HomeMy WebLinkAboutGrant Related - BOCCSTATE OF WASHINGTON
DEPT OF COMMERCE
ATTN: CDBG PROGRAM
PO BOX 42525
OLYMPIA, WA 98504-2.525
COMMUNITY ACTION AGENCY SUBRECIPIENT:
OIC OF WASHINGTON
815 FRUITVALE BLVD
YAKIMA WA 98902
TOTAL AMOUNT REQUESTED THIS PERIOD:
CONTRACT NO:
19-62210-005
REPORT PERIOD:
Jan -20
REPORT NUMBER:
7
$19,044.01
2019 COMMUNITY DEVELOPMENT BLOCK GRANT - PUBLIC SERVICES GRANTS
CERTIFICATION: I certify that the information on this form is a
true and accurate report of the cash status and that all reported
expenditures are properly charg ble to the referenced grant.
Signature:
Printed Name: Dereje Mekuria
Title: Chief Financial Officer
Date: 2/20/2020
1. Name of Service Program: Asset Development 105
CDBG amount requested for these program activities this rind: $14,812.24
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 Program: Ener Assistance 100
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 Develop/EnergyAssist Admin -Indirect Admin
CDBG amount requested for these program activities thisperiod: 54,231.77
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.
RECEIVED
FEB 2 6 2020
GRANT COUNTY COtUIMISSIONERS
WASHINGTON STATE
DEPARTMENT OF COMMFW-L
AGENCY NUMBER
1030
IDIS PROJECT NUMBER
30
Commerce Contract Number
19-62210-005
Afs VOUCHER DISTRIBUTION
AGENCY NAME
DEPARTMENT OF COMMERCE
ATTN: CDBG
PO BOX 42525
OLYMPIA, WA 98504-2525
VENDOR OR CLAIMANT (Warrant is to be payable to:)
GRANT COUNTY
PO BOX 37
EPHRATA, WA 98823-0037
REPORTING PERIOD: JANUARY 2020
INSTRUCTION
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 furnished 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 V' am eragxAsabled veterans tus.
B .
(SIGN IN BLUE INK)
(TITLE) (DATE)
Description
QUANTITY AMOUNT
IDIS
Activity ID
PREVIOUSLY AMOUNT REMAINING
BUDGET REQUESTED THIS INVOICE BALANCE
7945
05 Public Services
$117,558.00 19,044.01 $98,513.99
$0.00
$0.00
7946
21 A General Admin
3,500.00 $3,500.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PAYMENT REQUEST
$121,058.00 $0.00 19,044.01 $102,013.99
Everything below this line is for Dept of Commerce
FED TAX ID #
PROGRAM APPROVAL (The individual signing this voucher warrants they have the authority to sign this voucher.)
PRINTED NAME: Jeff Hlnckle SIGNATURE:
DATE
DOC DATE
CURRENT DOC. NO.
REFERENCE DOC NO.
VENDOR NUMBER
SWV0002426-03
ACCOUNT NO.
ASD NUMBER
VENDOR MESSAGE
CDBG #
M
TRANS 0
CODE D
SUB
MASTER SUB SUB
INDEX OBJ OBJ
GL ACCT
SUBSID
I
INVOICE
AMOUNT NUMBER
629FO320 NZ
151521
SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT
DATE
WARRANT TOTAL
ACCOUNTING APPROVAL FOR PAYMENT
DATE
Contract 19-62210-005
Submitted to GC by: OIC OF WASHINGTON
Request for Reimbursement No. 7
JANUARY 2020
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?
