COST PROPOSAL SPREADSHEET Template.xlsx
XLSX spreadsheet 1 MB Posted
- Solicitation number
- 7599226SN106
About this file
This is a Cost Proposal Spreadsheet template designed for SBIR/STTR proposals submitted to federal agencies. The template is a comprehensive Excel-based tool that structures cost data across multiple cost categories and performance phases, with automatic calculations linking data entries across worksheets.
The template accommodates both Phase I and Phase II proposals, with flexible multi-year periods within each phase. Proposers enter data into designated green-shaded cells while yellow-shaded cells automatically calculate totals through linked formulas. The spreadsheet organizes costs into eight primary categories: direct labor (with fully-burdened hourly rates and labor hours), fringe benefits, overhead, subcontract costs, consultant costs, other direct costs (travel, materials/supplies, equipment, and ODCs), material handling, and G&A/F&A costs, culminating in subtotal costs, fee or profit, and total proposed project cost. Instructions specify that labor rates must be fully burdened (inclusive of applicable fringe, overhead, and G&A) for the prime contractor only, with subcontractor and consultant costs entered separately. The template requires a Basis of Estimate (BoE) for materials/supplies items exceeding $1,000 and equipment items exceeding $5,000. Additional sections capture entity information (prime contractor, research institution for STTR, and up to 13 subcontractors), periods of performance with duration in months, and detailed travel calculations including airfare, hotel per diem, meals and incidental expenses, car rentals, mileage, conference fees, and miscellaneous expenses. The template integrates with SF 424 (R&R) Application for Federal Assistance forms, including project director/principal investigator contact information and authorized representative certification fields.
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Text version
Contract Pricing Proposal
CONTRACT PRICING PROPOSAL
| Company Name: |
| Title of Proposal: |
| BAA #: |
| BAA Topic #: |
| SBIR / STTR |
| Proposal Type |
| Date |
| Research Institution (STTR-Only) |
| Phase I Summary | ||
| COST ELEMENT | TOTAL | |
| Total Direct Labor Costs | $ - | |
| Total Fringe Benefit Costs | ERROR:#REF! | |
| Total Overhead Costs | ERROR:#REF! | |
| Total Subcontract Costs | $ - | |
| Total Consultant Costs | $ - | |
| Total Other Direct Costs | $ - | |
| Total Material Handling Costs | ERROR:#REF! | |
| Total G&A/F&A Costs | ERROR:#REF! | |
| Total Facilities - Cost of Money (FCCM) | ERROR:#REF! | |
| Subtotal Cost | ERROR:#REF! | |
| Fee or Profit | ERROR:#REF! | |
| Total Proposed Project Cost | ||
| (Phase I) | ERROR:#REF! |
| Phase II Summary | ||
| COST ELEMENT | TOTAL | |
| Total Direct Labor Costs | $ - | |
| Total Fringe Benefit Costs | ERROR:#REF! | |
| Total Overhead Costs | ERROR:#REF! | |
| Total Subcontract Costs | $ - | |
| Total Consultant Costs | $ - | |
| Total Other Direct Costs | $ - | |
| Total Material Handling Costs | ERROR:#REF! | |
| Total G&A/F&A Costs | ERROR:#REF! | |
| Total Facilities - Cost of Money (FCCM) | ERROR:#REF! | |
| Subtotal Cost | ERROR:#REF! | |
| Fee or Profit | ERROR:#REF! | |
| Total Proposed Project Cost | ||
| (Phase II) | ERROR:#REF! |
Cover Page
Instructions Legend
| Yellow Fill = Calculated and/or linked values | Locked Cells |
| Green Fill = Value that is linked TO elsewhere - requires proposer data entry | Unlocked Cells |
