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Outsourced Employment Services Contract document sample
Document Sample
APPENDIX A
Jobs First Employment Services Program Budget for FY 2010-2011
Workforce Investment Board: ________________________________________________________
A. Administrative Costs
1. Staff Salaries
2. Staff Fringe
3. Travel Detail
4. Rent Detail
5. Equipment Detail
6. Other Direct Costs Detail
7. Insurance and Bonding
8. Contractual: (Outsourced)
TOTAL ADMINISTRATIVE COSTS $
B. Program
1. Staff Salaries
2. Staff Fringe
3. Other Costs
4. Equipment
5. Rental Detail
6. Travel Costs
7. Insurance and Bonding
8. Contractual (Outsourced)
TOTAL PROGRAM COSTS $
C. TOTAL CONTRACT AMOUNT $
1
A. Administrative Costs
1. Administrative Staff Salaries *
Position Title Number % of Time Total Number Total
in this Weekly of Weeks Amount
Activity Salary
Total Administrative Staff Salaries
* Provide rationale and justification for allocation to project.
2. Administrative Staff Fringe Benefits
Description of Fringe Rate Amount of Rate Total Amount
Applied
A. FICA
B. Workers' Compensation
C. Health and Welfare Insurance
D. Unemployment Compensation
E. Other (Specify)
F. Other (Specify)
G. Other (Specify)
Total Fringe Benefits of Administrative Staff
2
A. Administrative Costs
3. Travel Detail **
Travel (Specify by position) Miles per Rate Number Total Amount
Week per Mile of
Weeks
Total Staff Travel
** Provide a description for the travel need and the rationale for such travel.
4. Rent Detail
Location (Address) Cost Total Project Number of Total
per Square % Months Amount
Square Footage used
Foot
Maintenance (if
separate)
Utilities (if separate)
5. Equipment Detail (Unit acquisition cost $ 1,000,00 or >, useful life 1 year or more)***
Description Numbe Purchase Rental Maint. No. of Total
r (Cost) (Cost) (Cost) Months Amount
Total Equipment Cost
*** Provide explanation for the need of the above items.
3
A. Administrative Costs
6. Other Direct Cost Detail
Description Cost Per item Total Amount
A. Other (Specify)
B. Other (Specify)
C. Other (Specify)
Total Other Direct Cost
7. Insurance and Bonding
Total Amount
Total insurance and Bonding
8. Contractual - (Outsourced to sub recipients/vendors for program services)
List: Name Contractor/Vendor Total Amount
4
B. Program
1. Program Staff Salaries *
Position Title Number % of Time Total Number Total
in this Weekly of Weeks Amount
Activity Salary
Total Program Staff Salaries
* Provide rationale and justification for allocation to project.
2. Program Staff Fringe Benefits
Description of Fringe Rate Amount of Rate Total Amount
Applied
A. FICA
B. Workers' Compensation
C. Health and Welfare Insurance
D. Unemployment Compensation
E. Other (Specify)
F. Other (Specify)
G. Other (Specify)
Total Program Fringe Benefits
5
B. Program
3. Other Program Cost Detail
Description Cost Per item Total Amount
A. Other (Specify)
B. Other (Specify)
C. Other (Specify)
Total Other Program
4. Program Equipment Detail (Unit acquisition cost $ 1,000,00 or >, useful life 1 year or more)***
Description Number Purchase Rental Maint. No. of Total
(Cost) (Cost) (Cost) Months Amount
Total Program Equipment Cost
*** Provide explanation for the need of the above items.
5. Program Rent Detail
Location (Address) Cost per Total PROJECT Number of Total
Square Square % Months Amount
Foot Footage used
Maintenance (if
separate)
Utilities (if separate)
Total Program Rent Detail
6
B. Program
6. Program Travel Detail **
Travel (Specify by position) Miles per Rate Number Total Amount
Week per Mile of
Weeks
Total Program Travel Detail
** Provide a describe need for travel and the rationale for such travel.
7. Program Insurance and Bonding
Total Amount
Total insurance and Bonding
8. Contractual - (Outsourced to sub recipients/vendors for program services)
List: Name Contractor/Vendor and attach description Amount
of services.
Total Contractual
7
