Cities Index.
Attachment 2

Burbank City Council
May 20, 2025

Document
Attachment 2
Meeting
May 20, 2025
Body
Burbank City Council
Pages
7
Original file
1.4 MB
Text extracted from the city's file for reading and search. Open the original on burbank.granicus.com. That file is the official record.

ELDERLY NUTRITION PROGRAM (ENP)
SUBAWARD NUMBER ENP242501
SUBAWARD PERIOD JULY 2024 – JUNE 2025

AMENDMENT THREE
This Amendment is made and entered into by and between

COUNTY OF LOS ANGELES THROUGH ITS

AGING AND DISABILITIES DEPARTMENT

(“County” or “AD”)

County’s Business Address
510 South Vermont Avenue, 11th Floor
Los Angeles, CA 90020
and

CITY OF BURBANK
(“Contractor” or “Subrecipient”)
Subrecipient’s Business Address
1301 West Olive Avenue
Burbank, CA 91506
WHEREAS, reference is made to that certain document originally entitled “Elderly Nutrition Program (ENP) Subaward Number ENP242501 Subaward Period July 2024 – June 2025” dated July 1, 2024, (“Contract” or “Subaward”); and

WHEREAS, the parties hereto have previously entered into the above referenced Subaward for the purpose of providing Elderly Nutrition Program (ENP) Services, which include serving congregate meals and home-delivered meals as well as conducting telephone reassurance to the older adult population in Los Angeles County (excluding the City of Los Angeles); and

WHEREAS, County and Subrecipient recognize and agree that specific terms (including, but not limited to, Contract, Subaward, Contractor, Subrecipient, Subcontract, Lower Tier Subaward, Subcontractor and Lower Tier Subrecipient) are used interchangeably throughout this Amendment in order to comply with Federal, State, and County regulations; and

WHEREAS, it is the intent of the parties to amend this Subaward to allocate additional baseline (Net County Cost (NCC)) funding in the amount of $200,700, which will be reimbursed to Subrecipient in exchange for additional defined and contracted ENP Congregate Meal Services as specified herein to be provided by Subrecipient during Fiscal Year (FY) 2024-25; and
ATTACHMENT 2
Elderly Nutrition Program Subaward Number ENP242501 Amendment Three Page 2 WHEREAS, it is the intent of the parties to also amend this Subaward to allocate additional baseline (NCC) funding in the amount of $68,300, which will be reimbursed to Subrecipientin exchange for additional defined and contracted ENP Home-Delivered Meal Services as specified herein to be provided by Subrecipient during FY 2024-25; and WHEREAS, it is the intent of the parties to also amend this Subaward to allocate Older Americans Act (OAA) Title III-C1 (Nutrition Services) One-Time-Only (OTO) funding in the amount of $263,700, which will be reimbursed to Subrecipient in exchange for additional defined and contracted ENP Congregate Meal Services as specified herein to be provided by Subrecipient during FY 2024-25; and WHEREAS, it is the intent of the parties to also amend this Subaward to allocate OAA Title III-C2 (Nutrition Services) OTO funding in the amount of $31,700, which will be reimbursed to Subrecipient in exchange for additional defined and contracted ENP Home-Delivered Meal Services as specified herein to be provided by Subrecipient during FY 2024-25; and WHEREAS, it is the intent of the parties to also amend this Subaward to provide for the other changes set forth herein; and WHEREAS, the Subaward provides that changes to its terms may be made in the form of a written Amendment, which is formally approved and executed by the parties. NOW THEREFORE, THE PARTIES HERETO AGREE AS FOLLOWS: I. This Amendment will commence upon execution by all parties. II. Subparagraph 5.1.3 is deleted and replaced as follows: 5.1.3Subaward Sum Year 1 Funding Source(s) 5.1.3.1 The Subaward Sum Year 1 for this Subaward is comprised of monies which are identified by the funding source(s) or governing statue(s) listed below. The funding source(s) and governing statute(s) authorize County to use these monies to provide Program Services. 5.1.3.2 Older Americans Act (OAA) Title III B (Supportive Services and Senior Centers) original baseline funds 5.1.3.2.1 Subaward Sum: $1,000 5.1.3.2.2 Service Area: Supervisorial District 5 5.1.3.2.3 Period of Performance: July 1, 2024 – June 30, 2025(consistent with California Department of Aging MOU number AAA-2425-19) Elderly Nutrition Program Subaward Number ENP242501 Amendment Three Page 3

5.1.3.2.4 Allocation Letter: Fiscal Year 2024-25 Original Baseline Funding Allocation for Elderly Nutrition Program Services 5.1.3.3 Older Americans Act (Title III C-1 (Nutrition Services) original baseline funds5.1.3.3.1 Subaward Sum: $295,700 5.1.3.3.2 Service Area: Supervisorial District 5 5.1.3.3.3 Period of Performance: July 1, 2024 – June 30, 2025(consistent with California Department of Aging MOU number AAA-2425-19) 5.1.3.3.4 Allocation Letter: Fiscal Year 2024-25 Original Baseline Funding Allocation for Elderly Nutrition Program Services5.1.3.4 Older Americans Act (Title III C-2 (Nutrition Services) original baseline funds5.1.3.4.1 Subaward Sum: $340,500 5.1.3.4.2 Service Area: Supervisorial District 5 5.1.3.4.3 Period of Performance: July 1, 2024 – June 30, 2025 (consistent with California Department of Aging MOU number AAA-2425-19) 5.1.3.4.4 Allocation Letter: Fiscal Year 2024-25 Original Baseline Funding Allocation for Elderly Nutrition Program Services 5.1.3.5 MOCA funding for ENP Congregate Meal Services 5.1.3.5.1 Subaward Sum: $426,900 5.1.3.5.2 Service Area: Supervisorial District 5 5.1.3.5.3 Period of Performance: July 1, 2024 – June 30, 2025(consistent with California Department of Aging contract number NM-2324-19) 5.1.3.5.4 Allocation Letter: Fiscal Year 2024-25 Modernizing Older Californians Act Funding Allocation for Elderly Nutrition Program Services Elderly Nutrition Program Subaward Number ENP242501 Amendment Three Page 4

5.1.3.6 MOCA funding for ENP Home-Delivered Meal Services5.1.3.6.1 Subaward Sum: $252,6005.1.3.6.2 Service Area: Supervisorial District 55.1.3.6.3 Period of Performance: July 1, 2024 – June 30, 2025 (consistent with California Department of Aging contract number NM-2324-19)5.1.3.6.4 Allocation Letter: Fiscal Year 2024-25 Modernizing Older Californians Act Funding Allocation for Elderly Nutrition Program Services 5.1.3.7 Additional baseline (NCC) funds for ENP Congregate Meal Services 5.1.3.7.1 Subaward Sum: $200,700 5.1.3.7.2 Service Area: Supervisorial District 5 5.1.3.7.3 Period of Performance: July 1, 2024 – June 30, 2025 5.1.3.7.4 Allocation Letter: Fiscal Year 2024-25 Additional Baseline and One-Time-Only Funding Allocation for Elderly Nutrition Program Services 5.1.3.8 Additional baseline (NCC) funds for ENP Home-Delivered Meal Services 5.1.3.8.1 Subaward Sum: $68,3005.1.3.8.2 Service Area: Supervisorial District 55.1.3.8.3 Period of Performance: July 1, 2024 – June 30, 2025 5.1.3.8.4 Allocation Letter: Fiscal Year 2024-25 Additional Baseline and One-Time-Only Funding Allocation for Elderly Nutrition Program Services 5.1.3.9 OAA Title III C-1 (Nutrition Services) OTO funds 5.1.3.9.1 Subaward Sum: $263,7005.1.3.9.2 Service Area: Supervisorial District 55.1.3.9.3 Period of Performance: July 1, 2024 – June 30, 2025 (consistent with California Department of Aging MOU number AAA-2425-19) Elderly Nutrition Program Subaward Number ENP242501 Amendment Three Page 5

5.1.3.9.4 Allocation Letter: Fiscal Year 2024-25 Additional Baseline and One-Time-Only Funding Allocation for Elderly Nutrition Program Services 5.1.3.10 OAA Title III C-2 (Nutrition Services) OTO funds 5.1.3.10.1 Subaward Sum: $31,700 5.1.3.10.2 Service Area: Supervisorial District 5 5.1.3.10.3 Period of Performance: July 1, 2024 – June 30, 2025 (consistent with California Department of Aging MOU number AAA-2425-19) 5.1.3.10.4 Allocation Letter: Fiscal Year 2024-25 Modernizing Older Californians Act Funding Allocation for Elderly Nutrition Program Services III. Subparagraph 5.5.4.1 is deleted in its entirety and replaced as follows: 5.5.4.1 Subrecipient must prepare monthly invoices, along with any necessary supporting documentation for each invoice, for Subrecipient's Work performed under the requirements of this Subaward. Monthly invoices must also include any amounts related to matching funds and program income, if applicable. Upon direction of County, Subrecipient must provide all support documentation required by County, including, but not limited to, vendor invoices, receipts of payment, bank statements, and/or bank registers. All supporting documentation must be able to justify the costs invoiced and be submitted to County within thirty (30) days following the date the corresponding monthly invoice is submitted. County reserves the right to require Subrecipient to upload all required support documentation using County’s Information Technology Systems (ITS which may include the Contract Management System (CMS) – Subrecipient’s Gateway or via other ITS identified by County. Subrecipient must submit all invoices to County in the form and manner as directed by County by the 10th calendar day of the month following the month of Service (e.g., Subrecipient must submit an invoice for Services provided in October by November 10th for reimbursement). In instances, when the 10th calendar day falls on a non-business day (Saturday, Sunday, or Los Angeles County holiday), Subrecipient must submit the invoice by the following business day. County reserves the right to modify in writing the due date(s) for the submission of invoices as needed in order to meet regulatory deadlines. 5.5.4.1.1 Subrecipient must submit the final, year-end invoice to County no later than the 3rd calendar day of the month following the month in which final Services were provided during the Fiscal Year or Program Year, unless otherwise instructed by County. In instances, when the 3rd calendar day falls on a non- Elderly Nutrition Program Subaward Number ENP242501 Amendment Three Page 6 business day (Saturday, Sunday, or Los Angeles County holiday), Subrecipient must submit the invoice by the following business day. County reserves the right to modify in writing the due date(s) for the submission of invoices as needed in order to meet regulatory deadlines. IV. Subrecipient must report all final costs incurred under this Subaward. If applicable, Subrecipient must also include any matching funds and program income in the final year-end invoice. V. Subparagraph 5.10.7 is deleted in its entirety and replaced as follows: 5.10.7 Amount of Federal Funds Obligated by this Action: 5.10.7.1 Original Contract: $637,200 5.10.7.2 Amendment One: $0 5.10.7.3 Amendment Two: $679,500 (State MOCA funds) 5.10.7.4 Amendment Three: $564,400 5.10.7.4.1 Additional Baseline (NCC) funds: $269,000 5.10.7.4.2 OTO funds: $295,400 VI. Subparagraph 5.10.8 is deleted in its entirety and replaced as follows: 5.10.8 Total Amount of Federal Funds Obligated to Subrecipient (Subaward Sum): 5.10.8.1 Subaward Sum Year 1: $932,600 (funds identified in Subparagraphs 5.10.7.3 and 5.10.7.4.1 are excluded) VII. Subparagraph 5.10.9 is deleted in its entirety and replaced as follows: 5.10.9 Total Amount of Federal Award (Maximum Subaward Sum): $932,600 (funds identified in Subparagraphs 5.10.7.3 and 5.10.7.4.1 are excluded) VIII. Subparagraph 9.21.2.1 is deleted in its entirety and replaced as follows: 9.21.2.1 The final year-end invoice will serve as the closeout; however if necessary, the County may impose a closeout process that occurs after the final year-end invoice submission The closeout will take place upon the expiration or termination of the period in which Program Services are provided which includes the end of the Subaward term, the end of the Fiscal Year or any other period when the Subaward is terminated. The purpose of closeout is to ensure that final reports are received and evaluated, allowable costs are determined and amounts due to either County or to Subrecipient are Elderly Nutrition Program Subaward Number ENP242501 Amendment Three Page 7 determined and payment arrangements made. County will notify the Subrecipient if a closeout is required, and the Subrecipient must comply with the closeout reporting requirements as outlined in Subparagraph 9.21.2. IX. “Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and One-Time-Only Funding}” is added as an addendum to "Exhibit B1 (Budget)” and is incorporated herein by reference. X. “Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and One-Time-Only Funding}” is added as an addendum to "Exhibit B2 (Budget)” and is incorporated herein by reference. XI. “Exhibit C1 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and One-Time-Only Funding}” is added as an addendum to "Exhibit C1 (Mandated Program Service)” and is incorporated herein by reference. XII. “Exhibit C2 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and One-Time-Only Funding}” is added as an addendum to "Exhibit C2 (Mandated Program Service)” and is incorporated herein by reference. XIII. The "Fiscal Year 2024-25 Additional Baseline and One-Time-Only Funding Allocation for Elderly Nutrition Program Services” funding allocation letter is incorporated herein by reference. All other terms and conditions of the Subaward will remain in full force and effect. // // // // // // // // // // // // // // //////////////// IN WITNESS WHEREOF, the Board of Supervisors of the County of Los Angeles has caused this Amendment Threeto be subscribed on its behalf by the Director of Aging and Disabilities Department, and the Subrecipient has subscribed the same through its Authorized Representative. The Authorized Representative(s) signing on behalf of Subrecipient warrants under penalty of perjury that he or she is authorized to bind Subrecipient.COUNTY OF LOS ANGELES By Dr. Laura Trejo, Director Date County of Los AngelesAging & Disabilities Department SUBRECIPIENTCity of Burbank Subrecipient’s Legal Name ENP242501 Subaward NumberBy Name of Authorized Date Representative Title Approved as to Form: SignatureOFFICE OF COUNTY COUNSEL OFFICE OF COUNTY COUNSEL Dawyn R. Harrison, County CounselBy Name of Authorized Representative DateBy Airionna WhitakerDeputy County CounselTitle Signature

Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

16.38$ 47,232$ 304,445$ 22,371$ 1,051,225$ 12.21$ 4.17$ -$
-$ -$

COUNTY USE ONLY
Assigned Program Analyst:

Assigned Contract Analyst:

Jorge Pena Equipment Purchase(s) Approved by: N/A
Lynn Tran
NOTE:
(1) The SSY1 for each Service Category shall match the SSY1 Cash Other reflected in Exhibit C1 (Mandated Program Services), Section I (Units of Service Summary) for each Service Category. (2) The SF for each Service Category shall match the SF reflected in Exhibit C1 (Mandated Program Services), Section I (Units of Service Summary) for each Service Category. (4) Funding Amount for Equipment (Purchase(s)) reflected under SSY1 and SF shall match the Equipment (Purchase(s)) Funding Amount reflected in Exhibit C1 (Mandated Program Services), Section I (Units of Service Summary).

Angela O'Connor Proncipal Accountant (818) 235 5490 [Enter] [email protected] Prefix Budget Analyst Job Title Phone Number Ext. E-Mail Address Ms.
-$
-$
Grand Total (6) 45,000$ 710,587$ 49,513$
Equipment (Purchases) (4)
Ethnic Meals (Kosher) -$
Grab and Go C-1 Meals 677,177$
Job Title
(818) 235 5402
Phone Number
[Enter]
[Enter] [email protected]
Prefix
Erin Barrows
Authorized Representative
Recreation Service Manager
Job Title
Ms.

SUBRECIPIENT'S FUNDS (SF) (2)
(C)
MATCH (3)
(D)

NON-MATCH
(E)

PROGRAM
INCOME
Roxana Tabibi
Project Manager
Ms.
(1)
CASH
(3)
TOTAL

FUNDING

25.40$
(1)
SSY1

12.21$ 46,360$
(2)

IN-KIND
(1)
CASH
22,629$
Ext. E-Mail Address
-$
-$
Social Service Supervisor- Nutrition
(2)

IN-KIND
-$
Phone Number
104,680$
(F)
TOTAL

FUNDING
(B+C+D+E)
[email protected](818) 235 5358

PROGRAM FUNDING SUMMARY

37.61$
(A)

SERVICE CATEGORY
(B)

SUBAWARD SUM
YEAR 1
(SSY1) (1)
(1)
CASH
OTHER
(2)
CASH
NSIP
33,410$
(1)
CASH
EXHIBIT B1 (BUDGET)
AMENDMENT 3 {FY 2024-25 ADDITIONAL BASELINE AND OTO FUNDING} CA 91506
Zip CodeState
State
CA 91506

CONGREGATE MEAL SERVICES
2024-2025
City of Burbank
ENP242501
Subrecipient's Legal Name:

City of Burbank
Main Administrative Office Address
Burbank
Mailing Address (if different from above) City Zip Code Three Modification Number: N/A
American Meals
Ethnic Meals (Chinese)
2,281$
Ethnic Meals (Indian/
Vegetarian)
(G)

UNIT RATE
City
Same as above Burbank
(2)
SF
-$ 350,805$ 1,155,905$
Ethnic Meals (Cambodian)
E-Mail AddressExt.Prefix
Net County Cost and Older Americans Act Title III C-1
Five
(3) The minimum required total mach is twelve percent (12%) of SSY1.

ALL COSTS REPORTED ON THIS BUDGET SHALL BE ALLOWABLE, NECESSARY, AND REASONABLE FOR THE PROGRAM SERVICES TO BE PROVIDED.

Lynn Tran Date: 4/16/2025
-$
-$
-$
Budget Reviewed and Approved by:

Equipment (Other) (5)
Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

Food Service Aid/ Tuttle/ /Gina 100% 3,942$ 12 47,304$ 47,304$ Food Service Aid / Joslyn / Robin 100% 3,942$ 12 47,304$ $047,304$
23,652$ 23,652$
47,304$ 47,304$
12 23,652$
$0
Food Service manager /Supervisor/ 50% 5,837$ 12 35,022$ 35,022$ Site manager at Tuttle site/ Social
Services Coordinator/ Sylvia 100% 5,738$ 12 68,856$ $0
Food Service Aid// McCambridge/ Luis
Angel 50% 3,942$
Principal Clerk/ Angela 50% 6,915$ 12 41,490$ 41,490$ $041,490$ 35,022$ $0
(1)
CASH
(F+G+H+I) (E - J)
Site manager at Joslyn site/ Social
Services Coordinator/ Ruby 100% 5,738$ 68,856$
$068,856$ 68,856$
12 68,856$ 68,856$

CONGREGATE MEAL SERVICES
2024-2025
Net County Cost and Older Americans Act Title III C-1
(A)
POSITION TITLE (1)
(B)
% OF TIME
ON

PROGRAM
(2)
(C)

MONTHLY
SALARY
(D)
NO. OF
MONTHS
(E)

TOTAL COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
AMOUNT
(K)

VARIANCE
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(B*C*D) (1)

CASH OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
Work trainee/ Joslyn 100% 3,316$ 12 39,792$
19,896$
I. BUDGET DETAIL - PERSONNEL
DIRECT
Project Manager/Social Service
Supervisor- Nutrition 50% 9,210$ 12 55,260$ $055,260$ 55,260$ Site manager / Social Services
Coordinator McCambridge/ Sandra 20% 5,738$ 12 13,771$ 13,771$ 39,792$ 39,792$
19,896$
$0
Work trainee - Mc and HDM 50% 3,316$ 12
11,280$ $0
Work trainee/ - Mc and HDM 50% 3,316$ 12 19,896$ 19,896$ $019,896$ Recreation Leader 20% 4,700$ 12 11,280$
Five
ENP242501
Three Modification Number: N/A
19,896$ $0
$0
13,771$ $0
11,280$
City of Burbank
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 2 (1)
CASH
(F+G+H+I) (E - J)
(A)
POSITION TITLE (1)
(B)
% OF TIME
ON

PROGRAM
(2)
(C)

MONTHLY
SALARY
(D)
NO. OF
MONTHS
(E)

TOTAL COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
AMOUNT
(K)

VARIANCE
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(B*C*D) (1)

CASH OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
I. BUDGET DETAIL - PERSONNEL
500,676$ $0
-$ -$ -$ 708,206$ $0 [Complete as
needed]
[Complete as
needed]
[Complete as
needed] -$

INDIRECT
(4) (4) (4) 200,270$ $0
TOTAL DIRECT PERSONNEL 708,206$ 506,107$ 202,099$ 200,270$ (4)
(5): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column F (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval). 708,206$ $0
NOTE:
(1): Enter the title of each position. List all mandatory staffing positions noted in Exhibit A (Statement of Work and Attachments). If a mandatory position is performed by staff under a different position/payroll title then list both the position title noted in Exhibit A (Statement of Work and Attachments) and the payroll title (e.g., Project Director/Recreation Director). (3): Enter the amount of funding that Subrecipient will use to fund any portion of the total cost for taxes. (4): Enter the amount of funding that Subrecipient will use to fund any portion of the total cost for benefits.

GRAND TOTAL
GRAND TOTAL PERSONNEL 708,206$ 506,107$ 202,099$ -$ -$ -$ -$ (2): If an individual's time is allocated to multiple Program Services, that individual's time shall not exceed 100% when his/her time is totaled for Congregate Meal Services, Home-Delivered Meal Services, and Telephone Reassurance Services.
200,270$ (4)
Do indirect costs exceed the ten percent (10%) maximum? Indirect Costs (Personnel)
[Complete as
needed] (5)
[Complete as
needed]
[Complete as
needed]
Taxes 1.45% 7,260$ 5,431$ 1,829$ SUBTOTAL DIRECT PERSONNEL 500,676$ 500,676$ -$ -$ (3) (3) (3) (3) 7,260$ $0
-$ -$ -$
[Enter title]
-$
Benefits 40.00%
3,457$ 8,297$ 12 8,297$
[Enter title]
[Enter title]
[Enter title]
[Enter title]
[Enter title]
[Enter title]
Facility attendant
[Enter title]
$08,297$ 20%
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 3 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

NOTE:
(2): When using volunteer services as an in-kind match to meet the minimum required match, this in-kind match shall not exceed more than fifty percent (50%) of the minimum required match. For example, if volunteer services total $2,000 and the minimum required match is $1,500 then a maximum of $750 of volunteer services will count toward meeting the minimum required match. Additionally, Contractor does not have to change the amount of volunteer services reflected as in-kind match since only a portion of it may be counted toward meeting the minimum required match. Using the previous example, Contractor may reflect $2,000 (as opposed to $750) as in-kind match for volunteer services but only $750 of this amount will be counted toward meeting the minimum required match.

GRAND TOTAL
GRAND TOTAL VOLUNTEERS -$ -$ -$ -$ $0 (1): If an individual's time is allocated to multiple Program Services, that individual's time shall not exceed 100% when his/her time is totaled for Congregate Meal Services, Home- Delivered Meal Services, and Telephone Reassurance Services.

INDIRECT
Indirect Costs (Volunteers)
[Complete
as needed]
[Complete as
needed]
[Complete as
needed]
TOTAL DIRECT VOLUNTEERS -$ -$ -$ -$ $0 [Enter title]
[Enter title]
[Enter title]
[Enter title]
[Enter title]
[Enter title]
[Enter title]
(G)
MATCH (2)
(H)

NON-MATCH
DIRECT
City of Burbank
[Enter title]
[Enter title]

CONGREGATE MEAL SERVICES
Three Modification Number:
2024-2025
(B*C*D*E) (1)

IN-KIND
(1)

IN-KIND
(G + H) (F - I)
II. BUDGET DETAIL - VOLUNTEERS
(A)

POSITION TITLE
(B)
NUMBER
OF

POSITIONS
(C)
% OF TIME

ON PROGRAM
(1)
(D)

MONTHLY
SALARY

EQUIVALENT
(E)
NO. OF
MONTHS
(F)
TOTAL
SALARY

EQUIVALENT
SF (I)
TOTAL

IN-KIND
Net County Cost and Older Americans Act Title III C-1
Five
ENP242501
N/A
(J)

VARIANCE
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 4 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
(1) From January 1, 2024 - December 31, 2024, County’s approved mileage rate is $0.63 per mile. Effective January 1, 2025, County's approved mileage rate is $0.66 per mile and State's mileage rate is available online at:
http://www.calhr.ca.gov/employees/Pages/travel-personal-vehicle.aspx. Reimbursement for mileage shall not exceed the lesser of County's rate and State's rate. (2): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column F (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval). -$ -$ -$ -$ $0
NOTE:

Do indirect costs exceed the ten percent (10%) maximum?

