ANNEX 3 - PHASE 2 Business App Budget Template for FY24 RFA.xlsx
XLSX spreadsheet 289 KB Posted
- Opportunity number
- 7201P124R00001
- Issued by
-
US Agency for International Development
About this file
This document contains a detailed budget template for the American Schools and Hospitals Abroad (ASHA) program's Request for Applications (RFA) for Fiscal Year 2024. The template includes a Summary Budget, Detailed Budget, Commodity Table, and Pipeline Budget for a federal grant opportunity.
The key details are:
- Solicitation Number: 7201P124R00001
- Funding Opportunity: American Schools and Hospitals Abroad Program Worldwide
- Funding Instrument: Cooperative Agreement, Grant
- Eligible Applicants: Other
- Funding Activity Categories: Education, Health
- Federal Agency: US Agency for International Development (USAID)
- CFDA Number: 98.006 - Foreign Assistance to American Schools and Hospitals Abroad (ASHA)
- The template provides detailed budget categories, units, quantities, unit costs, and totals for Professional A&E Services, Construction, Renovation, Durable Commodities, and Program Support.
Annex 3 - Phase 2 Business Application
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Text version
Summary Budget
SUMMARY BUDGET
| Cost Categories | USAID Funds | Total USAID Funds | |
| (Prime + Sub) | Total Leveraged Funds | Total Cost |
(USAID + Leveraged Funds)
| Prime | Sub | ||||
| A: Professional A&E Services | $0 | $0 | $0 | $0 | $0 |
| B: Construction | $0 | $0 | $0 | $0 | $0 |
| C: Renovation | $0 | $0 | $0 | $0 | $0 |
| D. Durable Commodities | $0 | $0 | $0 | $0 | $0 |
| E. Program Support | $0 | $0 | $0 | $0 | $0 |
| TOTAL ESTIMATED AMOUNT | $0 | $0 | $0 | $0 | $0 |
American Schools and Hospitals Abroad Initiative Solicitation No.: 7201P124R00001
&P
Detailed Budget
| DETAILED BUDGET | ||||||||||||
| USAID Request | ||||||||||||
| Cost Category Items | Unit 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 as needed) | TOTAL USAID Request | |||||||||||
| (Prime + Subs) | TOTAL Funding from other Sources (Leverage) | |||||||||||
| A: Professional A&E Services | ||||||||||||
| Construction Drawings | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Environmental plan | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | |||||||||
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| B: Construction | ||||||||||||
| Area 1 - Construction | ||||||||||||
| Construction 1 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Construction 2 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Construction 3 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | |||||||||
| Area 1 - Finishing | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Finishing 1 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Finishing 2 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Finishing 3 | $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 | |||||||||
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| C: Renovation | ||||||||||||
| Area 2 - Renovation | ||||||||||||
| Renovation 1 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Renovation 2 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Renovation 3 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | |||||||||
| Area 2 - Finishing | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Finishing 1 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Finishing 2 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Finishing 3 | $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 | |||||||||
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| D. Durable Commodities | ||||||||||||
| Area 1 - Commodities | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Area 2 - Commodities | $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 | |||||||||
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| E. Program Support | ||||||||||||
| Audit costs | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Branding and Marking costs | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| M&E 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 | |||||||||
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| TOTAL ESTIMATED AMOUNT | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
