20 Total Operating 21 Total Direct Costs Indirect Allocations: 22 Administration (not to exceed 10%) 23 IT Equipment 24 Repair & Maintenance 25 Total Indirect 26 Total Costs 27 Total Direct Service/ Supervision FTEs (Schedules B, C and D are to be included in the proposal packet) Schedule A*: Budget Submittal Form Instructions General Instructions: The Budget Submittal Form is a generic form designed to best fit all Program Proposals. Please read the program specifications carefully and follow the format to ensure that each budget item is considered for submittal Form A Detailed Instruction: Lines 1-6 Salaries – 1-5 position titles in Column B. Enter paid hours for the contract period in Column C. Enter total salary for – each position for the contract period. 6 Sum of lines 1 – –5 Line 7 Fringe Benefits – Enter the total fringe benefits to be paid for the total salaries on line 6 (max 25% – 33%) Line 8 - % of Salaries Line 7/Line 6 Lines 9-20 Direct Operating – 9-19 Enter the total to be paid for each line item during the contract period. Include any additional items not – included in 9-15 on lines 16-19. 20 Sum of lines 9-19. – Line 21 Total Direct Costs – Sum of lines 6, 7, and 20. Lines 22-26 Indirect Allocations – 22-25 the total company costs to be allocated to this program for the contract period. Include any additional – items not included in 22-23 on lines 24-25. 26 Sum of lines 22-25. – Line 27 Total Costs – Line 28 Total number of direct service/supervision FTEs funded by this contract. –
20 Total Operating 21 Total Direct Costs Indirect Allocations: 22 Administration (not to exceed 10%) 23 IT Equipment 24 Repair & Maintenance 25 Total Indirect 26 Total Costs 27 Total Direct Service/ Supervision FTEs (Schedules B, C and D are to be included in the proposal packet) Schedule A*: Budget Submittal Form Instructions General Instructions: The Budget Submittal Form is a generic form designed to best fit all Program Proposals. Please read the program specifications carefully and follow the format to ensure that each budget item is considered for submittal Form A Detailed Instruction: Lines 1-6 – Salaries 1-5 – position titles in Column B. Enter paid hours for the contract period in Column C. Enter total salary for each position for the contract period. 6 – Sum of lines 1 –5 Line 7 – Fringe Benefits Enter the total fringe benefits to be paid for the total salaries on line 6 (max 25% – 33%) Line 8 - % of Salaries Line 7/Line 6 Lines 9-20 – Direct Operating 9-19 – Enter the total to be paid for each line item during the contract period. Include any additional items not included in 9-15 on lines 16-19. 20 – Sum of lines 9-19. Line 21 – Total Direct Costs Sum of lines 6, 7, and 20. Lines 22-26 – Indirect Allocations 22-25 – the total company costs to be allocated to this program for the contract period. Include any additional items not included in 22-23 on lines 24-25. 26 – Sum of lines 22-25. Line 27 – Total Costs Line 28 – Total number of direct service/supervision FTEs funded by this contract.
vhcip-population-health-accountable-health-03410-165-16-rfp.docx