CONTRACT AMENDMENT

1. AMENDMENT #:

2. CONTRACT #:

YH23-0067

CTR062538

3. EFFECTIVE DATE OF AMENDMENT:

Upon Final Signature

4. PROGRAM:

DBHH

5. CONTRACTOR/PROVIDER NAME AND ADDRESS:

Arizona Board of Regents Acting on Behalf of the Arizona State University (ASU)

Office of Research & Sponsored Projects Administration P.O. Box 876100

Tempe, Arizona 85287-6011

6. PURPOSE:

To insert the attached SOR IV Scope of Work, Price Sheet, Budget Narrative and Justification, and Exhibit A for the Contract term September 30, 2024, through September 29, 2025. To correct the Contract term to September 30, 2024, through September 29, 2025.

7.THE ABOVE REFERENCED CONTRACT IS HEREBY AMENDED AS FOLLOWS:

To insert the attached SOR IV Scope of Work, Price Sheet, Budget Narrative and Justification, and Exhibit A for the Contract term September 30, 2024, through September 29, 2025.

To correct the Contract term to September 30, 2024, through September 29, 2025.

All other portions of the Contract remain in effect.

NOTE: Please sign, date, and return one scanned copy to: Marie Horn, Senior Procurement Specialist at marie.horn@azahcccs.gov

Electronic Submission: An electronic or portable document file (PDF) copy of this amendment shall serve as the original.

8. IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT.

9. NAME OF CONTRACTOR/PROVIDER:

Arizona Board of Regents, Acting on Behalf of the Arizona State University

10. ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

SIGNATURE OF AUTHORIZED INDIVIDUAL: SIGNATURE:

TYPED NAME: TYPED NAME:

TITLE: TITLE:

DATE: DATE:

Nicholas Petersen

Director, Research Operations

10/23/24

SCOPE OF WORK

1. PROJECT TITLE:

State Opioid Response (SOR) IV Grant – ASU SIRC

2. PROJECT TIMELINE:

September 30, 2024, through September 29, 2025. Options to extend for additional one (1) year periods may be available at AHCCCS discretion contingent upon funding availability.

3. PURPOSE:

The Arizona Health Care Cost Containment System (hereinafter “AHCCCS”) is seeking services to assist with expanding technical assistance, training and implementation for medication for opioid use disorder among recovery residence providers. Additionally, the Contractor will work to assess provider perceptions of transitional housing needs among individuals existing treatment services through data collection, analysis, interpretation, and reporting.

4. BACKGROUND AND PROJECT DESCRIPTION:

4.1. AHCCCS has been awarded the SOR IV Grant and the overarching goal of the project is to increase access to Medications for the Treatment of Opiate Use Disorder (MOUD), coordinated and integrated care, and recovery support services to reduce the prevalence of OUD’s Stimulant Use Disorder (SUD), and stimulant/opioid related overdose deaths in the State of Arizona.

4.2. The project approach includes developing and supporting state, regional and local level collaborations, SUD prevention programming, and service enhancements that enact evidence-based practices that comprehensively address the full continuum of care related to stimulant and opioid misuse, abuse and dependence.

4.3. The primary populations of focus for the SOR grant are as follows: individuals with active opioid use;

individuals with OUD; individuals at risk for opioid overdose or misuse; individuals with stimulant use disorder;

individuals in recovery; youth confronted with social pressures related to opioids/stimulants; and youth, parents, community members and health consumers unaware of the potential risks of opioid/stimulant misuse and abuse.

4.4. Arizona has also identified the following sub-populations for targeted activities in SOR: individuals re-entering the community from correctional settings; individuals in rural and isolated areas; individuals without housing or with insecure housing; tribal populations; veterans, military service members and military families;

pregnant women and parents with OUD, especially those with matters in family court or with Department of Child Safety involvement; individuals with physical disabilities; individuals needing pain management; and individuals who have experienced trauma, toxic stress or adverse childhood experiences (ACE’s).

5. RESPONSIBILITIES/TASKS: The Contractor shall:

5.1. Enhance the capacity of health/behavioral health professionals, educators, and community-based providers serving adolescents at risk of misusing opioids and/or stimulants through training and technical assistance

(T/TA):

5.1.1. Provide training on person-centered treatment approaches, developed with Project ECHO equipping practitioners to implement FDA-approved medications for MOUD and tailor treatments to adolescents’ needs.

