FY_2027-28_Program_Budget,_Demographics,_and_Performance_Workbook.xlsx
XLSX spreadsheet 99 KB Posted
- Attached to
- 2027-31 Human Services Grants Program
- Solicitation number
- 489
- Issued by
- Los Angeles County, San Francisco City, California
About this file
This file is a Program Budget, Demographics, and Performance Workbook for the City of Santa Monica's Human Services Grants Program (HSGP) for fiscal year 2027-28. The workbook serves as a comprehensive application tool for nonprofit organizations seeking funding through the four-year HSGP (2027-2031), which was approved by City Council on August 11, 2026. Applicants must select either the Cash Match or Living Wage budget option and complete the corresponding workbook tabs, including sections for agency funding sources, participant demographics, leadership demographics, and performance indicators. Organizations applying for multiple programs must submit separate proposals for each program with corresponding workbooks. The program term runs from July 1, 2027, through June 30, 2028, with mid-year reporting required from July 1, 2027, through December 31, 2027, and year-end reporting covering the full fiscal period through June 30, 2028.
The workbook establishes specific budget and compliance requirements dependent on the selected funding model. Under the Cash Match option, organizations must provide a minimum 30% cash match and may pay staff at rates set by the agency, with budgets categorized by staff salaries, fringe benefits, consultant services, operating expenses, direct client support, and indirect administrative costs. The Living Wage option eliminates cash match requirements but mandates that all staff at 90% or more FTE to the program meet the City's living wage rate of $25.00 per hour (adjusted annually, with a one-year implementation delay). Indirect administrative costs are accepted at 15% or less of the total Santa Monica grant without documentation, or above 15% only with federally-negotiated indirect cost rate documentation. Performance indicators require a minimum of two and maximum of five indicators, each containing one output and one outcome with documented measurement methods. All reports submitted to the City are considered public record subject to the Public Records Act, and applicants must certify the accuracy and compliance of all information and disbursements.
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Other files
| File | Type | Posted |
|---|---|---|
| 2027-31_Human_Services_Grants_Program.pdf | ||
| FY_2027-28_Program_Plan.docx | DOCX document | |
| Instructions_for_Submitting_Multiple_Proposals.pdf | ||
| FY_2027-31_HSGP_Grant_Agreement_Template.pdf | ||
| Proposal_Cover_Page_and_Authorization_Signature.pdf | ||
| PSA Insurance Template PL.docx | DOCX document | |
| PSA Insurance Template no PL.docx | DOCX document | |
| Proposal_Checklist.pdf | ||
| Proposer_Checklist.pdf |
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Text version
INSTRUCTIONS
| City of Santa Monica |
| Human Services Grants Program (HSGP) |
| Program Budget, Demographics, and Performance Workbook |
| FY 2027-28 |
| Overview |
| HSGP applicants will use this workbook as a single tool to complete the following tabs: |
1) Budget: Propose your program's budget for FY 2027-28 - complete the Cash Match or the Living Wage Budget tab, depending on the option you choose for your program. Complete only one budget tab as follows:
- Cash Match tab: complete if your program is choosing to provide 30% cash match and pay all staff at a rate set by your agency.
- Living Wage tab: complete if your program is choosing to meet the City's living wage for all staff that are 90% or more FTE to the program.
2) Agency Funding Sources: Provide information about agency funding sources
3) Participant Demographics: Propose your program's participant targets for FY 2027-28
4) Leadership Demographics: Provide leadership demographics for agency right now.
5) Performance Indicators: Propose your program's performance indicators for FY 2027-28
Organizations applying for more than one program must submit a separate proposal for each program, including corresponding Program Budget, Demographics, and Performance Workbooks.
All reports and supporting documents submitted to the City are considered public record and are subject to disclosure under the Public Records Act.
BUDGET - CASH MATCH
| City of Santa Monica HSGP |
| Program Budget - Cash Match |
COMPLETE ONE BUDGET TAB FOR YOUR PROGRAM. IF YOU COMPLETE THIS TAB, LEAVE THE LIVING WAGE BUDGET BLANK.
| INSTRUCTIONS |
| Complete this budget template if your program is choosing to provide 30% cash match and pay all staff at a rate set by your agency. |
Provide line-item detail as specified in each section of the template and verify all calculations. Budgets will not be accepted if any of the required information is incomplete or if the calculations are incorrect.
