WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON ETHIOPIAN COMMUNITY DEVELOPMENT COUNCIL, COUNTY, VIRGINIA. INC. SIGNED SIGNED BY: BY: XXXXXXX X. XXXXXX, XX. PRINT NAME PURCHASING AGENT AND TITLE: DATE: DATE: REVISED SCOPE OF WORK – SECTION II
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON SIMPLEXGRINNELL, LP. COUNTY, VIRGINIA AUTHORIZED AUTHORIZED SIGNATURE: _ SIGNATURE: _ PRINT PRINT NAME: _MICHAEL XXXXX NAME: _ TITLE: PURCHASING AGENT TITLE:
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON ETHIOPIAN COMMUNITY DEVELOPMENT COUNCIL, COUNTY, VIRGINIA INC. TAXPAYER ID NUMBER, SSN/EIN: 00-0000000 SIGNED SIGNED BY: BY: XXXXXXX X. XXXXXX, XX. PRINT NAME PURCHASING AGENT AND TITLE: DATE: DATE: Attachment A African Community Center: Monthly Report MONTH/YEAR: JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN # YTD # of client contacts # of unduplicated clients # of new clients # of clients returning for a second time REFERRALS MADE JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN # YTD Counseling Clothing Employment Federal/State benefits Financial training Food Housing Immigration School/Education Other TOTAL SERVICES BY CASE MANAGEMENT JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN # YTD Counseling Clothing Domestic Violence Employment Housing Immigration Other TOTAL Narrative Attachment B FY 2012 Budget Projected POSITION/ COST Total Cost % Char ged to Arli ngto n Arlingt on Costs JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN TOTAL Director 47,600 20% 9,520 439 732 1,09 8 732 732 732 732 732 732 1,09 8 732 1,02 5 9,520 Casemgr 44,600 100% 44,600. 31 2,05 8 3,43 1 5,14 6 3,43 1 3,43 1 3,43 1 3,43 1 3,43 1 3,431 5,14 6 3,43 1 4,80 3 44,600. 31 Casemgr 39,191 29% 11,365 525 874 1,31 1 874 874 874 874 874 874 1,31 1 874 1,22 4 11,365. 39 EmplCouns elor 35,092 60% 21,055 972 1,62 0 2,42 9 1,62 0 1,62 0 1,62 0 1,62 0 1,62 0 1,620 2,42 9 1,62 0 2,26 7 21,055. 20 TOTAL PERSONNEL 166,483 86,540. 31 3,99 4 6,65 7 9,98 5 6,65 7 6,65 7 6,65 7 6,65 7 6,65 7 6,657 9,98 5 6,65 7 9,31 9 86,540. 31 Fringe 60,100 31,241. 55 1,44 2 2,40 3 3,60 5 2,40 3 2,40 3 2,40 3 2,40 3 2,40 3 2,403 3,60 5 2,40 3 3,36 5 31,241. 55 Printing 2,100 175 175 175 175 175 175 175 175 175 175 175 175 175 2,100 Supplies 595 595 50 50 50 50 50 50 50 50 50 50 50 50 595 TOTAL PERSONNEL & NON- PERSONNEL 229,828 121,026 .86 5,70 7 9,33 1 13,8 61 9,33 1 9,33 1 9,33 1 9,33 1 9,33 1 9,331 13,8 61 9,33 1 12,9 54 121,026 .86 Indirect Costs 55,159 18,154. 14 856 1,40 0 2,07 9 1,40 0 1,40 0 1,40 0 1,40 0 1,40 0 1,400 2,07 9 1,40 0 1,94 3 18,154. 14