5.1.2. Provide T/TA on transition planning preparing professionals to assist older adolescents entering adulthood, collaborating with juvenile justice and child welfare systems to support recovery and prevent relapse.

5.1.3. Develop workforce development initiatives for providers in child and family services as well as school-based providers to better serve adolescents with SUD’s. This will include webinars, interactive eLearning courses, and self-paced modules on relevant topics.

5.2. Monitoring & Evaluation of Recently Trained Buprenorphine Waiver Providers.

5.2.1. Monitor/evaluate buprenorphine waiver training participants’ engagement and use of training from

SOR Year 1 and Year 2 workshops:

Length of time between training and obtaining waiver status.

Frequency of implementation (if available).

Follow-up with participants to identify short- and long-term needs for ongoing support, engagement, and assistance (on going technical assistance, supporting in-clinic interaction/screening, coaching, motivational interviewing, etc.).

5.3. Provide MOUD implementation and technical assistance.

5.3.1. Continue operating hub-and-spoke concept (i.e. MAT ECHO program) for ongoing support of buprenorphine waiver providers.

5.3.2. Partner with Medical Advisory Board representatives, existing groups and resources to identify existing gaps in medication for MOUD and create/support holistic training and ongoing resources for implementation at the practice level and increasing screening/referrals/naloxone distribution.

5.4. MOUD Resources Expansion & Dissemination

5.4.1. Continue ongoing updates and printing of MOUD pocket guides for continued mass distribution across the State (patient and provider versions).

5.4.2. Continue dissemination of MOUD docuseries, including mass distribution and marketing across multiple public streams (e.g. social media, public television, etc.).

5.5. Include the following SAMHSA disclaimer on all publications: “This publication was made possible by Grant

Number 1H79TI087838 from SAMHSA. The views, opinions and content of this publication are those of the author and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS.”

5.6. Meet with AHCCCS monthly to review programmatic progress and barriers to programming.

5.7. Not have any conflicts of interest that would impact the work on this project.

6. AHCCCS WILL:

6.1. Coordinate all Grant deliverables to SAMHSA, monthly and annual reporting.

6.2. Coordinate performance measure reporting to SAMHSA.

6.3. Coordinate monthly and quarterly meetings for planning and implementation activities among all partners, consultants and stakeholders.

6.4. Oversee all prevention, treatment, and recovery support activities within the Grant.

6.5. Provide technical assistance as needed for ASU SIRC.

7. PROJECT DELIVERABLES WITH TIMEFRAMES/DUE DATES:

Timeframe Deliverable Description Due Date Send To:

Monthly Contractor Expenditure

Report (CER) Provide an accurate and detailed expenditure report with back up documentation for allowable reimbursement. The CER form can be found on Attachment A and at https://www.azahcccs.go v/PlansProviders/Guides ManualsPolicies/index.ht ml

The 15th of the month, following month-end. If the 15th falls on a weekend or holiday, the CER is due the next business day.

BHSInvoices@azahcccs.gov

Quarterly Performance Measures Report

Number of individuals reached per strategy and activity of community resources and education materials distributed by county. Additional prevention performance measures as requested by SAMHSA.

The 15th of the month, following the end of the quarter. If the 15th falls on a weekend or holiday, the report is due the next business day.

SORGrants@azahcccs.gov

Annually

Progress Report Summary of progress achieved (to include major activities, accomplishments, and outcomes data), barriers encountered and efforts to overcome these barriers for the entire project period.

9/29 AHCCCSGrants@azahcccs.gov

Ad-Hoc Out of State travel forms Required Out of State travel forms;

Attachment B & C

Minimum of 30 business days prior to travel

SORGrants@azahcccs.gov

Upon Award Federal Funding Accountability and Transparency Act

(FFATA)

Required per 2 CFR Chapter 1, Part 170 REPORTING SUB-

AWARD AND EXECUTIVE

COMPENSATION INFORMATION:

https://www.azahcccs.gov/

Resources/Grants/FFATA/

15 days after receiving fully executed contract

AHCCCSGrants@azahcccs.gov

8. FUNDING:

Refer to Exhibit A – SOR IV Terms and Conditions.