Cells containing formulas are set to calculate automatically. Report any issues to humanservices@santamonica.gov
| Only input data into the highlighted cells. |
| SECTION I: BUDGET SUMMARY |
| Enter the name of your Agency and Program. |
| SECTION II: LINE ITEM DETAIL |
| Complete columns A-I with program budget details. |
| SECTION III: CASH MATCH |
| Section automatically calculates cash match using data entered in Section II. Programs are required to provide a minimum 30% cash match. |
| SECTION IV: NON-CITY PROGRAM FUNDING |
| Provide a brief description of the non-City funding sources included in your Total Program Budget. For government grants, indicate the type of funding source (Federal, State, or County/Local). Enter the Projected/Actual amounts in Column I as appropriate. |
| "Total Non-City Funding" in column I of this section should equal the total "Non-City Program Budget" in column I of Section II. |
| SECTION I: BUDGET SUMMARY | |
| TOTAL |
PROGRAM
| BUDGET | HSGP GRANT | |
| BUDGET | NON-CITY PROGRAM BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| AGENCY NAME: | 1A. Staff Salaries | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |
| PROGRAM NAME: | 1B. Staff Fringe Benefits | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |
| 2. Consultant Services | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | ||
| 3. Operating Expenses | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | ||
| REPORTING PERIOD: | FY 2027-28 Program Budget: 7/1/27 - 6/30/28 | 4. Direct Client Support | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 5. Other | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | ||
| 6. Indirect Administrative Costs | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | ||
| 7. TOTAL BUDGET | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | ||
| A. Total City Funds Disbursed to Date: | $ - | |||||||||
| B. Total City Funds Expended to Date: | $ - | |||||||||
| C. Cash Balance (Line A - Line B): | $ - |
| FY 2027-28 Program Budget: 7/1/27 - 6/30/28 | Senior/Executive Management | Federal |
| Mid-Year Report (1st Period): 7/1/27 - 12/31/27 | Administrative Support | State |
| Year-End Report (2nd Period): 7/1/27 -6/30/28 | Direct Service Provision/Program Staff | County/Local |
| SECTION II: LINE ITEM DETAIL |
| 1A. Staff Salaries | |||||
| List all paid program and administrative positions (both City and non-City funded) and complete all fields below. | |||||
| Staff Name | Title | Position Classification | FTE (Agency Wide) | % FTE to Program | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT | |
| BUDGET | NON-CITY PROGRAM BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 1A. Staff Salaries TOTAL | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 1B. Staff Fringe Benefits | |
| List each fringe benefit as a percentage of total staff salaries listed above (FICA, SUI, Workers’ Compensation, Medical Insurance, Retirement, etc.). | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT | |
| BUDGET | NON-CITY PROGRAM BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 1B. Staff Fringe Benefits TOTAL | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 2. Consultant Services | |
| List each consultant to be funded. Include type of service, total budgeted expense, and any additional information to support the use of consultants as opposed to staff or volunteers. | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT | |
| BUDGET | NON-CITY PROGRAM BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 2. Consultant Services TOTAL | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 3. Operating Expenses | |
| List all operating expenses [e.g., space/rent expense, utilities, facility maintenance, equipment, insurance, office supplies, printing, audit fees, travel, training, etc.]. | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT | |
| BUDGET | NON-CITY PROGRAM BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 3. Operating Expenses TOTAL | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 4. Direct Client Support | |
| List any expenses associated with direct service provision, individual client support, scholarships, or stipends. Include estimated number of recipients. | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT | |
| BUDGET | NON-CITY PROGRAM BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 4. Scholarships/Stipends TOTAL | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 5. Other | |
| List any program expense not appropriate for any of the above line items and provide justification. | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT | |
| BUDGET | NON-CITY PROGRAM BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 5. Other TOTAL | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 6. Indirect Administrative Costs | |
| Santa Monica Grant budgets may include Indirect Administrative Costs as follows: | |
| Rates 15% or less of total SM grant: Shall be considered de minimis and will be accepted without further supporting documentation. | |
| Rates above 15% of total SM grant: Must be accompanied by documentation of the agency’s federally-negotiated indirect cost rate. | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT | |
