Budget Attachment2 (1)~1.doc

DOC document 86 KB Posted

Attached to
MRCADET 3-17
Solicitation number
BD-17-1071-AO-CON01-15897
Issued by
Suffolk County, Massachusetts

About this file

This document is a fiscal year program budget for the Contractor Name related to the MRCADET 3-17 state and local contract opportunity in Massachusetts. The program is a cost reimbursement contract for driver evaluations, consultations, and driver training services for individuals with disabilities requiring vehicle modifications or adaptive driver education. The program budget includes line items for direct care/program staff, occupancy costs, other direct care/program support, and direct administrative expenses. The contract opportunity has an unspecified duration, with no mention of renewal options.

The budget indicates the contract is funded through unspecified federal funds, with a CFDA number provided. Commercial fee information is included, noting that for-profit contractors may charge a fee, but this does not apply to the current cost reimbursement contract. The program budget must comply with applicable federal and state requirements, such as OMB Circular A-122 and 808 CMR 1.00. The contractor's board-approved capitalization level is also specified for certain expense categories.

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Text version

FY:

Contractor Name:

Amendment #,if Applicable:

If Federal Funds, CFDA #:

PURCHASE OF SERVICE - ATTACHMENT 2: FISCAL YEAR PROGRAM BUDGET

Program Name:

Document ID#:

MMARS Activity Code:
Program Type:
UFR Prog. #:
Current
Amend. Change
New
FTE
Amount
FTE
Amount
FTE
Amount
COST REIMBURSEMENT ONLY

Program Component

Offset
Source
Reimbursable

Cost

UFR Title

Direct Care/Program Support Staff/Overtime/

Shift Differential & Relief (Titles 101-141)

SUBTOTAL STAFF

150
Payroll Taxes
151
Fringe Benefits
T 100
Total Direct Care/Program Staff
Title
Occupancy
301
Program Facilities
*
390
Fac. Oper/Main/Furn
T 300
Total Occupancy
UFR Title
Other Direct

Care/Program Support

201
Direct Care Consultant
202
Temporary Help
203
Clients/Caregivers. Reimb/Stipends
206
Subcontract Dir.Care
204
Staff Training
205
Staff Mileage/Travel
207
Meals
208
Contracted Client Trans.
*
208
Vehicle Expenses
*
208
Vehicle Depreciation
209
Incid. Health/Med Care
211
Client Per. Allowances
212
Prov. of Material Good
214
Direct Client Wages
214
Other Commercial Prod. & Svs.
*
215
Program Supplies/Mat
T 200
Total Other Direct Care/Program
Title
Direct Admin Expenses
216
Program Support
*
510 (410 & 390)
Other Direct Administrative Expenses
T 500
Total Direct Administrative Exp.
T
SUBTOTAL PROGRAM COSTS
*
410
Agency Admin. Support Allocation
% $
T
PROGRAM TOTAL

Commercial Fee, if applicable, for for-profit contractors only (for informational purposes only; not to be included in the price paid by the Commonwealth): %___$___: N/A for Cost Reimbursement

A. $ ___________ Subtotal of offsets which are for non-reimbursable costs.

Non-reimbursable costs must be shown in detail on Attachment 5 when the program is subject to the provisions of Federal OMB Circular A-122 and/or 808 CMR 1.00.

* Contractor’s Board approved capitalization level relative to any negotiated expense costs in lines 208, 215, 390 or 410 is $___________ MRCAdaptive Driving Evaluation and Training Services

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