER SUB SUB CODE D INDEX OBJ OBJ GL ACCT SUBSID INVOICE AMOUNT NUMBER 62280320 NZ 18-62210-005 SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL ACCOUNTING APPROVAL FOR PAYMENT DATE STATE OF WASHINGTON 2018 COMMUNITY DEVELOPMENT BLOCK GRANT- PUBLIC SERVICES GRANTS DEPT OF COMMERCE Description of service program how low- and moderate -income (LMI) persons were served this period: Housing counseling, credit coaching, foreclosure services, business start-up, financial education workshops and high school classes. Free tax -prep. ATTN: CDBG PROGRAM CDBG amount requested for these program activities this period: $0.00 PO BOX 42525 CERTIFICATION: I certify that the information on this form is a OLYMPIA. WA 98504-2525 true and accurate report of the tach status and that all reported expenditures are properly chargeable to the referenced grant. COMMUNITY ACTION AGENCY CONTRACT NO: Signature: OIC OF WASHINGTON 18-62210-005 815 FRUITVALE BLVD REPORT PERIOD: Printed Name: RITA DEBORD YAKIMA WA 98902 Mar -19 REPORT NUMBER: Title: CFO 9 rq f * I TOTAL AMOUNT REQUES EDT IS Date: 4/18/2019 $10,645.35 I. Name of Service Activity: Asset Development 36 CDBG amount requested for these program activities this period: $10.645.35 Description of service program how low- and moderate -income (LMI) persons were served this period: Housing counseling, credit coaching, foreclosure services, business start-up, financial education workshops and high school classes. Free tax -prep. 2. Name of Service Activity: Energy Assistance 237 CDBG amount requested for these program activities this period: $0.00 Description of service program how low- and moderate -income (LMI) persons were served this period: Energy assistance and conservation education. 3.Name of Service Activity: Asset Develop/Energy Assist Admin -Indirect Admin CDBG amount requested for these program activities this period: $0.00 Description of service program how low- and moderate -income (LMI) persons were served this period: General administration expenses associated with managing energy assistance and asset development activities oversight and assessments. Indirect admin. �c �v �� t� CIi(tlA1SS1�21cP Q / Contract 18-62210-005 Submitted to GC by: OIC OF WASHINGTON Request for Reimbursement No. 09 MARCH 2019 Grant County's Subrecipient 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: X Made for an allowable activity under the grant guidelines? X Authorized (or not prohibited) under state or local laws or regulations? X Approved by the federal awarding agency, if required? N/A 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-122? X Allocable to the program? (i.e., was the dollar amount charged to the program relative to the benefits received by the program? Is the federal grantor being charged its fair share of the cost?) X 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? X 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). N/A Not included as both a direct billing and as a component of indirect costs? N/A 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? 1:\DATANONSHARED\ACCOUNTING\ingrid's stuff\CDBG\CDBG ML 264 2018-19\Subrecipient Checklist 2018-19.docPage OIC OF WASHINGTON For User: INGRID FRANK RW Expenditure report for: 264 - 264 CDBG Report year: 7/1/2018 thru 6/30/2019 Account Admn Admin - Asset Dev/Energy Asst Asst Asset Development Ener Energy Assistance Report Totals General Ledger System Page: Page 1 of 1 Date: 4/18/2019 Period ending: March 2019 Time: 3:38:28 PM --------------- Moirtlrly-------------- ----------------- To Dale --------------- Budget Expenditures Pct Budget Expenditures Pct Annual budget Unexpended $1,958.00 $0.00 0.00% $17,622.00 $4,536.28 25.74% $23,519.00 $18,982.72 $6,503.00 $10,645.35 t4.70% $58,527.00 $31,046.95 53.05% $78,085.00 $47,038.05 $1,328.00 $0.00 0.00% $11,952.00 $145.70 1.22% $15,993.00 $15,847.30 $9,789.00 $10,645.35 108.75% $88,101.00 $35,728.93 40.55% $117,597.00 $81,868.07 General Ledger System OIC OF WASHINGTON For User: INGRID FRANK Fund Expenditure report for: 264 - CDBG PS 7/1/18-6/30/19 (Fund status: Active) Report year: 7/1/2018 thru 6/30/2019 Period ending: March 2019 Account Department: Department: 009 INDIRECT ADMIN Program: 02 ADMIN. POOL -BASE 5312 SALARY ADM. ALLOCATION 5354 P/R TAX & BEN. ADM ALLOC. 