Fiscal Compliance and Contract Monitoring Clause Samples

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Fiscal Compliance and Contract Monitoring. Grantee is subject to fiscal and compliance monitoring, which may include review of the Grantee's organizational budget, the general ledger, quarterly balance sheet, cost allocation procedures and plan, State and Federal tax forms, audited financial statement, fiscal policy manual, supporting documentation for selected invoices, cash receipts and disbursement journals. The compliance monitoring will include review of Personnel Manual, Emergency Operations Plan, Compliance with the Americans with Disabilities Act, subcontracts, and MOUs, and the current board roster and selected board minutes for compliance with the Sunshine Ordinance. A B C D 1 DEPARTMENT OF HOMELESSNESS AND SUPPORTIVE HOUSING APPENDIX B, BUDGET 3 Document Date 7/1/2023 4 Contract Term Begin Date End Date Duration (Years) 5 Current Term 12/1/2020 6/30/2023 3 6 Amended Term 12/1/2020 6/30/2026 6 7 Provider Name TAY Navigation Center 8 F$P Contract ID# 1000020025 9 Approved Subcontractors 10 TATO 11 SPOA Services 12 ▇▇▇▇▇▇ & ▇▇▇▇▇▇ Janitorial 13 Citiguard 1 DEPARTMENT OF HOMELESSNESS AND SUPPORTIVE HOUSING APPENDIX B, BUDGET 5 Current Term 12/1/2020 6/30/2023 3 6 Amended Term 12/1/2020 6/30/2026 6 7 Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 8 Service Component 12/1/2020 - 6/30/2021 7/1/2021 - 6/30/2022 7/1/2022 - 6/30/2023 7/1/2023 - 6/30/2024 7/1/2024 - 6/30/2025 7/1/2025 - 6/30/2026 10 # of bed nights (75 clients x 365) 13688 27375 27375 27375 27375 27375 1 DEPARTMENT OF HOMELESSNESS AND SUPPORTIVE HOUSING 2 APPENDIX B, BUDGET 3 Document Date 7/1/2023 4 Contract Term Begin Date End Date Duration (Years) 5 Current Term 12/1/2020 6/30/2023 3 6 Amended Term 12/1/2020 6/30/2026 6 7 Provider Name 3rd Street Youth Center & Clinic 8 Program TAY Navigation Center 9 F$P Contract ID# 1000020025 10 Action (select) Amendment 11 Effective Date 7/1/2023 12 Budget Name Prop C - TAY Navigation Center 13 Current New 14 Term Budget $ 8,007,977 $ 19,047,788 15% 15 Contingency $ 1,923,360 $ 1,655,972 16 Not-To-Exceed $ 9,931,337 $ 20,703,760 Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 All Years 17 12/1/2020 - 6/30/2021 7/1/2021 - 6/30/2022 7/1/2022 - 6/30/2023 7/1/2023 - 6/30/2024 7/1/2024 - 6/30/2025 7/1/2025 - 6/30/2026 12/1/2020 - 6/30/2026 18 Actuals Actuals Current New New New New 19 Expenditures 20 Salaries & Benefits $ 772,968 $ 1,365,397 $ 1,644,300 $ 1,644,301 $ 1,644,301 $ 1,644,301 $ 8,715,567 21 Operating Expense $ 151,383 $ 335,002 $ 394,756 $ 394,756 $ 394,756 $ 394,756 $ 2,065,409 22 Subtotal $ 9...

