ATTACHMENT 1 - EXHIBIT C - BUDGET TEMPLATE COST REIMBURSEMENT.xlsx
XLSX spreadsheet 147 KB Posted
- Solicitation number
- BPM013305
- Issued by
- California
About this file
This is a cost reimbursement budget template for use with the County of San Diego on contracts for CalWorks Employment and Supportive Services. The template is designed to accommodate multiple programs and funding sources, with provisions for flexible contract periods and amendment periods. Contractors must submit detailed budgets itemizing personnel costs, non-personnel expenses, and anticipated project-generated revenue across designated program categories.
The budget template requires contractors to provide comprehensive cost documentation including wages and salaries, fringe benefits, consultant and contract services, mileage reimbursement (limited to $0.55 per mile), transportation, insurance coverage, space rental costs, consumable supplies, equipment rental/lease/purchase, utilities, and other miscellaneous costs. Insurance requirements are substantial, mandating Commercial General Liability coverage of $2,000,000 per occurrence with $4,000,000 aggregate limits, Automobile Liability of $1,000,000, Employer's Liability of $1,000,000, Professional Liability of $2,000,000 per occurrence with $4,000,000 aggregate, and Cyber Security Liability of $2,000,000 per occurrence. Consultant and contract services exceeding $50,000 or 25% of the annual contract value require prior approval from the Contracting Officer Representative (COR). All fringe benefits, fixed assets valued at $5,000 or more, and indirect costs must be detailed and supported with documentation. Unexpended funds do not carry over between fiscal years, and severability limits cannot be exceeded.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT 2_HHSA_linguistic_and_cultural_diversity_plan.docx | DOCX document | |
| RFP 13305_Pre-Proposal Attendance.docx | DOCX document | |
| RFP 13305_PACKET.pdf |
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Text version
A-1
| CONTRACT BUDGET | ||
| CONTRACTOR: | CONTRACT NO. | |
| CONTRACT PERIOD: | FUNDING SOURCE: | |
| AMENDMENT PERIOD: | Prepared by: | Phone#: |
| PROGRAM(S) | ||||||||
| BUDGET LINE ITEM | TOTAL | |||||||
| PERSONNEL: | ||||||||
| Wages & Salaries | - 0 | |||||||
| Fringe Benefits | - 0 | |||||||
| Personnel Subtotal: | - 0 | - 0 | - 0 | - 0 | - 0 | |||
| NON-PERSONNEL: | ||||||||
| * Consultant/Contract Services | - 0 | |||||||
| Mileage (Limit .55/mile) | - 0 | |||||||
| Transportation | - 0 | |||||||
| Insurance | - 0 | |||||||
| Space Cost & Rental | - 0 | |||||||
| Consumable Supplies | - 0 | |||||||
| * Equip, Rental/Lease/Purchase | ||||||||
| (Including minor equipment) | - 0 | |||||||
| Utilities/Telephone | - 0 | |||||||
| + Food | - 0 | |||||||
| Indirect Costs | - 0 | |||||||
| * Other Costs | - 0 | |||||||
| Non-Personnel Subtotal: | - 0 | - 0 | - 0 | - 0 | - 0 | |||
| Total Budget: | - 0 | - 0 | - 0 | - 0 | - 0 | |||
| Severability Limits (If Applicable) | $___0__________ | $__0__________ | ||||||
| (Unexpended funds shall not be carried over from one fiscal year to the next fiscal year; severability limits shall not be exceeded; payments for individual programs will not | ||||||||
| exceed Program Budget amount identified in Exhibit C.) |
| LEGEND | ANTICIPATED PROJECT GENERATED REVENUE | ||
| * May require prior approval…contact COR. | Client Fees | ||
| + Residential projects only unless approved by COR. | Food Stamps | ||
| TANF | |||
| Donations | |||
| Other (Identify) | |||
| Total Revenue | - |
D - 1
Flex Contract Budget-July 2003
A-2
PERSONNEL SCHEDULE *
| CONTRACTOR: | Program: | |
| CONTRACT PERIOD: | * Modification of this schedule require COR approval. |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | |
