Janitorial Proposal Agreement Template by gut19775

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									Notes:-
 1 Gross monthly salary is based upon month of April 2005 salary
 2 10% increase in salary is assumed due to on going appraisals
 3 For IPC Mumbai staff fringe rate is taken as 20%
 4 For all other staff fringes are assumed to be 30%
 5 US Dollar rate is taken as Rs. 43.50
PSI PROPOSAL APPROVAL

Person Submitting:                            Kindra Halvorson                               Date submitted to Contracts:               5.18.05
Need Contracts Approval By:                                                                  Date to be submitted to donor:

I. PROPOSAL
                                                                                                                                        Funding Mechanism
Country:                                      India                                                                                     Cooperative agreement
Project:                                      Operation Lighthouse                                                                      Grant
Effective Dates:                              June 1, 2005 - August 31, 2005                                                            Task order
Reference:                                                                                                                          X   Contract

Donor contact name and location:                                                                                                        Proposal for (check all that apply):
                                                                                                                                        New country
                                                                                                                                        New project
                                                                                                                                        New donor
                                                                                                                                    X   Project extension/modification
Name of subcontractor(s) and/or local organization affiliated:                                                                          Follow-on project

                                                                                                                                        Solicited:
                                                                                                                                        No
Text saved in H:\NBD\Shared\Proposal\                                                                                                   Yes, Reference No.
Budget saved in H:\NBD\Shared\Proposal\

II. PROPOSAL SPECS

      Products                                                                               PSI voluntary match                        Overhead/Fee
      Product(s):                             Female condoms                             X   No                                     X   129%: Amount                                  #REF!
                                                                                             Yes  Amount                                    %  Deficit, if any, to be
      Purchased by:                           PSI-India
                                                                                                                                        funded by:

                                                                                             Source of contribution:                    Located in budget line items for:
      Product sales revenue                                                                  Revenue                                X   Overhead: Amount                              #REF!
      unrestricted                                                                           Unrestricted funds                         Salaries: Amount           N/A
      restricted, unbudgeted                                                                 Foundations (already secured)              Administration fee/cost:   N/A
      restricted, budgeted amount:                                                           Other                                      Other :____________________________
                                                                                                                                                                   N/A


      Proposed funding                                                                       Donor match/Cost Share
X     Full                                                                               X   Not required
                                                                                             Requires match
          %                                                                                   Amount
       Source of balance:
      Secured source                                                                          Source of match:
      Unsecured source

III   PERSONNEL
      Expat Salary Level                                                        % LOE        PSI/W Position Level of Effort                                      % LOE
      CR/Expat                                                                               Program Manager                                                    50.00%
X        100% (Salary and allowances)         Sanjay Chaganti - 100%                         Assistant Program Manager                                          25.00%
         <100%; remainder provided by:                                                       Special Project Assistant
      Second Advisor                                                                         Technical Services
             100% (Salary and allowances)                                                    Research
             <100%; remainder provided by:                                                   Regional Director                                                  16.67%
      Third Advisor
             100% (Salary and allowances)
             <100%; remainder provided by:

IV. PROPOSAL REVIEW:
Person submitting is responsible for 1) determining who should have input on the proposal, and 2) ensuring that reviews occur and comments are incorporated before submitting proposal for approval.
This proposal was reviewed by (please initial):


Country Rep.______Reg. Director ________                    NBD _______Program Manager _______ Research _____________                AIDSMark_______ Technical Services ___________

V. PROPOSAL APPROVAL
                                                                                                                                        Required Attachments
Contracts:                                                                                                                              Budget
(Budget Approval)                             signature                                      Date                                       Technical Proposal
                                                                                                                                        Cost Share Form
Regional Director:                                                                                                                      424, if required
(Ultimate sign-off, except in the case of a global or cross-cutting proposal for which       Date
PC will sign-off.)                                                                                                                      Any certifications required by solicitation


A hard copy of the final technical and cost proposals, exactly as submitted to the donor, MUST be given to Contracts.
 Range Range Name

