Attachment_2_-_RFP_1240_Budget_Forms__12-24_.xlsx
XLSX spreadsheet 96 KB Posted
- Solicitation number
- SFGOV-0000011915
- 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 (SFHSA) RFP #1240 for the CalFresh Community Works Program (CCWP). The SFHSA seeks proposals from nonprofit organizations to serve as Coordinating Organizations to partner with and support Host Sites in implementing this community-based workfare activity designed to help CalFresh participants maintain benefits. The program operates on a hub-and-spoke model where Coordinating Organizations serve as administrative hubs responsible for developing and supporting a portfolio of Host Sites across San Francisco. Host Sites will offer community works assignments that enable CalFresh participants to meet work requirements and develop marketable skills with no job readiness prerequisites. The contract term runs from July 1, 2025 through June 30, 2029. A pre-proposal conference is scheduled for July 14, 2026 at 10 AM via Microsoft Teams.
The budget summary indicates a four-year total budget of $2,000,000, with all funds allocated to subcontractors in the first fiscal year (July 1, 2025 - June 30, 2026), with no direct salaries, operating costs, or indirect costs budgeted in this template. The budget breaks down the subcontractor allocation as $50,000 each for three identified Host Sites and $1,850,000 for additional Host Sites to be identified. The budget justification section requires detailed calculations for subcontractor costs based on client service volume multiplied by service rates. The document includes provisions for a 15% indirect cost rate and a 30% fringe benefit rate for employees, though no salaries are currently budgeted in the submitted form.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP_1240.pdf | ||
| Attachment_3_-__Appendix_J_-_Data_Sharing_Security.docx | DOCX document | |
| Attachment_1_-_Grant_Agreement__form_G-100_.pdf | ||
| EXT_HSA___RFP_1240_CalFresh_Community_Works_Progra.pdf | ||
| EXT_HSA___RFP_1240_CalFresh_Community_Works_Progra.xml | XML file |
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Text version
Budget Summary Appendix B, Page 1
| HUMAN SERVICES AGENCY BUDGET SUMMARY | |||||
| BY PROGRAM | |||||
| Grantee/Contractor: Vendor Name | Full Term: | 7/1/25 - 6/30/29 | |||
| Program: Program Name | Effective Date: | ||||
| New Modification Revision (Check One) | Modification # | ||||
| F$P ID# | |||||
| 7/1/25 - 6/30/26 | 7/1/26 - 6/30/27 | 7/1/27 - 6/30/28 | 7/1/28 - 6/30/29 | 7/1/25 - 6/30/29 | |
| Expenses | Original | Original | Original | Original | Total |
| 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 13 X Line 14) | $0 | $0 | $0 | $0 | $0 |
| Subcontractor | $2,000,000 | $0 | $0 | $0 | $2,000,000 |
| Direct Client Pass-Through | $0 | $0 | $0 | $0 | $0 |
| Capital Expenses | $0 | $0 | $0 | $0 | |
| Total Expenses | $2,000,000 | $0 | $0 | $0 | $2,000,000 |
| 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 (incl. In-Kind) | ||||||
| $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) |
&P
Salary & Benefits
| Grantee/Contractor: Vendor Name | Appendix B, Page 2 |
| Program: Program Name |
Salaries & Benefits Detail
| Agency Totals | HSA Program | 7/1/25 - 6/30/26 | Agency Totals | HSA Program | 7/1/26 - 6/30/27 | Agency Totals | HSA Program | 7/1/27 - 6/30/28 | Agency Totals | HSA Program | 7/1/28 - 6/30/29 | 7/1/25 - 6/30/29 | |
| POSITION TITLE | Annual Full Time Salary for FTE |
Kim: Annual Full Time Salary for FTE
Please report in this column the total annual compensation for a full time employee in this classification. For instance:
• Employee A works full time, enter total salary for that employee (or position)
• Employee B works part time at 50% FTE all year, for $20,000. Enter amount of full time salary for full year. Enter $40,000.
• Employee C works part time at 50% FTE for 6 months, for $10,000. Enter amount of estimated full time salary for 6 months. Enter $20,000. Total FTE Kim: Total FTE
Enter the number of employees in this classification who actually work at agency.
• In Classification A, you have one full time employee. Enter 1.0.
• In Classification B & C, you have a part-time employee. Enter 0.5. % FTE funded by HSA (Max 100%) Kim: % FTE funded by HSA
Represents % of actual time dedicated to HSA funded program.
• Employee A and C spend all of their time on this HSA funded program, enter 100%.
• Employee B spends 80% of time on HSA funded program, enter 80%.
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 a full time employee in this classification. For instance:
• Employee A works full time, enter total salary for that employee (or position)
• Employee B works part time at 50% FTE all year, for $20,000. Enter amount of full time salary for full year. Enter $40,000.