| POSITION TITLE | TOTAL ANNUAL SALARY | TOTAL PAID HRS/WK. | % OF ANNUAL SALARY CHARGED TO THIS SERVICE | HRLY RATE | # OF MOS. AT THIS HRLY. RATE | SALARY PER MONTH | TOTAL | |
| %Admin | %Direct | |||||||
| - | - | |||||||
| - | - | |||||||
| - | - | |||||||
| - | - | |||||||
| - | - | |||||||
| - | - | |||||||
| - | - | |||||||
| - | - | |||||||
| - | - |
| - 0 | - | - |
| - 0 | - | - |
| - 0 | - | - |
| - 0 | - | - |
| - 0 | - | - |
| - 0 | - | - |
| - 0 | - | - |
| - 0 | - | - |
| - 0 | - | - |
| TOTAL | - |
| Pay Schedule (check one): | Weekly | Bi-weekly | Twice a Mo. | |
| D - 2 |
Flex Contract Budget-July 2003
A-2 (2)
PERSONNEL SCHEDULE *
| CONTRACTOR: | Program: | |
| CONTRACT PERIOD: | * Modification of this schedule require COR approval. |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | |
| POSITION TITLE | TOTAL ANNUAL SALARY | TOTAL PAID HRS/WK. | % OF ANNUAL SALARY CHARGED TO THIS SERVICE | HRLY RATE | # OF MOS. AT THIS HRLY. RATE | SALARY PER MONTH | TOTAL | |
| %Admin | %Direct | |||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| TOTAL | - |
| Pay Schedule (check one): | Weekly | Bi-weekly | Twice a Mo. | |
| D - 2 |
Flex Contract Budget-July 2003
A-2 (3)
PERSONNEL SCHEDULE *
| CONTRACTOR: | Program: | |
| CONTRACT PERIOD: | * Modification of this schedule require COR approval. |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | |
| POSITION TITLE | TOTAL ANNUAL SALARY | TOTAL PAID HRS/WK. | % OF ANNUAL SALARY CHARGED TO THIS SERVICE | HRLY RATE | # OF MOS. AT THIS HRLY. RATE | SALARY PER MONTH | TOTAL | |
| %Admin | %Direct | |||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| TOTAL | - |
| Pay Schedule (check one): | Weekly | Bi-weekly | Twice a Mo. | |
| D - 2 |
Flex Contract Budget-July 2003
A-2 (4)
PERSONNEL SCHEDULE *
| CONTRACTOR: | Program: | |
| CONTRACT PERIOD: | * Modification of this schedule require COR approval. |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | |
| POSITION TITLE | TOTAL ANNUAL SALARY | TOTAL PAID HRS/WK. | % OF ANNUAL SALARY CHARGED TO THIS SERVICE | HRLY RATE | # OF MOS. AT THIS HRLY. RATE | SALARY PER MONTH | TOTAL | |
| %Admin | %Direct | |||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| TOTAL | - |
| Pay Schedule (check one): | Weekly | Bi-weekly | Twice a Mo. | |
| D - 2 |
Flex Contract Budget-July 2003
A-2 (5)
PERSONNEL SCHEDULE *
| CONTRACTOR: | Program: | |
| CONTRACT PERIOD: | * Modification of this schedule require COR approval. |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | |
| POSITION TITLE | TOTAL ANNUAL SALARY | TOTAL PAID HRS/WK. | % OF ANNUAL SALARY CHARGED TO THIS SERVICE | HRLY RATE | # OF MOS. AT THIS HRLY. RATE | SALARY PER MONTH | TOTAL | |
| %Admin | %Direct | |||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| TOTAL | - |
| Pay Schedule (check one): | Weekly | Bi-weekly | Twice a Mo. | |
| D - 2 |
Flex Contract Budget-July 2003
A-2 (6)
PERSONNEL SCHEDULE *
| CONTRACTOR: | Program: | |
| CONTRACT PERIOD: | * Modification of this schedule require COR approval. |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | |
| POSITION TITLE | TOTAL ANNUAL SALARY | TOTAL PAID HRS/WK. | % OF ANNUAL SALARY CHARGED TO THIS SERVICE | HRLY RATE | # OF MOS. AT THIS HRLY. RATE | SALARY PER MONTH | TOTAL | |
| %Admin | %Direct | |||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| TOTAL | - |
| Pay Schedule (check one): | Weekly | Bi-weekly | Twice a Mo. | |
| D - 2 |
Flex Contract Budget-July 2003
A-2 (7)
PERSONNEL SCHEDULE *
| CONTRACTOR: | Program: | |
| CONTRACT PERIOD: | * Modification of this schedule require COR approval. |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | |
