CTR060358_ISB.pdf
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- Attached to
- Master Agreement AZ|CTR060358
- Contract number
- CTR060358
- Issued by
- Arizona
About this file
This document is an Exhibit A Itemized Service Budget for a contract between the Arizona Department of Economic Security (ADES) and Human Services Campus, Inc. The contract is for Homeless Youth Street Outreach and Drop-In Services, with a contract period from July 1, 2023, to June 30, 2024, under contract number CTR060358.
The budget totals $208,126.70, entirely funded by ADES-Homeless funding. The services include two primary street outreach positions: a Street Outreach role and a Street Outreach Navigator, totaling 3 full-time equivalent (FTE) employees. Direct personnel costs are $170,842.45, with an additional $20,200 allocated for essential client services including employee training, food, water, pet food, clothing, hygiene kits, and laptop purchases. The organization is using a 10% de minimis indirect cost rate, which adds $17,084.25 to the total budget. The contract focuses on providing outreach services to homeless youth, with no drop-in center or HMIS expenses included in this budget.
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Text version
TOTAL FTE Level (i.e., 1.0, 0.5, 0.25)
Service Code (O or D) Position Title TOTAL COST ADES COST
2 O Street Outreach 102,415.13 102,415.13
1 O Street Outreach Navigator 68,427.32 68,427.32
TOTAL # of FTEs: [ 3 ] 170,842.45$ 170,842.45$
Service Code (O or D) Basis TOTAL COST ADES COST
O Employee Training 6,000.00 6,000.00
O Mileage 0.00 0.00
O Cell Phones 0.00 0.00
O Food, Water, Pet Food, Clothing, Hygiene Kits 10,000.00 10,000.00
O x3 Laptops 4,200.00 4,200.00
20,200.00$ 20,200.00$
Service Code (O or D) Basis TOTAL COST ADES COST
Service Code (O or D) Basis TOTAL COST ADES COST
TOTAL: -$ -$
EXHIBIT A
Homeless Youth Outreach and Drop-in Center Services
ITEMIZED SERVICE BUDGET
CONTRACT SERVICE PROVIDED: HML Youth Street Outreach and Drop-In Services ORGANIZATION: Human Services Campus, Inc.
CONTRACT NUMBER: CTR060358CONTRACT PERIOD: 07/01/2023 to 06/30/2024 SERVICE CODES: O = Street Outreach D = Drop-in Center
1) TOTAL PERSONNEL & EMPLOYEE RELATED EXPENSES FOR DIRECT SERVICES (One Service Code Per Line) Compensation directly related to carrying out the activities of the identified Service Code as well as other costs such as insurance, workers compensation, etc.
TOTAL:
2) TOTAL ESSENTIAL CLIENT SERVICES FOR STREET OUTREACH AND/OR DROP-IN CENTER
Case Management, child care, education services, employment assistance (i.e., fingerprint clearnance card, uniforms, ID), life skills training, transportation, mileage, vehicle lease (vehicles cannot be purchased with these funds), emergency health services, emergency mental health services, hygiene items, food, water, pet food, clothing, cell phone service/usage charges, and services for special populations (e.g., services for people living with HIV/AIDS and victim services). These are non-employee expenses.
TOTAL:
3) TOTAL DROP-IN CENTER OPERATIONS EXPENSES
Maintenance, rent, security, fuel, equipment, insurance, utilities, phones, internet, shower, laundry, storage lockers, pet cages, furnishings, food, cell phone charging stations, staff training, supplies necessary for operation of a Drop-in Center.
TOTAL:
4) HMIS EXPENSES
Purchasing or leasing computer system equipment, obtaining technical support; paying a portion of utilities, and high-speed data transmission necessary to operate or contribute data to the HMIS; paying salaries for operating HMIS, i.e. data entry, monitoring and reviewing data quality, and data analysis
5) INDIRECT COSTS
Costs incurred for the benefit of multiple programs, functions, or other cost objectives, and therefore, cannot be identified readily and specifically with a particular program or other cost objective. Indirect costs typically support administrative overhead functions such as fringe benefits, accounting, payroll, purchasing, facilities management, utilities, etc. If the subrecipient elects to use a federally negotiated indirect cost rate, they must provide a copy of the rate agreement with the ISB. If the federally approved indirect cost rate changes or is allowed to expire within the contract period, the subrecipient must notify DES of the changes. If the subrecipient elects to use the 10% de Minimus rate for indirect costs, they must complete and submit the Exhibit B Certification of De Minimus Indirect Cost Rate form.
Indirect Cost Rate (i.e. 10% de minimus rate or
Federally negotiated rate)
Service Code (O or D) Basis TOTAL COST ADES COST
10% de minimis rate O 10% de minimis rate 17,084.25 17,084.25
17,084.25$ 17,084.25$
208,126.70$ 208,126.70$
TOTAL COST ADES COST
6) 208,126.70$ 208,126.70$
7)
8) Calculate total HMIS COST
9) TOTAL COSTS BY SERVICE CODES: 208,126.70$ 208,126.70$
* If red, ensure the total matches the Total Cost above
* If red, ensure the total matches the ADES Cost above
10) REVENUE SOURCES: TOTAL COST ADES COST
ADES-HOMELESS 208,126.70$ 208,126.70$
Government Funding - City
Government Funding - County
Gov. Funding - Federal
Foundation & Corporate Support
United Way
Contributions / Donations
Special Events / Fundraising
Legacies / Bequests / Investments
Program Service Fees & Reimbursements
In-Kind Support
Other Revenue*
* Identify Other Revenue Sources Here TOTAL REVENUE: 208,126.70$ 208,126.70$ Bingo Proceeds
Manually Calculate Total Street Outreach (O) COST
Manually Calculate Calculate Total Drop-in Center (D) COST
Government Funding – State (Do not include ADES Homeless Program funding listed above)
TOTAL:
Total Costs by Above Budget Categories
ISB
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