American Schools and Hospitals Abroad Initiative Solicitation No.: 7201P124R00001
Commodity Table
| DURABLE COMMODITIES | ||||||||||||
| USAID Request | ||||||||||||
| 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 as needed) | TOTAL USAID Request | |||||||||||
| (Prime + Subs) | TOTAL Funding from other Sources (Leverage) | |||||||||||
| D. Durable Commodities | ||||||||||||
| Area 1 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Commodity 1 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Commodity 2 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Commodity 3 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | |||||||||
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Area 2 | ||||||||||||
| Commodity 1 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Commodity 2 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||
| Commodity 3 | $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 | |||||||||
| $0.00 | $0.00 | $0.00 | $0.00 | |||||||||
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| TOTAL | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
American Schools and Hospitals Abroad Initiative Solicitation No.: 7201P124R00001
Pipeline (for Mod Apps only)
| DETAILED BUDGET | |
| PIPELINE BUDGET |
(USAID FUNDS ONLY)
Description of Categories Total Award Amount Approved in Base Award Actual Expenditures to Date as of mm/dd/yyyy Accrued Expenditures as of mm/dd/yyyy Unexpended Balance as of mm/dd/yyyy New Funds Requested as of mm/dd/yyyy Total Award Funds for Entire Period of Performance mm/dd/yyyy - mm/dd/yyyy
| A: Professional A&E Services |
| Construction Drawings |
| Environmental plan |
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| B: Construction | ||||||
| Area 1 - Construction | ||||||
| Construction 1 | ||||||
| Construction 2 | ||||||
| Construction 3 |
| Area 1 - Finishing |
| Finishing 1 |
| Finishing 2 |
| Finishing 3 |
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| C: Renovation | ||||||
| Area 2 - Renovation | ||||||
| Renovation 1 | ||||||
| Renovation 2 | ||||||
| Renovation 3 |
| Area 2 - Finishing |
| Finishing 1 |
| Finishing 2 |
| Finishing 3 |
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| D. Durable Commodities | ||||||
| Area 1 - Commodity | ||||||
| Commodity 1 | ||||||
| Commodity 2 | ||||||
| Commodity 3 |
| Area 2 - Commodity |
| Commodity 1 |
| Commodity 2 |
| Commodity 3 |
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| E. Program Support | ||||||
| Audit costs | ||||||
| Branding and Marking costs |
| Subtotal | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| TOTAL | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
American Schools and Hospitals Abroad Initiative Solicitation No.: 7201P124R00001
Instructions
| Tab | Applies to | Instructions |
| Summary Budget | All applicants | Addresses new requested funds only |
| "Total USAID Funds" (column D) should be "Prime" funds (column B) plus "Sub" funds (column C). | ||
| "Total Cost" (column F) should be "Total USAID Funds" (column D) plus "Total Leveraged Funds" (column E). | ||
| "Total Estimated Amount" (row 10) should be the sum of the amounts in the Cost Categories (rows 5-9). | ||
| Detailed Budget | All applicants | Addresses new requested funds only |
| Column A: List items under each appropriate category. | ||
| Total Cost for each year should equal the unit cost multiplied by the quantity of units each year, e.g., column C multiplied by column D equals column E. | ||
| If project includes construction/renovation, feel free to add "Units" and "Total Cost" columns for Year 3 and Year 4. | ||
| "Total USAID Request" (column M) should be the sum of the amounts in the USAID Request columns (J-L). | ||
| Cost Category "Durable Commodities" may list either general costs, e.g., medical supplies, or it can be an exact copy of the Commodity Table. | ||
| Commodity Table | Projects that include Commodities | Addresses new requested funds only |
| Total Cost for each year should equal the unit cost multiplied by the quantity of units each year, e.g., column C multiplied by column D equals column E. | ||