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Fiscal Compliance and Contract Monitoring. Grantee is subject to fiscal and compliance monitoring, which may include review of the Grantee's organizational budget, the general ledger, quarterly balance sheet, cost allocation procedures and plan, State and Federal tax forms, audited financial statement, fiscal policy manual, supporting documentation for selected invoices, cash receipts and disbursement journals. The compliance monitoring may include review of Personnel Manual, Emergency Operations Plan, Compliance with the Americans with Disabilities Act (ADA), subcontracts and Memoranda of Understanding (MOUs), and the current board roster and selected board minutes for compliance with the Sunshine Ordinance. DEPARTMENT OF HOMELESSNESS AND SUPPORTIVE HOUSING APPENDIX B-1, BUDGET‌ Document Date 11/1/2024 Contract Term Begin Date End Date Duration (Years) Current Term 11/1/2024 6/30/2029 5 Amended Term 11/1/2024 6/30/2029 5 Program TAY Site at 42 ▇▇▇▇ None Document Date 11/1/2024 Contract Term Begin Date End Date Duration (Years) Current Term 11/1/2024 6/30/2029 5 Amended Term 11/1/2024 6/30/2029 5 Program TAY Site at 42 ▇▇▇▇ Service Component Year 1 Year 2 Year 3 Year 4 Year 5 11/1/2024 - 6/30/2025 7/1/2025 - 6/30/2026 7/1/2026 - 6/30/2027 7/1/2027 - 6/30/2028 7/1/2028 - 6/30/2029 Support Services 24 24 24 24 24 Document Date 11/1/2024 Contract Term Begin Date End Date Duration (Years) Current Term 11/1/2024 6/30/2029 5 Amended Term 11/1/2024 6/30/2029 5 Program TAY Site at 42 ▇▇▇▇ Provider Unique Entity ID MQ6YNKQJLK85 HUD Award Information 24 CFR 578.99(e); 2 CFR 200.331(a) Year 1 Year 2 Year 3 Year 4 Year 5 11/1/2024 - 6/30/2025 7/1/2025 - 6/30/2026 7/1/2026 - 6/30/2027 7/1/2027 - 6/30/2028 7/1/2028 - 6/30/2029 Federal Award Identification Number (from GIW Sheet) NA ▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇ Federal Award Date (HUD Agreement Signature Date) 2 CFR 200.39 NA ▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇ Document Date 11/1/2024 Current Term 11/1/2024 6/30/2029 5 Amended Term 11/1/2024 6/30/2029 5 Provider Name Five Keys Program TAY Site at 42 ▇▇▇▇ F$P Contract ID# 1000034138 Action (select) New Agreement Effective Date 11/1/2024 Budget Names Prop C/Homekey - Support Services, Prop C - Start Up Current New 20% Term Budget $ - $ 1,631,749 Contingency $ - $ 326,350 Not-To-Exceed $ - $ 1,958,099 Prepared by ▇▇▇▇▇ ▇▇▇▇▇▇ Phone ▇▇▇-▇▇▇-▇▇▇▇ Email ▇▇▇▇▇▇@▇▇▇▇▇▇▇▇.▇▇▇ Year 1 Year 2 Year 3 Year 4 Year 5 All Years 11/1/2024 - 6/30/2025 7/1/2025 - 6/30/2026 7/1/2026 - 6/30/2027 7/1/2027 - 6/30/2028 7/1/2028 - 6/30/2029 11/1/2024 - 6/30/2029 Salaries ...

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Fiscal Compliance and Contract Monitoring. Fiscal monitoring will include review of the Grantee's organizational budget, the general ledger, quarterly balance sheet, cost allocation procedures and plan, State and Federal tax forms, audited financial statement, fiscal and accounting policies, supporting documentation for selected invoices, cash receipts and disbursement journals. The compliance monitoring will include review of Personnel Manual, Emergency Operations Plan, Compliance with the Americans with Disabilities Act, subcontracts, and memorandums of understanding (MOUs), and the current board roster and selected board minutes for compliance with the Sunshine Ordinance. Appendix A to G-150 Page 8 of 8 July 1, 2024 FSP #: 1000024654 A‌ B C D E H I J M P AI AJ AK 2 APPENDIX B-1, BUDGET 3 Document Date 7/1/2024 4 Contract Term Begin Date End Date Duration (Years) 5 Current Term 7/1/2022 6/30/2024 2 6 Amended Term 7/1/2022 6/30/2026 4 7 Provider Name Catholic Charities 8 Program Bayview Family Access Point 9 F$P Contract ID# 1000024654 10 Action (select) Amendment 11 Effective Date 7/1/2024 12 Budget Names General Fund - Access Point, Prop C - Problem Solving 13 Current New 14 This Budget (B-1) $ 932,137 $ 1,881,801 20% 15 HUD CoC Budget (B-2) $698,392 $ 1,461,772 16 Total Grant Budget $ 1,630,529 $ 3,343,573 17 Contingency $ 457,712 $ 668,714 EXTENSION YEAR EXTENSION YEAR 18 Not-To-Exceed $ 2,088,241 $4,012,287 Year 1 Year 2 Year 3 Year 4 All Years 19 7/1/2022 - 6/30/2023 7/1/2023 - 6/30/2024 7/1/2023 - 6/30/2024 7/1/2023 - 6/30/2024 7/1/2024 - 6/30/2025 7/1/2025 - 6/30/2026 7/1/2022 - 6/30/2024 7/1/2022 - 6/30/2026 7/1/2022 - 6/30/2026 20 Actuals Current Amendment New New New Current Amendment New 21 Expenditures 22 Salaries & Benefits $ 188,280 $ 202,478 $ - $ 202,478 $ 202,478 $ 202,478 $ 390,758 $ 404,956 $ 795,714 23 Operating Expense $ 155,442 $ 152,147 $ - $ 152,147 $ 152,147 $ 152,147 $ 307,589 $ 304,294 $ 611,883 24 Subtotal $ 343,722 $ 354,625 $ - $ 354,625 $ 354,625 $ 354,625 $ 698,347 $ 709,250 $ 1,407,597 25 Indirect Percentage 26 Indirect Cost (Line 21 X Line 22) $ 105,024 $ 108,207 $ - $ 108,207 $ 108,207 $ 108,207 $ 213,231 $ 216,414 $ 429,645 27 Other Expenses (Not subject to indirect %) $ 8,559 $ 12,000 $ - $ 12,000 $ 12,000 $ 12,000 $ 20,559 $ 24,000 $ 44,559 28 Capital Expenditure $ - $ - $ - $ - $ - $ - $ - $ - $ - 30 Total Expenditures $ 457,305 $ 474,832 $ - $ 474,832 $ 474,832 $ 474,832 $ 932,137 $ 949,664 $ 1,881,801 31 HSH Revenues (select)* 32 33 General Fund - Ongoing $...