9. NOTICES AND CORRESPONDENCE:

9.1. Programmatic notices, correspondence, and reports from Contractor to AHCCCS:

Barbara Cuadras, Grants Administrator for Opioid Grants Division of Behavioral Health and Housing 801 East Jefferson Street, MD 1900 Phoenix, AZ 85034 Phone 602-417-4808 Email: barbara.cuadras@azahcccs.gov

9.2. Contractual notices or correspondence related to this Agreement from Contractor to AHCCCS:

Marie Horn, Senior Procurement Officer Email: marie.horn@azahcccs.gov

PRICE SHEET

FUNDING / METHOD OF REIMBURSEMENT

SOR IV Year 1 September 30, 2024 – September 29, 2025

Arizona State University SIRC

YH23-0067

ACCOUNT CLASSIFICATION AMOUNT

Personnel $85,505 ERE/Fringe $28,565 Travel Expense $2,987 Equipment $0 Supplies $0 Contractual $0 Other Operating $33,220 Total Direct Charges $150,277 Indirect Charges or Admin $66,723

TOTAL $217,000

With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of 10% of the total budget amount between line items. Transfers of funds are only allowed between funded line items. Transfers exceeding 10% or to a non-funded line item shall require an amendment.

All travel related expenditures will require the original receipts and will not exceed the State allowable rates which can be found at https://gao.az.gov/travel

In compliance with 2 CFR Part 200, Grants & Agreements §200.331, Requirements for Pass Thru Entities (subrecipient), the information below is solely to comply with 2 CFR Part 200 and does not reflect the funding amount or period of performance of the contract. Please refer to the Contract & Cost Reimbursement Line- Item Budget for funding amount and Period of Performance.

Grantor: Substance Abuse & Mental Health Services Administration (SAMHSA) Grantee: Arizona Health Care Cost Containment System Grant Name: State Opioid Response IV Grant (SOR IV)

CFDA: 93.788

Federal Award Identification

Number (FAIN)

Contract Amount

Award Amount

Issue Date Award Period

Period of Performance

(Project Performance

FFATA

(Y/N)

H79TI087838 $217,000 $34,800,088 09/24/2024 09/30/24 –

09/29/25

09/30/24 – 09/29/25 Y

Budget Narrative and Justification SORIV – Year 1

ASU – SIRC

YH23-0067

September 30, 2024 – September 29, 2025

A. Personnel:

Position

(1) Name

(2) Key Staff

(3) Annual

Salary/Rate (4)

Hourly Rate (5)

Level of Effort (6)

Total Salary Charge to Award

(7) Principal Investigator Natasha Mendoza Yes $102,000 $65.384 5.556% $5,667

Co-Investigator Elizabeth Anthony $98,778 $63.319 5.556% $5,488

Co-Investigator Justin Harty $93,000 $59.615 5.556% $5,167

Co-Investigator Manuel Cano $90,000 $57.692 5.556% $5,000

Research Specialist Nika Hernandez $51,500 $24.759 50% $25,750

Project Manager Elisabeth Williams $73,500 $35.336 5% $3,675

Clinic Coordinator Maria Hanlin $83,373 $40.083 5% $4,169

Senior Program Manager Isabel Larsen $88,103 $42.357 1.35% $1,189

Research Specialist Michelle Santana $49,000 $23.557 60% $29,400

TOTAL REQUEST $85,505

JUSTIFICATION:

The Principal Investigator (Mendoza) is responsible for overseeing all aspects of the project, ensuring compliance with grant requirements, coordinating with project staff and collaborates, overseeing faculty and staff involved in data collection, analysis, reporting and dissemination and ensuring that the project’s objectives are met effectively.

The Co-Investigator (Anthony) is responsible for guiding the project in areas related to adolescent development and school-based interventions, providing expertise in designing and implementing the project’s educational components, ensuring they are developmentally appropriate and effective, advising on curriculum development, participating in data analysis, and contributing to the dissemination of findings through publications and presentations. Dr. Anthony’s extensive experience in prevention of substance use and behavioral health conditions among young people is essential for the project’s success

The Co-Investigator (Harty) is responsible for guiding the project in matters related to juvenile justice and the child welfare system, providing expertise in integrating these systems into the project’s framework, ensuring effective support for adolescents involved in these areas, advising on intervention strategies, participating in data analysis, and contributing to the dissemination of findings through publications and presentations. Dr. Harty’s extensive experience with young people aging out of the foster care system and young families in the child welfare system is crucial for addressing the unique needs of these vulnerable populations.