| BUDGET | NON-CITY PROGRAM BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| Indirect Administrative Costs | Rate: | N/A | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |
| 6. Indirect Administrative Costs TOTAL | $ - | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
7. TOTAL BUDGET $ - $ - $ - $ - $ - $ - N/A $ -
| SECTION III: CASH MATCH |
| This section automatically calculates based on data entered Section II. |
| Total SM Grant Budget Request: | $ - |
| Total Non-City Program Budget: | $ - |
| Total Program Budget: | $ - |
PROGRAM CASH MATCH N/A CASH MATCH MUST BE A MINIMUM OF 30%
| SECTION IV: NON-CITY PROGRAM FUNDING | ||||
| List non-City sources of funding included in your Total Program Budget. For Government Grants ONLY, indicate Type of funding source (Federal, State, or County/Local) | ||||
| The total of the PROJECTED NON-CITY PROGRAM FUNDING column below should match the total of the NON-CITY PROGRAM BUDGET column (column I) in Section II above. | ||||
| Source | Description | PROJECTED NON-CITY FUNDING | ||
| 1. Government Grants | ||||
| $ - | ||||
| $ - | ||||
| 2. Private/Corporate Grants | ||||
| $ - | ||||
| $ - | ||||
| 3. Individual Donations | ||||
| $ - | ||||
| $ - | ||||
| 4. Fundraising Events | ||||
| $ - | ||||
| $ - | ||||
| 5. Fees for Service | ||||
| $ - | ||||
| $ - | ||||
| 6. Other | ||||
| $ - | ||||
| $ - | ||||
| 7. TOTAL | TOTAL PROJECTED NON-CITY PROGRAM FUNDING | $ - | TOTAL NON-CITY PROGRAM FUNDING AND NON-CITY PROGRAM BUDGET MUST MATCH | |
| TOTAL NON-CITY PROGRAM BUDGET (CELL I29) | $ - |
| By submitting this report to the Housing and Human Services Division, I certify that this report is true, complete and accurate to the best of my knowledge and that all disbursements have been made |
| in compliance with the conditions of the Grantee Agreement and for the purposes indicated. |
BUDGET - LIVING WAGE
| City of Santa Monica HSGP |
| Program Budget - Living Wage |
COMPLETE ONE BUDGET TAB FOR YOUR PROGRAM. IF YOU COMPLETE THIS TAB, LEAVE THE CASH MATCH BUDGET BLANK.
| INSTRUCTIONS |
| Complete this budget template if your program is choosing to meet the City's living wage for all staff that are 90% or more FTE to the program. Your program is not required to provide cash match. |
Provide line-item detail as specified in each section of the template and verify all calculations. Budgets will not be accepted if any of the required information is incomplete or if the calculations are incorrect.
Cells containing formulas are set to calculate automatically. Report any issues to humanservices@santamonica.gov
| Only input data into the highlighted cells. |
| SECTION I: BUDGET SUMMARY |
| Enter the name of your Agency and Program. |
| SECTION II: LINE ITEM DETAIL |
| Complete columns A-H with program budget details. If you propose a program that is fully funded by the HSGP, the Total Program Budget (column G) and SM Grant Budget (column H) will be the same. |
1A. Staff Salaries: All staff that are 90% or more FTE to the program (column E) must meet the City's current living wage rate of $25.00 per hour and complete the "Living Wage Certification" attachment.
Note: The City adjusts living wage annually. HSGP grantees get a one-year delay in wage compliance (i.e., budgets for Fiscal Year 2027-28 must comply with the City's living wage rate for Fiscal Year 2026-27).
| SECTION III: NON-CITY PROGRAM FUNDING (OPTIONAL) |
| If your program receives any non-City funding, provide a brief description of the funding sources included in your Total Program Budget. For government grants, indicate the type of funding source (Federal, State, or County/Local). Enter the Projected/Actual amounts in Column H as appropriate. Leave this section blank if you do not anticipate any non-City funding. |
| SECTION I: BUDGET SUMMARY | |
| TOTAL |
PROGRAM
| BUDGET | HSGP GRANT |
| BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| AGENCY NAME: | 1A. Staff Salaries | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |
| PROGRAM NAME: | 1B. Staff Fringe Benefits | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |
| 2. Consultant Services | $ - | $ - | $ - | $ - | $ - | N/A | $ - | ||
| 3. Operating Expenses | $ - | $ - | $ - | $ - | $ - | N/A | $ - | ||
| REPORTING PERIOD: | FY 2027-28 Program Budget: 7/1/27 - 6/30/28 | 4. Direct Client Support | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 5. Other | $ - | $ - | $ - | $ - | $ - | N/A | $ - | ||
| 6. Indirect Administrative Costs | $ - | $ - | $ - | $ - | $ - | N/A | $ - | ||
| 7. TOTAL BUDGET | $ - | $ - | $ - | $ - | $ - | N/A | $ - | ||
| A. Total City Funds Disbursed to Date: | $ - | ||||||||
| B. Total City Funds Expended to Date: | $ - | ||||||||
| C. Cash Balance (Line A - Line B): | $ - |
| FY 2027-28 Program Budget: 7/1/27 - 6/30/28 | Senior/Executive Management | Federal |
| Mid-Year Report (1st Period): 7/1/27 - 12/31/27 | Administrative Support | State |
| Year-End Report (2nd Period): 7/1/27 -6/30/28 | Direct Service Provision/Program Staff | County/Local |
| SECTION II: LINE ITEM DETAIL |