I:\DATANONSHARBD\ACCOUNTING\ingrid's stufACD13G\CDB6 MI. 265 2019-20\Subrecipient Checklist 2019-20.docPage
General Ledger System
OIC OF WASHINGTON
For User: INGRID FRANK
Page:
Page 1 of 1
RW Expenditure report for:
265 - 265 CDBG
Date:
2/20/2020
Report year: 7/1/2019
thru 6/30/2020
Period ending:
January 2020
Tlme:
11:18:18 AM
--------------Monthly-------------
-----------------To
Date ---------------
Account
Budget
Expenditures
Pct
Budget
Expenditures
Pct
Annual budget
Unexpended
Admn Admin - AssetDev/Energy Asst $1,958.00
$4,231.77
216.13%
$13,706.60
$4,231.77
30.87%
$23,511.60
$19,279.83
Asst Asset Development
$6,670.00
$14,812.24
222.07%
$43,696.05
$14,812.24
33.90%
$77,118.05
$62,305.81
Ener Energy Assistance
$1,405.00
$0.00
0.00%
$9,835.35
$0.00
0.00%
$16,928.35
$16,928.35
Report Totals
$10,033.00
$19,044.01
189.81%
$67,238.00
$19,044.01
28.32%
$117,558.00
$98,513.99
General Ledger System
OIC OF WASHINGTON
Program:
Z5 PROGRAM SUPPORT`
5311
SALARIES,WAGES EXPENSE
For User: INGRID FRANK
FICA,OIC EXP
5352
Page:
Page 1 of 2
Fund Expenditure report for: 265 - CDBG PS 7/1/19-6/30/20 (Fund status: Active)
5355
Date:
2/20/2020
Report year: 7/1/2019 thru 6/30/2020
Period ending: January 2020
Time:
11:17:34 AM
------Monthly--------------
-----------------To Date ---------------
PENSION,OIC EXP
5364
Account Budget
Expenditures Pct
C,7�_C(
�
udget Expen itures Pct
-
TZL C��-
Annual budget
Unexpended
Department: 008 DIRECT ADMIN �� C� J
} �! ��
0.00%
$497.00
$0.00
Program: 83 COO/ I.T.
$238.00
$82.49
5500 TRAVEL $16.00
$0.00 0.00%
$112.00 $0.00 0.00%
$200.00
$200.00
Total for sub program -----> $16.00
$0.00 0.00%
$112.00 $0.00 0.00%
$200.00
$200.00
Total for program 83 -----> $16.00
$0.00 0.00%
$112.00 $0.00 0.00%
$200.00
$200.00
Total for department 008 ----> $16.00
$0.00 0.00%
$112.00 $0.00 0.00%
$200.00
$200.00
Department: 009 INDIRECTADMIN e
BASE
G✓ _
�C� ���`�
$497.00
Program: 02 ADMIN. POOL -
5312 SALARY ADM. ALLOCATION $1,204.00
$2,462.43 204.52%
$8,428.60 $2,462.43 29.22%
$14,453.60
$11,991.17
5354 P/R TAX & BEN. ADM ALLOC. $505.00
$1,298.97 257.22%
$3,535.00 $1,298.97 36.75%
$6,061.00
$4,762.03
5999 NON PERSONNEL ADM. ALLOC. $233.00
$470.37 201.88%
$1,631.00 $470.37 28.84%
$2,797.00
$2,326.63
Total for sub program -----> $1,942.00
$4,231.77 217.91%
$13,594.60 $4,231.77 31.13%
$23,311.60
$19,079.83
Total for program 02 ----->
Total for department 009 ----->
Department:0�0 P�20GRAM
Program:
Z5 PROGRAM SUPPORT`
5311
SALARIES,WAGES EXPENSE
5351
FICA,OIC EXP
5352
LAND 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
5364
ACCRUED PTO EXP
5399
FRINGE
$1,942.00 $4,231.77 217.91%
$1,942.00 $4,231.77 217.91%
$3,803.00
$9,112.00
239.60%
$295.00
$665.63
225.64%
$34.00
$82.49
242.62%
$84.00
$203.20
241.90%
$16.00
$37.31
233.19%
$71.00
$119.45
168.24%
$1,068.00
$2,375.44
222.42%
$20.00
$47.43
237.15%
$283.00
$652.89
230.70%
$0.00
$837.23
0.00%
$497.00
$0.00
0.00%
$13,594.60
$4,231.77
31.13%
