Ohio Department of Transportation
Metropolitan Planning Organization (MPO) ODOT District Invoice Checklist
MPO Reimbursement Invoice & Certification of Costs Review:
Confirm accuracy of the following 1 Bill To / Sold To Name 2 MPO Name (enter here) 3 Federal Tax ID# 4 Fiscal Year 5 Invoice Period 6 Invoice# (enter here) 7 Agreement# 8 PID# (enter here) 9 Encumbrance# (enter here) 10 State Job# (enter here) 11 Total Costs (from Distribution of Costs Claimed Report) 12 Federal Payment Requested (from Distribution of Costs Claimed Report) 13 State Payment Requested (from Distribution of Costs Claimed Report) 14 Total Payment Requested (from Distribution of Costs Claimed Report) 15 Date 16 Signature
√ = Approved
MPO Distribution of Costs Claimed Report Review:
Confirm accuracy of the following 1 Fiscal Year 2 Invoice Period 3 Invoice# 4 Work Element / Sub-Category 5 Fed / State Funding % (by Work Element / Sub-Category) 6 Direct Labor Costs (by Work Element / Sub-Category) (matches supporting report) 7 Fringe Benefits Costs (by Work Element / Sub-Category) (matches % rate in CAP agreement) 8 Indirect Costs (by Work Element / Sub-Category) (matches % rate in CAP agreement) 9 Other Direct Costs (by Work Element / Sub-Category) (matches supporting report) 10 Total Costs This Period (by Work Element / Sub-Category) 11 Total Costs This Period (Grand Totals)
MPO Program Financial Status Report Review:
Confirm accuracy of the following 1 Fiscal Year 2 Invoice Period 3 Invoice# 4 Sub-Category 5 Previous Costs 6 Costs This Period 7 Costs to Date 8 Budgeted Amount 9 % of Project Funding 10 Previous Costs 11 Costs This Period 12 Costs to Date 13 Budgeted Amount
MPO Costs This Period Supporting Documents Review:
Confirm accuracy of the following 1 Payroll Summary 2 Other Direct Costs District Review Performed by: Name: (by Work Element / Sub-Category, by Employee) (by Work Element / Sub-Category, by Expense Category)
From Invoice Header Current Period Costs Year to Date Costs
√ = Approved
√ = Approved
(by Work Element / Sub-Category) (by Sub-Category) (from Distribution of Costs Claimed Report) (by Work Element / Sub-Category) (by Work Element / Sub-Category) (by Work Element / Sub-Category) (Grand Totals) (Grand Totals) (Grand Totals) (Grand Totals)
√ = Approved
Date
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Ohio Department of Transportation
Metropolitan Planning Organization (MPO) ODOT District Invoice Checklist
MPO Reimbursement Invoice & Certification of Costs Review Notes:
11 Total Costs (from Distribution of Costs Claimed Report) For multistate programs the Total Costs should be the total of the Ohio federal, state, and local shares.
MPO Distribution of Costs Claimed Report Review Notes:
4 5 Work Element / Sub-Category The work element / sub-category is the work program category. Ex. 601, 602, 605, etc. Fed / State Funding % (by Work Element / Sub-Category) The Fed / State Funding % is the eligible federal and/or state funding participation rate for each work element / sub-category as documented in the current (as revised) annual work program. Ex. 80% federal share and 10% state share. Direct Labor Costs (by Work Element / Sub-Category) (matches supporting report) The Direct Labor Costs, by work element / sub-category, must match the supporting Payroll Summary report. Fringe Benefits Costs (by Work Element / Sub-Category) (matches % rate in CAP agreement) (A) The Fringe Benefits Costs, by work element / sub-category, is a calculated field resulting from the direct labor costs multiplied by the contractual Fringe Benefit Rate per the annual agreement with ODOT. (B) If the MPO uses the Provisional method the final invoice for the MPO's fiscal year should include an adjustment to bring the actual fringe costs recovered during the fiscal year in balance with the actual fringe benefits cost rate. Indirect Costs (by Work Element / Sub-Category) (matches % rate in CAP agreement) (A) The Indirect Costs, by work element / sub-category, is a calculated field resulting from the direct labor costs multiplied by the contractual Indirect Cost Rate per the annual agreement with ODOT. (B) If the MPO uses (direct labor + fringe benefits) as the base for the Indirect Cost Rate, then the Direct Labor Costs must be multiplied by the Fringe Benefits Rate first and then the result is multiplied by the Indirect Cost Rate. (C) If the MPO uses the Provisional method the final invoice for the MPO's fiscal year should include an adjustment to bring the actual indirect costs recovered during the fiscal year in balance with the actual indirect cost rate. Other Direct Costs (by Work Element / Sub-Category) (matches supporting report) The Other Direct Costs, by work element / sub-category, must match the supporting Other Direct Costs Summary report. Total Costs This Period (by Work Element / Sub-Category) For multistate programs the Direct Labor Costs, Fringe Benefits Costs, Indirect Costs, Other Direct Costs and Total Costs must be identified for every applicable funding source, for each state which shares in the funding for the work element / sub-category.
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MPO Program Financial Status Report Review Notes:
5 Previous Costs (by Work Element / Sub-Category) The Previous Costs, by work element / sub-category, must match the Costs To Date from the prior invoice. Budgeted Amount (Grand Totals) The Budgeted Amount, by work element / sub-category, must match the current (as revised) annual work program.
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MPO Costs This Period Supporting Documents Review Notes:
1 Payroll Summary (by Work Element / Sub-Category, by Employee) The Payroll Summary report must show the direct labor costs by sub-category for every employee. Other Direct Costs (by Work Element / Sub-Category, by Expense Category) The Other Direct Costs report must show the costs charged directly to each work element / subcategory by category of expense. Ex. Travel, consultants, equipment, etc.
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