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON Arlington Street People’s Assistance Network, Inc. COUNTY, VIRGINIA SIGNED: Xxxxx Xxxxxxxxx PRINT NAME: SIGNED: XXXXX XXXXXX PRINT NAME: President & CEO TITLE: Procurement Officer TITLE: 5/12/2021 DATE: 5/10/2021 DATE: ATTACHMENT 1 COVID-19 RESPONSE EXPENSES: JULY 1, 2021 THROUGH JUNE 30, 2022 Budgeted Expense Cost Detailed Explanation Weekly Estimated Cost Registered Nurse (RN) $62,400.00 $40 hour x 30 hours a week x 52 weeks $1,200 Benefits $7,176.00 11.50% $138 Covid testing $20,000.00 Rapid antigen testing if state testing stops being available/ or need rapid results $385 TB skin test $2,005.08 $9.24 tests x 217 tests for each new person coming into the shelter that should be tested $39 Flu test/strep test $3,600.00 Testing to rule out COVID vs FLU vs STREP since they can present with similar symptoms $69 PPE/supplies $1,000.00 Syringes, gloves, gowns, masks, sanitizer, alcohol wipes $19 Increased liability for Nurse Practitioner (NP) for multiple shelters $2,500.00 Base liability insurance @ $2,500 $48 Liability insurance for RN $1,000.00 Base liability insurance for new nurse under NP $19 Management & Administrative Support $10,200.00 Admin support using a rate of $20/hr for 5 hours/week x 52 weeks + raise for NP of $5,000 for management responsibilties $196 computer/email costs/ phone $2,200.00 If we are looking to provided extended medical services, need to consider electronic charting which will drive up the cost (usually there is a monthly subscription cost). In addition, nurse will need laptop, docking station, and monitor. $42 Transportation costs for travel to and from different shelters $500.00 Mileage to and from shelters $10
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON BRIDGES TO INDEPENDENCE, INC. COUNTY, VIRGINIA AUTHORIZED AUTHORIZED SIGNATURE: SIGNATURE: NAME: XXXXXX X. XXXXX NAME: TITLE: PROCUREMENT OFFICER TITLE: Xxxxx X'Xxxxx Interim CEO DATE: 5/26/2022 DATE: 5/26/2022 REVISED EXHIBIT B CONTRACT PRICING Budget A – FY23 Xxxxxxxx House Budget Bridges to Independence - Xxxxxxxx House FY 2023 Budget FTE Personnel: Chief Program Officer 0.25 $27,000 Data Intake Coordinator & QA 0.25 $16,181 Shelter Facilities Manager 0.75 $49,295 Volunteer & Community Outreach 0.5 $30,000 SH House Manager-Full Time Hourly 1 $45,210 SH House Manager-Full Time Hourly 1 $45,210 SH Case Manager 1 $74,726 Clinical Employment Specialist 0.25 $15,169 SH House Managers- Midday/Weekend/Relief Staff- Varies 1.5 $67,100 Total Personnel 6.5 $369,892 Non-Personnel: Building Maintenance and Repair (Cleaning Contract Incl.) $18,540 Transportation $3,297 Client Transportation $1,000 Direct Client Assistance $3,000 Language Assistance (Language Line) $6,000 Total Non-Personnel $31,837 Admin Cap Rate 7.158% Admin Cost $30,973 Grand Total $432,701 Xxxxx Xxxxxx $432,701 Admin Cap Communication(Phone/Internet) 3,000 Insurance 14,403 Audit 3,000 Supplies 6,675 Accounting 3,895 Total 0 $30,973 Budget B – FY23 Rapid Rehousing Budget Personnel: Bridges to Independence - Rapid Rehousing FY 2023 Budget FTE Total Total Personnel $0 Non-Personnel: Rental Subsidies $88,033 Optional: Ten thousand dollars ($10,000) of the funding may be used for salaries and benefits for case management services for post program aftercare. Total Non-Personnel $88,033 Admin Cap Rate 10% Admin Cost $9,782 Grand Total $97,815 Xxxxx Xxxxxx $97,815 Admin Cap Finance Manager 0.15 $7,800 Language Assistance (Language Line) $1,982 Total 0.15 $9,782 Budget C – FY23 Compensation of People with Lived Experience of Homelessness Budget Bridges to Independence FY 2023 Compensation Budget FTE Total Personnel: Total Personnel $ - Non-Personnel: Compensation to people with lived experience of homelessness $6,250 Total Non-Personnel $6,250 Admin Cap Rate 0% Admin Cap $0
