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- DDP
- DRINKING DRIVER PROGRAM ORIENTATION
- FISCAL YEAR 2011-12
- 1000 S. Fremont Avenue
- Building A-9 East, 3rd Floor Unit 34
- Alhambra, CA 91803
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- SUBMITTING YOUR COST REPORT:
- SEND SIGNED ORIGINAL COST REPORT WITH A COPY BY MAIL
- BY AUGUST 15, 2012.
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3
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- Objectives
- Instructions for completing the form:
- Schedule 1: Personnel
Services
- Schedule 2: Operating
Expenses
- Schedule 3:
Equipment/Facility Depreciation
- Summary Page
- Deadline
- Notes
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- This form is part of your cost report package and it certifies:
- That your cost report is true, accurate and complete and was prepare=
d in
accordance with applicable County, State and Federal laws, regulatio=
ns
and guidelines.
- That you agree to keep such records for a period of three years.
- That you understand that anyone who misrepresents falsifies, omits
essential information, or conceals material facts, may be prosecuted under applica=
ble
County, State, and/or Federal laws.
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- PROGRAM EXPENSES
- Schedule 1
- Personnel Services
- Salary: Complete
columns A-D
- Employee Benefits:
Complete column B
- Contract Services:
Complete columns A-B
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- Schedule 2
- Operating Expenses
- Complete column B
- Expenditures for building mortgages are not allowed.
- If space rental is shared, show the prorated amounts and explain =
the
basis of the allocation of costs on a separate sheet.
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- Schedule 2 (cont.)
- Operating Expenses
- Staff Education/Training includes reimbursement for local mileage,
tuition, etc. You may=
break
this out into separate categories.
- Interest Expenses: Lo=
an
expenses that are taken out to cover operating costs or meet payrol=
ls
may be charged off as operating expenses under Interest Expenses
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- Schedule 3
- Equipment/Facility Depreciation
- Equipment Depreciation:
Complete columns A-H
- Equipment is a non-expendable property which has a useful life in
excess of three years and a cost in excess of $5,000.
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- Schedule 3 (cont.)
- Equipment/Facility Depreciation
- Facility Depreciation:
Complete columns A-G
- Facility depreciation is an allowable expense (expenditures for
remodeling are capitalized and depreciated).
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- Summary Page
- Program Revenue
- Number of participants
- Gross Revenue
- Prior year excess fees or loss carryover
- &nbs=
p;
(Loss carryover is Agency’s option).
- Total Program Revenue
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- Summary Page (cont.)
- Program Expenses
- Personnel Services (Schedule 1)
- Operating Expenses (Schedule 2)
- Equipment/Facility Depreciation (Schedule 3)
- Gross Cost
- Profit/Surplus or Loss:
Total Program Revenue minus Total Gross Cost
- Excess Fee or (Loss) to be carried-over
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- Notes:
- Loss may be carried-over 100% at Agency’s option.
- Excess Fees to be carried over:
-
Complete the Excess Fees calculation to determine the amount=
of
excess fees to be carried-over.
- Agency may retain up to 10% of total program revenue in excess fees=
and
carried-over the remaining to the following year.
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- D. Excess Fees Carryov=
er
- Total Program Revenue generated in FY 2010-11 minus Program Expenses
(in excess of 10% of total program revenue). It should agree with the am=
ount
carried forward to FY 2011-12 in the cost report for FY 2010-11.
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- E. Excess Fees Carry Forward
- Total Program Revenue generated in FY 2011-12 minus Program Expenses
(in excess of 10% of total program revenue) will be carried forward =
to
- FY 2012-13.
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- SUBMIT FY 2011-12 COST REPORT BY
- AUGUST 15, 2012
- PLEASE:
- E-MAIL COST REPORT FOR REVIEW
- MAIL COST REPORT ORIGINAL AND COPY
- ATTACHED CARE CERTIFICATION
- ATTACHED COST REPORT CERTIFICATION
- TO:
- COUNTY OF LOS ANGELES
- DEPARTMENT OF PUBLIC HEALTH
- SUBSTANCE ABUSE PREVENTION AND CONTROL
- =
;
1000 S. FREMONT AVE. BUILDING A-9 EAST
- 3rd FLOOR, NORTH WING, UNIT 34
-
ALHAMBRA, CA 91803
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- Alex Domond (626)
299-4156
adomond@ph.lacounty.gov
- Hanna Battung (626)
299-4179 hbattung@ph.lacounty.gov
- Lisa Lee &nbs=
p;
(626) 299-4165
lislee@ph.lacounty.gov
- Zenaida Arenas (626) 299-4584 zarenas@ph.lacounty.gov
- Winnie Su &nbs=
p;
(626) 299-4146
zsu@ph.lacoutny.gov
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