Exhibit H DES Youth_Families Itemized Service Budget (ISB).xlsx
XLSX spreadsheet 84 KB Posted
- Attached to
- AZ|CTR079172
- Contract number
- CTR079172
- Issued by
- Arizona
About this file
This document is an Itemized Service Budget (ISB) form and instruction guide for a state and local contract award issued by the Arizona Department of Economic Security (ADES) for Housing Support Services targeting homeless youth and families. The contract period extends through June 30, 2026, and covers two service codes: YFS (Youth/Families Emergency Shelter) and YFR (Youth/Families Rapid Rehousing). The organization executing the contract is identified as TBD, with a contract number also listed as TBD.
The ISB template establishes budget categories for allowable costs across both service delivery areas, including: total personnel and employee-related expenses for direct services; shelter diversion services; essential client services such as case management, childcare, education, and employment assistance; emergency shelter operation expenses; housing vouchers for rapid rehousing assistance (limited to 12 months and compliant with HUD Fair Market Rent standards); rapid rehousing stabilization and financial assistance including security deposits, utility payments, and moving expenses; and indirect costs using either a 15% de minimis rate or federally negotiated rates. The form requires contractors to identify all revenue sources beyond ADES funding and to separate total service costs from ADES-specific costs. All budget line items are currently listed at $0.00, indicating this is a blank template awaiting completion by the service provider. The contract requires that all costs be allowable, allocable, reasonable, and eligible for service delivery as defined in the Scope of Work.
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YFSYFR ISB Instructions An Itemized Service Budget (ISB) for the contract period for State Fiscal Year 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. ADES Cost column is to be utilized to account for only the expenses that an Offeror will be charging to ADES to carry out the service.
* Ensure that costs are allowable, allocable, reasonable, and eligibile for the delivery of the service(s) (See Scope of Work, Section 8 Payment for Services);
* Place a zero (0) in the column(s) for any budget category where no costs are anticipated;
* 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 CATEGORY | ALLOWABLE TYPES OF COSTS |
| 1. Total Personnel & Employee Related Expenses for Direct Services | · Compensation directly related to carrying out the activities of the identified Service Code as well as other costs such as insurance, workers compensation, etc. |
· 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.
· 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.)
| 2. Total Essential Services for Youth/Families Shelter Diversion | Shelter Diversion services are meant to rapidly respond to and/or prevent homelessness by providing assistance that will resolve a household’s homelessness when the household is deemed likely to remain stably and safely housed if diverted by providing financial assistance and case management to families at risk. |
| 3. Total Essential Client Services for Youth/Families Emergency Shelter | Case Management, child care, education services, emergency health and mental health services, employment assistance and job training, life skills training, transportation, Substance abuse treatment services and services for special populations (e.g., services for people living with HIV/AIDS, homeless youth, and victim services). These are non-employee expenses. |
| 4. Total Youth/Families Emergency Shelter Operation Expenses | Shelter maintenance, facility rent, utilities, on-site security, fuel & equipment, insurance, food, furnishings, supplies necessary for shelter operation, and hotel/motel vouchers |
| 5. Total Housing Vouchers For Youth/Families Rapid Rehousing | Assistance may be short-term rental assistance (up to 3 months), medium-term rental assistance (4-12 months), and one-time payment of up to 6 months rental arrears, including any late fees for the tenant’s portion of arrears, or any combination of these forms of assistance, to be provided to eligible program participants only when the rent, including utilities (gross rent), for the housing unit: 1. Does not exceed the Fair Market Rent (FMR) established by HUD for each geographic area; and 2. Complies with HUD’s standard of rent reasonableness. Not to exceed 12 months of assistance, or the duration of the Program (June 2026). The maximum amount of rental assistance paid to a program participant cannot exceed 12 months during the 1-year contract period, including any payment for last month’s rent. |
| 6. Total Youth/Families Rapid Rehousing Stabilization & Financial Assistance | Housing inspections, assessment of housing in compliance with DES and ESG requirements (i.e., FMR/rent reasonableness, habitability standards, lead based paint evaluation), rental application fees, security deposits, last month's rent, utility deposits, payments of utility arrears for up to six (6) months, legal fees for landlord/tenant matters, credit repair, transportation, miscellaneous moving expenses to include truck rental, to support homeless individuals and families in order to move participant as quickly as possible into permanent housing and to achieve stability in that housing or achieve stability in current housing. These are non-employee expenses. |
| 7. Indirect Costs | Costs 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. If the Offeror elects to use a federally negotiated indirect cost rate, they must provide a copy of the rate agreement with the ISB. If the subrecipient elects to use the 15% de Minimus rate for indirect costs, they must complete and submit the Certification of De Minimis Indirect Cost Rate form. |