| Pipeline (for Mod Apps only) | Only applicants applying for a modification | Addresses both base award funds and new requested funds |
| Column B: The budget that was approved in the base award. If you have had any modifications that revised the budget, please insert the most recently approved budget. | ||
| Column C: List all actual expenditures that have occurred using the base award's funds. | ||
| Column D: List all accrued expenditures that have occurred using the base award's funds. Accrued expenditures are goods and services you've received but not paid out yet. | ||
| Column E: List the funds that remain of the approved base budget once you subtract the actual and accrued expenditures. | ||
| Column F: This column should match the total USAID funds (column M) in the Detailed Budget tab. | ||
| Column G: This is a total of the base award funds (column B) plus the new requested funds (column F). |
Other tables
| OSI - SUB RECIPIENT 1 | ||||||
| Description of Category | Units | Quantity | Unit Cost | Total Cost | USAID Request | Funding from other Sources |
| A: Professional A&E Services | ||||||
| - Construction Drawings | ||||||
| - Enviromental plan | ||||||
| - Other | ||||||
| Subtotal | ||||||
| B: Construction | ||||||
| - Area 1 - Construction | ||||||
| - Area 1 - finishing | ||||||
| - Other | ||||||
| Subtotal | ||||||
| C: Renovation | ||||||
| - Area 2 - Construction | ||||||
| - Area 2 - finishing | ||||||
| - Other | ||||||
| Subtotal | ||||||
| D. Durable Commodities | ||||||
| - Commodity 1 | ||||||
| - Commodity 2 | ||||||
| - Other | ||||||
| Subtotal | ||||||
| E. Program Support | ||||||
| - Audit costs | ||||||
| - Branding and Marking costs | ||||||
| - Other | ||||||
| Subtotal | ||||||
| F. Second Tier Sub-Recipient | ||||||
| - List Second Tier Sub-Recipient 1 | ||||||
| - List Second Tier Sub-Recipient 2 | ||||||
| Total |
| SUB RECIPIENT 2 | ||||||
| Description of Category | Units | Quantity | Unit Cost | Total Cost | USAID Request | Funding from other Sources |
| A: Professional A&E Services | ||||||
| - Construction Drawings | ||||||
| - Enviromental plan | ||||||
| - Other | ||||||
| Subtotal | ||||||
| B: Construction | ||||||
| - Area 1 - Construction | ||||||
| - Area 1 - finishing | ||||||
| - Other | ||||||
| Subtotal | ||||||
| C: Renovation | ||||||
| - Area 2 - Construction | ||||||
| - Area 2 - finishing | ||||||
| - Other | ||||||
| Subtotal | ||||||
| D. Durable Commodities | ||||||
| - Commodity 1 | ||||||
| - Commodity 2 | ||||||
| - Other | ||||||
| Subtotal | ||||||
| E. Program Support | ||||||
| - Audit costs | ||||||
| - Branding and Marking costs | ||||||
| - Other | ||||||
| Subtotal | ||||||
| F. Second Tier Sub-Recipient | ||||||
| - List Second Tier Sub-Recipient 1 | ||||||
| - List Second Tier Sub-Recipient 2 | ||||||
| Total |
| CONSTRUCTION | ||||||
| Description of Commodity | Units | Quantity | Unit Cost | Total Cost | USAID Request | Funding from other Sources |
| B: Construction | ||||||
| Area 1 | ||||||
| - Construction 1 | ||||||
| - Construction 2 | ||||||
| - Construction 3 | ||||||
| - Construction 4 | ||||||
| - Construction 5 | ||||||
| Subtotal | ||||||
| Area 2 | ||||||
| - Construction 6 | ||||||
| - Construction 7 | ||||||
| - Construction 8 | ||||||
| - Construction 9 | ||||||
| - Construction 10 | ||||||
| - Construction 11 | ||||||
| Subtotal | ||||||
| Total |
| RENOVATION | ||||||
| Description of Commodity | Units | Quantity | Unit Cost | Total Cost | USAID Request | Funding from other Sources |
| C: Renovation | ||||||
| Area 1 | ||||||
| - Renovation 1 | ||||||
| - Renovation 2 | ||||||
| - Renovation 3 | ||||||
| - Renovation 4 | ||||||
| - Renovation 5 | ||||||
| Subtotal | ||||||
| Area 2 | ||||||
| - Renovation 6 | ||||||
| - Renovation 7 | ||||||
| - Renovation 8 | ||||||
| - Renovation 9 | ||||||
| - Renovation 10 | ||||||
| - Renovation 11 | ||||||
| Subtotal | ||||||
| Total |
| DURABLE COMMODITIES | ||||||
| Description of Commodity | Units | Quantity | Unit Cost | Total Cost | USAID Request | Funding from other Sources |
| 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 |
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