2._RRH_Budget_Form.xlsx

XLSX spreadsheet 484 KB Posted Sep 4, 2026

Attached to: Rapid Rehousing Services
Solicitation number: RFP-017-3080101-EA
Issued by: Orange County, San Francisco City, California

About this file

Written by GovTribe AI · Sep 29, 2026

This is a budget form and narrative proposal for Rapid Rehousing Services (HPSP) administered by Orange County United Way in collaboration with the County of Orange, Office of Care Coordination. The program proposes to deliver prevention and stabilization services to Orange County residents at risk of homelessness through direct financial assistance and case management across five supervisorial districts. The contract covers two fiscal periods: January 1, 2027 through June 30, 2027, and July 1, 2027 through June 30, 2028. The program anticipates serving 226 individuals across the two-year contract term and will be delivered through five district-specific service providers (Abrazar, Families Forward, Mercy House, Pathways of Hope, and South County Outreach), with referrals and assessments facilitated through 211OC. The budget form shows zero budgeted amounts for all line items, indicating this is a draft or template awaiting completion with actual cost data.

The budget structure allocates 0.25 FTE for an HPSP Program Manager and 0.5 FTE for a 211OC Information & Referral Specialist, funded directly through the County contract, supplemented by 4.5 FTE district-specific case managers employed by the subcontracting service providers. Orange County United Way will contribute leveraged funding including an additional 0.25 FTE Program Manager, 0.5 FTE Information & Referral Specialist, 0.9 FTE District Specific Case Management Supervisors, direct financial assistance, stabilization payments, technology enhancements, and administrative support. The program employs a 10% de minimis rate for indirect costs and a 20% benefits rate for staff covering FICA, workers compensation, and health benefits. Direct Financial Assistance and Stabilization Payments total $1,979,872 across the two-year contract period, with no revenue sources currently identified in the budget template.

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Other files

File	Type	Posted
Rapid_Rehousing_Services_(Addendum_#4_Revision).pdf	PDF	Oct 1, 2026
Budget_Forms_12_month.xlsx	XLSX spreadsheet	Oct 1, 2026
Budget_Forms_6_month.xlsx	XLSX spreadsheet	Oct 1, 2026
Rapid_Rehousing_Services_(Addendum_#2_Revision).pdf	PDF	Sep 16, 2026
4._Model_Contract.pdf	PDF	Sep 4, 2026
1._Homeless_Service_System_Pillars_Attestation.pdf	PDF	Sep 4, 2026
3._Standards_of_Care.pdf	PDF	Sep 4, 2026

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Procurement Budget Guide Proposal and Budget Guide tc={E02103C8-D01F-48DF-B26F-2CC792621004}: [Threaded comment]

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Comment:

@Axe, Eric I updated this page with the changes we discussed.

Indirect/Administrative Costs Narrative	Are those costs: (a) incurred for a common or joint purpose of benefiting more than one cost objective (i.e. more than one program or contract), and (b) not directly attributable to the cost of providing direct services (i.e. supportive services such as administrative management, fiscal, human resources, etc.). The Indirect/Administrative Costs cannot exceed a maximum percentage (%) of the program costs or as directed in the RFP and/or by Funding Source for the total program costs.
Cost Allocation Plan	Narrative that details all costs, including a key for cost centers to distinguish costs that are to be allocated under the proposal..
Salaries & Benefits Narrative/Details (Including Leave Accrual)	Explain in detail who in your organization is paid under this contract and provide detailed information and percentages for employee benefits and taxes. Leave Accrual: Explain the vacation/other leave accrual and charging process that your organization uses.
Budget Narrative/Details	Include Staffing and Services & Supplies (S&S) narrative. Staffing: Narrative must describe each position in the contract (Administrative & Program) and their function(s). S&S: Give specific details on each budget line requested (Administrative & Program). Any variances from your current agreement needs to be explained for both the staffing and S&S.

Program Description Documents
	Program Organization Chart	Chart should be Program specific and include Title, Staff Name (if known), FTE.
	Job Descriptions	Job Descriptions need to be specific to the program being proposed and their function in the program. If you propose subcontracts include information on their job function; including term, hourly rate, total cost, and scope of work. Remember: Job Descriptions need to match the titles and details provided in the Staffing S&EB section.
	Program Narrative/Goals	Provide a brief description of your program (including philosophy, rationale and staffing narrative). The what and why of your program. What are your objectives and goals? Provide information on structured activities. How do you evaluate your program's success and improve any barriers/failures?
	Staffing Patterns	Staffing should include items such as FTEs and productivity levels for each position.

Proposal Reminders
Narratives	Narratives need to be clearly written and well thought out; they should explain and mirror your strategic program plan and goals.
Inputting Information	All inputs must be hard coded. Do not use any links or formulas to input any information into the budget package.
Questions/Clarifications	If you have any questions or need clarification regarding completing your budget package and documents, please contact the Procurement Administrator for clarification.
Final Review and Completion	Have your team conduct a final review/edit of the Proposed Budget package prior to submission.

@Axe, Eric I updated this page with the changes we discussed.

P1 Budget

BUDGET AND MAXIMUM OBLIGATION WORKSHEET

Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth

Orange County, California

FY 2026-2027

	VARIANCE
PROPOSED

Uyeda, Brian: Contract Administrator:

Amounts must match the original proposal. REVISED Uyeda, Brian: Contract Administrator:

Change to read "Approved" following negotiations and finalizing the budget and staffing. REVISED Uyeda, Brian: Contract Administrator:

Change to read "Approved" following negotiations and finalizing the budget and staffing.	Percentage
		BUDGET	BUDGET	VS.	Increase/
		FY 2026-2027	FY 2026-2027	PROPOSED	Decrease
	ADMINISTRATIVE COSTS
	Salaries	$0	$0	$0	0.0%
	Benefits	$0	$0	$0	0.0%
	Services & Supplies	$0	$0	$0	0.0%
	Professional Services	$0	$0	$0	0.0%
	Indirect Costs	$0	$0	$0	0.0%
	SUBTOTAL ADMIN COSTS	$0	$0	$0	0.0%
	Percent Administrative Cost to Program Cost	0.0%	0.0%	0.0%

PROGRAM COSTS
Salaries	$0	$0	$0	0.0%
Benefits	$0	$0	$0	0.0%
Services & Supplies	$0	$0	$0	0.0%
Subcontractors	$0	$0	$0	0.0%
Flexible Funds	$0	$0	$0	0.0%
SUBTOTAL PROGRAM COSTS	$0	$0	$0	0.0%
Start-Up Costs	$0	$0	$0	0.0%
TOTAL GROSS COSTS	$0	$0	$0	0.0%

REVENUES

Uyeda, Brian: Contract Administrator: All Requested Revenue funding amounts are obtained from the Approved NOE and subject to modification pending negotiations.

