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DocuSign Envelope ID: 142010D9 -C369- 4874- 8D8D- CE32D6CD555E
<br />EMPOWERMENT
<br />Family Success Alliance
<br />Number of Hours
<br />FTE
<br /># months
<br />Salary Rate of Pay
<br />Bi- weekly Rate of Pay per Month
<br />Monthly Subtotal
<br />Taxes
<br />Social Security- Co Paid 6.2% of S &W
<br />Medicare - Co Paid 1.45% of S &W
<br />SUTA Tax - Co Paid 2.496% of S &W
<br />Monthly Subtotal
<br />Benefits
<br />Navigator FT (40
<br />1 hours) 3
<br />40 FT Hourly 40
<br />1.0 FTE 1.0
<br />12 12
<br />$ 18.36 $38,188.80 $ 16.32
<br />$3,182.40 3,182.40 $2,828.80
<br />3,182.40
<br />Navigator FT (40 Navigator PT (30
<br />hours) 0.5 hours)
<br />FT Hourly 20 PT Hourly
<br />FTE 0.5 FTE
<br />11
<br />$33,945.60 $ 17.00 $17,680.00
<br />2,828.80 $1,473.33 1,473.33
<br />2,828.80 1,473.33
<br />6.20%
<br />197.31
<br />6.20%
<br />175.39
<br />6.20%
<br />91.35
<br />1.45%
<br />46.14
<br />1.45%
<br />41.02
<br />1.45%
<br />21.36
<br />2.496%
<br />79.43
<br />2.496%
<br />70.61
<br />2.496%
<br />36.77
<br />50.00
<br />322.89
<br />50.00
<br />287.01
<br />50.00
<br />149.48
<br />Worker's Compensation
<br />1.8% of S &W
<br />1.80%
<br />57.28
<br />1.80%
<br />50.92
<br />1.80%
<br />26.52
<br />Company Paid Health Ins
<br />$533.17/mo EE +ER
<br />533.17
<br />533.17
<br />533.17
<br />533.17
<br />533.17
<br />533.17
<br />Health Savings Account
<br />$50.00 /mo EE
<br />50.00
<br />50.00
<br />50.00
<br />50.00
<br />50.00
<br />50.00
<br />Company Paid Dental Ins
<br />$45.29/mo EE
<br />45.29
<br />45.29
<br />45.29
<br />45.29
<br />45.29
<br />45.29
<br />Monthly Subtotal
<br />1
<br />3
<br />685.74
<br />679.38
<br /># Full Time
<br />654.98
<br />Payroll Processing $14.53/mo 14.53
<br />14.53 14.53
<br />14.53
<br />14.53 14.53
<br />Monthly subtotal
<br />14.53
<br />14.53
<br />14.53
<br />Total Monthly Cost
<br />4,205.56
<br />3,809.72
<br />2,292.33
<br />Total Annual Salary, Taxes, Benefits & Payroll per Navigator
<br />50,466.72
<br />45,716.63
<br />27,507.94
<br />Total Salary, Benefits & Taxes (annual)
<br />$ 50,292.36
<br />$ 136,626.81
<br />$ 25,055.78
<br />15% Overhead (annual)
<br />7,543.85
<br />20,494.02
<br />3,758.37
<br />Training $500 per Navigator (annual)
<br />500.00
<br />500.00
<br />500.00
<br />Mileage per Navigator (.545/m x 250 m /mo) per FTE
<br />1,635.00
<br />1,635.00
<br />817.50
<br />Number of Navigators
<br />1
<br />3
<br />1
<br /># Full Time
<br /># Full Time
<br /># Part Time
<br />Office Space ($625/mo)
<br />Navigator Supervision ($2500)
<br />Neglect & Abuse Insurance Policy (flat amount)
<br />Office Supplies
<br />Annual Budget Total
<br />156,232.27 Salary Subtotal
<br />15,851.33 Taxes Subtotal
<br />39,891.37 Benefits Subtotal
<br />857.27 Payroll Subtotal
<br />4.5
<br />215,124.56 Salary, Taxes, Benefits, Payroll Subtotal
<br />214,267.29 Salary, Taxes, Benefits Subtotal
<br />31.796.24 Overhead Subtotal
<br />2,500.00
<br />Training Subtotal
<br />7,357.50
<br />Mileage Subtotal
<br />7,500.00
<br />Office Space Subtotal
<br />2,500.00
<br />Supervision Subtotal
<br />1,738.00
<br />Insurance Subtotal
<br />$500.00
<br />Total Project Cost 266,723.97
<br />Amount of In -Kind Funds Contributed by Empowerment, Inc. 28,000.00
<br />Amount Due Empowerment by Orange County Health Department 238,723.97
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