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EXHIBIT A - continued <br /> Provider's Outside Agency Application <br /> MAIM APPI-IC ATION <br /> b.j Program Budget Detail <br /> What is the cast to deliver your project/program? List each project/program element in the table below, <br /> including the cost of each element, the quantity and unit of measure, and the subtotal for each element. <br /> Where necessary, allocate costs to the use of shared space, vehicles or equipment. <br /> Example Program: Credit Counselin Class <br /> Cost Elements Cost(s) QuantttylUnffi of Measure Subtotal($) <br /> Credit Counseling Teacher–in class $25 96 hours (8 hrslmth x 12 months) $2,400 <br /> Credit Counseling Teacher—class prep $25 48 hours(4hrslmth x 12 mths) $1,200 <br /> Credit Counselor--one-on-one $20 120 hours(10 hrslmth x 12 mths $2,400 <br /> Materials $25 120 course packetslcredit reports $3,000 <br /> Total $9,000 <br /> Complete-the-table below for thep <br /> pLe ct/pra ram for which yqp are reguestinq funds. <br /> Attach additional rows/ es as needed. <br /> Program: Orange County Living Wage certification Program <br /> Cast Elements _ cash} N Quanti IUnft of measure S+ubtb�l{ <br /> Produce/maintain website $1,400 $1,000 design; 400 hest fees 1,400 <br /> Produce&refine video 500 500 <br /> Deve eebrochures & publicity tools 700 700 <br /> Certification materials€or em Lgyers 400 400 <br /> Develop fundraising materials 1,000 1,000 <br /> Postage for publicity_&correspondence 100 100 <br /> Accounting services 500 500 <br /> Legal services 3,000 3,000 <br /> Half-time Administrative Assistant $15 per hour X 1000 hrs $15,000 16,750 <br /> c.} Cost per Unit Soc Sec/Medicare = 1,150 <br /> Payroll prep/background 600 <br /> Unit=employes in certified businesses/organizations TOTAL $24,850 <br /> Actual 2014-: Estitmated 2015- Projected 2016--- <br /> 15 16 17 <br /> Total Cost of <br /> Pro ram $7,210 $24,850 <br /> Total # of Units 8.000 12,000 <br /> Cost Per Unit $.90 $2.07 <br /> AA-#;n t1 4 141;1'11119 1 1-?rl•'77 AAA <br />