CTR062833_Exhibit_A_Initial_Itemized_Service_Budget.pdf
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- Attached to
- Master Agreement AZ|CTR062833
- Contract number
- CTR062833
- Issued by
- Arizona
About this file
This document is an Exhibit A Proposed Itemized Service Budget for a contract between Native American Connections and ADES (Arizona Department of Economic Security) for Homeless Youth Outreach and Drop-in Center Services. The contract covers the period from 11/16/22 to 06/30/23 and is identified by contract number CTR062833.
The budget totals $302,048.00, with ADES providing $242,076.00 in funding. The services include street outreach and drop-in center operations with personnel costs of $150,000 for three positions: an Outreach Driver, Case Manager, and Outreach & Engagement Specialist. Additional expenses cover essential client services ($58,800), drop-in center operations ($92,648), and HMIS licensing ($600). Revenue sources include ADES-Homeless funding of $242,076 and Foundation & Corporate Support of $59,972. The budget covers services such as case management, transportation, emergency health services, food, hygiene items, equipment leases, utilities, and other support services for homeless youth.
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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
1 O Outreach Driver 30,000.00 30,000.00
2 D Case Manager 60,000.00 60,000.00
1 O Outreach & Engagement Specialist 30,000.00 30,000.00
ERE D ERE 25% of gross salary 15,000.00 15,000.00
ERE O ERE 25% of gross salary 15,000.00 15,000.00
5 150,000.00 150,000.00
Service Code (O or D)
Basis TOTAL COST ADES COST
O Cell phone service/usage, food, fuel, hygiene items, insurance, vehicle lease, water 52,800.00 47,830.00
58,800.00 53,830.00
Service Code (O or D)
Basis TOTAL COST ADES COST
92,648.00 37,646.00
Basis TOTAL COST ADES COST
HMIS License 600.00 600.00
TOTAL: 600.00 600.00
EXHIBIT A
Homeless Youth Outreach and Drop-in Center Services
PROPOSED ITEMIZED SERVICE BUDGET
CONTRACT SERVICE PROVIDED: Street Outreach & Drop-Center ORGANIZATION: Native American Connections
CONTRACT NUMBER: CTR062833CONTRACT PERIOD: 11/16/22 - 06/30/23
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.
6,000.00 6,000.00D
Equipment leases, laundry supplies, maintenance, operation supplies, shower supplies, utilities
D 92,648.00 37,646.00
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
Food, Metro passes
Indirect Cost Rate (i.e. 10% de minimus rate or
Federally negotiated rate)
Service Code (O or D)
Basis TOTAL COST ADES COST
0.00 0.00
0.00 0.00
302,048.00 242,076.00
TOTAL COST ADES COST
6) 127,800.00 122,830.00
7) 173,648.00 118,646.00
8) Calculate total HMIS COST 600.00 600.00
9) TOTAL COSTS BY SERVICE CODES: 302,048.00 242,076.00
* 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 242,076.00 242,076.00
Government Funding - City
Government Funding - County
Gov. Funding - Federal
Foundation & Corporate Support 59,972.00
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: 302,048.00 242,076.00
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)
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.
TOTAL:
Total Costs by Above Budget Categories
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