| 1. Enter data into sheets in the order in which they appear, beginning with Proposal Data, and then tabs A. through G. Finish by filling out the Phase I and Phase II tabs (which will populate with data from the other tabs). Only fill out Phase I and Phase II tabs as applicable to your project (e.g. Direct to Phase II proposals can skip Phase I). |
| 2. In general, only enter data into cells with a green fill. The yellow-filled cells will calculate and populate values using the data entered in the green cells. |
| 3. Cells that are outlined in red are locked; all cells that can be edited are outlined in black. |
| 4. Once the Proposal Data and Tabs A through G are completed, enter the fully burdened labor rates (i.e., labor rates inclusive of applicable fringe, overhead, and G&A, as appropriate) and the labor hours. Enter data only in the green cells. Enter only labor hours and fully burdened labor rates in the Phase I and Phase II tabs for the proposing small business (not subcontractors/consultants). Subcontractor and consultant labor hours and costs should not be entered in the proposing small business labor sections; instead, include them in the applicable Subcontractor/Consultant tabs. |
Proposal Data
| Proposal Data | |
| Instructions: | The below fields populate all of the other sheets. |
| The information from the cost proposal is not required, however all entries in green cells beginning at name of contractor are required. |
| Entity Type | Entity Name |
| Prime Contractor | |
| Research Institution (STTR Only) | |
| Subcontractor 1 | |
| Subcontractor 2 | |
| Subcontractor 3 | |
| Subcontractor 4 | |
| Subcontractor 5 | |
| Subcontractor 6 | |
| Subcontractor 7 | |
| Subcontractor 8 | |
| Subcontractor 9 | |
| Subcontractor 10 | |
| Subcontractor 11 | |
| Subcontractor 12 | |
| Subcontractor 13 |
| Periods of Performance | Duration (Months) |
| Phase I | |
| Phase II | |
| Total PoP (Months) | 0 |
| *Leave blank if not applicable |
A. Labor Rates Labor Rates
Instructions: Enter labor categories, notes/names, and hourly rates under the appropriate period in the green cells. Indicate if the individual/labor category is considered Key Personnel.
| PHASE I RATES | Phase I Year 1 | Phase I Year 2 (if applicable) | Indicate if Key Personnel | |
| Proposer's Labor Category | Name or Comment | Hourly Labor Rate | Hourly Labor Rate |
| PHASE II LABOR RATES | Phase II Year 1 | Phase II Year 2 | Phase II Year 3 (if applicable) | Indicate if Key Personnel | ||
| Proposer's Labor Category | Name or Comment | Hourly Labor Rate | Hourly Labor Rate | Hourly Labor Rate | Escalation |
B. Materials-Supplies Materials - Supplies
| Instructions: | Enter the direct costs that correspond to the rate categories in column A, and the performance periods in row 5. | ||||||||||||||||
| Provide a Basis of Estimate (BoE) for items =>$1,000.00. | |||||||||||||||||
| Phase I | |||||||||||||||||
| Phase I Year 1 | Phase I Year 2 (if applicable) | ||||||||||||||||
| Item | Description | Qty | Unit Price | Total Price | Notes - | Item | Description | Qty | Unit Price | Total Price | Notes | ||||||
| 1 | $0.00 | 1 | $0.00 | ||||||||||||||
| 2 | $0.00 | 2 | $0.00 | ||||||||||||||
| 3 | $0.00 | 3 | $0.00 | ||||||||||||||
| 4 | $0.00 | 4 | $0.00 | ||||||||||||||
| 5 | $0.00 | 5 | $0.00 | ||||||||||||||
| 6 | $0.00 | 6 | $0.00 | ||||||||||||||
| 7 | $0.00 | 7 | $0.00 | ||||||||||||||
| 8 | $0.00 | 8 | $0.00 | ||||||||||||||
| 9 | $0.00 | 9 | $0.00 | ||||||||||||||
| 10 | $0.00 | 10 | $0.00 | ||||||||||||||
| 11 | $0.00 | 11 | $0.00 | ||||||||||||||
| 12 | $0.00 | 12 | $0.00 | ||||||||||||||
| 13 | $0.00 | 13 | $0.00 | ||||||||||||||
| 14 | $0.00 | 14 | $0.00 | ||||||||||||||
| 15 | $0.00 | 15 | $0.00 | ||||||||||||||
| 16 | $0.00 | 16 | $0.00 | ||||||||||||||
| 17 | $0.00 | 17 | $0.00 | ||||||||||||||
