ANNEX 4 - PHASE 2 BUSINESS APPLICATION TEMPLATES for FY20 RFA (FINAL 12.4.2019).docx
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Annex 4b
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ANNEX 4 – PHASE 2 BUSINESS COST APPLICATION TEMPLATES
Instructions: Applicants should reproduce and complete the templates in Sections 4a, 4b, and 4c under "Annex 4 - Phase 2 Business Cost Application Templates" and return to ASHA for review. All requested information should be submitted.
Annex 4 Section 4a - Summary Budget Template
Click here for template
| Cost Categories |
| USAID |
| Total USAID |
funds
| Total Leveraged funds |
| Total Cost |
| Prime |
| Sub |
| Sub |
A: Professional A&E Services
B: Construction
C: Renovation
D. Durable Commodities
E. Program Support
TOTAL ESTIMATED AMOUNT
Annex 4 Section 4b - Budget Template
Click here for template
| Description of Categories |
| Units Description |
| Unit Cost |
| Units |
Yr 1 Total Cost Yr 1 Units Yr 2 Total Cost Yr 2
| Add years as needed |
| Total Cost |
| Prime (USO) |
| Sub (OSI) |
| Sub (Add) |
| USAID Request |
| Funding from other Sources (Leverage) |
A: Professional A&E Services
- Construction Drawings
- Environmental plan
- Other
-- Other 1
Subtotal
B: Construction
- Area 1 - Construction
-- Construction 1
-- Construction 2
-- Construction 3
-- Construction 4
- Area 1 - Finishing
-- Finishing 1
-- Finishing 2
-- Finishing 3
-- Finishing 4
- Other
-- Other 1
Subtotal
C: Renovation
- Area 2 - Renovation
-- Renovation 1
-- Renovation 2
-- Renovation 3
-- Renovation 4
- Area 2 - Finishing
-- Finishing 1
-- Finishing 2
-- Finishing 3
-- Finishing 4
- Other
-- Other 1
Subtotal
D. Durable Commodities
- Area 1 - Commodity
-- Commodity 1
-- Commodity 2
-- Commodity 3
-- Commodity 4
- Area 2 - Commodity
-- Commodity 5
-- Commodity 6
-- Commodity 7
-- Commodity 8
- Other
Subtotal
E. Program Support
- Audit costs
- Branding and Marking costs
- Other
-- Other 1
Subtotal
TOTAL COST
Annex 4 Section 4c - Budget Template of Durable Commodities Click here for template
| Description of Categories |
| Units Description |
| Unit Cost |
| Units |
Yr 1 Total Cost Yr 1 Units Yr 2 Total Cost Yr 2
| Add years as needed |
| Total Cost |
| Prime (USO) |
| Sub (OSI) |
| Sub (Add) |
| USAID Request |
| Funding from other Sources (Leverage) |
D. Durable Commodities
Area 1
- Commodity 1
- Commodity 2
- Commodity 3
- Commodity 4
- Commodity 5
Subtotal
Area 2
- Commodity 6
- Commodity 7
- Commodity 8
- Commodity 9
- Commodity 10
- Commodity 11
- Other
Subtotal
Total
- 2 -
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