attachment-7-rfp-2027-dbh-18-colle-app-g-rev1--1-.xlsx
XLSX spreadsheet 38 KB Posted
- Attached to
- Collegiate Recovery Programs State and local contract opportunity
- Solicitation number
- RFP-2027-DBH-18-COLLE
- Issued by
- New Hampshire
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| attachment-2-rfp-2027-dbh-18-colle-app-b.pdf | ||
| attachment-5-rfp-2027-dbh-18-colle-app-e.docx | DOCX document | |
| attachment-3-rfp-2027-dbh-18-colle-app-c.docx | DOCX document | |
| attachment-6-rfp-2027-dbh-18-colle-app-f.xlsx | XLSX spreadsheet | |
| rfp-2027-dbh-18-colle.pdf | ||
| attachment-4-rfp-2027-dbh-18-colle-app-d.docx | DOCX document | |
| rfp-2027-dbh-18-colle.pdf | ||
| attachment-4-rfp-2027-dbh-18-colle-app-d.docx | DOCX document | |
| attachment-7-rfp-2027-dbh-18-colle-app-g.xlsx | XLSX spreadsheet | |
| attachment-1-rfp-2027-dbh-18-colle-app-a.pdf | ||
| addendum-2-rfp-2027-dph-18-colle.pdf | ||
| attachment-6-rfp-2027-dbh-18-colle-app-f.xlsx | XLSX spreadsheet | |
| addendum-1-rfp-2027-dph-18-colle.pdf | ||
| attachment-2-rfp-2027-dbh-18-colle-app-b.pdf | ||
| attachment-5-rfp-2027-dbh-18-colle-app-e.docx | DOCX document | |
| attachment-1-rfp-2027-dbh-18-colle-app-a.pdf | ||
| attachment-3-rfp-2027-dbh-18-colle-app-c.docx | DOCX document |
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Text version
Instructions
| Cost Sheet Instructions | |
| Contractor Name: | Enter the Contractor's name, which must match the P-37. |
| Budget Request for: | Enter the name of the project/program title. |
| Indirect Cost Rate (if applicable) | The Contractor's indirect cost rate as a percentage will auto populate. See 2 CRF 200.414 Indirect (F&A) Costs for more information. |
Line Item Instructions All costs should be entered in whole dollars with no cents.
Next to each cost, enter a description in the Budget Narrative column that explains the specific line item costs included and their direct relationship to meeting the objectives of this solicitation.
1. Salary & Wages Enter total salary and wage costs for personnel allocated to this agreement for the specified budget period.
2. Fringe Benefits Enter total fringe benefits costs for personnel allocated to this agreement for the specified budget period.
3. Consultants Enter total costs for individuals (who are not employees of the Contractor) to provide consultant services, including, but not limited to, professional expertise, training, and/or education.
| 4. Equipment |
| Enter total Equipment costs. Equipment is defined as tangible, non-expendable personal property (including exempt property) that has a useful life of more than one year AND an acquisition cost of $10,000 or more per unit. Note all equipment costs must be excluded when calculating indirect costs. |
| 5.(a) Supplies - Educational | Enter total Educational Supplies costs. |
| 5.(b) Supplies - Laboratory | Enter total Laboratory Supplies costs. |
| 5.(c) Supplies - Pharmacy | Enter total Pharmacy Supplies costs. |
| 5.(d) Supplies - Medical | Enter total Medical Supplies costs. |
| 5.(e) Supplies Office | Enter total Office Supplies costs. |
6. Travel Enter Travel costs, including expenses for transportation necessary to complete the required services.
7. Software Enter Software costs.
| 8. (a) Other - Marketing/Communications | Enter Other - Marketing/Communications costs. |
| 8. (b) Other - Education and Training | Enter Other - Education and Training costs. |
| 8. (c) Other - Other | Enter Other - Other costs in the available rows below. |
| Other (please specify) | Using as many rows as needed, specify the type of Other costs (e.g. Postage) in Column A and enter the costs for the specified budget period. |
| 9. Subrecipient Contracts | |
| Enter total costs for Subrecipient Contracts. Note if a contractor is identified as a Subrecipient in accordance with 2 CFR § 200.331, the indirect cost rate may only be applied to the first $50,000 of each subrecipient contract (i.e. subaward) per Appendix IV to 2 CFR 200. | |
| Total Direct Costs | Unless the formula needs to be modified, Total Direct Costs will automatically total in this line. |
| Total Indirect Costs | Enter the total indirect costs (if applicable) based on the indirect cost rate percentage. Any one cost must be treated consistently as either a direct or indirect cost and cannot be charged as both. Note the indirect cost rate cannot be applied to Equipment costs. The indirect cost rate may only be applied to the first $50,000 of each subrecipient contract (i.e. subaward). |
TOTAL TOTAL Costs will automatically total in this line.
