Enclosure_7_-_Program_Budget_Template.xlsx

XLSX spreadsheet 49 KB Posted Sep 24, 2025

Attached to: Youth Interim Housing Program
Solicitation number: 2026-COH-RFP-00071
Issued by: San Mateo County, California

About this file

Written by GovTribe AI · Oct 21, 2025

This is a Program Budget Template for the Youth Interim Housing Program issued by the County of San Mateo's Human Services Agency (HSA) through its Center on Homelessness (COH). The document outlines a comprehensive budget framework for a six-bedroom interim housing program serving transitional age youth (TAY) experiencing homelessness, with a contract term spanning from January 2026 to December 2030. The RFP (2026-COH-RFP-00071) was released on September 24, 2025, with proposals due on October 22, 2025, and an optional site walkthrough scheduled for October 9, 2025. The program aims to provide shelter for homeless youth aged 18-24, with case management and support services designed to help clients transition to permanent housing within 150 days.

The budget template allows for flexible expense reporting with a maximum indirect cost rate of 15%, and will be funded through County General Funds, Measure K sales tax revenues, and state Homeless Housing, Assistance and Prevention (HHAP) funding. The County will own the facility and provide maintenance services, while the selected contractor will be responsible for staffing, food services, case management, and facility operations. The initial program capacity is set at six clients, with potential expansion to be discussed during contract negotiations. Evaluation criteria will assess proposers' minimum qualifications, including at least three years of experience operating interim housing programs for transitional age youth. The procurement does not specify explicit set-aside designations and is open to vendors legally authorized to conduct business in California who are not on the federal debarment list.

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Other files

File	Type	Posted
Youth_Interim_Housing_Program_(Addendum_#1_Revision).pdf	PDF	Oct 14, 2025
Youth_Interim_Housing_Program_(Addendum_#1_Revision).pdf	PDF	Oct 14, 2025
Youth_Interim_Housing_Program_(Addendum_#1_Revision).pdf	PDF	Oct 14, 2025
Youth_Interim_Housing_Program.pdf	PDF	Sep 24, 2025
Enclosure_2_-_2022_SMC_CoC_Strategic_Plan.pdf	PDF	Sep 24, 2025
Enclosure_3_-_HUD_Homeless_Definitions.pdf	PDF	Sep 24, 2025
Enclosure_4_-_3335_Spring_Street_Property_Photos.pdf	PDF	Sep 24, 2025
RFP_Youth_Interim_Housing_Program_2026-COH-RFP-00071.pdf	PDF	Sep 24, 2025
Enclosure_3_-_HUD_Homeless_Definitions.pdf	PDF	Sep 24, 2025
Enclosure_5_-_2023.04.12_Shelter_Daily_Wellness_Check_Policy.pdf	PDF	Sep 24, 2025
Enclosure_3_-_HUD_Homeless_Definitions.pdf	PDF	Sep 24, 2025
Enclosure_9_-_2025_Clarity_Exhibit_for_Contracts.pdf	PDF	Sep 24, 2025
Enclosure_2_-_2022_SMC_CoC_Strategic_Plan.pdf	PDF	Sep 24, 2025
Enclosure_9_-_2025_Clarity_Exhibit_for_Contracts.pdf	PDF	Sep 24, 2025
Enclosure_1_-_Standard_Agreement_Template_and_Attachments.pdf	PDF	Sep 24, 2025
Enclosure_5_-_2023.04.12_Shelter_Daily_Wellness_Check_Policy.pdf	PDF	Sep 24, 2025
Enclosure_9_-_2025_Clarity_Exhibit_for_Contracts.pdf	PDF	Sep 24, 2025
Enclosure_4_-_3335_Spring_Street_Property_Photos.pdf	PDF	Sep 24, 2025
Enclosure_8_-_Minimum_Qualifications_and_Certification_of_Compliance_Form.pdf	PDF	Sep 24, 2025
RFP_Youth_Interim_Housing_Program_2026-COH-RFP-00071.pdf	PDF	Sep 24, 2025
Enclosure_1_-_Standard_Agreement_Template_and_Attachments.pdf	PDF	Sep 24, 2025
Enclosure_5_-_2023.04.12_Shelter_Daily_Wellness_Check_Policy.pdf	PDF	Sep 24, 2025
Enclosure_6_-_Service_Level_Agreement_-_Redacted.pdf	PDF	Sep 24, 2025
Enclosure_2_-_2022_SMC_CoC_Strategic_Plan.pdf	PDF	Sep 24, 2025
Enclosure_2_-_2022_SMC_CoC_Strategic_Plan.pdf	PDF	Sep 24, 2025
Enclosure_5_-_2023.04.12_Shelter_Daily_Wellness_Check_Policy.pdf	PDF	Sep 24, 2025
Enclosure_7_-_Program_Budget_Template.xlsx	XLSX spreadsheet	Sep 24, 2025
Enclosure_8_-_Minimum_Qualifications_and_Certification_of_Compliance_Form.pdf	PDF	Sep 24, 2025
Enclosure_4_-_3335_Spring_Street_Property_Photos.pdf	PDF	Sep 24, 2025
Enclosure_7_-_Program_Budget_Template.xlsx	XLSX spreadsheet	Sep 24, 2025
Enclosure_8_-_Minimum_Qualifications_and_Certification_of_Compliance_Form.pdf	PDF	Sep 24, 2025
Enclosure_6_-_Service_Level_Agreement_-_Redacted.pdf	PDF	Sep 24, 2025
Enclosure_7_-_Program_Budget_Template.xlsx	XLSX spreadsheet	Sep 24, 2025
Enclosure_8_-_Minimum_Qualifications_and_Certification_of_Compliance_Form.pdf	PDF	Sep 24, 2025
Enclosure_1_-_Standard_Agreement_Template_and_Attachments.pdf	PDF	Sep 24, 2025
Enclosure_6_-_Service_Level_Agreement_-_Redacted.pdf	PDF	Sep 24, 2025
Enclosure_9_-_2025_Clarity_Exhibit_for_Contracts.pdf	PDF	Sep 24, 2025
Enclosure_4_-_3335_Spring_Street_Property_Photos.pdf	PDF	Sep 24, 2025
Enclosure_6_-_Service_Level_Agreement_-_Redacted.pdf	PDF	Sep 24, 2025
RFP_Youth_Interim_Housing_Program_2026-COH-RFP-00071.pdf	PDF	Sep 24, 2025
Enclosure_1_-_Standard_Agreement_Template_and_Attachments.pdf	PDF	Sep 24, 2025
Enclosure_3_-_HUD_Homeless_Definitions.pdf	PDF	Sep 24, 2025
RFP_Youth_Interim_Housing_Program_2026-COH-RFP-00071.pdf	PDF	Sep 24, 2025