GRAND TOTAL

GRAND TOTAL VOLUNTEER
EXPENSES -$ -$ -$ -$
[Complete as
needed]
[Complete as
needed]
[Complete as
needed]
[Complete as
needed]
[Complete as
needed] Indirect Costs (Volunteer Expenses) (2)
-$ -$ -$ -$ $0

INDIRECT

TOTAL DIRECT VOLUNTEER
EXPENSES -$ -$ -$ -$
[Enter description of other expenses]
[Enter description of other expenses]
[Enter description of other expenses]
[Enter description of other expenses]
[Enter description of other expenses]
[Enter description of other expenses]
DIRECT
Training
Mileage (Cost/Mile) (1)
(A)

DESCRIPTION
(B)

UNIT COST
(C)

NUMBER OF
UNITS
(D)
NO. OF
MONTHS
(E)

TOTAL COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
(K)

VARIANCE
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(B*C*D) (1)

CASH OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(1)
CASH
(F+G+H+I) (E - J)
ENP242501
Three Modification Number: N/A
City of Burbank
III. BUDGET DETAIL - VOLUNTEER EXPENSES

CONGREGATE MEAL SERVICES
2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 5 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

IV. BUDGET DETAIL - SUBAWARD(S)/SUBCONTRACT(S) FOR CATERED FOOD (A)

LOWER TIER

SUBRECIPIENT'S/SUBCONTRACTOR(S)
NAME (1)
(C)

UNIT COST
(D)
NO. OF
UNITS
(E)
NO. OF
MONTHS
(C*D*E) (F - K)
American Meals 6.17$ 200 14,808$ 14,808$ $012 (J)

PROGRAM
INCOME
(1)
CASH
(B)

SERVICE CATEGORY
(G)
SSY1
SF(F)

TOTAL COSTS
(K)

TOTAL FUNDING
(L)

VARIANCE
49,141$ 104,870$
[Complete as
needed]
380,862$ -$ 204,480$ 104,870$ -$ -$ 49,141$ -$ -$ -$

INDIRECT
380,862$ 204,480$
(1): Use this Budget Detail to report Lower Tier Subaward(s)/Subcontract(s) with caterers by entering the name of the caterer. The information provided herein must be included in Exhibit T (List of Lower Tier Subawards). Subrecipient shall obtain prior written approval from County before executing Subaward(s).
(2): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column G (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval).

Do indirect costs exceed the ten percent (10%) maximum? Indirect Costs
(Lower Tier Subaward(s)/Subcontract(s) for Catered Food)

TOTAL DIRECT LOWER TIER
SUBAWARD(S)/SUBCONTRACT(S) FOR CATERED FOOD 22,371$

GRAND TOTAL LOWER TIER

SUBAWARD(S)/SUBCONTRACT(S) FOR CATERED FOOD
[Complete as
needed]
[Complete as
needed]
[Complete as
needed]
[Complete as
needed]

GRAND TOTAL
(2)
NOTE:
380,862$ $022,371$
380,862$ $0
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(2)
CASH
NSIP
(G+H+I+J)
(I)

NON-MATCH
(1)
CASH
OTHER
(H)
MATCH
Grab & Go C-1 Meals 6.17$
Select Description
[Enter caterer's name] Select Description
[Enter caterer's name]
[Enter caterer's name]
Select Description
4,944 12 366,054$ 99,724$

CONGREGATE MEAL SERVICES
Trio Community Food
22,371$ 366,054$ $0
[Enter caterer's name] Select Description
Tro Community Food
[Enter caterer's name] Select Description
5,146$
197,421$ 46,538$
7,059$ 2,603$
DIRECT
2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
ENP242501
Three Modification Number: N/A
City of Burbank
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 6 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

NOTE:
(1): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column F (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval).

INDIRECT

GRAND TOTAL
Indirect Costs (Raw Food)
$0GRAND TOTAL RAW FOOD 3,180$ -$ 372$ 2,808$ -$ -$ -$ -$ 3,180$ [Complete as
needed]
Do indirect costs exceed the ten percent (10%) maximum? DIRECT
American Meals 6.16$ 43 12 3,180$
[Complete as
needed]
[Complete as
needed]
3,180$ -$ 372$ 2,808$ -$ -$ -$ [Complete
as needed] (1)
-$ 3,180$ $0
[Complete
as needed]

CONGREGATE MEAL SERVICES
Ethnic Meals (Cambodian)
3,180$ $0372$ 2,808$
(2)

IN-KIND
(1)
CASH
(F+G+H+I) (E - J)
V. BUDGET DETAIL - RAW FOOD
(A)

SERVICE CATEGORY
(B)

UNIT COST
(C)
NO. OF
UNITS
(D)
NO. OF
MONTHS
(2)

IN-KIND
(1)
CASH
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(E)

TOTAL COSTS
SF(F)
SSY1
(J)

TOTAL FUNDING
(K)

VARIANCE
(B*C*D) (1)
CASH
OTHER
(2)
CASH
NSIP
(1)
CASH

TOTAL DIRECT RAW FOOD
Ethnic Meals (Indian/Vegetarian)
Ethnic Meals (Chinese)
Ethnic Meals (Kosher)
Grab and Go C-1 Meals
2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
ENP242501
Three Modification Number: N/A
City of Burbank
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 7 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
[Enter name and description]
[Enter name and description]
(1): Please submit supporting documentation with this Budget for any unit cost, which exceeds $2.00 per square foot, that will be supported by the SSY1. (2): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column F (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval). -$ -$ -$ -$ $0
NOTE:

Do indirect costs exceed the ten percent (10%) maximum?

GRAND TOTAL
GRAND TOTAL SPACE -$ -$ -$ -$ [Complete
as needed]
[Complete
as needed]
[Complete
as needed]
[Complete
as needed]
[Complete
as needed] Indirect Costs (Space) (2)
-$ -$ -$ -$ $0

INDIRECT
TOTAL DIRECT SPACE -$ -$ -$ -$ [Enter name and description]
[Enter name and description]
[Enter name and description]
[Enter name and description]
[Enter name and description]
[Enter name and description]
DIRECT
(A)

NAME OF LOCATION AND DESCRIPTION
(B)

UNIT COST
(1)
(C)
NO. OF
UNITS
(D)
NO. OF
MONTHS
(E)
TOTAL
COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
(K)

VARIANCE
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(B*C*D) (1)
CASH
OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(1)
CASH
(F+G+H+I) (E - J)
Three Modification Number: N/A
City of Burbank
VI. BUDGET DETAIL - SPACE

CONGREGATE MEAL SERVICES
2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
ENP242501
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 8 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

NOTE:
-$ $0

GRAND TOTAL
TOTAL DIRECT EQUIPMENT -$ -$ -$ -$ -$ -$ -$ [Enter description] Select
[Enter description] Select
[Enter description] Select
[Enter description] Select
[Enter description] Select
Select

CONGREGATE MEAL SERVICES
(A)
DESCRIPTION (1)
(B)

EQUIPMENT
TYPE
(2) or (3)
(C)

UNIT COST
(D)
NO. OF
UNITS
(E)

TOTAL COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(C*D) (1)
CASH
OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(1)
CASH
(F+G+H+I)
(1) County's approval of Subrecipient's Budget does not constitute approval for Subrecipient to purchase the Equipment/Asset. Prior approval is needed for all computing devices, regardless of cost (including but not limited to, workstations, servers, laptops, personal digital assistants, notebook computers, tablets, smartphones and cellphones) as well as all portable electronic storage media, regardless of cost (including but not limited to, thumb/flash drives and portable hard drives), and/or when Subrecipient will use $500 or more of the SSY1 to purchase the Equipment/Asset.

Subrecipient shall obtain prior written approval from County at least thirty (30) days in advance of the date/time that Subrecipient intends to purchase the Equipment using CSY2 and no later than March 31st of the Fiscal Year.

Equipment must be ordered or purchased no later than May 31st of the Fiscal Year.

Subrecipient must submit a minimum of three (3) bids when requesting approval for Equipment that is $500 or more.

Subrecipient must ensure that the description and amount of the Equipment purchase(s) on the Budget are the same as the actual item(s) purchased.

The Grand Total Equipment purchase amount reflected under column (F) CSY2 shall match the total equipment amount reflected in the Mandated Program Services, Section I (Service Unit Summary). (2) Purchase includes any equipment that Subrecipient intends to purchase. Subreciept shall report this using any combination of SSY1, Match Cash, and Non-match Cash. (3) Other includes any equipment (except for leased equipment) which is not purchased by Subrecipient (e.g. donated items). Subrecipient shall report this using any combination of Match In-kind and/or Non-match In-kind. 2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
ENP242501
Three Modification Number: N/A
City of Burbank
VII. BUDGET DETAIL - EQUIPMENT
(K)

VARIANCE
(E - J)
DIRECT
[Enter description] Select
[Enter description]
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 9 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
(4) From January 1, 2024 - December 31, 2024, County’s approved mileage rate is $0.63 per mile. Effective January 1, 2025, County's approved mileage rate is $0.66 per mile and State's mileage rate is available online at:
http://www.calhr.ca.gov/employees/Pages/travel-personal-vehicle.aspx. Reimbursement for mileage shall not exceed the lesser of County's rate and State's rate. (5): Subrecipient shall obtain prior written approval from County if utilizing SSY1 for Travel (Other). (6): Subrecipient shall contact their assigned Contract Analyst if there is a cost(s) that Subrecipient would like to add that is not included in the drop down list. Subrecipient shall provide detailed explanation of the cost to County (7): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column F (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval). (6)
[Complete
as needed]
[Complete
as needed]
[Complete
as needed]
[Complete as
needed] Indirect Costs (Other Costs)
NOTE:
(6)
(6)
(6)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
(1): Allowable costs are identified in accordance with Title 2 Code of Federal Regulations (CFR) Part 200 and Title 45 Code of Federal Regulations (CFR) Part 75. (2): Subrecipient shall obtain prior written approval from County if utilizing SSY1 for Conferences. (3): Subrecipient shall provide the following information to your assigned Contract Analyst: (a) Kind of equipment, (b) Indicate whether the equipment lease is program specific or a shared cost, (c) If a shared cost, provide the cost distribution methodology for County review and (d) Length of the lease. -$ -$ 22,629$ 63,657$ $0
Do indirect costs exceed the ten percent (10%) maximum?

