EXHIBIT C - APPROVED PROJECT BUDGET.PDF
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Exhibit C: Approved Project Budget Applicant Budget Narrative Maricopa County Air Quality Department Allocation MCAQD Amount: $529,115.74 Valleywise Health 20% Cost Share Amount: $132,278.94 Total Project Amount: $661,394.68 Administrative Expenses: $55,464.00 Supplies - $47,464.00 $47,464.00 is requested for EV charging equipment consisting of 10 charging stations with a total of 20 ports. These units will support deployment across Valleywise Health sites (Maryvale, Mesa, and Peoria) and directly contribute to expanded EV infrastructure and reduced emissions. Community Outreach - $8,000.00 $8,000.00 is requested for advertising and public relations, media, publication and printing. The funds will support community engagement activities across Maryvale, Mesa, and Peoria, including public awareness campaigns, launch events, digital outreach, media, signage, and multilingual materials to ensure equitable public access and utilization. Contractual Expenses: $77,327.84 Preliminary Architecture and Engineering Designs – NEPA Review Included - $77,327.84 $77,327.84 is requested for the support of preliminary design services, including engineering assessments, site design, and NEPA environmental review requirements necessary to prepare the project for construction. Construction Expenses: $330,775.20 Architectural And Engineering Basic Fees - $47,040.00 $47,040.00 is requested for permit drawings and engineering design services procured through a competitive RFQ process. Project Inspection Fees - $9,600.00 $9,600.00 is requested for Authority Having Jurisdiction (AHJ) inspection fees required during installation. Project Improvement - $274,135.20 $274,135.20 is requested for the full construction and turnkey installation of EV charging infrastructure, including site preparation, installation, and commissioning across Valleywise Health sites (Maryvale, Mesa, and Peoria). Procurement will follow RFQ and CM/GC methods in compliance with 2 CFR 200.320. Miscellaneous Expenses: $65,548.70 Networking - $18,000.00 $18,000.00 is requested to support 4G network integration to enable charger connectivity, monitoring, and data reporting. Miscellaneous - $47,548.70 $47,548.70 is requested for inflation adjustments and contingency to account for cost variability and project risk. Valleywise Health Cost Share Allocation (20% Match) Valleywise Health will cover 20% of the budgeted costs. The required 20% Match will be provided through non-federal cash contributions applied to eligible project costs and documented in the overall budget, with reporting as in-kind match. All project expenditures, including federal and cost shares, will comply with Uniform Guidance (2 CFR 200). Administrative Expenses: $13,866.00 Supplies - $11,866.00 $11,866.00 is requested for EV charging equipment consisting of 10 charging stations with a total of 20 ports. These units will support deployment across Valleywise Health sites (Maryvale, Mesa, and Peoria) and directly contribute to expanded EV infrastructure and reduced emissions. The required 20% Match will be provided through non-federal cash contributions with reporting as in- kind match. Community Outreach - $2,000.00 $2,000.00 is requested for advertising and public relations, media, publication and printing. The funds will support community engagement activities across Maryvale, Mesa, and Peoria, including public awareness campaigns, launch events, digital outreach, media, signage, and multilingual materials to ensure equitable public access and utilization. The required 20% Match will be provided through non-federal cash contributions with reporting as in-kind match. Contractual Expenses: $19,331.96 Preliminary Architecture and Engineering Designs – NEPA Review Included - $19,331.96 $19,331.96 is requested for the support of preliminary design services, including engineering assessments, site design, and NEPA environmental review requirements necessary to prepare the project for construction. The required 20% Match will be provided through non-federal cash contributions with reporting as in-kind match. Construction Expenses: $82,693.80 Architectural And Engineering Basic Fees - $11,760 $11,760.00 is requested for permit drawings and engineering design services procured through a competitive RFQ process. The required 20% Match will be provided through