Docstoc

Budget Proposal

Document Sample
Budget Proposal Powered By Docstoc
					                                Ohio Rehabilitation Services Commission
                       VRP3 Budget Proposal for Case Management and Coordination

Contractor Name:

I              Operating Budget
      A.       Direct Costs
           1   Salaries (including fringe)            Total from Worksheet 1
           2   Travel                                 Total from Worksheet 2
           3   Supplies                               Total from Worksheet 3
           4   Equipment                              Total from Worksheet 4
           5   Staff Development                      Total from Worksheet 5
           6   Occupancy                              Total from Worksheet 6
           7   Other                                  Total from Worksheet 7

               Total Direct                                                             $            -

      B        Indirect Costs *
                                                      based on Approved Certificate
           1 Indirect Cost - Contractor
                                                      of Indirect Cost (attach copy)


                                                      based on Approved Certificate
           2 Indirect Cost - Sub-Contractor
                                                      of Indirect Cost (attach copy)


               Total Indirect                                                           $            -

               Total Operating Budget (IA+IB)                                           $            -

II             Case Services Budget
               Total Case Services

               Budget Total (IA+ IB + II)                                               $            -

III            Calculation of Award
      A.       Net Award Amount                                                         $            -
      B        Total Award Amount                                                       $            -
      C.       RSC/ODADAS Administration Fee                                            $            -
      D        Federal Match                                                            $            -
      E        Contractor Contribution                                                  $            -

NOTES:
* B. Indirect Costs can only be included if the Board or Agency has a Federal Indirect Cost Agreement.
Otherwise, all costs must be broken out in the Direct Cost Line Items.
Please insert green highlighted totals from worksheets into related green hightlighted fields
Please complete yellow highlighted fields
                                                    Budget Proposal Worksheet #1: Staffing

Contractor Name:

       Position         Name Contractor (C ) or New (N) or       %Time Allocated       FTE* Allocated    Base                Total      Cost to
        Title          Name Sub-Contractors (S) Existing (E) FTE     to Award            to Award        Salary    Fringe   Payroll**   Award

                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                                                  0.00                      $       -   $         -
                                                                Total                                                                   $         -

NOTES:
The Budget Proposal covers an 18 month period, therefore 1 FTE equals 3,120 hours and Base Salary and Fringe is for 18 months.
% of Time Allocated to the Award should be calculated using number of total hours assigned to the award divided by 3120 hours (18 months).
* Personel Activity Reports must be kept for FTEs not charged 100% to the award.
** Payroll records must be available for audit purposes
Please insert additional lines as needed. Be careful to ensure that formulas remain accurate.
Please copy green highlighted total into budget proposal
Work experiences/consumer participant stipends, internships, etc. need to be included in tab W7. Other. Do not with staff wages.
                                                      Budget Proposal Worksheet #2: Travel

Contractor Name:

Mileage Reimbursement

      Position          Name Contractor (C ) or             Est. Miles          Mileage
       Title           Name Sub-Contractors (S)             Traveled          Reimb. Rate *         Budget

                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                                                                               $                -
                                            Total                                              $                -

NOTES:
* Mileage reimbursement rate should be the lesser of contractor/subcontractor's rate or the state rate which is currently $0.45/mile.
Please complete yellow highlighted fields
Please insert additional lines as needed. Be careful to ensure that formulas remain accurate.
                                                   Budget Proposal Worksheet #2: Travel (con't)

Meals and Lodging

      Position           Name Contractor (C ) or        Est. Number of           Overnight        Estimated           Estimated Meal &
       Title            Name Sub-Contractors (S)        Overnight Stays         Locations *    Lodging Costs **      Incidental Costs***         Total

                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                                                                                            $            -
                                                                  Total                                                                     $            -

Grand Total Travel Costs (Contractor & Subcontractor)                                                                                       $            -

NOTES:
* Overnight locations should be listed for each trip an employee may take. Multiple day stays (i.e. for training) only need to be listed once.
** The estimated lodging costs can be found at the GSA website currently used for state employee travel (www.gsa.gov)
*** Estimated meal and incidental costs can also be found on the GSA website (www.gsa.gov)
Please complete yellow highlighted fields
Please insert additional lines as needed. Be careful to ensure that formulas remain accurate.
Please copy green highlighted total into budget proposal
                                Budget Proposal Worksheet #3: Supplies

