Exhibit_2_-_Navigator_Program_Detailed_Budget.xlsx

XLSX spreadsheet 3 MB Posted Aug 14, 2026

Attached to: RFP for SBE Navigator
Solicitation number: EV00000966
Issued by: Oklahoma

About this file

Written by GovTribe AI · Aug 20, 2026

This is a detailed budget template for the Oklahoma Health Insurance Marketplace Navigator Program, administered by the Office of Management and Enterprise Services (OMES) Central Purchasing division on behalf of the Oklahoma Insurance Department (OID). The document provides budgeting instructions for Navigator Entities selected to oversee individual Navigators and conduct education and outreach to help Oklahomans access health insurance through the State Based Exchange on the Federal Platform (SBE-FP). The contract consists of five separate one-year terms running from September 1, 2026 through August 31, 2031, with each annual budget capped at $350,000. Navigator Entities must complete this detailed budget form in parallel with the Navigator Program Intent Form to outline their proposed program budgets for staffing, travel, equipment, supplies, consultants, contractors, subrecipients, and other expenses directly supporting Navigator consumer outreach and engagement activities.

The budget template requires Navigator Entities to itemize all proposed costs across nine expense categories with detailed justifications for how each expenditure supports specific program objectives. Staffing costs must include current and anticipated employees or contracted personnel conducting Navigator activities, with time allocation, salary/wages, and fringe benefits clearly documented. Travel funds are restricted to Navigator Entity employee travel related to consumer outreach and cannot exceed State of Oklahoma travel rates. Equipment purchases must be tangible, nonexpendable property usable for at least one year, such as laptops or printers. The template distinguishes between consultants and contractors, explicitly prohibiting either from performing Navigator duties, and allows for subrecipient costs if applicable. All costs must be rounded to the nearest dollar, with Navigator Entities permitted to add rows as needed to accommodate their specific organizational structures and proposed activities.

View the file

Other files

File	Type	Posted
Agency_Bidder_Instructions.pdf	PDF	Aug 14, 2026
OMESformCP076.pdf	PDF	Aug 14, 2026
Exhibit_3_-_Navigator_Business_Assessment.pdf	PDF	Aug 14, 2026
Exhibit_1_-ExecutiveSummaryWorksheet.xlsx	XLSX spreadsheet	Aug 14, 2026
Attachment_A.pdf	PDF	Aug 14, 2026
Exhibit_5_-ThirdPartySupplierInfo_.xlsx	XLSX spreadsheet	Aug 14, 2026
omes-form-cp004.docx	DOCX document	Aug 14, 2026
Exhibit_6_-_SBE_Navigator_Entity_SOW.pdf	PDF	Aug 14, 2026
Attachment_B_-_General_Terms.docx	DOCX document	Aug 14, 2026
Exhibit_4_-_Navigator_Program_Application_Form.pdf	PDF	Aug 14, 2026

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September 2026 - August 2027

Oklahoma Health Insurance Marketplace Navigator Program: Detailed Budget

Instructions:

- In parallel with completing the Navigator Program Intent Form, Navigator Entities must also complete this detailed budget form to outline their proposed Navigator program budget.

- The contract term for this budget is from September 1, 2026 through August 31, 2027.

- Budget: up to $350,000.00

- Round all costs to the nearest dollar.

- Add additional rows beneath each category, as needed.

Navigator Entity Organization Information
Legal Name:
Employer Identification Number (EIN):
A. Staffing
Provide current and anticipated new employees or contracted personnel who will conduct Navigator activities.
Role Title & Description	Name	Time Allocated to the Project	Salary/Wages	Fringe Costs	Total Compensation
Enter the individual's title and a brief description of their role as it relates to accomplishing program objectives.	Enter the individual's name if they are currently employed, or indicate when the person will be hired/contracted.	Estimate the number of hours this person will work over the course of the contract term.	Specify the amount of program funding allocated to the individual's wages for the contract term.	Specify the amount of program funding allocated to the individual's fringe benefits (e.g., insurance, retirement, paid time off, etc.) for the contract term.	Add the individual's salary/wages and fringe cost to calculate the total compensation for the contract term.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL STAFFING COSTS					$ - 0
B. Travel
Provide funds budgeted for employee travel, including a justification for the travel and how it supports program objectives. Travel rates cannot exceed the rates set by the State of Oklahoma (https://oklahoma.gov/omes/divisions/central-accounting-reporting/transaction-processing/travel.html).

