CTR056041_Pricing.pdf
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- Attached to
- Master Agreement AZ|CTR056041
- Contract number
- CTR056041
- Issued by
- Arizona
About this file
This document is a detailed three-year budget proposal for a research project, submitted by Charles Howard Adler, MD, PhD, as the Program Director/Principal Investigator. The budget involves multiple entities including Mayo Clinic, BSHRI (Barrow Neurological Institute), and an unspecified Allied Health organization in Arizona. The Request for Grant Application (RFGA) is numbered BPM000334 and covers a research period from July 1, 2019 through June 30, 2021.
The budget details personnel costs for Adler as Principal Investigator and an unnamed Study Coordinator, with total annual costs ranging from approximately $193,665 to $249,608. Direct costs include personnel salaries, supplies, outpatient care costs, consortium/contractual costs, and other expenses such as payments to Nan Zhang for work hours. The budget allocates funds for supplies ($11,900-$21,800 annually), outpatient care costs ($9,431-$18,863), and consortium costs ($50,084-$100,281). Indirect costs from Mayo and BSHRI are also included, with total annual project costs consistently around $249,000. The budget shows variations in time allocation and specific expense categories across the three budget years.
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Program Director/Prinicipal Investigator (Last, First, Middle): Adler, Charles Howard
DETAILED BUDGET FOR INITIAL BUDGET PERIOD
FROM THROUGH
7/1/2019 6/30/2020
List PERSONNEL (Applicant organization only) Use Cal, Acad, or Summer to Enter Months Devoted to Project Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
NAME
ROLE ON
PROJECT
Cal.
Mnths
Acad.
Mnths
Summer Mnths
INST.BASE
SALARY
SALARY
REQUESTED
FRINGE
BENEFITS TOTAL
Adler, Charles Howard, MD, PhD, 1986
PD/PI 1.20 189,600 18,960 3,887 $22,847
TBN - Allied Health-AZ, To Be Named (2)
Study Coordinator 6.60 75,728 41,650 14,161 $55,811
SUBTOTALS $60,610 $18,048 $78,658
CONSULTANT COSTS
$0 SUPPLIES (Itemize by category) See Additional Detailed Budget Page
$19,300
TRAVEL
$0
INPATIENT CARE COSTS $0
OUTPATIENT CARE COSTS $18,863
ALTERATIONS AND RENOVATIONS (Itemize by category)
$0 OTHER EXPENSES (Itemize by category) BAP/PRC $8,000: $4,000; Nan Zhang 45.45 hours $5,000 Y1; 78 hours - $8,580 Y2, Y3:
$5,000
$9,000
CONSORTIUM/CONTRACTUAL COSTS- BSHRI DIRECT COSTS $100,028
SUBTOTAL DIRECT COSTS YEAR 1 $ 225,849
TOTAL INDIRECT COST YEAR 1 (MAYO + BSHRI) $ 23,199
TOTAL COSTS YEAR 1 $ 249,048
Charles Adler, MD, PhD, Budget Information, RFGA Number BPM000334 20
DETAILED BUDGET FOR YEAR 2
FROM THROUGH
7/1/2020 6/30/2021
List PERSONNEL (Applicant organization only) Use Cal, Acad, or Summer to Enter Months Devoted to Project Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
NAME
ROLE ON
PROJECT
Cal.
Mnths
Acad.
Mnths
Summer Mnths
INST.BASE
SALARY
SALARY
REQUESTED
FRINGE
BENEFITS TOTAL
Adler, Charles Howard, MD, PhD, 1986
PD/PI 2.40 189,600 37,920 7,774 $45,694
TBN - Allied Health-AZ, To Be Named (2)
Study Coordinator 4.8 78,000 31,200 10,608 $41,808
SUBTOTALS $69,120 $18,382 $87,502
CONSULTANT COSTS
$0 SUPPLIES (Itemize by category) See Additional Detailed Budget Page
$11,900
TRAVEL
$0
INPATIENT CARE COSTS $0
OUTPATIENT CARE COSTS $9,431
ALTERATIONS AND RENOVATIONS (Itemize by category)
$0 OTHER EXPENSES (Itemize by category) BAP/PRC $9,420; Nan Zhang 78 hours - $8,580 Y2
$18,000
CONSORTIUM/CONTRACTUAL COSTS- BSHRI DIRECT COSTS $50,084
SUBTOTAL DIRECT COSTS YEAR 2 $ 176,917
TOTAL INDIRECT COST YEAR 2 (MAYO + BSHRI) $ 16,748
TOTAL COSTS YEAR 2 $ 193,665
Charles Adler, MD, PhD, Budget Information, RFGA Number BPM000334 21
DETAILED BUDGET FOR YEAR 3
FROM THROUGH
7/1/2020 6/30/2021
List PERSONNEL (Applicant organization only) Use Cal, Acad, or Summer to Enter Months Devoted to Project Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
NAME
ROLE ON
PROJECT
Cal.
Mnths
Acad.
Mnths
Summer Mnths
INST.BASE
SALARY
SALARY
REQUESTED
FRINGE
BENEFITS TOTAL
Adler, Charles Howard, MD, PhD, 1986
PD/PI 1.20 189,600 18,960 3,887 $22,847
TBN - Allied Health-AZ, To Be Named (2)
Study Coordinator 6 78,000 39,000 13,260 $52,260
SUBTOTALS $57,960 $17,147 $75,107
CONSULTANT COSTS
$0 SUPPLIES (Itemize by category) See Additional Detailed Budget Page
$21,800
TRAVEL
$0
INPATIENT CARE COSTS $0
OUTPATIENT CARE COSTS $18,863
ALTERATIONS AND RENOVATIONS (Itemize by category)
$0 OTHER EXPENSES (Itemize by category) BAP/PRC $4,000; Nan Zhang 78 hours - $8,580 Y3
$12,580
CONSORTIUM/CONTRACTUAL COSTS- BSHRI DIRECT COSTS $100,281
SUBTOTAL DIRECT COSTS YEAR 3 $ 228,631
TOTAL INDIRECT COST YEAR 3 (MAYO + BSHRI) $ 20,947
TOTAL COSTS YEAR 3 $ 249,608
Charles Adler, MD, PhD, Budget Information, RFGA Number BPM000334 22
| BPM000334 Supplier Grant Application Mayo_Adler 21 |
| BPM000334 Supplier Grant Application Mayo_Adler 22 |
| BPM000334 Supplier Grant Application Mayo_Adler 23 |
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