Uyeda, Brian: Contract Administrator:

Amounts must match the original proposal.

Uyeda, Brian: Contract Administrator:

Change to read "Approved" following negotiations and finalizing the budget and staffing.

Uyeda, Brian: Contract Administrator:

Change to read "Approved" following negotiations and finalizing the budget and staffing.			ERROR:#REF!	ERROR:#REF!
	Federal Medi-Cal (FFP)	$0		$0	0.0%	FFP %	0.00%	0.00%
	Medi-Cal Match	$0		$0	0.0%	State %	0.00%	0.00%
	SubTotal Medi-Cal	$0	$0	$0	0.0%
	% Medi-Cal Offset	0.0%	0.0%

Other Revenue (Patient Fees/Insurance)			$0	0.0%
Other Revenue (MHSA)			$0	0.0%
Other Revenue (County Discretionary)			$0	0.0%
Other Revenue_______________			$0	0.0%
Other Revenue_______________			$0	0.0%
SubTotal Other Revenue	$0	$0	$0	0.0%

Total Revenue	$0	$0	$0	0.0%
	0.0%	0.0%
State Funds	$0	$0	$0	0.0%
(Total Cost - Total Revenue)	0.0%	0.0%

Maximum Obligation	$0	$0	$0	0.0%
(Total Revenue + State Funds)	0.0%	0.0%

	PROPOSED	REVISED	VARIANCE
	BUDGET	BUDGET	REVISED
Cost/Minute Calculation	FY 2026-2027	FY 2026-2027	VS. PROPOSED
Total Contract DSH	0	0	0
Total Gross Cost	$0	$0	$0
Total Minutes	0	0	0
Cost/Min	$0.00	$0.00	$0.00

DSH Workload Standards
MH Services	0	0	0
Medication Services	0	0	0
TOTAL	0	0	0

Caseload Standard 0.00 0.00 0.00

&"Times,Bold"&8&F &"Times,Bold"&8&P of &N &"Times,Bold"&8Prepared By: Contract Administrator Draft: Date &A

P1 Staffing

STAFFING WORKSHEET

Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth

Orange County, California

FY 2026-2027

VARIANCE PROPOSED

Uyeda, Brian: Contract Administrator:

Amounts must match the

original proposal.	REVISED	VARIANCE
			PROPOSED

Uyeda, Brian: Contract Administrator:

Amounts must match the original proposal. REVISED REVISED MONTHLY MONTHLY REVISED PROPOSED Uyeda, Brian: Contract Administrator:

Amounts must match the

original proposal.	REVISED		VARIANCE			VARIANCE
		FTE	FTE	vs. PROPOSED	SALARY	SALARY	vs. PROPOSED	VARIANCE EXPLANATION

Uyeda, Brian: All variances must be explained and included in this column. Please do not reference line-item variance explanations as being addressed in your narratives.

Variance explanations should be clear and concise. Some examples are as follows:

FTE

"Increased staffing required to serve an additional _____ clients/slots."

"New proposed position due to _____."

S&EB

"Proposed merit increase of ___%."

"New position due to _____."

S&S "Historic usage shows increase/decrease of funds required."

"Allocation cost for this line increased/decreased due to proposed increase/decrease in FTE."

DSH & Caseload "Reduced DSH and caseload due to ______."

"New proposed DSH producing position due to_____."

Uyeda, Brian: Contract Administrator:

Amounts must match the original proposal.

Uyeda, Brian: Contract Administrator:

Amounts must match the

original proposal.				BENEFITS	BENEFITS	PROPOSED	REVISED	REVISED	PROPOSED	REVISED	REVISED
		POSITION TITLE, IF AVAILABLE NAME, LICENSE/DEGREE	FY 2026-2027	FY 2026-2027	FTE	FY 2026-2027	FY 2026-2027	SALARY	(FTE, Salary, DSH, and Caseload)	FY 2026-2027	FY 2026-2027	MONTHLY DSH	MONTHLY DSH	vs. PROPOSED	CASELOAD	CASELOAD	vs. PROPOSED
		DIRECT ADMINISTRATION
	1	0.000	0.00		0.00	$0.00		$0.00		$0.00
	2	0.000	0.00		0.00	$0.00		$0.00		$0.00
	3	0.000	0.00		0.00	$0.00		$0.00		$0.00
	4	0.000	0.00		0.00	$0.00		$0.00		$0.00
	5	0.000	0.00		0.00	$0.00		$0.00		$0.00
	6	0.000	0.00		0.00	$0.00		$0.00		$0.00
	7	0.000	0.00		0.00	$0.00		$0.00		$0.00
	8	0.000	0.00		0.00	$0.00		$0.00		$0.00
	9	0.000	0.00		0.00	$0.00		$0.00		$0.00
	10	0.000	0.00		0.00	$0.00		$0.00		$0.00
	11	0.000	0.00		0.00	$0.00		$0.00		$0.00
	12	0.000	0.00		0.00	$0.00		$0.00		$0.00
	13	0.000	0.00		0.00	$0.00		$0.00		$0.00
	14	0.000	0.00		0.00	$0.00		$0.00		$0.00
	15	0.000	0.00		0.00	$0.00		$0.00		$0.00
	16	0.000	0.00		0.00	$0.00		$0.00		$0.00
	17	0.000	0.00		0.00	$0.00		$0.00		$0.00
	18	0.000	0.00		0.00	$0.00		$0.00		$0.00
	19	0.000	0.00		0.00	$0.00		$0.00		$0.00
	20	0.000	0.00		0.00	$0.00		$0.00		$0.00
		Subtotals Direct Administration	0.00	0.00	0.00	$0.00	$0.00	$0.00		$0.00	$0.00

