Common use of OC COMMUNITY RESOURCES CONTRACT REIMBURSEMENT POLICY Clause in Contracts

OC COMMUNITY RESOURCES CONTRACT REIMBURSEMENT POLICY. Further instructions regarding invoicing/reimbursements as set forth in Exhibit 1 – OC Community Resources Contract Reimbursement Policy, are attached hereto and incorporated herein by reference. 1. Subrecipient’s Cost Proposal – City of Laguna Beach A. Project Cost Budget Project Cost Budget Chart City of Laguna Beach- Alternative Sleeping Location Program Costs Supportive Services/Activity A. Funds to be used for Services B. Leveraged Resources to be used for Services C. Total Funds to be used for Services D. Number of Persons Served with Funds Requested E. Cost per Person (Column C/ Column D) Case Management Quantity: $38,000 $38,000 45 Education and Instruction Quantity: Employment Services Quantity: Child Care Youth Quantity: Transportation Quantity: Transportation (see Attachment A for further description) $27,156 $27,156 45 Essential Services / Utilities (see Attachment A for further description) $75,170 $434,844 45 Total Program Costs Budget (include all funding sources for proposed program) $140,326 $359,674 $500,000 45 $11,111 B. Operating Budget - FY 2022-23 Operating Costs Funds Requested Funds Leveraged Essential Services / Utilities $75,170 Maintenance Staff (position, salary, % of time, fringe benefits) Equipment (lease/buy) Supplies (Quantity) Sleeping Mats, Duffle Bags Transportation (Van) $27,156 Furnishings (quantity) Relocation (Number of Persons Food (perishable/non-perishable) Other operating costs: Facility Lease Case Management $38,000 Other operating costs Sub-Total $140,326 $359,674 Total $ 500,000 1. Staffing Plan Project Title: Alternative Sleeping Location - City of Laguna Beach Title FTE Subject: OC Community Resources Contract Reimbursement Policy

OC COMMUNITY RESOURCES CONTRACT REIMBURSEMENT POLICY. Further instructions regarding invoicing/reimbursements as set forth in Exhibit 1 – OC Community Resources Contract Reimbursement Policy, are attached hereto and incorporated herein by reference. 1. Subrecipient’s Cost Proposal – City of Laguna Beach A. Project Cost Budget Project Cost Budget Chart City of Laguna Beach- Alternative Sleeping Location Program Costs Supportive Services/Activity A. Funds to be used for Services B. Leveraged Resources to be used for Services C. Total Funds to be used for Services D. Number of Persons Served with Funds Requested E. Cost per Person (Column C/ Column D) Case Management Quantity: $38,000 35,900 $38,000 45 35,900 40 Education and Instruction Quantity: Employment Services Quantity: Child Care Youth Quantity: Transportation Quantity: Transportation (see Attachment A for further description) $27,156 $27,156 45 40 Essential Services / Utilities (see Attachment A for further description) $75,170 62,800 $434,844 45 271,744 $334,544 40 Total Program Costs Budget (include all funding sources for proposed program) $140,326 125,856 $359,674 271,744 $500,000 45 397,600 40 $11,111 9,940 B. Operating Budget - FY 20222019-23 20 Operating Costs Funds Requested Funds Leveraged Essential Services / Utilities $75,170 62,800 $271,744 Maintenance Staff (position, salary, % of time, fringe benefits) Equipment (lease/buy) Supplies (Quantity) Sleeping Mats, Duffle Bags Transportation (Van) $27,156 Furnishings (quantity) Relocation (Number of Persons Food (perishable/non-perishable) Other operating costs: Facility Lease Case Management $38,000 35,900 Other operating costs Sub-Total $140,326 $359,674 Total $ 500,000 1397,600 1 TBD Project Manager 2 TBD Assistant City Manager Project Manager will direct the Subrecipient’s efforts in fulfilling Subrecipient’s obligations under this Contract. Staffing Plan Project Title: Alternative Sleeping Location - Subrecipient shall provide the name of the staff to the County within a time mutually agreed upon by the Parties but no event later than 30 days after the execution of the Contract. County of Orange Page 1 of 1 City of Laguna Beach Title FTE Subject: OC Community Resources Contract Reimbursement Policy# 19-23-0014-PS This policy contains updated fiscal documentation requirements for contract reimbursement for OC Community Services and Housing & Community Development and Homeless Prevention. The procedures provide instructions for submitting reimbursement demand letter or invoice.