| 1A. Staff Salaries | |||||
| List all paid program and administrative positions (both City and non-City funded) and complete all fields below. | |||||
| All staff that are 90% or more FTE to the program must be paid a minimum of $25.00 per hour to comply with the City's living wage rate. | |||||
| Staff Name | Title | Position Classification | FTE (Agency Wide) | % FTE to Program | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT |
| BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
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| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 1A. Staff Salaries TOTAL | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 1B. Staff Fringe Benefits | |
| List each fringe benefit as a percentage of total staff salaries listed above (FICA, SUI, Workers’ Compensation, Medical Insurance, Retirement, etc.). | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT |
| BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 1B. Staff Fringe Benefits TOTAL | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 2. Consultant Services | |
| List each consultant to be funded. Include type of service, total budgeted expense, and any additional information to support the use of consultants as opposed to staff or volunteers. | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT |
| BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 2. Consultant Services TOTAL | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 3. Operating Expenses | |
| List all operating expenses [e.g., space/rent expense, utilities, facility maintenance, equipment, insurance, office supplies, printing, audit fees, travel, training, etc.]. | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT |
| BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 3. Operating Expenses TOTAL | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 4. Direct Client Support | |
| List any expenses associated with direct service provision, individual client support, scholarships, or stipends. Include estimated number of recipients. | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT |
| BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 4. Scholarships/Stipends TOTAL | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 5. Other | |
| List any program expense not appropriate for any of the above line items and provide justification. | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT |
| BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | |||||
| $ - | $ - | $ - | $ - | $ - | N/A | $ - | Mid-Year Program Variance Report | Mid-Year City Follow-Up | Year-End Program Variance Report | Year-End City Follow-Up | |
| 5. Other TOTAL | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
| 6. Indirect Administrative Costs | |
| Santa Monica Grant budgets may include Indirect Administrative Costs as follows: | |
| Rates 15% or less of total SM grant: Shall be considered de minimis and will be accepted without further supporting documentation | |
| Rates above 15% of total SM grant: Must be accompanied by documentation of the agency’s federally-negotiated indirect cost rate. | |
| Description | TOTAL |
PROGRAM
| BUDGET | HSGP GRANT |
| BUDGET | HSGP |
MID-YEAR
EXPEND. HSGP
YEAR-END
EXPEND. HSGP TOTAL EXPEND. HSGP PERCENT EXPENDED YEAR-END
TOTAL PROGRAM EXPEND.
| Indirect Administrative Costs | Rate: | N/A | $ - | $ - | $ - | $ - | $ - | N/A | $ - | |
| 6. Indirect Administrative Costs TOTAL | $ - | $ - | $ - | $ - | $ - | N/A | $ - |
7. TOTAL BUDGET $ - $ - $ - $ - $ - N/A $ -
| SECTION III: NON-CITY PROGRAM FUNDING (OPTIONAL) | ||||
| List non-City sources of funding included in your Total Program Budget (column G in section II above). For Government Grants ONLY, indicate Type of funding source (Federal, State, or County/Local). | ||||
| Leave this section blank if you do not anticipate any non-City funding. | ||||
| Source | Description | PROJECTED NON-CITY FUNDING | ||
| 1. Government Grants | ||||
| $ - | ||||
| $ - | ||||
| 2. Private/Corporate Grants | ||||
| $ - | ||||
| $ - | ||||
| 3. Individual Donations | ||||
| $ - | ||||
| $ - | ||||
| 4. Fundraising Events | ||||
| $ - | ||||
| $ - | ||||
| 5. Fees for Service | ||||
| $ - | ||||
| $ - | ||||
| 6. Other | ||||
| $ - | ||||
| $ - | ||||
| 7. TOTAL | TOTAL PROJECTED NON-CITY PROGRAM FUNDING | $ - | TOTAL NON-CITY PROGRAM FUNDING AND NON-CITY PROGRAM BUDGET MUST MATCH | |
| TOTAL NON-CITY PROGRAM BUDGET (CELL I25) | $ - | |||
| By submitting this report to the Housing and Human Services Division, I certify that this report is true, complete and accurate to the best of my knowledge and that all disbursements have been made | ||||
| in compliance with the conditions of the Grantee Agreement and for the purposes indicated. |
AGENCY FUNDING SOURCES
| City of Santa Monica HSGP |
| Agency Funding Sources |
| INSTRUCTIONS |
| List funding sources for the whole agency for FY 2026-27 (Projected Actuals) and FY 2027-28 (Budgeted). |
For Government Grants only, indicate Type of funding source (Federal, State, or County/Local)
If you are submitting multiple program budgets, this tab will be the same for each program.
