CTR078356_Attachment_7_ISB.pdf

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Attached to
AZ|CTR078356
Contract number
CTR078356
Issued by
Arizona

About this file

This document is an Itemized Service Budget for a SNAP CAN (Supplemental Nutrition Assistance Program Community Access Network) contract between LifeBridge Community Alliance and a state agency, with Contract #CTR078356 covering the Federal Fiscal Year 2026. The contract period runs from the date of the last signature through September 30, 2026, and involves planning services with a 100% participant reimbursement option up to $10,000 and an administrative reimbursement rate of 50%.

The contract details a comprehensive budget across multiple categories including personnel, professional services, travel, space, equipment, materials, operating services, and indirect costs, totaling $362,306 with $181,155 eligible for reimbursement. Participant reimbursement components include training materials, vehicle repairs, uniforms, childcare, utility assistance, and transportation support for up to 3 clients per month. Key personnel include an Executive Director, Program Director, and several case managers working at varying percentage allocations. The budget covers a resource center open 6 days per week, with 2,178 square feet of space and additional classroom rentals, and includes provisions for client support services such as educational testing, transportation assistance, and medical/hygiene support.

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Other files

File Type Posted
CTR078356_Contract_Documents.pdf PDF
CTR078356_Debarment_Check.pdf PDF
Exhibit_A_Participation_Activity_Spreadsheet.xlsx XLSX spreadsheet
CI22016_CI_Determination.pdf PDF
CTR078356_Pre-Contracts_Documents.pdf PDF
Exhibit_B_Contractor_Invoice_for_Reimbursement.xlsx XLSX spreadsheet

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CONTRACT SERVICE: Planning - SNAP CAN Agency:

100% Participant Reimbursement up to: 10,000.00 Contract #: CTR078356

Administrative Reimbursement: 50%

1. PERSONNEL

Name of Staff Person

% FTE for SNAP CAN Position Title Total Salary for the

Current FFY SNAP CAN Salary Fringe Benefits Rate* Fringe Benefits

Total SNAP CAN Related Costs

Reimbursement

Bob Hake 75% Executive Director 78,680.00$ 59,010$ 50% 29,505$ 88,515$ 44,258$ Angelina Alfarro 75% Program Director 36,000.00$ 27,000$ 50% 13,500$ 40,500$ 20,250$ Kathleen Rengifo 50% Intake and Referrals 25,379.00$ 12,690$ 0% -$ 12,690$ 6,345$ Ellie Doebler 60% Case Manager 24,400.00$ 14,640$ 0% -$ 14,640$ 7,320$ Jaynette Valtierra 60% Case Manager - Spanish Translation 24,400.00$ 14,640$ 50% 7,320$ 21,960$ 10,980$ Titus Shorack 50% Case Manager 35,006.00$ 17,503$ 50% 8,752$ 26,255$ 13,128$

223,865$ 145,483$ 59,077$ 204,560$ 102,281$

2. PROFESSIONAL AND OUTSIDE

SERVICES ITEM

Total SNAP CAN Related Costs

Reimbursement

3. TRAVEL ITEM

Total SNAP CAN

Related Costs Reimbursement

In-State Travel six staff @ 200 miles per month = 1,200 miles x 12 months = 14,400 miles @ .67 per mile = $,648.00 9,648$ 4,824$

9,648$ 4,824$

4. SPACE ITEM

Total SNAP CAN

Related Costs Reimbursement

112,536$ 56,268$

112,536$ 56,268$

5a.CAPITAL / NON-CAPITAL EQUIPMENT ($10,000 and over)

ITEM

Total SNAP CAN

Related Costs Reimbursement

5b. NON CAPITAL EQUIPMENT (less than $10,000)

ITEM

Total SNAP CAN

Related Costs Reimbursement

3 tablets 2,100$ 1,050$

2,100$ 1,050$

6. MATERIALS AND SUPPLIES ITEM

Total SNAP CAN

Related Costs Reimbursement

Printed client materials and signage 800$ 400$

1,200$ 600$ 400$ 200$

2,400$ 1,200$

7. OPERATING SERVICES ITEM

Total SNAP CAN

Related Costs Reimbursement

General Liability Insurance (USLI Ins. Co.) -$

1,363$ 682$ SAM Annual Registration Fee 899$ 450$

2,262$ 1,132$

8. INDIRECT COSTS ITEM

Total SNAP CAN

Related Costs Reimbursement

De minimis rate 28,800$ 14,400$

28,800$ 14,400$

TOTAL ADMINISTRATIVE COSTS 362,306$ 181,155$

9. PARTICIPANT REIMBURSEMENT

Total SNAP CAN

Related Costs

Training Materials, Fees etc 4,500$

Vehicle Repairs/Bike Purchase 3,600$

Uniforms, clothing, hygiene, medical 9,000$

Childcare 10,800$

Utility/Housing Assistance 10,800$

Cellphone/Laptop Purchase -$

Transportation- Gas/Bus 3,720$

42,420$ 10,000$ 16,210$

TOTAL SNAP CAN REIMBURSEMENT BUDGET

TOTAL PROFESSIONAL AND OUTSIDE SERVICES

Resource Center (0pen 6 days per wk.) 2,178 sq.ft. / GED & Enflish language classrooms (4 classes per week) total rented sq. footage = 4,689 @ $2.00 per sq. ft. (includes rental, utilities, internet, custodial and maintance)

ITEMIZED SERVICE BUDGET

Contract Period: Date of Last Signature - 9/30/2026

LifeBridge Community Alliance

Federal Fiscal Year: 2026

BASIS

TOTAL PERSONNEL

TOTAL EQUIPMENT

3 clients @ $300.00 per month for 90 days - 900.00 per month x 12 months

3 clients @ 300.00 each = $900.00 per month

General Liability Insurance Coverage

For all related SNAP CAN related programs and services @ 90%

BASIS

TOTAL MATERIALS AND SUPPLIES

BASIS

Seasonal campus directional and informational signage - 2 @ $400.00 each

Promo packets with program descriptions - 2400 @ .50 = $1,200.00

Participant enrollment packets - 800 @ .50 = $400.00

$207,365

TOTAL OPERATING EXPENSES

15% Accounting services and administrative services

BASIS

TOTAL INDIRECT COSTS

TOTAL PARTICIPANT REIMBURSEMENT COSTS

PARTICIPANT REIMBURSEMENT AT 100%

PARTICIPANT REIMBURSEMENT AT 50%

BASIS

25 students per year @ $225.00 each (Book, Pre-test and test fees) =

5 Uber or Lyft cards @ $50.00 per month and 3 $20.00 gas cards per month - total $310.00 per month

1 vehicle repair and 1 bike repair / replacement per month

10 hygene packs per month @ @32.00 each / 5 per month co-pays @ $50.00 each (Dental/Mental Health/ Doctors / 2 per month uniforms @ $70.00 each

Staff portability for Client intake

TOTAL SPACE

BASIS

TOTAL TRAVEL

BASIS

BASIS

BASIS

Capital equipment MUST BE approved prior to budget approval. Please contact easnaetreports@azdes.gov for guidance

TOTAL EQUIPMENT

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