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Fiscal Compliance and Contract Monitoring. Grantee is subject to fiscal monitoring, such as, but not limited to, the following: review of the Grantee's organizational budget, the general ledger, quarterly balance sheet, cost allocation procedures and plan, State and Federal tax forms, audited financial statement, fiscal policy manual, supporting documentation for selected invoices, cash receipts and disbursement journals. The compliance monitoring will include review of Personnel Manual, Emergency Operations Plan, Compliance with the Americans with Disabilities Act (ADA), subcontracts, and Memorandums of Understanding (MOUs), and the current board roster and selected board minutes for compliance with the Sunshine Ordinance. Document Date 6/1/2022 Contract Term Begin Date End Date Duration (Years) Current Term 9/1/2020 6/30/2021 1 Amended Term 9/1/2020 9/30/2022 3 A B C D E F G H I J K L M AI AJ AK 1 DEPARTMENT OF HOMELESSNESS AND SUPPORTIVE HOUSING 2 APPENDIX B, BUDGET 3 Document Date 6/1/2022

Fiscal Compliance and Contract Monitoring. Fiscal monitoring will include review of the Grantee's organizational budget, general ledger, quarterly balance sheet, cost allocation procedures and plan, State and Federal tax forms, audited financial statement, fiscal policy manual, supporting documentation for selected invoices, cash receipts and disbursement journals. The compliance monitoring will include review of the Personnel Manual, Emergency Operations Plan, Compliance with the Americans with Disabilities Act, subcontracts, MOUs, the current board roster and selected board minutes for compliance with the Sunshine Ordinance. BUDGET FORMS Appendix B, pg. 17/1/2020 HUMAN SERVICES AGENCY - DEPARTMENT OF DISABILITY AND AGING SERVICES BUDGET PROPOSAL FORMS Average cost/meal San Francisco-Marin Food Bank Grant Term (Check One) New Renewal Modification Effective Date of Mod: No. of Mod: 7/1/20 to 3/15/21 Program: COVID food bags COVID Food Bags COVID Food Bags TOTAL Annual #Grocery Bags Contracted 263,672 471,602 735,274 Program Term 7/1/20 to 9/30/20 10/1/20 to 3/15/21 7/1/20 to 3/15/21 Salaries & Benefits $727,284 $1,716,281 $2,443,566 $3.32 Operating Expense $1,398,572 $3,983,950 $5,382,521 $7.32 Subtotal $2,125,856 $5,700,231 $7,826,087 $10.64 Indirect Percentage (max 10%) 15% 15% 15% Indirect Cost (Line 15 X Line 14, check Gen.Guidance regarding indirect exclusion) $318,878 $855,035 $1,173,913 $1.60 Capital Expenditure Salaries & Benefits $1,228,500 $1,101,100 $2,329,600 $3.17 Operating Expense $8,249,418 $14,349,987 $22,599,405 $30.74 Capital Expenditure Food Bags $2,444,734 $6,555,266 $9,000,000 PER BAG COST, HSA-DAS $9.27 $13.90 $12.24 Non-DAS Revenues Project Income Agency Cash - Fundraising Agency In-Kind Volunteer $1,228,500 $1,101,100 $2,329,600 $3.17 Nutrition Compliance Revenues Agency In-Kind Donated Food $7,799,418 $13,949,987 $21,749,405 $29.58 Agency In-Kind Donated Delivery $450,000 $400,000 $850,000 $1.16 PER BAG COST, NON HSA-DAS $35.95 $32.76 $33.90 TOTAL REVENUES $11,922,652 $22,006,353 $33,929,005 PER BAG COST, TOTAL $45.22 $46.66 $46.14 Full Time Equivalent (FTE) Prepared by: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Date: 10/9/2020 HSA-CO Review Signature: HSA #1 Form Rev. 12/22/16 Form Rev. 12/22/16 San Francisco-Marin Food Bank Appendix B, page 2 Program Name: Date: 7/1/20

