4-Appendix C- Budget Workbook-Nutrition RFP.xlsx
XLSX spreadsheet 47 KB Posted
- Attached to
- BEHAVIORAL HEALTH NUTRITION SERVICES
- Solicitation number
- HSS-26-047
- Issued by
- Delaware
About this file
This is a Budget Workbook for a Behavioral Health Nutrition Services contract issued by the State of Delaware, Department of Health and Social Services, Division of Substance Abuse and Mental Health (DSAMH). The document serves as an appendix to the RFP and provides budget templates for applicants to detail personnel, operational costs, and resource allocation for the proposed program. The contract period runs from July 1, 2026 through June 30, 2027, with contract number HSS-26-0XX. The workbook includes three primary sections: a Personnel Detail Worksheet for listing direct and indirect staff with their titles, FTE allocations, annual salaries, and percentage of time devoted to the project; a Budget Worksheet for itemizing costs across eight categories including staff salaries, fringe benefits, travel and training, contractual expenses, supplies, equipment, and indirect costs; and a Budget Narrative section requiring detailed explanations and justifications for each budget category where DSAMH funds are allocated.
The annual budget shall not exceed $50,000, with applicants required to specify both the amounts charged to the contract and other resources (matching funds or in-kind contributions) for each line item. The budget narrative requires applicants to explain how costs were determined and justify any increases from previous contract years where applicable. Specific guidance is provided for certain expense categories, such as mileage reimbursement capped at the State of Delaware's maximum allowable rate of $0.40 per mile, and rental costs requiring documentation of square footage and cost per square foot calculations. The workbook template indicates all line items currently show $0.00, indicating this is a blank form for prospective bidders to complete and submit as part of their proposal response.
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Text version
Personnel Detail Worksheet
PERSONNEL DETAIL WORKSHEET
| Applicant Agency: | ||
| Contract Number: | HSS-26-0XX | |
| Program / Service: | BEHAVIORAL HEALTH NUTRITION SERVICES | |
| Contract Period: | July 1, 2026-June 30, 2027 |
| Salary Paid w/ | Salary Paid w/ | Total Contract Salary | |||||
| Name of Staff | Title/Position | FTE | Annual | % of Time | Requested Funds | Other Resources | |
| (include credentials) | Salary | on Project |
| DIRECT STAFF: | $0.00 | ||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
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| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| INDIRECT STAFF: | $0.00 | ||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
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| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| Totals | $0.00 | $0.00 | $0.00 |
Budget Workbook V8 &F &D
Budget Worksheet
| BUDGET WORKSHEET | |
| Applicant Agency: | |
| Contract Number: | HSS-26-0XX |
| Program / Service: | BEHAVIORAL HEALTH NUTRITION SERVICES |
| Contract Period: | July 1, 2026-June 30, 2027 |
Budget Items TOTAL Requested Funds* Other Resources Administration
| C-1 | Staff Salaries | $0.00 | $0.00 | $0.00 | |
| C-2 | Staff Fringe Benefits | $0.00 | |||
| C-3 | Travel/Training (Total) | $0.00 | $0.00 | $0.00 | $0.00 |
| Mileage = Rate $0.50 X Miles | $0.00 | ||||
| Training | $0.00 | ||||
| $0.00 | |||||
| C-4 | Contractual (Total) | $0.00 | $0.00 | $0.00 | $0.00 |
| Rent (include cost per sq. ft.) | $0.00 | ||||
| Electricity | $0.00 | ||||
| Heat | $0.00 | ||||
| Telephone/Internet | $0.00 | ||||
| Utilities (Other) | $0.00 | ||||
| Printing/Advertising | $0.00 | ||||
| Postage | $0.00 | ||||
| Insurance | $0.00 | ||||
| Repairs | $0.00 | ||||
| Audit | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| C-5 | Supplies (Total) | $0.00 | $0.00 | $0.00 | $0.00 |
| Office Supplies | $0.00 | ||||
| Program Supplies | $0.00 | ||||
| Janitorial Supplies | $0.00 | ||||
| Building Supplies | $0.00 | ||||
| Medical Supplies | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| C-6 | Equipment/Other Direct Costs (Total) | $0.00 | $0.00 | $0.00 | $0.00 |
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| C-7 | Indirect Costs | $0.00 | |||
| C-8 | Total Budget | $0.00 | $0.00 | $0.00 | $0.00 |
| Annual amount shall not exceed $50,000 | *amount charged to contract |
Budget Workbook V8 &F &D
Budget Narrative
BUDGET NARRATIVE
| Applicant Agency: | |
| Contract Number: | HSS-26-0XX |
| Program / Service: | MEDICAL LEGAL PARTNERSHIP |
| Contract Period: | Five Years |
| Narrative is REQUIRED for each Category where DSAMH funds have been allocated on the Budget Worksheet. |
C-1 Staff Salaries Amount requested $0.00
Explain how Staff Salaries were determined and justify any increase from the previous contract year (if applicable).
C-2 Staff Fringe Benefits Amount requested $0.00
Explain how Staff Fringe Benefits were determined and justify any increase from the previous contract year (if applicable). Show the breakdown of any calculated Fringe Benefit Rate.
| Fringe Benefit Classification | Amount | Percent |
| Federal Insurance Contributions Act | ||
| Workers compensation | ||
| Health Insurance |
| Total Fringe Benefits | $0.00 | 0.00% | |
| Staff Fringe Benefits - Additional Narrative |
C-3 Travel / Training Amount requested $0.00
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year (if applicable). |
Mileage*
Mileage Rate $0.50 Total Mileage = $0.00
Amount requested* $0.00
*Maximum allowable mileage rate is $0.40/mile per the State of Delaware, Budget and Accounting Policy Manual.
Training Amount requested $0.00
0 Amount requested $0.00
C-4 Contractual Amount requested $0.00
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year. |
| Rent (include cost per sq. ft.) | |||
| Rental Location | Sq. Footage being charged to DSAMH | Cost Per Sq. Ft. | Total |
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| Monthly Rent | $0.00 | ||
| Total Months Charged to Rent: | Total Rent | $0.00 |
Rent - Additional Narrative Amount requested $0.00
Electricity Amount requested $0.00
Heat Amount requested $0.00
Telephone/Internet Amount requested $0.00
C-4 Contractual (Continued)
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year (If applicable). |
Utilities (Other) Amount requested $0.00
Printing/Advertising Amount requested $0.00
Postage Amount requested $0.00
Insurance Amount requested $0.00
Repairs Amount requested $0.00
Audit Amount requested $0.00
C-4 Contractual (Continued)
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year. |
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Additional Contractual Narrative
C-5 Supplies Amount requested $0.00
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year. |
Office Supplies Amount requested $0.00
Program Supplies Amount requested $0.00
Janitorial Supplies Amount requested $0.00
Building Supplies Amount requested $0.00
Medical Supplies Amount requested $0.00
C-5 Supplies (Continued)
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year. |
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
C-6 Equipment & Other Direct Costs Amount requested $0.00
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year. |
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
| Column E | Other Resources | |
| Explain what the other resources are and how they are allocated to this project. |
Explain OTHER RESOURCES: Amount identifed $0.00
| C-7 | Indirect Costs |
| Explain how the following costs were determined, what is included in the costs and justify any | |
| increase from previous contract year. |
Explain INDIRECT COST: Amount requested $0.00
Budget Workbook V8 &F &D
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