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON A. XXXXXX XXXXXX AND ASSOCIATES, INC. COUNTY, VIRGINIA AUTHORIZED AUTHORIZED SIGNATURE: SIGNATURE: PRINT PRINT NAME: _IGOR SCHERBAKOV NAME: TITLE: PROCUREMENT OFFICER TITLE: DATE: DATE:
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON ENVIRO-STORMWATER MANAGEMENT, LLC. COUNTY, VIRGINIA AUTHORIZED AUTHORIZED SIGNATURE: _ SIGNATURE: _ PRINT PRINT NAME: _MICHAEL XXXXX NAME: _ TITLE: PURCHASING AGENT TITLE: DATE: DATE:
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON KAISER FOUNDATION HEALTH PLAN OF THE COUNTY, VIRGINIA MID-ATLANTIC STATES, INC. AUTHORIZED AUTHORIZED SIGNATURE: SIGNATURE: NAME: XX. XXXXXX X. LEWIS NAME: TITLE: PURCHASING AGENT TITLE: Xxxxxx X. Xxxxxxxx Executive Director, Strategic Accounts DATE: 5/3/2024 DATE: 5/1/2024 Agreement No. 564-14 Executive Summary Group Name: Arlington County Government Group Number(s): 2040,4126 Subgroup(s): Multiple Groups Region: Mid-Atlantic States Contract Period: 07/01/2024 - 06/30/2025 Dec21 - Nov22 Dec22 - Nov23 Average Members*: 1,697 1,658 Rates** Custom HMO 8 SIG Actives: Current Rates Change % Change $ Proposed Rates Subscriber only $633.38 5.83% $36.92 $670.30 Subscriber and Spouse 1,333.76 5.83% 77.76 1,411.52 Subscriber and 1 Child 1,175.04 5.83% 68.51 1,243.55 Subscriber and 2 or more Children 1,175.04 5.83% 68.51 1,243.55 Subscriber and Spouse and 1 or more children 1,933.06 5.83% 112.70 2,045.76 Custom HMO 8 SIG DP Cobra: Subscriber only $646.04 5.83% $37.66 $683.70 Subscriber and Spouse 1,360.44 5.83% 79.31 1,439.75 Subscriber and 1 Child 1,198.54 5.83% 69.87 1,268.41 Subscriber and 2 or more Children 1,198.54 5.83% 69.87 1,268.41 Subscriber and Spouse and 1 or more children 1,971.72 5.83% 114.95 2,086.67 Custom HMO 8 SIG Retirees: Subscriber only $633.38 5.83% $36.93 $670.31 Subscriber and Spouse 1,333.77 5.83% 77.76 1,411.53 Subscriber and 1 Child 1,175.05 5.83% 68.50 1,243.55 Subscriber and 2 or more Children 1,175.05 5.83% 68.50 1,243.55 Subscriber and Spouse and 1 or more children 1,933.08 5.83% 112.70 2,045.78 Claims Summary $PMPM* Arlington County Government: Major Service Category Dec21 - Nov22 Change Dec22 - Nov23 Inpatient $64.35 (4.6)% $61.41 Outpatient 250.74 (4.5)% 239.53 Pharmacy 60.70 4.0% 63.13 Other 85.80 1.2% 86.81 Total Claims Summary $PMPM $461.58 (2.3)% $450.87 * Includes Actives and /or pre 65 Retirees only. **Benefit plan descriptions are summarized, please see Rate and Benefit Summary for full descriptions. Created On: 1/31/2024 NPS RQR Number: 15640081 NPS RQR Name: Arlington County Government
