Exhibit H CSFP Itemized Service Budget.xlsx

XLSX spreadsheet 69 KB Posted

Attached to
Master Agreement AZ|CTR078755
Contract number
CTR078755
Issued by
Arizona

About this file

Document Summary

This document is an Itemized Service Budget (ISB) form for the CSFP (Community Services/Service Program) contract administered by CCSD (Clark County School District) or a related Arizona state agency. The form serves as a budget template for service providers to detail anticipated costs for delivering contracted services during the specified contract period of July 1, 2025 to September 30, 2025. The document establishes the framework for agencies to identify both total service costs and costs allocated specifically to CCSD.

The ISB requires service providers to itemize expenses across ten budget categories: Personnel, Employee Related Expenses, Professional & Outside Services, Travel, Space (Occupancy), Equipment, Materials & Supplies, Operating Services, Direct Costs, and Indirect Costs. All budget line items in the provided template currently reflect zero dollars, indicating this is a blank form awaiting completion. The instructions mandate that costs be necessary, reasonable, and directly related to service delivery, with detailed allocation between administrative functions and direct service functions. Service providers must identify all revenue sources, including amounts from ADES and other funding sources, round all costs to whole dollars, and provide supporting documentation for each budget category. The form emphasizes that indirect costs must be properly allocated and that equipment purchases of $1,000 or more require separate identification and justification.

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Text version

CSFP

Agency Name:
Itemized Service Budget
Service: CSFP
Contract #
Contract Period: 7/1/2025 to 9/30/2025
NumberService CategoryService DescriptionUnitsService CostMUST SPEND $X BY XX/XX/XXTotal
1.PersonnelPositionFTESalaryCSFPTOTAL DES Cost

Total Salaries 0.00 0.00 0.00

2. Employee Related Expenses

Total E.R.E 0.00 0.00 0.00

3. Professional & Outside Service

Total Professional & Outside Service 0.00 0.00 0.00

4. Travel

Total Travel 0.00 0.00 0.00

5. Space (Occupancy)

Total Occupancy 0.00 0.00 0.00

6.Equipment
- 0
- 0
Total Equipment0.000.000.00

7. Materials & Supplies

Total Materials & Supplies 0.00 0.00 0.00

8. Operating Services

Total Operating Services 0.00 0.00 0.00

9. Direct Costs 0.00 0.00 0.00

10. Indirect Cost

Total Costs 0.00 0.00 0.00

Instructions

ISB Instructions
An Itemized Service Budget (ISB) for the first contract period anticipated to be July 1, 2025 to June 30, 2026, as follows:

* Utilize the ISB form to identify Total Service Costs and ADES Costs allocated to the Service Delivery Area. Total Service Cost column is to be utilized to account for all expenses involved in carrying out the service. CCSD Cost column is to be utilized to account for only the expenses that an Offeror will be charging to CCSD to carry out the service.

* Ensure that costs are necessary and reasonable for the delivery of the service(s);

* Place a zero (0) in the column(s) for any budget category where no costs are anticipated;

* Round all costs to the nearest whole dollar;

* Breakout the costs under each budget category;

* Identify all revenue sources (Offeror is to list out all the revenue sources include ADES and the amounts they are receiving from each source to provide this service); and

* Utilize the information in the following table to determine appropriate costs for each budget category.

BUDGET CATEGORYALLOWABLE TYPES OF COSTS
1. PersonnelApplicant’s employees’ salaries that relate directly to the delivery of projects.
· FTE Level: Is the percentage of an employee's time that will be allocated to the contracted service. For example if you have an eligibility specialist that works with different programs, you may estimate as an example that the employee spends 30% of their time providing the contracted service, therefore the FTE level would be .3 on the budget.
· *A = % Administrative Functions: the percentage of expenses that are budgeted towards indirectly supporting the delivery of a service.
· D = % Direct Service Functions Expenses that are budgeted towards the actual delivery of a service.
2. Employee Related Expenses (ERE)Applicant’s fringe benefits to employees, including but not limited to: Social Security (FICA); unemployment insurance; worker’s compensation; health and life insurance; and retirement (Apply only to that portion of employees’ salaries directly related to the agreement.)
3. Professional & Outside ServicesSubcontractor services for direct service provision and/or support services (e.g., interpreter services) that relate directly to the proposed project plans, but are not provided by agency staff. Services may be provided by individuals or organizations.
4. TravelMileage reimbursement not to exceed the federal rate as may be amended.
5. SpaceFacilities costs such as: rent; depreciation or use allowance; building services and utilities such as: fuel; electricity; water; trash removal; maintenance (subcontracted services only); sewer; insurance for buildings and contents.
6. EquipmentPurchase and/or rental/lease of equipment costing $1,000 or more (each); depreciation; equipment maintenance and repair costs.
7. Materials & SuppliesConsumable supplies such as: general office, kitchen, cleaning, hygiene, and program supplies; postage; reproduction and subcontracted printing services.
8. Operating ServicesTelephone; (ADES pre-approved) training for employees; library purchases; general liability insurance.
10. Indirect CostsCosts incurred for the benefit of multiple programs, functions, or other cost objectives and therefore cannot be identified readily and specifically with a particular program or other cost objective. Indirect costs typically support administrative overhead functions such as fringe benefits, accounting, payroll, purchasing, facilities management, utilities, etc.

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