oppDLA-201802-cfda12.002-instructions.xlsx
XLSX spreadsheet 27 KB Posted
- Attached to
- FY18 Supplemental Funding - Existing PTACs only
- Opportunity number
- DLA-201802
- Issued by
-
Department of Defense
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Application Instructions
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| File | Type | Posted |
|---|---|---|
| FY18 Mod Proposal Template.xlsx | XLSX spreadsheet |
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Text version
p1
| FY18 Supplemental Funding Modification Proposal | PAGE 1 OF | 1 | ||||||||
| CFDA 12.002 - Procurement Technical Assistance For Business Firms (not R&D) | 2 | |||||||||
| 1. AGREEMENT NO | If an FY18 award has already been issued, use the FY18 award number. If you are still performing under a FY17 award, list the FY17 award number. | 3 | ||||||||
| SP4800- | 4 | |||||||||
| 2. RECIPIENT NAME: | ||||||||||
| 3. FY18 AWARD PERIOD OF PERFORMANCE (POP) | 4. LIST PROPOSED EXTENSION COMPLETION DATE BELOW | 17 | ||||||||
| STARTS | ENDS | (Only populate this field if you propose to change your POP) | 18 | |||||||
| 5a. PROPOSED NEW NON-DISTRESSED AREA BUDGET | 5d. PROPOSED NEW DISTRESSED AREA BUDGET | 30 | ||||||||
| Personnel: | Personnel: | 31 | ||||||||
| Fringe Benefits: | Fringe Benefits: | 32 | ||||||||
| Travel: | Travel: | |||||||||
| Equipment: | Equipment: | |||||||||
| Supplies: | Supplies: | |||||||||
| Contractual: | Contractual: | |||||||||
| Other: | Other: | 34 | ||||||||
| Indirect Costs: | Indirect Costs: | 35 | ||||||||
| TOTAL: | TOTAL: | 36 | ||||||||
| 5b. GOVERNMENT'S SHARE OF NON-DISTRESSED BUDGET | 5e. GOVERNMENT'S SHARE OF DISTRESSED BUDGET | 37 | ||||||||
| $ | or | % | $ | or | % | 38 | ||||
| 5c. RECIPIENT'S SHARE OF NON-DISTRESSED BUDGET | 5f. RECIPIENT'S SHARE OF DISTRESSED BUDGET | 39 | ||||||||
| $ | or | % | $ | or | % | 40 | ||||
| 6a. CHANGES TO THE NON-DISTRESSED SERVICE AREA | 6b. CHANGES TO THE DISTRESSED SERVICE AREA | 41 | ||||||||
| 42 | ||||||||||
| 43 | ||||||||||
| 44 | ||||||||||
| 45 |
| INCREASES TO GOALS: PROPOSED PERFORMANCE STATISTICS TO BE ACHIEVED IF MOD PROPOSAL IS ACCEPTED: |
| 7. Total number of proposed FY18 “new clients” |
8. Total hours of proposed FY18 “counseling time”
9. Total number of proposed FY18 “participated events”
| PAST PERFORMANCE: |
| 10. Number of “active clients" as of 30 March 2018 |
11. Hours of “counseling time” performed between 1 April 2017 - 30 March 2018
| 12. Number “participated events” performed between 1 April 2017 - 30 March 2018 | |
| 12a. Number of events listed above -organized/hosted by the PTAC: | Average number of attendees: |
| 12b. Number of events organized by other(s) and counted as participated event: |
13. Total cost incurred (federal plus recipient cost) between 1 April 2017 - 30 March 2018 p2 (Narrative)
FY18 SUPPLEMENTAL FUNDING PROPOSAL FOR AWARD: SP4800- PAGE 2 OF
14. Describe why adding funds to your award is in the best interest of the Procurement Technical Assistance Program.
Instructions and information you should delete / overwrite prior to submission:
| Use only this area (or one page) to provide narrative describing proposed changes to FY18 award (or FY17 award strategy if |
| you do not yet have an FY18 award). Please do not submit price quotes or other background documents unless requested |
| by the GO. |
You may also use this space to describe any circumstances we should consider along with your funding request.
| Modification proposals that are accepted may be accepted whole or in part. |
| We do not expect to have sufficient funding to accept all proposals so only the most meritorius proposals |
| providing the best overall value to the program, will be accepted. |
Past performance will be considered when assessing merit.
| Proposal due date: 4 May 18 |
| DLA modifications tentatively issued by 15 Jun 18 (pending funds availability) |
Attach the completed proposal document to the SF-424 using the "attachments" button within that form.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 p3 Mod Budget Details
| LIST PROPOSED ADDITIONS/SUBTRACTIONS TO/FROM FY18 AWARD Page 3 (or FY17 AWARD IF FY18 AWARD NOT YET ISSUED) |
| Recipient Name: |
| personnel changes |
| Location | Position Title | Total Annual Salary | % of Time Working on Program | Salary Allocable to Program | Fringe Benefits Allocable to Program | |
| $0.00 | ||||||
| (insert additional rows if needed) | Totals: | $0.00 | $0.00 | |||
| Salary | Fringe Benefits | |||||
| Non-Distressed | Distressed | Total | ||||
| a. PERSONNEL | $0.00 | $0.00 | $0.00 | |||
| b. FRINGE BENEFITS | $0.00 | $0.00 | $0.00 |
| c. TRAVEL | Non-Distressed | Distressed | Total |
| Expense Description (insert additional rows if needed) | |||
| $0.00 | |||
| $0.00 | |||
| Total Travel: | $0.00 | $0.00 | $0.00 |
| d. EQUIPMENT | Non-Distressed | Distressed | Total |
| Expense Description (insert additional rows if needed) | |||
| $0.00 | |||
| Total Equipment: | $0.00 | $0.00 | $0.00 |
| e. SUPPLIES | Non-Distressed | Distressed | Total |
| Expense Description (insert additional rows if needed) | |||
| $0.00 | $0.00 | $0.00 | |
| $0.00 | $0.00 | $0.00 | |
| Total Supplies: | $0.00 | $0.00 | $0.00 |
| f. CONTRACTUAL | Non-Distressed | Distressed | Total |
| Expense Description (insert additional rows if needed) | |||
| $0.00 | $0.00 | $0.00 | |
| $0.00 | $0.00 | $0.00 | |
| Total Contractual: |
| g. OTHER | Non-Distressed | Distressed | Total |
| Expense Description (insert additional rows if needed) | |||
| $0.00 | |||
| $0.00 | |||
| Total Other: | $0.00 | $0.00 | $0.00 |
TOTAL DIRECT CHARGES TO BE ADDED VIA MODIFICATION $0.00 $0.00 $0.00
Non-Distressed Distressed
| Indirect Cost Base: | |||
| Indirect Rate: | |||
| Indirect Charges: | $0.00 | $0.00 | $0.00 |
| TOTALS: | $0.00 | $0.00 | $0.00 |
| Non-Distressed | Distressed | ||
| Bud |
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