Travel funds may be used only for Navigator Entity employee travel related to Navigator consumer outreach and engagement activities.

Purpose		Number of Travelers	Cost Per Trip	Number of Trips	Total Cost
Enter the purpose of projected travel, including location and approximate dates.		Enter the estimated number of travelers.	Enter the estimated cost per-person, per-trip, including cost for mileage, ground transportation, air travel, lodging, per diem, and/or other associated travel costs (e.g., baggage fees).	Enter the estimated number of trips for this travel purpose.	Calculate the total cost for this travel purpose.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL TRAVEL COSTS					$ - 0
C. Equipment
Provide planned equipment purchases. Equipment is tangible, nonexpendable property purchased with Navigator Program funding that can be used for at least one year (e.g., laptop computers, printers). Provide justification for the use of each item and relate it to specific program objectives.
Item Name	Purpose		Item Cost Per Unit	Total Number of Equipment Units	Total Cost
Enter the name of the item.	Describe the purpose of this item.		Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL EQUIPMENT COSTS					$ - 0
D. Supplies
Provide planned supply purchases. Supplies include tangible property not included under the “Equipment” category (e.g., printing costs, office supplies).
Item Name	Purpose		Item Cost Per Unit	Total Number of Supplies	Total
Enter the name of the item.	Describe the purpose of this item and when it will be purchased.		Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL SUPPLIES COSTS					$ - 0
E. Consultants
Provide planned consultant costs. Consultants are individuals or companies engaged for paid advisory or professional services (e.g., training, subject-matter expertise, reporting support). Consultants are not employees of the Navigator Entity and may not perform Navigator duties.
Name of Consultant	Description		Period of Goods/Service		Total
Enter the consultant group or individual's name.	Describe the consultant's qualifications, including the services they will provide and how the Navigator Entity will monitor progress and performance.		Specify the period during which the consultant will provide services.		Enter the total cost for this item.

TOTAL CONSULTANTS COSTS			$ - 0
F. Contractors
Provide planned contractor costs. Contractors are individuals or companies engaged to provide a product or service (e.g., IT support, payments for facility use). Contractors are not employees of the Navigator Entity and may not perform Navigator duties.
Name of Contractor	Description	Period of Goods/Service	Total
Identify the contractor and individuate affiliated organization, if applicable.	Describe the contractor's purpose, including the services they will provide and how the Navigator Entity will monitor progress and performance.	Specify the period during which the contractor will provide services.	Enter the total cost for this item.

TOTAL CONTRACTORS COSTS			$ - 0
G. Subrecipient Costs (if applicable)
Provide planned funds for subrecipient organizations.
Name of Subrecipient	Description	Period of Goods/Service	Total
Identify the subrecipient if applicable.	Describe the subrecipient's purpose, including the services they will provide and how the Navigator Entity will monitor progress and performance.	Specify the time period during which the subrecipient will use these funds.	Enter the total cost for this item.

TOTAL SUBRECIPIENT COSTS				$ - 0
E. Other
Provide any additional planned expenses not covered by the categories above. List each item and provide a justification describing how the item supports specific program objectives.
Item Name	Purpose	Item Cost Per Unit	Total Number Units	Total
Enter the name of the item or service.	Describe the purpose of this item or service.	Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
				$ - 0
				$ - 0
				$ - 0
				$ - 0
TOTAL OTHER COSTS				$ - 0
GRAND TOTAL				$ - 0

September 2027-August 2028

Oklahoma Health Insurance Marketplace Navigator Program: Detailed Budget

Instructions:

- In parallel with completing the Navigator Program Intent Form, Navigator Entities must also complete this detailed budget form to outline their proposed Navigator program budget.