	PROGRAM ADMINISTRATION
1	0.000	0.00		0.00	$0.00		$0.00	$0.00
2	0.000	0.00		0.00	$0.00		$0.00	$0.00
3	0.000	0.00		0.00	$0.00		$0.00	$0.00
4	0.000	0.00		0.00	$0.00		$0.00	$0.00
5	0.000	0.00		0.00	$0.00		$0.00	$0.00
6	0.000	0.00		0.00	$0.00		$0.00	$0.00
7	0.000	0.00		0.00	$0.00		$0.00	$0.00
8	0.000	0.00		0.00	$0.00		$0.00	$0.00
9	0.000	0.00		0.00	$0.00		$0.00	$0.00
10	0.000	0.00		0.00	$0.00		$0.00	$0.00
11	0.000	0.00		0.00	$0.00		$0.00	$0.00
12	0.000	0.00		0.00	$0.00		$0.00	$0.00
13	0.000	0.00		0.00	$0.00		$0.00	$0.00
14	0.000	0.00		0.00	$0.00		$0.00	$0.00
15	0.000	0.00		0.00	$0.00		$0.00	$0.00
16	0.000	0.00		0.00	$0.00		$0.00	$0.00
17	0.000	0.00		0.00	$0.00		$0.00	$0.00
18	0.000	0.00		0.00	$0.00		$0.00	$0.00
19	0.000	0.00		0.00	$0.00		$0.00	$0.00
20	0.000	0.00		0.00	$0.00		$0.00	$0.00
	Subtotals Program Admininstration	0.00	0.00	0.00	$0.00	$0.00	$0.00	$0.00	$0.00

	DIRECT NON-DSH PROGRAM
1	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
2	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
3	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
4	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
5	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
6	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
7	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
8	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
9	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
10	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
11	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
12	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
13	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
14	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
15	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
16	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
17	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
18	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
19	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
20	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
21	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
22	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
23	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
24	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
25	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
26	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
27	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
28	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
29	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
30	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
31	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
32	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
33	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
34	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
35	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
36	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
37	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
38	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
39	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
40	0.000	0.00		0.00	$0.00		$0.00	$0.00		0		0
	Subtotals Direct Non-DSH Program	0.00	0.00	0.00	$0.00	$0.00	$0.00	$0.00	$0.00	0	0	0

	DIRECT DSH PROGRAM (NON-MEDICATION SUPPORT SERVICES)
1	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
2	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
3	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
4	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
5	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
6	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
7	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
8	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
9	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
10	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
11	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
12	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
13	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
14	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
15	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
16	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
17	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
18	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
19	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
20	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
21	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
22	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
23	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
24	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
25	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
26	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
27	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
28	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
29	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
30	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
31	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
32	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
33	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
34	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
35	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
36	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
37	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
38	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
39	0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
40	0.00	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
	Subtotals Direct DSH Program	0.00	0.00	0.00	$0.00	$0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0
	(Non-Medication Support Services)

DIRECT DSH PROGRAM (MEDICATION SUPPORT SERVICES*)
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
0.000	0.00		0.00	$0.00		$0.00	$0.00		0	0	0	0		0
Subtotal Direct DSH Program	0.00	0.00	0.00	$0.00	$0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0
(Medication Support Services)

	PROGRAM SUBCONTRACTORS
1	0.000	0.00		0.00	$0.00	$0.00	$0.00
2	0.000	0.00		0.00	$0.00	$0.00	$0.00
3	0.000	0.00		0.00	$0.00	$0.00	$0.00
4	0.000	0.00		0.00	$0.00	$0.00	$0.00
5	0.000	0.00		0.00	$0.00	$0.00	$0.00
6	0.000	0.00		0.00	$0.00	$0.00	$0.00
7	0.000	0.00		0.00	$0.00	$0.00	$0.00
8	0.000	0.00		0.00	$0.00	$0.00	$0.00
9	0.000	0.00		0.00	$0.00	$0.00	$0.00
10	0.000	0.00		0.00	$0.00	$0.00	$0.00
11	0.000	0.00		0.00	$0.00	$0.00	$0.00
12	0.000	0.00		0.00	$0.00	$0.00	$0.00
13	0.000	0.00		0.00	$0.00	$0.00	$0.00
14	0.000	0.00		0.00	$0.00	$0.00	$0.00
	Subtotals Non-DSH Subcontractors	0.00	0.00	0.00	$0.00	$0.00	$0.00

	DSH Subcontractors (Non-Medication Support Services)
15	0.000	0.00		0.00	$0.00		$0.00	0	0	0
16	0.000	0.00		0.00	$0.00		$0.00	0	0	0
17	0.000	0.00		0.00	$0.00		$0.00	0	0	0
18	0.000	0.00		0.00	$0.00		$0.00	0	0	0
19	0.000	0.00		0.00	$0.00		$0.00	0	0	0
20	0.000	0.00		0.00	$0.00		$0.00	0	0	0
21	0.000	0.00		0.00	$0.00		$0.00	0	0	0
22	0.000	0.00		0.00	$0.00		$0.00	0	0	0
23	0.000	0.00		0.00	$0.00		$0.00	0	0	0
24	0.000	0.00		0.00	$0.00		$0.00	0	0	0
25	0.000	0.00		0.00	$0.00		$0.00	0	0	0
26	0.000	0.00		0.00	$0.00		$0.00	0	0	0
	Subtotal DSH Subcontractors	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0
	(Non-Medication Support Services)

	DSH Subcontractors (Medication Support Services)
28	0.000	0.00		0.00	$0.00		$0.00	0		0
29	0.000	0.00		0.00	$0.00		$0.00	0		0
30	0.000	0.00		0.00	$0.00		$0.00	0		0
31	0.000	0.00		0.00	$0.00		$0.00	0		0
32	0.000	0.00		0.00	$0.00		$0.00	0		0
33	0.000	0.00		0.00	$0.00		$0.00	0		0
34	0.000	0.00		0.00	$0.00		$0.00	0		0
35	0.000	0.00		0.00	$0.00		$0.00	0		0
36	0.000	0.00		0.00	$0.00		$0.00	0		0
37	0.000	0.00		0.00	$0.00		$0.00	0		0
38	0.000	0.00		0.00	$0.00		$0.00	0		0
39	0.000	0.00		0.00	$0.00		$0.00	0		0
	Subtotal DSH Subcontractors	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0
	(Medication Support Services)

SUMMARY
ADMINISTRATION
Direct Administration	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0
Program Administration	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0
TOTAL ADMINISTRATION	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0

PROGRAM
Direct Non-DSH Program	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0
Direct DSH Program (Non-Medication Support Services)	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0
*Direct DSH Program (Medication Support Services)	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0
TOTAL PROGRAM	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0

SUBCONTRACTORS
Non-DSH Subcontractors	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0
DSH Subcontractors (Non-Medication Support Services)	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0
*DSH Subcontractors (Medication Support Services)	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0
TOTAL SUBCONTRACTORS:	0.00	0.00	0.00	$0.00	$0.00	$0.00	0	0	0	0	0	0

TOTAL CONTRACT 0.00 0.00 0.00 $0.00 $0.00 $0.00 0 0 0 0 0 0

DSH STAFF CALCULATION
	FTE	ANNUAL DSH	Modified DSH	If modified please provide supporting documentation:
Mental Health Services	0.00	0
*Medication Support Services	0.00	0
Total Contract DSH Staff	0.00	0	0

*Should only include MD's (Psychiatrists) and Licensed Nurse Practioners.