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Cost Summary

Agency Name:
Program Name	Youth Interim Housing Program

Summary
	Total Budget	Funding Request under this RFP
Start-Up
FY25-26 (Jan 2026-June 2026)

(Budget start date should be January 1, 2026.)

FY26-27 (July 2026–June 2027)

FY27-28 (July 2027–June 2028)

FY28-29 (July 2029–June 2029)

FY29-30 (July 2029-June 2030)

FY30-31 (July 2030-Dec 2030)

(Budget end date should be December 31, 2030.)

Total $ - 0 $ - 0

Start-Up

Agency Name:
Program Name:	Youth Interim Housing Program

Instructions:

List all start-up expenses that your agency is requesting funding for under this RFP. Insert each item on its own row. The items included below are just examples and can be edited or removed.

Start-Up Expenses	Quantity	Cost per Item	Total Cost for Item(s)	Description/Explanation
Office supplies (for staff)	0	$ - 0	$ - 0
Cell phones (for staff)	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
		Total	$ - 0

FY25-26

Agency Name:
Program Name:	Youth Interim Housing Program
Fiscal Year:	FY25-26 (Budget start date should be January 1, 2026.)

Instructions:

List other funding sources (e.g. foundation funding, individual donations, corporate donations, contracts with public entities or others). Insert each funding source in its own row. Rows can be added or removed as needed.

