Categorical Budget. The approved categorical budgets for each fiscal year of the Contract is documented below: Categorical Budget FY 2021 PERSONNEL $423,306.00 FRINGE BENEFITS $128,685.00 TRAVEL $36,115.00 EQUIPMENT $0.00 SUPPLIES $16,403.00 CONTRACTUAL $0.00 OTHER $96,604.00 TOTAL DIRECT CHARGES $701,113.00 INDIRECT CHARGES $66,764.00 TOTAL CONTRACT AMOUNT $767,877.00 SYSTEM AGENCY SHARE $33,470.00 MATCH $734,407.00 Categorical Budget FY 2022 PERSONNEL $456,155.00 FRINGE BENEFITS $131,466.00 TRAVEL $20,245.00 EQUIPMENT $0.00 SUPPLIES $8,158.00 CONTRACTUAL $0.00 OTHER $491,522.00 TOTAL DIRECT CHARGES $1,107,576.00 INDIRECT CHARGES $111,926.00 TOTAL CONTRACT AMOUNT $1,219,502.00 SYSTEM AGENCY SHARE $1,186,031.00 MATCH $33,471.00 ATTACHMENT E (REVISED AUGUST 2021) Version 1.3 ATTACHMENT E (REVISED AUGUST 2021) TABLE OF CONTENTS ARTICLE I - SPECIAL DEFINITIONS 3 ARTICLE II - GRANTEES PERSONNEL AND SUBCONTRACTORS 4 Qualifications 4 2.02 Conduct and Removal 4 2.03 Contracts with Subcontractors 4 2.04 Status of Subcontractors 5 2.05 Incorporation of Terms in Subcontracts 5 2.06 Notice of Legal Matter or Litigation 6 2.07 Unilateral Amendment 6 ARTICLE III - CONFIDENTIALITY 6
Categorical Budget. 1. Below is the approved Categorical Budget for fiscal years 2022 - 2024: FY2022 – FY2024 PERSONNEL $400,278.00 FRINGE BENEFITS $152,102.00 TRAVEL $19,858.00 SUPPLIES $2,500.00 CONTRACTUAL $0.00 EQUIPMENT $0.00 OTHER $90,003.00 TOTAL DIRECT CHARGES $664,741.00 INDIRECT CHARGES $66,059.00 TOTAL CONTRACT VALUE $730,800.00 SYSTEM AGENCY SHARE $696,000.00 MATCH $34,800.00 ATTACHMENT E (REVISED SEPTEMBER 2021) Version 1.3 ATTACHMENT E (REVISED SEPTEMBER 2021) TABLE OF CONTENTS Article I - Special Definitions 3 Article II - Grantees Personnel and Subcontractors 4 Qualifications 4 2.02 Conduct and Removal 4 2.03 Contracts with Subcontractors 4 2.04 Status of Subcontractors 5 2.05 Incorporation of Terms in Subcontracts 5 2.06 Notice of Legal Matter or Litigation 6
Categorical Budget. The approved fiscal year categorical budget for all awarded Program services is referenced in B-1, Approved Categorical Budget. The budget will be reflected in CMBHS for each awarded Fiscal Year unless modified during a BPA. Budget Summary Organization Name: MHMR of Tarrant County Contract Number: HHS000782500011 Program ID: Region SA/OSR Budget Categories Budget Categories System Agency Funds Requested Cash Match Non System Agency funds Category Total Personnel $59,939.00 $0.00 $0.00 $59,939.00 Fringe Benefits $16,000.00 $0.00 $0.00 $16,000.00 Travel $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 Supplies $100.00 $0.00 $0.00 $100.00 Contractual $525,566.00 $0.00 $29,011.00 $554,577.00 Other $201,949.00 $0.00 $0.00 $201,949.00 Total Direct Costs $803,554.00 $0.00 $29,011.00 $832,565.00 Indirect Costs $20,234.00 $0.00 $20,234.00 Totals $823,788.00 $0.00 $29,011.00 $852,799.00 Subcontracting 67.3% Subcontracting Percentage: Health and Human Services Contract Number _H_H_S_0_0_0_7_8_2_50_0_0_1_1
Categorical Budget. 1. Below is the approved Categorical budget for Fiscal Year 2021, for the term of September 1, 2020 through August 31, 2021. PERSONNEL $788,928.00 FRINGE BENEFITS $227,777.00 TRAVEL $12,887.00 SUPPLIES $41,580.00 2 CONTRACTUAL $0.00 EQUIPMENT $0.00 OTHER $4,025,100.00 TOTAL DIRECT CHARGES $5,096,272.00 INDIRECT CHARGES $1,325,030.00 TOTAL CONTRACT VALUE $6,421,302.00 MATCH $0.00 SYSTEM AGENCY SHARE $6,421,302.00
Categorical Budget. The approved categorical budgets for each fiscal year of the Contract is documented below: Categorical Budget FY 2021 PERSONNEL $0.00 FRINGE BENEFITS $0.00 TRAVEL $0.00 EQUIPMENT $0.00 SUPPLIES $0.00 CONTRACTUAL $484,733.00 OTHER $0.00 TOTAL DIRECT CHARGES $484,733.00 INDIRECT CHARGES $53,859.00 TOTAL CONTRACT AMOUNT $538,592.00 SYSTEM AGENCY SHARE $0.00 MATCH $23,680.00 Categorical Budget FY 2022 PERSONNEL $0.00 FRINGE BENEFITS $0.00 TRAVEL $0.00 EQUIPMENT $0.00 SUPPLIES $0.00 CONTRACTUAL $714,812.00 OTHER $0.00 TOTAL DIRECT CHARGES $714,812.00 INDIRECT CHARGES $79,424.00 TOTAL CONTRACT AMOUNT $794,236.00 SYSTEM AGENCY SHARE $0.00 MATCH $23,680.00 Version 1.3 TABLE OF CONTENTS Article I - Special Definitions 3 Article II - Grantees Personnel and Subcontractors 4 Qualifications 4 2.02 Conduct and Removal 4 2.03 Contracts with Subcontractors 4 2.04 Status of Subcontractors 5 2.05 Incorporation of Terms in Subcontracts 5 2.06 Notice of Legal Matter or Litigation 6