- The contract term for this budget is from September 1, 2027 through August 31, 2028.

- Budget: up to $350,000.00

- Round all costs to the nearest dollar.

- Add additional rows beneath each category, as needed.

Navigator Entity Organization Information
Legal Name:
Employer Identification Number (EIN):
A. Staffing
Provide current and anticipated new employees or contracted personnel who will conduct Navigator activities.
Role Title & Description	Name	Time Allocated to the Project	Salary/Wages	Fringe Costs	Total Compensation
Enter the individual's title and a brief description of their role as it relates to accomplishing program objectives.	Enter the individual's name if they are currently employed, or indicate when the person will be hired/contracted.	Estimate the number of hours this person will work over the course of the contract term.	Specify the amount of program funding allocated to the individual's wages for the contract term.	Specify the amount of program funding allocated to the individual's fringe benefits (e.g., insurance, retirement, paid time off, etc.) for the contract term.	Add the individual's salary/wages and fringe cost to calculate the total compensation for the contract term.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL STAFFING COSTS					$ - 0
B. Travel
Provide funds budgeted for employee travel, including a justification for the travel and how it supports program objectives. Travel rates cannot exceed the rates set by the State of Oklahoma (https://oklahoma.gov/omes/divisions/central-accounting-reporting/transaction-processing/travel.html).

Travel funds may be used only for Navigator Entity employee travel related to Navigator consumer outreach and engagement activities.

Purpose		Number of Travelers	Cost Per Trip	Number of Trips	Total Cost
Enter the purpose of projected travel, including location and approximate dates.		Enter the estimated number of travelers.	Enter the estimated cost per-person, per-trip, including cost for mileage, ground transportation, air travel, lodging, per diem, and/or other associated travel costs (e.g., baggage fees).	Enter the estimated number of trips for this travel purpose.	Calculate the total cost for this travel purpose.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL TRAVEL COSTS					$ - 0
C. Equipment
Provide planned equipment purchases. Equipment is tangible, nonexpendable property purchased with Navigator Program funding that can be used for at least one year (e.g., laptop computers, printers). Provide justification for the use of each item and relate it to specific program objectives.
Item Name	Purpose		Item Cost Per Unit	Total Number of Equipment Units	Total Cost
Enter the name of the item.	Describe the purpose of this item.		Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL EQUIPMENT COSTS					$ - 0
D. Supplies
Provide planned supply purchases. Supplies include tangible property not included under the “Equipment” category (e.g., printing costs, office supplies).
Item Name	Purpose		Item Cost Per Unit	Total Number of Supplies	Total
Enter the name of the item.	Describe the purpose of this item and when it will be purchased.		Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL SUPPLIES COSTS					$ - 0
E. Consultants
Provide planned consultant costs. Consultants are individuals or companies engaged for paid advisory or professional services (e.g., training, subject-matter expertise, reporting support). Consultants are not employees of the Navigator Entity and may not perform Navigator duties.
Name of Consultant	Description		Period of Goods/Service		Total
Enter the consultant group or individual's name.	Describe the consultant's qualifications, including the services they will provide and how the Navigator Entity will monitor progress and performance.		Specify the period during which the consultant will provide services.		Enter the total cost for this item.

TOTAL CONSULTANTS COSTS			$ - 0
F. Contractors
Provide planned contractor costs. Contractors are individuals or companies engaged to provide a product or service (e.g., IT support, payments for facility use). Contractors are not employees of the Navigator Entity and may not perform Navigator duties.
Name of Contractor	Description	Period of Goods/Service	Total
Identify the contractor and individuate affiliated organization, if applicable.	Describe the contractor's purpose, including the services they will provide and how the Navigator Entity will monitor progress and performance.	Specify the period during which the contractor will provide services.	Enter the total cost for this item.

