SAFE_REQUIRED_BUDGET_TEMPLATE.xlsx
XLSX spreadsheet 42 KB Posted
- Attached to
- USAID PEPFAR/SAFE
- Solicitation number
- SOL-611-16-000001
About this file
SAFE Budget Template
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SBH_Zambia_Project_Brief_14_Jan_2016.docx | DOCX document | |
| Overview_for_Provincial_Medical_Officers_-_14_Jan_2016.pptx | PPTX presentation | |
| SAFE_RFP__01192016_final.pdf | ||
| SOL-611-16-000001_Questions_Answers_01192016_final.docx | DOCX document | |
| SAFE_REQUIRED_BUDGET_TEMPLATE_revised_for_Amendment_1.xlsx | XLSX spreadsheet | |
| SAFE_RFP__01072016.pdf | ||
| IEE_Health.doc | DOC document | |
| USAID_DBA_Application.pdf | ||
| Lusaka_07122015_LCP_Pay_Scale_-_40_hours.pdf | ||
| Proposed_Instructions_Eval_Criteria_SAFE.docx | DOCX document | |
| SAFEStatementofWork_10.16.15.docx | DOCX document |
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Text version
SUMMARY
| Name: [Contractor] |
| Securing an AIDS Free Era |
| RFP: |
| BUDGET SUMMARY: CLIN1 | ||||||
| ITEM | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | Total |
| SALARIES AND WAGES | $ - 0 | |||||
| FRINGE BENEFITS | $ - 0 | |||||
| ALLOWANCES | $ - 0 | |||||
| TRAVEL, TRANSPORTATION, AND PER DIEM | $ - 0 | |||||
| EQUIPMENT | $ - 0 | |||||
| SUPPLIES | $ - 0 | |||||
| OTHER DIRECT COSTS | $ - 0 | |||||
| SUBCONTRACTS | $ - 0 | |||||
| Sub-total of the Above: | $ - 0 | |||||
| INDIRECT COSTS | $ - 0 | |||||
| FIXED FEE | $ - 0 | |||||
| GRANTS UNDER CONTRACT | $ - 0 | |||||
| TOTAL ESTIMATED COSTS | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| BUDGET SUMMARY INCLUDING OPTION FOR INCREASED QUANTITIES AND SERVICES: CLIN1 - CLIN8 | ||||||
| ITEM | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | Total |
| LABOR | $ - 0 | |||||
| FRINGE BENEFITS | $ - 0 | |||||
| ALLOWANCES | $ - 0 | |||||
| TRAVEL | $ - 0 | |||||
| EQUIPMENT | $ - 0 | |||||
| SUPPLIES | $ - 0 | |||||
| OTHER DIRECT COSTS | $ - 0 | |||||
| SUBCONTRACTS | $ - 0 | |||||
| Sub-total of the Above: | $ - 0 | |||||
| INDIRECT COSTS | $ - 0 | |||||
| FIXED FEE | $ - 0 | |||||
| GRANTS UNDER CONTRACT | $ - 0 | $ - 0 | $ - 0 | |||
| TOTAL ESTIMATED COSTS | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
CLIN1
| Name: [Contractor] |
| Securing an AIDS Free Era |
CLIN1: Objectives 1 -5
| Please provide the information requested for each year and the totals. |
| All amounts in US $. If more subawardees are proposed please insert additional worksheets as needed. |
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | ||||||||||||
| ITEM | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Total |
SALARIES AND WAGES
FRINGE
ALLOWANCES
TRAVEL, TRANSPORTATION, AND PER DIEM
EQUIPMENT
SUPPLIES
OTHER DIRECT COSTS
SUBCONTRACTS
INDIRECT COSTS
FIXED FEE
GRANTS UNDER CONTRACT
TOTAL ESTIMATED COSTS
CLIN2
| Name: [Contractor] |
| Securing an AIDS Free Era |
CLIN2: Manage routine supervision and mentoring programs
| Please provide the information requested for each year and the totals. |
| All amounts in US $. If more subawardees are proposed please insert additional worksheets as needed. |
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | ||||||||||||
| ITEM | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Total |
SALARIES AND WAGES
FRINGE
ALLOWANCES
TRAVEL, TRANSPORTATION, AND PER DIEM
EQUIPMENT
SUPPLIES
OTHER DIRECT COSTS
SUBCONTRACTS
INDIRECT COSTS
FIXED FEE
GRANTS UNDER CONTRACT
TOTAL ESTIMATED COSTS
CLIN3
| Name: [Contractor] |
| Securing an AIDS Free Era |
CLIN3: Roll out new clinical policies and guidelines
| Please provide the information requested for each year and the totals. |
| All amounts in US $. If more subawardees are proposed please insert additional worksheets as needed. |
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | ||||||||||||
| ITEM | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Total |
SALARIES AND WAGES
FRINGE
ALLOWANCES
TRAVEL, TRANSPORTATION, AND PER DIEM
EQUIPMENT
SUPPLIES
OTHER DIRECT COSTS
SUBCONTRACTS
INDIRECT COSTS
FIXED FEE
GRANTS UNDER CONTRACT
TOTAL ESTIMATED COSTS
CLIN4
| Name: [Contractor] |
| Securing an AIDS Free Era |
CLIN4: Implement QA/QI practices at provincial, district and facility levels
| Please provide the information requested for each year and the totals. |
| All amounts in US $. If more subawardees are proposed please insert additional worksheets as needed. |
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | ||||||||||||
| ITEM | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Total |
SALARIES AND WAGES
FRINGE
ALLOWANCES
TRAVEL, TRANSPORTATION, AND PER DIEM
EQUIPMENT
SUPPLIES
OTHER DIRECT COSTS
SUBCONTRACTS
INDIRECT COSTS
FIXED FEE
GRANTS UNDER CONTRACT
TOTAL ESTIMATED COSTS
CLN5
| Name: [Contractor] |
| Securing an AIDS Free Era |
CLIN5: Procure and maintain medical equipment
| Please provide the information requested for each year and the totals. |
| All amounts in US $. If more subawardees are proposed please insert additional worksheets as needed. |
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | ||||||||||||
| ITEM | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Total |
SALARIES AND WAGES
FRINGE
ALLOWANCES
TRAVEL, TRANSPORTATION, AND PER DIEM
EQUIPMENT
SUPPLIES
OTHER DIRECT COSTS
SUBCONTRACTS
INDIRECT COSTS
FIXED FEE
GRANTS UNDER CONTRACT
TOTAL ESTIMATED COSTS
CLN6
| Name: [Contractor] |
| Securing an AIDS Free Era |
CLIN6: NACS services
| Please provide the information requested for each year and the totals. |
| All amounts in US $. If more subawardees are proposed please insert additional worksheets as needed. |
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | ||||||||||||
| ITEM | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Total |
SALARIES AND WAGES
FRINGE
ALLOWANCES
TRAVEL, TRANSPORTATION, AND PER DIEM
EQUIPMENT
SUPPLIES
OTHER DIRECT COSTS
SUBCONTRACTS
INDIRECT COSTS
FIXED FEE
GRANTS UNDER CONTRACT
TOTAL ESTIMATED COSTS
CLN7
| Name: [Contractor] |
| Securing an AIDS Free Era |
CLIN7: Fully manage facility level pharmacy and laboratory services including stock levels
| Please provide the information requested for each year and the totals. |
| All amounts in US $. If more subawardees are proposed please insert additional worksheets as needed. |
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | ||||||||||||
| ITEM | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Total |
SALARIES AND WAGES
FRINGE
ALLOWANCES
TRAVEL, TRANSPORTATION, AND PER DIEM
EQUIPMENT
SUPPLIES
OTHER DIRECT COSTS
SUBCONTRACTS
INDIRECT COSTS
FIXED FEE
GRANTS UNDER CONTRACT
TOTAL ESTIMATED COSTS
CLN8
| Name: [Contractor] |
| Securing an AIDS Free Era |
CLIN8: Manage facility level data information systems for routine monitoring and evaluation
| Please provide the information requested for each year and the totals. |
| All amounts in US $. If more subawardees are proposed please insert additional worksheets as needed. |
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | ||||||||||||
| ITEM | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Rate | LOE | Total | Total |
SALARIES AND WAGES
FRINGE
ALLOWANCES
TRAVEL, TRANSPORTATION, AND PER DIEM
EQUIPMENT
SUPPLIES
OTHER DIRECT COSTS
SUBCONTRACTS
INDIRECT COSTS
FIXED FEE
GRANTS UNDER CONTRACT
TOTAL ESTIMATED COSTS
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