Orig Agency Code |
Contract Number |
|
11000 |
New York State Education Department
Page 1 of 3
Budget for the Period: ______________ to________________
BFM-8 (11/98)
| Contractor Name: | |
| Contractor Contract Person: | Telephone: |
Expenditure Item |
Amount |
|
| Line 1 | Personal Service |
$ |
| Line 2 | Fringe Benefits |
|
| Line 3 | General Operating |
|
| Line 4 | (Sum of Lines 1,2 and 3) TOTAL DIRECT COSTS è | $ |
| Line 5 | Indirect Cost Rate |
% |
| Line 6 | Indirect Cost |
|
| Line 7 | Equipment |
|
| Line 8 | Purchased Services |
|
| Line 9 | (Sum of Lines 4,6,7 and 8) TOTAL EXPENSES è | $ |
Revenue |
Amount |
|
| 1. | $ | |
| 2. | ||
| Line 10 | TOTAL REVENUE è | $ |
Net Budgeted Operating Costs |
Amount |
|
| Line 11 | (Line 9 minus Line 10) NET BUDGETED OPERATING COSTS è |
$ |
Orig Agency Code |
Contract Number |
|
11000 |
New York State Education Department
Bureau of Fiscal Management
Appendix B
Page 2 of 3
Contractor Name: _______________________________________
Section 1: Direct Operating Personal Service Listing |
||||||
Title |
Social Security Number |
Annual Salary |
% Time Allocated to Program |
Salary Allocated to Program |
||
| 1. | Total
Personal Service-Direct Operating Salaries (To Budget Summary, Line 1)è |
$ | ||||
| 2. | Fringe Benefits Rate è | % |
||||
| 3. | Total
Fringe Benefits (To Budget Summary, Line 2)è |
$ | ||||
Section II: General Operating Expenses |
|||||
| Item | Cost Item |
Amount |
Item | Cost Item |
Amount |
| 1. | Insurance |
$ | 10. | Travel-Staff Out/State |
$ |
| 2. | Building Main.&Repair |
11. | Utilities |
||
| 3. | Office Supplies |
12. | Vehicles-Oper. Expenses |
||
| 4. | Program Supplies |
13. | Staff Training |
||
| 5. | Telephone |
14. | Advertising |
||
| 6. | Rent |
15. | Printing |
||
| 7. | Travel-Staff in State |
16. | |||
| 8. | Contractual Svcs |
17. | |||
| 9. | Dues & Subscriptions |
18. | Total
G/O Expenses è (To Budget Summary, Line 3) |
$ | |
Orig Agency Code |
Contract Number |
|
11000 |
New York State Education Department
Bureau of Fiscal Management
Appendix B (continued)
Page 3 of 3
Contractor Name: ______________________________________
Section III: Equipment Purchases |
||
Item / Description |
Amount |
|
| A. | $ | |
| B. | ||
| C. | ||
| Total
Equipment Purchases (To Budget Summary, Line 7)è |
$ | |
Section IV: Purchased Services |
||
Cost Item |
Amount |
|
| A. | $ | |
| B. | ||
| C. | ||
| Total
Purchased Services (To Budget Summary, Line 8)è |
$ | |