$23,311.60
$19,079.83
$13,594.60
$4,231.77
31.13%
$23,311.60
$19,079.83
$26,621.00
$9,112.00
34.23%
$45,644.00
$36,532.00
$2,065.00
$665.63
32.23%
$3,540.00
$2,874.37
$238.00
$82.49
34.66%
$412.00
$329.51
$588.00
$203.20
34.56%
$1,012.00
$808.80
$112.00
$37.31
33.31%
$195.00
$157.69
$497.00
$119.45
24.03%
$859.00
$739.55
$7,476.00
$2,375.44
31.77%
$12,825.00
$10,449.56
$140.00
$47.43
33.88%
$251.00
$203.57
$1,981.00
$652.89
32.96%
$3,405.00
$2,752.11
$0.00
$837.23
0.00%
$0.00
($837.23)
$3,479.05
$0.00
0.00%
$5,975.05
$5,975.05
General Ledger System
OIC OF WASHINGTON
0.00%
$6,825.00
Sub program: C5�4ENERGY ASSISTANCE5311
0.00%
$11,704.00
SALARIS EXPENSE
$975.00
For User: INGRID FRANK
FICA,OIC EXP
$72.00
5352
L AND I,OIC SHARE
$9.00
Page:
Paqe 2 of 2
Fund Expenditure report for:
265 - CDBG PS 7/1/19-6/30/20 (Fund status: Active)
PAID FAMILY MEDICAL LEAVE
$3.00
5360
Date:
2/20/2020
Report year: 7/1/2019 thru 6/30/2020
Period ending: January 2020
$132.00
5362
Time:
11:17:35 AM
5363
---------------Monthly--------------
-----------------To
Date ---------------
FRINGE
$107.00
Account
Budget
Expenditures Pct
Budget
Expenditures
Pct
Annual budget
Unexpended
5500 TRAVEL
$166.00
$20.00 12.05%
$166.00
$20.00
12.05%
$1,000.00
$980.00
5507 OUT OF STATE TRAVEL
$283.00
$659.17 232.92%
$283.00
$659.17
232.92%
$1,700.00
$1,040.83
5950 TESTING CHARGES
$50.00
$0.00 0.00%
$50.00
$0.00
0.00%
$300.00
$300.00
Total for subprogram -
$6,670.00
$14,812.24 222.07%
$43,696.05
$14,812.24
33.90%
$77,118.05
$62,305.81
Total for sub program 54 -----> $1,405.00
Total for program 25 -----> $8,075.00
Total for department 010 ----> $8,075.00
Fund Totals $10,033.00
$0.00
0.00%
$6,825.00
Sub program: C5�4ENERGY ASSISTANCE5311
0.00%
$11,704.00
SALARIS EXPENSE
$975.00
5351
FICA,OIC EXP
$72.00
5352
L AND I,OIC SHARE
$9.00
5353
STATE UCI(ES),OIC EXP
$20.00
5355
PAID FAMILY MEDICAL LEAVE
$3.00
5360
DISABILITY OIC EXPENSE
$16.00
5361
MEDICAL INSURANCE,OIC EXP
$132.00
5362
LIFE INSURANCE,OIC EXP
$4.00
5363
PENSION,OIC EXP
$67.00
5399
FRINGE
$107.00
Total for sub program 54 -----> $1,405.00
Total for program 25 -----> $8,075.00
Total for department 010 ----> $8,075.00
Fund Totals $10,033.00
$0.00
0.00%
$6,825.00
$0.00
0.00%
$11,704.00
$11,704.00
$0.00
0.00%
$504.00
$0.00
0.00%
$875.00
$875.00
$0.00
0.00%
$63.00
$0.00
0.00%
$115.00
$115.00
$0.00
0.00%
$140.00
$0.00
0.00%
$243.00
$243.00
$0.00
0.00%
$21.00
$0.00
0.00%
$46.00
$46.00
$0.00
0.00%
$112.00
$0.00
0.00%
$193.00
$193.00
$0.00
0.00%
$924.00
$0.00
0.00%
$1,592.00
$1,592.00
$0.00
0.00%
$28.00
$0.00
0.00%
$57.00
$57.00
$0.00
0.00%
$469.00
$0.00
0.00%
$815.00
$815.00
$0.00
0.00%
$749.35
$0.00
0.00%
$1,288.35
$1,288.35
$0.00
0.00%
$9,835.35
$0.00
0.00%
$16,928.35
$16,928.35
$14,812.24
183.43%
$53,531.40
$14,812.24
27.67%
$94,046.40
$79,234.16
$14,812.24
183.43%
$53,531.40
$14,812.24
27.67%
$94,046.40
$79,234.16
$19,044.01
189.81%
$67,238.00
$19,044.01
28.32%
$117,558.00
$98,513.99