non-federal cash contributions with reporting as in-kind match. Project Inspection Fees - $2,400.00 $2,400.00 is requested for Authority Having Jurisdiction (AHJ) inspection fees required during installation. The required 20% Match will be provided through non-federal cash contributions with reporting as in-kind match. Project Improvement - $68,533.80 $68,533.80 is requested for the full construction and turnkey installation of EV charging infrastructure, including site preparation, installation, and commissioning across Valleywise Health sites (Maryvale, Mesa, and Peoria). Procurement will follow RFQ and CM/GC methods in compliance with 2 CFR 200.320. The required 20% Match will be provided through non-federal cash contributions with reporting as in-kind match. Miscellaneous Expenses: $16,387.18 Networking - $4,500.00 $4,500.00 is requested to support 4G network integration to enable charger connectivity, monitoring, and data reporting. The required 20% Match will be provided through non-federal cash contributions with reporting as in-kind match. Miscellaneous - $11,887.18 $11,887.18 is requested for inflation adjustments and contingency to account for cost variability and project risk. The required 20% Match will be provided through non-federal cash contributions with reporting as in-kind match. AIR QUALITY DEPARTMENT Applicant Detailed Budget 1.) ADMINISTRATIVE EXPENSES a.) PERSONNEL Hourly Labor Total Personnel Costs Maricopa County Labor Category (Position) Hours Applicant Cost Share Rate (S) (S) AQD Costs Position $0.00 0 $0.00 $0.00 $0.00 Position $0.00 0 $0.00 $0.00 $0.00 Position $0.00 0 $0.00 $0.00 $0.00 Position $0.00 0 $0.00 $0.00 $0.00 Position $0.00 0 $0.00 $0.00 $0.00 TOTAL PERSONNEL COSTS: 0 $0.00 $0.00 $0.00 b.) FRINGE BENEFITS Basis of Rate (Labor Category or Individual Total Direct Fringe Benefit Fringe Benefit Rate Maricopa County Period (FY) Applicant Cost Share Labor) Labor Costs Rate (%) ($) AQD Costs Position $0.00 0% $0.00 $0.00 $0.00 Position $0.00 0% $0.00 $0.00 $0.00 Position $0.00 0% $0.00 $0.00 $0.00 Position $0.00 0% $0.00 $0.00 $0.00 Position $0.00 0% $0.00 $0.00 $0.00 TOTAL FRINGE BENEFITS COSTS: $0.00 $0.00 $0.00 c.) TRAVEL Other Travel Maricopa County Labor Category Airfare Lodging Per Diem Travel Costs ($) Applicant Cost Share Expenses AQD Costs Position $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Position $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL TRAVEL COSTS: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 d.) SUPPLIES Number of Maricopa County Supply Item Cost Per Item Supplies Costs ($) Applicant Cost Share Items AQD Costs EV Charger Equipment - total of 10 stations w/ 20 ports $5,933.00 10 $59,330.00 $47,464.00 $11,866.00 $0.00 0 $0.00 $0.00 $0.00 TOTAL SUPPLIES COSTS $59,330.00 $47,464.00 $11,866.00 e.) SERVICES Maricopa County Service Item Services Costs ($) Applicant Cost Share AQD Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL SERVICES COSTS $0.00 $0.00 $0.00 f.) COMMUNITY OUTREACH Community Outreach Maricopa County Community Outreach Item Applicant Cost Share Costs ($) AQD Costs Community Enagagement (Maryvale, Mesa, & Peoria): Public Campaign, Launch Ceremony, Digital & Network Integration, Social Media, Signage, and Multilingual Access Information $10,000.00 $8,000.00 $2,000.00 $0.00 $0.00 $0.00 TOTAL COMMUNITY OUTREACH COSTS $10,000.00 $8,000.00 $2,000.00 g.) INDIRECT COSTS Indirect Rate Maricopa County Modified Total Direct Cost (MTDC) Base Amount Period (FY) Indirect Costs ($) Applicant Cost Share (%) AQD Costs $0.00 0% $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 $0.00 TOTAL INDIRECT COSTS: $0.00 $0.00 $0.00 TOTAL ADMINISTRATIVE EXPENSES: $69,330.00 $55,464.00 $13,866.00 AIR QUALITY DEPARTMENT Applicant Detailed Budget 2.) CONTRACTUAL EXPENSES a.) PRELIMINARY EXPENSES Maricopa County Preliminary Item Preliminary Costs ($) Applicant Cost Share AQD Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PRELIMINARY COSTS $0.00 $0.00 $0.00 b.) PRELIMINARY ARCHITECTURE AND ENGINEERING DESIGNS - NEPA REVIEW INCLUDED Preliminary Architecture and Maricopa County Preliminary Architecture and Engineering Designs - NEPA Review Included Applicant Cost Share Engineering Design Costs ($) AQD Costs Contractual: Preliminary Design w/Architecture & Engineering designs. NEPA Review included. $96,659.80 $77,327.84 $19,331.96 $0.00 $0.00 $0.00 TOTAL PRELIMINARY ARCHITECTURE