The Co-Investigator (Cano) is responsible for supporting the project in data collection, analysis, reporting, ensuring robust and accurate data methodologies, supervising staff specifically charged with data analysis, overseeing the design and implementation of data collection protocols, guiding the analytical process, and contributing to the dissemination of findings through publications and presentations.

The Research Specialist (Hernandez) is responsible for managing the day-to-day operations of the project, coordinating project activities, including scheduling, communication among team members and community collaborators, maintaining project documentation, organizing meetings, assisting with data collection logistics, ensuring adherence to project timelines, coordinating all project reporting with Dr. Mendoza’s supervision, and playing a key role in creating the infrastructure for training.

The Project Manager (Williams) is responsible for overseeing the management of the ECHO program including outreach and recruitment of new Centers of Excellence, planning of annual curricula, participant data collection (post-session and annual surveys), participation in hub team huddles and planning meetings, and quarterly report development.

The Clinic Coordinator (Hanlin) is responsible for overseeing the managing the day-to-day logistics and administration of the ECHO program including but not limited to reminder emails to participants, inputting new program registrations, data entry into the ECHO Institute database (iECHO), CME coordination, and guest presenter liaising.

The Senior Program Manager (Larsen) is responsible for providing operational support and project oversight while coordinating logistical and administrative matters at the university level, providing guidance about ASU policies and procedures, communicating with other departments and administrators, assisting with the resolution of sensitive issues, coordinating all official financial processes to ensure that the grant deliverables are met, and working with budget management during the project years.

The Research and Evaluation Specialist (Santana) is responsible for assisting in various administrative and operational areas across the project, providing support in scheduling, coordinating meetings, maintaining project documentation, facilitating communication among team members, aiding in data collection logistics, preparation of reports, and dissemination of project findings, ensuring that all project activities run efficiently and effectively, contributing to the overall success of the intuitive, and playing a key role in supporting the infrastructure for training.

B. Fringe Benefits:

Position

(1) Name

(2) Rate (3)

Total Salary Charged to Award

(4)

Total Fringe Charged to Award

(5) Principal Investigator Natasha Mendoza 27.91% $5,667 $1,582 Co-Investigator Elizabeth Anthony 27.91% $5,488 $1,532 Co-Investigator Justin Harty 27.91% $5,167 $1,442 Co-Investigator Manuel Cano 27.91% $5,000 $1,396 Research Specialist Nika Hernandez 35.23% $25,750 $9,072 Project Manager Elisabeth Williams 35.23% $3,675 $1,295 Clinic Coordinator Maria Hanlin 35.23% $4,169 $1,469 Senior Program Manager Isabel Larsen 35.23% $1,189 $419 Research Specialist Michelle Santana 35.23% $29,400 $10,358

FEDERAL REQUEST $28,565

JUSTIFICATION: ASU defines fringe benefits as direct costs, estimates benefits as a standard percent of salary applied uniformly to all types sponsored activities, and charges benefits to sponsors in accordance with the Federally negotiated rates in effect at the time salaries are incurred. Benefit costs are expected to increase per year, the rates used in the proposal budget are based on the current Federally negotiated Rate Agreement rate plus annual escalation for out years. Below is a breakdown of the rates used above for FY24.

Any start date of six (6) months or more into a fiscal year will use the following fiscal year’s rates according to ASU policy.

Employee Related Expenses (ERE) Faculty Staff Post Docs Part-Time Students RA/TA

Workers Comp Insurance 0.21% 0.21% 0.21% 0.21% 0.21% 0.21% Retiree Accumulated Sick Leave 0.35% 0.39% 0.38% 0% 0% 0% Unemployment Insurance 0.01% 0.04% 0% 0% 0% 0% FICA Tax 6.52% 6.87% 6.57% 7.11% 1.31% 0.19% Combined Retirement 7.36% 9.11% 0% 1.72% 0% 0% ASRS Long Term Disability 0.13% 0.15% 0.17% 0.01% 0% 0% Group Health Insurance 9.71% 15.05% 15.57% 0.09% 0% 0% RATA Health Insurance 0% 0% 0% 0% 0% 9.04% RATA Dental Insurance 0% 0% 0% 0% 0% 0.07% Group Dental Insurance 0.07% 0.11% 0.10% 0% 0% 0% Life/ACC Death/Disability 0.07% 0.08% 0.08% 0% 0% 0% Dependent Care Flex Spending 0.01% 0.01% 0.01% 0% 0% 0% Medical Exp Flex Spending 0.02% 0.02% 0.02% 0% 0% 0% Employee Tuition Reimbursement 0.16% 1.50% 0% 0% 0% 0% Sabbatical Payments 2.20% 0% 0% 0% 0% 0% Employee Assistance 0.06% 0.06% 0.06% 0.05% 0% 0% Accrued Vacation Payouts 0.20% 0.94% 0.01% 0.30% 0% 0% Fertility/Adoption 0.01% 0.01% 0% 0% 0% 0% Gender Affirming 0.02% 0.02% 0% 0% 0% 0% Pool Adjustment from FY22 (Over)/Under Recovery

