Attachment_2_Budget_Forms__12-24__-_RFP_1280.xlsx

XLSX spreadsheet 91 KB Posted

Attached to
EXT HSA | RFP 1280 Supportive Services for Former
Solicitation number
SFGOV-0000012210
Issued by
San Francisco County, San Francisco City, California

About this file

This is a budget forms document for the City and County of San Francisco Human Services Agency (HSA) Request for Proposals #1280 for Supportive Services for Former Foster Youth. The contract period runs from July 1, 2026, through June 30, 2030 (four years), with a pre-proposal conference scheduled for November 10, 2026, at 2:00 PM via Microsoft Teams. The RFP seeks proposals from nonprofit organizations to provide comprehensive supportive services for former foster youth, including individualized services, resource navigation, group workshops, and community-building events designed to support the transition of eligible minor and non-minor dependents and youth formerly involved in child welfare or juvenile justice systems. Priority will be given to young adults ages 22 to 28. Services must be culturally responsive, trauma-informed, and focused on promoting long-term self-sufficiency.

The budget forms provided are template documents showing a four-year budget structure divided into annual fiscal years (FY 2026-27, FY 2027-28, FY 2028-29, and FY 2029-30), with all line items currently showing zero dollars. The template includes categories for salaries and benefits, operating-direct expenses, indirect costs calculated at 15 percent, consultant/subcontractor costs (with $50,000 threshold), direct client pass-through expenses, and capital expenses for equipment and remodeling. The budget form also includes provisions for HSA/DAS revenues and grantee/contractor revenues, with fringe benefits calculated at 25 percent. All financial data fields in the submitted document are blank, indicating this is an unfilled template awaiting vendor completion during the proposal process.

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Budget Summary Appendix B, Page 1

HUMAN SERVICES AGENCY BUDGET SUMMARY
BY PROGRAM
Grantee/Contractor: Vendor NameFull Term:7/1/26 - 6/30/30
Program: Program NameEffective Date:
New Modification Revision (Check One)Modification #
7/1/26- 6/30/277/1/27 - 6/30/287/1/28 - 6/30/297/1/29 - 6/30/307/1/26 - 6/30/30
ExpensesOriginalOriginalOriginalOriginalTotal
Salaries & Benefits$0$0$0$0$0
Operating-Direct$0$0$0$0$0
Subtotal$0$0$0$0$0
Indirect Percentage (%)15%15%15%15%15%
Indirect Costs (Line 16 X Line 15)$0$0$0$0$0
Consultant/Subcontractor ($50,000+)$0$0$0$0$0
Direct Client Pass-Through$0$0$0$0$0
Capital Expenses$0$0$0$0$0
Total Expenses$0$0$0$0$0
HSA / DAS Revenues
Funding$0
$0
$0
CODB Eligible 1$0
CODB Eligible 2$0
CODB Eligible 3$0
CODB FY 1

Patrick Garcia: Note:

Zero for brand new programs$0
CODB FY 2$0
CODB FY 3$0
CODB FY 4$0
OTO$0
Addback$0
$0
$0
$0
$0
Total HSA / DAS Revenues$0$0$0$0$0
Grantee/Contractor Revenues
$0
$0
$0
$0
Total Grantee/Contractor Revenues$0$0$0$0$0
Total Revenues$0$0$0$0$0
Prepared by and Date:
Telephone No. & Email:HSA Budget Form (3/24)

(Vendor Name) Appendix B &P (Program), (FY Length) (F$P), (Commission Month)

Salary & Benefits

Grantee/Contractor: Vendor NameAppendix B, Page 2
Program: Program Name

Salaries & Benefits Detail

Agency TotalsHSA Program7/1/26- 6/30/27Agency TotalsHSA Program7/1/27 - 6/30/28Agency TotalsHSA Program7/1/28 - 6/30/29Agency TotalsHSA Program7/1/29 - 6/30/307/1/26 - 6/30/30
POSITION TITLEAnnual Full Time Salary for FTE

Kim: Annual Full Time Salary for FTE:

Please report in this column the total annual compensation for this classification for a Full Time Employee Total FTE Kim: Total FTE:

Percentage of time employee works on this specific program % FTE funded by HSA (Max 100%) Kim: % FTE funded by HSA

Percentage of employee's time in this program that is paid by HSA.

Adjusted FTE Kim: Adjusted FTE

Total FTE x % FTE funded by HSA Original Annual Full Time Salary for FTE Kim: Annual Full Time Salary for FTE:

Please report in this column the total annual compensation for this classification for a Full Time Employee Total FTE Kim: Total FTE:

Percentage of time employee works on this specific program % FTE funded by HSA (Max 100%) Kim: % FTE funded by HSA

Percentage of employee's time in this program that is paid by HSA.

