HSS26028A-PROMMHGH_appD.xlsx

XLSX spreadsheet 23 KB Posted

Attached to
PROMISE Mental Health Group Homes
Solicitation number
HSS26028A-PROMMHGH
Issued by
Sussex County, Delaware

About this file

This is a Personnel Detail and Budget Worksheet template for a state contract opportunity with the designation HSS-26-XXX, designed for use by applicant agencies submitting proposals to what appears to be the Delaware Department of Services for Mental Health and Harm Reduction (based on the reference to DSAMH funds). The document provides a standardized framework for applicants to detail staffing allocations, including direct and indirect staff positions with corresponding full-time equivalent (FTE) percentages, annual salaries, and salary distributions between requested contract funds and other resources. The worksheet establishes a comprehensive budget structure organized into eight primary cost categories: staff salaries, staff fringe benefits, travel and training, contractual expenses, supplies, equipment and other direct costs, indirect costs, and total budget calculations.

The budget worksheet requires detailed narrative justification for each category where DSAMH funds are allocated, including explanations of cost determinations and justifications for any increases from previous contract years. Specific budget line items include administrative expenses such as rent (with required cost-per-square-foot documentation), utilities, telephone and internet, insurance, repairs, and audit fees. Supply categories encompass office supplies, program supplies, janitorial supplies, building supplies, and medical supplies. The travel and training section specifies a maximum mileage reimbursement rate of $0.40 per mile in accordance with the State of Delaware Budget and Accounting Policy Manual. Fringe benefits must be itemized to show federal insurance contributions, workers compensation, and health insurance components with calculated percentages. All budget totals and allocations display as $0.00, indicating this is a blank template awaiting population with specific contract proposal data from applicant agencies.

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File Type Posted
HSS26028A-PROMMHGH_rfp.pdf PDF
HSS26028A-PROMMHGH_appC.xlsx XLSX spreadsheet

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Text version

Personnel Detail Personnel Detail Worksheet

Applicant Agency
Contract NumberHSS-26-XXX
Program/Service
Contract Period
Name of Staff (include credentials)Title/PositionFTEAnnual Salary% of Time on ProjectSalary Paid w/Requested FundsSalary Paid w/Other ResouresTotal Contract Salary
DIRECT STAFF:$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Totals$0.00$0.00$0.00

Budget Worksheet Budget Worksheet

Applicant Agency0
Contract NumberHSS-26-XXX
Program/Service0
Contract Period0
Budget ItemsTotalRequested FundsOther ResourcesAdminstration
C-1 Staff Salaries$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
Other (specify here)$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
C-5 Supplies$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
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

Budget Narrative Budget Narrative

Applicant Agency0
Contract NumberHSS-26-XXX
Program/Service0
Contract Period0
Narrative is REQUIRED for each Category where DSAMH funds have been allocated on the Budget Worksheet.
C-1 Staff Salaries
Amount Requested0

Narrative: Explain how Staff Salaries were determined and justify any increase from the previous contract year (if applicable).

C-2 Staff Fringe Benefits
Amount Requested0

Instructions: 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 ClassificationAmountPercent
Federal Insurance Contributions Act
Workers compensation
Health Insurance

Total $0.00 0%

Additional Narrative

C-3 Travel/Training
Amount Requested0
Instructions: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable).
Mileage
Amount Requested0
*Maximum allowable mileage rate is $0.40/mile per the State of Delaware, Budget and Accounting Policy Manual.
Mileage
Rate0.4
Total
Additional Narrative
Training
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

C-4 Contractual
Amount Requested0
Instruction: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable)
Rent (include cost per sq. ft.)
Amount Requested0
Rental LocationSq. Ft. being charged to DSSCCost per Sq. Ft.Total
Monthly Rent
Total Months Charged to Rent
Total Rent
Additional Narrative
Electricity
Amount Requested0
Additional Narrative
Heat
Amount Requested0
Additional Narrative
Telephone/Intern
Amount Requested0
Additional Narrative
Utilities (Other)
Amount Requested0
Additional Narrative
Printing/Advertising
Amount Requested0
Additional Narrative
Postage
Amount Requested0
Additional Narrative
Insurance
Amount Requested0
Additional Narrative
Repairs
Amount Requested0
Additional Narrative
Audit
Amount Requested0
Additional Narrative
Other (specify here)
Amount Requested0
Additional Narrative
Other (specify here)
Amount Requested0
Additional Narrative
Other (specify here)
Amount Requested0
Additional Narrative
Other (specify here)
Amount Requested0
Additional Narrative
Other (specify here)
Amount Requested0
Additional Narrative
C-5 Supplies
Amount Requested0
Instructions: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable).
Office Supplies
Amount Requested0

Additional Narrative

Program
Amount Requested0

Additional Narrative

Janitorial
Amount Requested0

Additional Narrative

Building
Amount Requested0

Additional Narrative

Medical Supplies
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

C-6 Equipment & Other Direct Costs
Amount Requested0
Instructions: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable).
Other (specify here)
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

Other (specify here)
Amount Requested0

Additional Narrative

Column E - Other Resources
Amount Requested0
Instructions: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable).
Additional Narrative
C-7 Indirect Costs
Amount Requested0
Instructions: Explain how the following costs were determined, what is included in the costs and justify any increase from previous contract year (if applicable).
Additional Narrative

File details come from the government source that posted it. Updated .