ESBD_383499_1732773156130_2025_Categorical Budget Form_State Services.xls

XLS spreadsheet 103 KB Posted

Attached to
STDC South Texas RFP No 25-01. 02. 03.
Solicitation number
STDC_SOUTH-TEXAS_RFP-NO_25-01.02.03.
Issued by
Cameron County, Texas

About this file

This is a categorical budget justification form template for State Services covering the period from April 1, 2025 to August 31, 2025. The form provides a structured format for detailing personnel costs, fringe benefits, travel expenses, equipment purchases, supplies, contractual services, and other direct costs. The template allows for up to 25 staff positions with separate calculations for direct and administrative costs, with administrative costs capped at 10% of the total budget.

The budget form requires detailed cost breakdowns across multiple categories including FICA, insurance, worker's compensation, unemployment, and retirement benefits. Travel expense details must include itemization of lodging, airfare, mileage (at $0.67/mile), car rentals, and meals with specific per diem rates (Breakfast-$16/Lunch-$19/Dinner-$28). Equipment and supply sections require specific item listings, while the contractual section allows for up to 15 different contract descriptions. The "Other" category covers various operational expenses including space rental, utilities, security services, equipment maintenance, and professional development costs. All amounts must be submitted in whole dollars, and a current negotiated indirect cost rate documentation must be included with the submission.

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Other files

File Type Posted
ESBD_383499_1732773516643_Appendix I - Letter of Intent.doc DOC document
ESBD_383499_1734129714376_STDC_Competitive_South Texas RFP No 25-01.02.03._RW-SS-HOPWA Funds_Cover Page_Addendum 1.pdf PDF
ESBD_383499_1732773513936_Appendix E - DSHS TB-HIV-STD Security and Database Account Management and TCT.docx DOCX document
ESBD_383499_1732773329535_2025_Subcontractor Data Sheet_Ryan White.xlsx XLSX spreadsheet
ESBD_383499_1732773515634_Appendix H - RFP Priorities and Allocations.docx DOCX document
ESBD_383499_1732773156130_2025_Categorical Budget Form_State Services.xls XLS spreadsheet
ESBD_383499_1732773198007_2025_Categorical Budget Form_HOPWA.xls XLS spreadsheet
ESBD_383499_1732773586819_Appendix J - STDC RFP Review and Score Tool.xlsx XLSX spreadsheet
ESBD_383499_1732773155579_2025_Categorical Budget Form_Ryan White.xls XLS spreadsheet
ESBD_383499_1732773512135_Appendix B - HIV-STD Policies and Procedures including Resources.docx DOCX document
ESBD_383499_1732772949890_RFP Instructions and Guidance.pdf PDF
ESBD_383499_1732773251501_2025_Budget Allocation Form_State Services.xlsx XLSX spreadsheet
ESBD_383499_1732772843700_STDC_Competitive_South Texas RFP No 25-01.02.03._RW-SS-HOPWA Funds.pdf PDF
ESBD_383499_1732773515103_Appendix G - Priority Setting and Resource Allocation Determination.docx DOCX document
ESBD_383499_1732773513345_Appendix D - Program Requirements for HIV Contracts.docx DOCX document
ESBD_383499_1732773511540_Appendix A - Funding Available 25-26.docx DOCX document
ESBD_383499_1732773512664_Appendix C - General Provisions.docx DOCX document
ESBD_383499_1734129866962_South Texas RFP No. 25-01.02.03 Questions and Answers Publication_Redacted.pdf PDF
ESBD_383499_1732773330095_2025_Subcontractor Data Sheet_State Services.xlsx XLSX spreadsheet
ESBD_383499_1732773514442_Appendix F - Assurances.docx DOCX document
ESBD_383499_1732773250937_2025_Budget Allocation Form_Ryan White.xlsx XLSX spreadsheet
ESBD_383499_1732772996456_RFP Narrative Forms.docx DOCX document
ESBD_383499_1732773514442_Appendix F - Assurances.docx DOCX document
ESBD_383499_1732772996456_RFP Narrative Forms.docx DOCX document
ESBD_383499_1732773198007_2025_Categorical Budget Form_HOPWA.xls XLS spreadsheet
ESBD_383499_1732773155579_2025_Categorical Budget Form_Ryan White.xls XLS spreadsheet
ESBD_383499_1732773513936_Appendix E - DSHS TB-HIV-STD Security and Database Account Management and TCT.docx DOCX document
ESBD_383499_1732772949890_RFP Instructions and Guidance.pdf PDF
ESBD_383499_1732773330095_2025_Subcontractor Data Sheet_State Services.xlsx XLSX spreadsheet
ESBD_383499_1732773512664_Appendix C - General Provisions.docx DOCX document
ESBD_383499_1732773515103_Appendix G - Priority Setting and Resource Allocation Determination.docx DOCX document
ESBD_383499_1732773511540_Appendix A - Funding Available 25-26.docx DOCX document
ESBD_383499_1732773513345_Appendix D - Program Requirements for HIV Contracts.docx DOCX document
ESBD_383499_1732773512135_Appendix B - HIV-STD Policies and Procedures including Resources.docx DOCX document
ESBD_383499_1732773516643_Appendix I - Letter of Intent.doc DOC document
ESBD_383499_1732773251501_2025_Budget Allocation Form_State Services.xlsx XLSX spreadsheet
ESBD_383499_1732772843700_STDC_Competitive_South Texas RFP No 25-01.02.03._RW-SS-HOPWA Funds.pdf PDF
ESBD_383499_1732773586819_Appendix J - STDC RFP Review and Score Tool.xlsx XLSX spreadsheet
ESBD_383499_1732773250937_2025_Budget Allocation Form_Ryan White.xlsx XLSX spreadsheet
ESBD_383499_1732773329535_2025_Subcontractor Data Sheet_Ryan White.xlsx XLSX spreadsheet
ESBD_383499_1732773515634_Appendix H - RFP Priorities and Allocations.docx DOCX document
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Instructions

