ISB.pdf
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- Attached to
- Master Agreement AZ|CTR062833
- Contract number
- CTR062833
- Issued by
- Arizona
About this file
This document is an Exhibit A Proposed Itemized Service Budget for Homeless Youth Outreach and Drop-in Center Services, issued by Native American Connections for the Arizona Department of Economic Security (ADES), with contract number CTR062833 covering the period from 07/01/2024 to 06/30/2025.
The contract details services for homeless youth street outreach and drop-in center programs, with a total budget of $203,398.00 fully funded by ADES-Homeless program funding. The budget includes personnel costs for 2 case managers and 2 outreach staff (1 Outreach Driver and 1 Street Outreach Specialist), with associated employee-related expenses (ERE). The budget allocates $101,949.00 for Street Outreach services and $100,849.00 for Drop-in Center services, with an additional $600.00 for HMIS (Homeless Management Information System) expenses. Staff roles will provide case management, outreach, and support services aimed at assisting homeless youth, including potential services like employment assistance, life skills training, transportation, emergency health services, and other critical support mechanisms.
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Text version
TOTAL FTE Level (i.e., 1.0, 0.5, 0.25)
Service Code (O or D) Position Title TOTAL COST ADES COST
2 D Case Managers 83,346.00 83,346.00
D ERE 17,503.00 17,503.00
1 O Outreach Driver 40,382.00 40,382.00
1 O Street Outreach Specialist 43,874.00 43,874.00
O ERE 17,693.00 17,693.00
4 202,798.00 202,798.00
Service Code (O or D) Basis TOTAL COST ADES COST
0.00 0.00
Service Code (O or D) Basis TOTAL COST ADES COST
0.00 0.00
Basis TOTAL COST ADES COST
HMIS 600.00 600.00
TOTAL: 600.00 600.00
TOTAL:
EXHIBIT A
Homeless Youth Outreach and Drop-in Center Services
PROPOSED ITEMIZED SERVICE BUDGET
CONTRACT SERVICE PROVIDED: HML Youth Street Outreach and Drop-In Center Services ORGANIZATION: Native American Connections
CONTRACT PERIOD: 07/01/2024 - 06/30/2025 CONTRACT NUMBER: CTR062833
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.
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:
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
Indirect Cost Rate (i.e. 10% de minimus rate or
Federally negotiated rate)
Service Code (O or D) Basis TOTAL COST ADES COST
0.00 0.00
0.00 0.00
203,398.00 203,398.00
TOTAL COST ADES COST
6) 101,949.00 101,949.00
7) 100,849.00 100,849.00
8) Calculate total HMIS COST 600.00 600.00
9) TOTAL COSTS BY SERVICE CODES: 203,398.00 203,398.00
* 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 203,398.00 203,398.00
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
Other Revenue*
* Identify Other Revenue Sources Here TOTAL REVENUE: 203,398.00 203,398.00 Bingo Proceeds
TOTAL:
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 Costs by Above Budget Categories
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 (2)
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