Adjusted FTE Kim: Adjusted FTE

Total FTE x % FTE funded by HSA Original Annual Full Time Salary for FTE Kim: Annual Full Time Salary for FTE:

Please report in this column the total annual compensation for this classification for a Full Time Employee Total FTE Kim: Total FTE:

Percentage of time employee works on this specific program % FTE funded by HSA (Max 100%) Kim: % FTE funded by HSA

Percentage of employee's time in this program that is paid by HSA.

Adjusted FTE Kim: Adjusted FTE

Total FTE x % FTE funded by HSA Original Annual Full Time Salary for FTE Kim: Annual Full Time Salary for FTE:

Please report in this column the total annual compensation for this classification for a Full Time Employee Total FTE Kim: Total FTE:

Percentage of time employee works on this specific program % FTE funded by HSA (Max 100%) Kim: % FTE funded by HSA

Percentage of employee's time in this program that is paid by HSA.

Adjusted FTE Kim: Adjusted FTE

Total FTE x % FTE funded by HSAOriginalTotal
Employee A (example)1.00100%1.00$01.00100%1.00$01.00100%1.00$01.00100%1.00$0$0
Employee B (example)0.5080%0.40$00.5080%0.40$00.5080%0.40$00.5080%0.40$0$0
Employee C (example)0.50100%0.50$00.50100%0.50$00.50100%0.50$00.50100%0.50$0$0
- 0$0- 0$0- 0$0- 0$0$0
- 0$0- 0$0- 0$0- 0$0$0
- 0$0- 0$0- 0$0- 0$0$0
- 0$0- 0$0- 0$0- 0$0$0
- 0$0- 0$0- 0$0- 0$0$0
- 0$0- 0$0- 0$0- 0$0$0
- 0$0- 0$0- 0$0- 0$0$0
TOTALS$02.002.801.90$0$02.00280%1.90$0$02.00280%1.90$0$02.00280%1.90$0$0
FRINGE BENEFIT RATE25%25%25%25%
EMPLOYEE FRINGE BENEFITS$0$0$0$0$0
TOTAL SALARIES & BENEFITS$0$0$0$0$0
HSA Budget Form (3/24)

(Vendor Name) Appendix B &P (Program), (FY Length)

Operating-Direct

Grantee/Contractor: Vendor NameAppendix B, Page 3
Program: Program Name

Operating Expenses Detail

7/1/26- 6/30/277/1/27 - 6/30/287/1/28 - 6/30/297/1/29 - 6/30/307/1/26 - 6/30/30
OriginalOriginalOriginalOriginalTotal
Expenditure Category
Rental of Property$0
Utilities(Elec, Water, Gas, Phone, Garbage)$0
Office Supplies, Postage$0
Building Maintenance Supplies and Repair$0
Printing and Reproduction$0
Insurance$0
Staff Training$0
Staff Travel-(Local & Out of Town)$0
Rental of Equipment$0
Consulting/Professional Services
Consultant A (first $50k; anything over on next tab)$0
Subcontractor A (first $50k; anything over on next tab)$0
$0
$0
$0
$0
$0
$0
$0
$0
Other
Other A$0
Other B$0
$0
$0
$0
$0
$0
$0
$0
$0
Total Operating Expense$0$0$0$0$0
HSA Budget Form (3/24)

Appendix B &P (Program), (FY Length)

Subcontractors-Pass Thru

Grantee/Contractor: Vendor NameAppendix B, Page 4
Program: Program Name

Subcontractors-Pass Thru

7/1/26- 6/30/277/1/27 - 6/30/287/1/28 - 6/30/297/1/29 - 6/30/307/1/26 - 6/30/30
OriginalOriginalOriginalOriginalTotal
Subcontractor
Consultant A (only amount above $50k)$0
Subcontractor A (only amount above $50k)$0
$0
$0
$0
$0
$0
$0
$0
$0

Total Subcontractor $0 $0 $0 $0 $0

Direct Client Pass-Through
Direct Client Pass-Through A$0
Direct Client Pass-Through B$0
$0
$0
$0
$0
$0
$0
$0
$0
Total Direct Client Pass-Through$0$0$0$0$0
HSA Budget Form (3/24)

Appendix B &P (Program), (FY Length)

Capital Expenses

Grantee/Contractor: Vendor NameAppendix B, Page 5
Program: Program Name

Capital Expenses Detail

7/1/26- 6/30/277/1/27 - 6/30/287/1/28 - 6/30/297/1/29 - 6/30/307/1/26 - 6/30/30
OriginalOriginalOriginalOriginalTotal
Equipment (any single item $10k+)
Equipment A$0
Equipment B$0
$0
$0
$0
$0
$0
$0
$0
$0
Remodeling
Remodeling A$0
Remodeling B$0
$0
$0
$0
$0
$0
$0
$0
$0
Total Capital Expenditure
(Equipment and Remodeling Cost)$0$0$0$0$0
HSA Budget Form (3/24)

Appendix B &P (Program), (FY Length)

Justifications

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