Attachment 2 Budget Template 12 Month.xlsx
XLSX spreadsheet 412 KB Posted
- Attached to
- Health Equity Technical Assistance
- Solicitation number
- RFP FAAA 2027000016 2
- Issued by
- Arapahoe County, Denver City, Colorado
About this file
This is a budget template and instructions document issued by the Colorado Department of Public Health and Environment (CDPHE), Prevention Services Division, for the STEPP (Substance Use Prevention Technical Assistance) RFA cost-reimbursement grant program. The document provides comprehensive guidance on completing a 12-month budget for state and local contract opportunities. The template includes six worksheets: Instructions, Indirect Cost Guidance, MTDC Budget Example, MTDC Budget Template, S+F Budget Example, and S+F Budget Template. Applicants must submit budget proposals aligned with their implementation plans and project descriptions, with all budget requests and deliverables presented as a consistent, logical picture of proposed work, responsible parties, and associated costs. The template requires detailed justification for all expenditure categories and must be saved with the naming convention "FY27_STEPP_ProposedBudget__Program Name_Agency Name" before submission.
The budget template accommodates two primary indirect cost calculation methods: Modified Total Direct Costs (MTDC) or Salaries and Fringe (S+F) basis. Entities must use their negotiated indirect cost rate (either federally or CDPHE-negotiated) or elect the De Minimis rate of 15 percent of MTDC. The document specifies that certain expenses are excluded from indirect cost calculations, including equipment exceeding $10,000, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships, and participant support costs (such as stipends and gift cards). Budget categories include Personal Services (salaried and hourly employees with fringe benefits), Supplies and Operating Expenses, Travel (with detailed documentation requirements), and Contractual costs for subcontractors using cost-reimbursement structures. The example budget provided shows a total project cost of $355,502 using MTDC methodology and $349,928 using S+F methodology, demonstrating how direct costs, excluded expenses, indirect costs, and final totals are calculated. All travel must comply with Colorado state travel fiscal rules, and subcontractors may not be pre-paid for services.
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Instructions Attachment 2 - Cost-Reimbursement STEPP RFA Budget Template 12 Month
Colorado Department of Public Health and Environment - Prevention Services Division
Budget Template Instructions
| General Instructions: |
| The Budget Template should be used to explain how an entity plans to use funds consistently with the proposed implementation plan and project description. The Budget Template includes six worksheets: Instructions, Indirect Cost Guidance, MTDC Budget Example, MTDC Budget Template, S+F Budget Example and S+F Budget Template. The budget example does not reflect the actual dollar amount available for this grant. Budget requests and their associated deliverables need to be in alignment and provide a consistent, logical picture of what is to be accomplished, by whom, and the associated costs. Questions about this budget template should be submitted via the RFA question form. Click here to submit a question. |
ID#AAABoZ7RZq0 Amanda Nichols - CDPHE She Her (2025-07-28 21:00:34) Add link to question form when finalized.
The budget groups in the template are provided for guidance purposes only.
Save this template with the following naming convention FY27_STEPP_ProposedBudget__Program Name_Agency Name. Delete unused tabs, including directions and examples. Attach to the RFA Application form when prompted.
The information contained in each expenditure category helps PSD understand the budget. Please provide narrative for each category in the "Description of Work" or the "Description of Item" section.
The form is an Excel worksheet that includes instructions in various cells that can be viewed by hovering the computer mouse over the cells. The instructions below give additional guidance.
| Contact Information |
| Complete the top portion of the form by providing Agency Name, Budget Period, Project Name, and Contact Information for both Program and Fiscal contacts. |
| Contractor Name | Program Contact Name, Title, Phone and Email |
| Enter agency's name | Enter agency's program contact information here |
| Budget Period | Fiscal Contact Name, Title, Phone and Email |
| Enter budget/ project period dates | Enter agency's fiscal contact information here |
| Project Name | |
| Enter the project name |
| Personal Services (Salaried Employees and Hourly Employees) |
| It is expected that agency employees included in this section will complete all of the work related to the project/contract. |
| Column B: Position Title |
| Example 1: Project Coordinator (salaried) |
| Example 2: Project Administrator (hourly) |
| Column C: Description of Work |
| Use the "Description of Work" column of the budget template to address the role and expected contribution of budgeted personnel. The time commitment of each individual should be justified as a reasonable estimate for the work to be performed. A description of how fringe benefits are projected and what components are included in the calculation (insurance, paid time off, pension, etc.) must be included. For hourly employees, please include hourly rate, hourly fringe and the number of hours budgeted. |
| Columns D-F (salaried employees): Gross or Annual Salary / Fringe / Percent of Time on Project |
| Enter the Gross or Annual salary, Fringe, and the Percent of Time Spent on Project for each employee that will work on the project. |
| For example: A full-time salaried employee is paid $60,000 a year; their fringe benefits rate is 22%; they plan to spend approximately 100% of their time on the project. Their total contribution to the Statement of Work is calculated as follows: |
| $ 60,000 | *Gross Annual Salary |
| 22% | Fringe % |
| $ 13,200 | *Fringe ($60,000 x 22%) |
| $ 73,200 | Annual Salary + Fringe ($60,000 + $13,200) |
| 100% | *Percent of Time on Project |
| $ 73,200 | Amount Requesting from CDPHE (automatically calculates) |
| *Enter into the Budget Template |
| Columns D-F (hourly employees): Hourly Wage / Hourly Fringe / Number of Hours on Project | |
| Enter the Hourly Wage, Hourly Fringe and the Total # of Hours on Project than an employee will work on the project. | This section may include temporary employees, if paid hourly |
| For example: An hourly employee is paid $15/hour with 25% fringe; their time on the project will be 20 hours/week for 39 weeks. Their total contribution to the Statement of Work is calculated as follows: | |
| 20 hours/week x 39 weeks = 780 Hours | |
| $15/hour x 25% fringe = $3.75/hour fringe | |
| $15/hour + $3.75/hour = $18.75/hr | |
| $18.75/hour x 780 hours = $14,625 |
| ENTER ON FORM: | |
| $ 15.00 | *Hourly Wage |
| 25% | Fringe % |
| $ 3.75 | *Hourly Fringe ($15 x 25%) |
| $ 18.75 | Hourly Wage + Fringe ($15.00 + $3.75) |
| 780 | *Total # of Hours on Project (20x 39 weeks) |
| $ 14,625 | Amount Requesting from CDPHE (automatically calculates) |
