M04-M78 Contract Budget NEW ONLY FY27 Budget 1 — File 25-1075

M04 Standard Contract and M04/M78 Engagement Contract Budget Form Fiscal Year: 2027 Vendor Name: NEW ONLY Contract ID: Budget # UFR# Program Component -UFR# Codes Below on tab FTE New Amount Offset Amount *Offset Funding Source New Budget Reimbursement Total 101 Program Manager $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 150 Payroll Taxes $0.00 151 Fringe Benefits $0.00 Total Program Staff $0.00 $0.00 $0.00 $0.00 301 Program Facilities $0.00 390 Facilities Operations $0.00 Total Occupancy $0.00 $0.00 $0.00 $0.00 201 Consultant $0.00 202 Temporary Help $0.00 203 Prov. Reimb/Stipends $10,000.00 $10,000.00 204 Staff Training $0.00 205 Staff mileage/travel $0.00 206 Subcontract $89,000.00 $89,000.00 207 Meals $0.00 208A Vehicle $0.00 208B Vehicle Expenses $0.00 208C Vehicle Depreciation $0.00 211 Client Personal Allowances $0.00 212 Provision of Material Goods $0.00 213 Data Processing $0.00 214 Commercial Income Resources $0.00 215 Program Supplies $1,500.00 $1,500.00 Total Non Personal Exp. $100,500.00 $0.00 $0.00 $100,500.00 216 Program Support $12,000.00 $12,000.00 Total Direct Administrative Exp. $12,000.00 $0.00 $12,000.00 SUBTOTAL PROGRAM COSTS $112,500.00 $0.00 $112,500.00 410 Agency Admin. Support Allocation $12,500.00 $12,500.00 PROGRAM TOTAL $125,000.00 $0.00 $125,000.00 *If mulitiple funding sources, please indicate "various" on the column and provide backup listing all funding sources. If any funds allocated to UFR# 206 Subcontract, a Subcontractor Identification List must be completed and submit to DPH by the provider/vendor BRIEF ENGAGEMENT SUMMARY - Enter Below CITY OF SOMERVILLE INTF2354M78220129158 1