TOTAL CONTRACTORS COSTS			$ - 0
G. Subrecipient Costs (if applicable)
Provide planned funds for subrecipient organizations.
Name of Subrecipient	Description	Period of Goods/Service	Total
Identify the subrecipient if applicable.	Describe the subrecipient's purpose, including the services they will provide and how the Navigator Entity will monitor progress and performance.	Specify the time period during which the subrecipient will use these funds.	Enter the total cost for this item.

TOTAL SUBRECIPIENT COSTS				$ - 0
E. Other
Provide any additional planned expenses not covered by the categories above. List each item and provide a justification describing how the item supports specific program objectives.
Item Name	Purpose	Item Cost Per Unit	Total Number Units	Total
Enter the name of the item or service.	Describe the purpose of this item or service.	Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
				$ - 0
				$ - 0
				$ - 0
				$ - 0
TOTAL OTHER COSTS				$ - 0
GRAND TOTAL				$ - 0

September 2028-August 2029

Oklahoma Health Insurance Marketplace Navigator Program: Detailed Budget

Instructions:

- In parallel with completing the Navigator Program Intent Form, Navigator Entities must also complete this detailed budget form to outline their proposed Navigator program budget.

- The contract term for this budget is from September 1, 2028 through August 31, 2029.

- Budget: up to $350,000.00

- Round all costs to the nearest dollar.

- Add additional rows beneath each category, as needed.

Navigator Entity Organization Information
Legal Name:
Employer Identification Number (EIN):
A. Staffing
Provide current and anticipated new employees or contracted personnel who will conduct Navigator activities.
Role Title & Description	Name	Time Allocated to the Project	Salary/Wages	Fringe Costs	Total Compensation
Enter the individual's title and a brief description of their role as it relates to accomplishing program objectives.	Enter the individual's name if they are currently employed, or indicate when the person will be hired/contracted.	Estimate the number of hours this person will work over the course of the contract term.	Specify the amount of program funding allocated to the individual's wages for the contract term.	Specify the amount of program funding allocated to the individual's fringe benefits (e.g., insurance, retirement, paid time off, etc.) for the contract term.	Add the individual's salary/wages and fringe cost to calculate the total compensation for the contract term.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL STAFFING COSTS					$ - 0
B. Travel
Provide funds budgeted for employee travel, including a justification for the travel and how it supports program objectives. Travel rates cannot exceed the rates set by the State of Oklahoma (https://oklahoma.gov/omes/divisions/central-accounting-reporting/transaction-processing/travel.html).

Travel funds may be used only for Navigator Entity employee travel related to Navigator consumer outreach and engagement activities.

Purpose		Number of Travelers	Cost Per Trip	Number of Trips	Total Cost
Enter the purpose of projected travel, including location and approximate dates.		Enter the estimated number of travelers.	Enter the estimated cost per-person, per-trip, including cost for mileage, ground transportation, air travel, lodging, per diem, and/or other associated travel costs (e.g., baggage fees).	Enter the estimated number of trips for this travel purpose.	Calculate the total cost for this travel purpose.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL TRAVEL COSTS					$ - 0
C. Equipment
Provide planned equipment purchases. Equipment is tangible, nonexpendable property purchased with Navigator Program funding that can be used for at least one year (e.g., laptop computers, printers). Provide justification for the use of each item and relate it to specific program objectives.
Item Name	Purpose		Item Cost Per Unit	Total Number of Equipment Units	Total Cost
Enter the name of the item.	Describe the purpose of this item.		Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL EQUIPMENT COSTS					$ - 0
D. Supplies
Provide planned supply purchases. Supplies include tangible property not included under the “Equipment” category (e.g., printing costs, office supplies).
Item Name	Purpose		Item Cost Per Unit	Total Number of Supplies	Total
Enter the name of the item.	Describe the purpose of this item and when it will be purchased.		Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL SUPPLIES COSTS					$ - 0
E. Consultants
Provide planned consultant costs. Consultants are individuals or companies engaged for paid advisory or professional services (e.g., training, subject-matter expertise, reporting support). Consultants are not employees of the Navigator Entity and may not perform Navigator duties.
Name of Consultant	Description		Period of Goods/Service		Total
Enter the consultant group or individual's name.	Describe the consultant's qualifications, including the services they will provide and how the Navigator Entity will monitor progress and performance.		Specify the period during which the consultant will provide services.		Enter the total cost for this item.

