ISB.pdf
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- Attached to
- Master Agreement AZ|CTR060358
- Contract number
- CTR060358
- Issued by
- Arizona
About this file
This document is an Exhibit A Itemized Service Budget for a Homeless Youth Outreach and Drop-in Center Services contract between Keys to Change and ADES (Arizona Department of Economic Security). The contract is numbered CTR060358 and covers the period from 07/01/2024 to 06/30/2025, with a total contract value of $198,436.00, entirely funded by the ADES-Homeless program.
The budget details two primary service codes: Street Outreach (O) and Drop-in Center (D), with personnel expenses including two positions - Street Outreach and Street Outreach/Navigator - totaling $105,980.80. Essential client services are budgeted at $74,420.00 and cover expenses like employee training, transportation costs, and provisions for food, water, pet food, clothing, and hygiene kits. The contract includes a 10% de minimus indirect cost rate of $18,035.20. The services encompass street outreach, case management, employment assistance, life skills training, transportation, emergency health services, and support for special populations, with no additional revenue sources beyond the ADES-Homeless funding.
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TOTAL FTE Level (i.e., 1.0, 0.5, 0.25)
Service Code (O or D) Position Title TOTAL COST ADES COST
1 O Street Outreach 52,848.00 52,848.00
1 O Street Outreach/Navigator 53,132.80 53,132.80
TOTAL # of FTEs: [ ] 105,980.80$ 105,980.80$
Service Code (O or D) Basis TOTAL COST ADES COST
O Employee Training 19,620.00 19,620.00
O Transportation cost 22,800.00 22,800.00
O Cell Phones 0.00 0.00
O Food,Water, Pet Food, Clothing, Hygene Kits, 32,000.00 32,000.00
O x2 Laptops 0.00 0.00
74,420.00$ 74,420.00$
Service Code (O or D) Basis TOTAL COST ADES COST
Service Code (O or D) Basis TOTAL COST ADES COST
0.00
TOTAL: -$ -$
Indirect Cost Rate (i.e. 10% de minimus rate or Federally negotiated rate)
Service Code (O or D) Basis TOTAL COST ADES COST
10% de minimus rate O 10% de minimus rate 18,035.20 18,035.20
18,035.20$ 18,035.20$
198,436.00$ 198,436.00$
TOTAL COST ADES COST
EXHIBIT A
Homeless Youth Outreach and Drop-in Center Services
ITEMIZED SERVICE BUDGET
CONTRACT SERVICE PROVIDED: HML Youth Street Outreach and Drop-In Services ORGANIZATION: Keys to Change
TOTAL:
CONTRACT PERIOD: 07/01/2024 - 06/30/2025 CONTRACT NUMBER: CTR060358
SERVICE CODES: O = Street Outreach D = Drop-in Center
1) TOTAL PERSONNEL & EMPLOYEE RELATED EXPENSES FOR DIRECT SERVICES (One 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:
2) TOTAL ESSENTIAL CLIENT SERVICES FOR STREET OUTREACH AND/OR DROP-IN CENTER
Case Management, child care, education services, employment assistance (i.e., fingerprint clearnance card, uniforms, ID), life skills training, transportation, mileage, vehicle lease (vehicles cannot be purchased with these funds), emergency health services, emergency mental health services, hygiene items, food, water, pet food, clothing, cell phone service/usage charges, and services for special populations (e.g., services for people living with HIV/AIDS and victim services). These are non-employee expenses.
TOTAL:
3) TOTAL DROP-IN CENTER OPERATIONS EXPENSES
Maintenance, rent, security, fuel, equipment, insurance, utilities, phones, internet, shower, laundry, storage lockers, pet cages, furnishings, food, cell phone charging stations, staff training, supplies necessary for operation of a Drop-in Center.
Total Costs by Above Budget Categories
4) HMIS EXPENSES
Purchasing or leasing computer system equipment, obtaining technical support; paying a portion of utilities, and high-speed data transmission necessary to operate or contribute data to the HMIS; paying salaries for operating HMIS, i.e. data entry, monitoring and reviewing data quality, and data analysis
5) 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 subrecipient elects to use a federally negotiated indirect cost rate, they must provide a copy of the rate agreement with the ISB. If the federally approved indirect cost rate changes or is allowed to expire within the contract period, the subrecipient must notify DES of the changes. If the subrecipient elects to use the 10% de Minimus rate for indirect costs, they must complete and submit the Exhibit B Certification of De Minimus Indirect Cost Rate form.
TOTAL:
6) 198,436.00$ 198,436.00$
7)
8) Calculate total HMIS COST
9) TOTAL COSTS BY SERVICE CODES: 198,436.00$ 198,436.00$
* If red, ensure the total matches the Total Cost above
* If red, ensure the total matches the ADES Cost above
10) REVENUE SOURCES: TOTAL COST ADES COST
ADES-HOMELESS 198,436.00$ 198,436.00$
Government Funding - City
Government Funding - County
Gov. Funding - Federal
Foundation & Corporate Support
United Way
Contributions / Donations 0.00
Special Events / Fundraising
Legacies / Bequests / Investments
Program Service Fees & Reimbursements
In-Kind Support 0.00
Other Revenue*
* Identify Other Revenue Sources Here TOTAL REVENUE: 198,436.00$ 198,436.00$ Bingo Proceeds
198,436.00
0.00
Manually Calculate Total Street Outreach (O) COST
Manually Calculate Calculate Total Drop-in Center (D) COST
Government Funding – State (Do not include ADES Homeless Program funding listed above)
ISB
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