| 18 | $0.00 | 18 | $0.00 | ||||||||||||||
| Phase I Year 1 Total | $0.00 | Phase I Year 2 (if applicable) Total | $0.00 | ||||||||||||||
| Phase II | |||||||||||||||||
| Phase II Year 1 | Phase II Year 2 | Phase II Year 3 (if applicable) | |||||||||||||||
| Item | Description | Qty | Unit Price | Total Price | Notes | Item | Description | Qty | Unit Price | Total Price | Notes | Item | Description | Qty | Unit Price | Total Price | Notes |
| 1 | $0.00 | 1 | $0.00 | 1 | $0.00 | ||||||||||||
| 2 | $0.00 | 2 | $0.00 | 2 | $0.00 | ||||||||||||
| 3 | $0.00 | 3 | $0.00 | 3 | $0.00 | ||||||||||||
| 4 | $0.00 | 4 | $0.00 | 4 | $0.00 | ||||||||||||
| 5 | $0.00 | 5 | $0.00 | 5 | $0.00 | ||||||||||||
| 6 | $0.00 | 6 | $0.00 | 6 | $0.00 | ||||||||||||
| 7 | $0.00 | 7 | $0.00 | 7 | $0.00 | ||||||||||||
| 8 | $0.00 | 8 | $0.00 | 8 | $0.00 | ||||||||||||
| 9 | $0.00 | 9 | $0.00 | 9 | $0.00 | ||||||||||||
| 10 | $0.00 | 10 | $0.00 | 10 | $0.00 | ||||||||||||
| 11 | $0.00 | 11 | $0.00 | 11 | $0.00 | ||||||||||||
| 12 | $0.00 | 12 | $0.00 | 12 | $0.00 | ||||||||||||
| 13 | $0.00 | 13 | $0.00 | 13 | $0.00 | ||||||||||||
| 14 | $0.00 | 14 | $0.00 | 14 | $0.00 | ||||||||||||
| 15 | $0.00 | 15 | $0.00 | 15 | $0.00 | ||||||||||||
| 16 | $0.00 | 16 | $0.00 | 16 | $0.00 | ||||||||||||
| 17 | $0.00 | 17 | $0.00 | 17 | $0.00 | ||||||||||||
| 18 | $0.00 | 18 | $0.00 | 18 | $0.00 | ||||||||||||
| Phase II Year 1 Total | $0.00 | Phase II Year 2 Total | $0.00 | Phase II Year 3 (if applicable) Total | $0.00 | ||||||||||||
| TOTAL | |||||||||||||||||
| Phase I Materials/Supplies | Phase II Materials/Supplies | ||||||||||||||||
| Year | Total Cost | Year | Total Cost | ||||||||||||||
| 1 | $0.00 | 1 | $0.00 | ||||||||||||||
| 2 | $0.00 | 2 | $0.00 | ||||||||||||||
| 3 | $0.00 | ||||||||||||||||
| Total | $0.00 | Total | $0.00 |
C. Equipment Equipment
| Instructions: | Enter description, quantity and unit price for each equipment line item. | ||||||||
| Provide a Basis of Estimate (BoE) for items =>$5,000.00. | |||||||||
| Phase I | |||||||||
| Phase I Year 1 | Phase I Year 2 (if aplicable) | ||||||||
| Item | |||||||||
| Description | Qty | Unit Price | Total Price | Notes | Item | ||||
| Description | Qty | Unit Price | Total Price | Notes | |||||
| 1 | $0.00 | 1 | $0.00 | ||||||
| 2 | $0.00 | 2 | $0.00 | ||||||
| 3 | $0.00 | 3 | $0.00 | ||||||
| 4 | $0.00 | 4 | $0.00 | ||||||
| 5 | $0.00 | 5 | $0.00 | ||||||
| 6 | $0.00 | 6 | $0.00 | ||||||
| 7 | $0.00 | 7 | $0.00 | ||||||
| 8 | $0.00 | 8 | $0.00 | ||||||
| 9 | $0.00 | 9 | $0.00 | ||||||
| 10 | $0.00 | 10 | $0.00 | ||||||
| $0.00 | $0.00 | ||||||||
| Phase II | |||||||||
| Phase II Year 1 | Phase II Year 2 | Phase II Year 3 (if applicable) | |||||||
| Item | |||||||||
| Description | Qty | Unit Price | Total Price | Notes | Item | ||||
| Description | Qty | Unit Price | Total Price | Notes | Item | ||||
| Description | Qty | Unit Price | Total Price | Notes | |||||
| 1 | $0.00 | 1 | $0.00 | 1 | $0.00 | ||||
| 2 | $0.00 | 2 | $0.00 | 2 | $0.00 | ||||
| 3 | $0.00 | 3 | $0.00 | 3 | $0.00 | ||||
| 4 | $0.00 | 4 | $0.00 | 4 | $0.00 | ||||
| 5 | $0.00 | 5 | $0.00 | 5 | $0.00 | ||||
| 6 | $0.00 | 6 | $0.00 | 6 | $0.00 | ||||
| 7 | $0.00 | 7 | $0.00 | 7 | $0.00 | ||||
| 8 | $0.00 | 8 | $0.00 | 8 | $0.00 | ||||
| 9 | $0.00 | 9 | $0.00 | 9 | $0.00 | ||||
| 10 | $0.00 | 10 | $0.00 | 10 | $0.00 | ||||
| $0.00 | $0.00 | $0.00 |
| TOTALS | |||
| Phase I Equipment | Phase II Equipment | ||
| Period | Total Cost | Period | Total Cost |
| 1 | $0 | 1 | $0 |
| 2 | $0 | 2 | $0 |
| 3 | $0 | ||
| Total | $0 | Total | $0 |
D. Travel Travel
Instructions: Enter travel details as appropriate below in the green cells.