TOTAL CONSULTANTS COSTS			$ - 0
F. Contractors
Provide planned contractor costs. Contractors are individuals or companies engaged to provide a product or service (e.g., IT support, payments for facility use). Contractors are not employees of the Navigator Entity and may not perform Navigator duties.
Name of Contractor	Description	Period of Goods/Service	Total
Identify the contractor and individuate affiliated organization, if applicable.	Describe the contractor's purpose, including the services they will provide and how the Navigator Entity will monitor progress and performance.	Specify the period during which the contractor will provide services.	Enter the total cost for this item.

TOTAL CONTRACTORS COSTS			$ - 0
G. Subrecipient Costs (if applicable)
Provide planned funds for subrecipient organizations.
Name of Subrecipient	Description	Period of Goods/Service	Total
Identify the subrecipient if applicable.	Describe the subrecipient's purpose, including the services they will provide and how the Navigator Entity will monitor progress and performance.	Specify the time period during which the subrecipient will use these funds.	Enter the total cost for this item.

TOTAL SUBRECIPIENT COSTS				$ - 0
E. Other
Provide any additional planned expenses not covered by the categories above. List each item and provide a justification describing how the item supports specific program objectives.
Item Name	Purpose	Item Cost Per Unit	Total Number Units	Total
Enter the name of the item or service.	Describe the purpose of this item or service.	Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
				$ - 0
				$ - 0
				$ - 0
				$ - 0
TOTAL OTHER COSTS				$ - 0
GRAND TOTAL				$ - 0

September 2029-August 2030

Oklahoma Health Insurance Marketplace Navigator Program: Detailed Budget

Instructions:

- In parallel with completing the Navigator Program Intent Form, Navigator Entities must also complete this detailed budget form to outline their proposed Navigator program budget.

- The contract term for this budget is from September 1, 2029 through August 31, 2030.

- Budget: up to $350,000.00

- Round all costs to the nearest dollar.

- Add additional rows beneath each category, as needed.

Navigator Entity Organization Information
Legal Name:
Employer Identification Number (EIN):
A. Staffing
Provide current and anticipated new employees or contracted personnel who will conduct Navigator activities.
Role Title & Description	Name	Time Allocated to the Project	Salary/Wages	Fringe Costs	Total Compensation
Enter the individual's title and a brief description of their role as it relates to accomplishing program objectives.	Enter the individual's name if they are currently employed, or indicate when the person will be hired/contracted.	Estimate the number of hours this person will work over the course of the contract term.	Specify the amount of program funding allocated to the individual's wages for the contract term.	Specify the amount of program funding allocated to the individual's fringe benefits (e.g., insurance, retirement, paid time off, etc.) for the contract term.	Add the individual's salary/wages and fringe cost to calculate the total compensation for the contract term.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL STAFFING COSTS					$ - 0
B. Travel
Provide funds budgeted for employee travel, including a justification for the travel and how it supports program objectives. Travel rates cannot exceed the rates set by the State of Oklahoma (https://oklahoma.gov/omes/divisions/central-accounting-reporting/transaction-processing/travel.html).

Travel funds may be used only for Navigator Entity employee travel related to Navigator consumer outreach and engagement activities.

