The file's text, extracted by GovTribe without its formatting.
Revised Option 1
| Agency: | | | | |
| Program: | | | | |
| FY 24-25 | | | | |
| Line Item | Total Program Budget | Funding Request (how will the funds requested via this RFP be used) | HSA Recommendation | Included in MTDC? |
| Revenue | | | | |
| Funding being requested via this RFP | | | | |
| | $ - 0 | | | | |
| Total Revenue | $ - 0 | ERROR:#REF! | | | | |
| Expense | | | | | | |
| Personnel Expense | | | FTE | | MTDC? | Description/Explanation |
| List all staff positions, their salary, and the FTE for this contract | | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| | | | | yes | |
| Benefits | $ - 0 | $ - 0 | | $ - 0 | yes | |
| subtotal personnel | $ - 0 | $ - 0 | | $ - 0 | YES | |
| Operating Expenses | | | | | MTDC? | Description/Explanation |
| Supplies | | | | | | |
| Telephone/Communications | | | | | | |
| Employee-Related Expenses (Recruiting, Conference Fees, Fingeprinting, Health Screen, etc.) | | | | | | |
| Facilities-Related Expenses (Utilities, Maintenance Repair, Real Estate Taxes, etc.) | | | | | | |
| Client-Related Expenses (Food, Transportation, etc.) | | | | | | |
Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed)
| subtotal operating expenses | $ - 0 | $ - 0 | $ - 0 | |
| Admin Expense | | | | Description/Explanation |
| Administrative expense | $ - 0 | $ - 0 | $ - 0 | |
| subtotal admin expense | $ - 0 | $ - 0 | $ - 0 |
| Total Expenses | $ - 0 | $ - 0 | $ - 0 |
| SUBTOTAL | $ - 0 |
| SUBTOTAL EXCLUDING DIRECT CLIENT PAYMENTS | $ - 0 |
| ICR off total (as historically calculated at 15%) | $0.00 |
| ICR off personnel (at 15%) | $0.00 |
| De Minimus (15%) | $0.00 |
| ICR if treated as client services contract only and personnel and operating costs were covered in indirect costs (at 15%) | $0.00 |
Year 1
| Agency: | | |
| Program: | | |
| Year 1 | | |
| Line Item | Total Program Budget | Funding Request (how will the funds requested via this RFP be used) |
| Revenue | | |
| Funding being requested via this RFP | | |
| | $ - 0 | | | |
| Total Revenue | $ - 0 | $ - 0 | | | |
| Expense | | | | | |
| Personnel Expense | | | FTE | | Description/Explanation |
| List all staff positions, their salary, and the FTE for this contract | | | | | |
| | | | $ - 0 | |
| Benefits | $ - 0 | $ - 0 | | |
| subtotal personnel | $ - 0 | $ - 0 | $ - 0 | |
| Operating Expenses - MTDC | | | | Description/Explanation |
| Supplies | | | | |
| Telephone/Communications | | | | |
| subtotal operating expenses MTDC | $ - 0 | $ - 0 | $ - 0 |
| Operating Expenses - NON MTDC | | | |
| Facilities-Related Expenses for Program (Utilities, Maintenance Repair, etc.) | | | |
| Client-Related Expenses (Food, Transportation, etc.) | | | |
| Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed) | | | |
| $ - 0 | $ - 0 | $ - 0 |
| subtotal operating expenses NON MTDC | $ - 0 | $ - 0 | $ - 0 | |
| Admin Expense | | | | Description/Explanation |
| Administrative expense | $ - 0 | $ - 0 | $ - 0 | |
| subtotal admin expense | $ - 0 | $ - 0 | $ - 0 |
| Total Expenses | $ - 0 | $ - 0 | $ - 0 |
Year 2
| Agency: | | |
| Program: | | |
| Year 2 | | |
| Line Item | Total Program Budget | Funding Request (how will the funds requested via this RFP be used) |
| Revenue | | |
| Funding being requested via this RFP | | |
| | $ - 0 | | | |
| Total Revenue | $ - 0 | $ - 0 | | | |
| Expense | | | | | |
| Personnel Expense | | | FTE | | Description/Explanation |
| List all staff positions, their salary, and the FTE for this contract | | | | | |
| | | | $ - 0 | |
| Benefits | $ - 0 | $ - 0 | | |
| subtotal personnel | $ - 0 | $ - 0 | $ - 0 | |
| Operating Expenses - MTDC | | | | Description/Explanation |
| Supplies | | | | |
| Telephone/Communications | | | | |
| subtotal operating expenses MTDC | $ - 0 | $ - 0 | $ - 0 |
| Operating Expenses - NON MTDC | | | |
| Facilities-Related Expenses for Program (Utilities, Maintenance Repair, etc.) | | | |
| Client-Related Expenses (Food, Transportation, etc.) | | | |
| Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed) | | | |
| $ - 0 | $ - 0 | $ - 0 |