| *Enter into the Budget Template |
| Column G: Total Amount Requested from CDPHE |
| This column should reflect the amount(s) the agency is requesting from CDPHE for each employee working on the project. |
| Total Personal Services (including fringe benefits) |
| This row should show the totals for each columns and reflect the total amount of Personnel Services costs the agency is requesting from CDPHE. This is a formula and does not require manual entry. |
| Supplies & Operating Expenses |
| Supplies and operating expenses may include, but are not limited to, postage, office supplies, paid media, educational materials, and copying. |
| Column B: Item |
| This column should list the item to be used in support of the Statement of Work. Noted below are a two examples |
| Example 1: Training Materials - Prevention materials for 225 participants for 5 communities |
| Example 2: Telephone lines/long distance and Internet services |
| Column C: Description of Item |
| This is a description of the item(s) listed in Item Column. Use the Item Description Column to describe the rationale for the costs budgeted (how it will be used to advance the Statement of Work) and how cost estimates are calculated. |
| Example 1: Includes work book and other necessary supplies. Work book = $15/student ($15x225=$3,375) and teacher supplies (paper, markers, flip chart, etc…) $20/9 sessions ($20x9=$180). Total cost $3,555. |
| Column E: Rate and Column F: Quantity | |||
| Describe Rate in Column E and Quantity in Column F, if appropriate. | |||
| Example 1: work books and participant supplies | |||
| 225 | 45 community participants x 5 communities | 9 | sessions/days |
| $ 15.00 | work book expense | $ 20.00 | trainer supplies per sessions |
| $ 3,375.00 | total participant supplies | $ 180.00 | total trainer supplies |
| $ 3,375.00 | total participant supplies |
| $ 180.00 | total trainer supplies |
| $ 3,555.00 | *Total Amount Requested from CDPHE |
| *Enter into the Budget Template |
| Example 2: Internet/server access services and telephone services cost averages $206.19 per person x 1 staff. | |
| $ 206.19 | *Rate |
| 1 | *Quantity |
| $ 206.19 | Total Amount Requested from CDPHE |
| *Enter into the Budget Template |
| Column G: Total Amount Requested from CDPHE |
| This column should reflect the amount(s) the agency is requesting for each supply item. |
| Total Supplies & Operating Expenses |
| This row should total the Supplies & Operating Expenses the agency is requesting from CDPHE. This is a formula and does not require manual entry. |
| Travel |
| This expenditure category should include all in-state and out-of-state travel expenses. Conferences, training and out-of-state travel must be budgeted and must include explanation for how the travel will directly enhance or contribute to the Contractors ability to perform the proposed work. Please separate lodging, meals, mileage, airfare, and other travel costs, and indicate how they support the proposed work. Use the Description of Item column to describe the necessity and reasonableness of all estimated travel costs. Indicate which project personnel will be traveling and describe their anticipated contributions to the proposed. Detail how cost estimates for airfare, mileage, ground transportation, lodging, etc. were determined. If awarded, the applicant may be required to submit agency/organization travel policy during the contract period. All travel must be in compliance with the agency's/organization's travel plan or the state travel fiscal rules and rates, which are updated frequently and may be found: https://www.colorado.gov/pacific/osc/travel-fiscal-rule. |
| Column B: Item |
| List the item in this column: i.e., mileage, lodging, meals, airfare, etc. |
| Column C: Description of Item. |
| This section should describe the necessity and reasonableness of all estimated travel costs. Indicate the project personnel who will be traveling and describe their anticipated contributions to the Statement of Work. Detail how cost estimates were determined. |
| Column E: Rate and Column F: Quantity |
| Describe Rate in Column E and Quantity in Column F, if appropriate. |
| Example 1: Mileage |
| Description of Item: Program Coordinator traveling to 4 outlier communities and other metro meetings, as needed by the grant. Reimbursement at $.58/mile. (20 miles round trip per community, once a month = 20x4x12=960 miles/year + 20 miles once a month =20x12=240) |
| $ 0.58 | Rate |
| 1200 | Quantity (960+240 = # of miles) |
| Example 2: Meals during Prevention training sessions | |
| Description of Item: Program Coordinator attending training. | |
| $ 50.00 | Rate (daily per diem) |
| 16 | Quantity (# of days) |
| Example 3: Lodging during training | |
| Description of Item: Program Coordinator attending | |
| $ 149.00 | Rate |
| 16 | Quantity (# of days) |
| Column G: Total Amount Requested from CDPHE |
| This column should reflect the amount(s) the agency is requesting from CDPHE for each travel line. |
| Total Travel Expenses |
| This row should total Travel Expenses the agency is requesting from CDPHE. This is a formula and does not require manual entry. |
| Contractual (payments to third parties or entities) |
| This category should describe costs for subcontractors (persons not employed by the agency/organization) needed to complete work in the proposed work. This includes consulting and personal services subcontracts. The Description of Item should specify the need for the subcontractor, the selection process, the work to be performed, how costs were calculated and the expected deliverables. If awarded, CDPHE may request copies of contractual and grant agreements or MOU/MOA's during the contract period. Subcontractors may not be pre-paid for services. All Subcontractor contracts must follow a cost reimbursement structure. |
| Column B: Item |
| List the name of subcontractor |
| Example 1: ABC Training, Inc. |
| Column C: Description of Item |
| Example 1: Project Prevention Project Train the Trainer |
| A contractor will be hired to conduct Prevention Project Training for 2 days with up to 15 participants from 3 community centers. The contractor will be responsible for development and facilitation of training. A competitive process will be followed to elicit contractors. Applications will be scored and selected based on reasonableness of cost and ability to meet stated criteria. The program staff members do not have the necessary skills to carry out the proposed work required as training skills are very specialized. Hiring a contractor is more feasible and cost effective than hiring a full-time employee for the first project year. |
| Column E: Rate and Column F: Quantity |
| Describe Rate in Column E and Quantity in Column F, if appropriate. |
| Describe rate in this column if appropriate. |
| Example 1: trainer expenses will be $2,000/session. |
| Rate: $2,000 |
| For example, ONE training session necessary |
| Quantity: 1 |
| Total = $2,000 ($2,000 x 1) |
| Column G: Total Amount Requested from CDPHE |
| This column should reflect the amount(s) the agency is requesting from CDPHE for each subcontractor. |
| Total Contractual |