0.03% -0.37% -1.45% 0.71% 0.10% 1.96%

ERE Total 27.1% 34.2% 21.7% 10.2% 1.6% 11.5% NOTE: The chart above reflects the breakdown of the fringe benefit rates in our current NICRA for FY24. ASU’s current business practice is to increase 3% in the out-years. This project starts in FY25 therefore rates have been escalated by the 3% reflected in the fringe benefit chart.

C. Travel:

Please note: All travel expenditures will require itemized receipts and will not exceed the State allowable rates which can be found in the State of Arizona Accounting Manual (SAAM) https://gao.az.gov.publications/saam

Purpose (1)

Destination (2)

Item (3)

Calculation (4)

Travel Cost Charged to the Award

(5) In-State Travel Arizona Mileage 1,143/miles x $0.655 $749 AATOD Conference Washington, D.C. Airfare (roundtrip) $550 x 1/staff $550 AATOD Conference Washington, D.C. Lodging $258/night x 1/staff x 4/nights $1,032 AATOD Conference Washington, D.C. Per Diem $69/day x 1/staff x 5/days $345 AATOD Conference Washington, D.C. Ground Transportation $45/day x 5/days $225 AATOD Conference Washington, D.C. Misc Charges (luggage) $75 $27 AATOD Conference Washington, D.C. Concur Travel Fee $11 $11

FEDERAL REQUEST $2,987

JUSTIFICATION:

Local travel to facilitate essential connections with behavioral health stakeholders across rural Arizona and to disseminate educational materials. This travel is crucial for building partnerships, conducting site visits, and ensuring that educational initiatives reach underserved communities. This travel support is fundamental to the project’s outreach, engagement, and dissemination efforts, ensuring that all regions, especially rural areas, benefit from the project’s resources and activities.

Local travel is based upon Arizona’s allowable mileage reimbursement rate of $0.655/mile. The budget includes a per diem allocation for meals and incidental expenses during travel calculated per the State of Arizona Accounting Manual (SAAM) travel policy and actual receipts.

Out-of-state travel request is for one (1) staff member to attend the American Association for the Treatment of Opioid Dependence (AATOD) Conference in Washington, D.C. Dr. Mendoza will present on ASU Opioid Initiatives, funded by SOR IV, educating providers across the Southwest Region about technical assistance with MOUD. Attending this conference will provide valuable insights into national policy developments and best practices, informing ASU’s material development and enhancing the project’s impact. This opportunity will also facilitate networking and knowledge exchange with leading experts in the field.

Concur Travel Fee is ASU’s travel system software provider, and this $11 fee is charged per person for each travel expense report submitted.

D. Equipment:

Item(s)

(1) Quantity

(2) Amount

(3) % Charged to the

Award (4)

Total Cost Charged to the Award

(5)

FEDERAL REQUEST $0

JUSTIFICATION:

E. Supplies (Items costing less than 45,000 per item):

Item(s) (1)

Rate (2)

Cost (3)

F. Contractual:

COSTS FOR CONTRACTS MUST BE BROKEN DOWN IN DETAIL AND A NARRATIVE JUSTIFICATION PROVIDED. A SEPARATE ITEMIZED BUDGET IS REQUIRED FOR EACH CONTRACTOR. IF APPLICABLE, NUMBER OF CLIENTS SHOULD BE INCLUDED IN

THE COSTS.