| Phase I | |||||||||||||||||||||||||
| Year | Purpose of Trip | Origin | Destination | # People | # Days | # of Trips | |||||||||||||||||||
| (if reoccuring) | # days at 100% Hotel per diem | # days at 100% M&IE per diem | # days at 75% M&IE per diem | Round Trip Airfare/ Trainfare per person | Total Airfare/ Trainfare $ per Trip | Hotel Per Diem Rate per person | Total Hotel Per Diem $ per trip | M&IE Per Diem Rate per person | 100% M&IE Per Diem $ | 75% M&IE Per Diem $ | Total M&IE Per Diem $ per trip | Car Rental dollars per day including Taxes & Fees | # of Cars (1-3 people per car) | Total Car rental $ per trip | Standard Personal Car Mileage Rate | Estimated Number of Round trip Miles per Car | # of Personal Cars | Total Mileage Rate Dollars | Conference Fees | Other Expenses (tolls, parking, rental gas, wi-fi) | TOTAL DIRECT DOLLARS PER TRIP | GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS | |||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | $ - | ||||||||||||||||||||||||
| Phase II | |||||||||||||||||||||||||
| Year | Purpose of Trip | Origin | Destination | # People | # Days | # of Trips | |||||||||||||||||||
| (if reoccuring) | # days at 100% Hotel per diem | # days at 100% M&IE per diem | # days at 75% M&IE per diem | Round Trip Airfare/ Trainfare per person | Total Airfare/ Trainfare $ per Trip | Hotel Per Diem Rate per person | Total Hotel Per Diem $ per trip | M&IE Per Diem Rate per person | 100% M&IE Per Diem $ | 75% M&IE Per Diem $ | Total M&IE Per Diem $ per trip | Car Rental dollars per day including Taxes & Fees | # of Cars (1-3 people per car) | Total Car rental $ per trip | Standard Personal Car Mileage Rate | Estimated Number of Round trip Miles per Car | # of Personal Cars | Total Mileage Rate Dollars | Conference Fees | Other Expenses (tolls, parking, rental gas, wi-fi) | TOTAL DIRECT DOLLARS PER TRIP | GRAND TOTAL DIRECT DOLLARS FOR ALL TRIPS | |||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | 0 | 0 | $ - 0 | $ - 0 | $0.00 | $0.00 | $ - 0 | $ - 0 | $ - 0 | $ - | $ - | ||||||||||||||
| 0 | $ - | ||||||||||||||||||||||||
| TOTALS | |||||||||||||||||||||||||
| Travel Summary | |||||||||||||||||||||||||
| Period | Number Trips | Total Cost | |||||||||||||||||||||||
| Phase I Year 1 | 0 | $ - 0 | |||||||||||||||||||||||
| Phase I Year 2 | 0 | $ - 0 | |||||||||||||||||||||||
| Phase II Year 1 | 0 | $ - 0 | |||||||||||||||||||||||
| Phase II Year 2 | 0 | $ - | |||||||||||||||||||||||
| Phase II Year 3 | 0 | $ - | |||||||||||||||||||||||
| Total | 0 | $ - 0 |
E. ODCs Other Direct Costs
Instructions: Enter ODC details as appropriate below in the green cells.