GRAND TOTAL
GRAND TOTAL OTHER COSTS 63,657$ -$ 41,028$ -$ [Complete
as needed] (7)
-$ -$ 22,629$ 63,657$ $0

INDIRECT
TOTAL DIRECT OTHER COSTS 63,657$ -$ 41,028$ -$ Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
4,000$ 4,000$ $0
Select Description (2) (3) (4) (5)
1 1 125$
Maintenance and Repairs (2 CFR 200.452 & 45 CFR

75.452) 1,000.00$ 1 4 4,000$
Maintenance and Repairs (2 CFR 200.452 & 45 CFR

75.452) 292.00$ 1 12 3,504$
Training and Education (2 CFR 200.472 & 45 CFR 75.472) 125.00$ $03,504$ 3,504$
125$ 125$ $0
15,000$ 56,028$ $0
DIRECT
Materials and Supplies (2 CFR 200.453 & 45 CFR 75.453) 4,669.00$ 1 12 56,028$ 41,028$ (A)
DESCRIPTION (1)
(B)

UNIT COST
(C)
NO. OF
UNITS
(D)
NO. OF
MONTHS
(E)

TOTAL COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
(K)

VARIANCE
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(B*C*D) (1)
CASH
OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(1)
CASH
(F+G+H+I) (E - J)
Five
ENP242501
Three Modification Number: N/A
City of Burbank
VIII. BUDGET DETAIL - OTHER COSTS

CONGREGATE MEAL SERVICES
2024-2025
Net County Cost and Older Americans Act Title III C-1
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 10 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
2 CONGREGATE MEAL SERVICES
2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
ENP242501
Three Modification Number: N/A
City of Burbank
IX. BUDGET SUMMARY
(A)

COST CATEGORIES
(B)
COSTS (1)
(C)

FUNDING CATEGORIES
(D)
FUNDING (1)
(1)
Total Budgeted
Costs
Cash NSIP
(SSY1) 49,513$
(1)
Total Budgeted
Costs
DIRECT
1 Personnel
Cash Other
(SSY1) 506,107$
1 SSY1
Cash Other
(SSY1) 710,587$
Volunteers In-Kind (SF)
-$
3 Volunteer Expenses
Cash (SF)
202,099$
In-Kind (SF)
-$
Cash (SF)
-$
In-Kind (SF)
-$
2 Subtotal 760,100$
4 Lower Tier Subaward(s)/Subcontract(s) for
Catered Food
Cash Other
(SSY1) 204,480$
Cash NSIP
(SSY1) 49,141$
Cash (SF)
127,241$
Match
In-Kind (SF)
-$
Cash (SF) 350,805$
-$ In-Kind (SF)
Cash Other
(SSY1) -$
5 Raw Food
Cash Other
(SSY1) -$
3 Non-Match
6 Space
Cash Other
(SSY1) -$
In-Kind (SF) -$ Cash (SF)
-$
In-Kind (SF)
-$
Cash (SF) -$
Cash NSIP
(SSY1) 372$
Cash (SF)
2,808$
In-Kind (SF)
-$
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 11 IX. BUDGET SUMMARY
(A)

COST CATEGORIES
(B)
COSTS (1)
(C)

FUNDING CATEGORIES
(D)
FUNDING (1)
(1)
Total Budgeted
Costs
(1)
Total Budgeted
Costs
11 7 Equipment
Cash Other
(SSY1) -$
4 Program Income
8 Other Costs
In-Kind (SF)
-$
Cash (SF) 45,000$
Cash (SF)
-$
In-Kind (SF)
-$
Cash Other
(SSY1) -$
Cash (SF)
63,657$
Cash Other
(SSY1) 710,587$
Cash NSIP
(SSY1) 49,513$
Cash NSIP
(SSY1) 49,513$ 9 Subtotal Direct Costs
Cash Other
(SSY1) 710,587$
5 Subtotal Funding for
Direct Costs
Cash (SF)
395,805$
Variance (Costs-Funding)
Cash
In-Kind

INDIRECT
Cash (SF)
395,805$
In-Kind (SF)
-$
In-Kind (SF)
-$
10 Personnel
Cash Other
(SSY1) -$
6 SSY1Volunteers
12 Volunteer Expenses Cash (SF)
Match
-$
In-Kind (SF)
-$
Cash Other
(SSY1) -$
Cash (SF)
-$
In-Kind (SF)
-$
In-Kind (SF)
-$
Cash Other
(SSY1) -$
In-Kind (SF) -$
Cash (SF) -$
13 Lower Tier Subaward(s)/Subcontract(s) for
Catered Food
Cash Other
(SSY1) -$
Cash (SF)
-$
In-Kind (SF)
-$
7 Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 12 IX. BUDGET SUMMARY
(A)

COST CATEGORIES
(B)
COSTS (1)
(C)

FUNDING CATEGORIES
(D)
FUNDING (1)
(1)
Total Budgeted
Costs
(1)
Total Budgeted
Costs
21 12
14 Raw Food
Cash Other
(SSY1) -$
8 Non-Match
15 Space
Cash Other
(SSY1) -$
In-Kind (SF) -$ Cash (SF)
-$
In-Kind (SF)
-$
Cash (SF) -$ Cash (SF)
-$
In-Kind (SF)
-$
Cash (SF) -$ Cash (SF)
-$
In-Kind (SF)
-$
16 Other Costs
Cash Other
(SSY1) -$
9 Program Income
Cash Other
(SSY1) -$
Cash (SF)
-$
Cash (SF)
-$
17 Subtotal Indirect Costs
Cash Other
(SSY1) -$
10 Subtotal Funding for
Indirect Costs
In-Kind (SF)
-$
Subrecipeint meets minimum match requirement. Match Met NOTE:
(1): Costs and Funding shall match.

In-Kind (SF)
-$
In-Kind (SF)
-$

GRAND TOTAL COSTS
1,155,905$

GRAND TOTAL FUNDING
1,155,905$
20 Total Costs
Cash Other
(SSY1) 710,587$
11 Total Funding
Cash Other
(SSY1) 710,587$
Cash NSIP
(SSY1)
Variance (Costs-Funding) $0
49,513$
Cash NSIP
(SSY1) 49,513$
Cash (SF)
395,805$
Cash (SF)
395,805$

GRAND TOTAL
In-Kind (SF)
-$
Variance (Costs-Funding)
Cash
In-Kind
Exhibit B1 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 13 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:
(4) Funding Amount for Equipment (Purchase(s)) reflected under SSY1 and SF shall match the Equipment (Purchase(s)) Funding Amount reflected in Exhibit C2 (Mandated Program Services), Section I (Units of Service Summary). (1)
SSY1

14.75$ 420,968$
(2)

IN-KIND
(1)
CASH
(5) Funding Amount for Equipment (Other) reflected as SF shall match the Equipment (Other) Funding Amount reflected in Exhibit C2 (Mandated Program Services), Section I (Units of Service Summary). (6) Grand Total Funding Amount under Column (F) Total Funding Amount shall match Grand Total Funding Amount reflected in Exhibit C2 (Mandated Program Services), Section I (Units of Service Summary), Column (E) Funding Amount.
-$
-$ -$

COUNTY USE ONLY
Assigned Program Analyst:

Assigned Contract Analyst:

Jorge Pena Equipment Purchase(s) Approved by: N/A
Lynn Tran
NOTE:
-$
Grand Total (6) 48,713$ 416,549$ 23,951$
Equipment (Purchases) (4)
(2) The SF for each Service Category shall match the SF reflected in Exhibit C2 (Mandated Program Services), Section I (Units of Service Summary) for each Service Category.

Date: 4/16/2025 Lynn Tran Budget Reviewed and Approved by:

Equipment (Other) (5)
453,436$
(3) The minimum required total mach is twelve percent (12%) of SSY1. 942,649$
(1) The SSY1 for each Service Category shall match the SSY1 Cash Other reflected in Exhibit C2 (Mandated Program Services), Section I (Units of Service Summary) for each Service Category.

Emergency Meals 7,113$
Phone Number
763,852$
(F)
TOTAL

FUNDING
(B+C+D+E)

13.75$
E-Mail AddressExt.Prefix
7,297$
SUBRECIPIENT'S FUNDS (SF) (2)
(C)
MATCH (3)
Hot Meals

PROGRAM FUNDING SUMMARY

35.61$
(A)

SERVICE CATEGORY
Project Manager
Angela O'Connor Principal Accountant
(1)
CASH
30,000$
Main Administrative Office Address
Burbank
ALL COSTS REPORTED ON THIS BUDGET SHALL BE ALLOWABLE, NECESSARY, AND REASONABLE FOR THE PROGRAM SERVICES TO BE PROVIDED.

City
Same as above Burbank
[Enter]
[Enter]
Ext. E-Mail Address
Social Services Supervisor- Nutrition
[email protected]
Prefix
Erin Barrows
Authorized Representative
Recreation Service Manager
Job Title
Ms.
[email protected](818) 238 5358Roxana TabibiMs.

EXHIBIT B2 (BUDGET)
AMENDMENT 3 {FY 2024-25 ADDITIONAL BASELINE AND OTO FUNDING} CA 91506
Zip CodeState
State
CA 91506

HOME DELIVERED MEAL SERVICES
2024-2025
City of Burbank
ENP242501
Subrecipient's Legal Name:
1301 West Olive Avenue
Net County Cost and Older Americans Act Title III C-2
Five
Mailing Address (if different from above) City Zip Code Three Modification Number: N/A
(2)

IN-KIND
Job Title
16,203$
Prefix Budget Analyst Job Title
[Select]
Frozen Meals
-$
(818) 238 5402
Phone Number
(G)

UNIT RATE

16.09$
(3)
TOTAL

FUNDING

22.18$ 326$ 2,286$
(B)

SUBAWARD SUM
YEAR 1
(SSY1) (1)
(1)
CASH
OTHER
(2)
CASH
NSIP
287,647$
(1)
CASH
120,070$
(818) 238 5490 [Enter] [email protected]
Phone Number Ext. E-Mail Address
(2)
SF

16.21$ 5.97$ 10,180$

2.34$
455$
(D)

NON-MATCH
(E)

PROGRAM
INCOME

20.86$
8,506$ 165,873$

12.21$ 6.20$
39,034$

18.41$ Grab and Go C-2 Meals 1,719$ 125$ 182$ 718$ 2,744$ Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
$046,304$ 1,000$ 47,304$
47,304$ 46,304$
46,304$ 1,000$ 47,304$
Food Service Aide- Driver/ Diane 100% 3,942$ 1,000$ Food Service Aide- Driver/ Jonathan 100% 3,942$ 12 47,304$ 3,316$
Food Service Supervisor/ site manager 50% 5,837$ 12 35,022$ 34,022$ Social Service Coordinator/ Case
Worker 97% 5,738$ 12 66,790$ 66,290$
(A)
POSITION TITLE (1)
(B)
% OF TIME
ON

PROGRAM
(2)
(C)

MONTHLY
SALARY
(D)
NO. OF
MONTHS
(E)

TOTAL COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
AMOUNT
(K)

VARIANCE
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(B*C*D) (1)

CASH OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(1)
CASH
(F+G+H+I) (E - J)
55,260$
$019,896$ 7,416$ 19,896$ 12 Home Delivered Meal Services
2024-2025
Net County Cost and Older Americans Act Title III C-2
1,000$ 35,022$ $0
$0500$ 66,790$
12 47,304$ $0
I. BUDGET DETAIL - PERSONNEL
DIRECT
12,480$
Program Manager/ Social Service
Supervisor- Nutrtion 50% 9,210$ 12 55,260$ 54,260$ $01,000$ Food Service Aide- Driver/ Angela F. 100% 3,942$ 12 47,304$ Food Service Aid// McCambridge/ Luis
Angel 50% 3,942$ 12 23,652$
Principal Clek r/Aangla 50% 6,915$ 12 41,490$
8,297$
Work Trainee/ Driver vacant 100% 3,316$ 12 39,792$ 38,792$ 41,490$ $0
Facility Attendant 20% 3,457$ 12
23,652$ $0
Recreation Leader 20% 4,700$ 12 11,280$
28,423$ 13,067$
8,297$
[Enter title]
11,280$ $0
Work trainee/ vacant MC and HDm 50% 3,316$ 12 19,896$ 17,896$ 2,000$ 19,896$ $0 11,280$
Work trainee/ vacant MC and HDm
[Enter title]
Five
ENP242501
Three Modification Number: N/A
8,297$ $0
$0
1,000$ 39,792$ $0
23,652$
50%
City of Burbank
Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 2 (A)
POSITION TITLE (1)
(B)
% OF TIME
ON

PROGRAM
(2)
(C)

MONTHLY
SALARY
(D)
NO. OF
MONTHS
(E)

TOTAL COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
AMOUNT
(K)

VARIANCE
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(B*C*D) (1)

CASH OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(1)
CASH
(F+G+H+I) (E - J)
I. BUDGET DETAIL - PERSONNEL
(2): If an individual's time is allocated to multiple Program Services, that individual's time shall not exceed 100% when his/her time is totaled for Congregate Meal Services, Home-Delivered Meal Services, and Telephone Reassurance Services.
[Complete
as needed]
[Complete
as needed]
[Complete
as needed] -$
Do indirect costs exceed the ten percent (10%) maximum? (5): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column F (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval). 655,320$ $0
NOTE:
(1): Enter the title of each position. List all mandatory staffing positions noted in Exhibit A (Statement of Work and Attachments). If a mandatory position is performed by staff under a different position/payroll title then list both the position title noted in Exhibit A (Statement of Work and Attachments) and the payroll title (e.g., Project Director/Recreation Director). (3): Enter the amount of funding that Subrecipient will use to fund any portion of the total cost for taxes. (4): Enter the amount of funding that Subrecipient will use to fund any portion of the total cost for benefits.

