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2025-642-E-Health Dept-Reintegration Support Network-Opioid prevention in youth
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2025-642-E-Health Dept-Reintegration Support Network-Opioid prevention in youth
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Last modified
10/23/2025 9:42:41 AM
Creation date
10/23/2025 9:42:35 AM
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Template:
Contract
Date
10/13/2025
Contract Starting Date
10/13/2025
Contract Ending Date
10/16/2025
Contract Document Type
Contract
Amount
$20,000.00
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Overall Program Budget <br />Agency Reintegration Support Network <br />Proposed Program Title Reintegration Support Network: Individual Mentoring <br />Project Period Total <br />Revenues:Opioid Settlement <br />Funds <br />Other Funding <br />Sources <br />Total Opioid Settlement <br />Funds <br />Other Funding <br />Sources <br />Total Opioid Settlement <br />Funds <br />Other Funding <br />Sources <br />Total <br />Orange County Opioid Settlement Funding $ 20,000.00 $ 294,266.00 $ - $ - -$ <br /> $ - $ - $ - -$ <br /> $ - $ - $ - -$ <br /> $ - $ - $ - -$ <br /> $ - $ - $ - -$ <br /> $ - $ - $ - -$ <br />Total Revenues: $ 20,000.00 $ 294,266.00 $ - $ - $ - $ - $ - $ - $ - -$ <br />Project Period Total <br />Expenses:Opioid Settlement <br />Funds <br />Other Funding <br />Sources <br />Total Opioid Settlement <br />Funds <br />Other Funding <br />Sources <br />Total Opioid Settlement <br />Funds <br />Other Funding <br />Sources <br />Total <br />Personnel and Benefits: 20,000.00 20,000.00 - - - - 20,000.00 <br />Operations Expenses: - - - - - - - <br />Subcontractor Services: <br />Subcontractor 1 name - - - - - - - <br />Subcontractor 2 name - - - - - - - <br />Subcontractor 3 name - - - - - - - <br />Capital - - - - <br />Administrative/Indirect cost (no more than 10%) - - - - <br />Total Expenses: 20,000.00 - 20,000.00 - - - - - - 20,000.00 <br />2025 2026 2027 <br />Complete this form for all revenue sources, as well as expense sources other than Opioid Settlement funds. Figures for expenses using Opioid Settlement <br />funds will automatically populate from detail tabs of spreadsheet, except for the administrative/indirect cost line item, which should be filled out in this <br />tab. Add rows as needed. Enter information in yellow shaded cells only. <br />Total Program Revenue Budget <br />2025 2026 2027 <br />Total Program Expense Budget <br />Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34
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