5999 NON PERSONNEL ADM. ALLOC. Total for sub program -----> Total for program 02 -----> Program: 03 ADMIN POOL -OTHER 5312 SALARY ADM. ALLOCATION 5354 P/R TAX & BEN. ADM ALLOC. 5999 NON PERSONNEL ADM. ALLOC. Total for sub program -----> Total for program 03 -----> Total for department 009 ----> Department: 010 PROGRAM Program: 25 PROGRAM SUPPORT 5311 SALARIES,WAGES EXPENSE 5351 FICA,OIC EXP 5352 L AND I,OIC SHARE 5353 STATE UCI(ES),OIC EXP 5355 PAID FAMILY MEDICAL LEAVE 5360 DISABILITY OIC EXPENSE 5361 MEDICAL INSURANCE,OIC EXP 5362 LIFE INSURANCE,OIC EXP 5363 PENSION,OIC EXP 5399 FRINGE ,_,� "r\-, Page: Page 1 of 2 Date: 4/18/2019 Time: 3:37:58 PM ----Monthly-------------- -----------------To Date --------------- Budget Expenditures Pct Budget Expenditures Pct Annual budget Unexpended c� cel Evl 6r, � -L, 1 C /%1 / Z - , 9 $1,234.00 $0.00 0.00% $11,106.00 $2,770.62 24.95% $14,817.00 $12,046.38 $509.00 $0.00 0.00% $4,581.00 $1,245.94 27.20% $6,115.00 $4,869.06 $215.00 $0.00 0.00% $1,935.00 $519.72 26.86% $2,587.00 $2,067.28 $1,958.00 $0.00 0.00% $17,622.00 $4,536.28 25.74% $23,519.00 $18,982.72 $1,958.00 $0.00 0.00% $17,62�2�00 $4,536.28 25.74% $23,519.00 $18,982.72 $0.00 $0.00 0.00% $0.00 $1,075.19 0.00% $0.00 ($1,075.19) $0.00 $0.00 0.00% $0.00 $483.72 0.00% $0.00 ($483.72) $0.00 $0.00 0.00% $0.00 $195.69 0.00% $0.00 ($195.69) $0.00 $0.00 0.00% $0.00 $1,754.60 0.00% $0.00 ($1,754.60) $0.00 $0.00 0.00% $0.00 $1,754.60 0.00% $0.00 ($1,754.60) $1,958.00 $0.00 0.00% $17,622.00 $6,290.88 35.70% $23,519.00 $17,228.12 $4,249.00 $7,026.67 165.37% $38,241.00 $20,126.67 52.63% $50,988.00 $30,861.33 $313.00 $511.16 163.31% $2,817.00 $1,467.22 52.08% $3,757.00 $2,289.78 $30.00 $63.43 211.43% $270.00 $154.96 57.39% $370.00 $215.04 $88.00 $146.16 166.09% $792.00 $418.64 52.86% $1,061.00 $642.36 $0.00 $28.11 0.00% $0.00 $80.51 0.00% $0.00 ($80.51) $74.00 $125.44 169.51% $666.00 $360.47 54.12% $897.00 $536.53 $1,022.00 $1,754.88 171.71% $9,198.00 $5,218.80 56.74% $12,269.00 $7,050.20 $16.00 $36.64 229.00% $144.00 $105.15 73.02% $203.00 $97.85 $221.00 $491.87 222.57% $1,989.00 $1,408.87 70.83% $2,656.00 $1,247.13 $490.00 $460.99 94.08% $4,410.00 $1,705.66 38.68% $5,884.00 $4,178.34 General Ledger System OIC OF WASHINGTON For User: INGRID FRANK Fund Expenditure report for: 264 - CDBG PS 7/1/18-6/30/19 (Fund status: Active) Report year: 7/1/2018 thru 6/30/2019 Period ending: March 2019 Page: Page 2 of 2 Date: 4/18/2019 Time: 3:37:59 PM 3Y.9�, ----MonfhlV-------------- ----------------- To Date --------------- Account Budget Expenditures Pct Budget Expenditures Pct Annual budget Unexpended Total for sub program -----> $6,503.00 $10,645.33.70% $58,527.00 $31,046.95 53.05% $78,085.00 $47,038.05 Sub program: ( 54 ENERGY ASSISTANCE _ 1 5311 SA LA RIEZ:WN��LS�---'"939.00 5351 FICA,OIC EXP $70.00 5352 LAND I,OIC SHARE $8.00 5353 STATE UCI(ES),OIC EXP $19.00 5360 DISABILITY OIC EXPENSE $9.00 5361 MEDICAL INSURANCE,OIC EXP $131.00 5362 LIFE INSURANCE,OIC EXP $2.00 5363 PENSION,OIC EXP $54.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% $8,451.00 $630.00 $72.00 $171.00 $81.00 $1,179.00 $18.00 $486.00 $114.00 $8.72 $1.20 $2.37 $1.88 $0.14 $0.56 $7.98 1.35% 1.38% 1.67% 1.39% 2.32% 0.01% 3.11% 1.64% $11,270.00 $846.00 $107.00 $233.00 $119.00 $1,577.00 $35.00 $652.00 $11,156.00 $837.28 $105.80 $230.63 $117.12 $1,576.86 $34.44 $644.02 5399 FRINGE $96.00 $0.00 0.00% $864.00 $8.85 1.02% $1,154.00 $1,145.15 Total for sub program 54 -----> $1,328.00 $0.00 0.00% $11,952.00 $145.70 1.22% $15,993.00 $15,847.30 Total for program 25 -----> $7,831.00 $10,645.35 135.94% $70,479.00 $31,192.65 44.26% $94,078.00 $62,885.35 Total for department 010 -----> $7,831.00 $10,645.35 135.94% $70,479.00 $31,192.65 44.26% $94,078.00 $62,885.35 Fund Totals $9,789.00 $10,645.35 108.75% $88,101.00 $37,483.53 42.55% $117,597.00 $80,113.47 3Y.9�,