CTR066198_Itemized_Service_Budget.pdf
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- Attached to
- Master Agreement AZ|CTR066198
- Contract number
- CTR066198
- Issued by
- Arizona
About this file
This document is an Itemized Service Budget (ISB) Workbook for a Domestic Violence - Statewide contract involving Mariposa Community Health Center, located at Mariposa Community Health Center and Crossroads Mission. The contract is funded by multiple sources, including ADES (Arizona Department of Economic Security), the Arizona Association of Community Health Centers' Department of Justice Office on Violence Against Women Rural Program, and the Governor's Office of Youth, Faith, and Family STOP Violence Against Women Grant Program.
The contract covers domestic violence services for the period of 7/1/23 - 6/30/24, with a total budget of $234,717.26. The budget includes personnel costs for staff such as a Domestic & Sexual Violence Program Supervisor and Patient Advocates, employee-related expenses, travel, materials and supplies, and operating services. A key component is the flexible financial assistance program, which provides $11,573.58 to support 42 clients with up to $275 each to address financial barriers, including rent, medical, behavioral health, and personal needs. The Arizona Department of Economic Security (ADES) will cover the 20% match requirement, and the budget is allocated across different service categories including DCAD Service, DCAD Shelter, Mobile & Community Based Advocacy (MCBA), and Transitional Housing (TH).
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CONTRACT SERVICE: Domestic Violence - Statewide AGENCY NAME: Mariposa Community Health Center FACILITY NAME(S): Mariposa Community Health Center, Crossroads Mission
MATCH REQUIREMENT: ADES will provide State funds to cover the 20% Match Requirement
REMINDER: Please review the ISB Instructions tab before completing the ISB and Budget Narrative tabs. If your agency will be providing services at multiple locations, please list the name of the facility next to each budget line item and group them together.
1. PERSONNEL DCAD DCAD
Mobile & Community Tranistional
TOTAL TOTAL DCAD Based Advocacy Housing Number of FTE Total Salary for the % Allocated Service SERVICE DCAD SHELTER (MCBA) (TH) Positions Level Position Title Contract Period *A + D = Total COST COST COST COST COST
1 0.10 Health & Social Services Manager $6,631.00 0% + 0% = 0% $6,631.00 $0.00 1 1.00 Domestic & Sexual Violence Program Supervisor $50,024.00 15% + 5%=20% $50,024.00 $10,004.80 $10,004.80 1 1.00 Patient Advocate $36,816.00 0% + 100%=100% $36,816.00 $36,816.00 $18,408.00 $18,408.00 1 1.00 Patient Advocate $38,626.00 0% +25%=25% $38,626.00 $9,656.50 $9,656.50 1 1.00 Patient Advocate $35,350.00 0% + 0% = 0% $35,350.00 $0.00
TOTAL PERSONNEL TOTAL: $167,447.00 $56,477.30 $18,408.00 $38,069.30 $0.00
*A = % Administrative Functions D = % Direct Service Functions
2. EMPLOYEE RELATED EXPENSES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
ERE 28% $46,885.16 $15,813.64 $7,906.82 $7,906.82
TOTAL EMPLOYEE RELATED EXPENSES TOTAL: $46,885.16 $15,813.64 $7,906.82 $7,906.82 $0.00
3. PROFESSIONAL AND OUTSIDE SERVICES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
TOTAL PROFESSIONAL AND OUTSIDE SERVICES TOTAL: $0.00 $0.00 $0.00 $0.00 $0.00
4. TRAVEL TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Employee Mileage 100/mi x12 x .63 cents/mile $756.00 $756.00 $756.00 Agency owned vehicle gas $50/mo x 12 mos $600.00 $600.00 $600.00
Attachment 3 Itemized Service Budget (ISB) Workbook
Contract Period: 7/1/23 - 6/30/24
TOTAL TRAVEL TOTAL: $1,356.00 $1,356.00 $0.00 $1,356.00 $0.00
5. SPACE TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
TOTAL SPACE TOTAL: $0.00 $0.00 $0.00 $0.00 $0.00
TOTAL TOTAL DCAD DCAD DCAD
6. EQUIPMENT SERVICE DCAD SHELTER MCBA TH
COST COST COST COST COST
ITEM BASIS
TOTAL EQUIPMENT TOTAL: $0.00 $0.00 $0.00 $0.00 $0.00
7. MATERIALS AND SUPPLIES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Photocopies 200 sheets x.05cents x 12 mos $120.00 $120.00 $120.00 Copier Lease $25/mo x 12 mos $300.00 $300.00 $300.00 Program supplies $100 x 12 mos $1,200.00 $500.00 $500.00 Marketing & Outreach Material Flyers/rack card, shoe cards, posters, outreach incentives $2,155.26 $1,000.00 $1,000.00
TOTAL MATERIALS AND SUPPLIES TOTAL: $3,775.26 $1,920.00 $0.00 $1,920.00 $0.00
8. OPERATING SERVICES TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Vehicle Insurance Premium $50/mo x 12 mos $600.00 $600.00 $600.00 Vehicle Registration $200.26/yr $200.26 $200.00 $200.00 Cel phone/hot spot $60mo x 12mos x 4 phones $2,880.00 $720.00 $360.00 $360.00
TOTAL OPERATING EXPENSES TOTAL: $3,680.26 $1,520.00 $360.00 $1,160.00 $0.00
9 INDIRECT COSTS TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Indirect Costs Federal Indirect Cost Rate of %
TOTAL INDIRECT COSTS TOTAL: $0.00 $0.00 $0.00 $0.00 $0.00
SUBTOTAL ADMIN COSTS TOTAL: $223,143.68 $77,086.94 $26,674.82 $50,412.12 $0.00
10 VOUCHERS - FLEXIBLE FINANCIAL ASSISTANCE TOTAL TOTAL DCAD DCAD DCAD
SERVICE DCAD SHELTER MCBA TH
ITEM BASIS COST COST COST COST COST
Flexible financial assistance for clients Financial assistance for survivors to address $11,573.58 $11,573.58 $5,786.79 $5,786.79 financial barriers interfering with the abiity to create safe and stables lives (e.g. rent medical, behavioral health, basic and personal needs) 42 clients x $275/client
TOTAL VOUCHERS TOTAL: $11,573.58 $11,573.58 $5,786.79 $5,786.79 $0.00
11. TOTAL SERVICE COST/DCAD TOTAL COST: $234,717.26 $88,660.52 $32,461.61 $56,198.91 $0.00
REVENUE SOURCES:
ADES - DCAD $88,660.52 $88,660.52 $32,461.61 $56,198.91 $0.00
Arizona Association of Community Health Centers: Department of Justice Office on Violence Against Women Rural Program $49,378.74 Governor's Office of Youth, Faith, and Family: STOP Violence Against Women Grant Program $96,678.00
(Enter Revenue Source) (Enter Revenue Source)
TOTAL REVENUE*: $234,717.26 $88,660.52 $32,461.61 $56,198.91 $0.00
*Revenue must equal the Total Costs listed in the Blue row above
ISB
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