GRAND TOTAL
GRAND TOTAL PERSONNEL 655,320$ 258,481$ 380,923$ -$ -$ -$ 15,916$ Indirect Costs (Personnel)
[Complete as
needed] (5)
[Complete
as needed]
[Complete as
needed]
463,287$ $0
-$ -$ 15,916$ 655,320$ $0

INDIRECT
(4) (4) (4) 185,315$ $0
TOTAL DIRECT PERSONNEL 655,320$ 258,481$ 380,923$ -$ Benefits 40.00% 185,315$ (4) 185,315$ (4) Taxes 1.45% 6,718$ 1,881$ 4,837$ SUBTOTAL DIRECT PERSONNEL 463,287$ 256,600$ 190,771$ -$ (3) (3) (3) (3) 6,718$ $0
-$ -$ 15,916$
[Enter title]
[Enter title]
[Enter title]
[Enter title]
[Enter title]
Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 3 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

NOTE:
(2): When using volunteer services as an in-kind match to meet the minimum required match, this in-kind match shall not exceed more than fifty percent (50%) of the minimum required match. For example, if volunteer services total $2,000 and the minimum required match is $1,500 then a maximum of $750 of volunteer services will count toward meeting the minimum required match. Additionally, Contractor does not have to change the amount of volunteer services reflected as in-kind match since only a portion of it may be counted toward meeting the minimum required match. Using the previous example, Contractor may reflect $2,000 (as opposed to $750) as in-kind match for volunteer services but only $750 of this amount will be counted toward meeting the minimum required match.

GRAND TOTAL
GRAND TOTAL VOLUNTEERS -$ -$ -$ -$ $0 (1): If an individual's time is allocated to multiple Program Services, that individual's time shall not exceed 100% when his/her time is totaled for Congregate Meal Services, Home- Delivered Meal Services, and Telephone Reassurance Services.

INDIRECT
Indirect Costs (Volunteers)
[Complete
as needed]
[Complete as
needed]
[Complete as
needed]
TOTAL DIRECT VOLUNTEERS -$ -$ -$ -$ $0 [Enter title]
[Enter title]
[Enter title]
[Enter title]
[Enter title]
[Enter title]
[Enter title]
(G)
MATCH (2)
(H)

NON-MATCH
DIRECT
City of Burbank
[Enter title]
[Enter title]
Home Delivered Meal Services
Three Modification Number:
2024-2025
(B*C*D*E) (1)

IN-KIND
(1)

IN-KIND
(G + H) (F - I)
II. BUDGET DETAIL - VOLUNTEERS
(A)

POSITION TITLE
(B)
NUMBER
OF

POSITIONS
(C)
% OF TIME

ON PROGRAM
(1)
(D)

MONTHLY
SALARY

EQUIVALENT
(E)
NO. OF
MONTHS
(F)
TOTAL
SALARY

EQUIVALENT
SF (I)
TOTAL

IN-KIND
Net County Cost and Older Americans Act Title III C-2
Five
ENP242501
N/A
(J)

VARIANCE
Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 4 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
(1) From January 1, 2024 - December 31, 2024, County’s approved mileage rate is $0.63 per mile. Effective January 1, 2025, County's approved mileage rate is $0.66 per mile and State's mileage rate is available online at: http://www.calhr.ca.gov/employees/Pages/travel-personal-vehicle.aspx. Reimbursement for mileage shall not exceed the lesser of County's rate and State's rate. (2): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column F (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval). -$ -$ -$ -$ $0 NOTE:

Do indirect costs exceed the ten percent (10%) maximum?

GRAND TOTAL

GRAND TOTAL VOLUNTEER
EXPENSES -$ -$ -$ -$
[Complete as
needed]
[Complete as
needed]
[Complete as
needed]
[Complete as
needed]
[Complete as
needed] Indirect Costs (Volunteer Expenses) (2)
-$ -$ -$ -$ $0

INDIRECT

TOTAL DIRECT VOLUNTEER
EXPENSES -$ -$ -$ -$
[Enter description of other expenses]
[Enter description of other expenses]
[Enter description of other expenses]
[Enter description of other expenses]
[Enter description of other expenses]
[Enter description of other expenses]
DIRECT
Training
Mileage (Cost/Mile) (1)
(A)

DESCRIPTION
(B)

UNIT COST
(C)

NUMBER OF
UNITS
(D)
NO. OF
MONTHS
(E)

TOTAL COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
(K)

VARIANCE
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(B*C*D) (1)

CASH OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(1)
CASH
(F+G+H+I) (E - J)
ENP242501
Three Modification Number: N/A
City of Burbank
III. BUDGET DETAIL - VOLUNTEER EXPENSES
Home Delivered Meal Services
2024-2025
Net County Cost and Older Americans Act Title III C-2
Five
Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 5 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

IV. BUDGET DETAIL - LOWER TIER SUBAWARDS/SUBCONTRACTS FOR CATERED FOOD (A)

LOWER TIER

SUBRECIPIENT'S/SUBCONTRACTS
NAME (1)
(C)

UNIT COST
(D)
NO. OF
UNITS
(E)
NO. OF
MONTHS
(C*D*E) (F - K)
Hot Meals 6.17$ 1,040 77,002$ 2,529$ 77,002$ $012 (J)

PROGRAM
INCOME
(1)
CASH
(B)

SERVICE CATEGORY
(G)
SSY1
SF(F)

TOTAL COSTS
(K)

TOTAL FUNDING
(L)

VARIANCE
-$ -$
[Complete as
needed]
77,002$ -$ 74,473$ -$ -$ -$ -$ -$ -$ -$

INDIRECT
77,002$ 74,473$
(1): Use this Budget Detail to report Lower Tier Subaward/Subcontract with caterers by entering the name of the caterer. The information provided herein shall be included in Exhibit T (List of Lower Tier Subawards). Subrecipient shall obtain prior written approval from County before executing Lower Tier Subaward(s). (2): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column G (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval).

Do indirect costs exceed the ten percent (10%) maximum? Indirect Costs
(Lower Tier Subawards/Subcontracts for Catered Food)

TOTAL DIRECT LOWER TIER

SUBAWARD(S)/SUBCONTRACT(S) FOR CATERED
FOOD 2,529$

GRAND TOTAL SUBRECIPENTS FOR CATERED FOOD
[Complete as
needed]
[Complete as
needed]
[Complete as
needed]
[Complete as
needed]

GRAND TOTAL
(2)
NOTE:
77,002$ $02,529$
77,002$ $0
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(2)
CASH
NSIP
(G+H+I+J)
(I)

NON-MATCH
(1)
CASH
OTHER
(H)
MATCH
Select Description
Select Description
[Enter caterer's name] Select Description
[Enter caterer's name]
[Enter caterer's name]
Select Description
Home Delivered Meal Services
Trio Community food
[Enter caterer's name] Select Description
Trio Community food
[Enter caterer's name] Select Description
74,473$
DIRECT
2024-2025
Net County Cost and Older Americans Act Title III C-2
Five
ENP242501
Three Modification Number: N/A
City of Burbank
Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 6 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

NOTE:
(1): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column F (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval).

INDIRECT

GRAND TOTAL
Indirect Costs (Raw Food)
$0GRAND TOTAL RAW FOOD 180,059$ 83,595$ 23,951$ 72,513$ -$ -$ -$ -$ 180,059$ [Complete as
needed] (1)
[Complete
as needed]
Do indirect costs exceed the ten percent (10%) maximum? DIRECT
Hot Meals 9.25$ 275 12 30,525$
[Complete as
needed]
[Complete as
needed]
180,059$ 83,595$ 23,951$ 72,513$ -$ -$ -$ [Complete
as needed]
-$ 180,059$ $0
Home Delivered Meal Services
(2)

IN-KIND
(1)
CASH
(F+G+H+I) (E - J)
V. BUDGET DETAIL - RAW FOOD
(A)

SERVICE CATEGORY
(B)

UNIT COST
(C)
NO. OF
UNITS
(D)
NO. OF
MONTHS
(2)

IN-KIND
(1)
CASH
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(E)

TOTAL COSTS
12 138,765$ 77,240$ 8,737$ 52,788$ (2)
CASH
NSIP
(1)
CASH
2,421$ $0
14,781$ 14,254$
8,348$ $0

TOTAL DIRECT RAW FOOD
160$ Grab and Go C-2 Meals 12.21$ 17 12 2,421$ 2,154$ 107$ Frozen Meals 13.75$ 841
30,525$ $0
2024-2025
Net County Cost and Older Americans Act Title III C-2
Five
ENP242501
Three Modification Number: N/A
City of Burbank
1,490$
138,765$ $0
SF(F)
SSY1
(J)

TOTAL FUNDING
(K)

VARIANCE
(B*C*D) (1)
CASH
OTHER
Emergency Meals 16.21$ 515 1 8,348$ 2,711$ 326$ 5,311$ Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 7 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
[Enter name and description]
[Enter name and description]
(1): Please submit supporting documentation with this Budget for any unit cost, which exceeds $2.00 per square foot, that will be supported by the SSY1. (2): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column F (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval). -$ -$ -$ -$ $0
NOTE:

Do indirect costs exceed the ten percent (10%) maximum?

GRAND TOTAL
GRAND TOTAL SPACE -$ -$ -$ -$ [Complete
as needed]
[Complete
as needed]
[Complete
as needed]
[Complete
as needed]
[Complete
as needed] Indirect Costs (Space) (2)
-$ -$ -$ -$ $0

INDIRECT
TOTAL DIRECT SPACE -$ -$ -$ -$ [Enter name and description]
[Enter name and description]
[Enter name and description]
[Enter name and description]
[Enter name and description]
[Enter name and description]
DIRECT
(A)

NAME OF LOCATION AND DESCRIPTION
(B)

UNIT COST
(1)
(C)
NO. OF
UNITS
(D)
NO. OF
MONTHS
(E)
TOTAL
COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
(K)

VARIANCE
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(B*C*D) (1)
CASH
OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(1)
CASH
(F+G+H+I) (E - J)
Three Modification Number: N/A
City of Burbank
VI. BUDGET DETAIL - SPACE
Home Delivered Meal Services
2024-2025
Net County Cost and Older Americans Act Title III C-2
Five
ENP242501
Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 8 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

NOTE:
-$ $0

GRAND TOTAL
TOTAL DIRECT EQUIPMENT -$ -$ -$ -$ -$ -$ -$ [Enter description] Select
[Enter description] Select
[Enter description] Select
[Enter description] Select
[Enter description] Select
Select
Home Delivered Meal Services
(A)
DESCRIPTION (1)
(B)

EQUIPMENT
TYPE
(2) or (3)
(C)

UNIT COST
(D)
NO. OF
UNITS
(E)

TOTAL COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(C*D) (1)
CASH
OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(1)
CASH
(F+G+H+I)
(1) County's approval of Subrecipient's Budget does not constitute approval for Subrecipient to purchase the Equipment/Asset. Prior approval is needed for all computing devices, regardless of cost (including but not limited to, workstations, servers, laptops, personal digital assistants, notebook computers, tablets, smartphones and cellphones) as well as all portable electronic storage media, regardless of cost (including but not limited to, thumb/flash drives and portable hard drives), and/or when Subrecipient will use $500 or more of the SSY1 to purchase the Equipment/Asset.

Subrecipient shall obtain prior written approval from County at least thirty (30) days in advance of the date/time that Subrecipient intends to purchase the Equipment using SSY1 and no later than March 31st of the Fiscal Year.

Equipment must be ordered or purchased no later than May 31st of the Fiscal Year.

Subrecipient must submit a minimum of three (3) bids when requesting approval for Equipment that is $500 or more.

Subrecipient must ensure that the description and amount of the Equipment purchase(s) on the Budget are the same as the actual item(s) purchased.

