rfp_13243_proposed_budget_template.xlsx

XLSX spreadsheet 814 KB Posted Oct 5, 2026

Attached to: RFP - COMPREHENSIVE HIV PREVENTION SERVICES FOR PERSONS WHO INJECT DRUGS
Solicitation number: BPM013243
Issued by: California

About this file

Written by GovTribe AI · Oct 6, 2026

This is a proposed budget template for a Comprehensive HIV Prevention Services contract from the County of San Diego Health and Human Services Agency, Public Health Services, HIV, STD and Hepatitis Branch. The template is designed for organizations responding to RFP #13243 to budget across multiple service categories including Program Services, Mobile HIV PrEP Services, Medical Transportation, Peer Navigation, Minority AIDS Initiative, and Child Care Services. Offerors must complete personnel detail tables specifying position titles, staff member names, annual salaries, fringe benefit rates, percentage of time dedicated to direct services versus general administration, and months budgeted for each position. Organizations must also detail operating expenses by line item with descriptions and allocations between direct services and general administration. The template automatically calculates salaries and benefits, subtotals by service category, and rolls all information into a comprehensive budget summary.

The budget template enforces a mandatory 10 percent administrative cost cap across the contract, with automated error checking to prevent overruns and a validation checkpoint system. All cost entries must be whole dollar amounts without cents, with fringe benefit rates requiring exactly two decimal places and time allocations entered as whole numbers only. The template includes specialized sections for transportation expenses (assisted and unassisted), with pre-populated line items for medical transportation, ADA para-transit, bus/trolley services, and ride-sharing options, each requiring prior written County approval for transportation pass purchases. Subcontractor/Consultant Services and minor equipment purchases also require County approval. The budget summary provides roll-up calculations showing proposed direct services expenses, general administration expenses, grand totals, and administration percentage of overall budget, with the system flagging any submission that exceeds the 10 percent administration cap before allowing the offeror to proceed.

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rfp_13243_preproposal_attendance.pdf	PDF	Oct 5, 2026
HHSA_linguistic_and_cultural_diversity_plan_template.pdf	PDF	Oct 5, 2026
rfp_13243_comprehensive_hiv_prevention_services.pdf	PDF	Oct 5, 2026
rfp_13243_preproposal_presentation.pdf	PDF	Oct 5, 2026
rfp_13243_preproposal_presentation_pwid.pdf	PDF	Oct 5, 2026

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INSTRUCTIONS

GENERAL INSTRUCTIONS

NOTE: Gold shaded cells are for data entry.

	STEP 1: Start with BUDGET SUMMARY
#	Go to BUDGET SUMMARY tab. The BUDGET SUMMARY tab is a roll up of the Service Category tab(s), and is meant to give a high level overview of the budget. Complete the gold shaded data entry cells.
1	Enter Offeror’s Name. This information will auto-populate into the other tab(s).
2	Enter Unique Entity Identifier (UEI) number of Offeror's organization. UEIs are required in accordance with 2 CRF Part 25. UEIs are issued by Federal Government in SAM.gov.
3	Enter Budget Period. Use date range (i.e. 1/1/2024-12/31/2024). This information will auto-populate into the other tab(s).

	STEP 2: Complete each Service Category as applicable
#	Go to PROGRAM SERVICE tab. Note if there are more than one Program services, use the other PROGRAM SERVICE tabs as needed. Otherwise, leave the other PROGRAM SERVICE tabs blank. Complete the gold shaded data entry cells.
	For each applicable PROGRAM SERVICE tab, in the PERSONNEL DETAIL table, complete the following:
1	Enter Position Title.
2	Enter Staff Member Name.
3	Enter Annual Salary.
4	Enter % Fringe Benefit Rate level. Enter two (2) decimal points only. For example, entering 12.345% will result an error message, but entering 12.34% is okay.
5	Enter % of time budgeted for direct services. Enter whole numbers only. For example, entering 4.53 will be rounded to 5 while 4.43 will be rounded to 4.
6	Enter % of time budgeted for general administrative services. Enter whole numbers only. For example, entering 4.53 will be rounded to 5 while 4.43 will be rounded to 4.
7	Enter # of months budgeted for the position working on project. Enter 0-12, whole numbers only.
	Note: Administration Cost cannot exceed 10% cap, per Program Service.
	Note: sum of % Direct Dedicated to Project and % of General Admin Dedicated to Project cannot exceed 100%. This must be corrected before proceeding to the next step.

	For each Service Category tab, in the OPERATING EXPENSES table, complete the following:
8	Select line item from the drop-down menu.
9	Enter brief description for the line item
10	Enter the allocated amount for direct services
11	Enter the allocated amount for general administration services
	Note: Subcontractor/Consultant Services and Minor Equipment purchases require County approval.

For each Service Category tab, the SUMMARY table will auto-populate the information listed from PERSONNEL DETAIL table and OPERATING EXPENSES table. No manual entry is required in this table.

The information in the SUMMARY table will auto-populate into the Budget Summary tab under "Overall Proposed Budget Summary" table and "Proposed Budget by Service Category" table.

Note: There is a 10% CAP on Administration costs. If you see the message "ERROR-ADMIN COST OVERRUN," you have exceeded the allowable limit (max 10%) for administration costs. Please go back and modify your administration percentages/amounts till the total administration costs is acceptable.