| subtotal operating expenses NON MTDC | $ - 0 | $ - 0 | $ - 0 | |
| Admin Expense | | | | Description/Explanation |
| Administrative expense | $ - 0 | $ - 0 | $ - 0 | |
| subtotal admin expense | $ - 0 | $ - 0 | $ - 0 |
| Total Expenses | $ - 0 | $ - 0 | $ - 0 |
Year 3
| Agency: | | |
| Program: | | |
| Year 3 | | |
| Line Item | Total Program Budget | Funding Request (how will the funds requested via this RFP be used) |
| Revenue | | |
| Funding being requested via this RFP | | |
| | $ - 0 | | | |
| Total Revenue | $ - 0 | $ - 0 | | | |
| Expense | | | | | |
| Personnel Expense | | | FTE | | Description/Explanation |
| List all staff positions, their salary, and the FTE for this contract | | | | | |
| | | | $ - 0 | |
| Benefits | $ - 0 | $ - 0 | | |
| subtotal personnel | $ - 0 | $ - 0 | $ - 0 | |
| Operating Expenses - MTDC | | | | Description/Explanation |
| Supplies | | | | |
| Telephone/Communications | | | | |
| subtotal operating expenses MTDC | $ - 0 | $ - 0 | $ - 0 |
| Operating Expenses - NON MTDC | | | |
| Facilities-Related Expenses for Program (Utilities, Maintenance Repair, etc.) | | | |
| Client-Related Expenses (Food, Transportation, etc.) | | | |
| Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed) | | | |
| $ - 0 | $ - 0 | $ - 0 |
| subtotal operating expenses NON MTDC | $ - 0 | $ - 0 | $ - 0 | |
| Admin Expense | | | | Description/Explanation |
| Administrative expense | $ - 0 | $ - 0 | $ - 0 | |
| subtotal admin expense | $ - 0 | $ - 0 | $ - 0 |
| Total Expenses | $ - 0 | $ - 0 | $ - 0 |
Year 4
| Agency: | | |
| Program: | | |
| Year 4 | | |
| Line Item | Total Program Budget | Funding Request (how will the funds requested via this RFP be used) |
| Revenue | | |
| Funding being requested via this RFP | | |
| | $ - 0 | | | |
| Total Revenue | $ - 0 | $ - 0 | | | |
| Expense | | | | | |
| Personnel Expense | | | FTE | | Description/Explanation |
| List all staff positions, their salary, and the FTE for this contract | | | | | |
| | | | $ - 0 | |
| Benefits | $ - 0 | $ - 0 | | |
| subtotal personnel | $ - 0 | $ - 0 | $ - 0 | |
| Operating Expenses - MTDC | | | | Description/Explanation |
| Supplies | | | | |
| Telephone/Communications | | | | |
| subtotal operating expenses MTDC | $ - 0 | $ - 0 | $ - 0 |
| Operating Expenses - NON MTDC | | | |
| Facilities-Related Expenses for Program (Utilities, Maintenance Repair, etc.) | | | |
| Client-Related Expenses (Food, Transportation, etc.) | | | |
| Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed) | | | |
| $ - 0 | $ - 0 | $ - 0 |
| subtotal operating expenses NON MTDC | $ - 0 | $ - 0 | $ - 0 | |
| Admin Expense | | | | Description/Explanation |
| Administrative expense | $ - 0 | $ - 0 | $ - 0 | |
| subtotal admin expense | $ - 0 | $ - 0 | $ - 0 |
| Total Expenses | $ - 0 | $ - 0 | $ - 0 |
Year 5
| Agency: | | |
| Program: | | |
| Year 5 | | |
| Line Item | Total Program Budget | Funding Request (how will the funds requested via this RFP be used) |
| Revenue | | |
| Funding being requested via this RFP | | |
| | $ - 0 | | | |
| Total Revenue | $ - 0 | $ - 0 | | | |
| Expense | | | | | |
| Personnel Expense | | | FTE | | Description/Explanation |
| List all staff positions, their salary, and the FTE for this contract | | | | | |
| | | | $ - 0 | |
| Benefits | $ - 0 | $ - 0 | | |
| subtotal personnel | $ - 0 | $ - 0 | $ - 0 | |
| Operating Expenses - MTDC | | | | Description/Explanation |
| Supplies | | | | |
| Telephone/Communications | | | | |
| subtotal operating expenses MTDC | $ - 0 | $ - 0 | $ - 0 |
| Operating Expenses - NON MTDC | | | |
| Facilities-Related Expenses for Program (Utilities, Maintenance Repair, etc.) | | | |
| Client-Related Expenses (Food, Transportation, etc.) | | | |
| Insert all Other Operating Expenses (list each on its own row) (items included above are just examples, can be edited or removed) | | | |
| $ - 0 | $ - 0 | $ - 0 |
| subtotal operating expenses NON MTDC | $ - 0 | $ - 0 | $ - 0 | |
| Admin Expense | | | | Description/Explanation |
| Administrative expense | $ - 0 | $ - 0 | $ - 0 | |
| subtotal admin expense | $ - 0 | $ - 0 | $ - 0 |
| Total Expenses | $ - 0 | $ - 0 | $ - 0 |