OC COMMUNITY RESOURCES CONTRACT REIMBURSEMENT POLICY. Further instructions regarding invoicing/reimbursements as set forth in Exhibit 1 – OC Community Resources Contract Reimbursement Policy, are attached hereto and incorporated herein by reference. 1. Subrecipient’s Cost Proposal Budget Schedule – City of Laguna BeachBeach Alternative Sleeping Location – FY 2018-19 A. Project Cost Budget Project Cost Budget Chart City of Laguna Beach- Alternative Sleeping Location Program Costs Supportive Services/Activity A. Funds to be used for Services B. Leveraged Resources to be used for Services C. Total Funds to be used for Services D. Number of Persons Served with Funds Requested E. Cost per Person (Column C/ Column D) Case Management Quantity: $38,000 $38,000 28,700 28,700 45 Education and Instruction Quantity: Employment Services Quantity: Child Care Youth Quantity: Transportation Quantity: Transportation (see Attachment A for further description) $27,156 $27,156 45 Essential Services / Utilities (see Attachment A for further description) $75,170 70,000 $434,844 271,744 $341,744 45 Total Program Costs Budget (include all funding sources for proposed program) $140,326 125,856 $359,674 271,744 $500,000 397,600 45 $11,111 8,835.56 B. Operating Budget - FY 20222018-23 19 Operating Costs Funds Requested Funds Leveraged Essential Services / Utilities $75,170 70,000 $271,744 Maintenance Staff (position, salary, % of time, fringe benefits) $28,700 Equipment (lease/buy) Supplies (Quantity) Sleeping Mats, Duffle Bags Transportation (Van) $27,156 Furnishings (quantity) Relocation (Number of Persons Food (perishable/non-perishable) Other operating costs: Facility Lease Case Management $38,000 Other operating costs Sub-Total $140,326 $359,674 Other operating costs Total $ 500,000 1397,600 Complete and Submit – (Include name and classification). Staffing Plan Name/Staff Classification/Title 1 Xxxx Xxxxxxx Project Title: Alternative Sleeping Location - Manager 2 Xxxxxxx Xxxxxxx Assistant City Manager Project Manager will direct the Subrecipient’s efforts in fulfilling Subrecipient’s obligations under this Contract. County of Orange Page 1 of 1 City of Laguna Beach Title FTE Subject: This policy contains updated fiscal documentation requirements for contract reimbursement for OC Community Resources Contract Reimbursement PolicyServices and Housing & Community Development and Homeless Prevention. The procedures provide instructions for submitting reimbursement demand letter or invoice.

OC COMMUNITY RESOURCES CONTRACT REIMBURSEMENT POLICY. Further instructions regarding invoicing/reimbursements as set forth in Exhibit 1 – OC Community Resources Contract Reimbursement Policy, are attached hereto and incorporated herein by reference. 1. Subrecipient’s Cost Proposal – City of Laguna Beach A. Project Cost Budget Project Cost Budget Chart City of Laguna Beach- Alternative Sleeping Location Program Costs Supportive Services/Activity A. Funds to be used for Services B. Leveraged Resources to be used for Services C. Total Funds to be used for Services D. Number of Persons Served with Funds Requested E. Cost per Person (Column C/ Column D) Case Management Quantity: $38,000 28,7003 5,900 $38,000 45 35,9002 8,700 405 Education and Instruction Quantity: Employment Services Quantity: Child Care Youth Quantity: Transportation Quantity: Transportation (see Attachment A for further description) $27,156 $27,156 45 405 Essential Services / Utilities (see Attachment A for further description) $75,170 70,0006 2,800 $434,844 45 271,744 $334,544 346,188 405 Total Program Costs Budget (include all funding sources for proposed program) $140,326 125,856 $359,674 271,744 $500,000 45 397,600 405 $11,111 8,835.569,940 .00 County of Orange Page 1 of 2 City of Laguna Beach OC Community Resources File # 19-23-0014-PS B. Operating Budget - FY 20222019-23 20 Operating Costs Funds Requested Funds Leveraged Essential Services / Utilities $75,170 70,00062,800 62,800 $271,744 Maintenance Staff (position, salary, % of time, fringe benefits) $28,700 Equipment (lease/buy) Supplies (Quantity) Sleeping Mats, Duffle Bags Transportation (Van) $27,156 Furnishings (quantity) Relocation (Number of Persons Food (perishable/non-perishable) Other operating costs: Facility Lease Case Other operating costsCase Management $38,000 35,900 Other operating costs Sub-Total $140,326 125,856118,6 56125,856 $359,674 271,744 Total $ 500,000 1. Staffing Plan Project Title: Alternative Sleeping Location - 397,600390,400397,600 County of Orange Page 2 of 2 City of Laguna Beach Title FTE Subject: OC Community Resources Contract Reimbursement PolicyFile # 19-23-0014-PS STAFFING PLAN PUBLIC SERVICES Complete and Submit – (Include name and classification). Name/StaffName/Staff Classification/Title