	TRANSPORTATION EXPENSES - use only with MEDICAL TRANSPORTATION Service Category
#	In the TRANSPORTATION EXPENSES table, under Transportation-Assisted:
	Medical Transportation line item was pre-populated on line 1 and ADA Para-transit line item was pre-populated on line 2. Enter "Other" in the subsequent line if needed.
1	Enter brief description for each line item listed as applicable.
2	Enter cost for each line item listed as applicable.

#	In the TRANSPORTATION EXPENSES table, under Transportation-Unassisted:
	Bus/Coaster/Trolley line item was pre-populated on line 1 and Ride Sharing line item was pre-populated on line 2. Enter "Other" in the subsequent line if needed.
3	Enter brief description for each line item listed as applicable.
4	Enter cost for each line item listed as applicable.
	Note: Transportation pass purchases require prior written County approval.

**	MINORITY AIDS INITIATIVE Service Category - use only if proposing for LOT 2-Central, LOT 5- Southeastern or LOT 6-South
	Complete this service category tab if proposing for Lot 2, Lot 5 or Lot 6. Otherwise, do not use and leave blank.

**	CHILD CARE SERVICES Service Category - use only if proposing for LOT 1 - Countywide
	Complete this service category tab if proposing for Lot 1. Otherwise, do not use and leave blank.

STEP 3: Review your data entry

Each Service Categories and amounts will auto-populate from the other tabs in the Budget Summary.

Review data entry for each tab for accuracy.

Review the Budget Summary for accuracy.

Budget Summary

		COUNTY OF SAN DIEGO
		HEALTH AND HUMAN SERVICES AGENCY - PUBLIC HEALTH SERVICES
		HIV, STD AND HEPATITIS BRANCH
		PROPOSED BUDGET SUMMARY PAGE
		Offeror's Name:
		UEI Number:
		Budget Period:
		OVERALL PROPOSED BUDGET SUMMARY
			PROPOSED DIRECT SERVICES EXPENSES			PROPOSED GENERAL ADMINISTRATION EXPENSES				Administration Costs cannot exceed 10% of budget
		RFP #	Proposed Direct S&B	Proposed Direct Operating Expenses	Total Proposed Direct Service Budget	Proposed Admin S&B	Proposed General Admin. Operating Expenses	TOTAL
(Admin S&B + Gen Admin Operating Expenses)	GRAND TOTAL	Adminstration %
(TOTAL Admin S&B + General Admin Operating Expenses / GRAND TOTAL)	Admin 10% CAP Check Point
		OVERALL TOTAL	$ 27,500	$ - 0	$ 27,500	$ 27,500	$ 1,000	$ 28,500	$ 56,000	50.89%	ERROR-ADMIN COST OVERRUN

		PROPOSED BUDGET BY SERVICE CATEGORY
		RFP #	PROPOSED DIRECT SERVICES EXPENSES			PROPOSED GENERAL ADMINISTRATION EXPENSES				Administration Costs cannot exceed 10% of budget
		SERVICE CATEGORY	Proposed Direct S&B	Proposed Direct Operating Expenses	Total Proposed Direct Service Budget	Proposed Admin S&B	Proposed General Admin. Operating Expenses	TOTAL
(Admin S&B + Gen Admin Operating Expenses)	GRAND TOTAL	Adminstration %
(TOTAL Admin S&B + General Admin Operating Expenses / GRAND TOTAL)	Admin 10% CAP Check Point
		$ -	$ 27,500	$ - 0	$ 27,500	$ 27,500	$ 1,000	$ 28,500	$ 56,000	50.89%	ERROR-ADMIN COST OVERRUN
		$ -	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0.00%	ADMIN CAP OK
		$ -	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0.00%	ADMIN CAP OK
		Mobile HIV PrEP Services	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0.00%	ADMIN CAP OK
		MEDICAL TRANSPORTATION	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	$ - 0	0.00%	ADMIN CAP OK
		TOTAL	$ 27,500	$ - 0	$ 27,500	$ 27,500	$ 1,000	$ 28,500	$ 56,000	50.89%	ERROR-ADMIN COST OVERRUN

TEMPLATE

		PUBLIC HEALTH SERVICES
COUNTY OF SAN DIEGO	HEALTH AND HUMAN SERVICES AGENCY
	HIV, STD & HEPATITIS BRANCH

CONTRACT BUDGET SUMMARY

Contractor Name	Contact Person
Service Category	Date Prepared
UEI Number	Prepared By
Budget Effective Date	Contract Period

			PERSONNEL DETAIL (NO CENTS)
PO#	Service Category	Funding	NO.	Position Name	Staff Member Name	Annual Salary	% Fringe Benefit rate	% Direct Dedicated to Project	% Gen Admin Dedicated to Project	Months on Direct/Admn Services	FTE DIRECT	FTE ADMIN	$DIRECT TOTAL	$ADMIN TOTAL
0	0	ERROR:#REF!	1								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	2								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	3								- 0	- 0	- 0	- 0
		ERROR:#REF!	4								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	5								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	6								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	7								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	8								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	9								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	10								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	11								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	12								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	13								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	14								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	15								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	16								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	17								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	18								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	19								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	20								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	21								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	22								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	23								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	24								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	25								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	26								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	27								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	28								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	29								- 0	- 0	- 0	- 0
0	0	ERROR:#REF!	30	TOTAL		- 0					- 0	- 0	- 0	- 0