   41%    intlfringe for overhead calculation
  39.9%   intlfringe allowable under PSP-One
     0%   localfringe
      0   postallowance
      0   postallowance.expat2
      0   postallowance.expat3
   20%    postdifferential
      0   eduallowance.expat1
      0   eduallowance.expat2
      0   eduallowance.expat3
      0   ForeignTransferAllowance
      0   Medevac.expat1                        MEDEVAC
      0   Medevac.expat2                        RATES IN EFFECT 4/1/02:
      0   Medeva.expat3
      0   Medevac.STTA.day                      Annual Coverage: Single:   $163
      0   Medevac.STTA.month                                Family:        $295
  2.15%   workerscomp.expat                     Short-term Coverage
  2.15%   workerscomp.STTA                                  1-10 days:       $27
   129%   overhead                                          add'l days:    $2.50 per day
     3%   fee                                               Monthly:         $58 per month




Inflation Rates

 1.0500   usinflation_yr2
 1.1025   usinflation_yr3
 1.1576   usinflation_yr4
 1.2155   usinflation_yr5


 1.0500   localinflation_yr2
 1.1025   localinflation_yr3
 1.1576   localinflation_yr4
 1.2155   localinflation_yr5
POPULATION SERVICES INTERNATIONAL
Country: India
Project Name : Operation Lighthouse
Effective Dates: June 1 2005 - August 31, 2005
Reference Number:

                                                                                                              YEAR 1                         TOTAL
                                                                         Inflati   TYPE OF     UNIT
DESCRIPTION                                                                on        UNIT      COST   # of Units   Total Cost   # of Units           Total Cost
I. US PERSONNEL
A. PSI/W STAFF
Project Management PSI/W
                                    Subtotal Project Management PSI/W                                         0            0                  0               0

Short Term Technical Assistance
                                                         Subtotal STTA                                                     0                  0               0
                                                 SUBTOTAL PSI/W STAFF                                         0            0                                  0
B. PSI/EMPLOYEES BASED IN THE FIELD
Program Director                                                          US            year                               0                  0               0
              SUBTOTAL PSI EMPLOYEES BASED IN THE FIELD                                                       0            0                  0               0
                                      SUBTOTAL US PERSONNEL                                                               $0                                $0

II. LOCAL STAFF
 A. PROJECT SALARIES - PROGRAM
Program manager                                                            L          month                  87             0                 87              0
Program officer                                                            L          month                  54             0                 54              0
Sr. Interpersonal Communicators                                            L          month                 240             0                240              0
Interpersonal Communicator Coordinator (IPCC)                              L          month                  30             0                 30              0
Interpersonal Communicators (Mumbai)                                       L          month                 420             0                420              0
Laboratory Technicians                                                     L          month                  48             0                 48              0
Counselors                                                                 L          month                  90             0                 90              0
Sales & Communication Staff                                                L          month                  42             0                 42              0
Franchise Training and Support Officers (TSTs)                             L          month                  15             0                 15              0
Program Support Officers-Core                                              L          month                   9             0                  9              0
Program Managers-Core                                                      L          month                  21             0                 21              0

B. PROJECT SALARIES SUPPORT
Admin Officer/Bookkeeper                                                   L          month                   36            0                36               0
Core Support Officers/Accounts                                             L          month                   12            0                12               0
Support Staff -HO                                                          L          month                 0.33            0                 0               0
Support Staff -Others                                                      L          month                   45            0                45               0

                                        SUBTOTAL LOCAL STAFF                                                              $0                                $0




D:\Docstoc\Working\pdf\d56d7c59-1d8a-4216-94ba-f3de5fe3f515.xls                                                                                        2/23/2011
POPULATION SERVICES INTERNATIONAL
Country: India
Project Name : Operation Lighthouse
Effective Dates: June 1 2005 - August 31, 2005
Reference Number:

                                                                                                                 YEAR 1                         TOTAL
                                                                            Inflati   TYPE OF     UNIT
DESCRIPTION                                                                   on        UNIT      COST   # of Units   Total Cost   # of Units           Total Cost
III. FRINGES
A. US FRINGES
Fringe - PSI/W Staff                                                                                                          0                                  0
Fringe - PSI/Employees Based in the Field                                                                                     0                                  0
                                                     Subtotal US Fringes                                                      0                                  0
B. LOCAL FRINGES
Fringe - Local                                                                           month                                0                                  0
                                                   Subtotal Local Fringes                                                     0                                  0
                                                 SUBTOTAL FRINGES                                                            $0                                $0

IV. ALLOWANCES
A. ALLOWANCES/PROGRAM DIRECTOR

                                  Subtotal Allowances Resident Advisor                                                        0                                  0
                                       SUBTOTAL ALLOWANCES                                                                   $0                                $0

V. TRAVEL
Local Transportation                                                          L          month                   3             0                  3              0
Local Vehicle Costs - Operations                                              L          month                   3             0                  3              0
Per Diem/Retreats,Conf.,Training                                             US            day                   8             0                  8              0
Airfares - Local In Country                                                   L            RT                   60             0                 60              0
Per Diem - Local In Country                                                   L            day                 300             0                300              0
                                                 SUBTOTAL TRAVEL                                                             $0                                $0

VI. CONSULTANTS/PROFESSIONAL SERVICES
Professional Services - Recruitment Fees                                      L          month                   3             0                 3               0
Temporary Help                                                                L            day                  60             0                60               0
Contract Services - Security/Janitorial/Other                                 L          month                   3             0                 3               0
Other Professional Services                                                   L            day                  75             0                75               0
                                      SUBTOTAL CONSULTANTS                                                                   $0                                $0

VII. FURNITURE/EQUIPMENT
Furniture Purchase                                                           US            unit                   3            0                 3               0
Equipment Purchase (including computer hardware)                             US            unit                   2            0                 2               0
Printer                                                                      US            unit                   3            0                 3               0



D:\Docstoc\Working\pdf\d56d7c59-1d8a-4216-94ba-f3de5fe3f515.xls                                                                                           2/23/2011
POPULATION SERVICES INTERNATIONAL
Country: India
Project Name : Operation Lighthouse
Effective Dates: June 1 2005 - August 31, 2005
Reference Number:

                                                                                                        YEAR 1                         TOTAL
                                                                  Inflati   TYPE OF      UNIT
DESCRIPTION                                                         on        UNIT       COST   # of Units   Total Cost   # of Units           Total Cost
Fax                                                                US            unit                    1            0                 1               0
Air Conditioner                                                    US            unit                    2            0                 2               0
Generator                                                          US            unit                    2            0                 2               0
Furniture and Equipment Rental                                     US            unit                    3            0                 3               0
                                          SUBTOTAL EQUIPMENT                                                        $0                                $0

VIII. COMMODITIES
Commodities/HIV/AIDS
Condoms - Female                                                   US           piece                  500            0             500                 0
HIV Test Kits                                                      US             unit              17,000            0          17,000                 0

                                       SUBTOTAL COMMODITIES                                                         $0                                $0


IX. SAMPLING AND TESTING
Sampling and Testing/HIV/AIDS
HIV Test Kits                                                      US            unit                    3            0                 3               0

                        SUBTOTAL SAMPLING AND TESTING                                                               $0                                $0

X. SHIPPING AND HANDLING
Shipping and Handling/HIV/AIDS
HIV Test Kits                                                      US            unit                    3            0                 3               0

                       SUBTOTAL SHIPPING AND HANDLING                                                               $0                                $0

XI. PACKAGING
Packaging/HIV/AIDS
Condoms - Female                                                   US           piece                 500             0                500              0

                                          SUBTOTAL PACKAGING                                                        $0                                $0




D:\Docstoc\Working\pdf\d56d7c59-1d8a-4216-94ba-f3de5fe3f515.xls                                                                                  2/23/2011
POPULATION SERVICES INTERNATIONAL
Country: India
Project Name : Operation Lighthouse
Effective Dates: June 1 2005 - August 31, 2005
Reference Number:

                                                                                                        YEAR 1                         TOTAL
                                                                  Inflati   TYPE OF      UNIT
DESCRIPTION                                                         on        UNIT       COST   # of Units   Total Cost   # of Units           Total Cost

XIII. PROMOTION AND ADVERTISING
Placement Radio Media                                               L              ad                 150             0                150              0
Placement Other Media                                               L              ad                 200             0                200              0
Sales Promotions and Incentives                                     L            year                 400             0                400              0
Social Marketing Product/Community Launches                         L           event                  25             0                 25              0
              SUBTOTAL PROMOTION AND ADVERTISING                                                                    $0                                $0

XIV. COMMUNICATION AND EDUCATION
IEC Production Printed Media                                        L             unit                 10             0                 10              0
IEC Production TV/Video Media                                       L           show                    3             0                  3              0
IEC Production Radio Media                                          L           show                    6             0                  6              0
IEC Production Other Media                                          L             unit                  3             0                  3              0
IEC Placement Printed Media                                         L             unit                 50             0                 50              0
IEC Placement TV/Video Media                                        L           show                  600             0                600              0
IEC Placement Radio Media                                           L           show                  150             0                150              0
IEC Placement Other Media                                           L           show                  204             0                204              0
IEC Educational Materials                                           L            year                   1             0                  1              0
IEC Educational Events                                              L           event                  25             0                 25              0
         SUBTOTAL COMMUNICATION AND EDUCATION                                                                       $0                                $0

XV. RESEARCH, MONITORING AND EVALUATION
Research - KAP                                                      L           study                   1             0                 1               0
Research - Focus Groups                                             L           study                  10             0                10               0
Evaluations                                                         L           study                   3             0                 3               0
Impact Study                                                        L           study                   3             0                 3               0
      SUBTOTAL RESEARCH, MONITORING AND EVAL.                                                                       $0                                $0

XVI. PROGRAM RELATED TRAINING/CONF./MTGS.
Program-Related Training                                           US         monthly                   3             0                 3               0
Program-Related Conferences                                        US         meeting                   3             0                 3               0
Program-Related Meetings                                           US         meeting                  10             0                10               0
                          SUBTOTAL TRAINING/CONF.MTGS.                                                              $0                                $0

XVlI. OTHER DIRECT COSTS
Rent - Office and Warehouse                                         L          month                     3            0                 3               0



D:\Docstoc\Working\pdf\d56d7c59-1d8a-4216-94ba-f3de5fe3f515.xls                                                                                  2/23/2011
POPULATION SERVICES INTERNATIONAL
Country: India
Project Name : Operation Lighthouse
Effective Dates: June 1 2005 - August 31, 2005
Reference Number:

                                                                                                      YEAR 1                         TOTAL
                                                                  Inflati   TYPE OF    UNIT
DESCRIPTION                                                         on        UNIT     COST   # of Units   Total Cost   # of Units           Total Cost
Office/Warehouse Repairs and Maintenance                            L          month                   3            0                 3               0
Utilities                                                           L          month                   3            0                 3               0
Equipment Maintenance                                               L          month                   3            0                 3               0
Vehicle Insurance                                                   L          month                   3            0                 3               0
Office Supplies                                                     L          month                   3            0                 3               0
Communications                                                      L          month                   3            0                 3               0
DC Communications                                                  US          month                   3            0                 3               0
Postage & Delivery                                                  L          month                   3            0                 3               0
DC Postage & Delivery                                              US          month                   3            0                 3               0
Reproduction/Copies/Printing                                        L          month                   3            0                 3               0
Meetings Expense                                                    L          month                   3            0                 3               0
Dues, Fees, Subscriptions                                           L          month                   3            0                 3               0
Bank Charges, Fees                                                  L          month                   3            0                 3               0
                           SUBTOTAL OTHER DIRECT COSTS                                                            $0                                $0



SUBTOTAL ALL DIRECT COSTS




GRAND TOTAL                                                                                                    #REF!                               $0




D:\Docstoc\Working\pdf\d56d7c59-1d8a-4216-94ba-f3de5fe3f515.xls                                                                                2/23/2011
POPULATIONS SERVICES INTERNATIONAL
                            #REF!

