HSS26026-SWSYGSVSPM-appC.xlsx
XLSX spreadsheet 46 KB Posted
- Attached to
- Statewide Syringe Services Program State and local contract opportunity
- Solicitation number
- HSS26026-SWSYGSVSPM
- Issued by
- New Castle County, Delaware
About this file
This file is a budget worksheet and personnel detail spreadsheet for a state contract (Contract Number: HSS-26-026) with the Delaware State Department of Health and Social Services (DSAMH). Despite the comprehensive template, the document appears to be a blank or template budget form with no actual financial data populated, with all line items showing $0.00 across personnel, direct and indirect staff, administration, contractual costs, supplies, equipment, and indirect cost categories.
The document includes detailed budget line item sections for tracking staff salaries, fringe benefits, travel/training, contractual expenses, supplies, equipment, and indirect costs. The form is designed to capture both requested funds and other resources, with specific instructions for narrative justification of each budget category. The template allows for granular tracking of expenses including staff credentials, salary percentages, mileage rates, and other specific cost breakdowns, suggesting it is a standardized budget preparation document for state health and social service contract submissions.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| HSS26026-SWSYGSVSPM-qa.pdf | ||
| HSS26026-SWSYGSVSPM-rfp.pdf | ||
| HSS26026-SWSYGSVSPM-pr.pdf |
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Text version
Personnel Detail Worksheet
PERSONNEL DETAIL WORKSHEET
| Applicant Agency: | ||
| Contract Number: | HSS-26-026 | |
| Program / Service: | ||
| Contract Period: |
| Salary Paid w/ | Salary Paid w/ | Total Contract Salary | |||||
| Name of Staff | Title/Position | FTE | Annual | % of Time | Requested Funds | Other Resources | |
| (include credentials) | Salary | on Project |
| DIRECT STAFF: | $0.00 | ||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
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| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| INDIRECT STAFF: | $0.00 | ||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
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| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| Totals | $0.00 | $0.00 | $0.00 |
Budget Workbook V8 &F &D
Budget Worksheet
| BUDGET WORKSHEET | |
| Applicant Agency: | |
| Contract Number: | HSS-26-026 |
| Program / Service: | |
| Contract Period: |
Budget Items TOTAL Requested Funds Other Resources Administration
| C-1 | Staff Salaries | $0.00 | $0.00 | $0.00 | |
| C-2 | Staff Fringe Benefits | $0.00 | |||
| C-3 | Travel/Training (Total) | $0.00 | $0.00 | $0.00 | $0.00 |
| Mileage = Rate $0.40 X Miles | $0.00 | ||||
| Training | $0.00 | ||||
| $0.00 | |||||
| C-4 | Contractual (Total) | $0.00 | $0.00 | $0.00 | $0.00 |
| Rent (include cost per sq. ft.) | $0.00 | ||||
| Electricity | $0.00 | ||||
| Heat | $0.00 | ||||
| Telephone/Internet | $0.00 | ||||
| Utilities (Other) | $0.00 | ||||
| Printing/Advertising | $0.00 | ||||
| Postage | $0.00 | ||||
| Insurance | $0.00 | ||||
| Repairs | $0.00 | ||||
| Audit | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| C-5 | Supplies (Total) | $0.00 | $0.00 | $0.00 | $0.00 |
| Office Supplies | $0.00 | ||||
| Program Supplies | $0.00 | ||||
| Janitorial Supplies | $0.00 | ||||
| Building Supplies | $0.00 | ||||
| Medical Supplies | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| C-6 | Equipment/Other Direct Costs (Total) | $0.00 | $0.00 | $0.00 | $0.00 |
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| Other (specify here) | $0.00 | ||||
| C-7 | Indirect Costs | $0.00 | |||
| C-8 | Total Budget | $0.00 | $0.00 | $0.00 | $0.00 |
| *amount charged to contract |
Budget Workbook V8 &F &D
Budget Narrative
BUDGET NARRATIVE
| Applicant Agency: | |
| Contract Number: | HSS-26-026 |
| Program / Service: |
| Contract Period: |
| Narrative is REQUIRED for each Category where DSAMH funds have been allocated on the Budget Worksheet. |
C-1 Staff Salaries Amount requested $0.00
Explain how Staff Salaries were determined and justify any increase from the previous contract year (if applicable).
C-2 Staff Fringe Benefits Amount requested $0.00
Explain how Staff Fringe Benefits were determined and justify any increase from the previous contract year (if applicable). Show the breakdown of any calculated Fringe Benefit Rate.
| Fringe Benefit Classification | Amount | Percent |
| Federal Insurance Contributions Act | ||
| Workers compensation | ||
| Health Insurance |
| Total Fringe Benefits | $0.00 | 0.00% | |
| Staff Fringe Benefits - Additional Narrative |
C-3 Travel / Training Amount requested $0.00
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year (if applicable). |
Mileage*
Mileage Rate $0.40 Total Mileage = $0.00
Amount requested* $0.00
*Maximum allowable mileage rate is $0.40/mile per the State of Delaware, Budget and Accounting Policy Manual.
Training Amount requested $0.00
0 Amount requested $0.00
C-4 Contractual Amount requested $0.00
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year. |
| Rent (include cost per sq. ft.) | |||
| Rental Location | Sq. Footage being charged to DSSC | Cost Per Sq. Ft. | Total |
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| $0.00 | |||
| Monthly Rent | $0.00 | ||
| Total Months Charged to Rent: | Total Rent | $0.00 |
Rent - Additional Narrative Amount requested $0.00
Electricity Amount requested $0.00
Heat Amount requested $0.00
Telephone/Internet Amount requested $0.00
C-4 Contractual (Continued)
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year (If applicable). |
Utilities (Other) Amount requested $0.00
Printing/Advertising Amount requested $0.00
Postage Amount requested $0.00
Insurance Amount requested $0.00
Repairs Amount requested $0.00
Audit Amount requested $0.00
C-4 Contractual (Continued)
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year. |
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Additional Contractual Narrative
C-5 Supplies Amount requested $0.00
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year. |
Office Supplies Amount requested $0.00
Program Supplies Amount requested $0.00
Janitorial Supplies Amount requested $0.00
Building Supplies Amount requested $0.00
Medical Supplies Amount requested $0.00
C-5 Supplies (Continued)
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year. |
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
C-6 Equipment & Other Direct Costs Amount requested $0.00
| Explain how the following costs were determined, what is included in the costs and justify any |
| increase from previous contract year. |
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
Other (specify here) Amount requested $0.00
| Column E | Other Resources | |
| Explain what the other resources are and how they are allocated to this project. |
Explain OTHER RESOURCES: Amount identifed $0.00
| C-7 | Indirect Costs |
| Explain how the following costs were determined, what is included in the costs and justify any | |
| increase from previous contract year. |
Explain INDIRECT COST: Amount requested $0.00
Budget Workbook V8 &F &D
File details come from the government source that posted it. Updated .