ESBD_383499_1732773250937_2025_Budget Allocation Form_Ryan White.xlsx

XLSX spreadsheet 35 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 Ryan White budget allocation form template provided by the South Texas Development Council (STDC) for RFP No. 25-01.02.03. The form is designed to capture detailed budget allocations across multiple service categories including core medical services (such as Early Intervention Services, Health Insurance Premium Assistance, Home Health Care) and support services (such as Child Care Services, Emergency Financial Assistance, Food Bank Services). The budget template is structured to capture 5 months of expenses across major cost categories including Personnel, Fringe Benefits, Travel, Equipment, Supplies, Contractual, and Other expenses, with provisions for indirect cost calculations.

The form is specifically formatted to track funding allocations across 31 different service categories, with requirements to maintain specific proportions between core medical and support services. The template includes detailed personnel sections for staff cost allocation calculations, using a formula of monthly salary multiplied by percentage of time charged to the funding source over 5 months. The budget form appears to be a blank template with all monetary fields showing zero values, intended for completion by prospective service providers responding to the RFP, which has a total available funding of $3,335,010 across Ryan White Part B ($1,952,185), State Services ($735,362), and HOPWA ($647,463) programs.

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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_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_1732773156130_2025_Categorical Budget Form_State Services.xls XLS 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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RW Budget Allocation

LEGAL BUSINESS NAMERYAN WHITE BUDGETEarly Intervention ServicesHealth Insurance Premium and Cost SharingHome and Community Based Health ServicesHome Health CareHospice ServicesLocal AIDS Pharmaceutical Assistance/CSAMedical Nutrition TherapyMedical Case MgmtMental Health ServicesOral Health CareOutpatient Ambulatory Health ServicesSubstance Abuse Outpatient CareChild Care ServicesEmergency Financial AssistanceFood Bank/Home-Delivered MealsHealth Education/Risk Reduction (HE/RR)Housing ServicesLinguistics ServicesMedical Transportation ServicesNon-Medical Case MgmtOther Professional ServicesOutreach ServicesPsychosocial Support ServicesReferral for Health Care/ Supportive ServicesRehabilitation ServicesRespite CareSubstance Abuse Services (Residential)Treatment Adherence (Non-Medical)Other ServicesAdmin/
OperatingDifference
DESCRIPTIONTotal
A. PERSONNEL
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
PERSONNEL TOTAL$ - 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
B. FRINGE BENEFITS
$ - 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
$ - 0- 0- 0
FRINGE BENEFITS TOTAL$ - 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
C. TRAVEL
$ - 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
$ - 0- 0- 0
TRAVEL TOTAL$ - 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
D. EQUIPMENT
$ - 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
EQUIPMENT TOTAL$ - 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
E. SUPPLIES
$ - 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
SUPPLIES TOTAL$ - 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
F. CONTRACTUAL
Description/Justification:$ - 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
$ - 0- 0- 0
CONTRACTUAL TOTAL$ - 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
G. OTHER
Description/Justification:$ - 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
$ - 0- 0- 0
OTHER TOTAL$ - 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
Indirect Cost Rate%%
Total Indirect Cost$ - 0- 0- 0- 0
- 0
TOTAL BUDGET$ - 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
% of Total BudgetERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!

TOTAL OF CORE MEDICAL SERVICES $ - 0 %

TOTAL OF SUPPORT SERVICES $ - 0 %

&"Arial,Bold"

BUDGET ALLOCATION FORM

File details come from the government source that posted it. Updated .