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
| File | Type | Posted |
|---|---|---|
| Exhibit A - Statement of Work .docx | DOCX document | |
| DQ IBEH 2026000403 PREVAIL Database - Behavioral Health Data Management System.docx | DOCX document | |
| Exhibit C - Miscellaneous Provisions.pdf | ||
| Exhibit D - HIPAA Business Associate Agreement (BAA) .pdf |
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Text version
EXAMPLE Deliverables Budget
| Colorado Department of Human Services |
| Behavioral Health Administration |
| ANNUAL BUDGET |
BHA Program Fiscal
| Agency Name | Research Masters | Program Contact Name, Title | Peter Pan, CEO |
| Phone | 505-555-1953 | ||
| Ppan@neverland.com | |||
| Budget Period | July 1, 2025 - June 30, 2026 | Fiscal Contract Name, Title | Wendy Darling, CFO |
| Phone | 505-555-1953 | ||
| Wdarling@neverland.com | |||
| Project Name | Compass | Date Completed | 4/19/2025 |
All contract deliverables must be received by contract term end of June 30, 2026
| Contract - Fixed Deliverables | ||||||||||
| Deliverable | Description of Work | Measurement | Rate or Charge | Hours or Units | Total Requested from BHA | Deliverable payments by percentage | ||||
| (1) Provider Business Rules Crosswalk | Contractor 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. | 29,462.40 | 1 | 29,462.40 | ERROR:#REF! | 30% | ERROR:#REF! | ||
| (2) Provider Business Rules Outline | Contractor 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 total | Business rules outline given to BHA for review and approval. | 9,821 | 1 | 9,820.80 | ERROR:#REF! | 15% | ERROR:#REF! | ||
| (3) Provider Business Rules Draft | Contractor 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. | 24,552 | 1 | 24,552.00 | ERROR:#REF! | 15% | ERROR:#REF! | Total Contract | |||
| (4)Provider Business Rules Final draft | Contractor 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. | 9,821 | 1 | 9,821.00 | ERROR:#REF! | 20% | |||
| (5) Training Materials | Contractor 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. | $24,552 | 1 | 24,552.00 | ERROR:#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 Name | Program Contact Name, Title |
| Phone | |
| Budget Period | Fiscal Contract Name, Title |
| Phone | |
| Project Name | Date Completed |
All contract deliverables must be received by contract term end of
| Contract - Fixed Deliverables | |||||
| Deliverable | Description of Work | Measurement | Rate or Charge | Hours or Units | Total 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 | ||||
| Travel | Annual Budget | ||||
| Item | Description of Item | Rate | Quantity | Total Amount Requested from OBH | |
| $0.00 | |||||
| $0.00 | |||||
| Total Travel | $0.00 | ||||
| Supplies & Operating Expenses | Annual Budget | ||||
| Item | Description 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. | Rate | Quantity | Total 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 Name | BHA | Program Contact Name, Title |
| Phone | ||
| Budget Period | Fiscal Year (FY) 2027, 7/1/2026 - 6/30/2027 | Fiscal Contract Name, Title |
| Phone | ||
| Project Name | Pre-Arrest Evaluation, Intervention and Linkage (PREVAIL) Case Management System and Database Management Services | Date Completed |
All contract deliverables must be received by contract term end of
| Contract - Fixed Deliverables | |||||
| Deliverable | Description of Work | Measurement | Rate or Charge | Hours or Units | Total Requested from BHA |
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
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Total Fixed Deliverable based costs $ - 0
Exhibit B
&P of Revised: 5_15_2023
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