The Grand Total Equipment purchase amount reflected under column (F) SSY1 shall match the total equipment amount reflected in the Mandated Program Services, Section I (Service Unit Summary). (2) Purchase includes any equipment that Subrecipient intends to purchase. Subreciept shall report this using any combination of SSY1, Match Cash, and Non-match Cash. (3) Other includes any equipment (except for leased equipment) which is not purchased by Subrecipient (e.g. donated items). Subrecipient shall report this using any combination of Match In-kind and/or Non-match In-kind. 2024-2025
Net County Cost and Older Americans Act Title III C-2
Five
ENP242501
Three Modification Number: N/A
City of Burbank
VII. BUDGET DETAIL - EQUIPMENT
(K)

VARIANCE
(E - J)
DIRECT
[Enter description] Select
[Enter description]
Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 9 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
(4): From January 1, 2024 - December 31, 2024, County’s approved mileage rate is $0.63 per mile. Effective January 1, 2025, County's approved mileage rate is $0.66 per mile and State's mileage rate is available online at:
http://www.calhr.ca.gov/employees/Pages/travel-personal-vehicle.aspx. Reimbursement for mileage must not exceed the lesser of County's rate and State's rate. (5): Subrecipient shall obtain prior written approval from County if utilizing SSY1 for Travel (Other). (6): Subrecipient shall contact their assigned Contract Analyst if there is a cost(s) that Subrecipient would like to add that is not included in the drop down list. Subrecipient shall provide detailed explanation of the cost to County (7): The maximum reimbursable amount allowable for indirect costs is ten percent (10%) of Subrecipient's modified total direct cost reflected under Column F (SSY1 Cash Other). Indirect costs in excess of the ten percent (10%) maximum may be budgeted as a match in-kind contribution and used to meet the match requirement (subject to County's prior written approval). (6)
[Complete
as needed]
[Complete
as needed]
[Complete
as needed]
[Complete as
needed] Indirect Costs (Other Costs)
NOTE:
(6)
(6)
(6)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
(1): Allowable costs are identified in accordance with Title 2 Code of Federal Regulations (SFR) Part 200 and Title 45 Code of Federal Regulations (SFR) Part 75. (2): Subrecipient shall obtain prior written approval from County if utilizing SSY1 for Conferences. (3): Subrecipient shall provide the following information to your assigned Contract Analyst: (a) Kind of equipment, (b) Indicate whether the equipment lease is program specific or a shared cost, (c) If a shared cost, provide the cost distribution methodology for County review and (d) Length of the lease. -$ -$ 30,268$ 30,268$ $0
Do indirect costs exceed the ten percent (10%) maximum?

GRAND TOTAL
GRAND TOTAL OTHER COSTS 30,268$ -$ -$ -$ [Complete
as needed] (7)
-$ -$ 30,268$ 30,268$ $0

INDIRECT
TOTAL DIRECT OTHER COSTS 30,268$ -$ -$ -$ Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
Select Description (2) (3) (4) (5)
2,639$ 2,639$ $0
Select Description (2) (3) (4) (5)
1 1 125$
Materials and Supplies (2 CFR 200.453 & 45 CFR 75.453) 659.70$ 1 4 2,639$ Maintenance and Repairs (2 CFR 200.452 & 45 CFR

75.452) 292.00$ 1 12 3,504$
Training and Education (2 CFR 200.472 & 45 CFR 75.472) 125.00$ $03,504$ 3,504$
125$ 125$ $0
24,000$ 24,000$ $0
DIRECT
Materials and Supplies (2 CFR 200.453 & 45 CFR 75.453) 2,000.00$ 1 12 24,000$ (A)
DESCRIPTION (1)
(B)

UNIT COST
(C)
NO. OF
UNITS
(D)
NO. OF
MONTHS
(E)

TOTAL COSTS
(F)
SSY1
SF (J)
TOTAL

FUNDING
(K)

VARIANCE
(G)
MATCH
(H)

NON-MATCH
(I)

PROGRAM
INCOME
(B*C*D) (1)
CASH
OTHER
(1)
CASH
(2)

IN-KIND
(1)
CASH
(2)

IN-KIND
(1)
CASH
(F+G+H+I) (E - J)
Five
ENP242501
Three Modification Number: N/A
City of Burbank
VIII. BUDGET DETAIL - OTHER COSTS
Home Delivered Meal Services
2024-2025
Net County Cost and Older Americans Act Title III C-2
Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 10 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Contract Number:

Amendment Number:

Subrecipient's Legal Name:
2 Home Delivered Meal Services
2024-2025
Net County Cost and Older Americans Act Title III C-2
Five
ENP242501
Three Modification Number: N/A
City of Burbank
IX. BUDGET SUMMARY
(A)

COST CATEGORIES
(B)
COSTS (1)
(C)

FUNDING CATEGORIES
(D)
FUNDING (1)
(1)
Total Budgeted
Costs
Cash NSIP
(SSY1) 23,951$
(1)
Total Budgeted
Costs
DIRECT
1 Personnel
Cash Other
(SSY1) 258,481$
1 SSY1
Cash Other
(SSY1) 416,549$
Volunteers In-Kind (SF)
-$
3 Volunteer Expenses
Cash (SF)
396,839$
In-Kind (SF)
-$
Cash (SF)
-$
In-Kind (SF)
-$
2 Subtotal 440,500$
4 Lower Tier Subaward(s)/Subcontract(s) for
Catered Food
Cash Other
(SSY1) 74,473$
Cash NSIP
(SSY1) -$
Cash (SF)
2,529$
Match
In-Kind (SF)
-$
Cash (SF) 453,436$
-$ In-Kind (SF)
Cash Other
(SSY1) -$
5 Raw Food
Cash Other
(SSY1) 83,595$
3 Non-Match
6 Space
Cash Other
(SSY1) -$
In-Kind (SF) -$ Cash (SF)
-$
In-Kind (SF)
-$
Cash (SF) -$
Cash NSIP
(SSY1) 23,951$
Cash (SF)
72,513$
In-Kind (SF)
-$
Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 11 IX. BUDGET SUMMARY
(A)

COST CATEGORIES
(B)
COSTS (1)
(C)

FUNDING CATEGORIES
(D)
FUNDING (1)
(1)
Total Budgeted
Costs
(1)
Total Budgeted
Costs
11 7 Equipment
Cash Other
(SSY1) -$
4 Program Income
8 Other Costs
In-Kind (SF)
-$
Cash (SF) 48,713$
Cash (SF)
-$
In-Kind (SF)
-$
Cash Other
(SSY1) -$
Cash (SF)
30,268$
Cash Other
(SSY1) 416,549$
Cash NSIP
(SSY1) 23,951$
Cash NSIP
(SSY1) 23,951$ 9 Subtotal Direct Costs
Cash Other
(SSY1) 416,549$
5 Subtotal Funding for
Direct Costs
Cash (SF)
502,149$
Variance (Costs-Funding)
Cash
In-Kind

INDIRECT
Cash (SF)
502,149$
In-Kind (SF)
-$
In-Kind (SF)
-$
10 Personnel
Cash Other
(SSY1) -$
6 SSY1Volunteers
12 Volunteer Expenses Cash (SF)
Match
-$
In-Kind (SF)
-$
Cash Other
(SSY1) -$
Cash (SF)
-$
In-Kind (SF)
-$
In-Kind (SF)
-$
Cash Other
(SSY1) -$
In-Kind (SF) -$
Cash (SF) -$
13 Lower Tier Subaward(s)/Subcontract(s) for
Catered Food
Cash Other
(SSY1) -$
Cash (SF)
-$
In-Kind (SF)
-$
7 Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 12 IX. BUDGET SUMMARY
(A)

COST CATEGORIES
(B)
COSTS (1)
(C)

FUNDING CATEGORIES
(D)
FUNDING (1)
(1)
Total Budgeted
Costs
(1)
Total Budgeted
Costs
21 12
14 Raw Food
Cash Other
(SSY1) -$
8 Non-Match
15 Space
Cash Other
(SSY1) -$
In-Kind (SF) -$ Cash (SF)
-$
In-Kind (SF)
-$
Cash (SF) -$ Cash (SF)
-$
In-Kind (SF)
-$
Cash (SF) -$ Cash (SF)
-$
In-Kind (SF)
-$
16 Other Costs
Cash Other
(SSY1) -$
9 Program Income
Cash Other
(SSY1) -$
Cash (SF)
-$
Cash (SF)
-$
17 Subtotal Indirect Costs
Cash Other
(SSY1) -$
10 Subtotal Funding for
Indirect Costs
In-Kind (SF)
-$
Subrecipient meets minimum match requirement. Match Met NOTE:
(1): Costs and Funding shall match.

In-Kind (SF)
-$
In-Kind (SF)
-$

GRAND TOTAL COSTS
942,649$

GRAND TOTAL FUNDING
942,649$
20 Total Costs
Cash Other
(SSY1) 416,549$
11 Total Funding
Cash Other
(SSY1) 416,549$
Cash NSIP
(SSY1)
Variance (Costs-Funding) $0
23,951$
Cash NSIP
(SSY1) 23,951$
Cash (SF)
502,149$
Cash (SF)
502,149$

GRAND TOTAL
In-Kind (SF)
-$
Variance (Costs-Funding)
Cash
In-Kind
Exhibit B2 (Budget) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Page 13 Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:
[Enter]
Ext.
[Enter]
Phone Number Ext.
[Enter]
Phone Number Ext.

MPS Reviewed and Approved by: Jorge Pena Date: 4/16/2025

COUNTY USE ONLY
Assigned Program Analyst: Jorge Pena
Assigned Contract Analyst: Lynn Tran
Social Service Supervisor- Nutrition [email protected] Prefix Project Manager Job Title E-Mail Address
Ms. Roxana Tabibi (818) 235 5358
Ms. Angela O'Connor
Prefix
E-Mail Address
Ms. Erin Barrows (818) 235 5402
Phone Number
EXHIBIT C1 (MANDATED PROGRAM SERVICES)
AMENDMENT 3 {FY2024-25 ADDITIONAL BASELINE AND OTO FUNDING} Subrecipient's Legal Name:

Same as above
Recreation Service Manager [email protected]
State Zip Code
City of Burbank Burbank CA 91506
Main Administrative Office Address
Budget Analyst Job Title E-Mail Address
Burbank CA 91506
Principal Accountant ( 818) 235 5490 [email protected] Mailing Address (if different from above) City State Zip Code Prefix Authorized Representative Job Title
City
Congregate Meal Services
2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
ENP242501
City of Burbank
Three N/AModification Number:

Program Services:

Funding Type:

Fiscal Year:

Supervisorial District:

Subaward Number:

Amendment Number: Three Modification Number: N/A
Subrecipient's Legal Name: City of Burbank
Congregate Meal Services
Net County Cost and Older Americans Act Title III C-1
2024-2025
Five
ENP242501
I. UNITS OF SERVICE SUMMARY
(A)

SERVICE CATEGORY
(B)

FUNDING SOURCE
(C)
UNITS OF SERVICE (3)
(D)
UNIT RATE (2)
(E)

FUNDING AMOUNT
(E)

