Appendix G Cost Reimbursement Budget Template RFP-SSA-FY26-0522 Community Living Connection.xlsx
XLSX spreadsheet 25 KB Posted
- Attached to
- Community Living Connection
- Solicitation number
- RFP-SSA-FY26-0522
- Issued by
- Santa Clara County, California
About this file
This is a Cost Reimbursement Budget Template from the Santa Clara County Social Services Agency for RFP-SSA-FY26-0522, the Community Living Connection program. The RFP seeks qualified vendors to provide case management and related services to enable high-risk older and disabled adults to continue living independently within Santa Clara County, California. The contract period is July 1, 2026 through June 30, 2027, with an initial one-year term and County option to renew for up to four additional years. The RFP may result in single or multiple awards.
The budget template requires vendors to submit detailed cost reimbursement budgets organized by funding sources, personnel costs, operating expenses, and indirect costs capped at 15 percent or a federally approved indirect rate. Personnel costs include salaries, payroll taxes, and employee benefits; operating expenses encompass audit fees, communication, contract services, equipment maintenance, insurance, office supplies, professional services, rent, travel, utilities, and other specified items. Vendors must identify funding commitment codes for each revenue source, provide narrative explanations for all line items with calculation methodologies, and ensure the grand total budget aligns with the total anticipated funding from the Resource Table. All budget figures must be allocated to the Santa Clara County Social Services Agency general fund.
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Resource Table
| Agency Name: | |
| Contract Period: | July 1, 2026 - June 30, 2027 |
| Program Name: | Community Living Connection |
| A | B | C | D |
| Source of Funds | FY26-27 Amount | % of Total Funding | Commitment Code |
| Social Services Agency (SSA)* |
| Total Funding Resources | $ - |
| Commitment Code | |
| 1 | Firm Commitment-Already have an agreement or letter confirming funding |
| 2 | Anticipated Renewal of Existing Funding-Continuation of current year funding |
| 3 | Anticipated Resource-Projection of previous fees or donations |
| 4 | Application Pending-Application has been submitted, no confirmation at this time |
| 5 | Pre-Application-Not yet submitted and expect funding |
| * The SSA line in FY 26-27 Amount, Column "B" should equal the Grand Total of |
| Column "B" in the Budget Detail. |
Santa Clara County Social Services Agency REQUEST FOR PROPOSAL
BID NUMBER: RFP-SSA-FY26-0522
COST REIMBURSEMENT TEMPLATE Appendix G: Budget Plan Resource Table
Staffing Salary
| Agency Name: | |
| Program Name: | Community Living Connection |
| A | B | C | D |
| Staff Name and Job Title | Annual Budgeted Salary | % of Salary Allocated to SCC | Salary Allocated to the SCC |
| $ - 0 | 0% | $ - | |
| $ - 0 | 0% | $ - | |
| $ - 0 | 0% | $ - | |
| $ - 0 | 0% | $ - | |
| $ - 0 | 0% | $ - | |
| $ - 0 | 0% | $ - | |
| $ - 0 | 0% | $ - | |
| $ - 0 | 0% | $ - | |
| $ - 0 | 0% | $ - | |
| Total | $ - |
*Total Salary Allocated to SCC GF should equal the Salaries line in SCC GF, Column ("B") of the Budget Detail.
&"-,Bold"Santa Clara County Social Services Agency &"-,Bold"REQUEST FOR PROPOSAL
BID NUMBER: RFP-SSA-FY26-0522
COST REIMBURSEMENT TEMPLATE &"-,Bold" Appendix G: Budget Plan Staffing Salary
Budget Detail
| Agency Name: | |
| Program Name: | Community Living Connection |
| A | B | C |
| Direct Costs* | ||
| Personnel Costs | SCC General Fund | Total |
| Salaries | $ - |
Nunez, Armando: ATTENTION:
DO NOT CHANGE FORMULA
| Payroll Taxes | $ - | |
| Employee Benefits | $ - | |
| Subtotal Personnel Costs | $ - | $ - |
| Operating Expenses | ||
| Audit Fees | $ - | |
| Communication Expense | $ - | |
| Contract Services | $ - | |
| Equipment Maintenance | $ - | |
| Insurance | $ - | |
| Office Supplies | $ - | |
| Professional Services | $ - | |
| Rent | $ - | |
| Travel | $ - | |
| Utilities | $ - | |
| Other(Specify) | $ - |
Subtotal Operating Expenses $ - $ -
| Indirect Costs** (maximum 15% of budget or federally approved indirect rate) | |
| Administrative Overhead | $ - |
| Subtotal Indirect Costs | $ - |
| Grand Total*** | $ - |
| Line items listed under Operating Costs are examples only. | |
| *Direct Costs are those costs for activities or services that benefit “specific projects” and are usually charged directly to projects on an item-by item basis. | |
| **Indirect Costs are costs incurred for a common or joint purpose benefiting more than one cost objective and are not readily identified with a particular grant, contract, project function or activity. Enter only total amount under Administrative Overhead. | |
| ***The Grand Total for Column "D" should equal Total Anticipated Funding of Column "B" in the Funding Resource Table. |
Social Services Agency &"-,Bold"REQUEST FOR PROPOSAL
BID NUMBER: RFP-SSA-FY26-0522
COST REIMBURSEMENT TEMPLATE &"-,Bold" Appendix G: Budget Plan Budget Detail
Budget Narrative
| Agency Name: | |
| Program Name: | Community Living Connection |
| Please provide an explanation and method of calculation for each line item. | |
| LINE ITEM | NARRATIVE |
| Personnel Costs | |
| Salaries | |
| Payroll Taxes | |
| Employee Benefits | |
| Operating Expenses | |
| Audit Fees | |
| Communication Expense | |
| Contract Services | |
| Equipment Maintenance | |
| Insurance | |
| Office Supplies | |
| Professional Services | |
| Rent | |
| Travel | |
| Utilities | |
| Other(Specify) |
| Indirect Costs | Describe indirect costs charged to the program. Examples: Administrative staff, Office supplies, Communication expense, etc. |
| Administrative Overhead |
Social Services Agency &"-,Bold"REQUEST FOR PROPOSAL
BID NUMBER: RFP-SSA-FY26-0522
COST REIMBURSEMENT TEMPLATE &"-,Bold" Appendix G: Budget Plan Budget Narrative
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