3-Project Budget and Funding Sources Worksheet.docx

This is a Project Budget and Funding Sources Worksheet for the New Mexico Aging and Long Term Services Department's 2028 Capital Outlay Application program, which provides funding for senior center facility projects. The worksheet serves as the standardized budget documentation tool for all application types, requiring applicants to submit one completed worksheet per project. The document captures essential project information including the senior center facility name, fiscal agent, application type, project title, ICIP project title with priority and fiscal year designation, and the amount of capital outlay funding requested alongside the total project cost. Applicants must identify a designated project manager or contact person and provide a detailed project budget with up to ten line items categorizing capital outlay requests and other funding sources, with supporting quotes and estimates referenced throughout.

The funding sources section requires applicants to identify all capital outlay requests, local government or fiscal agent funds, tribal funds, state funds, federal funds, grants or donor funds, and other sources, designating each as either secured or pending with applicable date availability and restrictions noted. Applicants must certify budget completion and confirm that total funding aligns with the total project budget, or alternatively identify any remaining funding gaps with expected sources and availability dates. The worksheet requires identification of costs not included in the budget and their funding mechanisms, as well as clarification of the fiscal agent fund, reserve, appropriation, or other source designated to pay allowable costs prior to reimbursement. Authorized representatives must sign and certify that the budget is complete, accurate, aligns with supporting documentation, and identifies all known funding sources and necessary project completion costs.