TOTAL FUNDING AMOUNT
(5)
(F)
NO. OF UNDUPLICATED
CLIENTS (1)(7/1/24 - 8/31/24) (9/1/24 - 6/30/25) (7/1/24 - 8/31/24) (9/1/24 - 6/30/25) (7/1/24 - 8/31/24) (9/1/24 - 6/30/25) American Meals
SSY1 (6)
(Cash Other) 687 2,525 6.36$ 11.50$ 4,369$ 29,041$ 33,410$ 9,714$ 94,965$ 104,680$ SF (7)
(Cash and In-Kind) 687 2,525 7.07$ 25.40$ 4,857$ 1,200
SSY1
(Cash NSIP) 687 2,525 0.71$ 0.71$ 488$ 1,793$ 2,281$ Subtotal SSY1
(Cash Other and Cash NSIP) 7.07$ 12.21$ 4,857$ 30,834$ 35,691$ 64,132$ 68,989$
Total (4) 687 2,525 14.14 37.61 [Enter Unit Rate] -$
SSY1
(Cash NSIP) [Enter Units] [Enter Units] [Enter Unit Rate] [Enter Unit Rate] SSY1 (6)
(Cash Other) [Enter Units] [Enter Units] [Enter Unit Rate] -$
Subtotal SSY1
(Cash Other and Cash NSIP) -$ -$ -$ -$ -$ [Enter Unit Rate] -$
Total (4) [Enter Total
Unduplicated Units]
[Enter Total
Unduplicated Units]
SF (7)
(Cash and In-Kind) [Enter Units] [Enter Units] [Enter Unit Rate] -$
Ethnic Meals [Select Ethnic
Meal Style]
SSY1 (6)
(Cash Other) [Enter Units] [Enter Units] [Enter Unit Rate] [Enter Unit Rate] Ethnic Meals [Select Ethnic
Meal Style]
-$
SSY1
(Cash NSIP) [Enter Units] [Enter Units] [Enter Unit Rate] [Enter Unit Rate] -$ -$ -$
SF (7)
(Cash and In-Kind) [Enter Units] [Enter Units] [Enter Unit Rate] [Enter Unit Rate] -$ Subtotal SSY1
(Cash Other and Cash NSIP) -$ -$ -$ -$
Grab and Go C-1 Meals
SSY1 (6)
(Cash Other) 17,090 49,433 6.36$ 11.50$ 108,692$ 568,485$ Total (4) [Enter Total
Unduplicated Units]
[Enter Total
Unduplicated Units]
677,177$
SSY1
(Cash NSIP) 17,090 49,433 0.71$ 0.71$ 12,134$ 35,098$ 47,232$ 603,582$ 724,409$
SF (7)
(Cash and In-Kind) 17,090 49,433 7.07$ 4.17$ 120,826$ 205,990$ 326,816$ Subtotal SSY1
(Cash Other and Cash NSIP) 7.07$ 12.21$ 120,826$ 809,573$ 1,051,225$
Equipment (Purchase) (8) [Enter Approved Amount] $ - Total (4) 17,090 49,434 14.14 16.38 241,653$ GRAND TOTAL SERVICES/FUNDING 69,736 1,155,905$
Equipment (Other) (9) [Enter Amount] $ - (5) The Total and Grand Total amounts under column (E) Funding Amount must match the Total and Grand Total amounts reflected in Exhibit B1 (Budget) (cover page) column (F) Total Funding. (6) SSY1: Subaward Sum Year 1
(7) SF: Subrecipient's Funds
(8) Enter the approved amount of equipment purchase(s) that is reflected in Exhibit B1 (Budget). (9) Enter the amount of equipment (other) that is reflected in Exhibit B1 (Budget).

NOTE:
(1) Please Enter the total number of unduplicated clients that will be served by your agency. Unduplicated clients are individuals who meet the eligibility requirements outlined in Exhibit A (Statement of Work and Attachments). These individuals are counted only once within a FY for reporting purposes.
(2) Please Enter the Unit Rates: a) for SSY1 (Cash Other) and for SSY1 (Cash NSIP) (i.e., approved rate to be reimbursed by County as reflected in the funding allocation letter) and b) for SF (amount of Match, Non-Match, and Program Income - reflected as a rate - that will be funded by Subrecipient for the Services). (3) Please enter the number of Units for each Service Category to be provided using SSY1 (Cash Other), SSY1 (Cash NSIP), and SF. - Units of Service reported for the period of 7/1/24 - 8/31/24 should reflect Agency's actuals. - Units of Service reported for the period of 9/1/24 - 6/30/25 may reflect Agency's estimate. (4) The Total Unduplicated Units for each Service Category under column (C) Units of Service must match the corresponding Total Units reflected in Sections II, III, IV and V (Services by Month) column (P) Total.

Exhibit C1 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:
(A)
LINE
NO.
(C)
NO. OF
UNDUP.

CLIENTS
(D)
JUL
(E)
AUG
(F)
SEP
(G)
OCT
(H)
NOV
(I)
DEC
(J)
JAN
(K)
FEB
(L)
MAR
(M)
APR
(N)
MAY
(O)
JUN
(P)
TOTAL (1)
1 700 161 78 83 0 37 172 200 162 200 122 1,215
2 200 56 181 181 0 27 133 200 100 100 100 1,078
3 300 90 118 96 0 1 0 129 160 160 165 919
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
1,200 307 377 360 0 65 305 0 0 529 422 460 387 3,212
NOTE:
(1) The Grand Total Units under column (P) Total shall match the Total reflected in Section I (Units of Service Summary) column (C) Units of Service Total.

Grand Total
II. SERVICES BY MONTH - AMERICAN MEALS
(B)

SITE NAME
Joslyn Adult Center
McCambrideg
Tuttle Senior Center
ENP242501
Congregate Meal Services
2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
Subrecipient's Legal Name: City of Burbank
Modification Number:Three N/A
Exhibit C1 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding}

Page 3 ends

Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:
(A)
LINE
NO.
(C)
NO. OF
UNDUP.

CLIENTS
(D)
JUL
(E)
AUG
(F)
SEP
(G)
OCT
(H)
NOV
(I)
DEC
(J)
JAN
(K)
FEB
(L)
MAR
(M)
APR
(N)
MAY
(O)
JUN
(P)
TOTAL (1)
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
(1) The Grand Total Units under column (P) Total shall match the Total reflected in Section I (Units of Service Summary) column (C) Units of Service Total.

ENP242501
Three Modification Number:

Congregate Meal Services
2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
N/A
NOTE:

Grand Total
Subrecipient's Legal Name: City of Burbank
[Select Ethnic Meal Style]III. SERVICES BY MONTH - ETHNIC MEALS (B)

SITE NAME
Exhibit C1 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding}

Page 4 ends

Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:
(A)
LINE
NO.
(C)
NO. OF
UNDUP.

CLIENTS
(D)
JUL
(E)
AUG
(F)
SEP
(G)
OCT
(H)
NOV
(I)
DEC
(J)
JAN
(K)
FEB
(L)
MAR
(M)
APR
(N)
MAY
(O)
JUN
(P)
TOTAL (1)
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
(1) The Grand Total Units under column (P) Total shall match the Total reflected in Section I (Units of Service Summary) column (C) Units of Service Total.

ENP242501
Three Modification Number:

IV. SERVICES BY MONTH - ETHNIC MEALS [Select Ethnic Meal Style] N/A
Subrecipient's Legal Name: City of Burbank
Congregate Meal Services
2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
NOTE:
(B)

SITE NAME
Grand Total
Exhibit C1 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding}

Page 5 ends

Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:
(A)
LINE
NO.
(C)
NO. OF
UNDUP.

CLIENTS
(D)
JUL
(E)
AUG
(F)
SEP
(G)
OCT
(H)
NOV
(I)
DEC
(J)
JAN
(K)
FEB
(L)
MAR
(M)
APR
(N)
MAY
(O)
JUN
(P)
TOTAL (1)
1 700 3,363 3,076 2,822 5 1,226 2,610 1,000 1,000 3,363 3,363 3,300 3,300 28,428 2 200 2,276 4,057 3,671 5 845 10 79 550 2,276 2,276 2,276 2,500 20,821 3 300 2,048 2,269 2,020 5 30 10 300 282 2,600 2,700 2,510 2,500 17,274 4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
1,200 7,687 9,402 8,513 15 2,101 2,630 1,379 1,832 8,239 8,339 8,086 8,300 66,523 NOTE:
(1) The Grand Total Units under column (P) Total shall match the Total reflected in Section I (Units of Service Summary) column (C) Units of Service Total.

ENP242501
Congregate Meal Services
2024-2025
Net County Cost and Older Americans Act Title III C-1
Five
Three Modification Number: N/A
Subrecipient's Legal Name: City of Burbank
V. SERVICES BY MONTH - GRAB AND GO MEALS
(B)

SITE NAME
Joslyn Adult Center
McCambrideg
Tuttle Senior Center
Grand Total
Exhibit C1 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding}

Page 6 ends

Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
[Enter]
Ext.
[Enter]
Phone Number Ext.
[Enter]
Phone Number Ext.

Modification Number:Three
ENP242501
N/A
City of Burbank
Five
Net County Cost and Older Americans Act Title III C-2
2024-2025

HOME DELIVERED MEAL SERVICES
MPS Reviewed and Approved by: Jorge Pena Date: 4/16/2025

COUNTY USE ONLY
Assigned Program Analyst: Jorge Pena
Assigned Contract Analyst: Lynn Tran
Social Service Supervisor- Nutrition [email protected] Prefix Project Manager Job Title E-Mail Address
Ms. Roxana Tabibi (818) 238 5358
Ms. Angela O'Connor
Supervisor- Nutrition
Recreation Service Manager [email protected]
Prefix Authorized Representative Job Title E-Mail Address Ms. Erin Barrows (818) 238 5402
Phone Number
State Zip Code
EXHIBIT C2 (MANDATED PROGRAM SERVICES)
AMENDMENT 3 {FY 2024-25 ADDITIONAL BASELINE AND OTO FUNDING} Prefix Budget Analyst Job Title E-Mail Address
Burbank CA 91506
Principal Accountant (818) 238 5490 [email protected] Mailing Address (if different from above) City
State Zip Code
1301 West Olive Avenue Burbank CA 91506
Main Administrative Office Address City
Program Services:

Funding Type:

Fiscal Year:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

Three Modification Number: N/A
City of Burbank
I. UNITS OF SERVICE SUMMARY

HOME DELIVERED MEAL SERVICES
Net County Cost and Older Americans Act Title III C-2
2024-2025
Five
ENP242501
(F)
NO. OF UNDUPLICATED
CLIENTS (1)(7/1/24 - 8/31/24) (9/1/24 - 6/30/25) (7/1/24 - 8/31/24) (9/1/24 - 6/30/25) (7/1/24 - 8/31/24) (9/1/24 - 6/30/25) (A)

SERVICE CATEGORY
(B)

FUNDING SOURCE
(C)
UNITS OF SERVICE (3)
(D)
UNIT RATE (2)
(E)

FUNDING AMOUNT
(E)

TOTAL FUNDING AMOUNT
(5)
287,647$
150
SSY1
(Cash NSIP) 4,949 0.71$ 0.71$ 3,514$ SSY1 (6)
(Cash Other) 4,949 17,872 7.42$ 14.04$ SF (7)
(Cash and In-Kind) 4,949 17,872 17.63$ 12,689$ 16,203$
Subtotal SSY1
(Cash Other and Cash NSIP) 8.13$ 303,850$

20.86$ 460,002$
Total (4) 4,949 17,872 25.76 35.61 127,486$ 636,366$ 763,852$ Frozen Meals
SSY1 (6)
(Cash Other) 2,190 8,088 6.67$ 13.04$ 14,607$ 105,463$ Hot Meals
111,205$
130,111$

