RFP 5340                          ACQUISITION / RENOVATION OF LICENSED RESIDENTIAL FACILITIES AND HOMES
                                                                 
               ATTACHMENT B - Residential Home or Facility Development Project and Start Up 
                                                           Budgets
                                                         INSTRUCTION:
            Add additional lines to itemize other types of costs and to add estimated sources andcost and budget notes.
           Applicant Name:
           Project Location:
           Enter Sources of Funds for Development         Amount                Budget Notes (as necessary)
           OHA HSD Request for Funds
           Other:
           Other:
           Other:
           TOTAL SOURCES OF FUNDS                     $                            - 
           Enter Costs for Development Project and Start Up Costs
                                                       Estimated Cost           Budget Notes (as necessary)
           DEVELOPMENT PROJECT COSTS 
           Building Acquisition
           Renovation - Construction
           Site Improvements / Landscaping
           Permits & Fees
           Architectural & Engineering
           Legal
           Closing & Title Insurance
           Insurance - Property & Liability 
           Financing Fees
           Developer Fee
           Other - 
           TOTAL DEVELOPMENT PROJECT COSTS            $                          -   
           START UP COSTS
           Salaries
           Training / Consultant Fees
           Staff Recruitment
           Furniture & Furnishings
           Office Equipment
           Applliances
           Kitchen Equipment
           Builidng Maintenance Equipment
           Utilities
           Property, Liability & Auto Insurance
           Vehicle
           Other 
           TOTAL START UP COSTS                       $                          -   
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     RFP 5340       ACQUISITION / RENOVATION OF LICENSED RESIDENTIAL FACILITIES AND HOMES
          Total Number of Beds
     Additional Project or Start Up Cost Notes: 
                                                Apr-22
                                      Approved by OR DOJ on 4/28/22
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