			OPERATING EXPENSES (NO CENTS)
PO#	Service Category	Funding	NO.	LINE ITEM (LIST AS APPROPRIATE)	Please provide brief description (Be specific, DO NOT use terms such as "etc." or "miscellaneous")	Direct	Gen Admin	Subtotal
0	0	ERROR:#REF!	1					- 0
0	0	ERROR:#REF!	2					- 0
0	0	ERROR:#REF!	3					- 0
0	0	ERROR:#REF!	4					- 0
0	0	ERROR:#REF!	5					- 0
0	0	ERROR:#REF!	6					- 0
0	0	ERROR:#REF!	7					- 0
0	0	ERROR:#REF!	8					- 0
0	0	ERROR:#REF!	9					- 0
0	0	ERROR:#REF!	10					- 0
0	0	ERROR:#REF!	11					- 0
0	0	ERROR:#REF!	12					- 0
0	0	ERROR:#REF!	13					- 0
0	0	ERROR:#REF!	14					- 0
0	0	ERROR:#REF!	15					- 0
0	0	ERROR:#REF!	16					- 0
0	0	ERROR:#REF!	17					- 0
0	0	ERROR:#REF!	18					- 0
0	0	ERROR:#REF!	19					- 0
0	0	ERROR:#REF!	20					- 0
0	0	ERROR:#REF!	21					- 0
0	0	ERROR:#REF!	22					- 0
0	0	ERROR:#REF!	23					- 0
0	0	ERROR:#REF!	24					- 0
0	0	ERROR:#REF!	25					- 0
0	0	ERROR:#REF!	26					- 0
0	0	ERROR:#REF!	27					- 0
0	0	ERROR:#REF!	28					- 0
0	0	ERROR:#REF!	29					- 0
0	0	ERROR:#REF!	30					- 0
0	0	ERROR:#REF!	31	TOTAL		- 0	- 0	- 0
0	0	ERROR:#REF!	31	Indirect Cost				- 0

			SUMMARY
			Direct Services				Administrative Services				ADMIN COST OK
				Direct S&B	Direct Operating Expenses	Total Direct Service Budget by Svc Category	Admin S&B	General Admin. Operating Expenses	Indirect Cost *	Total Admin. Budget (not to exceed 10% of budget)	GRAND TOTAL
0	0	ERROR:#REF!		$ -	$ -	$ -	$ -	$ -	$ -	$ -	- 0

&F Category: &A &P of &N

Program Service 1

COUNTY OF SAN DIEGO

HEALTH AND HUMAN SERVICES AGENCY - PUBLIC HEALTH SERVICES

HIV, STD AND HEPATITIS BRANCH

PROPOSED BUDGET SUMMARY

Offeror's Name:

Service Category:

Budget Period:

					PERSONNEL DETAIL (NO CENTS)
		PO#	Service Category	Funding	NO.	POSITION TITLE
(Free-form entry)	STAFF MEMBER NAME
	ANNUAL SALARY
	% Fringe Benefit Rate	% Direct Dedicated to Project	% General Admin Dedicated to Project	# of Months on Direct/Admn Services	FTE DIRECT	FTE ADMIN	TOTAL
DIRECT S&B	TOTAL

ADMIN S&B

0	ERROR:#REF!	1		$ 50,000	10.00%	50%	50%	12	50%	50%	$ 27,500	$ 27,500
0	ERROR:#REF!	2							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	3							0%	0%	$ - 0	$ - 0
	ERROR:#REF!	4							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	5							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	6							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	7							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	8							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	9							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	10							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	11							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	12							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	13							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	14							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	15							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	16							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	17							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	18							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	19							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	20							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	22							0%	0%	$ - 0	$ - 0
	ERROR:#REF!	23							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	25							0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	26	TOTAL	$ 50,000					50%	50%	$ 27,500	$ 27,500

					OPERATING EXPENSES (NO CENTS)
		PO#	Service Category	Funding	NO.	LINE ITEM (LIST AS APPROPRIATE)
(Use drop-down)	Please provide brief description
(Be specific, DO NOT use terms such as "etc." or "miscellaneous")	DIRECT	GENERAL ADMINISTRATION	SUBTOTAL
			0	ERROR:#REF!	1	indirect		$ 1,000	$ 1,000
			0	ERROR:#REF!	2				$ - 0
			0	ERROR:#REF!	3				$ - 0
			0	ERROR:#REF!	4				$ - 0
			0	ERROR:#REF!	5				$ - 0
			0	ERROR:#REF!	6				$ - 0
			0	ERROR:#REF!	7				$ - 0
			0	ERROR:#REF!	8				$ - 0
			0	ERROR:#REF!	9				$ - 0
			0	ERROR:#REF!	10				$ - 0
			0	ERROR:#REF!	11				$ - 0
			0	ERROR:#REF!	12				$ - 0
			0	ERROR:#REF!	13				$ - 0
			0	ERROR:#REF!	14				$ - 0
			0	ERROR:#REF!	15				$ - 0
			0	ERROR:#REF!	16				$ - 0
			0	ERROR:#REF!	17				$ - 0
			0	ERROR:#REF!	18				$ - 0
			0	ERROR:#REF!	19				$ - 0
			0	ERROR:#REF!	20				$ - 0
			0	ERROR:#REF!	21				$ - 0
			0	ERROR:#REF!	22				$ - 0
			0	ERROR:#REF!	23				$ - 0
			0	ERROR:#REF!	24				$ - 0
			0	ERROR:#REF!	25				$ - 0
			0	ERROR:#REF!	26				$ - 0
			0	ERROR:#REF!	27				$ - 0
			0	ERROR:#REF!	28				$ - 0
			0	ERROR:#REF!	29				$ - 0
			0	ERROR:#REF!	30				$ - 0
			0	ERROR:#REF!	31	TOTAL	$ - 0	$ 1,000	$ 1,000

SUMMARY

Direct Services

Administration

Administration Costs cannot exceed 10% of budget

NO.