AND ENGINEERING DESIGN COSTS $0.00 $77,327.84 $19,331.96 c.) FINAL PRELIMINARY DESIGNS Maricopa County Final Preliminary Design Item Final Preliminary Design Costs ($) Applicant Cost Share AQD Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FINAL PRELIMINARY DESIGN COSTS $0.00 $0.00 $0.00 TOTAL CONTRACTUAL EXPENSES: $0.00 $77,327.84 $19,331.96 AIR QUALITY DEPARTMENT Applicant Detailed Budget 3.) CONSTRUCTION EXPENSES a.) LAND, STRUCTURES, RIGHT-OF-WAY, APPRAISALS, etc. Land, Structures, Brief Description Of Each Basis Of The Estimate For Each Right-Of-Way, Maricopa County Applicant Cost Element SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 Element And Location Element Appraisals, etc. Costs AQD Costs Share ($) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL LAND, STRUCTURES, RIGHT-OF-WAY, APPRAISALS, etc. COSTS $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 b.) ARCHITECTURAL AND ENGINEERING BASIC FEES Work To Be Performed and Architectural And Proposed Type Of Competitive Maricopa County Applicant Cost Entity Name Project Section/Task SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 Engineering Basic Fee Procurement Method AQD Costs Share (2 - 3 Sentences) Costs ($) TBD Permit Drawings ARFQ $14,400.00 $31,200.00 $13,200.00 $0.00 $0.00 $58,800.00 $47,040.00 $11,760.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL ARCHITECTURAL AND ENGINEERING BASIC FEE COSTS $14,400.00 $31,200.00 $13,200.00 $0.00 $0.00 $58,800.00 $47,040.00 $11,760.00 c.) OTHER ARCHITECTURAL AND ENGINEERING FEES Work To Be Performed and Other Architectural Proposed Type Of Competitive Maricopa County Applicant Cost Entity Name Project Section/Task SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 And Engineering Fee Procurement Method AQD Costs Share (2 - 3 Sentences) Costs ($) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL OTHER ARCHITECTURAL AND ENGINEERING FEE COSTS $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 d.) PROJECT INSPECTION FEES Work To Be Performed and Proposed Type Of Competitive Project Inspection Fee Maricopa County Applicant Cost Entity Name SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 Project Section/Task Procurement Method Costs ($) AQD Costs Share Project Inspection fees AHJ Inspections N/A $2,831.10 $6,479.46 $2,689.44 $0.00 $0.00 $12,000.00 $9,600.00 $2,400.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PROJECT INSPECTION FEE COSTS $2,831.10 $6,479.46 $2,689.44 $0.00 $0.00 $12,000.00 $9,600.00 $2,400.00 e.) LAND DEVELOPMENT/SITE WORK Proposed Anticipated Type Of Project Land Development/ Maricopa County Applicant Cost Entity Name Description Of Work Competitive SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 Delivery Site Work Costs ($) AQD Costs Share Procurement Type** Method* $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL LAND DEVELOPMENT/SITE WORK COSTS $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 *If a noncompetitive procurement is necessary, indicate the circumstance that applies in accordance with 2 CFR 200.320(c) and request approval, if applicable. **Design-Bid-Build or Design-Build or Construction Manager/General Contractor (CM/GC (as known as Construction Manager at Risk (CMAR))) f.) RELOCATION EXPENSES AND PAYMENTS Relocation Expenses Brief Description Of Elements Basis Of The Estimate For Each Maricopa County Applicant Cost Element SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 and Payments Costs And Locations Element AQD Costs Share ($) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL RELOCATION EXPENSES AND PAYMENTS COSTS $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 g.) DEMOLITION AND REMOVAL Proposed Anticipated Type Of Project Demolition and Maricopa County Applicant Cost Entity Name Description Of Work Competitive SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 Delivery Removal Costs ($) AQD Costs Share Procurement Type** Method* $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL DEMOLITION AND REMOVAL COSTS $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 *If a noncompetitive procurement is necessary, indicate the circumstance that applies in accordance with 2 CFR 200.320(c) and request approval, if applicable. **Design-Bid-Build or Design-Build or Construction Manager/General Contractor (CM/GC (as known as Construction Manager at Risk (CMAR))) h.) PROJECT IMPROVEMENT Proposed Anticipated Type Of Project Project Improvement Maricopa County Applicant Cost Entity Name Description Of Work Competitive SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 Delivery Costs ($) AQD Costs Share Procurement Type** Method* All costs associated with construction and commissioning for a Turnkey Installation of EV Charger Project Improvement Construction stations (excludes permit fees) RFQ CM/GC $86,139.00 $180,329.00 $76,201.00 $0.00 $0.00 $342,669.00 $274,135.20 $68,533.