ISB.pdf

TOTAL FTE Level (i.e., 1.0, 0.5, 0.25)

Service Code (O or D) Position Title TOTAL COST ADES COST

0.05 O Director, Homeless Services 4,308.75$ 4,308.75$

0.5 O Program Manager 27,288.75$ 27,288.75$

0.5 D Program Manager 27,288.75$ 27,288.75$

0.75 O Program Coordinator 35,078.05$ 35,078.05$

0.25 D Program Coordinator 11,690.74$ 11,690.74$

0.335 O Program Coordinator 14,285.68$ 14,285.68$

0.25 D Program Coordinator 12,876.51$ 12,876.51$

TOTAL # of FTEs: [ 2.64 ] 132,817.23$ 132,817.23$

Service Code (O or D) Basis TOTAL COST ADES COST

D Employment Assistance ($50/month x 12 months) $ 600.00 600.00$

D Transportation ($250/month x 12 months) $ 3,000.00 3,000.00$

D Hygiene Items ($108.75/month x 12 months) $ 1,305.00 1,305.00$

O Hygiene Items ($76.25/month x 12 months) $ 915.00 915.00$

O Pet Food/Supplies (10/month x 12 months) $ 120.00 120.00$

D Cell Phone Services $ 302.02 302.02$

O Local Program Mileage $ 3,174.00 3,174.00$

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.

CONTRACT NUMBER: CTR062830CONTRACT PERIOD: 07/01/2024 - 06/30/2025

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.

EXHIBIT A

Homeless Youth Outreach and Drop-in Center Services

ITEMIZED SERVICE BUDGET

CONTRACT SERVICE PROVIDED: Homeless Youth Outreach and Drop-in Center Services ORGANIZATION: Arizona Youth Partnership

9,416.02$ 9,416.02$

Service Code (O or D) Basis TOTAL COST ADES COST

D Rent ($2,000/month x 12 months) 24,000.00$ 24,000.00$

D Utilities 2,399.00$ 2,399.00$

D Phones, internet ($70/month x 12 months) 840.00$ 840.00$

D Laundry Supplies ($60/month x 12 months) 720.00$ 720.00$

D Office Supplies/Printing ($75/month x 12 months) 600.00$ 600.00$

28,559.00$ 28,559.00$

Basis TOTAL COST ADES COST

HMIS License ($150/license x 3 staff) 450.00$ 450.00$

Managed IT Services 2,394.00$ 2,394.00$

Laptop Computers ($1,500 x 3) 4,500.00$ 4,500.00$

TOTAL: 7,344.00$ 7,344.00$

Indirect Cost Rate (i.e. 10% de minimus rate or Federally negotiated rate)

Service Code (O or D) Basis TOTAL COST ADES COST

12.00% O $85170.23 x 12% 10,220.43$ 10,220.43$

12.00% D $85,622.02 x 12% 10,274.64$ 10,274.64$

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:

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.

20,495.07$ 20,495.07$

198,631.32 198,631.32

TOTAL COST ADES COST

6) 95,390.66 95,390.66

7) 95,896.66 95,896.66

8) Calculate total HMIS COST 7,344.00 7,344.00

9) TOTAL COSTS BY SERVICE CODES: 198,631.32 198,631.32

* 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 198,631.32 198,631.32

Government Funding - City Government Funding - County

Gov. Funding - Federal

Foundation & Corporate Support

United Way

Contributions / Donations

Special Events / Fundraising

Legacies / Bequests / Investments

Program Service Fees & Reimbursements

In-Kind Support, Drop in Center programming

Other Revenue*

* Identify Other Revenue Sources Here TOTAL REVENUE: 198,631.32 198,631.32 Bingo Proceeds

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)

TOTAL:

Total Costs by Above Budget Categories

ISB