| POSITION TITLE | TOTAL ANNUAL SALARY | TOTAL PAID HRS/WK. | % OF ANNUAL SALARY CHARGED TO THIS SERVICE | HRLY RATE | # OF MOS. AT THIS HRLY. RATE | SALARY PER MONTH | TOTAL | |
| %Admin | %Direct | |||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| - 0 | - | - | ||||||
| TOTAL | - |
| Pay Schedule (check one): | Weekly | Bi-weekly | Twice a Mo. | |
| D - 2 |
Flex Contract Budget-July 2003
-1-
SUPPLEMENTAL BUDGET INFORMATION
| CONTRACTOR: | CONTRACT NO. |
| CONTRACT PERIOD: | FUNDING SOURCE: |
| FRINGE BENEFITS | |||||
| Instructions: Itemize budgeted amounts for FRINGE BENEFITS. Specify benefits such as FICA, SUI, Health /Dental Insurance, Retirement, etc. | |||||
| Worker's Compensation coverage is under the INSURANCE section. | |||||
| PROGRAM(S) | |||||
| FRINGE BENEFITS | TOTAL | ||||
| FICA: Applicable Wages x % = | - | ||||
| - | |||||
| - | |||||
| - | |||||
| - | |||||
| - | |||||
| SUI: Applicable Wages x % = | - | ||||
| - | |||||
| - | |||||
| - | |||||
| - | |||||
| HEALTH/DENTAL INS.: | - | ||||
| Monthly Amt. x # Emp x # Mos. = | - | ||||
| - | |||||
| - | |||||
| - | |||||
| RETIREMENT: | - | ||||
| Monthly Amt. x # Emp x # Mos. = | - | ||||
| - | |||||
| - | |||||
| - | |||||
| OTHER (Describe): | - | ||||
| - | |||||
| - | |||||
| - | |||||
| TOTAL FRINGE BENEFITS | - | - | - | - | - |
- 1 -
Flex Contract Budget-July 2003
-2-
SUPPLEMENTAL BUDGET INFORMATION
| CONTRACTOR: | CONTRACT NO. |
| CONTRACT PERIOD: | FUNDING SOURCE: |
| CONSULTANT/CONTRACT SERVICES | |
| INSTRUCTIONS: | |
| Itemize budgeted amounts for CONSULTANT/CONTRACT SERVICES. Identify name (if known) and type e.g., CPA, MSW, janitorial | |
| service. Describe purpose, e.g., staff training, case consultation, facilities maintenance. Indicate proposed estimated hourly and | |
| cost. At the end of this list, compute and enter the total cost. This total should reconcile with the CONSULTANT/CONTRACT | |
| SERVICES line item in the contract budget. All contracts for CONSULTANT/CONTRACT SERVICES over $50,000 or 25% of the annual value of the contract | |
| shall be submitted in advance of implementation for approval by the COR. All consultant contracts shall contain the following | |
| items: Description of Services, Termination, Compensation, Duration and Effective Date. | |
| PROGRAM(S) | |
| TOTAL | |
| NAME AND/OR TYPE | |
| OF CONSULTANT |
| CONSULTATION |
| PURPOSE |
| ESTIMATED |
| HOURLY RATE |
| ESTIMATED |
| NO. OF HOURS |
| ESTIMATED COST/ | - |
| CONTRACT PERIOD | - |
TOTAL CONSULTANT/CONTRACT SERVICES
- 2 -
Flex Contract Budget-July 2003
-3-
SUPPLEMENTAL BUDGET INFORMATION
| CONTRACTOR: | CONTRACT NO. |
| CONTRACT PERIOD: | FUNDING SOURCE: |
MILEAGE
| INSTRUCTIONS: Itemized budgeted amount for Mileage. | ||
| PROGRAM(S) | ||
| TOTAL |
# OF EMPLOYEES
| X # OF MILES PER |
| MONTH/EMP |
X # OF MONTHS
= TOTAL # OF MILES - - - - -
X RATE PER MILE
MILEAGE TOTAL - - - - -
TRANSPORTATION
| INSTRUCTIONS: Itemized budgeted amount for Transportation. | ||||||||
| PROGRAM(S) | ||||||||
| TOTAL | ||||||||
| ITEM: | - | |||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| TOTAL TRANSPORTATION | - | - | - | - | - | - | - | - |
- 3 -
Flex Contract Budget-July 2003
-4-
SUPPLEMENTAL BUDGET INFORMATION
| CONTRACTOR: | CONTRACT NO. |
| CONTRACT PERIOD: | FUNDING SOURCE: |
INSURANCE
| INSTRUCTIONS: Itemize COVERAGE below: |
| TYPE OF INSURANCE AND MINIMUM |
REQUIREMENTS
| COMPANY NAME | ||
| AMOUNT OF COVERAGE | ||
| EXPIRATION DATE | ||
| Commercial General Liability including Premises, Operations, Products and Completed Operations, Contractual Liability, and Independent Contractors Liability: $2,000,000 per occurrence for bodily injury, personal injury and property damage. The General Aggregate limit shall be $4,000,000. |
Automobile Liability: $1,000,000 each accident for bodily injury and property damage.