                            #REF!

SUMMARY BUDGET
                                                                  Month 1        Month 2        Month 3        Month 4        Month 5        TOTAL
DESCRIPTION                                                        Cost           Cost           Cost           Cost           Cost           Cost

I. INTERNATIONAL STAFF                                                      $0             $0             $0             $0             $0           $0

II. FIELD STAFF                                                             $0             $0             $0             $0             $0           $0

III. FRINGES                                                                $0             $0             $0             $0             $0           $0

IV. ALLOWANCES                                                              $0             $0             $0             $0             $0           $0

V. TRAVEL                                                                   $0             $0             $0             $0             $0           $0

VI. CONSULTANTS/PROFESSIONAL SERVICES                                       $0             $0             $0             $0             $0           $0

VII. FURNITURE/EQUIPMENT                                                    $0             $0             $0             $0             $0           $0

VIlI. COMMODITIES                                                           $0             $0             $0             $0             $0           $0

IX. SAMPLING AND TESTING                                                    $0             $0             $0             $0             $0           $0

X. SHIPPING                                                                 $0             $0             $0             $0             $0           $0

Xl. PACKAGING                                                               $0             $0             $0             $0             $0           $0

XIl. SUBAWARDS/SUBCONTRACTS                                                 $0             $0             $0             $0             $0           $0

XIlI. PROMOTION AND ADVERTISING                                             $0             $0             $0             $0             $0           $0

XIV. COMMUNICATION AND EDUCATION                                            $0             $0             $0             $0             $0           $0

XV. RESEARCH, MONITORING AND EVALUATION                                     $0             $0             $0             $0             $0           $0

XVI. PROGRAM RELATED TRAINING/CONF./MTGS.                                   $0             $0             $0             $0             $0           $0

XVII. OTHER DIRECT COSTS                                                    $0             $0             $0             $0             $0           $0

SUBTOTAL ALL DIRECT COSTS                                                   $0             $0             $0             $0             $0           $0

XVIII. OVERHEAD                                                    #REF!          #REF!          #REF!          #REF!          #REF!            #REF!

GRAND TOTAL                                                          #REF!          #REF!          #REF!          #REF!          #REF!         #REF!




D:\Docstoc\Working\pdf\d56d7c59-1d8a-4216-94ba-f3de5fe3f515.xls                                                                                           2/23/2011
INTERNAL BUDGET ANALYSIS                                       Total             unit cost

Project Cost per product sold (condom, multivitamin, etc)
Cost per CYP
                                                                            Percentage of total
                                                            Total Amount
                                                                                 budget

US Personnel as % of total budget                                      $0                #DIV/0!
Local Staff as % of total budget                                       $0                #DIV/0!
Fringes as % of total budget                                           $0                #DIV/0!
Taxable Benefits as % of total budget                                  $0                #DIV/0!
Travel as % of total budget                                            $0                #DIV/0!
Consultants/Professional Services as % of total budget                 $0                #DIV/0!
Furniture/Equipment as % of total budget                               $0                #DIV/0!
Commodities as % of total budget                                       $0                #DIV/0!
Sampling & Testing as % of total budget                                $0                #DIV/0!
Shipping & Handling as % of total budget                               $0                #DIV/0!
Packaging as % of total budget                                         $0                #DIV/0!
Subawards/Subcontracts as % of total budget                            $0                #DIV/0!
Promotion & Advertising as % of total budget                           $0                #DIV/0!

Communication & Education as % of total budget                         $0                #DIV/0!
Research, Monitoring & Evaluation as % of total budget                 $0                #DIV/0!

Training, Conferences & Meetings as % of total budget                  $0                #DIV/0!
ODC as % of total budget                                               $0                #DIV/0!
Revenues as % of total budget                                      #REF!                     #REF!
Overhead as % of total budget                                      #REF!                     #REF!
INTERNAL BUDGET ANALYSIS                                    TOTAL COST          COVERED

Coverage of CR
Coverage of Overhead

								
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