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PROJECT IMPROVEMENT COSTS $86,139.00 $180,329.00 $76,201.00 $0.00 $0.00 $342,669.00 $274,135.20 $68,533.80 *If a noncompetitive procurement is necessary, indicate the circumstance that applies in accordance with 2 CFR 200.320(c) and request approval, if applicable. **Design-Bid-Build or Design-Build or Construction Manager/General Contractor (CM/GC (as known as Construction Manager at Risk (CMAR))) TOTAL CONSTRUCTION EXPENSES: $413,469.00 $82,693.80 $0.00 AIR QUALITY DEPARTMENT Applicant Detailed Budget 4.) MISCELLANEOUS EXPENSES a.) NETWORKING Maricopa County Networking Item SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 Networking Costs ($) Applicant Cost Share AQD Costs Networking - 4G Networking $4,500.00 $12,000.00 $6,000.00 $0.00 $0.00 $22,500.00 $18,000.00 $4,500.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL NETWORKING COSTS $4,500.00 $12,000.00 $6,000.00 $0.00 $0.00 $22,500.00 $18,000.00 $4,500.00 b.) CAPITAL EQUIPMENT (Unit cost of $10K or more - for Equipment Items less than $10K use Supplies Section - this includes charging port expenses) Basis of the Estimate (Vendor Number of Maricopa County Equipment Item Cost Per Unit SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 Equipment Costs Applicant Cost Share quotes or Engineering Units AQD Costs $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL EQUIPMENT COSTS $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 c.) MISCELLANEOUS Miscellaneous Costs Maricopa County Miscellaneous Item SITE 1 SITE 2 SITE 3 SITE 4 SITE 5 Applicant Cost Share ($) AQD Costs Misc. Inflation + Contingency $15,172.00 $30,153.88 $14,110.00 $0.00 $0.00 $59,435.88 $47,548.70 $11,887.18 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL MISCELLANEOUS COSTS $15,172.00 $30,153.88 $14,110.00 $0.00 $0.00 $59,435.88 $47,548.70 $11,887.18 TOTAL MISCELLANEOUS EXPENSES: $81,935.88 $65,548.70 $16,387.18 AIR QUALITY DEPARTMENT Applicant Detailed Budget 01 02 03 04 PRELIMINARY DESIGN EQUIPMENT CHARGING STATION SITE LAUNCH AND NEPA REVIEW PROCUREMENT AND INSTALLED PERMITS ISSUED • Site opens to the public • Subrecipient must have • Electrical upgrades to site must completed their RFP process and • Permits must be obtained for all be complete • Initial site profile data submitted selected a contractor work being done (construction, to MCAQD • Received complete preliminary dust control, electrical, etc.) • for Equipment operation installed and ready • Final allowable costs designs with a quote for final • Equipment matching preliminary reimbursed installation design quote must be purchased • Networking and software and received installed and accessible to • Completed a National MCAQD and subrecipient Environmental Policy Act (NEPA) review • Site restored for consumer use • Final inspections passed MILESTONE BREAKDOWN MILESTONE ONE (1) MILESTONE TWO (2) MILESTONE THREE (3) MILESTONE FOUR (4) TOTAL BUDGET Budget Category Description MCAQD Share ($) Cost Share ($) MILESTONE TOTAL MCAQD Share ($) Cost Share ($) MILESTONE TOTAL MCAQD Share ($) Cost Share ($) MILESTONE TOTAL MCAQD Share ($) Cost Share ($) MILESTONE TOTAL TOTAL COST ($) 1.) Administrative Expenses Personnel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Benefits (ERE) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $0.00 $0.00 $47,464.00 $11,866.00 $59,330.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $59,330.00 Services $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Community Outreach $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8,000.00 $2,000.00 $10,000.00 $10,000.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL Admin Costs $0.00 $0.00 $0.00 $47,464.00 $11,866.00 $59,330.00 $0.00 $0.00 $0.00 $8,000.00 $2,000.00 $10,000.00 $69,330.00 2.) Contractual Expenses Preliminary Expenses $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Preliminary Design w/Architecture and Engineering designs. NEPA Review included. $77,327.84 $19,331.96 $96,659.