| This row should reflect the total amount of Contractors/Consultants costs the agency is requesting from CDPHE. This is a formula and does not require manual entry. |
| Sub-Total Direct Costs |
| This row is the sub-total of all Direct Costs the agency is requesting for this project (Personnel Services, Contractual, Travel and Supplies & Operating). This is a formula and does not require manual entry. |
| Modified Total Direct Costs (MTDC) per OMB 2 CFR § 200 |
| Modified Total Direct Costs are calculated by subtracting certain expenses from the Sub-Total Direct Costs. This is calculated when a Contractor has either a negotiated rate based on Modified Total Direct Costs or has elected to collect the De Minimis Indirect Rate. These expenses include: |
| *Subawards in excess of $50,000: Include any dollar amount above $50,000 for one contractor. |
| 2 CFR § 200.92 - Subaward means an award provided by a pass-through entity to a subrecipient for the subrecipient to carry out part of a Federal award received by the pass-through entity. |
| *Rent: Include rent if listed under Operating as a direct expense. |
| *Equipment: Include equipment over $10,000 or with a long term lease. |
| *Other Unallowable Expenses: Include such items as participant support costs (e.g., gift cards or stipends), tuition remission, charges for patient care, etc… |
| NOTE: You do not need to calculate Modified Total Direct Costs if your negotiated indirect rate is based solely on salaries and fringe. |
| Indirect Costs |
| Indirect costs will be paid according to the correct indirect rate calculation and indirect basis. Any non-federal entity (including a non-profit organization) shall use either an approved and negotiated indirect cost rate (federal or state approved rate) or the De Minimis rate of 15% of modified total direct costs (MTDC) |
| Indirect costs are costs that are not directly accountable to a cost object. Indirect costs may be either fixed or variable. Indirect costs include administration, personnel and security costs. These are those costs which are not directly related to production. Some indirect costs may be overhead. |
| Column B: Item |
| Indirect Types are listed. |
| Column C: Description of Item |
| Type in the indirect basis as the description in the row aligning with the type of indirect rate that your agency has (e.g., Federally-Negotiated, CDPHE-Negotiated, or De Minimis) and what base that rate is applied to (e.g., Modified Total Direct Costs or Salaries and Fringe). |
| Column F: Percentage |
| Enter the percentage that applies, the dollar amount will auto populate. |
| TOTAL |
| This row should be the TOTAL of all expenses, including Indirect Costs that the agency is requesting for the entire contract to complete the work on this project. This amount should be a whole dollar amount with no change listed. If the total includes change, an adjustment should be made to the total amount listed in the indirect costs section of the budget. |
https://www.colorado.gov/pacific/osc/travel-fiscal-rule.
Indirect Cost Guidance Entities need to understand their indirect cost rate type and base. This information is necessary to (1) select the appropriate budget template in this workbook to complete and (2) calculate the indirect costs allowable in your budget.
Entities typically have a negotiated indirect rate (either directly with a federal cognizant agency or with CDPHE) or they elect to use the De Minimis indirect rate. A negotiated indirect rate will typically apply to one of two bases: (1) Modified Total Direct Costs or (2) Salaries and Fringe.
A rate that is negotiated and the base is Salaries and Fringe simply requires the entity to utilize the S+F Budget Template in this workbook. The formulas in Column G should not be altered. The indirect cost calculation may be altered ONLY to adjust any cents on the budget to make the total amount of the budget a whole dollar amount.
A rate that is either negotiated with a base of Modified Total Direct Costs or is the De Minimis rate requires the entity to utilize the MTDC Budget Template in this workbook. The formulas in Column G should not be altered. The indirect cost calculation may be altered ONLY to adjust any cents on the budget to make the total amount of the budget a whole dollar amount. Data entry is required in the Less: Expenses per OMB 2 CFR 200 section of the budget as well.
| Modified Total Direct Cost excludes the following: |
| These costs may be allowable and may be included in your budget, but they must be subtracted from the total direct costs before indirect rates are calculated. |
| 1. Equipment: Tangible personal property (including information technology systems) having a useful life of more than one year and a per-unit acquisition cost that equals or exceeds $10,000 (or the capitalization level established by the non-federal entity for financial statement purposes, if less than $10,000) |
| 2. Capital expenditures: buildings, land, office equipment and furnishings ($10,000 and above), alterations and renovation |
| 3. Charges for patient care: When calculating MTDC, any costs directly tied to patient care, like hospital stays, doctor visits, or medication costs, are not included in the base used to calculate indirect costs. Patient care costs are usually considered separate from research expenses and are not used to calculate indirect costs because they are directly tied to patient treatment and not the research activity itself. These costs are excluded from the indirect cost calculation whether the services are obtained from an owned, related, or third party hospital or medical facility. This applies to patient care services provided by a hospital or medical facility only |
| 4. Rental costs: See § 200.465 Rental costs of real property and equipment eCFR: 2 CFR 200.465 Rental costs related to ongoing rental of space and equipment, such as monthly office space for a primary or secondary office location and/or copy machine lease. These costs must be removed from MTDC indirect cost assessment. This does not include one time space and equipment “rental” related to program work, meetings and conferences are not “rental costs” but rather program expenses. These would qualify for being assessed indirect costs for agencies with a MTDC cost base. |
| 5. Tuition remission |
| 6. Scholarships and fellowships |
| 7. Participant support costs. Participant support costs means direct costs that support participants (see definition for Participant in § 200.1) and their involvement in a Federal award, such as stipends, subsistence allowances, travel allowances, registration fees, temporary dependent care, and per diem paid directly to or on behalf of participants. See more examples below. |
| 8. The portion of subawards in excess of the first $50,000. This means indirect costs can only be applied to the first $50,000 of each subaward included in your budget. |
Participant support costs. Participant support costs means direct costs that support participants (see definition for Participant in § 200.1) and their involvement in a Federal award, such as stipends, subsistence allowances, travel allowances, registration fees, temporary dependent care, and per diem paid directly to or on behalf of participants.
