3-Attachment B-FY26 OPEH Provider Staffing Roster.xlsx

This is a Monthly Staffing Report template for the Fairfax County Department of Housing & Community Development's Office to Prevent and End Homelessness (OPEH) related to the Rental Subsidy and Services Program (RSSP). The template is designed for service providers to submit proposed staff rosters on a monthly basis for projects serving low-income households in need of rental subsidies and support services across Fairfax County, Virginia, and the included jurisdictions of the Cities of Fairfax and Falls Church and the towns of Clifton, Herndon, and Vienna. The form requires offerors to provide organizational information including name, address, and phone number, followed by detailed staffing information for each proposed position.

The staffing roster template requires providers to document each staff person's name, position title, benefit eligibility status, salary rate, full-time equivalent (FTE) allocation, amount charged to the project, total cost to the project, and a narrative description of the position's purpose. The template includes rows for up to 40 positions with corresponding cost fields, culminating in a total row that sums FTE allocations and project costs. The form requires certification by a preparer with date and approval signature from an authorized representative with title and date, establishing accountability for the staffing plan and associated budget allocations for the service delivery contract.