Blank Proposal Forms - Excel

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					                         Medical University of South Carolina
                       Service/Recharge Center Rate Calculation
                                 General Information



Department Name/Number:
Center Name:

UDAK:

Rate Begin Date:
Rate End Date:

Contact Information
 Name:
 Email:
 P. O. Box #:
 Phone #:



GCA Form 06a -6/2003




                                                                  Page 1
                                                         Medical University of South Carolina
                                                       Service/Recharge Center Rate Calculation

Salaries
                                                                                                                   RATE 1          RATE 2             RATE 3
                                                                              BASE     TOTAL ON
                                                                    FTE ON SALARY (AT CENTER INCL.                       Enter Short Description of Each Rate Here
NAME                             TITLE                        BEN % CENTER  100% FTE)   BENEFITS
Direct Salaries                                                                                                 Multiply salary by % time for each rate
                                                                0.0%          0%           -                -            -               -                     -
                                                                                        % FTE for each rate               0%              0%                    0%

                                                                0.0%          0%           -                -            -                 -                   -
                                                                                        % FTE for each rate               0%                0%                  0%

                                                                0.0%          0%           -                -            -                 -                   -
                                                                                        % FTE for each rate               0%                0%                  0%

                                                                0.0%          0%           -                -            -                 -                   -
                                                                                        % FTE for each rate               0%                0%                  0%

  Total Direct Salaries                                                                      -              -            -                 -                   -

Administrative & Clerical Salaries
                                                                0.0%          0%             -              -
                                                                0.0%          0%             -              -

Total Administrative & Clerical Salaries                                                     -              -

Notes:
Add additional lines as necessary
Administrative and clerical salaries can be included in rates if they meet the following criteria:
  1. There is an unlike circumstance and,
  2. They were not included in the F&A rate proposal previously (contact GCA for more information).                                              Page 2


GCA Form 06b - 6/2003
                                                 Medical University of South Carolina
                                               Service/Recharge Center Rate Calculation




Equipment Schedule - Used for equipment that costs more than $5,000 individually

Depreciation Schedule
                              University Acquisition Acquistion     Depr Start     Depr End   Acquisition   Residual   Useful Life Depr in
Desc/Type of Equipment         Tag No. Budget No. Date (UW)           Date           Date        Cost        Value       (years) Proposal
                                                                                                       -          -           -            -
                                                                                                       -          -           -            -
                                                                                                       -          -           -            -
                                                                                                       -          -           -            -
                                                                                                       -          -           -            -
                                                                                                       -          -           -            -
                                                                                                       -          -           -            -


Totals                                                                                                -                                     -




GCA Form 06c - 6/2003                                                                                                              Page 3
                                            Medical University of South Carolina
                                           Service/Recharge Center Rate Proposal
                                                                                                  Proposal Date: 01/00/00 to 01/00/00
                                                           Summary Sheet
Direct Costs                                                                        Rate 1         Rate 2           Rate 3
SALARIES & FRINGE BENEFITS
NAME                                                     TOTALS Allocation % See Salary Worksheet
                                                     -       -                         -                   -               -
                                                     -       -                         -                   -               -
                                                     -       -                         -                   -               -
                                                     -       -                         -                   -               -

  SUBTOTAL SALARIES & FRINGE BENEFITS                          -                         -                 -               -

SERVICES                                                             Allocation %            0%                0%              0%
                                                               -                         -                 -               -
                                                               -                         -                 -               -
                                                               -                         -                 -               -

  SUBTOTAL SERVICES                                            -                         -                 -               -

SUPPLIES                                                             Allocation %            0%                0%              0%
                                                               -                         -                 -               -
                                                               -                         -                 -               -
                                                               -                         -                 -               -

  SUBTOTAL SUPPLIES                                            -                         -                 -               -

EQUIPMENT
Equipment Cost Individually < $5000                                  Allocation %            0%                0%              0%
                                                               -                         -                 -               -
                                                               -                         -                 -               -
                                                               -                         -                 -               -

Equipment Amortization (Cost Individually > $5000)                   Allocation %            0%                0%              0%
See Attached Depreciation & Use Allowance Schedule             -                         -                 -               -

  SUBTOTAL EQUIPMENT                                           -                         -                 -               -

TOTAL DIRECT COSTS                                             -                         -                 -               -

Overhead Costs                                                       Allocation %            0%                0%              0%
Admin & Clerical Salaries                                      -                         -                 -               -



Prior Year Balance (Add Deficit, Subtract Surplus)             -                         -                 -               -

TOTAL COSTS INCLUDING OVERHEAD                                 -                         -                 -               -

Type of Unit                                                                        Enter           unit            type
# of Annual Units                                                                       -                  -               -

Rate per Unit                                                                            -                 -               -

Note: If costs are directly assigned to a particular service, override the formula and enter the amount in the
appropriate cell.
On a separate sheet, please note how the allocation % were calculated.                                         Page 4

				
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