Valleywise_ISB.pdf
PDF 72 KB Posted
- Attached to
- Master Agreement AZ|CTR057399
- Contract number
- CTR057399
- Issued by
- Arizona
About this file
This document is an Attachment 13-B Itemized Service Budget (ISB) for a Health Promotion contract between the Maricopa Special Health Care District and a government agency, identified by contract number CTR057399. The contract period covers October 1, 2022 through September 30, 2023, with a total contract amount of $184,640.65.
The contract primarily supports Cultural Health Navigator (CHN) positions, with three personnel allocated at 1.75 FTE, focused on health promotion services. Key budget components include $98,477.60 for personnel salaries, $31,512.83 for employee-related expenses (32% fringe benefits), $10,000 for professional services (including a Mental Health Wellness Trainer and Community Mobilizers), $900 for travel, $850 for equipment (one computer), $5,134.71 for materials and supplies, $837.38 for operating services, and $36,928.13 in indirect costs calculated at a 25% federal indirect cost rate. The budget covers various operational expenses such as educational supplies, COVID protection materials, cell phone charges, and interpretation services.
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CONTRACT SERVICE: Health Promotion CONTRACTOR NAME: Maricopa Special Health Care District d
Contract #: CTR057399
1. PERSONNEL Contract Amount: $184,640.65
TOTAL
Number of FTE Total Salary for the % Allocated Service SERVICE DAAS*
Positions Level Position Title Contract Period *A + D = Total COST COST
3 1.75 Cultural Health Navigator
(CHN) $98,477.60 $98,477.60
TOTAL PERSONNEL TOTAL: $98,477.60 $98,477.60
*A = % Administrative Functions D = % Direct Service Functions
2. EMPLOYEE RELATED EXPENSES
TOTAL DAAS
ITEM BASIS COST COST
3 Fringe Benefits CHN's 32% $31,512.83 $31,512.83
TOTAL EMPLOYEE RELATED EXPENSES TOTAL: $31,512.83 $31,512.83
3. PROFESSIONAL AND OUTSIDE SERVICES
TOTAL DAAS
ITEM BASIS COST COST
1 Mental Health Wellness Trainer 4 hrs training $1,000.00 $1,000.00
Community Mobilizers (outside interpretation vendors for languages not covered by VWH CHN's) 360 hours @ 25.00 hr. $9,000.00 $9,000.00
TOTAL PROFESSIONAL AND OUTSIDE SERVICES TOTAL: $10,000.00 $10,000.00
4. TRAVEL
TOTAL DAAS
ITEM BASIS COST COST
Mileage Federal Mileage Rate: .655/mile $900.00 $900.00
TOTAL TRAVEL TOTAL: $900.00 $900.00
5. SPACE
TOTAL DAAS
ITEM BASIS COST COST
TOTAL SPACE TOTAL: $0.00 $0.00
6. EQUIPMENT TOTAL DAAS
COST COST
ITEM BASIS TOTAL:
1 Computer 850.00 $850.00 $850.00
TOTAL EQUIPMENT TOTAL: $850.00 $850.00
7. MATERIALS AND SUPPLIES
TOTAL DAAS
ITEM BASIS COST COST
1 Educational supplies/materials/equipment $3,040.20 $3,040.20
1 COVID Protection $2,094.51 $2,094.51
TOTAL MATERIALS AND SUPPLIES TOTAL: $5,134.71 $5,134.71
8. OPERATING SERVICES
TOTAL DAAS
ITEM BASIS COST COST
1 Cell Phone 101.42 $101.42 $101.42
1 Monthly Charge x 12 months 61.33 $735.96 $735.96
TOTAL OPERATING EXPENSES TOTAL: $837.38 $837.38
9 INDIRECT COSTS
TOTAL DAAS
ITEM BASIS COST COST
Indirect Costs Federal Indirect Cost Rate of 25% $36,928.13 $36,928.13
TOTAL INDIRECT COSTS TOTAL: $36,928.13 $36,928.13
10 ADMIN COST TOTAL: $184,640.65 $184,640.65
11. TOTAL SERVICE COST/DAAS TOTAL COST: $184,640.65 $184,640.65
REVENUE SOURCES:
TOTAL REVENUE:
Attachment 13-B Itemized Service Buget (ISB)
Contract Period: 10/1/2022 - 9/30/2023
File details come from the government source that posted it. Updated .