Purpose		Number of Travelers	Cost Per Trip	Number of Trips	Total Cost
Enter the purpose of projected travel, including location and approximate dates.		Enter the estimated number of travelers.	Enter the estimated cost per-person, per-trip, including cost for mileage, ground transportation, air travel, lodging, per diem, and/or other associated travel costs (e.g., baggage fees).	Enter the estimated number of trips for this travel purpose.	Calculate the total cost for this travel purpose.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL TRAVEL COSTS					$ - 0
C. Equipment
Provide planned equipment purchases. Equipment is tangible, nonexpendable property purchased with Navigator Program funding that can be used for at least one year (e.g., laptop computers, printers). Provide justification for the use of each item and relate it to specific program objectives.
Item Name	Purpose		Item Cost Per Unit	Total Number of Equipment Units	Total Cost
Enter the name of the item.	Describe the purpose of this item.		Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL EQUIPMENT COSTS					$ - 0
D. Supplies
Provide planned supply purchases. Supplies include tangible property not included under the “Equipment” category (e.g., printing costs, office supplies).
Item Name	Purpose		Item Cost Per Unit	Total Number of Supplies	Total
Enter the name of the item.	Describe the purpose of this item and when it will be purchased.		Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL SUPPLIES COSTS					$ - 0
E. Consultants
Provide planned consultant costs. Consultants are individuals or companies engaged for paid advisory or professional services (e.g., training, subject-matter expertise, reporting support). Consultants are not employees of the Navigator Entity and may not perform Navigator duties.
Name of Consultant	Description		Period of Goods/Service		Total
Enter the consultant group or individual's name.	Describe the consultant's qualifications, including the services they will provide and how the Navigator Entity will monitor progress and performance.		Specify the period during which the consultant will provide services.		Enter the total cost for this item.

TOTAL CONSULTANTS COSTS			$ - 0
F. Contractors
Provide planned contractor costs. Contractors are individuals or companies engaged to provide a product or service (e.g., IT support, payments for facility use). Contractors are not employees of the Navigator Entity and may not perform Navigator duties.
Name of Contractor	Description	Period of Goods/Service	Total
Identify the contractor and individuate affiliated organization, if applicable.	Describe the contractor's purpose, including the services they will provide and how the Navigator Entity will monitor progress and performance.	Specify the period during which the contractor will provide services.	Enter the total cost for this item.

TOTAL CONTRACTORS COSTS			$ - 0
G. Subrecipient Costs (if applicable)
Provide planned funds for subrecipient organizations.
Name of Subrecipient	Description	Period of Goods/Service	Total
Identify the subrecipient if applicable.	Describe the subrecipient's purpose, including the services they will provide and how the Navigator Entity will monitor progress and performance.	Specify the time period during which the subrecipient will use these funds.	Enter the total cost for this item.

TOTAL SUBRECIPIENT COSTS				$ - 0
E. Other
Provide any additional planned expenses not covered by the categories above. List each item and provide a justification describing how the item supports specific program objectives.
Item Name	Purpose	Item Cost Per Unit	Total Number Units	Total
Enter the name of the item or service.	Describe the purpose of this item or service.	Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
				$ - 0
				$ - 0
				$ - 0
				$ - 0
TOTAL OTHER COSTS				$ - 0
GRAND TOTAL				$ - 0

September 2030-August 2031

Oklahoma Health Insurance Marketplace Navigator Program: Detailed Budget

Instructions:

- In parallel with completing the Navigator Program Intent Form, Navigator Entities must also complete this detailed budget form to outline their proposed Navigator program budget.

- The contract term for this budget is from September 1, 2030 through August 31, 2031.

- Budget: up to $350,000.00

- Round all costs to the nearest dollar.

- Add additional rows beneath each category, as needed.

Navigator Entity Organization Information
Legal Name:
Employer Identification Number (EIN):
A. Staffing
Provide current and anticipated new employees or contracted personnel who will conduct Navigator activities.
Role Title & Description	Name	Time Allocated to the Project	Salary/Wages	Fringe Costs	Total Compensation
Enter the individual's title and a brief description of their role as it relates to accomplishing program objectives.	Enter the individual's name if they are currently employed, or indicate when the person will be hired/contracted.	Estimate the number of hours this person will work over the course of the contract term.	Specify the amount of program funding allocated to the individual's wages for the contract term.	Specify the amount of program funding allocated to the individual's fringe benefits (e.g., insurance, retirement, paid time off, etc.) for the contract term.	Add the individual's salary/wages and fringe cost to calculate the total compensation for the contract term.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL STAFFING COSTS					$ - 0
B. Travel
Provide funds budgeted for employee travel, including a justification for the travel and how it supports program objectives. Travel rates cannot exceed the rates set by the State of Oklahoma (https://oklahoma.gov/omes/divisions/central-accounting-reporting/transaction-processing/travel.html).

