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<br />FISCAL YEAR 2008/2009 <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 Street <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 /> CDBG/HOME <br />Position Title Hourly Rate Number of Hours BUDGET <br />Safe Harbor Case Manager 19.06 525 $ 10,000.00 <br /> $ $ <br /> $ $ <br /> $ $ <br />Total Salary and Wages $ $ 10,000.00 <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 I $ <br />Activities I $ <br />G. Other Budget Line Items *: (Complete this section if items not listed above) <br /> $ <br /> $ <br />Total Operations $ <br /> IITOT ALS $ 10,000.00 <br /> <br />ATTACH NARRATIVE TO DESCRIBE YOUR LINE ITEMS. <br />