Direct S&B

Direct Operating Expenses

Total Direct Service Budget

Administration S&B

General Administration Operating Expenses

TOTAL

(Admin S&B + General Admin Operating Expenses)

GRAND TOTAL

Administrative %

(TOTAL Admin S&B + General Admin Operating Expenses / GRAND TOTAL)

Admin 10% CAP Check Point

$ 27,500

$ - 0

$ 27,500

$ 1,000

$ 28,500

$ 56,000

50.89%

ERROR-ADMIN COST OVERRUN

Program Service 2

COUNTY OF SAN DIEGO

HEALTH AND HUMAN SERVICES AGENCY - PUBLIC HEALTH SERVICES

HIV, STD AND HEPATITIS BRANCH

PROPOSED BUDGET SUMMARY

Offeror's Name:

Service Category:

Budget Period:

					PERSONNEL DETAIL (NO CENTS)
		PO#	Service Category	Funding	NO.	POSITION TITLE
(Free-form entry)	STAFF MEMBER NAME
	ANNUAL SALARY
	% Fringe Benefit Rate	% Direct Dedicated to Project	% General Admin Dedicated to Project	# of Months on Direct/Admn Services	FTE DIRECT	FTE ADMIN	TOTAL
DIRECT S&B	TOTAL

ADMIN S&B

0	ERROR:#REF!	1			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	2			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	3			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	4			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	5			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	6			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	7			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	8			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	9			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	10			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	11			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	12			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	13			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	14			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	15			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	16			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	17			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	18			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	19			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	20			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	22			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	23			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	25			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	26	TOTAL	$ - 0	0%	0%	$ - 0	$ - 0

					OPERATING EXPENSES (NO CENTS)
		PO#	Service Category	Funding	NO.	LINE ITEM (LIST AS APPROPRIATE)
(Use drop-down)	Please provide brief description
(Be specific, DO NOT use terms such as "etc." or "miscellaneous")	DIRECT	GENERAL ADMINISTRATION	SUBTOTAL
			0	ERROR:#REF!	1				$ - 0
			0	ERROR:#REF!	2				$ - 0
			0	ERROR:#REF!	3				$ - 0
			0	ERROR:#REF!	4				$ - 0
			0	ERROR:#REF!	5				$ - 0
			0	ERROR:#REF!	6				$ - 0
			0	ERROR:#REF!	7				$ - 0
			0	ERROR:#REF!	8				$ - 0
			0	ERROR:#REF!	9				$ - 0
			0	ERROR:#REF!	10				$ - 0
			0	ERROR:#REF!	11				$ - 0
			0	ERROR:#REF!	12				$ - 0
			0	ERROR:#REF!	13				$ - 0
			0	ERROR:#REF!	14				$ - 0
			0	ERROR:#REF!	15				$ - 0
			0	ERROR:#REF!	16				$ - 0
			0	ERROR:#REF!	17				$ - 0
			0	ERROR:#REF!	18				$ - 0
			0	ERROR:#REF!	19				$ - 0
			0	ERROR:#REF!	20				$ - 0
			0	ERROR:#REF!	21				$ - 0
			0	ERROR:#REF!	22				$ - 0
			0	ERROR:#REF!	23				$ - 0
			0	ERROR:#REF!	24				$ - 0
			0	ERROR:#REF!	25				$ - 0
			0	ERROR:#REF!	26				$ - 0
			0	ERROR:#REF!	27				$ - 0
			0	ERROR:#REF!	28				$ - 0
			0	ERROR:#REF!	29				$ - 0
			0	ERROR:#REF!	30				$ - 0
			0	ERROR:#REF!	31	TOTAL	$ - 0	$ - 0	$ - 0

SUMMARY

Direct Services

Administration

Administration Costs cannot exceed 10% of budget

NO.

Direct S&B

Direct Operating Expenses

Total Direct Service Budget

Administration S&B

General Administration Operating Expenses

TOTAL

(Admin S&B + General Admin Operating Expenses)

GRAND TOTAL

Administrative %

(TOTAL Admin S&B + General Admin Operating Expenses / GRAND TOTAL)

Admin 10% CAP Check Point

$ - 0

0.00%

ADMIN CAP OK

Program Service 3

COUNTY OF SAN DIEGO

HEALTH AND HUMAN SERVICES AGENCY - PUBLIC HEALTH SERVICES

HIV, STD AND HEPATITIS BRANCH

PROPOSED BUDGET SUMMARY

Offeror's Name:

Service Category:

Budget Period:

					PERSONNEL DETAIL (NO CENTS)
		PO#	Service Category	Funding	NO.	POSITION TITLE
(Free-form entry)	STAFF MEMBER NAME
	ANNUAL SALARY
	% Fringe Benefit Rate	% Direct Dedicated to Project	% General Admin Dedicated to Project	# of Months on Direct/Admn Services	FTE DIRECT	FTE ADMIN	TOTAL
DIRECT S&B	TOTAL