Employer’s Liability: $1,000,000 each accident for bodily injury or disease. Coverage shall include waiver of subrogation endorsement in favor of County of San Diego.
Professional Liability (Errors & Omissions): $2,000,000 per occurrence or claim with an aggregate limit of not less than $4,000,000. This coverage shall be maintained for a minimum of three years following termination or completion of Contractor’s work pursuant to the Contract.
Cyber Security Liability: $2,000,000 per occurrence or claim with an aggregate limit of not less than $2,000,000. Coverage shall be sufficiently broad to respond to the duties and obligations as is undertaken by Contractor in this agreement and shall include, but not limited to any dishonest, fraudulent, malicious or criminal activities that affect, alter, copy, corrupt, delete, disrupt or destroy a computer system or to obtain financial benefit for any party; to steal, take or provide unauthorized access of electronic data, including publicizing confidential electronic data or causing confidential electronic data to be accessible to unauthorized persons; transfer of computer virus, Trojan horse, worms or any other type of malicious or damaging code; and for Third-Party Liability encompassing judgments or settlement and defense costs arising out of litigation due to a data breach and data breach response costs for customer notification and credit monitoring service fees.
TOTAL COST
| PROGRAM(S) | ||||
| Employment | OJT | Job Match | TOTAL | |
| TOTAL INSURANCE | - |
- 4 -
Flex Contract Budget-July 2003
-5-
SUPPLEMENTAL BUDGET INFORMATION
| CONTRACTOR: | CONTRACT NO. |
| CONTRACT PERIOD: | FUNDING SOURCE: |
SPACE COSTS AND RENTAL
| INSTRUCTIONS: | Itemize budgeted amount for SPACE COSTS and RENTAL below. Complete this section even if no County costs are budgeted. | |
| PROGRAM(S) | ||
| TOTAL | ||
| SITE ADDRESS |
| # of Square Feet |
| Occupied |
| X Price Per Sq. |
| Foot |
= Rent
| X # of |
| Months = |
| Total Space | ||||||||
| Cost/Rental | - | - | - | - | - | - | - | - |
| PLEASE INDICATE IF YOUR AGENCY IS PURCHASING ANY OF THE ABOVE FACILITIES. YES_____ NO_____ | ||||||||
| IF YES, PLEASE INDICATE WHICH FACILITY(IES). |
- 5 -
Flex Contract Budget-July 2003
-6-
SUPPLEMENTAL BUDGET INFORMATION
| CONTRACTOR: | CONTRACT NO. |
| CONTRACT PERIOD: | FUNDING SOURCE: |
CONSUMABLE SUPPLIES
| INSTRUCTIONS: | Itemize budgeted amount for CONSUMABLE SUPPLIES. If you use a formula, please indicate below: | |
| PROGRAM(S) | ||
| TOTAL | ||
| ITEM: |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| - |
| TOTAL CONSUMABLE | ||||||||
| SUPPLIES | - | - | - | - | - | - | - | - |
- 6 -
Flex Contract Budget-July 2003
-7-
SUPPLEMENTAL BUDGET INFORMATION
| CONTRACTOR: | CONTRACT NO. |
| CONTRACT PERIOD: | FUNDING SOURCE: |
EQUIPMENT RENTAL/LEASE/PURCHASE
| INSTRUCTIONS: | Itemize budgeted amount for EQUIPMENT RENTAL/LEASE/PURCHASE (including minor equipment). | |
| PROGRAM(S) | ||
| CATEGORY | TOTAL | |
| RENTAL/LEASE: |
| Item:__Copier________ | |||||
| Amt. per Mo. __________ | |||||