| Phase I | |||||||||||||
| Phase I Year 1 | Phase 1 Year 2 (if applicable) | ||||||||||||
| Item | Description | Rate/Qty | Basis/Unit Price | Total Price | Notes | Item | Description | Rate/Qty | Basis/Unit Price | Total Price | Notes | ||
| 1 | $0.00 | 1 | $0.00 | ||||||||||
| 3 | $0.00 | 3 | $0.00 | ||||||||||
| 3 | $0.00 | 3 | $0.00 | ||||||||||
| 4 | $0.00 | 4 | $0.00 | ||||||||||
| 5 | $0.00 | 5 | $0.00 | ||||||||||
| 6 | $0.00 | 6 | $0.00 | ||||||||||
| 7 | $0.00 | 7 | $0.00 | ||||||||||
| 8 | $0.00 | 8 | $0.00 | ||||||||||
| 9 | $0.00 | 9 | $0.00 | ||||||||||
| 10 | $0.00 | 10 | $0.00 | ||||||||||
| Phase I | |||||||||||||
| Year 1 Total | $0.00 | Phase I | |||||||||||
| Year 2 Total | $0.00 |
| Phase II | |||||||||||||||||||
| Phase II Year 1 | Phase II Year 2 | Phase II Year 3 (if applicable) | |||||||||||||||||
| Item | Description | Rate/Qty | Basis/Unit Price | Total Price | Notes | Item | Description | Rate/Qty | Basis/Unit Price | Total Price | Notes | Item | Description | Rate/Qty | Basis/Unit Price | Total Price | Notes | ||
| 1 | $0.00 | 1 | $0.00 | 1 | $0.00 | ||||||||||||||
| 3 | $0.00 | 3 | $0.00 | 3 | $0.00 | ||||||||||||||
| 3 | $0.00 | 3 | $0.00 | 3 | $0.00 | ||||||||||||||
| 4 | $0.00 | 4 | $0.00 | 4 | $0.00 | ||||||||||||||
| 5 | $0.00 | 5 | $0.00 | 5 | $0.00 | ||||||||||||||
| 6 | $0.00 | 6 | $0.00 | 6 | $0.00 | ||||||||||||||
| 7 | $0.00 | 7 | $0.00 | 7 | $0.00 | ||||||||||||||
| 8 | $0.00 | 8 | $0.00 | 8 | $0.00 | ||||||||||||||
| 9 | $0.00 | 9 | $0.00 | 9 | $0.00 | ||||||||||||||
| 10 | $0.00 | 10 | $0.00 | 10 | $0.00 | ||||||||||||||
| Phase II | |||||||||||||||||||
| Year 1 Total | $0.00 | Phase II | |||||||||||||||||
| Year 2 Total | $0.00 | Phase II | |||||||||||||||||
| Year 3 Total | $0.00 | ||||||||||||||||||
| TOTALS | |||||||||||||||||||
| Phase I ODCs | Phase II ODCs | ||||||||||||||||||
| Period | Total Cost | Period | Total Cost | ||||||||||||||||
| 1 | $0.00 | 1 | $0.00 | ||||||||||||||||
| 2 | $0.00 | 2 | $0.00 | ||||||||||||||||
| 3 | $0.00 | ||||||||||||||||||
| Total | $0.00 | Total | $0.00 |
SF424 2
SF 424 (R&R) APPLICATION FOR FEDERAL ASSISTANCE Page 2
14. PROJECT DIRECTOR/PRINCIPAL INVESTIGATOR CONTACT INFORMATION
Prefix: First Name: Middle Name:
Last Name: Suffix:
Position Title:
Organization Name:
Department: Division:
Street 1:
Street 2:
| City: | County/Parish: |
| County/Parish: | |
| State: | Province: |
Country: Zip/Postal Code:
Phone Number: Fax Number:
Email:
15. ESTIMATED PROJECT FUNDING 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?
a. Total Federal Funds Requested a. YES
b. Total Non-Federal Funds DATE:
c. Total Federal & Non-Federal Funds b. NO
d. Esimated Program Income
17. By signing this application, I certify (1) to the statements contained in the list of certifications* and (2) that the statements herein are complete and accurate to the best of my knowledge. I also provide the required assurances* and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 18, Section 1001)
*The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific Instructions.
