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.
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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 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 | |||||||
| $0.00 | |||||||
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| $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 | |||||||
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| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| Totals | 0.00 | $0.00 | 0.00% | $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 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 $0.40 X Miles | $0.00 | ||||
| Training | $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 |
| *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-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 | ||||||||
| Unemployment Compensation | ||||||||
| Pension | ||||||||
| DE Family Leave | ||||||||
| Other | ||||||||
| 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 DSSC | 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 |
&LBudget Workbook V8&C&F&R&D
File details come from the government source that posted it. Updated .