Name (1)

Service (2)

Rate (3)

Other (4)

Total (5)

G. Construction: (NOT ALLOWED)

H. Other: (Include Other Consultants) Item Rate Cost

Consultants (HUB Team) $2,500/each x 7/staff $17,500 Consultants (Adolescent Treatment HUB Team) $200/each x 7/staff x 6/months $8,400 Printing $5,000 $5,000 Advertising (Facebook & Google) $1,000 $1,000 Marketing (Salesforce Annual Fee) $175 $175 Shipping (FedEx/USPS) $545 $545 AATOD Conference Registration Fee $600/each x 1/staff $600

FEDERAL REQUEST $33,220

JUSTIFICATION:

Consultants - Hub Team make up the SUD treatment & Medication Across the Lifespan ECHO are experts who specialize in prevention, intervention, treatment, harm reduction and policy related to the ongoing opioid crisis. The team brings a wealth of experience and knowledge to the program, ensuring that the training provided is comprehensive and up to date. The team meets every other week to discuss and strategize on the latest developments and best practices in MOUD and facilitates bi-weekly training sessions via Zoom to a wide audience of providers, offering interactive and practical guidance to enhance the effectiveness of OUD treatment across various settings. This regular engagement helps ensure continuous learning and support for providers, ultimately aiming to improve patient outcomes.

Consultants - Adolescent Treatment Advisory Board are experts in adolescent development, substance use intervention, treatment, and policy and will bring a diverse range of expertise to ensure that their guidance is comprehensive and relevant. The board is expected to meet monthly to review progress, share insights, and strategize on best practices for addressing adolescent substance use disorders and will play a key role in curriculum development, providing valuable input and support to create effective training programs. Their involvement will be crucial in ensuring that the educational initiatives are aligned with current best practices and address the unique needs of adolescents.

Printing of opioid initiative materials is essential for ensuring that all providers, especially those in rural or underserved areas with limited internet access, have reliable and easy access to critical information. Hard copies allow for quick reference during clinical practice and can be sharded easily among staff, enhancing the dissemination of best practices and treatment protocols.

Advertising/social media will be used to promote SOR related projects, including new curriculum via paid advertising (e.g. Facebook, Google). The advertising will be used to target specific demographics, ensuring that the information reaches relevant providers and stakeholders. By leveraging digital advertising platforms, we can enhance visibility, engage a broader audience, and drive higher participation rates in our training programs and resource utilization. This strategic promotion is crucial for maximizing the impact of our initiatives and effectively

Shipping of MOUD guides to various stakeholders, including healthcare providers, community organizations, and educational institutions. These materials are critical for ensuring widespread access to up-to-date information, training resources, and treatment guidelines. This ensures that all intended recipients, particularly those in remote or underserved areas, receive the necessary materials promptly and efficiently, thereby supporting the overall effectiveness and reach of the opioid initiatives.

AATOD registration for one (1) staff member to attend the conference in Washington, D.C.

I. Total Direct Charges:

FEDERAL REQUEST – TOTAL DIRECT CHARGES - $150,277

J. Indirect Cost Rate or Administration (See Footnote below):

Calculation

(1) Revised Total

(2)

Indirect Cost Agreement 44.4% $66,723

FEDERAL REQUEST $66,723

JUSTIFICATION: This is not a research or instruction project. This falls under the other type of category working with external health services, and therefore, ASU’s NICRA reflects 44.4% for the other category type projects.

FOOTNOTE:

(1) Please specify whether utilizing indirect or administrative overhead.

(2) For administrative overhead, please provide a justification of costs included in administration.

(3) For indirect costs, please specify if using the de minimis rate or provide a copy of the approved indirect cost agreement. The de minimis rate of 10 percent for non-federal entities is subject to Uniform Guidance, 20 CFR 200.414.

K. Total Project Costs:

FEDERAL REQUEST – TOTAL PROJECT COSTS –

(Sum of Total Direct Costs and Indirect (Or Admin) Costs) $217,000

L. Budget Summary: (Should include future years, as applicable to the grant, and projected total):

Category Year 1 09/30/24 – 09/29/25

Year 2* 09/30/25 – 09/29/26

Year 3* 09/30/26 – 09/29/27

Total Budget

Personnel $85,505 $84,799 $83,970 $252,274 Fringe $28,565 $29,358 $30,149 $88,070 Travel $2,987 $2,900 $2,938 $8,827 Equipment $0 $0 $0 $0 Supplies $0 $0 $0 $0 Contractual $0 $0 $0 $0 Other $33,220 $33,220 $33,220 $99,660 Total Direct Charges $150,277 $150,277 $150,277 $450,831 Indirect Charges or Administration $66,723 $66,723 $66,723 $200,169

Total Project Costs $217,000 $217,000 $217,000 $651,000 *For Requested Future Years