Travel funds may be used only for Navigator Entity employee travel related to Navigator consumer outreach and engagement activities.

Purpose		Number of Travelers	Cost Per Trip	Number of Trips	Total Cost
Enter the purpose of projected travel, including location and approximate dates.		Enter the estimated number of travelers.	Enter the estimated cost per-person, per-trip, including cost for mileage, ground transportation, air travel, lodging, per diem, and/or other associated travel costs (e.g., baggage fees).	Enter the estimated number of trips for this travel purpose.	Calculate the total cost for this travel purpose.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL TRAVEL COSTS					$ - 0
C. Equipment
Provide planned equipment purchases. Equipment is tangible, nonexpendable property purchased with Navigator Program funding that can be used for at least one year (e.g., laptop computers, printers). Provide justification for the use of each item and relate it to specific program objectives.
Item Name	Purpose		Item Cost Per Unit	Total Number of Equipment Units	Total Cost
Enter the name of the item.	Describe the purpose of this item.		Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL EQUIPMENT COSTS					$ - 0
D. Supplies
Provide planned supply purchases. Supplies include tangible property not included under the “Equipment” category (e.g., printing costs, office supplies).
Item Name	Purpose		Item Cost Per Unit	Total Number of Supplies	Total
Enter the name of the item.	Describe the purpose of this item and when it will be purchased.		Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
					$ - 0
					$ - 0
					$ - 0
					$ - 0
TOTAL SUPPLIES COSTS					$ - 0
E. Consultants
Provide planned consultant costs. Consultants are individuals or companies engaged for paid advisory or professional services (e.g., training, subject-matter expertise, reporting support). Consultants are not employees of the Navigator Entity and may not perform Navigator duties.
Name of Consultant	Description		Period of Goods/Service		Total
Enter the consultant group or individual's name.	Describe the consultant's qualifications, including the services they will provide and how the Navigator Entity will monitor progress and performance.		Specify the period during which the consultant will provide services.		Enter the total cost for this item.

TOTAL CONSULTANTS COSTS			$ - 0
F. Contractors
Provide planned contractor costs. Contractors are individuals or companies engaged to provide a product or service (e.g., IT support, payments for facility use). Contractors are not employees of the Navigator Entity and may not perform Navigator duties.
Name of Contractor	Description	Period of Goods/Service	Total
Identify the contractor and individuate affiliated organization, if applicable.	Describe the contractor's purpose, including the services they will provide and how the Navigator Entity will monitor progress and performance.	Specify the period during which the contractor will provide services.	Enter the total cost for this item.

TOTAL CONTRACTORS COSTS			$ - 0
G. Subrecipient Costs (if applicable)
Provide planned funds for subrecipient organizations.
Name of Subrecipient	Description	Period of Goods/Service	Total
Identify the subrecipient if applicable.	Describe the subrecipient's purpose, including the services they will provide and how the Navigator Entity will monitor progress and performance.	Specify the time period during which the subrecipient will use these funds.	Enter the total cost for this item.

TOTAL SUBRECIPIENT COSTS				$ - 0
E. Other
Provide any additional planned expenses not covered by the categories above. List each item and provide a justification describing how the item supports specific program objectives.
Item Name	Purpose	Item Cost Per Unit	Total Number Units	Total
Enter the name of the item or service.	Describe the purpose of this item or service.	Enter the cost of the item.	Enter the number of units to be purchased.	Calculate the total cost for this item.
				$ - 0
				$ - 0
				$ - 0
				$ - 0
TOTAL OTHER COSTS				$ - 0
GRAND TOTAL				$ - 0

File details come from the government source that posted it. Updated Aug 20, 2026.