CATEGORICAL BUDGET JUSTIFICATION
STATE SERVICES
04/01/2025-08/31/2025
**For instructions on completing this form, please see below and roll over your cursor over any cell that contains a red triangle in the upper right-hand corner. Remove the examples on the final budget.
Direct CostsAdmin CostsTotal Costs
A. PERSONNEL$0$0$0
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
B. FRINGE BENEFITS$0$0$0
Itemize the elements of fringe benefits.
Examples:
FICA: 0.765 X Salaries =$0$0$0
Insurance: $2,160 x # of FTEs =$0$0$0
Worker's Compensation: Rate x Salaries =$0$0$0
Unemployment: Rate x Salaries =$0$0$0
Retirement: Rate x Salaries =$0$0$0
$0$0$0
$0$0$0
C. TRAVEL$0$0$0
Example:
Expenses for 2 staff to attend…
Lodging: $110/night x 2 nights x 2 staff = $440$0$0$0
Airfare: $450 roundtrip airfare x 2 staff = $900$0$0$0
Mileage: 488 miles x 0.67 cents/mile x 2 staff = $654$0$0$0
Car Rental: $35 rate x 3 days x 1 staff = $105$0$0$0
Lodging: $110/night x 2 nights x 2 staff = $440$0$0$0
Meals: (B-$16/L-$19/D-$28 = $63) x 2 days x 2 staff = $252$0$0$0
Other Costs: Fuel for Car Rental $75$0$0$0
Other Costs: Shuttle Fee $25 x 2 Trips x 2 staff = $100$0$0$0
Other Costs: Luggage Fee - $40 x 2 Trips x 2 staff = $160$0$0$0
*Incidental expenses should be excluded on per diem.
D. EQUIPMENT$0$0$0
Example:
Desktop Computer: $1,250 x 1 = $1,250$0$0$0
Laptop: $950 x 1 = $950$0$0$0
E. SUPPLIES$0$0$0
Examples:
General Office Supplies: $200 per month x 5 months = $1000$0$0$0
Medical Supplies: $0$0$0$0
F. CONTRACTUAL$0$0$0
Please indicate description and justification:
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
Description/Justification:$0$0$0
<Justification>
G. OTHER$0$0$0
Please indicate description and justification:
* space rental;$0$0$0
* security services;$0$0$0
* utilities expenses;$0$0$0
* telephone expenses;$0$0$0
* internet and antivirus or ransonware security expenses;$0$0$0
* equipment rental;$0$0$0
* equipment repairs or service maintenance agreements;$0$0$0
* janitorial services;$0$0$0
* exterminating services;$0$0$0
* postage and shipping;$0$0$0
* insurance and bonds;$0$0$0
* printing and reproduction expenses;$0$0$0
* periodicals and memberships;$0$0$0
* training costs and speaker's fees;$0$0$0
* registration fees;$0$0$0
$0$0$0
$0$0$0
$0$0$0
H. TOTAL DIRECT COSTS$0$0$0
[Enter the total of A-G above]
I. INDIRECT COSTS$0$0$0
A copy of the current negotiated indirect cost rate must be attached.
J. TOTAL BUDGET$0$0$0
*** Applicant is responsible for checking any formulas used and ensuring that the numbers in the budget forms are accurate, match the dollar amounts in the other budget forms, as applicable and add up correctly. Submit your budget in whole dollars only, no cents.

Maribel Rodriguez:

In SS, administrative costs cannot exceed 10%.

Budget_State Services

CATEGORICAL BUDGET JUSTIFICATION
STATE SERVICES
04/01/2025-08/31/2025
Direct CostsAdmin CostsTotal Costs
A. PERSONNEL$0$0$0
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
Job Title (Name of Staff)
Direct: $/month x % time charged to funding source x 5 months =$0$0$0
Admin: $/month x % time charged to funding source x 5 months =$0$0$0
<Description>
B. FRINGE BENEFITS$0$0$0
FICA:$0$0$0
Insurance:$0$0$0
Worker's Compensation:$0$0$0
Unemployment:$0$0$0
Retirement:$0$0$0
$0$0$0
$0$0$0
C. TRAVEL$0$0$0
Travel Description:
Lodging:$0$0$0
Airfare:$0$0$0
Mileage:$0$0$0
Car Rental:$0$0$0
Lodging:$0$0$0
Meals:$0$0$0
Other Costs:$0$0$0
Other Costs:$0$0$0
Other Costs:$0$0$0
D. EQUIPMENT$0$0$0
Desktop Computer:$0$0$0
Laptop:$0$0$0
E. SUPPLIES$0$0$0
General Office Supplies:$0$0$0
Medical Supplies:$0$0$0
F. CONTRACTUAL$0$0$0
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
Description$0$0$0
<Justification>
G. OTHER$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
Description/Justification:$0$0$0
H. TOTAL DIRECT COSTS$0$0$0
[Enter the total of A-G above]
I. INDIRECT COSTS$0$0$0
J. TOTAL BUDGET$0$0$0

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