ADMIN S&B

0	ERROR:#REF!	1			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	2			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	3			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	4			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	5			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	6			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	7			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	8			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	9			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	10			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	11			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	12			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	13			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	14			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	15			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	16			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	17			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	18			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	19			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	20			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	22			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	23			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	25			0%	0%	$ - 0	$ - 0
0	ERROR:#REF!	26	TOTAL	$ - 0	0%	0%	$ - 0	$ - 0

					OPERATING EXPENSES (NO CENTS)
		PO#	Service Category	Funding	NO.	LINE ITEM (LIST AS APPROPRIATE)
(Use drop-down)	Please provide brief description
(Be specific, DO NOT use terms such as "etc." or "miscellaneous")	DIRECT	GENERAL ADMINISTRATION	SUBTOTAL
			0	ERROR:#REF!	1				$ - 0
			0	ERROR:#REF!	2				$ - 0
			0	ERROR:#REF!	3				$ - 0
			0	ERROR:#REF!	4				$ - 0
			0	ERROR:#REF!	5				$ - 0
			0	ERROR:#REF!	6				$ - 0
			0	ERROR:#REF!	7				$ - 0
			0	ERROR:#REF!	8				$ - 0
			0	ERROR:#REF!	9				$ - 0
			0	ERROR:#REF!	10				$ - 0
			0	ERROR:#REF!	11				$ - 0
			0	ERROR:#REF!	12				$ - 0
			0	ERROR:#REF!	13				$ - 0
			0	ERROR:#REF!	14				$ - 0
			0	ERROR:#REF!	15				$ - 0
			0	ERROR:#REF!	16				$ - 0
			0	ERROR:#REF!	17				$ - 0
			0	ERROR:#REF!	18				$ - 0
			0	ERROR:#REF!	19				$ - 0
			0	ERROR:#REF!	20				$ - 0
			0	ERROR:#REF!	21				$ - 0
			0	ERROR:#REF!	22				$ - 0
			0	ERROR:#REF!	23				$ - 0
			0	ERROR:#REF!	24				$ - 0
			0	ERROR:#REF!	25				$ - 0
			0	ERROR:#REF!	26				$ - 0
			0	ERROR:#REF!	27				$ - 0
			0	ERROR:#REF!	28				$ - 0
			0	ERROR:#REF!	29				$ - 0
			0	ERROR:#REF!	30				$ - 0
			0	ERROR:#REF!	31	TOTAL	$ - 0	$ - 0	$ - 0

SUMMARY

Direct Services

Administration

Administration Costs cannot exceed 10% of budget

NO.

Direct S&B

Direct Operating Expenses

Total Direct Service Budget

Administration S&B

General Administration Operating Expenses

TOTAL

(Admin S&B + General Admin Operating Expenses)

GRAND TOTAL

Administrative %

(TOTAL Admin S&B + General Admin Operating Expenses / GRAND TOTAL)

Admin 10% CAP Check Point

$ - 0

0.00%

ADMIN CAP OK

Program Service 4

COUNTY OF SAN DIEGO

HEALTH AND HUMAN SERVICES AGENCY - PUBLIC HEALTH SERVICES

HIV, STD AND HEPATITIS BRANCH

PROPOSED BUDGET SUMMARY

Offeror's Name:
Service Category:	Mobile HIV PrEP Services
Budget Period:

					PERSONNEL DETAIL (NO CENTS)
		PO#	Service Category	Funding	NO.	POSITION TITLE
(Free-form entry)	STAFF MEMBER NAME
	ANNUAL SALARY
	% Fringe Benefit Rate	% Direct Dedicated to Project	% General Admin Dedicated to Project	# of Months on Direct/Admn Services	FTE DIRECT	FTE ADMIN	TOTAL
DIRECT S&B	TOTAL

ADMIN S&B

Mobile HIV PrEP Services	ERROR:#REF!	1			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	2			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	3			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	4			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	5			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	6			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	7			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	8			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	9			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	10			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	11			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	12			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	13			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	14			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	15			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	16			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	17			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	18			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	19			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	20			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	22			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	23			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	25			0%	0%	$ - 0	$ - 0
Mobile HIV PrEP Services	ERROR:#REF!	26	TOTAL	$ - 0	0%	0%	$ - 0	$ - 0

					OPERATING EXPENSES (NO CENTS)
		PO#	Service Category	Funding	NO.	LINE ITEM (LIST AS APPROPRIATE)
(Use drop-down)	Please provide brief description
(Be specific, DO NOT use terms such as "etc." or "miscellaneous")	DIRECT	GENERAL ADMINISTRATION	SUBTOTAL
			Mobile HIV PrEP Services	ERROR:#REF!	1				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	2				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	3				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	4				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	5				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	6				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	7				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	8				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	9				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	10				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	11				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	12				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	13				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	14				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	15				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	16				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	17				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	18				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	19				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	20				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	21				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	22				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	23				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	24				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	25				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	26				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	27				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	28				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	29				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	30				$ - 0
			Mobile HIV PrEP Services	ERROR:#REF!	31	TOTAL	$ - 0	$ - 0	$ - 0

SUMMARY

Direct Services

Administration

Administration Costs cannot exceed 10% of budget

NO.