Categorical Budget. The approved fiscal year categorical budget for all awarded Program services is referenced in Attachment B-1, Approved Categorical Budget (August 2023). The budget will be reflected in CMBHS for each awarded Fiscal year unless modified during a BPA. Budget Summary Organization Name: PermiaCare Contract Number: HHS000780500006 Program ID: Region Community Health Worker(CHW)
Categorical Budget. 1. Below is the approved cumulative Categorical budget for the contract term July 1, 2020 through August 31, 2021, as follows: PERSONNEL $279,390.00 FRINGE BENEFITS $134,108.00 TRAVEL $16,535.00 SUPPLIES $21,857.00 CONTRACTUAL $22,200.00 EQUIPMENT $95,000.00 OTHER $161,710.00 TOTAL DIRECT CHARGES $730,800.00 INDIRECT CHARGES $0.00 TOTAL CONTRACT VALUE $730,800.00 MATCH $34,800.00 SYSTEM AGENCY SHARE $696,000.00 2. Below is the approved Categorical budget for Fiscal Year 2020, July 1, 2020 through August 31, 2020: PERSONNEL $44,026.00 FRINGE BENEFITS $21,133.00 TRAVEL $0.00 SUPPLIES $18,857.00 CONTRACTUAL $0.00 EQUIPMENT $95,000.00 OTHER $64,584.00 TOTAL DIRECT CHARGES $243,600.00 INDIRECT CHARGES $0.00 TOTAL CONTRACT VALUE $243,600.00 MATCH $11,600.00 SYSTEM AGENCY SHARE $232,000.00
Categorical Budget. 1. Below is the approved FY2021 cumulative Categorical budget for the contract term of September 1, 2020 through August 31, 2021 as follows: PERSONNEL $526,476.00 FRINGE BENEFITS $0.00 TRAVEL $17,559.00 SUPPLIES $13,900.00 CONTRACTUAL $13,500.00 EQUIPMENT $0.00 OTHER $8,565.00 TOTAL DIRECT CHARGES $580,000.00 INDIRECT CHARGES $111,000.00 TOTAL CONTRACT VALUE $691,000.00 MATCH $0.00 SYSTEM AGENCY SHARE $691,000.00 HEALTH AND HUMAN SERVICES CONTRACT AFFIRMATIONS
Categorical Budget. 1. The approved Categorical budget for fiscal year 2023, September 1, 2022 through August 31, 2023: FY23 Categorical Budget for SA/ICON PERSONNEL $1,450,000 FRINGE BENEFITS $0.00 TRAVEL $29,000.00 SUPPLIES $36,714.00 CONTRACTUAL $550,000.00 EQUIPMENT $35,000.00 OTHER $0.00 TOTAL DIRECT CHARGES $2,100,714.00 INDIRECT CHARGES $546,186.00 TOTAL CONTRACT VALUE $2,646,900.00 MATCH $0.00 SYSTEM AGENCY SHARE $2,646,900.00 FY23 Categorical Budget for SA/HH PERSONNEL $530,000.00 FRINGE BENEFITS $0.00 TRAVEL $9,000.00 SUPPLIES $8,769.00 CONTRACTUAL $0.00 EQUIPMENT $20,000.00 OTHER $0.00 TOTAL DIRECT CHARGES $567,769 .00 INDIRECT CHARGES $147,620.00 TOTAL CONTRACT VALUE $715,389.00 MATCH $0.00 SYSTEM AGENCY SHARE $715,389.00 Attachment C Deliverable and Reporting Requirements HHS001042300005 1 All deliverables for the Contract are listed in the below deliverable table; Grantee is required to submit all deliverablaes for the Attachments A, A1 and A2, Statements of Work, Attachment B, Budget, and for programs (ICON and HH) awarded in accordance with the Contract Signature Document 2 Grantee shall ensure all required deliverables are submitted as follows: a The deliverables submitted in GlobalScape shall be named the deliverable name refernced in column "Report Name". b Reports are submitted by the due date in column "Due Date" Note: Deliverables due on the weekend and/or holiday are due the next business day c Reports are submitted by the submission system documented in the column "submission system" All deliverables are submitted by two methods, GlobalScape and/or CMBHS System Agency may request deliverables to be submitted through an alternate submission system 3 Grantee is required to submit performance measures in CMBHS for all Programs awarded Grantee shall ensure compliance to the following requirements: a ICON and HH performance measures are submitted in CMBHS by the 15th of the current month Grantee shall report the previous months activities b Performance will be measured in part on the achievement of the key performance measures c Guidance concering each performance measure can be found Supplemental SOW1 Table 1 Requirement Report Name Due Date* Submission System Attach A, General Statement of Work Program Staffing Form Per fiscal year: September 15 and within 10 business days of a revision GlobalScape Attach A, General Statement of Work General Ledger (for each funded program) Per fiscal year, quarterly report schedule: Q1 reporting period, due December 31st...
Categorical Budget. 1. The total reimbursement amount under the Contract shall not exceed $10,192,076.00 from April 1, 2021 through August 31, 2024, as follows per FY:
