Program_Budget_Form~2.doc
DOC document 88 KB Posted
- 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.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| STEP_Attachment2_Training_Log_FINAL.docx | DOCX document | |
| pos2~1.doc | DOC document | |
| pos1~1.doc | DOC document | |
| financial_qualification_form~4.pdf | ||
| form_commonwealth-terms-and-conditions-for-human-and-social-services~15.pdf | ||
| SDP-FORM-for-POS~1.xlsx | XLSX spreadsheet | |
| form_qualification_instructions~6.pdf | ||
| form_contractor-authorized-signatory-listing-for-contractors~7.pdf | ||
| form_prompt-pay-discount~3.pdf | ||
| STEP_Attachment2A_Performance_Measures.docx | DOCX document | |
| FFY27_STEP_RFR_V05_ORI_08142026.pdf | ||
| form_w-9~14.pdf | ||
| form_standard-contract~4.pdf | ||
| STEP-Bidder-Cover-Page.docx | DOCX document | |
| instructions_standard-contract-form~15.pdf | ||
| EFT Form~3.pdf |
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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 .