Budget Template. Expenditure under the terms of this Grant must be supported by a breakdown of costs incurred. As a minimum, the following must be submitted against claims relating to each of the payment types: Type Evidence Frequency of Invoice Salary Payroll details, including Staff Time Sheet STS1 (attached as Annex A) and the ESF hourly rate template (attached as Annex B) for each member of staff As per the Grant Letter Travel and Subsistence Costs Copies of tickets purchased, e-mail confirmation, mileage claim forms, parking tickets, receipts for accommodation and subsistence costs As per the Grant Letter Running Costs and Other Costs Evidence of expenditure e.g. copies of invoices As per the Grant Letter This is not an exhaustive list and further advice is available from the CFO Finance Team (via email: xxx-xxxxxxx@xxxx.xxx.xxx.xx) The Authority shall only make payments relating to the Grant Funding on the basis of actual expenditure incurred by the Recipient in relation to the Purpose of the Grant Agreement. The Recipient is required to evidence all actual costs claimed. Where advance payments are made by the Authority, the Recipient must ensure they submit a valid invoice in accordance with the frequency detailed in the Grant Letter. A reconciliation of advance payments will be undertaken by the Authority in accordance with the frequency detailed in the Grant Letter and the Recipient shall be required to submit all evidence in relation to actual costs claimed. In the event that the Recipient is unable to evidence costs claimed, whether payments are made in advance or in arrears, the Authority reserves the right to take the action stated in Clause 5.3. Copies of bank statements may be required to confirm actual expenditure in some cases. In order for any payment to be made by the Authority to the Recipient during the Grant Period or the Reconciliation Period the evidence detailed above must be submitted to the Authority in accordance with clause 5 (Timing of Grant). The Recipient must also provide any reporting requirements as detailed in Schedule 3 (In-Year Report Monitoring Information Requirements). The Authority reserves the right to withhold payment of any or all of the Grant should the Recipient not meet this requirement.
Budget Template. (Summary Page, Detail Pages, and Justifications) listing all staff (by position) and costs (including projected salaries and benefits). Personnel must be consistent with the Duty Statements and Organizational Charts (Excel) 6. Duty Statements (DS) for all staff (numbered according to the Personnel Detail Page and Organization Chart) listed on the budget (Word) 7. Org Chart(s) of the applicable programs, identifying all staff positions on the budget (w/line item #) and its relationship to other services for women and children, the local health officer and overall agency (Word, Excel, PDF) 8. Approval Letters including waivers for the following positions (PDF): MCAH Director; BIH Coordinator; AFLP Director; CHVP Coord.//Nurse Sup.; Other 9. Scope of Work (SOW) documents for all applicable programs (PDF/Word) 10. Annual Inventory – Form CDPH 1204 (Word) 11. CHVP Attachment A - Program Operational Requirements 12. Local Health Officer Approval Letter to conduct FIMR [MCAH only] (PDF) 13. Subcontractor (SubK) Agreement Packages (required for all SubKs $5,000 or more) (PDF) 14. Certification Statement for the Use of Certified Public Funds (CPE) [AFLP CBOs and/or SubKs with FFP] (PDF) File Naming Convention Example Please save all electronic documents using the required naming convention below: [Agreement # [space] Program Abbreviation [space] Checklist # [space] Document Name [space] Version Date] Below is an example of the AFA documents submitted by Mono County for FY 14-15: Please contact your Contract Manager (CM) if you have any questions. CALIFORNIA DEPARTMENT OF PUBLIC HEALTH MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH) DIVISION FUNDING AGREEMENT PERIOD FY 2016-2017 (LHJs)/2012-13 to 2016-17 (CBOs) ANNUAL PERSONNEL UPDATE FORM At the beginning of each fiscal year Agencies are required to submit this form along with their AFA/Contract Package, which requires certification signatures (original signatures, no stamps allowed). This form should also be used when submitting updates that occur during the fiscal year. Updated submissions do not require certification signatures. The Agency Identification Information section must be completed each time this form is submitted. AGENCY IDENTIFICATION INFORMATION Any program related information being sent from the CDPH MCAH Division will be directed to the MCAH and/or AFLP Director. Please check the applicable “Program” boxes below: MCAH AFLP BIH FIMR CHVP Fiscal Year: 2016-17 Update Effective: (only required when submi...
Budget Template. SCHEDULE 2 – PAYMENT SCHEDULE
Budget Template. Notice of Funding Availability #ARP3.3ED Complete ONLY BLUE fields. Do not edit grey fields. Year 1 (June 1, 2022 - December 31, 2022) Eligible Costs Quantity AND Description (max 400 characters) Annual Assistance Requested 1. Staff Costs (separate quantitiy and description for each position) 2. Supplies and Equipement (I.E. Computers, hardward, phones, furnishings, etc.) (separate quantitiy and description for each item) 1 Camera $ 599.00 30 Cell Phones $ 5,999.70 15 Computer Monitors $ 3,149.85 10 Computers - Admin $ 15,999.90 40 Computers - Staff $ 33,199.60 12 Epson Ecotank Ink $ 731.76 12 Epson Ecotank Printer $ 5,999.88 12 HotSpots $ 1,080.00 2 Xxxxxx Yale Tabletop Letter Folder $ 799.98 4 Meeting Owl Pro $ 3,999.96 17 Tablets $ 3,331.83 3. Other software (i.e. Zoom, financial management, etc.) (separate quantitiy and description for each item) 20 Xxxxxx.xxx Pro Licenses $ 1,152.00
Budget Template. Applicants must acknowledge and agree to the condition that payments under the grant contract will be reimbursement-based, meaning payments to grantees will occur after services are rendered and agreed upon milestones or deliverables are completed.
Budget Template. A. Activity-Related Project Costs (non- capital) Total Item Cost Costs Calculations and Rationale Category Project Staff Salaries and Mandatory Employment Related Costs $ Benefits $ Professional Fees $ Travel $ Rent and Utilities $