&"Times,Bold"&8&F &"Times,Bold"&8&P of &N &"Times,Bold"&8Prepared By: Contract Administrator

P1 S&S

SERVICES AND SUPPLIES ANALYSIS

Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth

Orange County, California

FY 2026-2027

	VARIANCE
PROPOSED

Uyeda, Brian: Contract Administrator:

Amounts must match the

original proposal.	REVISED	REVISED
		BUDGET	BUDGET	VS.
		FY 2026-2027	FY 2026-2027	PROPOSED	VARIANCE EXPLANATION

Uyeda, Brian: All variances must be explained and included in this column. Please do not reference line-item variance explanations as being addressed in your narratives.

Variance explanations should be clear and concise. Some examples are as follows:

Office Space - "Increased due to renegotiated lease agreement."

Equipment - "Increased due to 3 new laptop computers for new proposed program staff."

Program Supplies - "Reduced due to historical usage and savings reallocated to Equipment."

Uyeda, Brian: Contract Administrator:

Amounts must match the original proposal. ADMINISTRATIVE SERVICES AND SUPPLIES

Equipment( Lease) (from page 5)	$0	$0	$0
Equipment (Owned) (from page 5)	$0	$0	$0
Office Space (from page 5)	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
0	$0	$0	$0
Subtotal Admin. Services & Supplies	$0	$0	$0

PROGRAM SERIVCES AND SUPPLIES

Equipment( Lease) (from page 5)	$ - 0	$0	$0
Equipment (Owned) (from page 5)	$ - 0	$0	$0
Office Space (from page 5)	$ - 0	$0	$0
Direct Financial Assistance - District 1	$	$0	ERROR:#VALUE!
Direct Financial Assistance - District 2	$	$0	ERROR:#VALUE!
Direct Financial Assistance - District 3	$	$0	ERROR:#VALUE!
Direct Financial Assistance - District 4	$	$0	ERROR:#VALUE!
Direct Financial Assistance - District 5	$	$0	ERROR:#VALUE!
Stabilization Payments - District 2	$	$0	ERROR:#VALUE!
Stabilization Payments - District 3	$	$0	ERROR:#VALUE!
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
0	$ - 0	$0	$0
Subtotal Program Services & Supplies	$0	$0	ERROR:#VALUE!

Flex Fund Detail (For MHSA Agreements only)
Housing	$ -	$0	$0
Transportation	$ -	$0	$0
Food	$ -	$0	$0
Education	$ -	$0	$0
Employment	$ -	$0	$0
Health	$ -	$0	$0
Clothing	$ -	$0	$0
Enrichment Activities	$ -	$0	$0
Residential Treatment	$ -	$0	$0
Miscellaneous/Other	$ -	$0	$0
Other __________________	$ -	$0	$0
Flex Fund Totals	$0	$0	$0

&"Times,Bold"&8&F &"Times,Bold"&8&P of &N &"Times,Bold"&8Prepared By: Contract Administrator

P1 Start-Up

Start-Up Costs

Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth

Orange County, California

FY 2026-2027

	VARIANCE
PROPOSED

Uyeda, Brian: Contract Administrator:

Amounts must match the original proposal.		REVISED	REVISED
				BUDGET	BUDGET	VS.
	ADMINISTRATIVE COSTS

Uyeda, Brian: Contract Administrator:

Titles must match the original proposal. FY 2026-2027 FY 2026-2027 PROPOSED VARIANCE EXPLANATION Uyeda, Brian: All variances must be explained and included in this column.

Variance explanations should be clear and concise. Some examples are as follows:

Office Space - "Increased due to renegotiated lease agreement since proposal was submitted."

Equipment - "Increased due to 3 new laptop computers for additional proposed 3.0 FTE program staff."

Program Supplies - "Increased due to additional proposed 3.0 FTE program staff."

Uyeda, Brian: Contract Administrator:

Titles must match the original proposal.

Uyeda, Brian: Contract Administrator:

Amounts must match the original proposal.	Salaries	-	$0	$0
	Benefits	-	$0	$0
	Indirect	-	$0	$0
	Sub Total Administration	$0	$0	$0

Services and Supplies
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
Sub Total Admin. Services & Supplies	$0	$0	$0

Subtotals Admininistrative Start-up Costs $0 $0 $0

PROGRAM COSTS
Salaries	-	$0	$0
Benefits	-	$0	$0
Indirect	-	$0	$0
Sub Total Program	$0	$0	$0

Services and Supplies
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
0	-	$0	$0
Sub Total Program Services and Supplies	$0	$0	$0
Subtotals Program Start-up Costs	$0	$0	$0

Grand Total Start-up Costs $0 $0 $0

CA Analysis Notes

Orange County, California

CA Analysis Renewal Notes

&"Times,Bold"&8&F &"Times,Bold"&8&P of &N &"Times,Bold"&8Prepared By: Contract Administrator

P1 - Proposed Summary

		DUE DATE:
CONTRACT BUDGET PROPOSAL PACKAGE
	January 1, 2027 - June 30, 2027

				PROGRAM SUMMARY
TO:	CEO - PROCUREMENT	FROM:
	COUNTY PROCUREMENT OFFICE		(Contractor's Corporate Name as Listed on Articles of Incorporation)
	OFFICE OF CARE COORDINATION
	400 W. CIVIC CENTER DR. 3RD FL		(Street Address of Admin. Offices)
	SANTA ANA, CA 92701
			(City, State, Zip Code)		(Telephone)
NOTE: This document contains automatic links.
Enter values/information only into the GREEN SHADED areas			(Profit/Non-Profit/Other)

TYPE OF CONTRACT: Actual Cost Reimbursement

		PROGRAM	ADMIN	FY 2026-2027	FY 2026-2027
		FTE	FTE	TOTAL PROPOSED	TOTAL REVISED
NAME AND LOCATION	Services(*)	STAFF	STAFF	BUDGET	COSTS

0
Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth	8) Other (Specify below)	0.00	0.00	$0	$0
Orange County, California

