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LJUL,UOjyl I CI I VOIUFIC IU. 4v J04D0 1-J/ Jr-4OUL-.70D I - I I C I r04OU4 I J
<br />State of Washington, Department of Ecology
<br />IAA No. C2500178
<br />Entity Name: Kittitas County Public Health
<br />Section 11: Invoicing
<br />Invoice (billing) procedures are outlined in the Interagency Agreement, (see Section 4 Billing and
<br />Payment Procedures). In addition, the following information is provided:
<br />• See also Appendix A, Statement of Work, Section 5: PRP and Appendix A, Statement of Work,
<br />Section 10: Small Change Voucher Program for additional information on submitting invoices
<br />and reimbursement requests for those programs.
<br />■ The Invoice Voucher (form A19-1A) (Link in Appendix A, Statement of Work, Section 12:
<br />Resources) must have an approved electronic signature method if submitted electronically.
<br />Acceptable signature formats include the following.
<br />o Adobe Acrobat Certificate -Based Signature, which requires BOTH a scanned signature
<br />image and Adobe information. Signers do not need an Adobe PRO license, only the
<br />person preparing the document for their signature needs an Adobe PRO license.
<br />o Scanned image of signature. Copy and paste the scanned wet signature into the document
<br />itself.
<br />o Typed name and "signed electronically" with the signature date included in the signature
<br />line.
<br />o Other methods approved by Ecology.
<br />• If submitting a scanned or electronic copy, the CONTRACTOR will retain the original signed
<br />A 19-1 A in CONTRACTOR's records, per ECOLOGY'S record retention requirements.
<br />• Supporting documentation may be submitted via email to Kristine Ray (kray46 i ct ecy.wa.gov
<br />and Andy Maher(an nia461 ec .wa. ov . Refer to Section 3 Compensation for additional details
<br />on what is required for supporting documentation.
<br />• Each invoice shall only bill for actual hours worked during the quarter, which may be higher or
<br />lower than the FTE estimate in Appendix A, Statement of Work, Section 1, Introduction, Table
<br />1.2 — Key Staff Table. Actual hours worked should include dates worked, staff names, titles,
<br />hourly salary/benefit rate, hours worked, final $.
<br />• Quarterly invoicing will follow the schedule in Table 11.1, Invoicing Schedule.
<br />Tahle 11.1: In` oicinor Schedule
<br />Quarter in Contract Cycle
<br />Months in Quarter
<br />Invoice Due Date
<br />November 10, 2025
<br />1
<br />July, August, September 2025
<br />2
<br />October, November, December 2025
<br />February 10, 2026
<br />3
<br />January, February, March 2026
<br />May 11, 2026
<br />4
<br />April, May, June 2026
<br />July 31, 2026*
<br />5
<br />July, August, September 2026
<br />November 10, 2026
<br />6
<br />October, November, December 2026
<br />February 10, 2027
<br />7
<br />January, February, March 2027
<br />May 10, 2027
<br />8 April, May, June 2027 July 30, 2027*
<br />* - Earlier due date during these quarters due to end of fiscal year requirements.
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<br />Version 4/14/25 (Access Equity)
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