Line Item	Total Program Budget	Funding Request (how will the funds requested via this RFP be used)
Revenue
Funding being requested via this RFP	$ - 0	$ - 0
	$ - 0
	$ - 0
	$ - 0
In kind (facilities, maintenance, other)	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
Total Revenue	$ - 0	$ - 0

		Expenses
		Personnel Expenses
(List all staff positions that are a part of the program. The amounts listed in column C should include salaries, benefits and taxes for these positions.)	Total Program Budget	FTE*	Funding Request (how will the funds requested via this RFP be used)	FTE funded by HSA Funding**	Description/Explanation
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
		Benefits (if not included above)	$ - 0	0.00	$ - 0	0.00
		Subtotal Personnel - MTDC	$ - 0	0.00	$ - 0	0.00
		Operating Expenses - MTDC					Description/Explanation
		Supplies	$ - 0		$ - 0
		Staff Telephone/Communications	$ - 0		$ - 0
		Staff travel/mileage	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Subtotal Operating Expenses - MTDC	$ - 0		$ - 0
		Operating Expenses - non-MTDC
		Food	$ - 0		$ - 0
		Client assistance	$ - 0		$ - 0
		Training	$ - 0		$ - 0
		Facilities Cost - utilities	$ - 0		$ - 0
		Insurance	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed)	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0

Subtotal Operating Expenses - non-MTDC	$ - 0	$ - 0
Indirect Costs (up to 15% of MTDC—see RFP)			FTE funded by HSA Funding**	Description/Explanation
Maximum Indirect Costs	$ - 0	$ - 0	$ - 0
Indirect Costs	$ - 0	$ - 0	0.00

Subtotal Indirect Costs	$ - 0	$ - 0	0.00
Total Expenses	$ - 0	$ - 0

* List the proportion of each position that will be allocated to the program

** List the proportion of each position that will be funded by the HSA funding being requested via this RFP

FY26-27

Agency Name:
Program Name:	Youth Interim Housing Program
Fiscal Year:	FY26-27

Instructions:

Line Item	Total Program Budget	Funding Request (how will the funds requested via this RFP be used)
Revenue
Funding being requested via this RFP	$ - 0	$ - 0
	$ - 0
	$ - 0
	$ - 0
In kind (facilities, maintenance, other)	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
Total Revenue	$ - 0	$ - 0

		Expenses
		Personnel Expenses
(List all staff positions that are a part of the program. The amounts listed in column C should include salaries, benefits and taxes for these positions.)	Total Program Budget	FTE*	Funding Request (how will the funds requested via this RFP be used)	FTE funded by HSA Funding**	Description/Explanation
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
		Benefits (if not included above)	$ - 0	0.00	$ - 0	0.00
		Subtotal Personnel - MTDC	$ - 0	0.00	$ - 0	0.00
		Operating Expenses - MTDC					Description/Explanation
		Supplies	$ - 0		$ - 0
		Staff Telephone/Communications	$ - 0		$ - 0
		Staff travel/mileage	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Subtotal Operating Expenses - MTDC	$ - 0		$ - 0
		Operating Expenses - non-MTDC
		Food	$ - 0		$ - 0
		Client assistance	$ - 0		$ - 0
		Training	$ - 0		$ - 0
		Facilities Cost - utilities	$ - 0		$ - 0
		Insurance	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed)	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0

Subtotal Operating Expenses - non-MTDC	$ - 0	$ - 0
Indirect Costs (up to 15% of MTDC—see RFP)			FTE funded by HSA Funding**	Description/Explanation
Maximum Indirect Costs	$ - 0	$ - 0	$ - 0
Indirect Costs	$ - 0	$ - 0	0.00

Subtotal Indirect Costs	$ - 0	$ - 0	0.00
Total Expenses	$ - 0	$ - 0

* List the proportion of each position that will be allocated to the program

** List the proportion of each position that will be funded by the HSA funding being requested via this RFP

FY27-28

Agency Name:
Program Name:	Youth Interim Housing Program
Fiscal Year:	FY27-28

Instructions:

Line Item	Total Program Budget	Funding Request (how will the funds requested via this RFP be used)
Revenue
Funding being requested via this RFP	$ - 0	$ - 0
	$ - 0
	$ - 0
	$ - 0
In kind (facilities, maintenance, other)	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
Total Revenue	$ - 0	$ - 0