GRAND TOTALS: 0.00 0.00 $0 $0

SERVICES (*)		Select	BEHAVIORAL_HEALTH	PUBLIC_HEALTH	CORRECTIONAL_HEALTH	MEDICAL_SERVICES	SUBSTANCE_USE_DISORDER
Area:			1) Outpatient	1) ADEPT	1) Radiology	1) MSI	1) PSN
	AUTHORIZED SIGNATURE		2) Full Service Partnership	2) TUPP		2) EMSF	2) Post Custody
Program:			3) Wraparound	3) HIV Care Srvs (Specify below)		3) HDM	3) Sober Living
8) Other (Specify below)	The undersigned hereby acknowledges: "I have read and understand the contents of the		4) In-Home Crisis Stabilization	4) HIV Prevention (Specify below)		4) Ambulance	4) AB 109
Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth	attached budget request for County funding for the contract period specified above.		5) Crisis Residential	5) HIV Specialty Srv. (Specify below)		5) CCS	5) Narcotic Repl.
	It is correct to the best of my knowledge and represents the organization's proposal for		6) Outreach & Engagement	6) Communicable Disease Services			6) Straight Talk
	the provision of services to the County. I also hereby certify that I have the authority to submit		7) Prevention & Intervention	7) Nutrition Services			7) Res. Recovery
	this information on behalf of the organization".		8) Supported Employment	8) Other (Specify below)			8) Res Recov. & Detox
			9) Multi-Service Center				9) Outpatient Services

		10) Training	10) CalWORKS
Authorized Representative	Date	11) Mentoring
		12) CalWorks
		13) SSI Outreach
		14) Representative Payee
		15) Patient Advocate
		16) Other (specify below)

&"Times,Bold"&8&F &"Times,Bold"&8&P of &N &"Times,Bold"&8Prepared By: Contract Administrator

P1 - Proposed Budget

	Due Date:
CONTRACT BUDGET PACKAGE
January 1, 2027 - June 30, 2027

TO:	CEO - PROCUREMENT	FROM:	0
	COUNTY PROCUREMENT OFFICE		(Corporate Name as Listed on Articles of Incorporation)
	OFFICE OF CARE COORDINATION		0
	400 W. CIVIC CENTER DR. 3RD FL		(Street Address of Admin. Offices)
	SANTA ANA, CA 92701		0	0
			(City, State, Zip Code)	(Telephone)
			UEI# by Location

Daniel Vu: Daniel Vu:

UNIQUE ENTITY IDENTIFIER

Tax ID#

NPI #

NOTE: This document contains automatic links.					FY 2026-2027	FY 2026-2027
Enter values/information into the GREEN SHADED areas only
			PROGRAM	ADMIN	CONTRACT	CONTRACT
	PROGRAM NAME		FTE STAFF	FTE STAFF	TOTAL PROPOSED	TOTAL REVISED
	AND LOCATION	SERVICES	PROPOSED	PROPOSED	BUDGET	COSTS

0 8) Other (Specify below) 0.00 0.00 $0 $0

	Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth
	Orange County, California
	N/A
BUDGET SUMMARY
12 MONTH REQUESTED BUDGET
January 1, 2027 - June 30, 2027
	PROVIDER:	0
		(Corporate Name as Listed on Articles of Incorporation)
		0
		(Street Address of Admin. Offices)
		0		0
		(City, State, Zip Code)		(Telephone)
					PROPOSED
	I. ADMINISTRATION COSTS				TOTAL
		A. Salaries			$0
		B. Benefits			$0
		C. Services and Supplies			$0
		D. Professional Services Costs			$0
		E. Indirect Costs			$0
			F. Subtotal (I.A. thru E.) **		$0

** (Administration Costs cannot exceed a maximum of 10%, or as directed by Funding Source of total Program costs)

II. PROGRAM COSTS
	A. Salaries		$0
	B. Benefits		$0
	C. Services and Supplies		$0
	D. Subcontractor Costs		$0
	E. Flexible Funds		$0
	F. Start-Up Funds		$0
		G. Subtotal (II.A. thru F.)	$0

III. TOTAL COSTS (I.F. + II.F.) $0

IV. REVENUE FUNDING $0

V. NET COST (III. - IV.) $0

VI. CONTRACT AMOUNT	Gross Cost	$0
	Net Cost	$0

ADMINISTRATIVE SERVICES AND SUPPLIES DETAIL

PROVIDER:	0
PROGRAM NAME:	Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth
LOCATION:	Orange County, California

NOTE: INCLUDE ADMINISTRATION COSTS ONLY. DO NOT INCLUDE DIRECT PROGRAM COSTS.

	FY 2026-2027
	TOTAL PROPOSED
SERVICES AND SUPPLIES	BUDGET

1	Equipment( Lease) (from page 5)		$ - 0
2	Equipment (Owned) (from page 5)		$ - 0
3	Office Space (from page 5)		$ - 0
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
		SERVICES AND SUPPLIES SUBTOTAL	$ - 0

* Indicate your food cost per client per day if applicable:

** Indicate your reimbursement rate per mile:

PROGRAM SERVICES AND SUPPLIES DETAIL

	PROVIDER:	0
	PROGRAM NAME:	Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth
	LOCATION:	Orange County, California
NOTE: DO NOT INCLUDE ADMINISTRATION COSTS. INCLUDE DIRECT PROGRAM COSTS ONLY.

	FY 2026-2027
	TOTAL PROPOSED
SERVICES AND SUPPLIES	BUDGET

1	Equipment( Lease) (from page 5)		$ - 0
2	Equipment (Owned) (from page 5)		$ - 0
3	Office Space (from page 5)		$ - 0
4	Direct Financial Assistance - District 1		$
5	Direct Financial Assistance - District 2		$
6	Direct Financial Assistance - District 3		$
7	Direct Financial Assistance - District 4		$
8	Direct Financial Assistance - District 5		$
9	Stabilization Payments - District 2		$
10	Stabilization Payments - District 3		$
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
		SERVICES AND SUPPLIES SUBTOTAL	$ - 0

* Indicate your food cost per client per day if applicable:

** Indicate your reimbursement rate per mile:

		FY 2026-2027
		REQUESTED
***	Flex Fund Detail (For MHSA Agreements only)	BUDGET

1	Housing
2	Transportation
3	Food
4	Education
5	Employment
6	Health
7	Clothing
8	Enrichment Activities
9	Residential Treatment
10	Miscellaneous/Other
11	Other __________________
	Flex Fund Totals	$0

*** Discuss with Contract Administrator if you have any questions.

	FY 2026-2027
	REQUESTED
Start-Up Details	BUDGET

	Administration
1	Salaries	-
2	Benefits
3	Indirect
	Sub Total Administration	$0

	Services and Supplies
4		-
5
6
7
8
9
10
11
12
13
	Sub Total Admin. Services & Supplies	$0
	Total Administration Start-up	$0

	Program
1	Salaries	-
2	Benefits
3	Indirect
	Sub Total Program	$0

	Services and Supplies
4		-
5
6		-
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
	Sub Total Program Services & Supplies Start-up	$0
	Subtotals Program Start-up Costs	$0

Grand Total Start-up Costs $0

REVENUE DETAIL

INDICATE BUDGETED REVENUE AND EXPLAIN THE BASIS FOR THESE PROJECTIONS.

