3-Project Budget and Funding Sources Worksheet.docx

This is a Project Budget and Funding Sources Worksheet template issued by the Aging and Long Term Services Department (ALTSD) in New Mexico for senior centers applying for capital outlay funding. The worksheet is designed for applicants to document project budgets and identify all funding sources necessary to complete capital equipment projects. Eligible projects include equipment for congregate meal preparation, health and fitness and wellness equipment, senior center furnishings such as tables and chairs, and recreation and activity equipment that supports senior center programming. Applicants must complete one worksheet per project and provide a project title, ICIP project title with priority and fiscal year, the amount requested, and total project cost. The worksheet requires project managers to itemize up to ten budget categories or line items with corresponding amounts, identify capital outlay requests, and document quote or estimate references for each expense.

The funding sources section requires applicants to identify all capital outlay funding requested and document additional funding from local government or fiscal agent funds, tribal funds, state funds, federal funds, grants or donor funds, and other sources, along with the status of each funding source as either secured or pending. Applicants must confirm whether total funding equals the total project budget and, if not, identify any remaining funding gaps and their expected source and availability date. The worksheet also requires applicants to identify costs not included in the budget and their funding mechanism, as well as specify the fiscal agent fund, reserve, appropriation, or other source that will pay allowable costs before reimbursement. An authorized representative must certify that the budget is complete and accurate, aligns with supporting quotes and estimates, identifies all known sources, and includes all costs necessary to complete the project.