Direct S&B

Direct Operating Expenses

Total Direct Service Budget

Administration S&B

General Administration Operating Expenses

TOTAL

(Admin S&B + General Admin Operating Expenses)

GRAND TOTAL

Administrative %

(TOTAL Admin S&B + General Admin Operating Expenses / GRAND TOTAL)

Admin 10% CAP Check Point

$ - 0

0.00%

ADMIN CAP OK

Medical Transportation

COUNTY OF SAN DIEGO

HEALTH AND HUMAN SERVICES AGENCY - PUBLIC HEALTH SERVICES

HIV, STD AND HEPATITIS BRANCH

PROPOSED BUDGET SUMMARY

Offeror's Name:
Service Category:	MEDICAL TRANSPORTATION
Budget Period:

					PERSONNEL DETAIL (NO CENTS)
		PO#	Service Category	Funding	NO.	POSITION TITLE
(Free-form entry)	STAFF MEMBER NAME
	ANNUAL SALARY
	% Fringe Benefit Rate	% Direct Dedicated to Project	% General Admin Dedicated to Project	# of Months on Direct/Admn Services	FTE DIRECT	FTE ADMIN	TOTAL
DIRECT S&B	TOTAL

ADMIN S&B

MEDICAL TRANSPORTATION	ERROR:#REF!	1			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	2			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	3			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	4			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	5			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	6			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	7			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	8			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	9			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	10			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	11			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	12			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	13			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	14			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	15			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	16			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	17			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	18			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	19			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	20			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	22			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	23			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	25			0%	0%	$ - 0	$ - 0
MEDICAL TRANSPORTATION	ERROR:#REF!	26	TOTAL	$ - 0	0%	0%	$ - 0	$ - 0

					OPERATING EXPENSES (NO CENTS)
		PO#	Service Category	Funding	NO.	LINE ITEM (LIST AS APPROPRIATE)
(Use drop-down)	Please provide brief description
(Be specific, DO NOT use terms such as "etc." or "miscellaneous")	DIRECT	GENERAL ADMINISTRATION	SUBTOTAL
			MEDICAL TRANSPORTATION	ERROR:#REF!	1				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	2				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	3				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	4				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	5				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	6				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	7				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	8				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	9				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	10				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	11				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	12				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	13				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	14				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	15				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	16				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	17				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	18				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	19				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	20				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	21				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	22				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	23				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	24				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	25				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	26				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	27				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	28				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	29				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	30				$ - 0
			MEDICAL TRANSPORTATION	ERROR:#REF!	31	TOTAL	$ - 0	$ - 0	$ - 0

					TRANSPORTATION EXPENSES (NO CENTS)
					Transportation- Assisted (ADA Para-transit/Medical Transportation)
					NO.	LINE ITEM (LIST AS APPROPRIATE)
(Free-form entry)	Please provide brief description
(Be specific, DO NOT use terms such as "etc." or "miscellaneous")		COST	TOTAL
					1	Medical Transportation		$ - 0
					2	ADA Para-transit		$ - 0
					3			$ - 0
					4			$ - 0
					5			$ - 0
					6	SUBTOTAL -Assisted Transportation	$ - 0	$ - 0
					** Transportation pass purchase requires prior written County approval
					Transportation- Unassisted (Bus/Train/Trolley/Ride Share)
					NO.	LINE ITEM (LIST AS APPROPRIATE)
(Free-form entry)	Please provide brief description
(Be specific, DO NOT use terms such as "etc." or "miscellaneous")		COST	TOTAL
					1	Bus/Coaster/Trolley		$ - 0
					2	Ride Sharing (LYFT, UBER)		$ - 0
					3			$ - 0
					4			$ - 0
					5			$ - 0
					11	SUBTOTAL -Unassisted Transportation	$ - 0	$ - 0
					12	TOTAL
(Assisted and Unassisted Transportation)			$ - 0	$ - 0

SUMMARY

Direct Services

Administration

Administration Costs cannot exceed 10% of budget

NO.

Direct S&B

Direct Operating Expenses

Total Direct Service Budget

Administration S&B

General Administration Operating Expenses

TOTAL

(Admin S&B + General Admin Operating Expenses)

GRAND TOTAL

Administrative %

(TOTAL Admin S&B + General Admin Operating Expenses / GRAND TOTAL)

Admin 10% CAP Check Point

$ - 0

0.00%

ADMIN CAP OK

Peer Navigation

COUNTY OF SAN DIEGO

HEALTH AND HUMAN SERVICES AGENCY - PUBLIC HEALTH SERVICES

HIV, STD AND HEPATITIS BRANCH

PROPOSED BUDGET SUMMARY

Offeror's Name:
Service Category:	PEER NAVIGATION
Budget Period:

					PERSONNEL DETAIL (NO CENTS)
		PO#	Service Category	Funding	NO.	POSITION TITLE
(Free-form entry)	STAFF MEMBER NAME
	ANNUAL SALARY
	% Fringe Benefit Rate	% Direct Dedicated to Project	% General Admin Dedicated to Project	# of Months on Direct/Admn Services	FTE DIRECT	FTE ADMIN	TOTAL
DIRECT S&B	TOTAL

ADMIN S&B

PEER NAVIGATION	ERROR:#REF!	1			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	2			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	3			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	4			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	5			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	6			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	7			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	8			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	9			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	10			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	11			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	12			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	13			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	14			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	15			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	16			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	17			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	18			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	19			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	20			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	22			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	23			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	25			0%	0%	$ - 0	$ - 0
PEER NAVIGATION	ERROR:#REF!	26	TOTAL	$ - 0	0%	0%	$ - 0	$ - 0