Participant support costs means direct costs for items such as stipends or subsistence allowances, travel allowances, and registration fees paid to or on behalf of participants or trainees (but not employees) in connection with conferences or training projects. While it is helpful to have definitions, they are not as clear as we would like; therefore we want to share information we will be looking for when reviewing budgets.
Here is a list of common examples
● Training registration costs of coalition members or individuals who are members of the community who are not employees of the grantee agency.
● Incentives/gift cards for survey completion or meeting participation;
● Stipends;
● Travel reimbursement for non-employees (e.g. mileage, lodging and per diem reimbursement for community member attendance at a meeting or conference); and
● Any costs being offered to another agency or individual to “defray costs” of participation in a meeting.
● **Gift cards to support program specific outcomes may include gift cards for program participants for basic need supplies such as groceries and/or gas cards for barrier reduction to assist with getting to program specific appointments would NOT be considered a participant support cost but rather a program operation expense.
If you have questions about whether specific costs may be considered participant support costs or how these rules apply to your individual budget, submit question via the RFA question form. Click here to submit a question.
ID#AAABoZ7RZq4 Amanda Nichols - CDPHE She Her (2025-07-28 21:00:47) Add link to question form when finalized.
MTDC Budget Template
ID#AAABcQJKK4A (2025-01-22 18:45:24)
| Description of Item should provide an explanation of item and the rationale for the requested costs. Description should include how cost cost estimates are calculated but should not duplicate Rate or Quantity information. | PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM | |
| Original Contract Routing # |
| Contractor Name | Program Contact Name, Title, Phone and Email |
| Budget Period | Fiscal Contact Name, Title, Phone and Email |
| Project Name |
| Expenditure Categories |
| Personal Services |
Salaried Employees Position Title ID#AAABcQJKK4I (2025-01-22 18:45:24) List position title. Do not provide employee names unless position was previously identified as a "key employee."
-CDPHE Description of Work ID#AAABcQJKK3Y (2025-01-22 18:45:24) Enter budget justification for each salaried position title. Justification should address the role and expected contribution of budgeted personnel.
If less than full FTE, indicate in the description the % FTE worked for your agency.
-Public Health & Environment Gross or Annual Salary ID#AAABcQJKK4E (2025-01-22 18:45:24) Enter the employee's annual (12 month) gross salary. Fringe ID#AAABcQJKK2k (2025-01-22 18:45:24) Enter the total amount of fringe for the employee based on their annual salary. Percent of Time on Project ID#AAABcQJKK2I (2025-01-22 18:45:24)
| Enter the percentage of the employee's time spent on the project during the budget period. | Total Amount Requested from CDPHE | ||
| -0 | |||
| -0 | |||
| -0 | |||
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| Personal Services |
Hourly Employees Position Title ID#AAABcQJKK2w (2025-01-22 18:45:24) List position title. Do not provide employee names unless position was previously identified as a "key employee."
-CDPHE Description of Work ID#AAABcQJKK3c (2025-01-22 18:45:24) Enter budget justification for each hourly position title. Justification should address the role and expected contribution of budgeted personnel.
-Public Health & Environment Hourly Wage ID#AAABcQJKK10 (2025-01-22 18:45:24) Enter the employee's hourly wage.
-Public Health & Environment Hourly Fringe ID#AAABcQJKK3s (2025-01-22 18:45:24) Enter the employee's hourly fringe amount (not the percentage).
-Public Health & Environment Total # of Hours on Project ID#AAABcQJKK20 (2025-01-22 18:45:24) Enter the number of hours the employee is expected to work on the contract during the entire contract period.
Please remember that a full-time hourly employee would work 2080 hours.
| -Public Health & Environment | Total Amount Requested from CDPHE | ||
| -0 | |||
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| -0 | |||
| Total Personal Services (including fringe benefits) | -0 | ||
| Supplies & Operating Expenses | |||
| Item |
ID#AAABcQJKK2M (2025-01-22 18:45:24) Please list item title. Example of item titles include Copying, Postage or Computer for Program Manager.
-CDPHE
Possibility of highlighting specific participant support costs, scholarships, equipment, capital expenditures, rent, etc.
- CDPHE Description of Item ID#AAABcQJKK2Q (2025-01-22 18:45:24)
| Description of Item should provide an explanation of item and the rationale for the requested costs. Description should include how cost cost estimates are calculated but should not duplicate Rate or Quantity information. | Rate | Quantity | Total Amount Requested from CDPHE | |
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| Total Supplies & Operating | -0 | |||
| Travel | ||||
| Item |
ID#AAABcQJKK3I (2025-01-22 18:45:24) Please list item title. Example of item titles include Local Mileage, Lodging or Airfare.
-CDPHE Description of Item ID#AAABcQJKK1o (2025-01-22 18:45:24) Description of Item should include an explanation of the item, rationale for the costs budgeted and a description of how cost estimates are calculated.
Indicate the project personnel who will be traveling and describe their anticipated contribution to the project.
Include travel costs for any mandatory training required as part of the program.
ID#AAABcQJKK3s (2025-01-22 18:45:24) Enter the employee's hourly fringe amount (not the percentage).
