Organization:

Funding Source:

Requested Amount:

Category I

*Indirect Expenses Itemized Details of Grant Funds Requested

Grant Funds

Requested

Indirect Costs

Category II

Direct Administrative Expenses

Itemized Details of Grant Funds Requested

Include very specific details - e.g. specific number of FTE's attached to the title

of the position, specific number of hotel/motel vouchers at price per voucher,

etc. Expand rows as needed.

Grant Funds

Requested

Salaries Finance Clerk - $20.00 per hour x 2080 weeks x 8.9% $3,705.00

Fringe Benefits Finance Clerk - 35% of salary $1,995.00

Communications

(e.g. Consistent monthly charges including

and not limited to: printing, copying, phone,

internet, postage)

Equipment (e.g. computers, laptops,

printers, furniture, etc.)

Insurance

Space Costs

(e.g. rent, lease, etc.)

Utilities (consistent monthly utility charges -

gas, water, etc.)

Professional Development & Training

Category II - Direct Administrative Expenses:

If the organization DOES NOT have a NICRA and chooses not to use the deminiums rate,

the organization must use Category II if charging Direct Administrative Expenses.

Attachment C: Budget

DWS Housing and Community Development - Homelessness Programs Office (HPO)

HPO Grant Budget Narrative and Itemization FormJuly 1, 2020 - June 30, 2021

Vernal City

Homeless Shelter Cities Mitigation Grant (New)

$119,787.00

All planned expenses must be itemized, detailed and described for each line item.

Cells may be expanded as necessary in order to provide all required information.

Category I - Indirect Expenses:

a) NICRA - If the organization has a federally approved Negotiated Indirect Cost Rate Agreement (NICRA), the NICRA must be used in Category

I, unless the organization voluntarily chooses to waive indirect costs or charge less than the full indirect cost rate.

Any administrative costs that are not part of the basis of the NICRA and are direct charged can be listed in Category II.

b) De Minimis - If the organization does not have a NICRA and chooses a de minimis rate, Category I must be used. The de minimis rate can be

charged at 10% of Modified Total Direct Costs (MTDC). MTDC is defined as being: **All direct salaries and wages, applicable fringe benefits,

materials and supplies, services, travel, and up to the first $25,000 of each subaward.

No expenses should be entered into Category II.

*Cannot exceed the entities federally approved indirect cost rate (NICRA) - OR - the entities 10% de minimis rate certificate based upon eligible Category III

**expenses.

***Indirect costs may be modified after funding sources have been determined so not to exceed federal regulations of the federal funds awarded.

Page 1 of 3

Professional Fees & Contract Services (e.g.

consultants, security, etc.)

Material and Supplies (e.g. consumable

goods)

Travel &Transportation

$5,700.00

Category III

Project ExpensesItemized Details of HPO Grant Funds Requested

HPO Grant Funds

Requested

**SalariesPublic Safety Services: $ 39,591 (2% of operating budget of $3,299,250 x 60%) Social

Services: $ 27,352 ($54,704 annual salary x 50%)66,943.00

**Fringe BenefitsPublic Safety Services: $ 26,394 (2% of operating budget of $3,299,250 x 40%) Social

Services: $ 20,750 ($41,500 annual fringe x 50%)47,144.00

**Staff Travel & Transportation

**Material and Supplies (e.g. consumable

goods)

**Communications

(e.g. Consistent monthly charges including

and not limited to: printing, copying, phone,

internet, postage)

**Utilities (consistent monthly utility charges -

gas, water, etc.)

**Staff Development & Training

**Insurance

**Professional Fees & Contract Services

(e.g. consultants, security, etc.)

***Subawards - limited to the first $25,000

(e.g. pass-through)

***Direct Administrative costs may be modified after funding sources have been determined so not to exceed federal regulations of the federal funds awarded.

Total Category I/Category II Administrative Expenses

Page 2 of 3

Client Services

(e.g. education services, employment &

training, legal services, client transportation,

etc.)

Client Housing Payments (e.g. rent, utilities,

application fees, arrears, deposits, etc.)

Hotel/Motel Vouchers

Equipment (e.g. computers, laptops,

printers, furniture, etc.)

Space Costs

(e.g. rent, lease, etc.)

$114,087.00

$ 119,787.00

Total Category III Project Expenses

Total Expenses Category I/II

and Category III

Page 3 of 3

Crime Statistics for Vernal Police Department

HOMELESS SHELTER CITIES MITIGATION GRANT (NEW)

Please break down annual data into state fiscal year (SFY) quarters. The following data

elements must be included:

Crime statistics for SFY19 (July 1, 2018 – June 30, 2019). Annual data is broken down into state

fiscal year (SFY) quarters in parenthesis. For example, for aggravated assaults, the statistics are

shown as 15 (5, 3, 2, 5); the total crimes was 15 with a quarterly crime count of 5 in the first

quarter, 3 in the second quarter, 2 in the third quarter and 5 in the fourth quarter.

SFY19-July 1, 2018 thru June 30, 2019:

Aggravated assault: 15 (5, 3, 2, 5) Simple assault: 83 (19, 24, 13, 27) Intimidation: 0 Total assault offenses: 102 (26, 27, 17, 32) Homicide: 1 (0, 0, 1, 0) Kidnapping: 2 (1, 0, 1, 0) Burglaries: 58 (28, 21, 8, 1) Forgeries: 4 (1, 2, 1, 0) Swindle/con: 24 (2, 6, 5, 11) Credit card fraud: 26 (4, 4, 6, 12) Shoplifting: 52 (12, 13, 10, 17) Vehicle theft: 10 (5, 4, 0, 1) All other larceny: 99 (23, 28, 23, 25) Total theft offenses: 185 (59, 46, 33, 47) Drug offenses: 214 (71, 73, 74, 50) Weapons violations: 16 (0, 3, 5, 8) Crimes Against persons: 234 (64, 57, 58, 65) Crimes against property: 343 (97, 101, 70, 75) Society Crimes: 625 (146, 187, 181, 111)

b. Calls for public safety services for SFY19 (July 1, 2018 – June 30, 2019): 19,021

First Quarter: 5,685 Second Quarter: 4,690 Third Quarter: 4,091 Fourth Quarter: 4,555

Crime Statistics for Vernal Police Department a. Crime statistics for first quarter of SFY20 (July 1, 2019 – current) Aggravated assault: 7 Simple assault: 29 Intimidation: 3 Total assault offenses: 36 Homicide: 0 Kidnapping: 1 Burglaries: 23 Forgeries: 4 Swindle/con: 11 Credit card fraud: 15 Shoplifting: 26 Vehicle theft: 2 All other larceny: 30 Total theft offenses: 67 Drug offenses: 59 Weapons violations: 2 Crimes Against persons: 51 Crimes against property: 131 Society Crimes: 285 b. Calls for public safety services for first quarter of SFY20 (July 1, 2019 – current): 5,851 NIBRS Group B Arrests SFY19 Disorderly conduct: 68 DUI-alcohol/drugs 69 Liquor law violations: 115 NIBRS Group B Arrests SFY20-July 1 to present Disorderly conduct: 18 DUI-alcohol/drugs 22 Liquor law violations: 24