18. SFLL (Disclosure of Lobbying Activites) or other Explanatory Documentation
19. Authorized Representive
Prefix: First Name: Middle Name:
Last Name: Suffix:
Position Title:
Organization Name:
Department: Division:
Street 1:
Street 2:
| City: | County/Parish: |
| County/Parish: | |
| State: | Province: |
Country: Zip/Postal Code:
Phone Number: Fax Number:
Email:
Signature of Authorized Representative Date Signed
20. Pre-Application
21. Cover Letter Attachment
THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
PROGRAM IS NOT COVERED BY e.o. 12372; OR
PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW
I agree
F. Consultants
| Consultants | |
| Instructions: | Enter Consultant details as appropriate below in the green cells. |
| Phase I | |||||||||||||
| Phase I Year 1 | Phase I Year 2 (if applicable) | ||||||||||||
| Item | Description | Qty | Unit Price | Total Price | Notes | Item | Description | Qty | Unit Price | Total Price | Notes | ||
| 1 | $0.00 | 1 | $0.00 | ||||||||||
| 2 | $0.00 | 2 | $0.00 | ||||||||||
| 3 | $0.00 | 3 | $0.00 | ||||||||||
| 4 | $0.00 | 4 | $0.00 | ||||||||||
| 5 | $0.00 | 5 | $0.00 | ||||||||||
| 6 | $0.00 | 6 | $0.00 | ||||||||||
| Phase I | |||||||||||||
| Year 1 Total | $0.00 | Phase I | |||||||||||
| Year 2 Total | $0.00 |
| Phase II | |||||||||||||||||||
| Phase II Year 1 | Phase II Year 2 | Phase II Year 3 (if applicable) | |||||||||||||||||
| Item | Description | Qty | Unit Price | Total Price | Notes | Item | Description | Qty | Unit Price | Total Price | Notes | Item | Description | Qty | Unit Price | Total Price | Notes | ||
| 1 | $0.00 | 1 | $0.00 | 1 | $0.00 | ||||||||||||||
| 2 | $0.00 | 2 | $0.00 | 2 | $0.00 | ||||||||||||||
| 3 | $0.00 | 3 | $0.00 | 3 | $0.00 | ||||||||||||||
| 4 | $0.00 | 4 | $0.00 | 4 | $0.00 | ||||||||||||||
| 5 | $0.00 | 5 | $0.00 | 5 | $0.00 | ||||||||||||||
| 6 | $0.00 | 6 | $0.00 | 6 | $0.00 | ||||||||||||||
| Phase II | |||||||||||||||||||
| Year 1 Total | $0.00 | Phase II | |||||||||||||||||
| Year 2 Total | $0.00 | Phase II | |||||||||||||||||
| Year 3 Total | $0.00 |
| TOTALS | |||
| Phase I Consultants | Phase II Consultants | ||
| Period | Total Cost | Period | Total Cost |
| 1 | $0.00 | 1 | $0.00 |
| 2 | $0.00 | 2 | $0.00 |
| 3 | $0.00 | ||
| Total | $0.00 | Total | $0.00 |
G. Subcontractors Subcontractors
Instructions: Enter Subcontractor details as appropriate below in the green cells.
| Phase I | |||||||||||||
| Phase I Year 1 | Phase 1 Year 2 (if applicable) | ||||||||||||
| Subcontractor | Labor Category/Description | Rate/Qty | Basis/Unit Price | Total Price | Notes | Subcontractor | Labor Category/Description | Rate/Qty | Basis/Unit Price | Total Price | Notes | ||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| $0.00 | $0.00 | ||||||||||||
| Phase I | |||||||||||||
| Year 1 Total | $0.00 | Phase I | |||||||||||
| Year 2 Total | $0.00 |
| Phase II | |||||||||||||||||||
| Phase II Year 1 | Phase II Year 2 | Phase II Year 3 (if applicable) | |||||||||||||||||
| Subcontractor | Labor Category/Description | Rate/Qty | Basis/Unit Price | Total Price | Notes | Subcontractor | Labor Category/Description | Rate/Qty | Basis/Unit Price | Total Price | Notes | Subcontractor | Description | Rate/Qty | Basis/Unit Price | Total Price | Notes | ||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| $0.00 | $0.00 | $0.00 | |||||||||||||||||
| Phase II | |||||||||||||||||||
| Year 1 Total | $0.00 | Phase II | |||||||||||||||||
| Year 2 Total | $0.00 | Phase II | |||||||||||||||||
| Year 3 Total | $0.00 | ||||||||||||||||||
| TOTALS | |||||||||||||||||||
| Phase I | |||||||||||||||||||
| Subcontractor | Year 1 | Year 2 | Total Phase I | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| Phase II | |||||||||||||||||||