Cost Sheet New Hampshire Department of Health and Human Services
| Contractor Name: | Enter Vendor Name |
| Budget Request for: | RFP-2027-DBH-18-COLLE |
| Indirect Cost Rate (if applicable) | ERROR:#DIV/0! |
Line Item Program Cost - Funded by DHHS July 1, 2026 - June 30, 2027 (SFY 27) Program Cost -Funded by DHHS July 1, 2027 - June 30, 2028 (SFY 28) TOTAL Program Cost -Funded by DHHS SFY 27-28 Budget Narrative Explain specific line item costs included and their direct relationship to meeting the objectives of this solicitation.
| 1. Salary & Wages | $0 | $0 | $0 | |
| 2. Fringe Benefits | $0 | $0 | $0 | |
| 3. Consultants | $0 | $0 | $0 | |
| 4. Equipment | ||||
| Indirect cost rate cannot be applied to equipment costs per 2 CFR 200.1 and Appendix IV to 2 CFR 200. | $0 | $0 | $0 | |
| 5.(a) Supplies - Educational | $0 | $0 | $0 | |
| 5.(b) Supplies - Lab | $0 | $0 | $0 | |
| 5.(c) Supplies - Pharmacy | $0 | $0 | $0 | |
| 5.(d) Supplies - Medical | $0 | $0 | $0 | |
| 5.(e) Supplies Office | $0 | $0 | $0 | |
| 6. Travel | $0 | $0 | $0 | |
| 7. Software | $0 | $0 | $0 | |
| 8. (a) Other - Marketing/ Communications | $0 | $0 | $0 | |
| 8. (b) Other - Education and Training | $0 | $0 | $0 | |
| 8. (c) Other - Other (specify below) | $0 | $0 | $0 | |
| Other (please specify) | $0 | $0 | $0 | |
| Other (please specify) | $0 | $0 | $0 | |
| Other (please specify) | $0 | $0 | $0 | |
| Other (please specify) | $0 | $0 | $0 | |
| 9. Subrecipient Contracts | $0 | $0 | $0 | |
| Total Direct Costs | $0 | $0 | $0 | |
| Total Indirect Costs | $0 | $0 | $0 |
TOTAL $0 $0 $0
Appendix G - Cost Sheet
Salary & Wages Breakdown
Salary & Wages Breakdown
New Hampshire Department of Health and Human Services
| Proposal Agency Name: |
| Program: |
| Budget Period: |
| A | B | C | D | E | F | G | H |
| Position Title | Current Individual in Position | Projected Hrly Rate as of 1st Day of Budget Period | Hours per Week dedicated to this program - FTE | Amnt Funded by this program for Budget Period | Total Salary for Budget Period | % of Salary Funded by this program | Site* |
| Example: | |||||||
| Program Coordinator | Example Staff | $21.00 | 20 | $21,840 | $43,680 | 50% |
| Administrative Salaries | |||
| ERROR:#DIV/0! | |||
| ERROR:#DIV/0! | |||
| ERROR:#DIV/0! | |||
| ERROR:#DIV/0! | |||
| ERROR:#DIV/0! | |||
| Total Admin. Salaries | $0 | $0 | ERROR:#DIV/0! |
| Direct Service Salaries | |||
| ERROR:#DIV/0! | |||
| ERROR:#DIV/0! | |||
| ERROR:#DIV/0! | |||
| ERROR:#DIV/0! | |||
| ERROR:#DIV/0! | |||
| ERROR:#DIV/0! | |||
| Total Direct Salaries | $0 | $0 | ERROR:#DIV/0! |
| Total Salaries by Program | $0.00 | $0.00 | ERROR:#DIV/0! |
| *Please list which site(s) each staff member works at, if your agency has multiple sites. |
Budget to Print New Hampshire Department of Health and Human Services
| Contractor Name: | Enter Vendor Name |
| Budget Request for: | RFP-2027-DBH-18-COLLE |
| Budget Period | ERROR:#REF! |
| Indirect Cost Rate (if applicable) | ERROR:#DIV/0! |
| Line Item | Program Cost - Funded by DHHS | |
| 1. Salary & Wages | $0 | |
| 2. Fringe Benefits | $0 | |
| 3. Consultants | $0 | |
| 4. Equipment | ||
| Indirect cost rate cannot be applied to equipment costs per 2 CFR 200.1 and Appendix IV to 2 CFR 200. | $0 | |
| 5.(a) Supplies - Educational | $0 | |
| 5.(b) Supplies - Lab | $0 | |
| 5.(c) Supplies - Pharmacy | $0 | |
| 5.(d) Supplies - Medical | $0 | |
| 5.(e) Supplies Office | $0 | |
| 6. Travel | $0 | |
| 7. Software | $0 | |
| 8. (a) Other - Marketing/ Communications | $0 | |
| 8. (b) Other - Education and Training | $0 | |
| 8. (c) Other - Other (specify below) | $0 | |
| Other (please specify) | $0 | |
| Other (please specify) | $0 | |
| Other (please specify) | $0 | |
| Other (please specify) | $0 | |
| 9. Subrecipient Contracts | $0 | |
| Total Direct Costs | $0 |
Total Indirect Costs $0
TOTAL $0
&"Arial,Regular"Exhibit C-X Budget
&"Arial,Regular"Project ID # &"Arial,Regular"Contractor Initial: __________
Date: ___________
File details come from the government source that posted it. Updated .