				Amount
		FY 2026-2027	FY 2026-2027	of
		Budgeted	Proposed	Increase	%
		Revenue	Revenue	(Decrease)	Change
CLIENT FEES		$ -	$ - 0	$ - 0	0.0%
RESIDENTIAL/PARTICIPANT FEES		$ -	$ - 0	$ - 0	0.0%
INSURANCE		$ -	$ - 0	$ - 0	0.0%
MEDI-CAL (FFP and State Match)	CalAIM (TBD)	$ -	$ - 0	$ - 0	0.0%
MEDICARE		$ -	$ - 0	$ - 0	0.0%
FOOD STAMPS		$ -	$ - 0	$ - 0	0.0%
DONATIONS		$ -	$ - 0	$ - 0	0.0%
SDI		$ -	$ - 0	$ - 0	0.0%
OTHER (County Discretionary)		$ -	$ - 0	$ - 0	0.0%
OTHER (MHSA)		$ -	$ - 0	$ - 0	0.0%
TOTAL REVENUE		$0	$0	$ - 0	0.0%

UNRESTRICTED DONATIONS:	$ -	$ - 0	$ - 0
% CLIENTS MEDI-CAL ELIGIBLE:	0.0%	0.0%	0.0%

REMARKS:

FACILITY EXPENSE DETAIL

PROVIDER:	0
PROGRAM NAME:	Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth
LOCATION:	Orange County, California

OFFICE SPACE

In the space below, describe the basis for budgeting costs of program facilities and office space. Include leases, mortgages, and

property tax as applicable. If an allocation is made between the program(s) applied for herein and another program, indicate

the basis for this allocation. Costs should reflect annualized amounts.

FY 2026-2027
		Total	Proposed
Location		Facility	Allocation
	GROSS SQUARE FOOTAGE			MORTGAGE INTEREST
	LEASE/RENT EXPENSE			PROPERTY TAXES
	GROSS SQUARE FOOTAGE			MORTGAGE INTEREST
	LEASE/RENT EXPENSE			PROPERTY TAXES
	GROSS SQUARE FOOTAGE			MORTGAGE INTEREST
	LEASE/RENT EXPENSE			PROPERTY TAXES
	GROSS SQUARE FOOTAGE			MORTGAGE INTEREST
	LEASE/RENT EXPENSE			PROPERTY TAXES
			FY 2026-2027
		Total Contract Cost	$0

Administrative Costs	$0
Program Costs	$0
Other_______	$0
Total Cost	$0

EQUIPMENT OWNED & LEASE DETAIL

List the item description, original cost, and useful life of any item purchased for $2,000 or more that you will be depreciating or

charging to the County contract.

					Amount
		OWNED			to be
	Purchase	or	ORIGINAL	USEFUL	Charged
ITEM	Date	LEASED	COST	LIFE	FY 2026-2027
			-	-
			-	-

	FY 2026-2027
Administrative Amount Owned to be Charged
Administrative Amount of Leased Equipment Expense
Program Amount Owned to be or Charged
Program Amount of Leased Equipment Expense
Total Contract Cost	$0

FINANCIAL/ACCOUNTING INFORMATION

PROVIDER:	0
PROGRAM NAME:	Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth	Select	Select
LOCATION:	Orange County, California	Cash	Yes

Describe your accounting method (select one from drop down box):		Accrual	No
		Modified Accrual
	Accrual

NOTE: Any change in your accounting method over the past year or since last renewal must be carefully considered and requires notification be sent to Contract Administrator.
	Please use remark section below.

LICENSES, PERMITS, APPROVALS

PROVIDER:	0
PROGRAM NAME:	Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth
LOCATION:	Orange County, California

Does your program require a Conditional Use Permit (CUP)? (check one):	No
Expiration Date:

REMARKS:

Facility is located in a zone.

Do you plan to provide services at any new locations? If so, explain where and give zone and CUP or variance information.

State Certification Expiration Date:

Provisional: Unconditional:

If Residential Facility:

Type of License: Expiration Date:

Food Stamp Certification

Expiration Date:

&"Times,Bold"&8&F &"Times,Bold"&8&P of &N &"Times,Bold"&8Prepared By: Contract Administrator

P1 - Proposed Staffing

Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth

Orange County, California

TOTAL

TITLE OF POSITION,

HRs Per

FTE

Monthly

Hourly

Monthly

Percent of

Monthly

Annual

Percent of

Monthly

(IF AVAILABLE NAME OF EMPLOYEE)

Week

percent

Proposed

Salary for

Benefits for

Rate for

Salary for

These Srvc.

Benefits for

Benefits to

Proposed

(IF AVAILABLE LICENSE/DEGREE)

This Program

equivalent

DSH

This Program

All Prgrms.

Annual Salary

Caseload

DIRECT ADMINISTRATION

Wheeler, Vicki: Depending on Services some of the Staffing Categories below may be hid

			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
1
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
2
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
3
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
4
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
5
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
6
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
7
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
8
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
9
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
10
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
11
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
12
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
13
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
14
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
15
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
16
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
17
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
18
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
19
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
20
	Subtotals	0.00	0.00	0.00	$0.00	$0.00	N/A	$0.00	0%	N/A	$0.00	0.0%

													Monthly
													Proposed
	PROGRAM ADMINISTRATION												Caseload
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
1
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
2
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
3
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
4
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
5
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
6
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
7
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
8
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
9
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
10
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
11
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
12
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
13
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
14
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
15
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
16
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
17
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
18
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
19
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	N/A
20
	Subtotals	0.00	0.00	0.00	$0.00	$0.00	N/A	$0.00	0%	N/A	$0.00	0.0%