-Public Health & Environment ID#AAABcQJKK20 (2025-01-22 18:45:24) Enter the number of hours the employee is expected to work on the contract during the entire contract period.
Please remember that a full-time hourly employee would work 2080 hours.
| -Public Health & Environment | Rate | Quantity | Total Amount Requested from CDPHE | |
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| Total Travel | -0 | |||
| Contractual | ||||
| Subcontractor Name | Description of Item |
ID#AAABcQJKK14 (2025-01-22 18:45:24) Include all subcontracts required to complete the proposed work plan.
| Describe how the subcontractors will be selected, the work to be performed, expected deliverables, and a brief description of how costs were calculated. | Rate | Quantity | Total Amount Requested from CDPHE | ||
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| Total Contractual | -0 | ||||
| SUB-TOTAL OF DIRECT COSTS | -0 | ||||
| Less: Expenses per OMB 2 CFR 200 | |||||
| Subcontractor in excess of $50,000 | $-0 | ||||
| Rent | $-0 | ||||
| Equipment in excess of $10,000 | $-0 | ||||
| Other Unallowable expenses | $-0 | ||||
| Total Expenses per OMB 2 CFR 200 | $-0 | ||||
| Modified Total Direct Costs (MTDC) | $-0 | ||||
| Indirect | |||||
| Item | Description of Item | Percentage | Total Amount Requested from CDPHE | ||
| Federally-Negotiated Indirect Cost Rate |
ID#AAABcQJKK2E (2025-01-22 18:45:24) An organization that receives funding directly from the federal government is eligible to negotiate an indirect cost rate with its federal cognizant agency.
Please provide your negotiated Indirect Cost rate and the basis (e.g. total direct costs, salary and wages, etc.) in the description of item.
| -Public Health & Environment | -0 | |
| CDPHE-Negotiated Indirect Cost Rate |
ID#AAABcQJKK28 (2025-01-22 18:45:24) An organization that receives no direct federal funding can recover its indirect costs by negotiating an agreement directly with CDPHE’s Internal Audit Unit. (To request this option please contact the application contact as soon as possible.)
| -Public Health & Environment | -0 | |
| De minimis Indirect Cost Rate* |
ID#AAABcQJKK4Q (2025-01-22 18:45:24) Organizations that do not currently have a negotiated indirect cost rate can adopt a de minimis rate of 15% of modified total direct costs as defined at 2 CFR 200.68.
-Public Health & Environment ID#AAABcQJKK4M (2025-01-22 18:45:24) Enter Budget Period Dates ID#AAABcQJKK4I (2025-01-22 18:45:24) List position title. Do not provide employee names unless position was previously identified as a "key employee."
-CDPHE
ID#AAABcQJKK3Y (2025-01-22 18:45:24) Enter budget justification for each salaried position title. Justification should address the role and expected contribution of budgeted personnel.
If less than full FTE, indicate in the description the % FTE worked for your agency.
-Public Health & Environment ID#AAABcQJKK2M (2025-01-22 18:45:24) Please list item title. Example of item titles include Copying, Postage or Computer for Program Manager.
-CDPHE
Possibility of highlighting specific participant support costs, scholarships, equipment, capital expenditures, rent, etc.
| - CDPHE | 15% | -0 | ||
| Total Indirect | -0 | |||
| TOTAL | -0 |
ID#AAABcQJKK3Q (2025-01-22 18:45:24) Amount should match award amount. This figure should be a whole dollar figure and should not include any cents.
ID#AAABcQJKK4E (2025-01-22 18:45:24) Enter the employee's annual (12 month) gross salary.
ID#AAABcQJKK2Q (2025-01-22 18:45:24) Description of Item should provide an explanation of item and the rationale for the requested costs. Description should include how cost cost estimates are calculated but should not duplicate Rate or Quantity information.
ID#AAABcQJKK2k (2025-01-22 18:45:24) Enter the total amount of fringe for the employee based on their annual salary.
ID#AAABcQJKK14 (2025-01-22 18:45:24) Include all subcontracts required to complete the proposed work plan.
Describe how the subcontractors will be selected, the work to be performed, expected deliverables, and a brief description of how costs were calculated.
ID#AAABcQJKK2I (2025-01-22 18:45:24) Enter the percentage of the employee's time spent on the project during the budget period.
ID#AAABcQJKK2w (2025-01-22 18:45:24) List position title. Do not provide employee names unless position was previously identified as a "key employee."
-CDPHE
ID#AAABcQJKK3c (2025-01-22 18:45:24) Enter budget justification for each hourly position title. Justification should address the role and expected contribution of budgeted personnel.
-Public Health & Environment ID#AAABcQJKK3I (2025-01-22 18:45:24) Please list item title. Example of item titles include Local Mileage, Lodging or Airfare.
