Program_Budget_Form~2.doc

DOC document 88 KB Posted

Attached to
Skill Training and Employment Pathways (STEP) Program
Solicitation number
BD-27-1078-ORI1A-ORI-132460
Issued by
Massachusetts

About this file

This is a Program Budget Form for a Purchase of Service contract submitted to the Commonwealth of Massachusetts, specifically for the Office for Refugees and Immigrants (ORI) Skill Training and Employment Pathways (STEP) Program. The STEP Program is designed to provide vocational skills training and related support services to refugees and immigrants through a collaborative partnership model. The budget form serves as Attachment 3 to the proposal and requires contractors to detail all program costs across multiple fiscal years, including current, amended, and new funding amounts.

The budget structure encompasses direct care and program support staff costs (titles 101-141) with line items for payroll taxes and fringe benefits; occupancy costs including facilities and maintenance; and other direct care and program support expenses such as consultant services, temporary help, client reimbursements and stipends, staff training, travel, meals, transportation, vehicle expenses, health and medical care, client allowances, material goods, and program supplies. Additional budget categories include direct administrative expenses and agency administrative support allocations. The form requires contractors to identify offset sources for reimbursable costs and specify any non-reimbursable costs, which must be detailed on Attachment 5 if subject to Federal OMB Circular A-122 and/or 808 CMR 1.00 provisions. For for-profit contractors, a commercial fee percentage may be noted for informational purposes only and is not included in the price paid by the Commonwealth. Contractors must also specify their board-approved capitalization level for negotiated expense costs.

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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 .