| 8. Total Costs for Youth & Families Emergency Shelter | Please manually add all costs with Service Code Type "YFS" from Sections: 1) Total Personnel, 3) YFS Shelter Diversion, 4) YFS Client Services, 5) YFS Shelter Operations, and 8) Indirect Costs |
| 9. Total Costs for Youth & Families Rapid Rehousing | Please manually add all costs with Service Code Type "YFR" from Sections: 1) Total Personnel, 6) YFR Voucher Costs, 7) YFR Stabilization, and 8) Indirect Costs |
| 10. Total Costs by Service Code | Auto-calculates the total costs of each Service Code |
YFSYFR Budget
| EXHIBIT H |
| ITEMIZED SERVICE BUDGET |
| CONTRACT SERVICE(S): Housing Support Services - Homeless Youth and Families | ORGANIZATION: |
| CONTRACT PERIOD: Date of Last Signaure through 6/30/2026 | CONTRACT NUMBER: TBD |
| SERVICE CODES: YFS = Youth/Families Emergency Shelter YFR = Youth/Families Rapid Re-housing |
| 1) TOTAL PERSONNEL & EMPLOYEE RELATED EXPENSES FOR DIRECT SERVICES (One [1] Service Code Per Line) | ||
| Compensation directly related to carrying out the activities of the identified Service Code as well as other costs such as insurance, workers compensation, etc. | ||
| TOTAL FTE Level | Service Code | |
| (YFS or YFR) | Position Title & Description | |
| ONLY include personnel who provide direct services or support | TOTAL COST | ADES COST |
| TOTAL # of FTEs: | TOTAL: | 0.00 | 0.00 | ||
| 2) TOTAL ESSENTIAL SERVICES FOR YOUTH/FAMILIES SHELTER DIVERSION | |||||
| Services which provide assistance that will rapidly resolve and/or prevent a household’s homelessness when the household is deemed likely to remain stably and safely housed if diverted from shelter, including case management. These are non-employee expenses. | |||||
| Service Code | |||||
| (YFS Only) | Item/Basis | TOTAL COST | ADES COST |
| TOTAL: | 0.00 | 0.00 | |||
| 3) TOTAL ESSENTIAL CLIENT SERVICES FOR YOUTH/FAMILIES EMERGENCY SHELTER | |||||
| Case Management, child care, education services, employment assistance, life skills training, transportation, and services for special populations (e.g., services for people living with HIV/AIDS, homeless youth, and victim services). These are non-employee expenses. | |||||
| Service Code | |||||
| (YFS Only) | Item/Basis | TOTAL COST | ADES COST |
| TOTAL: | 0.00 | 0.00 | |||
| 4) TOTAL YOUTH/FAMILIES EMERGENCY SHELTER OPERATION EXPENSES | |||||
| Maintenance, rent, security, fuel, equipment, insurance, utilities, food, furnishings, supplies necessary for operation of a Emergency Shelter. Eligible costs may also include hotel/motel vouchers for individuals or families experiencing homelessness when congregant Emergency Shelter is unavailable. | |||||
| Service Code | |||||
| (YFS Only) | Item/Basis | TOTAL COST | ADES COST |
| TOTAL: | 0.00 | 0.00 | |||
| 5) TOTAL HOUSING VOUCHERS FOR YOUTH/FAMILIES RAPID REHOUSING | |||||
| Assistance may be short-term rental assistance (up to 3 months), medium-term rental assistance (4-12 months), and one-time payment of up to 6 months rental arrears, including any late fees for the tenant’s portion of arrears, or any combination of these forms of assistance, to be provided to eligible program participants only when the rent, including utilities (gross rent), for the housing unit: 1. Does not exceed the Fair Market Rent (FMR) established by HUD for each geographic area; and 2. Complies with HUD’s standard of rent reasonableness. Not to exceed 12 months of assistance, or the duration of the Program (June 2026). The maximum amount of rental assistance paid to a program participant cannot exceed 12 months during the 1-year contract period, including any payment for last month’s rent. | |||||
| Service Code | |||||
| (YFR Only) | Item/Basis | TOTAL COST | ADES COST |
| TOTAL: | 0.00 | 0.00 | |||
| 6) TOTAL YOUTH/FAMILIES RAPID REHOUSING STABILIZATION & FINANCIAL ASSISTANCE: | |||||
| Housing inspections, assessment of housing in compliance with requirements (i.e., rent reasonableness, habitability standards, lead based paint evaluation), rental application fees, security deposits, last month's rent, utility deposits, payments of utility arrears for up to six (6) months, legal fees for landlord/tenant matters, credit repair, transportation, miscellaneous moving expenses to include truck rental, to support homeless individuals and families in order to move participant as quickly as possible into permanent housing and to achieve stability in that housing or achieve stability in current housing. These are non-employee expenses. | |||||
| Service Code | |||||
| (YFR Only) | Item/Basis | TOTAL COST | ADES COST |
| TOTAL: | 0.00 | 0.00 | ||
| 7) INDIRECT COSTS | ||||
| Costs 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. If the Offeror elects to use a federally negotiated indirect cost rate, they must provide a copy of the rate agreement with the ISB. If the subrecipient elects to use the 15% de Minimus rate for indirect costs, they must complete and submit the Certification of De Minimis Indirect Cost Rate form. | ||||
| Service Code | ||||
| (YFS or YFR) | Indirect Cost Rate | |||
| 15% de minimus rate, Federally negotiated rate, or other | TOTAL COST | ADES COST |
| TOTAL: | 0.00 | 0.00 | ||
| Total Costs by Above Budget Categories | 0.00 | 0.00 | ||
| TOTAL COST | ADES COST | |||
| 8) | Manually Calculate Total Youth/Families Emergency Shelter (YFS) Cost(s) | |||
| Including from: 1) Total Personnel, 3) YFS Shelter Diversion, 4) YFS Client Services, 5) YFS Shelter Operations, and 8) Indirect Costs | ||||
| 9) | Manually Calculate Total Youth/Families Rapid Rehousing (YFR) Cost(s) | |||
| Including from: 1) Total Personnel, 6) YFR Voucher Costs, 7) YFR Stabilization, and 8) Indirect Costs | ||||
| 10) | TOTAL COSTS BY SERVICE CODES: | 0.00 | 0.00 |
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