Contractor Name:

  Name Contractor (C ) or                     Supply                                          Estimated
 Name Sub-Contractors (S)                      Item*                  Quantity                   Cost




                                         Total                                            $               -

NOTES:
* Supplies may be itemized separately or combined into a "miscellaneous" category and totaled.
Please complete yellow highlighted fields
Please insert additional lines as needed. Be careful to ensure that formulas remain accurate.
Please copy green highlighted total into budget proposal
                                    Budget Proposal Worksheet #4: Equipment

Contractor Name:

  Name Contractor (C ) or                                                                     Estimated          Grant
 Name Sub-Contractors (S)           Description      Quantity      Price        Cost       Useful Life (yrs.)*   Cost

                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                                            $          -                         $       -
                                                    Total                                                        $       -

NOTES:
* RSC agreement can only be charged for the prorated share of the cost. In other words, for this 18 month project,
RSC can only be charged for 3/10 (18 months) of the cost for a piece of equipment with a 5 year life cycle for each year
of the contract.
Laptops used to provide case management functions in the OSCAR case management system are provided by RSC
and should not be included in the budget proposal.
Please complete yellow highlighted fields.
Please insert additional lines as needed. Be careful to ensure that formulas remain accurate.
Please copy green highlighted total into budget proposal.
                              Budget Proposal Worksheet #5: Staff Development
Contractor Name:

  Name Contractor (C ) or                                  # Contractor                 # Subcontractor
 Name Sub-Contractors (S)      Trainer (if known)*             Staff          Cost           Staff        Cost   Total

                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                                                                                 $       -
                                                         Total                                                   $       -

NOTES:
*Training may be itemized separately or combined into a "miscellaneous" category and totaled.
Please complete yellow highlighted fields.
Please insert additional lines as needed. Be careful to ensure that formulas remain accurate.
Please copy green highlighted total into budget proposal.
                   Budget Proposal Worksheet #6: Occupancy

Contractor:
                                                                            Sq. Ft.
              Position             Square Feet Allocated   FTE Allocated Allocated to
                Title                   to Position          to Award    Agreement

                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                                                                    0
                                    Total                                           0

Total Direct Space
Percentage Assigned to Contract (A)                                            0.00%

Estimated 18 Month Direct Occupancy Costs:

Rent
Heat
Electricity
Water/Sewage
Janitorial Services/Supplies
Property Insurance
Telephone include computer lines and internet
Security
Service Maintenance Contracts
Licenses/Permits
Minor Maintenance Services & Supplies

Total Direct Occupancy Costs (B)                                          $         -

Direct Occupancy Costs Assigned to Agreement (A*B)                        $         -
Subcontractor**:

                                                                            Sq. Ft.
          Position                 Square Feet Allocated   FTE Allocated Allocated to
            Title                       to Position          to Award    Agreement

                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                                                                   0
                                    Total                                          0

Total Direct Space
Percentage Assigned to Contract (A)                                            0.00%

Estimated 18 Month Direct Occupancy Costs:

Rent
Heat
Electricity
Water/Sewage
Janitorial Services/Supplies
Property Insurance
Telephone include computer lines and internet
Security
Service Maintenance Contracts
Licenses/Permits
Minor Maintenance Services & Supplies

Total Direct Occupancy Costs (B)                                          $         -

Direct Occupancy Costs Assigned to Agreement (A*B)                        $         -

Grand Total Occupancy Costs - Contractor & Subcontractor(s)               $         -
NOTES:
** Please insert additional subcontractors as needed. Be careful to ensure that formulas remain
accurate.
Please complete yellow highlighted fields
Please insert additional lines as needed. Be careful to ensure that formulas remain accurate.
Please copy green highlighted total into budget proposal
                        Budget Proposal Worksheet #7: Other

Contractor:

Item*                                                                       Cost




                                   Total                                     $                      -

NOTES:
* Items may include consultants, stipends, internships, or other costs that don't fit into any of
the other categories.
Please complete yellow highlighted fields
Please insert additional lines as needed. Be careful to ensure that formulas remain accurate.
Please copy green highlighted total into budget proposal

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:21
posted:7/24/2011
language:English
pages:11