		Expenses
		Personnel Expenses
(List all staff positions that are a part of the program. The amounts listed in column C should include salaries, benefits and taxes for these positions.)	Total Program Budget	FTE*	Funding Request (how will the funds requested via this RFP be used)	FTE funded by HSA Funding**	Description/Explanation
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
		Benefits (if not included above)	$ - 0	0.00	$ - 0	0.00
		Subtotal Personnel - MTDC	$ - 0	0.00	$ - 0	0.00
		Operating Expenses - MTDC					Description/Explanation
		Supplies	$ - 0		$ - 0
		Staff Telephone/Communications	$ - 0		$ - 0
		Staff travel/mileage	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Subtotal Operating Expenses - MTDC	$ - 0		$ - 0
		Operating Expenses - non-MTDC
		Food	$ - 0		$ - 0
		Client assistance	$ - 0		$ - 0
		Training	$ - 0		$ - 0
		Facilities Cost - utilities	$ - 0		$ - 0
		Insurance	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed)	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0

Subtotal Operating Expenses - non-MTDC	$ - 0	$ - 0
Indirect Costs (up to 15% of MTDC—see RFP)			FTE funded by HSA Funding**	Description/Explanation
Maximum Indirect Costs	$ - 0	$ - 0	$ - 0
Indirect Costs	$ - 0	$ - 0	0.00

Subtotal Indirect Costs	$ - 0	$ - 0	0.00
Total Expenses	$ - 0	$ - 0

* List the proportion of each position that will be allocated to the program

** List the proportion of each position that will be funded by the HSA funding being requested via this RFP

FY28-29

Agency Name:
Program Name:	Youth Interim Housing Program
Fiscal Year:	FY28-29

Instructions:

Line Item	Total Program Budget	Funding Request (how will the funds requested via this RFP be used)
Revenue
Funding being requested via this RFP	$ - 0	$ - 0
	$ - 0
	$ - 0
	$ - 0
In kind (facilities, maintenance, other)	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
Total Revenue	$ - 0	$ - 0

		Expenses
		Personnel Expenses
(List all staff positions that are a part of the program. The amounts listed in column C should include salaries, benefits and taxes for these positions.)	Total Program Budget	FTE*	Funding Request (how will the funds requested via this RFP be used)	FTE funded by HSA Funding**	Description/Explanation
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
		Benefits (if not included above)	$ - 0	0.00	$ - 0	0.00
		Subtotal Personnel - MTDC	$ - 0	0.00	$ - 0	0.00
		Operating Expenses - MTDC					Description/Explanation
		Supplies	$ - 0		$ - 0
		Staff Telephone/Communications	$ - 0		$ - 0
		Staff travel/mileage	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Subtotal Operating Expenses - MTDC	$ - 0		$ - 0
		Operating Expenses - non-MTDC
		Food	$ - 0		$ - 0
		Client assistance	$ - 0		$ - 0
		Training	$ - 0		$ - 0
		Facilities Cost - utilities	$ - 0		$ - 0
		Insurance	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed)	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0

Subtotal Operating Expenses - non-MTDC	$ - 0	$ - 0
Indirect Costs (up to 15% of MTDC—see RFP)			FTE funded by HSA Funding**	Description/Explanation
Maximum Indirect Costs	$ - 0	$ - 0	$ - 0
Indirect Costs	$ - 0	$ - 0	0.00

Subtotal Indirect Costs	$ - 0	$ - 0	0.00
Total Expenses	$ - 0	$ - 0

* List the proportion of each position that will be allocated to the program

** List the proportion of each position that will be funded by the HSA funding being requested via this RFP

FY29-30

Agency Name:
Program Name:	Youth Interim Housing Program
Fiscal Year:	FY29-30

Instructions:

Line Item	Total Program Budget	Funding Request (how will the funds requested via this RFP be used)
Revenue
Funding being requested via this RFP	$ - 0	$ - 0
	$ - 0
	$ - 0
	$ - 0
In kind (facilities, maintenance, other)	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
Total Revenue	$ - 0	$ - 0

