Exhibit B - Budget Template.xlsx

XLSX spreadsheet 286 KB Posted

Attached to
FY26;PREVAIL Database - Documented Quote Request
Solicitation number
DQ1 IBEH 2026000403 1
Issued by
Denver County, Denver City, Colorado

About this file

This is an Exhibit B Budget Template document prepared for the Colorado Department of Human Services Behavioral Health Administration (BHA) related to a FY26 PREVAIL Database contract opportunity. The document contains three budget examples: the first is a completed example for the Research Masters Program's Compass project with a budget period of July 1, 2025 through June 30, 2026; the second is a blank template for the OBH Program with unspecified contract dates; and the third is a blank template for the PREVAIL Database project with a budget period of Fiscal Year 2027 (July 1, 2026 through June 30, 2027) for Case Management System and Database Management Services. All contract deliverables must be received by the contract term end date. The document was last updated on May 23, 2019, and revised on May 15, 2023.

The Compass project example demonstrates a fixed deliverables-based contracting structure with a total contract value of $98,208. The five deliverables are structured with percentage-based payment schedules: a Provider Business Rules Crosswalk (30%), Provider Business Rules Outline (10%), Provider Business Rules Draft (25%), Provider Business Rules Final Draft (10%), and Training Materials (25%). The budget template instructions require that travel, supplies, operating expenses, and indirect costs be included within the deliverables costs. The template is designed for agencies to submit fixed deliverable-based budgets to BHA, with separate line items for travel, supplies, and operating expenses if applicable, though the PREVAIL Database template section shows all cost fields at zero.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

EXAMPLE Deliverables Budget

Colorado Department of Human Services
Behavioral Health Administration
ANNUAL BUDGET

BHA Program Fiscal

Agency NameResearch MastersProgram Contact Name, TitlePeter Pan, CEO
Phone505-555-1953
EmailPpan@neverland.com
Budget PeriodJuly 1, 2025 - June 30, 2026Fiscal Contract Name, TitleWendy Darling, CFO
Phone505-555-1953
EmailWdarling@neverland.com
Project NameCompassDate Completed4/19/2025

All contract deliverables must be received by contract term end of June 30, 2026

Contract - Fixed Deliverables
DeliverableDescription of WorkMeasurementRate or ChargeHours or UnitsTotal Requested from BHADeliverable payments by percentage
(1) Provider Business Rules CrosswalkContractor shall develop a crosswalk of BHA data requirements, BHA existing business rules, BHA fiscal policies and standard metrics to be reported by provider/practice - 30% or $29,462.40 of the $98,208 total.Crosswalk completed. Crosswalk given to BHA for review and approval.29,462.40129,462.40ERROR:#REF!30%ERROR:#REF!
(2) Provider Business Rules OutlineContractor shall identify the elements and organization of the provider business rules and author an outline of the rules. 10% or $9820.80 of the $98,208 totalBusiness rules outline given to BHA for review and approval.9,82119,820.80ERROR:#REF!15%ERROR:#REF!
(3) Provider Business Rules DraftContractor shall develop a draft of Compass provider business rules. Draft shall be shared with the available CMHCs and other large provider groups for questions and comments. 25% or $24,552 of the $98,208 total.
Draft rules given to BHA for review and approval.24,552124,552.00ERROR:#REF!15%ERROR:#REF!Total Contract
(4)Provider Business Rules Final draftContractor shall produce a final draft of the Provider Business Rules taking into account input and questions from providers. 10% or $9,820.80 of the $98,208 total.Final draft rules given to BHA for review and approval.9,82119,821.00ERROR:#REF!20%
(5) Training MaterialsContractor shall develop Provider Business Rules training materials based upon the final draft prepared in deliverable 4.
25% or $24,552 of the $98,208 total.Training materials given to BHA.$24,552124,552.00ERROR:#REF!20%

Total Fixed Deliverable based costs 98,208.00

Travel, Supplies, Operating and Indirect should be included in your deliverables mailto:Ppan@neverland.commailto:Wdarling@neverland.com Deliverables Budget Template

FY20 FIXED DELIVERABLES ANNUAL BUDGET

OBH Program

Agency NameProgram Contact Name, Title
Phone
Email
Budget PeriodFiscal Contract Name, Title
Phone
Email
Project NameDate Completed

All contract deliverables must be received by contract term end of

Contract - Fixed Deliverables
DeliverableDescription of WorkMeasurementRate or ChargeHours or UnitsTotal Requested from OBH
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Sub-Total Contract Deliverables$0.00
TravelAnnual Budget
ItemDescription of ItemRateQuantityTotal Amount Requested from OBH
$0.00
$0.00
Total Travel$0.00
Supplies & Operating ExpensesAnnual Budget
ItemDescription of Item

ID#AAABd5hgzeI (2025-02-25 19:17:05) Item Description should include the rationale for the costs budgeted and a description of how cost estimates are calculated.

Examples of supplies & operating expenses: printing/copying, postage/shipping, phone/fax/internet, general office supplies, meetings supplies, rent, etc.RateQuantityTotal Amount Requested from OBH
$0.00
$0.00
$0.00
Total Supplies
& Operating Expenses$0.00

Total Fixed Deliverable based costs $0.00

Last up-date:05_23_19

Deliverables Budget

EXHIBIT B, FY26 ANNUAL BUDGET

BHA Program PREVAIL Database

Agency NameBHAProgram Contact Name, Title
Phone
Email
Budget PeriodFiscal Year (FY) 2027, 7/1/2026 - 6/30/2027Fiscal Contract Name, Title
Phone
Email
Project NamePre-Arrest Evaluation, Intervention and Linkage (PREVAIL) Case Management System and Database Management ServicesDate Completed

All contract deliverables must be received by contract term end of

Contract - Fixed Deliverables
DeliverableDescription of WorkMeasurementRate or ChargeHours or UnitsTotal Requested from BHA
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 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 Fixed Deliverable based costs $ - 0

Exhibit B

&P of Revised: 5_15_2023

Sheet3 image1.jpg image2.png

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