-CDPHE
Exhibit C Budget
Page &P of January 2018
MTDC Example Budget
| PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM |
| Original Contract Routing # |
| Contractor Name | ABC | Program Contact Name, Title, Phone and Email | Al Smith, Director, xxx-xxx-xxxx, xxx@ABC.com |
| Budget Period | 7-1-2024 through 6-30-2025 | Fiscal Contact Name, Title, Phone and Email | Carla Jones, CFO, xxx-xxx-xxxx, xxx@ABC.com |
| Project Name | Project Support |
| Expenditure Categories |
| Personal Services |
Salaried Employees
| Position Title | Description of Work | Gross or Annual Salary | Fringe | Percent of Time on Project | Total Amount Requested from CDPHE |
| Principal Investigator | The Principal Investigator will provide project oversight to include strategic planning and visioning, project management, budget oversight and oversight of future implementation strategies of the XYZ project. | 85,000.00 | 21,250.00 | 40.00% | 42,500.00 |
| Project Manager | The project manager will provide overall coordination and oversight of the XYZ program, assisting with staffing and training and ensuring continuous communication between project stakeholders. | 65,000.00 | 16,250.00 | 100.00% | 81,250.00 |
| Finance Manager | This position provides day to day management of funds and contracts through budget and reimbursement request preparation, coordinating and approving budget adjustments and revisions as necessary. | 36,000.00 | 7,920.00 | 20.00% | 8,784.00 |
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| Personal Services |
Hourly Employees
| Position Title | Description of Work | Hourly Wage | Hourly Fringe | Total # of Hours on Project | Total Amount Requested from CDPHE | |
| Student Worker | A graduate student worker (PhD candidate) will be hired to assist with project operations and evaluation activities as assigned for a period of 12 months and approximately 1040 hours. | 22.50 | 5.63 | 1040.00 | 29,255.20 | |
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| Total Personal Services (including fringe benefits) | 161,789.20 | |||||
| Supplies & Operating Expenses | ||||||
| Item | Description of Item | Rate | Quantity | Total Amount Requested from CDPHE | Potential to add specific line items that are excluded from MTDC (i.e. equipment, capital expenditures, rent, scholarships, participant support, etc.) | |
| Telephone lines/long distance and Internet services | Mobile service and internet access. Annual average cost of $206.32 per person x 2.1 FTE. | $206.32 | 2.10 | 433.27 | ||
| Office Supplies | Approximately $10/month ($120/year) per FTE. | 120.00 | 2.10 | 252.00 | ||
| Rent | $2.40/sq foot for 1,000 total sq feet @ 12 mos = $28,800. Supporting 2.1 of 5 FTE = 42% | 28,800.00 | 0.42 | 12,096.00 | ||
| Participant Support Costs | $25 Gift Cards for 100 participants | 25.00 | 100.00 | 2,500.00 | ||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| Total Supplies & Operating | 15,281.27 | |||||
| Travel | ||||||
| Item | Description of Item | Rate | Quantity | Total Amount Requested from CDPHE | ||
| Mileage | Principal investigator will attend two (2) mandatory trainings in Denver. Round trip is approximately 300 miles x 2 trips = 600 miles. Agency reimbursement rate is $.56/mile. | $0.56 | 600.00 | 336.00 | ||
| Meals | Principal investigator will attend two (2) mandatory trainings in Denver. Meal estimate is based on current government per diem rate for Denver: Travel day per diem reimbursement at $49.50 and full day reimbursement at $66.00. Costs represent two days of travel per diem and two days of full per diem for each training since meals will not be provided. (2 x $49.50) + (2 x $66) = $99 + $132 = $231/per training, per person. | 231 | 2.00 | 462.00 | ||
| Lodging | Overnight stay for Principal Investigator to attend two mandatory meetings in Denver. Estimate is based on current government per diem rate for Denver. $200/night x 3 nights x 2 trainings | $200.00 | 6.00 | 1,200.00 | ||
| Parking | Parking in downtown Denver for two mandatory meetings - $20/day x 6 days. | $20.00 | 6.00 | 120.00 | ||
| -0 | ||||||
| -0 | ||||||
| Total Travel | 2,118.00 | |||||
| Contractual | ||||||
| Subcontractor Name | Description of Item | Rate | Quantity | Total Amount Requested from CDPHE | ||
| ZYV Group | Evaluation of program as required by grant. | 150.00 | 750.0 | 112,500.00 | ||
| RST Inc. | Purchase of licensed materials | 275.00 | 100.0 | 27,500.00 | ||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| Total Contractual | 140,000.00 | |||||
| SUB-TOTAL OF DIRECT COSTS | 319,188.47 | |||||
| Less: Expenses per OMB 2 CFR 200 | Can include specific line items in categories above and hard code, if that makes budget completion easier | |||||
| Subcontractor in excess of $50,000 | $62,500.00 | |||||
| Rent | $12,096.00 | |||||
| Equipment in excess of $10,000 | $-0 | |||||
| Other Unallowable expenses | $2,500.00 | i.e participant support costs, tuition, etc. | ||||
| Total Expenses per OMB 2 CFR 200 | $77,096.00 | |||||
| Modified Total Direct Costs (MTDC) | $242,092.47 | |||||
| Indirect | ||||||
| Item | Description of Item | Percentage | Total Amount Requested from CDPHE | |||
| Federally-Negotiated Indirect Cost Rate | ||||||
| CDPHE-Negotiated Indirect Cost Rate | ||||||
| De minimis Indirect Cost Rate | Indirect costs, 15% of MTDC. Modified Total Direct Cost (MTDC): MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to the first $50,000 of each subaward (regardless of the period of performance of the subawards under the award). MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward in excess of $50,000. | 15% | 36,313.53 | add or subtract cents to this row's calculation to ensure total amount is a round dollar amount | ||
| Total Indirect | 36,313.53 | |||||
| TOTAL | 355,502.00 |
Page &P of January 2018
S+F Budget Template
ID#AAABcQJKK2o (2025-01-22 18:45:24)
| Description of Item should provide an explanation of item and the rationale for the requested costs. Description should include how cost cost estimates are calculated but should not duplicate Rate or Quantity information. | PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM | |
| Original Contract Routing # |
| Contractor Name | Program Contact Name, Title, Phone and Email |
| Budget Period | Fiscal Contact Name, Title, Phone and Email |
| Project Name |
| Expenditure Categories |
| Personal Services |
Salaried Employees Position Title ID#AAABcQJKK38 (2025-01-22 18:45:24) List position title. Do not provide employee names unless position was previously identified as a "key employee."
-CDPHE Description of Work ID#AAABcQJKK30 (2025-01-22 18:45:24) Enter budget justification for each salaried position title. Justification should address the role and expected contribution of budgeted personnel.
If less than full FTE, indicate in the description the % FTE worked for your agency.