OC COMMUNITY RESOURCES CONTRACT REIMBURSEMENT POLICY. Further instructions regarding invoicing/reimbursements as set forth in Exhibit 1 – OC Community Resources Contract Reimbursement Policy, are attached hereto and incorporated herein by reference. 1. Subrecipient’s Cost Proposal – City of Laguna Beach A. Project Cost Budget Project Cost Budget Chart City of Laguna Beach- Alternative Sleeping Location Program Costs Supportive Services/Activity A. Funds to be used for Services B. Leveraged Resources to be used for Services C. Total Funds to be used for Services D. Number of Persons Served with Funds Requested E. Cost per Person (Column C/ Column D) Case Management Quantity: $38,000 $38,000 45 Education and Instruction Quantity: Employment Services Quantity: Child Care Youth Quantity: Transportation Quantity: Transportation (see Attachment A for further description) $27,156 $27,156 45 Essential Services / Utilities (see Attachment A for further description) $75,170 $434,844 45 Total Program Costs Budget (include all funding sources for proposed program) $140,326 $359,674 $500,000 45 $11,111 11,111 B. Operating Budget - FY 2022-23 Operating Costs Funds Requested Funds Leveraged Essential Services / Utilities $75,170 Maintenance Staff (position, salary, % of time, fringe benefits) Equipment (lease/buy) Supplies (Quantity) Sleeping Mats, Duffle Bags Transportation (Van) $27,156 Furnishings (quantity) Relocation (Number of Persons Food (perishable/non-perishable) Other operating costs: Facility Lease Case Management $38,000 Other operating costs Sub-Total $140,326 $359,674 Total $ 500,000500,000 Operating Budget - FY 2022-23 1. Staffing Plan Project Title: Alternative Sleeping Location - City of Laguna Beach Title FTE Subject: OC Community Resources Contract Reimbursement Policy

OC COMMUNITY RESOURCES CONTRACT REIMBURSEMENT POLICY. Further instructions regarding invoicing/reimbursements as set forth in Exhibit 1 – OC Community Resources Contract Reimbursement Policy, are attached hereto and incorporated herein by reference. 1. Subrecipient’s Cost Proposal – City of Laguna Beach A. Project Cost Budget Project Cost Budget Chart City of Laguna Beach- Alternative Sleeping Location Program Costs Supportive Services/Activity A. Funds to be used for Services B. Leveraged Resources to be used for Services C. Total X.Xxxxx Funds to be used for Services forServices D. Number of Persons Served with Funds Requested E. Cost per Person (Column C/ Column D) Case Management Quantity: $38,000 $38,000 45 450 Education and Instruction Quantity: Employment Services Quantity: Child Care Youth Quantity: Transportation Quantity: Transportation (see Attachment A for further description) $27,156 $27,156 45 450 Essential Services / Utilities (see Attachment A for further description) $75,170 62,8007 7,270 $434,844 45 271,744 $349,014 34,544 450 Total Program Costs Budget (include all funding sources for proposed program) $140,326 397,600$412,070 450 $359,674 $500,000 45 $11,111 9,940.00157.1 1 B. Operating Budget - FY 20222021-23 22 Operating Costs Budget City of Laguna Beach- Emergency Shelter Operating Costs Funds Requested Funds Leveraged Essential Services / Utilities $75,170 7762,270800 $271,744 Maintenance Staff (position, salary, % of time, fringe benefits) Equipment (lease/buy) Supplies (Quantity) Sleeping Mats, Duffle Bags Transportation (Van) $27,156 Furnishings (quantity) Relocation (Number of Persons Food (perishable/non-perishable) Other operating costs: Facility Lease Case Management $38,000 35,900 Other operating costs Sub-Total $140,326 $359,674 Total $ 500,000412397,070,600 1. Staffing Plan Project Title: Alternative Sleeping Location - City of Laguna Beach Title FTE Subject: OC Community Resources Contract Reimbursement Policy