| Agency Revenue Sources | FY 2026-27 | |
| Projected Actuals | FY 2027-28 |
Budgeted
| Example: | |||
| State | Department of ABC | $ 10,000 | $ 15,000 |
| 1. Government Grants | |||
| Type | Source | $ - | $ - |
| Type | Source | $ - | $ - |
| 2. Private/Corporate Grants | |||
| Source | $ - | $ - | |
| Source | $ - | $ - |
| 3. Individual Donations | |||
| Source | $ - | $ - | |
| Source | $ - | $ - |
| 4. Fundraising Events | |||
| Source | $ - | $ - | |
| Source | $ - | $ - |
| 5. Fees for Service | |||
| Source | $ - | $ - | |
| Source | $ - | $ - |
| 6. Other | |||
| Source | $ - | $ - | |
| Source | $ - | $ - |
7. TOTAL $ - $ -
City of Santa Monica Exhibit C – Program Budget &P Fiscal Year 2020-21 Human Services Grants Program
PARTICIPANT DEMOGRAPHICS
| City of Santa Monica HSGP |
| Program Participants and Demographics |
| INSTRUCTIONS |
| Complete only the two highlighted fields below for "Total Unduplicated Program Participants" and "Total SMPP." |
Funded programs will complete the other cells with actuals for SMPP at mid-year and year-end.
| PROGRAM PARTICIPANTS | Projected Total | Mid-Year | Year-End |
| Total Unduplicated Program Participants | |||
| Total SMPP | |||
| Low-Income SMPP | |||
| Homeless SMPP | |||
| DV/IPV SMPP | |||
| People w/ Disabilities SMPP | |||
| Veteran SMPP | |||
| Primary Language not English SMPP |
| RACE AND ETHNICITY | Mid-Year | Year-End | |||||
| Latinx/Hispanic | Non-Latinx/ | ||||||
| Non-Hispanic | Prefer Not to Answer/Don't Know | Latinx/Hispanic | Non-Latinx/ | ||||
| Non-Hispanic | Prefer Not to Answer/Don't Know | ||||||
| American Indian/Alaska Native | |||||||
| Asian | |||||||
| Black or African-American | |||||||
| Native Hawaiian/Pacific Islander | |||||||
| White or Caucasian | |||||||
| Multiple Race | |||||||
| Race category not listed | |||||||
| Prefer not to answer | |||||||
| TOTAL SMPP | 0 | 0 | 0 | 0 | 0 | 0 |
| ZIP CODE | Mid-Year | Year-End |
| 90401 | ||
| 90402 | ||
| 90403 | ||
| 90404 | ||
| 90405 | ||
| Other/Prefer not to answer | ||
| TOTAL SMPP | 0 | 0 |
| AGE | Mid-Year | Year-End |
| Under 5 | ||
| 6-12 | ||
| 13-17 | ||
| 18-25 | ||
| 26-54 | ||
| 55-64 | ||
| 65-84 | ||
| 85+ | ||
| Other/Prefer not to answer | ||
| TOTAL SMPP | 0 | 0 |
| GENDER IDENTITY | Mid-Year | Year-End |
| Male | ||
| Female | ||
| Non-Binary | ||
| Gender Non-Conforming | ||
| Intersex | ||
| Trans Male (Female to Male) | ||
| Trans Female (Male to Female) | ||
| Other/Prefer Not to Answer | ||
| Agency Does Not Collect This Data | ||
| TOTAL SMPP | 0 | 0 |
| SEXUAL ORIENTATION | Mid-Year | Year-End |
| Asexual | ||
| Bisexual or Pansexual | ||
| Lesbian or Gay | ||
| Straight or Heterosexual | ||
| Queer | ||
| Other/Prefer Not to Answer | ||
| Agency Does Not Collect This Data | ||
| TOTAL SMPP | 0 | 0 |
LEADERSHIP DEMOGRAPHICS
| City of Santa Monica HSGP |
| Leadership Demographics |
| INSTRUCTIONS |
| Complete the highlighted fields in the table below with actual numbers for leadership personnel for your agency. Enter 0 if you do not have personnel in a particular category. |
| GENDER | Board Members | Senior/Exec. Management | Program Managers/ Supervisors |
| Male | |||
| Female | |||
| Transgender | |||
| Non-binary | |||
| Not Reported | |||
| TOTAL | 0 | 0 | 0 |
| AGE | Board Members | Senior/Exec. Management | Program Managers/ Supervisors |
| Under 30 | |||
| 31-61 | |||
| 62+ | |||
| TOTAL | 0 | 0 | 0 |
| RACE AND ETHNICTY | Board Members | Senior/Exec. Management | Program Managers/ Supervisors | ||||||||
| Latinx/Hispanic | Non-Latinx/ | ||||||||||
| Non-Hispanic | Prefer Not to Answer/Don't Know | Latinx/Hispanic | Non-Latinx/ | ||||||||
| Non-Hispanic | Prefer Not to Answer/Don't Know | Latinx/Hispanic | Non-Latinx/ | ||||||||