-Public Health & Environment Gross or Annual Salary ID#AAABcQJKK1s (2025-01-22 18:45:24) Enter the employee's annual (12 month) gross salary. Fringe ID#AAABcQJKK18 (2025-01-22 18:45:24) Enter the total amount of fringe for the employee based on their annual salary. Percent of Time on Project ID#AAABcQJKK3g (2025-01-22 18:45:24)
| Enter the percentage of the employee's time spent on the project during the budget period. | Total Amount Requested from CDPHE | ||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| Personal Services |
Hourly Employees Position Title ID#AAABcQJKK3U (2025-01-22 18:45:24) List position title. Do not provide employee names unless position was previously identified as a "key employee."
-CDPHE Description of Work ID#AAABcQJKK2A (2025-01-22 18:45:24) Enter budget justification for each hourly position title. Justification should address the role and expected contribution of budgeted personnel.
-Public Health & Environment Hourly Wage ID#AAABcQJKK2U (2025-01-22 18:45:24) Enter the employee's hourly wage.
-Public Health & Environment Hourly Fringe ID#AAABcQJKK3w (2025-01-22 18:45:24) Enter the employee's hourly fringe amount (not the percentage).
-Public Health & Environment Total # of Hours on Project ID#AAABcQJKK3o (2025-01-22 18:45:24) Enter the number of hours the employee is expected to work on the contract during the entire contract period.
Please remember that a full-time hourly employee would work 2080 hours.
| -Public Health & Environment | Total Amount Requested from CDPHE | ||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| -0 | |||
| Total Personal Services (including fringe benefits) | -0 | ||
| Supplies & Operating Expenses | |||
| Item |
ID#AAABcQJKK3k (2025-01-22 18:45:24) Please list item title. Example of item titles include Copying, Postage or Computer for Program Manager.
-CDPHE
Possibility of highlighting specific participant support costs, scholarships, equipment, capital expenditures, rent, etc.
-Shela Tatro - CDPHE Description of Item ID#AAABcQJKK24 (2025-01-22 18:45:24)
| Description of Item should provide an explanation of item and the rationale for the requested costs. Description should include how cost cost estimates are calculated but should not duplicate Rate or Quantity information. | Rate | Quantity | Total Amount Requested from CDPHE | |
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| Total Supplies & Operating | -0 | |||
| Travel | ||||
| Item |
ID#AAABcQJKK3A (2025-01-22 18:45:24) Please list item title. Example of item titles include Local Mileage, Lodging or Airfare.
-CDPHE Description of Item ID#AAABcQJKK1w (2025-01-22 18:45:24) Description of Item should include an explanation of the item, rationale for the costs budgeted and a description of how cost estimates are calculated.
Indicate the project personnel who will be traveling and describe their anticipated contribution to the project.
| Include travel costs for any mandatory training required as part of the program. | Rate | Quantity | Total Amount Requested from CDPHE | |
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| -0 | ||||
| Total Travel | -0 | |||
| Contractual | ||||
| Subcontractor Name | Description of Item |
ID#AAABcQJKK2g (2025-01-22 18:45:24) Include all subcontracts required to complete the proposed work plan.
| Describe how the subcontractors will be selected, the work to be performed, expected deliverables, and a brief description of how costs were calculated. | Rate | Quantity | Total Amount Requested from CDPHE | ||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| Total Contractual | -0 | ||||
| SUB-TOTAL OF DIRECT COSTS | -0 | ||||
| Indirect | |||||
| Item | Description of Item | Percentage | Total Amount Requested from CDPHE | ||
| Federally-Negotiated Indirect Cost Rate |
ID#AAABcQJKK2s (2025-01-22 18:45:24) An organization that receives funding directly from the federal government is eligible to negotiate an indirect cost rate with its federal cognizant agency.
Please provide your negotiated Indirect Cost rate and the basis (e.g. total direct costs, salary and wages, etc.) in the description of item.
-Public Health & Environment ID#AAABcQJKK3o (2025-01-22 18:45:24) Enter the number of hours the employee is expected to work on the contract during the entire contract period.
Please remember that a full-time hourly employee would work 2080 hours.
-Public Health & Environment ID#AAABcQJKK1w (2025-01-22 18:45:24) Description of Item should include an explanation of the item, rationale for the costs budgeted and a description of how cost estimates are calculated.
Indicate the project personnel who will be traveling and describe their anticipated contribution to the project.
| Include travel costs for any mandatory training required as part of the program. | -0 | |
| CDPHE-Negotiated Indirect Cost Rate |
ID#AAABcQJKK2c (2025-01-22 18:45:24) An organization that receives no direct federal funding can recover its indirect costs by negotiating an agreement directly with CDPHE’s Internal Audit Unit. (To request this option please contact the application contact as soon as possible.)
-Public Health & Environment ID#AAABcQJKK34 (2025-01-22 18:45:24)
| Enter Budget Period Dates | -0 | add or subtract cents to this row's calculation to ensure total amount is a round dollar amount | ||
| Total Indirect | -0 | |||
| TOTAL | -0 |
ID#AAABcQJKK3E (2025-01-22 18:45:24) Amount should match award amount. This figure should be a whole dollar figure and should not include any cents.
ID#AAABcQJKK38 (2025-01-22 18:45:24) List position title. Do not provide employee names unless position was previously identified as a "key employee."
-CDPHE
ID#AAABcQJKK30 (2025-01-22 18:45:24) Enter budget justification for each salaried position title. Justification should address the role and expected contribution of budgeted personnel.
If less than full FTE, indicate in the description the % FTE worked for your agency.
-Public Health & Environment ID#AAABcQJKK3k (2025-01-22 18:45:24) Please list item title. Example of item titles include Copying, Postage or Computer for Program Manager.
-CDPHE
Possibility of highlighting specific participant support costs, scholarships, equipment, capital expenditures, rent, etc.
-Shela Tatro - CDPHE ID#AAABcQJKK1s (2025-01-22 18:45:24) Enter the employee's annual (12 month) gross salary.
ID#AAABcQJKK24 (2025-01-22 18:45:24) Description of Item should provide an explanation of item and the rationale for the requested costs. Description should include how cost cost estimates are calculated but should not duplicate Rate or Quantity information.