					OPERATING EXPENSES (NO CENTS)
		PO#	Service Category	Funding	NO.	LINE ITEM (LIST AS APPROPRIATE)
(Use drop-down)	Please provide brief description
(Be specific, DO NOT use terms such as "etc." or "miscellaneous")	DIRECT	GENERAL ADMINISTRATION	SUBTOTAL
			PEER NAVIGATION	ERROR:#REF!	1				$ - 0
			PEER NAVIGATION	ERROR:#REF!	2				$ - 0
			PEER NAVIGATION	ERROR:#REF!	3				$ - 0
			PEER NAVIGATION	ERROR:#REF!	4				$ - 0
			PEER NAVIGATION	ERROR:#REF!	5				$ - 0
			PEER NAVIGATION	ERROR:#REF!	6				$ - 0
			PEER NAVIGATION	ERROR:#REF!	7				$ - 0
			PEER NAVIGATION	ERROR:#REF!	8				$ - 0
			PEER NAVIGATION	ERROR:#REF!	9				$ - 0
			PEER NAVIGATION	ERROR:#REF!	10				$ - 0
			PEER NAVIGATION	ERROR:#REF!	11				$ - 0
			PEER NAVIGATION	ERROR:#REF!	12				$ - 0
			PEER NAVIGATION	ERROR:#REF!	13				$ - 0
			PEER NAVIGATION	ERROR:#REF!	14				$ - 0
			PEER NAVIGATION	ERROR:#REF!	15				$ - 0
			PEER NAVIGATION	ERROR:#REF!	16				$ - 0
			PEER NAVIGATION	ERROR:#REF!	17				$ - 0
			PEER NAVIGATION	ERROR:#REF!	18				$ - 0
			PEER NAVIGATION	ERROR:#REF!	19				$ - 0
			PEER NAVIGATION	ERROR:#REF!	20				$ - 0
			PEER NAVIGATION	ERROR:#REF!	21				$ - 0
			PEER NAVIGATION	ERROR:#REF!	22				$ - 0
			PEER NAVIGATION	ERROR:#REF!	23				$ - 0
			PEER NAVIGATION	ERROR:#REF!	24				$ - 0
			PEER NAVIGATION	ERROR:#REF!	25				$ - 0
			PEER NAVIGATION	ERROR:#REF!	26				$ - 0
			PEER NAVIGATION	ERROR:#REF!	27				$ - 0
			PEER NAVIGATION	ERROR:#REF!	28				$ - 0
			PEER NAVIGATION	ERROR:#REF!	29				$ - 0
			PEER NAVIGATION	ERROR:#REF!	30				$ - 0
			PEER NAVIGATION	ERROR:#REF!	31	TOTAL	$ - 0	$ - 0	$ - 0

SUMMARY

Direct Services

Administration

Administration Costs cannot exceed 10% of budget

NO.

Direct S&B

Direct Operating Expenses

Total Direct Service Budget

Administration S&B

General Administration Operating Expenses

TOTAL

(Admin S&B + General Admin Operating Expenses)

GRAND TOTAL

Administrative %

(TOTAL Admin S&B + General Admin Operating Expenses / GRAND TOTAL)

Admin 10% CAP Check Point

$ - 0

0.00%

ADMIN CAP OK

Minority AIDS In

COUNTY OF SAN DIEGO

HEALTH AND HUMAN SERVICES AGENCY - PUBLIC HEALTH SERVICES

HIV, STD AND HEPATITIS BRANCH

PROPOSED BUDGET SUMMARY

Offeror's Name:
Service Category:	MINORITY AIDS INITIATIVE	Complete this tab if proposing for LOT 2, LOT 5 or LOT 6. Otherwise, leave blank
Budget Period:

					PERSONNEL DETAIL (NO CENTS)
		PO#	Service Category	Funding	NO.	POSITION TITLE
(Free-form entry)	STAFF MEMBER NAME
	ANNUAL SALARY
	% Fringe Benefit Rate	% Direct Dedicated to Project	% General Admin Dedicated to Project	# of Months on Direct/Admn Services	FTE DIRECT	FTE ADMIN	TOTAL
DIRECT S&B	TOTAL

ADMIN S&B

MINORITY AIDS INITIATIVE	ERROR:#REF!	1			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	2			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	3			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	4			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	5			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	6			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	7			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	8			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	9			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	10			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	11			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	12			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	13			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	14			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	15			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	16			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	17			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	18			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	19			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	20			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	22			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	23			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	25			0%	0%	$ - 0	$ - 0
MINORITY AIDS INITIATIVE	ERROR:#REF!	26	TOTAL	$ - 0	0%	0%	$ - 0	$ - 0

					OPERATING EXPENSES (NO CENTS)
		PO#	Service Category	Funding	NO.	LINE ITEM (LIST AS APPROPRIATE)
(Use drop-down)	Please provide brief description
(Be specific, DO NOT use terms such as "etc." or "miscellaneous")	DIRECT	GENERAL ADMINISTRATION	SUBTOTAL
			MINORITY AIDS INITIATIVE	ERROR:#REF!	1				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	2				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	3				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	4				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	5				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	6				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	7				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	8				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	9				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	10				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	11				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	12				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	13				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	14				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	15				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	16				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	17				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	18				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	19				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	20				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	21				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	22				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	23				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	24				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	25				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	26				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	27				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	28				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	29				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	30				$ - 0
			MINORITY AIDS INITIATIVE	ERROR:#REF!	31	TOTAL	$ - 0	$ - 0	$ - 0

SUMMARY

Direct Services

Administration

Administration Costs cannot exceed 10% of budget

NO.