| Non-Hispanic | Prefer Not to Answer/Don't Know | ||||||||||
| American Indian/Alaska Native | |||||||||||
| Asian | |||||||||||
| Black or African-American | |||||||||||
| Native Hawaiian/Pacific Islander | |||||||||||
| White or Caucasian | |||||||||||
| Multiple Race | |||||||||||
| Race category not listed | |||||||||||
| Prefer not to answer | |||||||||||
| TOTAL | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
PERFORMANCE INDICATORS
| City of Santa Monica HSGP |
| Performance Indicators |
| INSTRUCTIONS |
| Programs are required to have a minimum of two (2) and a maximum of (5) performance indicators. A performance indicator is a set of one (1) output and one (1) outcome. |
Complete the table below with the following information for each performance indicator:
1. List the outputs and annual targets the program aims to achieve. Outputs describe the result of an activity and can include number of people served or number of services performed. Outputs should be a number.
2. List the outcomes and annual targets that measure program impact. Outcomes assess measurable impacts to participants’ lives or improvements that result from the program. Strong outcomes are based on measurable data sets, not anecdotal or casual self-reports of behavior change. Participant satisfaction surveys may be an acceptable form of measurement if they are conducted in an objective, uniform manner. Outcomes should be a percentage.
3. List how you will document the performance indicators. Define the tools used to record and measure the performance indicators. Examples of strong documentation methods include pre- and post-tests, clinical assessments, and databases. Programs should utilize objective, standardized measurement tools.
Funded programs will work with City staff to refine and finalize their indicators.
| Example Performance Indicators | ||||
| Metric Type | Description | Annual Target | Documentation Method | |
| Indicator 1 | Output (#) | # of vulnerably housed SMPP who receive case management | 100 | Case management database |
| Outcome (%) | % of vulnerably housed SMPP who remain housed | 95% | Case management database | |
| Indicator 2 | Output (#) | # of SMPP who receive mental health counseling | 50 | Client files |
| Outcome (%) | % of SMPP who show improved mental health indicators | 80% | Mental health assessment tool |
| Complete the table below with a minimum of 2 and a maximum of 5 indicators. | ||||
| Metric Type | Description | Annual Target | Documentation Method | |
| Indicator 1 | Output (#) | |||
| Outcome (%) | ||||
| Indicator 2 | Output (#) | |||
| Outcome (%) | ||||
| Indicator 3 | Output (#) | |||
| Outcome (%) | ||||
| Indicator 4 | Output (#) | |||
| Outcome (%) | ||||
| Indicator 5 | Output (#) | |||
| Outcome (%) |
Data Validation (Hide)
| Area List | Learning Goals | Stability Goals | Health and Wellness Goals | |
| Lifelong_Learning | Improve key academic transitions from pre-k through college | Increase the number of vulnerable households who receive appropriate supports to maintain stable, quality housing | Improve behavioral health | |
| Stability | Improve school experience | Increase the number of vulnerable households who access interim and permanent housing solutions | Improve physical health | |
| Health_and_Wellness | Improve child care and early learning access | Increase economic wellbeing | Improve food security | |
| Increase adult and | ||||
| community education | Increase parent/caregiver support | Improve connections between Santa Monica residents and their community | ||
| Increase access to affordable transportation |
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