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $96,659.80 Final Design $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL Contractual Costs $77,327.84 $19,331.96 $96,659.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $96,659.80 3.) Construction Expenses Land, Structure, Right-of-Way $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architectural and Engineering Basic Fees $0.00 $0.00 $0.00 $47,040.00 $11,760.00 $58,800.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $58,800.00 Other Arch. and Eng. Fees $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Project Inspection Fees $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9,600.00 $2,400.00 $12,000.00 $0.00 $0.00 $0.00 $12,000.00 Land Development $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Relocation Expense $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Demolition and Removal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Project Improvement $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $274,135.20 $68,533.80 $342,669.00 $0.00 $0.00 $0.00 $342,669.00 TOTAL Construction Costs $0.00 $0.00 $0.00 $47,040.00 $11,760.00 $58,800.00 $283,735.20 $70,933.80 $354,669.00 $0.00 $0.00 $0.00 $413,469.00 4.) Miscellaneous Expenses Networking $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $18,000.00 $4,500.00 $22,500.00 $0.00 $0.00 $0.00 $22,500.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Miscellaneous Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $42,793.83 $10,698.46 $53,492.29 $4,754.87 $1,188.72 $5,943.59 $59,435.88 TOTAL Miscellaneous Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $60,793.83 $15,198.46 $75,992.29 $4,754.87 $1,188.72 $5,943.59 $81,935.88 TOTAL BILLING $77,327.84 $19,331.96 $96,659.80 $94,504.00 $23,626.00 $118,130.00 $344,529.03 $86,132.26 $430,661.29 $12,754.87 $3,188.72 $15,943.59 $661,394.68 Cost Share Percentage 80% 20% 100% 80% 20% 100% 80% 20% 100% 80% 20% 100% Application Budget Template Prepared for the Maricopa County CFI Funded EV Infrastructure Program Project Name: Valleywise Health EV Charging Stations Project Manager: Lalitha Madhavan (Valleywise) Organization/Entity: MCAQD Unique ID: 1443703434 Project Budget Summary Budget Category Description MCAQD Share ($) Cost Share ($) Project Total ($) Admin: Personnel $0.00 $0.00 $0.00 Admin: Benefits (ERE) $0.00 $0.00 $0.00 Admin: Travel $0.00 $0.00 $0.00 Admin: Supplies $47,464.00 $11,866.00 $59,330.00 Admin: Services $0.00 $0.00 $0.00 Admin: Community Outreach $8,000.00 $2,000.00 $10,000.00 Admin: Indirect Costs $0.00 $0.00 $0.00 TOTAL Admin Costs $55,464.00 $13,866.00 $69,330.00 Contractual: Preliminary Expenses $0.00 $0.00 $0.00 Contractual: Preliminary Design w/Architecture and Engineering designs. NEPA Review included. $77,327.84 $19,331.96 $96,659.80 Contractual: Final Design $0.00 $0.00 $0.00 TOTAL Contractual Costs $77,327.84 $19,331.96 $96,659.80 Site Costs Site 1 Site 2 Site 3 Site 4 Site 5 Constr: Land, Structure, Right-of-Way $0.00 $0.00 $0.00 Land, Structure, Right-of-Way $0.00 $0.00 $0.00 $0.00 $0.00 Constr: Architectural and Engineering Basic Fees $47,040.00 $11,760.00 $58,800.00 Basic Fees $14,400.00 $31,200.00 $13,200.00 $0.00 $0.00 Constr: Other Arch. and Eng. Fees $0.00 $0.00 $0.00 Other Arch. and Eng. Fees $0.00 $0.00 $0.00 $0.00 $0.00 Constr: Project Inspection Fees $9,600.00 $2,400.00 $12,000.00 Project Inspection Fees $2,831.10 $6,479.46 $2,689.44 $0.00 $0.00 Constr: Land Development $0.00 $0.00 $0.00 Land Development $0.00 $0.00 $0.00 $0.00 $0.00 Constr: Relocation Expense $0.00 $0.00 $0.00 Relocation Expense $0.00 $0.00 $0.00 $0.00 $0.00 Constr: Demolition and Removal $0.00 $0.00 $0.00 Demolition and Removal $0.00 $0.00 $0.00 $0.00 $0.00 Constr: Project Improvement $274,135.20 $68,533.80 $342,669.00 Project Improvement $86,139.00 $180,329.00 $76,201.00 $0.00 $0.00 TOTAL Construction Costs $330,775.20 $82,693.80 $413,469.00 Networking $18,000.00 $4,500.00 $22,500.00 Networking $4,500.00 $12,000.00 $6,000.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 Miscellaneous Costs $47,548.70 $11,887.18 $59,435.88 Miscellaneous Costs $15,172.00 $30,153.88 $14,110.00 $0.00 $0.00 TOTAL Miscellaneous Costs $65,548.70 $16,387.18 $81,935.88 TOTAL SITE COSTS $123,042.10 $260,162.34 $112,200.44 $0.00 $0.00 TOTAL BILLING $529,115.74 $132,278.94 $661,394.68 Cost Share Percentage 80% 20% 100%