		Expenses
		Personnel Expenses
(List all staff positions that are a part of the program. The amounts listed in column C should include salaries, benefits and taxes for these positions.)	Total Program Budget	FTE*	Funding Request (how will the funds requested via this RFP be used)	FTE funded by HSA Funding**	Description/Explanation
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
		Benefits (if not included above)	$ - 0	0.00	$ - 0	0.00
		Subtotal Personnel - MTDC	$ - 0	0.00	$ - 0	0.00
		Operating Expenses - MTDC					Description/Explanation
		Supplies	$ - 0		$ - 0
		Staff Telephone/Communications	$ - 0		$ - 0
		Staff travel/mileage	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Subtotal Operating Expenses - MTDC	$ - 0		$ - 0
		Operating Expenses - non-MTDC
		Food	$ - 0		$ - 0
		Client assistance	$ - 0		$ - 0
		Training	$ - 0		$ - 0
		Facilities Cost - utilities	$ - 0		$ - 0
		Insurance	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed)	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0

Subtotal Operating Expenses - non-MTDC	$ - 0	$ - 0
Indirect Costs (up to 15% of MTDC—see RFP)			FTE funded by HSA Funding**	Description/Explanation
Maximum Indirect Costs	$ - 0	$ - 0	$ - 0
Indirect Costs	$ - 0	$ - 0	0.00

Subtotal Indirect Costs	$ - 0	$ - 0	0.00
Total Expenses	$ - 0	$ - 0

* List the proportion of each position that will be allocated to the program

** List the proportion of each position that will be funded by the HSA funding being requested via this RFP

FY30-31

Agency Name:
Program Name:	Youth Interim Housing Program
Fiscal Year:	FY30-31 (Budget end date should be December 31, 2030.)

Instructions:

Line Item	Total Program Budget	Funding Request (how will the funds requested via this RFP be used)
Revenue
Funding being requested via this RFP	$ - 0	$ - 0
	$ - 0
	$ - 0
	$ - 0
In kind (facilities, maintenance, other)	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
	$ - 0
Total Revenue	$ - 0	$ - 0

		Expenses
		Personnel Expenses
(List all staff positions that are a part of the program. The amounts listed in column C should include salaries, benefits and taxes for these positions.)	Total Program Budget	FTE*	Funding Request (how will the funds requested via this RFP be used)	FTE funded by HSA Funding**	Description/Explanation
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
			$ - 0	0.00	$ - 0	0.00
		Benefits (if not included above)	$ - 0	0.00	$ - 0	0.00
		Subtotal Personnel - MTDC	$ - 0	0.00	$ - 0	0.00
		Operating Expenses - MTDC					Description/Explanation
		Supplies	$ - 0		$ - 0
		Staff Telephone/Communications	$ - 0		$ - 0
		Staff travel/mileage	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Subtotal Operating Expenses - MTDC	$ - 0		$ - 0
		Operating Expenses - non-MTDC
		Food	$ - 0		$ - 0
		Client assistance	$ - 0		$ - 0
		Training	$ - 0		$ - 0
		Facilities Cost - utilities	$ - 0		$ - 0
		Insurance	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
		Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed)	$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0
			$ - 0		$ - 0

Subtotal Operating Expenses - non-MTDC	$ - 0	$ - 0
Indirect Costs (up to 15% of MTDC—see RFP)			FTE funded by HSA Funding**	Description/Explanation
Maximum Indirect Costs	$ - 0	$ - 0	$ - 0
Indirect Costs	$ - 0	$ - 0	0.00

Subtotal Indirect Costs	$ - 0	$ - 0	0.00
Total Expenses	$ - 0	$ - 0

* List the proportion of each position that will be allocated to the program

** List the proportion of each position that will be funded by the HSA funding being requested via this RFP

MTDC Determination

MTDC Determination for Common Budget Line Items
Item/Activities	COSTS FOR CLIENT		COSTS FOR STAFF		Notes
	Include	Exclude	Include	Exclude
Staff Salary and Benefits			√
Client assistance payments		X
Food		X
Service repairs		X	√
Maintenance supplies		X	√
Office supplies		X	√
Computer related hardware/software		X		X
Training/conferences		X		X
Phone/Internet/TV		X	√
Facilities cost (rent)		X		X
Facilities cost (utilities, insurance, etc)		X		X
Travel (mileage)		X	√
Auto/Vehicle purchase or related expenses		X		X
Equipment/Furniture (any amount)		X		X
Safety/Security		X	√
Equipment leases and rentals		X		X
Consulting		X	√		Staff inclusion up to $50k subaward

File details come from the government source that posted it. Updated Oct 20, 2025.