| # of Mos.__________ | |||||
| Total__________ | - | - | - | - | - |
| RENTAL/LEASE: |
| Item:__________ | |||||
| Amt. per Mo. __________ | |||||
| # of Mos.__________ | |||||
| Total__________ | - | - | - | - | - |
| PURCHASE, LEASE | |||||
| OPTION TO PURCHASE |
| Item:1 Computer/1 Printers | |||||||
| Amt. per Mo. __________ | |||||||
| # of Mos.__________ | |||||||
| Total__________ | - | - | - | - | - | ||
| TOTAL EQUIPMENT RENTAL | |||||||
| LEASE/PURCHASE | - | - | - | - | - |
- 7 -
Flex Contract Budget-July 2003
-8-
SUPPLEMENTAL BUDGET INFORMATION
| CONTRACTOR: | CONTRACT NO. |
| CONTRACT PERIOD: | FUNDING SOURCE: |
FIXED ASSETS/MINOR EQUIPMENT
| Instructions: Fixed Assets: Itemize all equipment purchases and lease option agreements. Equipment, as a result of purchase or exercise of a lease option, |
| with a value of $5,000 or more and/or a life of one year or more in non-expendable and the title vests in the County of San Diego and/or funding sources. |
| Contractor is responsible for inventory control, recordkeeping, pickup and return of assets to the County. |
| Minor Equipment: Equipment costing less than $5,000. |
| PROGRAM(S) | ||||||||
| TOTAL | ||||||||
| FIXED ASSETS: | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| MINOR EQUIPMENT | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| TOTAL FIXED ASSETS/ | ||||||||
| MINOR EQUIPMENT | - | - | - | - | - | - | - | - |
- 8 -
Flex Contract Budget-July 2003
-9-
SUPPLEMENTAL BUDGET INFORMATION
| CONTRACTOR: | CONTRACT NO. |
| CONTRACT PERIOD: | FUNDING SOURCE: |
UTILITIES/TELEPHONE
INSTRUCTIONS: Itemize budgeted amount for UTILITIES/TELEPHONE:
| PROGRAM(S) | ||
| TOTAL | ||
| UTILITIES: |
Gas & Electric -
Water -
Total Utilities - -
TELEPHONE:
Total Telephone -
TOTAL UTILITIES/TELEPHONE - - - - - - - -
FOOD - RESIDENTIAL FACILITIES ONLY
INSTRUCTIONS: Itemize budgeted amount for FOOD.
| PROGRAM(S) | ||||||||
| TOTAL | ||||||||
| FOOD: | - | |||||||
| - | ||||||||
| - | ||||||||
| TOTAL FOOD | - | - | - | - | - | - | - | - |
| - 9 - |
Flex Contract Budget-July 2003
-10-
SUPPLEMENTAL BUDGET INFORMATION
| CONTRACTOR: | CONTRACT NO. |
| CONTRACT PERIOD: | FUNDING SOURCE: |
INDIRECT COST (FEDERAL APPROVED RATE)
INSTRUCTIONS: Provide information on the Federally approved Indirect Rate charged to this contract. Attach a copy of the approved document.
PROGRAM(S) TOTAL
INDIRECT COST -
OTHER COSTS
| List all other costs not identified above, including description and cost. For out of town travel, include transportation, plus lodging costs, times number |
| of employees, times number of days, equals total trip cost. |
| Itemization must be specific - rather than using the terms "etc." or "miscellaneous" to identify Other Cost items. |
| PROGRAM(S) | ||||||||
| TOTAL | ||||||||
| Cost Item: | - | |||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| - | ||||||||
| TOTAL OTHER COSTS | - | - | - | - | - | - | - | - |
| AUTHORIZED SIGNATURE | DATE | |
| - 10 - |
Flex Contract Budget-July 2003
File details come from the government source that posted it. Updated .