													Monthly
													Proposed
	Direct PROGRAM:												Caseload
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
1
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
2
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
3
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
4
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
5
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
6
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
7
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
8
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
9
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
10
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
11
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
12
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
13
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
14
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
15
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
16
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
17
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
18
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
19
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
20
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
21
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
22
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
23
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
24
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
25
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
26
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
27
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
28
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
29
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
30
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
31
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
32
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
33
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
34
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
35
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
36
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
37
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
38
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
39
			0.00	N/A	$0.00	$0.00			0%		$0.00	0.0%	0.00
40
	Subtotals	0.00	0.00	0	$0.00	$0.00	N/A	$0.00	0%	N/A	$0.00	0.0%	0.00

													Monthly
	DIRECT DSH PROGRAM (NON-MEDICATION SUPPORT SERVICES)												Proposed Caseload
			0.00		$0.00	$0.00	- 0		0%		$0.00	0.0%	0.00
1
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
2
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
3
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
4
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
5
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
6
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
7
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
8
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
9
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
10
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
11
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
12
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
13
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
14
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
15
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
16
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
17
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
18
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
19
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
20
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
21
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
22
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
23
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
24
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
25
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
26
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
27
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
28
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
29
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
30
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
31
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
32
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
33
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
34
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
35
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
36
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
37
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
38
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
39
			0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
40
	Subtotals	0.00	0.00	0	$0.00	$0.00	N/A	$0.00	0%	N/A	$0.00	0.0%	0.00

														Monthly
		DIRECT DSH PROGRAM (MEDICATION SUPPORT SERVICES)
Uyeda, Brian: This section is only for Non-Subcontract Psychiatrists and Licensed Nurse Practioners providing Medication Support Services.												Proposed Caseload
				0.00		$0.00	$0.00			0%		$0.00	0.0%	0.00
	1
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	2
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	3
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	4
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	5
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	6
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	7
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	8
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	9
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	10
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	11
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	12
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	13
				0.00		$0.00	$0.00			0%	$ - 0	$0.00	0.0%	0.00
	14
		Subtotals	0.00	0.00	0	$0.00	$0.00	N/A	$0.00	0%	N/A	$0.00	0.0%	0

	SUBCONTRACTS:
	Subcontractors	POSITION OR AGENCY:	Total Annual Hours	FTE	Rate Per Hr.	Annual Cost	Monthly Cost	Monthly DSH
1			0	0.00	$	$0.00	$0.00	N/A
2			0	0.00	$	$0.00	$0.00	N/A
3			0	0.00	$	$0.00	$0.00	N/A
4			0	0.00	$	$0.00	$0.00	N/A
5			0	0.00	$	$0.00	$0.00	N/A
6			0	0.00	$	$0.00	$0.00	N/A
7			0	0.00	$ - 0	$0.00	$0.00	N/A
8			0	0.00	$ - 0	$0.00	$0.00	N/A
9			0	0.00	$ - 0	$0.00	$0.00	N/A
10			0	0.00	$ - 0	$0.00	$0.00	N/A
11			0	0.00	$ - 0	$0.00	$0.00	N/A
12			0	0.00	$ - 0	$0.00	$0.00	N/A
13			0	0.00	$ - 0	$0.00	$0.00	N/A
14			0	0.00	$ - 0	$0.00	$0.00	N/A
	Subtotals Subcontractors		0	0.00	N/A	$0.00	$0.00	N/A

DSH Subcontractors (Non-Medication Support Services) Uyeda, Brian: This section is for all DSH producing subcontractors, excluding subcontractors providing Medication Support Services.

POSITION OR AGENCY:		Total Annual Hours	FTE	Rate Per Hr.	Annual Cost	Monthly Cost	Monthly DSH
17				0	0.00	$ - 0	$0.00	$0.00	0
18				0	0.00	$ - 0	$0.00	$0.00	0
19				0	0.00	$ - 0	$0.00	$0.00	0
20				0	0.00	$ - 0	$0.00	$0.00	0
21				0	0.00	$ - 0	$0.00	$0.00	0
22				0	0.00	$ - 0	$0.00	$0.00	0
23				0	0.00	$ - 0	$0.00	$0.00	0
24				0	0.00	$ - 0	$0.00	$0.00	0
25				0	0.00	$ - 0	$0.00	$0.00	0
26				0	0.00	$ - 0	$0.00	$0.00	0
27				0	0.00	$ - 0	$0.00	$0.00	0
28				0	0.00	$ - 0	$0.00	$0.00	0
	Subtotals DSH Subcontractors (Non-Medication Support Services)			0	0.00	N/A	$0.00	$0.00	0

DSH Subcontractors (Medication Support Services) Uyeda, Brian: This section is only for subcontractors providing Medication Support Services (i.e., Psychiatrists and Licensed Nurse Practioners).

Uyeda, Brian: This section is for all DSH producing subcontractors, excluding subcontractors providing Medication Support Services.

POSITION OR AGENCY:		Total Annual Hours	FTE	Rate Per Hr.	Annual Cost	Monthly Cost	Monthly DSH
31				0	0.00	$ - 0	$0.00	$0.00	0
32				0	0.00	$ - 0	$0.00	$0.00	0
33				0	0.00	$ - 0	$0.00	$0.00	0
34				0	0.00	$ - 0	$0.00	$0.00	0
35				0	0.00	$ - 0	$0.00	$0.00	0
36				0	0.00	$ - 0	$0.00	$0.00	0
37				0	0.00	$ - 0	$0.00	$0.00	0
38				0	0.00	$ - 0	$0.00	$0.00	0
40				0	0.00	$ - 0	$0.00	$0.00	0
41				0	0.00	$ - 0	$0.00	$0.00	0
42				0	0.00	$ - 0	$0.00	$0.00	0
43				0	0.00	$ - 0	$0.00	$0.00	0
	Subtotals DSH Subcontractors (Medication Support)			0	0.00	N/A	$0.00	$0.00	0
	Total Subcontractors			0.00	0.00	N/A	$0.00	$0.00	0

DIRECT ADMINISTRATION TOTALS:	0.00	0.00	0.00	$0.00	$0.00
DIRECT PROGRAM TOTALS:	0.00	0.00	0.00	$0.00	$0.00
INDIRECT COSTS:	N/A	N/A	N/A	N/A	N/A
SUBCONTRACTS:	N/A	0.00	0.00	$0.00	N/A
TOTALS:	0.00	0.00	0.00	$0.00	$0.00

HRs Per	FTE	Monthly	Monthly	Monthly
Week	percent	Proposed	Salary for	Benefits for
This Program	equivalent	DSH	This Program	This Program