Fiscal Compliance and Contract Monitoring. Grantee is subject to fiscal monitoring, such as, but not limited to, the following: review of the Grantee's organizational budget, the general ledger, quarterly balance sheet, cost allocation procedures and plan, State and Federal tax forms, audited financial statement, fiscal policy manual, supporting documentation for selected invoices, cash receipts and disbursement journals. The compliance monitoring will include review of Personnel Manual, Emergency Operations Plan, Compliance with the Americans with Disabilities Act (ADA), subcontracts, and Memorandums of Understanding (MOUs), and the current board roster and selected board minutes for compliance with the Sunshine Ordinance. Complete this Hotel Walkthrough and Confirmation of Current Baseline Conditions before occupying the Hotel. Do not permit guests to enter the hotel until you have completed the “Current Condition” column, documenting any observed damage. Take time-stamped pictures of all damage identified. Both the City and the Hotel must sign this form twice: This form is designed for use upon both guest arrival and upon guest departure. 1. Current Inventory Date: Departure Inventory Date: : 2. Guest Room Number:

Fiscal Compliance and Contract Monitoring. Fiscal monitoring will include review of the Grantee's organizational budget, general ledger, quarterly balance sheet, cost allocation procedures and plan, State and Federal tax forms, audited financial statement, fiscal policy manual, supporting documentation for selected invoices, cash receipts, and disbursement journals. The compliance monitoring will include review of the Personnel Manual, Emergency Operations Plan, Compliance with the Americans with Disabilities Act, subcontracts, MOUs, the current board roster, and selected board minutes for compliance with the Sunshine Ordinance. Grantee/Contractor: Meals On Wheels SF Full Term: 7/1/25 - 6/30/29 Program: Home Delivered Meals for Older Adults Effective Date: 7/1/2025 New Modification Revision (Check One) Modification # 7/1/25 - 6/30/26 7/1/26 - 6/30/27 7/1/27 - 6/30/28 7/1/28 - 6/30/29 7/1/25 - 6/30/29 Salaries & Benefits $4,051,050 $4,051,050 $4,051,050 $4,051,050 $16,204,200 Operating Expenses $2,416,385 $2,416,385 $2,416,385 $2,416,385 $9,665,540 Indirect Percentage (%) 15% 15% 15% 15% 15% Indirect Costs (Line 16 X Line 15) $970,115 $970,115 $970,115 $970,115 $3,880,460 Consultant/Subcontractor Direct Client Pass-Through Capital Expenses NCQA Expenditures $1,000,458 $1,000,458 $1,000,458 $1,000,458 $4,001,832 Salaries & Benefits $494,334 $494,334 $494,334 $494,334 $1,977,336 Operating Expenses $3,312,203 $3,312,203 $3,312,203 $3,312,203 $13,248,811 Consultant/Subcontractor Direct Client Pass-Through Capital Expenses $45,946 $45,946 NCQA Expenditures $478,500 $478,500 $478,500 $478,500 $1,914,000 TOTAL DAS AND NON DAS EXPEDITURES $12,768,991 $12,723,045 $12,723,045 $12,723,045 $50,938,125 HSA / DAS Revenues General Fund $5,344,500 $5,344,500 $5,344,500 $5,344,500 $21,378,000 State $1,766,121 $1,766,121 $1,766,121 $1,766,121 $7,064,484 Federal $1,327,387 $1,327,387 $1,327,387 $1,327,387 $5,309,548 Project Income $140,983 $140,983 $140,983 $140,983 $563,931 Agency Cash - Fundraising $4,190,000 $4,144,054 $4,144,054 $4,144,054 $16,622,162 Agency In-Kind/Volunteer Prepared by: ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, CFO Telephone No. & Email: ▇▇▇-▇▇▇-▇▇▇▇ ▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ HSA Budget Form (3/24) Meals On Wheels San Francisco Appendix B 1 DAS Salaries & Benefits Agency Totals HSA Program 7/1/25 - 6/30/26 Agency Totals HSA Program 7/1/26 - 6/30/27 Agency Totals HSA Program 7/1/27 - 6/30/28 Agency Totals HSA Program 7/1/28 - 6/30/29 7/1/25 - 6/30/29 POSITION TITLE Annual Full Time Salary for FTE Total FTE % FTE funded by HSA (M...

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