SCHEDULE E
CONTRACT BUDGET
AGENCY BUDGET SUMMARY CONTRACT
ERIE COUNTY DEPT. of
AGENCY SENIOR SERVICES
ADDRESS
CONTRACT PERIOD 4-1-2011 through 3-31-2012
BUDGET TOTAL SUBCONTRACTOR/IN-KIND
CATEGORY BUDGET MATCH
1. PERSONNEL $
2. FRINGE BENEFITS $
3. EQUIPMENT $
4. TRAVEL $
5. MAINTENANCE & OPERATIONS* $
6.OTHER EXPENSES $
7. SUBCONTRACTS $
8. TOTAL (Lines 1-7) $ 0.00
9. Less SUBCONTRACTOR FUNDS $
10. Less INCOME $
11. NET TOTAL $ 0.00
* Rent is the only acceptable match in this category.
Subcontractor Budget 1
PERSONNEL BUDGET ROSTER CONTRACT
ERIE COUNTY DEPT. of
AGENCY 0 SENIOR SERVICES
NOTE: List start/end dates for any personnel changes during the contract period.
EMPLOYEE/TITLE ANNUAL CONTRACT FUNDED OTHER ( incl s/c funds and in-kind)
SALARY % AMOUNT % AMOUNT
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
SUBTOTAL (THIS PAGE)
GRAND TOTAL (LAST PAGE ONLY)
Subcontractor Budget 2
PERSONNEL SUMMARY, FRINGE BENEFITS, EQUIPMENT BUDGET SCHEDULE CONTRACT
ERIE COUNTY DEPT. of
AGENCY 0 SENIOR SERVICES
PERSONNEL
Grand Total from Personnel Budget Roster
Total $
Brief description of Adjustments ( raises, vacancies, etc.)
FRINGE BENEFITS
(check all that apply to this contract)
Social Security Disability
Retirement Worker's Compensation
Health Insurance Unemployment Insurance
Life Insurance Other (specify)
COMPOSITE PERCENTAGE
Total $
EQUIPMENT
List equipment with a value of $500 or more. Items under $500 and leased equipment should
be listed under Maintenance & Operations.
Unit
Item and Description Quantity Price Amount
$
Total $
Subcontractor Budget 3
TRAVEL AND MAINTENANCE & OPERATIONS BUDGET SCHEDULE CONTRACT
ERIE COUNTY DEPT. of
AGENCY 0 SENIOR SERVICES
TRAVEL
Mileage miles at $ per mile $
Lodging & Meals at $ per day $
Public Transportation $
Gasoline & Oil $
Other Travel Costs (specify)
$
$
$
Total $
MAINTENANCE & OPERATIONS
Description
Data Processing Services
$
Maintenance & Repairs - Equipment
$
Maintenance & Repairs - Facility
$
Maintenance & Repairs - Vehicles
$
Leases (Non Rent) Attach copies of
leases
$
Rent
Include information for all rental costs or maintenance in lieu of rent costs. Use extra sheets if more than one property.
Attach a copy (ies) of the lease (s) or a copy of the allocation cost methodology for maintenance in lieu of rent.
Location: Owner:
Square footage and % rented of total property:
Monthly Rental $ for 12 months $
Utilities $ Janitorial Services $
Maintenance in lieu of rent $
Total Rent $
Subcontractor Budget 4
MAINTENANCE & OPERATIONS (con't.) and OTHER EXPENSES BUDGET SCHEDULE CONTRACT
ERIE COUNTY DEPT. of
AGENCY 0 SENIOR SERVICES
MAINTENANCE & OPERATIONS (con't)
Description
Telecommunications
$
Postage
$
Printing
$
Supplies
$
Total Maintenance & Operations $
OTHER EXPENSES
DESCRIPTION
- ADVERTISING $
- AUDITS $
- INSURANCE & BONDING $
- MEMBERSHIP &SUBSCRIPTIONS $
- TRAINING & SEMINARS $
- OTHER (specify) $
Total $ 0.00
Subcontractor Budget 5
SUBCONTRACTS/CONSULTANTS BUDGET SCHEDULE CONTRACT
ERIE COUNTY DEPT. of
AGENCY 0 SENIOR SERVICES
SUBCONTRACTS
CONTRACTOR DESCRIPTION OF CONTRACT AMOUNT
$
$
$
$
$
$
TOTAL $
CONSULTANTS
NAME & TITLE TYPE OF SERVICE RATE HRS/SESSION AMOUNT
$
$
$
$
$
$
TOTAL $
Subcontractor Budget 6
SUBCONTRACTOR FUNDS/ANTICIPATED INCOME BUDGET SCHEDULE CONTRACT
ERIE COUNTY DEPT. of
AGENCY 0 SENIOR SERVICES
SUBCONTRACTOR FUNDS
SOURCE AMOUNT If In-kind, check here **
Total Subcontractor Funds $
** In order to be considered in-kind, the service must be contributed by a third party without charge to the agency. There
must be a formal agreement between the agency and the third party.
ANTICIPATED INCOME
SOURCE AMOUNT
Subcontractor Provided Services
Other Income (specify)
Total Income $
Subcontractor Budget 6
OTHER RESOURCES BUDGET SCHEDULE CONTRACT
ERIE COUNTY DEPT. of
AGENCY 0 SENIOR SERVICES
SUBCONTRACTOR FUNDS
SOURCE TOTAL $ Federal State Local
Total Other Resources
Subcontractor Budget 8