Attachment B - Proposed Budget Sheet (xls) (Excel 97-2003)
Attachment B - Proposed Budget Sheet (xlsx) (Excel 2007)
RFI Proposal Document Program
Title:
Provider Name:
Provider FEIN:
Street Address: City:
Contact Person:
Contact Phone Number:
Contact Email Address:
Proposal Date:
Proposed Period of Service:
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Personnel - FTE Base Salary
(1.0 FTE = ______hours per week)
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# of FTEs |
Monthly Amount |
Annual Amount |
Proposed Amount |
Notes: List applicable quantity, units, percentages, clarifiction, etc. |
| Position Title 1: |
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| Position Title 2: |
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| Position Title 3: |
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| Position Title 4: |
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| Position Title 5: |
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| Position Title 6: |
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| Position Title 7: |
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| Position Title 8: |
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| Position Title 9: |
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| Position Title 10: |
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| Total |
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$0 |
$0 |
$0 |
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| FICA @ 7.65% |
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$0 |
$0 |
$0 |
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| Benefits |
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| Retirement |
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| Life & Health Insurance |
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| Other: ___________ |
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| Other: ___________ |
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| Total |
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$0 |
$0 |
$0 |
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| Total Personnel Cost |
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$0 |
$0 |
$0 |
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| Indirect Cost (or detail by item below) |
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| Percentage:___________________ |
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| Contractual Services |
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| Training |
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| Other: ___________ |
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| Other: ___________ |
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| Total |
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$0 |
$0 |
$0 |
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| Travel |
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| # Miles (cost per mile= |
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| Mileage costs |
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$0 |
$0 |
$0 |
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| Other transportation |
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| Lodging |
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| Per diems/meals |
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| Other: ___________ |
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| Total |
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$0 |
$0 |
$0 |
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| Commodities |
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| Office Supplies |
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| Other: ___________ |
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| Other: ___________ |
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| Total |
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$0 |
$0 |
$0 |
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| Equipment/Furniture |
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| Desks |
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| Chairs |
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| Other: ___________ |
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| Total |
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$0 |
$0 |
$0 |
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| Information Technology |
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| Desktop Computer |
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| Laptop Computer |
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| Printer |
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| Software |
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| Internet Service |
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| Other: ___________ |
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| Total |
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$0 |
$0 |
$0 |
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| Telecommunications |
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| Land Phone (equipment) |
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| Cell Phone (equipment) |
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| Installation |
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| Monthly Service for land phones |
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| Monthly Service for cell phones |
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| Total |
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$0 |
$0 |
$0 |
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| Operation of Automotive Equipment |
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| Vehicle Lease |
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| Vehicle Purchase |
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| Gasoline |
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| Maintenance |
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| Licenses and fees |
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| Total |
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$0 |
$0 |
$0 |
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| Occupancy |
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| Rent (Cost per sq ft = __________) |
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| Utilities |
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| Repairs & Maintenance |
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| Insurance |
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| Taxes |
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| Total |
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$0 |
$0 |
$0 |
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| Renovation Costs |
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| Other Start-up Costs |
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| _____________________________ |
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| _____________________________ |
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| _____________________________ |
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| Other Indirect Cost |
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| _____________________________ |
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| _____________________________ |
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| _____________________________ |
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| Total Non-Personnel Cost |
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$0 |
$0 |
$0 |
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| Total Program Cost |
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$0 |
$0 |
$0 |
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