• Employee C works part time at 50% FTE for 6 months, for $10,000. Enter amount of estimated full time salary for 6 months. Enter $20,000. Total FTE Kim: Total FTE
Enter the number of employees in this classification who actually work at agency.
• In Classification A, you have one full time employee. Enter 1.0.
• In Classification B & C, you have a part-time employee. Enter 0.5. % FTE funded by HSA (Max 100%) Kim: % FTE funded by HSA
Represents % of actual time dedicated to HSA funded program.
• Employee A and C spend all of their time on this HSA funded program, enter 100%.
• Employee B spends 80% of time on HSA funded program, enter 80%.
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 a full time employee in this classification. For instance:
• Employee A works full time, enter total salary for that employee (or position)
• Employee B works part time at 50% FTE all year, for $20,000. Enter amount of full time salary for full year. Enter $40,000.
• Employee C works part time at 50% FTE for 6 months, for $10,000. Enter amount of estimated full time salary for 6 months. Enter $20,000. Total FTE Kim: Total FTE
Enter the number of employees in this classification who actually work at agency.
• In Classification A, you have one full time employee. Enter 1.0.
• In Classification B & C, you have a part-time employee. Enter 0.5. % FTE funded by HSA (Max 100%) Kim: % FTE funded by HSA
Represents % of actual time dedicated to HSA funded program.
• Employee A and C spend all of their time on this HSA funded program, enter 100%.
• Employee B spends 80% of time on HSA funded program, enter 80%.
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 a full time employee in this classification. For instance:
• Employee A works full time, enter total salary for that employee (or position)
• Employee B works part time at 50% FTE all year, for $20,000. Enter amount of full time salary for full year. Enter $40,000.
• Employee C works part time at 50% FTE for 6 months, for $10,000. Enter amount of estimated full time salary for 6 months. Enter $20,000. Total FTE Kim: Total FTE
Enter the number of employees in this classification who actually work at agency.
• In Classification A, you have one full time employee. Enter 1.0.
• In Classification B & C, you have a part-time employee. Enter 0.5. % FTE funded by HSA (Max 100%) Kim: % FTE funded by HSA
Represents % of actual time dedicated to HSA funded program.
• Employee A and C spend all of their time on this HSA funded program, enter 100%.
• Employee B spends 80% of time on HSA funded program, enter 80%.
Adjusted FTE Kim: Adjusted FTE
| Total FTE x % FTE funded by HSA | Original | Total | ||||||||||||||||||||
| Employee A (example) | 1.00 | 100% | 1.00 | 1.00 | 100% | 1.00 | $0 | 1.00 | 100% | 1.00 | $0 | 1.00 | 100% | 1.00 | $0 | $0 | ||||||
| Employee B (example) | 0.50 | 80% | 0.40 | 0.50 | 80% | 0.40 | $0 | 0.50 | 80% | 0.40 | $0 | 0.50 | 80% | 0.40 | $0 | $0 | ||||||
| Employee C (example) | 0.50 | 100% | 0.50 | 0.50 | 100% | 0.50 | $0 | 0.50 | 100% | 0.50 | $0 | 0.50 | 100% | 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 | ||||||||||||||
| TOTALS | $0 | 2.00 | 2.80 | 1.90 | $0 | $0 | 2.00 | 280% | 1.90 | $0 | $0 | 2.00 | 280% | 1.90 | $0 | $0 | 2.00 | 280% | 1.90 | $0 | $0 |
| FRINGE BENEFIT RATE | 30% | 0% | 0% | 0% | |||||
| EMPLOYEE FRINGE BENEFITS | $0 | $0 | $0 | $0 | $0 |
| TOTAL SALARIES & BENEFITS | $0 | $0 | $0 | $0 | $0 |
| HSA Budget Form (3/24) |
&P
Operating-Direct
| Grantee/Contractor: Vendor Name | Appendix B, Page 3 |
| Program: Program Name |
Operating Expenses Detail
| 7/1/25 - 6/30/26 | 7/1/26 - 6/30/27 | 7/1/27 - 6/30/28 | 7/1/28 - 6/30/29 | 7/1/25 - 6/30/29 | |
| Original | Original | Original | Original | Total | |
| 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) |
&P
Subcontractors
| Grantee/Contractor: Vendor Name | Appendix B, Page 4 |
| Program: Program Name |
| Subcontractors-Pass Thru | |||||
| Instructions: Provide calculation of client serve and rate in the justification tab under subcontractors | |||||
| 7/1/25 - 6/30/26 | 7/1/26 - 6/30/27 | 7/1/27 - 6/30/28 | 7/1/28 - 6/30/29 | 7/1/25 - 6/30/29 | |
| Original | Original | Original | Original | Total | |
| Subcontractor | |||||
| Sample Identified Host Site 1 | $50,000 | $50,000 | |||
| Sample Identified Host Site 2 | $50,000 | $50,000 | |||
| Sample Identified Host Site 3 | $50,000 | $50,000 | |||
| [Add additional Host Site as needed or potential] | $1,850,000 | $1,850,000 | |||
| $0 | |||||
| $0 | |||||
| $0 | |||||
| $0 | |||||
| $0 | |||||
| $0 |
Total Subcontractor $2,000,000 $0 $0 $0 $2,000,000
| 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) |
&P
Capital Expenses
| Grantee/Contractor: Vendor Name | Appendix B, Page 5 |
| Program: Program Name |
Capital Expenses Detail
| 7/1/25 - 6/30/26 | 7/1/26 - 6/30/27 | 7/1/27 - 6/30/28 | 7/1/28 - 6/30/29 | 7/1/25 - 6/30/29 | |
| Original | Original | Original | Original | Total | |
| 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) |
&P
Justification Instructions: The Budget Justification explains and supports the costs included in your budget spreadsheet. Each expense should clearly describe the cost, why it is necessary for the program, and how the amount was calculated. The information provided should align with the project scope, work plan, funding requirements, and proposed activities. Feel free to add more rows if necessary.