OC COMMUNITY RESOURCES CONTRACT REIMBURSEMENT POLICY. Further instructions regarding invoicing/reimbursements as set forth in Exhibit 1 – OC Community Resources Contract Reimbursement Policy, are attached hereto and incorporated herein by reference. 1. Subrecipient’s Cost Proposal – City of Laguna Beach A. Project Cost Budget Project Cost Budget Chart City of Laguna Beach- Alternative Sleeping Location Program Costs Supportive Services/Activity A. Funds to be used for Services B. Leveraged Resources to be used for Services C. Total Funds to be used for Services D. Number of Persons Served with Funds Requested E. Cost per Person (Column C/ Column D) Case Management Quantity: $38,000 $38,000 45 Education and Instruction Quantity: Employment Services Quantity: Child Care Youth Quantity: Transportation Quantity: Transportation (see Attachment A for further description) $27,156 $27,156 45 Essential Services / Utilities (see Attachment A for further description) $75,170 $359,674 $434,844 45 Total Program Costs Budget (include all funding sources for proposed program) $140,326 $359,674 $500,000 45 $11,111 B. Operating Budget - FY 20222021-23 22 Operating Costs Funds Requested Funds Leveraged Essential Services / Utilities $75,170 $359,674 Maintenance Staff (position, salary, % of time, fringe benefits) Equipment (lease/buy) Supplies (Quantity) Sleeping Mats, Duffle Bags Transportation (Van) $27,156 Furnishings (quantity) Relocation (Number of Persons Food (perishable/non-perishable) Other operating costs: Facility Lease Case Management $38,000 Other operating costs Sub-Total $140,326 $359,674 Total $ 500,000 1. Staffing Plan Project Title: Alternative Sleeping Location - City of Laguna Beach Title FTE Subject: OC Community Resources Contract Reimbursement Policy

OC COMMUNITY RESOURCES CONTRACT REIMBURSEMENT POLICY. Further instructions regarding invoicing/reimbursements as set forth in Exhibit 1 – OC Community Resources Contract Reimbursement Policy, are attached hereto and incorporated herein by reference. 1. Subrecipient’s Cost Proposal – City of Laguna Beach A. Project Cost Budget Project Cost Budget Chart City of Laguna Beach- Alternative Sleeping Location Program Costs Supportive Services/Activity A. Funds to be used for Services B. Leveraged Resources to be used for Services C. Total Funds to be used for Services D. Number of Persons Served with Funds Requested E. Cost per Person (Column C/ Column D) Case Management Quantity: $38,000 28,7003 5,900 $38,000 45 35,9002 8,700 405 Education and Instruction Quantity: Employment Services Quantity: Child Care Youth Quantity: Transportation Quantity: Transportation (see Attachment A for further description) $27,156 $27,156 45 405 Essential Services / Utilities (see Attachment A for further description) $75,170 70,0006 2,800 $434,844 45 271,744 $334,544 346,188 405 Total Program Costs Budget (include all funding sources for proposed program) $140,326 125,856 $359,674 271,744 $500,000 45 397,600 405 $11,111 8,835.569,940 .00 County of Orange Page 1 of 2 City of Laguna Beach OC Community Resources File # 19-23-0014-PS B. Operating Budget - FY 20222019-23 20 Operating Costs Funds Requested Funds Leveraged Essential Services / Utilities $75,170 70,00062,800 62,800 $271,744 Maintenance Staff (position, salary, % of time, fringe benefits) $28,700 Equipment (lease/buy) Supplies (Quantity) Sleeping Mats, Duffle Bags Transportation (Van) $27,156 Furnishings (quantity) Relocation (Number of Persons Food (perishable/non-perishable) Other operating costs: Facility Lease Case Other operating costsCase Management $38,000 35,900 Other operating costs Sub-Total $140,326 125,856118,6 56125,856 $359,674 271,744 Total $ 500,000 1. Staffing Plan Project Title: Alternative Sleeping Location - 397,600390,400397,600 County of Orange Page 2 of 2 City of Laguna Beach OC Community Resources File # 19-23-0014-PS STAFFING PLAN PUBLIC SERVICES Complete and Submit – (Include name and classification). Name/StaffName/Staff Classification/Title FTE Subject: 1 Xxxx XxxxxxxXXX Project Manager 2 Xxxxxxx XxxxxxxXXX Assistant City Manager Subrecipient shall provide the name of the staff to the County within a time mutually agreed upon by the Parties but no event later than 30 days after the execution of the Contract. County of Orange Page 1 of 1 City of Laguna Beach OC Community Resources Contract Reimbursement Policy# 198-23-0014-PS This policy contains updated fiscal documentation requirements for contract reimbursement for OC Community Services and Housing & Community Development and Homeless Prevention. The procedures provide instructions for submitting reimbursement demand letter or invoice.