6-HSS-26-035 Appendix C BudgetTemplate SUPTRS.xls

XLS spreadsheet 76 KB Posted

Attached to
Substance Use Disorder Services
Solicitation number
HSS-26-035
Issued by
Delaware

About this file

This is a Personnel Detail and Budget Template worksheet for the Delaware Health and Social Services, Division of Substance Abuse and Mental Health (DSAMH) related to the Substance Use Disorder Services contract opportunity (6-HSS-26-035). The template is designed for qualified providers to submit detailed budget proposals for operating substance use disorder services for uninsured and underinsured Delaware residents. The budget template includes sections for documenting direct and indirect staff positions with full-time equivalency (FTE) allocations, annual salaries, and the percentage of time and funding allocation to the contract.

The budget worksheet encompasses eight primary cost categories: staff salaries, staff fringe benefits, travel and training (with a maximum mileage rate of $0.40 per mile), contractual costs (including rent, utilities, insurance, and audit services), supplies (office, program, janitorial, building, and medical), equipment and other direct costs, indirect costs, and total budget. The template requires detailed narratives justifying each budget category and any increases from previous contract years. All budget categories in the template are currently populated with zero values, indicating this is a blank template for applicants to complete. The fringe benefit calculation section requires specification of federal insurance contributions, workers compensation, health insurance, unemployment compensation, pension, and other benefits with corresponding percentages. Applicants must also explain other resources and their allocation to the project in Column E of the budget worksheet.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Personnel Detail Worksheet

PERSONNEL DETAIL WORKSHEET
Applicant Agency:
Program / Service:
Contract Period:
Salary Paid w/Salary Paid w/Total Contract Salary
Name of StaffTitle/PositionFTEAnnual% of TimeRequested FundsOther Resources
(include credentials)Salaryon Project
DIRECT STAFF:$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
INDIRECT STAFF:$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Totals0.00$0.000.00%$0.00$0.00$0.00

&LBudget Workbook V8&C&F&R&D

Budget Worksheet

BUDGET WORKSHEET
Applicant Agency:0
Program / Service:0
Contract Period:0
Budget ItemsTOTALRequested FundsOther ResourcesAdministration
C-1Staff Salaries$0.00$0.00$0.00
C-2Staff Fringe Benefits$0.00
C-3Travel/Training (Total)$0.00$0.00$0.00$0.00
Mileage = Rate $0.40 X Miles$0.00
Training$0.00
C-4Contractual (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-5Supplies (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-6Equipment/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-7Indirect Costs$0.00
C-8Total Budget$0.00$0.00$0.00$0.00
*amount charged to contract

&LBudget Workbook V8&C&F&R&D

Budget Narrative

BUDGET NARRATIVE
Applicant Agency:0
Program / Service:0
Contract Period:0
Narrative is REQUIRED for each Category where DSAMH funds have been allocated on the Budget Worksheet.
C-1Staff SalariesAmount requested$0.00
Explain how Staff Salaries were determined and justify any increase from the previous contract year (if applicable).
C-2Staff Fringe BenefitsAmount 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 ClassificationAmountPercent
Federal Insurance Contributions Act
Workers compensation
Health Insurance
Unemployment Compensation
Pension
DE Family Leave
Other
Total Fringe Benefits$0.000.00%
Staff Fringe Benefits - Additional Narrative
C-3Travel / TrainingAmount 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*
MileageRate$0.50Total 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.
TrainingAmount requested$0.00
0Amount requested$0.00
C-4ContractualAmount 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 LocationSq. Footage being charged to DSSCCost 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 NarrativeAmount requested$0.00
ElectricityAmount requested$0.00
HeatAmount requested$0.00
Telephone/InternetAmount requested$0.00
C-4Contractual(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/AdvertisingAmount requested$0.00
PostageAmount requested$0.00
InsuranceAmount requested$0.00
RepairsAmount requested$0.00
AuditAmount requested$0.00
C-4Contractual(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-5SuppliesAmount 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 SuppliesAmount requested$0.00
Program SuppliesAmount requested$0.00
Janitorial SuppliesAmount requested$0.00
Building SuppliesAmount requested$0.00
Medical SuppliesAmount requested$0.00
C-5Supplies(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-6Equipment & Other Direct CostsAmount 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 EOther Resources
Explain what the other resources are and how they are allocated to this project.
Explain OTHER RESOURCES:Amount identifed$0.00
C-7Indirect 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

&LBudget Workbook V8&C&F&R&D

File details come from the government source that posted it. Updated .