&"Times,Bold"&8&F &"Times,Bold"&8&P of &N &"Times,Bold"&8Prepared By: Contract Administrator

P2 - Proposed Summary

		DUE DATE:
CONTRACT BUDGET PROPOSAL PACKAGE
	July 1, 2027 - June 30, 2028

				PROGRAM SUMMARY
TO:	CEO - PROCUREMENT	FROM:
	COUNTY PROCUREMENT OFFICE		(Contractor's Corporate Name as Listed on Articles of Incorporation)
	OFFICE OF CARE COORDINATION
	400 W. CIVIC CENTER DR. 3RD FL		(Street Address of Admin. Offices)
	SANTA ANA, CA 92701
			(City, State, Zip Code)		(Telephone)
NOTE: This document contains automatic links.
Enter values/information only into the GREEN SHADED areas			(Profit/Non-Profit/Other)

TYPE OF CONTRACT: Actual Cost Reimbursement

		PROGRAM	ADMIN	FY 2027-2028	FY 2027-2028
		FTE	FTE	TOTAL PROPOSED	TOTAL REVISED
NAME AND LOCATION	Services(*)	STAFF	STAFF	BUDGET	COSTS

0
Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth	8) Other (Specify below)	0.00	0.00	$0	$0
Orange County, California

GRAND TOTALS: 0.00 0.00 $0 $0

SERVICES (*)		Select	BEHAVIORAL_HEALTH	PUBLIC_HEALTH	CORRECTIONAL_HEALTH	MEDICAL_SERVICES	SUBSTANCE_USE_DISORDER
Area:			1) Outpatient	1) ADEPT	1) Radiology	1) MSI	1) PSN
	AUTHORIZED SIGNATURE		2) Full Service Partnership	2) TUPP		2) EMSF	2) Post Custody
Program:			3) Wraparound	3) HIV Care Srvs (Specify below)		3) HDM	3) Sober Living
8) Other (Specify below)	The undersigned hereby acknowledges: "I have read and understand the contents of the		4) In-Home Crisis Stabilization	4) HIV Prevention (Specify below)		4) Ambulance	4) AB 109
Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth	attached budget request for County funding for the contract period specified above.		5) Crisis Residential	5) HIV Specialty Srv. (Specify below)		5) CCS	5) Narcotic Repl.
	It is correct to the best of my knowledge and represents the organization's proposal for		6) Outreach & Engagement	6) Communicable Disease Services			6) Straight Talk
	the provision of services to the County. I also hereby certify that I have the authority to submit		7) Prevention & Intervention	7) Nutrition Services			7) Res. Recovery
	this information on behalf of the organization".		8) Supported Employment	8) Other (Specify below)			8) Res Recov. & Detox
			9) Multi-Service Center				9) Outpatient Services

		10) Training	10) CalWORKS
Authorized Representative	Date	11) Mentoring
		12) CalWorks
		13) SSI Outreach
		14) Representative Payee
		15) Patient Advocate
		16) Other (specify below)

&"Times,Bold"&8&F &"Times,Bold"&8&P of &N &"Times,Bold"&8Prepared By: Contract Administrator

P2 - Proposed Budget

	Due Date:
CONTRACT BUDGET PACKAGE
July 1, 2027 - June 30, 2028

TO:	CEO - PROCUREMENT	FROM:	0
	COUNTY PROCUREMENT OFFICE		(Corporate Name as Listed on Articles of Incorporation)
	OFFICE OF CARE COORDINATION		0
	400 W. CIVIC CENTER DR. 3RD FL		(Street Address of Admin. Offices)
	SANTA ANA, CA 92701		0	0
			(City, State, Zip Code)	(Telephone)
			UEI# by Location

Daniel Vu: Daniel Vu:

UNIQUE ENTITY IDENTIFIER

Tax ID#

NPI #

NOTE: This document contains automatic links.					FY 2026-2027	FY 2026-2027
Enter values/information into the GREEN SHADED areas only
			PROGRAM	ADMIN	CONTRACT	CONTRACT
	PROGRAM NAME		FTE STAFF	FTE STAFF	TOTAL PROPOSED	TOTAL REVISED
	AND LOCATION	SERVICES	PROPOSED	PROPOSED	BUDGET	COSTS

0 8) Other (Specify below) 0.00 0.00 $0 $0

	Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth
	Orange County, California
	N/A
BUDGET SUMMARY
12 MONTH REQUESTED BUDGET
July 1, 2027 - June 30, 2028
	PROVIDER:	0
		(Corporate Name as Listed on Articles of Incorporation)
		0
		(Street Address of Admin. Offices)
		0		0
		(City, State, Zip Code)		(Telephone)
					PROPOSED
	I. ADMINISTRATION COSTS				TOTAL
		A. Salaries			$0
		B. Benefits			$0
		C. Services and Supplies			$0
		D. Professional Services Costs			$0
		E. Indirect Costs			$0
			F. Subtotal (I.A. thru E.) **		$0

** (Administration Costs cannot exceed a maximum of 10%, or as directed by Funding Source of total Program costs)

II. PROGRAM COSTS
	A. Salaries		$0
	B. Benefits		$0
	C. Services and Supplies		$0
	D. Subcontractor Costs		$0
	E. Flexible Funds		$0
	F. Start-Up Funds		$0
		G. Subtotal (II.A. thru F.)	$0

III. TOTAL COSTS (I.F. + II.F.) $0

IV. REVENUE FUNDING $0

V. NET COST (III. - IV.) $0

VI. CONTRACT AMOUNT	Gross Cost	$0
	Net Cost	$0

ADMINISTRATIVE SERVICES AND SUPPLIES DETAIL

PROVIDER:	0
PROGRAM NAME:	Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth
LOCATION:	Orange County, California

NOTE: INCLUDE ADMINISTRATION COSTS ONLY. DO NOT INCLUDE DIRECT PROGRAM COSTS.

	FY 2027-2028
	TOTAL PROPOSED
SERVICES AND SUPPLIES	BUDGET

1	Equipment( Lease) (from page 5)		$ - 0
2	Equipment (Owned) (from page 5)		$ - 0
3	Office Space (from page 5)		$ - 0
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
		SERVICES AND SUPPLIES SUBTOTAL	$ - 0

* Indicate your food cost per client per day if applicable:

** Indicate your reimbursement rate per mile:

PROGRAM SERVICES AND SUPPLIES DETAIL

	PROVIDER:	0
	PROGRAM NAME:	Rapid Rehousnig Services for Individuals, Families and Transitional Aged Youth
	LOCATION:	Orange County, California

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Sep 29, 2026.