3-Project Budget and Funding Sources Worksheet.docx

This is a Project Budget and Funding Sources Worksheet used by the Aging and Long Term Services Department (ALTSD) in New Mexico for senior center capital outlay applications. The worksheet is designed for senior centers seeking funding for vehicles and equipment necessary to support senior-center services, including meal-delivery, passenger, accessible, or specialized vehicles. Applicants must complete one worksheet per project, providing detailed project information including the senior center facility name, fiscal agent, application type, project title, ICIP project title with priority and fiscal year designation, amount requested, and total project cost. The budget section requires itemization of up to ten budget line items with corresponding amounts for capital outlay requests, other funding sources, and supporting quote or estimate references. The worksheet includes spaces for project manager contact information and requires alignment of all amounts with project scope and supporting documentation.

The funding sources section requires applicants to identify all funding mechanisms and their status, including capital outlay requested, local government or fiscal-agent funds, tribal funds, state funds, federal funds, grant or donor funds, and other sources, with designations of whether funds are secured or pending and their availability dates. Applicants must confirm that total funding equals total project budget and, if not, identify the remaining funding gap, expected source, and date available. The worksheet also requires identification of any costs not included in the budget and their funding method, as well as specification of the fiscal-agent fund, reserve, appropriation, or other source used to 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 funding sources, and includes all costs necessary to complete the project.