General Guidance:
-Use clear, concise, and professional language.
-Ensure all amounts match the corresponding budget spreadsheet.
-Provide enough detail for reviewers to understand the purpose and reasonableness of each expense.
-Include calculations whenever possible (e.g., hourly rate × hours, quantity × unit cost).
-Only include expenses directly related to the project, program, or contract activities.
-Avoid vague descriptions such as “miscellaneous expenses” without additional explanation.
-Shared Cost Allocation must align with organzation Cost Allocation Policy -Indirect Cost rate should include the rate percentage, the basis used to calculate the rate and the expenses charged to this program
| Salary | |
| POSITION TITLE | Annual Full Time Salary for FTE |
Kim: Annual Full Time Salary for FTE
Please report in this column the total annual compensation for a full time employee in this classification. For instance:
• Employee A works full time, enter total salary for that employee (or position)
• Employee B works part time at 50% FTE all year, for $20,000. Enter amount of full time salary for full year. Enter $40,000.
• Employee C works part time at 50% FTE for 6 months, for $10,000. Enter amount of estimated full time salary for 6 months. Enter $20,000. Total FTE Kim: Total FTE
Enter the number of employees in this classification who actually work at agency.
• In Classification A, you have one full time employee. Enter 1.0.
• In Classification B & C, you have a part-time employee. Enter 0.5. % FTE funded by HSA (Max 100%) Kim: % FTE funded by HSA
Represents % of actual time dedicated to HSA funded program.
• Employee A and C spend all of their time on this HSA funded program, enter 100%.
• Employee B spends 80% of time on HSA funded program, enter 80%.
Adjusted FTE Kim: Adjusted FTE
| Total FTE x % FTE funded by HSA | Budgeted Salary | Justification and Description | |||
| Employee A (example) | $ - 0 | 1 | 1 | 1 | |
| Employee B (example) | $ - 0 | 1 | 1 | 0 | |
| Employee C (example) | $ - 0 | 1 | 1 | 1 |
| Fringe Benefit Rate Calculation | Percentage | |
| Payroll Taxes | 1.00% | |
| Payroll Fees | 1.00% | |
| Employee Dental & Vision Benefit | 1.00% | |
| Employee Medical Benefit | 1.00% | |
| Other Employee Benefit | 1.00% | |
| Employee Life Benefit | 1.00% | |
| Workers Compensation | 1.00% | |
| Total Fringe Benefits | 7.00% | |
| Operating Expenditures | Costs | Justification and Description |
| 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 | Costs | Justification and Description |
| Consultant A (first $50k; anything over on next tab) | 0 | |
| Subcontractor A (first $50k; anything over on next tab) | 0 |
| Subcontractor (Host Sites) | Costs | Justification and Description |
| Sample Identified Host Site 1 | $ 50,000.00 | [Include Host Site calculation of client service x rate] |
| Sample Identified Host Site 2 | $ 50,000.00 | [Include Host Site calculation of client service x rate] |
| Sample Identified Host Site 3 | $ 50,000.00 | [Include Host Site calculation of client service x rate] |
| [Add additional Host Site as needed or potential] | $ 1,850,000.00 | |
| 0 | ||
| Total Subcontractor | ||
| Justification and Description | ||
| Indirect Cost/Rate (x%) | Costs | |
| Finance Accounting (Sample) | ||
| IT (Sample) | ||
| Facilities (Sample) | ||
| Administrative Salary Cost (Sample) |
| Equipment (any single item $10k+) | Costs | Justification and Description |
| Equipment A | ||
| Equipment B |
| Remodeling | Costs | Justification and Description |
| Remodeling A | ||
| Remodeling B |
&P
File details come from the government source that posted it. Updated .