14.75$ 40,235$ 263,615$ 36,722$ 250,925$
87,251$ 372,751$
120,070$
SSY1
(Cash NSIP) 2,190 8,088 0.71$ 0.71$ 1,555$ 5,742$ 7,297$ 127,367$
SF (7)
(Cash and In-Kind) 2,190 8,088 8.95$ 2.34$ 19,600.50$ 18,906$ 38,506$ Subtotal SSY1
(Cash Other and Cash NSIP) 7.38$ 13.75$ 16,162$ 165,873$
Emergency Meals
SSY1 (6)
(Cash Other) - 459 8.99$ 15.50$ 7,113$ Total (4) 2,190 8,088 16.33 16.09 35,763$ 7,113$
SSY1
(Cash NSIP) - 459 0.71$ 0.71$ 326$ 326$ 7,439$ 7,439$
SF (7)
(Cash and In-Kind) - 459 -$ 5.97$ 2,741$ 2,741$ Subtotal SSY1
(Cash Other and Cash NSIP) 9.70$ 16.21$ -$ 10,180$ 10,180$
Grab and Go C-2 Meals
SSY1 (6)
(Cash Other) 61 116 6.36$ 11.50$ 388$ 1,331$ Total (4) - 459 9.70 22.18 1,719$
SSY1
(Cash NSIP) 61 116 0.71$ 0.71$ 43$ 82$ 125$ 1,413$ 1,844$
SF (7)
(Cash and In-Kind) 61 116 3.00$ 6.20$ 183$ 717$ 900$ Subtotal SSY1
(Cash Other and Cash NSIP) 7.07$ 12.21$ 431$ [Enter Amount]
2,130$ 2,744$
Equipment (Purchase) (8) [Enter Approved Amount] $ - Total (4) 61 116 10.07 18.41 614$ (5) The Total and Grand Total amounts under column (E) Funding Amount must match the Total and Grand Total amounts reflected in Exhibit B2 (Budget) (cover page) column (F) Total Funding. (6) SSY1: Subaward Sum Year 1
(7) SF: Subrecipient's Funds
(8) Enter the approved amount of equipment purchase(s) that is reflected in Exhibit B2 (Budget). (9) Enter the amount of equipment (other) that is reflected in Exhibit B2 (Budget). 17,872
NOTE:
(1) Please Enter the total number of unduplicated clients that will be served by your agency. Unduplicated clients are individuals who meet the eligibility requirements outlined in Exhibit A (Statement of Work and Attachments). These individuals are counted only once within a FY for reporting purposes. (2) Please Enter the Unit Rates: a) for SSY1 (Cash Other) and for SSY1 (Cash NSIP) (i.e., approved rate to be reimbursed by County as reflected in the funding allocation letter) and b) for SF (amount of Match, Non-Match, and Program Income - reflected as a rate - that will be funded by Subrecipient for the Services). (3) Please enter the number of Units for each Service Category to be provided using SSY1 (Cash Other), SSY1 (Cash NSIP), and SF. - Units of Service reported for the period of 7/1/24 - 8/31/24 should reflect Agency's actuals. - Units of Service reported for the period of 9/1/24 - 6/30/25 may reflect Agency's estimate. (4) The Total Unduplicated Units for each Service Category under column (C) Units of Service must match the corresponding Total Units reflected in Sections II, III, IV, V and VI (Services by Month) column (P) Total. $ -
GRAND TOTAL SERVICES/FUNDING 33,735 942,649$
Equipment (Other) (9)
Exhibit C2 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding} Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
(A)
LINE
NO.
(C)
NO. OF
UNDUP.

CLIENTS
(D)
JUL
(E)
AUG
(F)
SEP
(G)
OCT
(H)
NOV
(I)
DEC
(J)
JAN
(K)
FEB
(L)
MAR
(M)
APR
(N)
MAY
(O)
JUN
(P)
TOTAL
(1)
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
(1) Grand Total Units under column (P) Total shall match the Total reflected in Section I (Units of Service Summary) column (C) Units of Service Total Grand Total
NOTE:

II. SERVICES BY MONTH - HOT MEALS
(B)

ROUTE NAME

HOME DELIVERED MEAL SERVICES
2024-2025
Net County Cost and Older Americans Act Title III C-2
City of Burbank
Three Modification Number: N/A
Five
ENP242501
Exhibit C2 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding}

Page 3 ends

Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
(A)
LINE
NO.
(C)
NO. OF
UNDUP.

CLIENTS
(D)
JUL
(E)
AUG
(F)
SEP
(G)
OCT
(H)
NOV
(I)
DEC
(J)
JAN
(K)
FEB
(L)
MAR
(M)
APR
(N)
MAY
(O)
JUN
(P)
TOTAL
(1)
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
(1) Grand Total Units under column (P) Total shall match the Total reflected in Section I (Units of Service Summary) column (C) Units of Service Total Grand Total
NOTE:

III. SERVICES BY MONTH - FROZEN MEALS
(B)

ROUTE NAME

HOME DELIVERED MEAL SERVICES
2024-2025
Net County Cost and Older Americans Act Title III C-2
City of Burbank
Five
ENP242501
Three Modification Number: N/A
Exhibit C2 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding}

Page 4 ends

Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:

Hot Frozen Hot Frozen Hot Frozen Hot Frozen Hot Frozen Hot Frozen Hot Frozen Hot Frozen Hot Frozen Hot Frozen Hot Frozen Hot Frozen Hot Frozen 1 30 2238 1095 2709 1024 2546 1021 2613 938 1758 827 1742 970 1974 689 1819 687 2200 527 1000 600 1009 900 1213 1000 22821 10278 2 13 0 0
3 20 0 0
4 20 0 0
5 20 0 0
6 20 0 0
7 17 0 0
8 10 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 0 0
150 2238 1095 2709 1024 2546 1021 2613 938 1758 827 1742 970 1974 689 1819 687 2200 527 1000 600 1009 900 1213 1000 22821 10278 (1) Grand Total Units under column (P) Total shall match the Total reflected in Section I (Units of Service Summary) column (C) Units of Service Total ENP242501
Three Modification Number: N/A
City of Burbank
NOTE:
7 Grand Total
8 (2A)
1 (K)
FEB
(L)
MAR
6 (I)
DEC
(J)
JAN
3 4
5 2 (2B)
IV. SERVICES BY MONTH - HOT & FROZEN MEALS ROUTES
(A)
LINE
NO.
(B)

ROUTE NAME
(C)
NO. OF
UNDUP.

CLIENTS
(D)
JUL
(E)
AUG
(F)
SEP
(G)
OCT
(H)
NOV
(P)
TOTAL (1)
(M)
APR
(N)
MAY
(O)
JUN
Five

HOME DELIVERED MEAL SERVICES
2024-2025
Net County Cost and Older Americans Act Title III C-2
Exhibit C2 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding}

Page 5 ends

Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

SubawardNumber:

Amendment Number:

Subrecipient's Legal Name:
(A)
LINE
NO.
(C)
NO. OF
UNDUP.

CLIENTS
(D)
JUL
(E)
AUG
(F)
SEP
(G)
OCT
(H)
NOV
(I)
DEC
(J)
JAN
(K)
FEB
(L)
MAR
(M)
APR
(N)
MAY
(O)
JUN
(P)
TOTAL
(1)
1 30 58 58
2 13 58 58
3 20 58 58
4 20 58 58
5 20 58 58
6 20 58 58
7 17 58 58
8 10 53 53
9 0
10 0
11 0
12 0
13 0
14 0
15 0
150 0 0 0 0 0 0 0 0 0 0 459 0 459
(1) Grand Total Units under column (P) Total shall match the Total reflected in Section I (Units of Service Summary) column (C) Units of Service Total Grand Total
NOTE:
2 (2B)
3 4
5 6
7 8 (2A)
1 V. SERVICES BY MONTH - EMERGENCY MEALS
(B)

ROUTE NAME

HOME DELIVERED MEAL SERVICES
2024-2025
Net County Cost and Older Americans Act Title III C-2
City of Burbank
Five
ENP242501
Three Modification Number: N/A
Exhibit C2 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding}

Page 6 ends

Program Services:

Fiscal Year:

Funding Type:

Supervisorial District:

Subaward Number:

Amendment Number:

Subrecipient's Legal Name:
(A)
LINE
NO.
(C)
NO. OF
UNDUP.

CLIENTS
(D)
JUL
(E)
AUG
(F)
SEP
(G)
OCT
(H)
NOV
(I)
DEC
(J)
JAN
(K)
FEB
(L)
MAR
(M)
APR
(N)
MAY
(O)
JUN
(P)
TOTAL
(1)
1 50 10 5 5 17 30 30 1 1 1 1 1 1 103
2 50 5 1 5 5 5 1 1 1 1 1 1 1 28
3 50 10 17 5 1 4 1 1 3 1 1 1 1 46
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
150 25 23 15 23 39 32 3 5 3 3 3 3 177
(1) Grand Total Units under column (P) Total shall match the Total reflected in Section I (Units of Service Summary) column (C) Units of Service Total VI. SERVICES BY MONTH - GRAB AND GO MEALS

HOME DELIVERED MEAL SERVICES
2024-2025
Net County Cost and Older Americans Act Title III C-2
Five
ENP242501
Three Modification Number: N/A
City of Burbank
(B)

ROUTE NAME
Joslyn Adult Center
McCambridge Center
Tuttle Senior Center
NOTE:

Grand Total
Exhibit C2 (Mandated Program Services) Amendment 3 {FY 2024-25 Additional Baseline and OTO Funding}

Page 7 ends

BOARD OF SUPERVISORS
Hilda L. Solis
Holly J. Mitchell
Lindsey P. Horvath
Janice Hahn
Kathryn Barger

EXECUTIVE LEADERSHIP
Dr. Laura Trejo
Director

Lorenza C. Sánchez
Chief Deputy Director

Mike Tsao
Administrative Deputy II

Anna Avdalyan
Assistant Director

Dr. Solomon Shibeshi
Assistant Director

Victoria Jump
Assistant Director

Ivan Pacheco
Chief Information Officer

G E T I N T O U C H
510 S. Vermont Avenue , Suite 1100
Los Angeles, CA 90020
ad.lacounty.gov
[email protected]

Aging & Adult Information & Assistance Line:
(800) 510 -2020
Report Elder Abuse:
(877) 477 -3646
Community & Senior Centers:
(800) 689 -8514
Disability Information &
Access Line:
(888) 677 -1199

REVISED 04/16/2025
March 27, 2025

City of Burbank
Attention: Justin Hess
1301 West Olive Avenue
Burbank, CA 91506

FISCAL YEAR 2024-25 ADDITIONAL BASELINE AND

ONE-TIME-ONLY FUNDING ALLOCATION FOR

ELDERLY NUTRITION PROGRAM SERVICES

Dear Mr. Hess:

County of Los Angeles Aging and Disabilities Department (County) intends to amend City of Burbank’s (Subrecipient’s) Elderly Nutrition Program (ENP) Subaward. The Subaward Amendment information is outlined below:
• Purpose: Subrecipient will utilize additional baseline (Net County Cost (NCC)) funding and One -Time-Only (OTO)
funding to provide additional defined and contracted ENP Congregate and Home -Delivered Meal Services during
Fiscal Year (FY) 2024-25.

• Subaward Number: ENP242501

• Amendment Number: Three

• Subaward Term: July 1, 2024 through June 30, 2025

• Total Funding Allocation: $564,400

o Additional Baseline (NCC) funds: $269,000
o OTO funds: $295,400

• Period Funds are available for use (Subject to execution of Subaward): July 1, 2024 – June 30, 2025

• Service Area: Supervisorial District 5
• Funding Source(s) and Service Category(ies) are as follows:

FY 2024-25 Additional Baseline and OTO Funding Allocation Elderly Nutrition Program
City of Burbank

Page 2 ends

Funding
Source
Service
Category
07/01/24 – 08/31/24 09/01/24 – 06/30/25 Allocation Amount Total
Allocation
Amount Unit
Rate
NSIP
Rate Total Unit
Rate
NSIP
Rate Total Original
Baseline
Additional
Baseline
(NCC)
OTO
OAA
Title III
C1
American
Meals $6.36 $0.71 $7.07 $11.50 $0.71 $12.21
$295,700 $200,700 $263,700 $760,100 1
Grab & Go
C1 $6.36 $0.71 $7.07 $11.50 $0.71 $12.21
OAA
Title III
C2
Hot Meals $7.42 $0.71 $8.13 $14.04 $0.71 $14.75
$340,500 $68,300 $31,700 $440,500 2
Frozen
Meals $6.67 $0.71 $7.38 $13.04 $0.71 $13.75
Emergency
Meals $8.99 $0.71 $9.70 $15.50 $0.71 $16.21
Grab & Go
C2 $6.36 $0.71 $7.07 $11.50 $0.71 $12.21
Additional Baseline (NCC) and OTO Funding $564,400
MOCA Funding
(Refer to FY 2024-25 MOCA Funding Allocation Letter) $679,500 Baseline Funding
(Refer to FY 2024-25 Baseline Funding Allocation Letter) $637,200 Subaward Sum Year 1 (SSY1)
(Additional Baseline (NCC), OTO, MOCA and Baseline Funding) $1,881,100

1-2 Complete one (1) budget and one (1) MPS for each Total Allocation Amount.

If you have any questions, please contact Lynn Tran of my staff by phone or e -mail as follows:
(323) 513-4214 or [email protected].

Thank you.

Mike Tsao
Mike Tsao, Administrative Deputy II
Contracts Management Division

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