ID#AAABcQJKK18 (2025-01-22 18:45:24) Enter the total amount of fringe for the employee based on their annual salary.
ID#AAABcQJKK3g (2025-01-22 18:45:24) Enter the percentage of the employee's time spent on the project during the budget period.
ID#AAABcQJKK2g (2025-01-22 18:45:24) Include all subcontracts required to complete the proposed work plan.
Describe how the subcontractors will be selected, the work to be performed, expected deliverables, and a brief description of how costs were calculated.
ID#AAABcQJKK3U (2025-01-22 18:45:24) List position title. Do not provide employee names unless position was previously identified as a "key employee."
-CDPHE
ID#AAABcQJKK2A (2025-01-22 18:45:24) Enter budget justification for each hourly position title. Justification should address the role and expected contribution of budgeted personnel.
-Public Health & Environment
Page &P of January 2018
S+F Example Budget
| PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM |
| Original Contract Routing # |
| Contractor Name | ABC | Program Contact Name, Title, Phone and Email | Al Smith, Director, xxx-xxx-xxxx, xxx@ABC.com |
| Budget Period | 7-1-2024 through 6-30-2025 | Fiscal Contact Name, Title, Phone and Email | Carla Jones, CFO, xxx-xxx-xxxx, xxx@ABC.com |
| Project Name | Project Support |
| Expenditure Categories |
| Personal Services |
Salaried Employees
| Position Title | Description of Work | Gross or Annual Salary | Fringe | Percent of Time on Project | Total Amount Requested from CDPHE |
| Principal Investigator | The Principal Investigator will provide project oversight to include strategic planning and visioning, project management, budget oversight and oversight of future implementation strategies of the XYZ project. | 85,000.00 | 21,250.00 | 40.00% | 42,500.00 |
| Project Manager | The project manager will provide overall coordination and oversight of the XYZ program, assisting with staffing and training and ensuring continuous communication between project stakeholders. | 65,000.00 | 16,250.00 | 100.00% | 81,250.00 |
| Finance Manager | This position provides day to day management of funds and contracts through budget and reimbursement request preparation, coordinating and approving budget adjustments and revisions as necessary. | 36,000.00 | 7,920.00 | 20.00% | 8,784.00 |
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| -0 | |||||
| Personal Services |
Hourly Employees
| Position Title | Description of Work | Hourly Wage | Hourly Fringe | Total # of Hours on Project | Total Amount Requested from CDPHE | |
| Student Worker | A graduate student worker (PhD candidate) will be hired to assist with project operations and evaluation activities as assigned for a period of 12 months and approximately 1040 hours. | 22.50 | 5.63 | 1040.00 | 29,255.20 | |
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| Total Personal Services (including fringe benefits) | 161,789.20 | |||||
| Supplies & Operating Expenses | ||||||
| Item | Description of Item | Rate | Quantity | Total Amount Requested from CDPHE | ||
| Telephone lines/long distance and Internet services | Mobile service and internet access. Annual average cost of $206.32 per person x 2.1 FTE. | $206.32 | 2.10 | 433.27 | ||
| Office Supplies | Approximately $10/month ($120/year) per FTE. | 120.00 | 2.10 | 252.00 | ||
| Rent | $2.40/sq foot for 1,000 total sq feet @ 12 mos = $28,800. Supporting 2.1 of 5 FTE = 42% | 28,800.00 | 0.42 | 12,096.00 | ||
| Participant Support Costs | $25 Gift Cards for 100 participants | 25.00 | 100.00 | 2,500.00 | ||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| Total Supplies & Operating | 15,281.27 | |||||
| Travel | ||||||
| Item | Description of Item | Rate | Quantity | Total Amount Requested from CDPHE | ||
| Mileage | Principal investigator will attend two (2) mandatory trainings in Denver. Round trip is approximately 300 miles x 2 trips = 600 miles. Agency reimbursement rate is $.56/mile. | $0.56 | 600.00 | 336.00 | ||
| Meals | Principal investigator will attend two (2) mandatory trainings in Denver. Meal estimate is based on current government per diem rate for Denver: Travel day per diem reimbursement at $49.50 and full day reimbursement at $66.00. Costs represent two days of travel per diem and two days of full per diem for each training since meals will not be provided. (2 x $49.50) + (2 x $66) = $99 + $132 = $231/per training, per person. | 231 | 2.00 | 462.00 | ||
| Lodging | Overnight stay for Principal Investigator to attend two mandatory meetings in Denver. Estimate is based on current government per diem rate for Denver. $200/night x 3 nights x 2 trainings | $200.00 | 6.00 | 1,200.00 | ||
| Parking | Parking in downtown Denver for two mandatory meetings - $20/day x 6 days. | $20.00 | 6.00 | 120.00 | ||
| -0 | ||||||
| -0 | ||||||
| Total Travel | 2,118.00 | |||||
| Contractual | ||||||
| Subcontractor Name | Description of Item | Rate | Quantity | Total Amount Requested from CDPHE | ||
| ZYV Group | Evaluation of program as required by grant. | 150.00 | 750.0 | 112,500.00 | ||
| RST Inc. | Purchase of licensed materials | 275.00 | 100.0 | 27,500.00 | ||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| -0 | ||||||
| Total Contractual | 140,000.00 | |||||
| SUB-TOTAL OF DIRECT COSTS | 319,188.47 | |||||
| Indirect | ||||||
| Item | Description of Item | Percentage | Total Amount Requested from CDPHE | |||
| Federally-Negotiated Indirect Cost Rate | ||||||
| CDPHE-Negotiated Indirect Cost Rate | Calendar Year 2025 Negotiated Rate is 19% of Total Direct Salaries and Benefits | 19% | 30,739.53 | add or subtract cents to this row's calculation to ensure total amount is a round dollar amount | ||
| Total Indirect | 30,739.53 | |||||
| TOTAL | 349,928.00 |
Page &P of January 2018 image1.png image2.png
File details come from the government source that posted it. Updated .