Direct S&B

Direct Operating Expenses

Total Direct Service Budget

Administration S&B

General Administration Operating Expenses

TOTAL

(Admin S&B + General Admin Operating Expenses)

GRAND TOTAL

Administrative %

(TOTAL Admin S&B + General Admin Operating Expenses / GRAND TOTAL)

Admin 10% CAP Check Point

$ - 0

0.00%

ADMIN CAP OK

Child Care

COUNTY OF SAN DIEGO

HEALTH AND HUMAN SERVICES AGENCY - PUBLIC HEALTH SERVICES

HIV, STD AND HEPATITIS BRANCH

PROPOSED BUDGET SUMMARY

Offeror's Name:
Service Category:	CHILD CARE SERVICES	Complete this service category if proposing for LOT 1. Otherwise leave blank.
Budget Period:

					PERSONNEL DETAIL (NO CENTS)
		PO#	Service Category	Funding	NO.	POSITION TITLE
(Free-form entry)	STAFF MEMBER NAME
	ANNUAL SALARY
	% Fringe Benefit Rate	% Direct Dedicated to Project	% General Admin Dedicated to Project	# of Months on Direct/Admn Services	FTE DIRECT	FTE ADMIN	TOTAL
DIRECT S&B	TOTAL

ADMIN S&B

CHILD CARE SERVICES	ERROR:#REF!	1			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	2			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	3			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	4			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	5			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	6			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	7			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	8			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	9			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	10			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	11			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	12			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	13			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	14			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	15			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	16			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	17			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	18			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	19			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	20			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	21			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	22			0%	0%	$ - 0	$ - 0
	ERROR:#REF!	23			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	25			0%	0%	$ - 0	$ - 0
CHILD CARE SERVICES	ERROR:#REF!	26	TOTAL	$ - 0	0%	0%	$ - 0	$ - 0

					OPERATING EXPENSES (NO CENTS)
		PO#	Service Category	Funding	NO.	LINE ITEM (LIST AS APPROPRIATE)
(Use drop-down)	Please provide brief description
(Be specific, DO NOT use terms such as "etc." or "miscellaneous")	DIRECT	GENERAL ADMINISTRATION	SUBTOTAL
			CHILD CARE SERVICES	ERROR:#REF!	1				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	2				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	3				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	4				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	5				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	6				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	7				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	8				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	9				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	10				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	11				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	12				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	13				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	14				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	15				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	16				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	17				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	18				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	19				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	20				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	21				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	22				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	23				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	24				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	25				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	26				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	27				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	28				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	29				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	30				$ - 0
			CHILD CARE SERVICES	ERROR:#REF!	31	TOTAL	$ - 0	$ - 0	$ - 0

SUMMARY

Direct Services

Administration

Administration Costs cannot exceed 10% of budget

NO.

Direct S&B

Direct Operating Expenses

Total Direct Service Budget

Administration S&B

General Administration Operating Expenses

TOTAL

(Admin S&B + General Admin Operating Expenses)

GRAND TOTAL

Administrative %

(TOTAL Admin S&B + General Admin Operating Expenses / GRAND TOTAL)

Admin 10% CAP Check Point

$ - 0

0.00%

ADMIN CAP OK

VALIDATION

Services/Categories Names	Line Items	Transportation Pass	RW PART A Service Categories
	Accountying/Auditing/Legal Fees	1-day Pass	CHILD CARE SERVICES
	Advertisement Costs	2-day Pass	EARLY INTERVENTION SERVICES	Direct Services Non-Personnel	Administrative Personnel Salary & Fringe	General Administration
	Building Lease/Rent	3-day Pass	MENTAL HEALTH SERVICES
	Cellphone/Telephone	4-day Pass	MEDICAL TRANSPORTATION
	Clearance to work with Minors	14-day Pass	MEDICAL CASE MANAGEMENT
	Dues and Subscriptions	30-day Pass or Monthly	MINORITY AIDS INITIATIVE
	Electronic Medical Record (EHR)	Adult Pass	NON-MEDICAL CASE MANAGEMENT
	Equipment Repair & Maintenance	Senior/Disabled/Medicare Pass	PEER NAVIGATION
	Facility Maintenance	Youth (18 & under) Pass
	Insurance	Other (add description)
	Internet	Ride Sharing
	IT Services
	Janitorial
	Language Interpretation/Translation Services
	License/Fees
	Marketing
	Mileage (Local)
	Minor Equipment Lease/Rent
	Minor Equipment Purchase ($100 > <$5,000)
	Office/Consumable Supplies
	Other (Description)
	Outreach Supplies/Expenses
	Participant Reimbursement
	Pest Control
	Project Computers and Software
	Promotional/Program Materials
	Postage
	Publication/Printing Costs
	Repair & Maint.
	Security Services
	Staff Development/Training
	Start-Up (Initial Year ONLY)
	Subcontractor/Consultant Services
	Telephone
	Travel (Local)
	Travel (Non-Local)
	Utilities
	indirect

Transportation- Assisted (ADA/Para-transit) - MEDICAL TRANSPORATION SERVICE CATEGORY ONLY

Transportation- Unassisted (Bus/Train/Trolley/Ride Share) - MEDICAL TRANSPORATION SERVICE CATEGORY ONLY

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File details come from the government source that posted it. Updated Oct 6, 2026.