Fiscal Year Program Budget Rquired.doc

DOC document 88 KB Posted

Attached to
CTF Child Sexual Abuse Prevention RFR FY24
Solicitation number
BD-23-1037-2CTF0-CTFS-88424
Issued by
Suffolk County, Massachusetts

About this file

This document appears to be a Fiscal Year Program Budget template for a state and local contract opportunity. It outlines the budget and cost reimbursement details for a program, including categories for direct care/program staff, occupancy, other direct care/program support, direct administrative expenses, and agency administrative support allocation. The document contains line items for various expense types such as staff, facilities, transportation, supplies, and other program-related costs. It also includes information about capitalization levels, offsets for non-reimbursable costs, and a commercial fee for for-profit contractors.

The document provides a comprehensive breakdown of the budgetary requirements and cost reimbursement structure for this state and local contract opportunity. It covers the necessary financial details and accounting information to support the program's operations and expenditures.

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Text version

FY:

Contractor Name:

Amendment #,if Applicable:

If Federal Funds, CFDA #:

PURCHASE OF SERVICE - ATTACHMENT 3: 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 $___________ Updated 6/19/07 Sensitivity level - low

File details come from the government source that posted it. Updated .