| Subcontractor | Year 1 | Year 2 | Year 3 | Total Phase II | |||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||||
| Subcontractor | Total Phase I | Total Phase II | Total Cost | ||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 | $ - 0 | $ - 0 | |||||||||||||||||
| $ - 0 |
Phase I Cost Proposal - Phase I Effort
| Instructions: | This sheet combines all of the information entered in Proposal Data and sheets A. through G. The green cells require input (the bases for the indirect costs/fee and the hours for labor). |
| Enter applicable data into the green cells, including the totals for subcontractors. Detailed subcontractor proposals should be entered in a separate spreadsheet. |
| Phase I Year 1 | Phase I Year 2 (if applicable) | Totals | ||||||||
| N/A | N/A | N/A | ||||||||
| Direct Labor | ||||||||||
| Labor Category | Name | Hours | Hourly Labor Rate | Direct Labor Cost | Hours | Hourly Labor Rate | Direct Labor Cost | Hours | Total $ | |
| $ - 0 | 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 Labor Costs | 0 | $ - 0 | 0 | $ - 0 | 0 | $ - 0 | ||||
| Subcontracts | $ - 0 | $ - 0 | $ - | |||||||
| $ - 0 | $ - 0 | $ - | ||||||||
| $ - 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 Subcontract Costs | $ - 0 | $ - 0 | $ - | |||||||
| Consultants | $ - 0 | $ - 0 | $ - | |||||||
| $ - 0 | $ - 0 | $ - | ||||||||
| $ - 0 | $ - 0 | $ - | ||||||||
| $ - 0 | $ - 0 | $ - | ||||||||
| $ - 0 | $ - 0 | $ - | ||||||||
| $ - 0 | $ - 0 | $ - | ||||||||
| Total Consultant Costs | $ - 0 | $ - 0 | $ - | |||||||
| Other Direct Costs | Travel (see tab D.) | $ - 0 | $ - 0 | $ - | ||||||
| Materials - Supplies (see tab B.) | $ - 0 | $ - 0 | $ - | |||||||
| Equipment (see tab C.) | $ - 0 | $ - 0 | $ - | |||||||
| ODCs (see tab E.) | $ - 0 | $ - 0 | $ - | |||||||
| Total Other Direct Costs | $ - 0 | $ - 0 | $ - | |||||||
| Total Estimated Costs | $ - 0 | $ - 0 | $ - |
Phase II Cost Proposal - Phase II
| Instructions: | This sheet combines all of the information entered in Proposal Data and sheets A. through G. The green cells require input (the bases for the indirect costs/fee and the hours for labor). |
| Enter applicable data into the green cells, including the totals for subcontractors. Detailed subcontractor proposals should be entered in a separate spreadsheet. |
| Phase II Year 1 | Phase II Year 2 | Phase II Year 3 (if applicable) | Totals | ||||||||||
| N/A | N/A | N/A | N/A | ||||||||||
| Direct Labor | |||||||||||||
| Labor Category | Name | Hours | Hourly Labor Rate | Direct Labor Cost | Hours | Hourly Labor Rate | Direct Labor Cost | Hours | Hourly Labor Rate | Direct Labor Cost | Hours | Total $ | |
| 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 Labor Costs | 0 | $ - 0 | 0 | $ - 0 | 0 | $ - 0 | 0 | $ - | |||||
| Subcontracts | $ - 0 | $ - 0 | $ - 0 | $ - | |||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||||
| $ - 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 Subcontract Costs | $ - 0 | $ - 0 | $ - 0 | $ - | |||||||||
| Consultants | $ - 0 | $ - 0 | $ - 0 | $ - | |||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||||
| $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||||
| Total Consultant Costs | $ - 0 | $ - 0 | $ - 0 | $ - | |||||||||
| Other Direct Costs | Travel (see tab D.) | $ - 0 | $ - 0 | $ - 0 | $ - | ||||||||
| Materials - Supplies (see tab B.) | $ - 0 | $ - 0 | $ - 0 | $ - | |||||||||
| Equipment (see tab C.) | $ - 0 | $ - 0 | $ - 0 | $ - | |||||||||
| ODCs (see tab E.) | $ - 0 | $ - 0 | $ - 0 | $ - | |||||||||
| Total Other Direct Costs | $ - 0 | $ - 0 | $ - 0 | $ - | |||||||||
| Total Estimated Costs | $ - 0 | $ - 0 | $ - 0 | $ - |
image1.png
File details come from the government source that posted it. Updated .