Cost Justification Clause Samples

Cost Justification. Describe the use of MHSA funds in each of the project budget categories: personnel, hardware, software, contract services and other expenses. Describe the use and amount of start-up funds for the project. Start-up funds may be requested for up to 20% of the total project proposal MHSA amount. Start-up funds may only be requested once per project proposal. Describe project costs that are not eligible for reimbursement by MHSA IT funds. Non- eligible costs include IT project costs for applications or systems that support services to non-DMH clients or IT project costs for applications or systems that support non-Mental Health Services programs. Describe the proposed allocation methodology to determine project costs to be paid by DMH MHSA IT funds.

Cost Justification. Source Atlantic provides clients with an objective assessment of the financial impact of implementing new technology. The consulting team builds an objective financial model that includes operational, technical, clinical and market-impact analyses.

Cost Justification. Provide narrative justification for your proposed cost per mile in each of the categories listed on this price sheet. To: County of Orange, OC Community Resources/Office on Aging Check Request For: ▇▇▇▇ ▇. ▇▇▇▇▇ ▇▇▇, ▇▇▇▇ ▇ ▇▇▇▇▇ ▇▇▇, ▇▇ ▇▇▇▇▇ Contract # INVOICE: Month Year BUDGET: REM. BAL: Amounts Invoiced Date Invoice Number Previous Number Total Rate Per Month Contract Contract Mileage Type of Trips Miles Mile Subtotal To Date To Date A. Non-Ambulatory Transportation Services Curb-to-Curb B. Non-Ambulatory Transportation Services Door-to-Door C. Transportation Services Curb-to-Curb D. Transportation Services Door-to-Door Subtotal Transportation Services Billing for Month 0 0.00 N/A LESS PROGRAM INCOME SubTotal LESS MATCH (TSR/M2) New Freedom Monthly SubTotal Total New Freedom Reimbursed: Billable Month Previous Contract Program Match Subtotal To Date To Date SNEMT Allowable 1/12th billing per month = $ - Month Previous Contract Program Income: Subtotal To Date To Date Client Collections Fundraising Donations Total Cash In-Kind Contributions Unreimbursed mileage subsidized with contributed funding: Month Previous Contract Rate Mileage Subtotal To Date To Date Contributed funding for unreimbursed mileage remaining balance $0.00 FOR COUNTY USE ONLY: ACCOUNTING CODE FUND DEPT BUDGET CONTROL UNIT OBJ REV BSA SUB-OBJ SUB-REV SUB-BSA DEPT OBJ DEPT REV DEPT BSA JOB NUMBER AMOUNT Line No. Statistic Performance During Month Performance FY To Date 1 New Unduplicated Clients Served 2 SAME DAY SERVICE TRIPS 3 FRAIL EXCEPTION TRIPS 4 ACCESS ASSESSMENT TRIPS 5 3/4/ MILES TRIPS 6 Amb. Curb to Curb Trips Provided 6a Number of New Unduplicated Clients Served 6b Number of Miles 6c Number of Multi-passenger Trips 7 Amb. Door to Door Trips Provided 7a Number of New Unduplicated Clients Served 7b Number of Miles 7c Number of Multi-passenger Trips 8 W/C Curb to Curb Trips Provided 8a Number of New Unduplicated Clients Served 8b Number of Miles 8c Number of Multi-passenger Trips 9 W/C Door to Door Trips Provided 9a Number of New Unduplicated Clients Served 9b Number of Miles 9c Number of Multi-passenger Trips 13 Total Trip Request Denied 14 Total Passengers Transported 15 Total Client No-Shows 16 Complaints Received 17 Complaints Judged Valid 18 Incident Reports 19 Out of County Trips 20 Client Fees/Donations Collected 21 In-Kind Contribution Provider: Month: Line No. Statistic Performance During Month Performance FY To Date CLIENTS: 1 Age 60-64 2 Age 65-74 3 Age 75-84 4 Age ...

Cost Justification. To calculate maximum allowable start-up {(a+d+e+f) X 0.20 = maximum start-up}. Once calculated distribute start-up funds in column Fiscal Year 1 (b) in the budget categories where start-up funds are needed. You may request less than the maximum allowable, but you may not exceed the maximum allowable start-up. Start-up funds will be awarded one-time-only per project. ** For projects providing services to multiple program clients (e.g. Mental Health and Alcohol and Drug Program clients) attach a description of estimated benefits and Project costs allocated to programs other than Mental Health. FAX forms to: DMH CIOB Attn: CPTT using the FAX Number: ▇▇▇-▇▇▇-▇▇▇▇. Email a copy to: ▇▇▇▇@▇▇▇.▇▇▇▇▇▇▇▇.▇▇▇ Project Title: Consortium (Y/N) Contract Agency Name: LE Number: *Score NA if category is not applicable Category Factor Rating Score* Estimated Cost of Project Over $400,000 6 (MHSA Funds Only) Over $200,000 5 Over $100,000 2 Under $100,000 1 Project Manager Experience Like Projects completed in a “key staff” role None 3 One 2 Two or More 1 Team Experience Like Projects Completed by at least 75% of Key Staff None 3 One 2 Two or More 1 Elements of Project Type Hardware New Install Local Desktop/Server 1 Distributed/Enterprise Server 3 Update/Upgrade Local Desktop/Server 1 Distributed/Enterprise Server 2 Infrastructure Local Network Cabling 1 Distributed Network 2 Data Center/Network Operations Center 3 Custom Development- 5 Application Service Provider 1 Software *Commercial Off-The-Shelf COTS* Installation “Off-the-Shelf” 1 Modified COTS 3 Number of Users Over 300 5 Over 100 3 Under 20 1 Architecture Browser/thin client based 1 Two-Tier (client / server) 2 Multi-Tier (client & web, database, application, etc. servers) 3 Software Total Score Project Risk Rating check applicable rating (√) 25 – 31 High 16 – 24 Medium 8 – 15 Low Project Status On Schedule Ahead of Schedule Behind Schedule Budget Status Within Approved Budget Over Budget Report for Quarter Ending: mm/dd/yy Personnel (Salaries & Benefits) $ 0 $ 0 Hardware $ 0 $ 0 Software $ 0 $ 0 Contract Services $ 0 $ 0 Other Expenses $ 0 $ 0 STATUS / MAJOR ACCOMPLISHMENTS / SCHEDULED ACTIVITIES / ISSUES STATUS • ACCOMPLISHMENTS • SCHEDULED ACTIVITIES • ISSUES •

Cost Justification. In no event shall total compensation paid to CONTRACTOR under Provision B.1 exceed One Hundred Thirty-Nine Thousand Eighty-Six Dollars for Fiscal Year 2024-25 and 2025-26 without an amendment to this agreement approved by both parties. By mutual agreement, the maximum amount payable under this Agreement and the rates charged by CONTRACTOR may be reviewed, renegotiated, and amended if mutually agreed to by both parties.