The file's text, extracted by GovTribe without its formatting.
Personnel Detail Personnel Detail Worksheet
| Applicant Agency | | | | | | | |
| Contract Number | HSS-26-077 | | | | | | |
| Program/Service | | | | | | | |
| Contract Period | | | | | | | |
| Name of Staff (include credentials) | Title/Position | FTE | Annual Salary | % of Time on Project | Salary Paid w/Requested Funds | Salary Paid w/Other Resoures | Total 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 Agency | 0 | | | |
| Contract Number | HSS-26-077 | | | |
| Program/Service | 0 | | | |
| Contract Period | 0 | | | |
| Budget Items | Total | Requested Funds | Other Resources | Adminstration |
| 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 Agency | 0 |
| Contract Number | HSS-26-077 |
| Program/Service | 0 |
| Contract Period | 0 |
| Narrative is REQUIRED for each Category where DSAMH funds have been allocated on the Budget Worksheet. | |
| C-1 Staff Salaries | |
| Amount Requested | 0 |
Narrative: 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 |
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 Classification | Amount | Percent |
| Federal Insurance Contributions Act | | |
| Workers compensation | | |
| Health Insurance | | |
Total $0.00 0%
Additional Narrative
| C-3 Travel/Training | |
| Amount Requested | 0 |
| 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 Requested | 0 |
| *Maximum allowable mileage rate is $0.40/mile per the State of Delaware, Budget and Accounting Policy Manual. | |
| Mileage | |
| Rate | 0.4 |
| Total | |
| Additional Narrative | |
| Training | |
| Amount Requested | 0 |
Additional Narrative
| Other (specify here) | |
| Amount Requested | 0 |
Additional Narrative
| C-4 Contractual | | | |
| Amount Requested | 0 | | |
| 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 Requested | 0 | | |
| Rental Location | Sq. Ft. being charged to DSSC | Cost per Sq. Ft. | Total |
| Monthly Rent |
| Total Months Charged to Rent |
| Total Rent |
| Additional Narrative |
| Electricity | |
| Amount Requested | 0 |
| Additional Narrative | |
| Heat | |
| Amount Requested | 0 |
| Additional Narrative | |
| Telephone/Intern | |
| Amount Requested | 0 |
| Additional Narrative | |
| Utilities (Other) | |
| Amount Requested | 0 |
| Additional Narrative | |
| Printing/Advertising | |
| Amount Requested | 0 |
| Additional Narrative | |
| Postage | |
| Amount Requested | 0 |
| Additional Narrative | |
| Insurance | |
| Amount Requested | 0 |
| Additional Narrative | |
| Repairs | |
| Amount Requested | 0 |
| Additional Narrative | |
| Audit | |
| Amount Requested | 0 |
| Additional Narrative | |
| Other (specify here) | |
| Amount Requested | 0 |
| Additional Narrative | |
| Other (specify here) | |
| Amount Requested | 0 |
| Additional Narrative | |
| Other (specify here) | |
| Amount Requested | 0 |
| Additional Narrative | |
| Other (specify here) | |
| Amount Requested | 0 |
| Additional Narrative | |
| Other (specify here) | |
| Amount Requested | 0 |
| Additional Narrative | |
| C-5 Supplies | |
| Amount Requested | 0 |
| 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 Requested | 0 |
Additional Narrative
| Program | |
| Amount Requested | 0 |
Additional Narrative
| Janitorial | |
| Amount Requested | 0 |
Additional Narrative
| Building | |
| Amount Requested | 0 |
Additional Narrative
| Medical Supplies | |
| Amount Requested | 0 |
Additional Narrative
| Other (specify here) | |
| Amount Requested | 0 |
Additional Narrative
| Other (specify here) | |
| Amount Requested | 0 |
Additional Narrative
| Other (specify here) | |
| Amount Requested | 0 |
Additional Narrative
| C-6 Equipment & Other Direct Costs | |
| Amount Requested | 0 |
| 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 Requested | 0 |
Additional Narrative
| Other (specify here) | |
| Amount Requested | 0 |
Additional Narrative
| Other (specify here) | |
| Amount Requested | 0 |
Additional Narrative
| Column E - Other Resources | |
| Amount Requested | 0 |
| 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 Requested | 0 |
| 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 |