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<br />FISCAL YEAR 2007/2008 <br /> <br />WORKSHEET FOR EXHIBIT A - Programs <br />Community Development Block Grant Program <br />P. O. Box 391, Redwood City, CA 94064 <br />Agency Name: Samaritan House <br />Address: 1511 S. Claremont St. <br />City, State, ZIP: San Mateo, CA 94402 <br />Activity/Project Title: Safe Harbor Shelter <br />Please enter information for applicable line items only. <br />A. Salary and Wages <br />Position Title Hourly Rate Number of Hours BUDGET <br />General Shelter Staff Various TBD $10,000 <br /> $ $ <br /> $ $ <br /> $ $ <br />Total Salary and Wages $ $10,000 <br />B. Fringe Benefits <br />Health Insurance $ <br />Life Insurance $ <br />Retirement $ <br />Workmen's Compensation $ <br />State Unemployment Insurance $ <br />Other Personnel Costs (Specify) $ <br />Total Fringe Benefits $ <br />C. Office <br />Telephone $ <br />Office Supplies $ <br />Postage $ <br />Duplicating Costs $ <br />Total Office Costs $ <br />D. Marketing/Outreach <br />Promotion $ <br />Training $ <br />Advertising $ <br />Total Miscellaneous $ <br />E. Fiscal Management <br />Accounting $ <br />Auditing $ <br />Total Fiscal Management $ <br />F. Operations <br />Instructional materials $ <br />Activities $ <br />G. Other Budget Line Items *: (Complete this section if items not listed above) <br /> $ <br /> $ <br />Total Operations $ <br /> IITOTALS $10,000 <br /> <br />ATTACH NARRATIVE TO DESCRIBE YOUR LINE ITEMS. <br /> <br />Narrative <br /> <br />General Shelter Staff - Salaries and wages of employees working at the shelter providing direct <br />services and support services. <br />