Appendix B - Budget Summary - Three Years

Appendix B - Budget Summary - Three Years: Word (245KB, 11 pgs.)
Appendix B - Budget Summary - Three Years: PDF (50KB, 11 pgs.)

Orig Agency Code: 11000
Contract Number

New York State Education Department
Bureau of Fiscal Management

Appendix B - Budget Summary

BFM-8 (11/98)

Contractor Name:
Contractor Contract Person:
Telephone:

Detailed Budget for Year One - 2007/2008

	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 –>	$
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 –>	$

Revenue		Amount
1.		$
2.
Line 10	TOTAL REVENUE –>	$

Net Budgeted Operating Costs		Amount
Line 11	(Line 9 minus Line 10) NET BUDGETED OPERATING COSTS –>	$

Section 1: Direct Operating Personal Service Listing
Title	Social Security Number (if available)	Annual Salary	% Time Allocated to Program	Salary Allocated to Program





1.	Total Personal Service-Direct Operating Salaries (To Budget Summary, Line 1)–>			$
2.	Fringe Benefits Rate –>			%
3.	Total Fringe Benefits (To Budget Summary, Line 2)–>			$

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 –> (To Budget Summary, Line 3)	$

Section III: Equipment Purchases
Item / Description		Amount
A.		$
B.
C.
Total Equipment Purchases (To Budget Summary, Line 7) –>		$

Section IV: Purchased Services
Item / Description		Amount
A.		$
B.
C.
Total Purchased Services (To Budget Summary, Line 8)–>		$

Detailed Budget for Year Two - 2008/2009

	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 –>	$
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 –>	$

Revenue		Amount
1.		$
2.
Line 10	TOTAL REVENUE –>	$

Net Budgeted Operating Costs		Amount
Line 11	(Line 9 minus Line 10) NET BUDGETED OPERATING COSTS –>	$

Section 1: Direct Operating Personal Service Listing
Title	Social Security Number (if available)	Annual Salary	% Time Allocated to Program	Salary Allocated to Program





1.	Total Personal Service-Direct Operating Salaries (To Budget Summary, Line 1) –>			$
2.	Fringe Benefits Rate –>			%
3.	Total Fringe Benefits (To Budget Summary, Line 2)–>			$

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 –> (To Budget Summary, Line 3)	>$

Section III: Equipment Purchases
Item / Description		Amount
A.		$
B.
C.
Total Equipment Purchases (To Budget Summary, Line 7)–>		$

Section IV: Purchased Services
Item / Description		Amount
A.		$
B.
C.
Total Purchased Services (To Budget Summary, Line 8)–>		$

Detailed Budget for Year Three - 2009/2010

	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 –>	$
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 –>	$

Revenue		Amount
1.		$
2.
Line 10	TOTAL REVENUE –>	$

Net Budgeted Operating Costs		Amount
Line 11	(Line 9 minus Line 10) NET BUDGETED OPERATING COSTS –>	$

Section 1: Direct Operating Personal Service Listing
Title	Social Security Number (if available)	Annual Salary	% Time Allocated to Program	Salary Allocated to Program





1.	Total Personal Service-Direct Operating Salaries (To Budget Summary, Line 1) –>			$
2.	Fringe Benefits Rate –>			%
3.	Total Fringe Benefits (To Budget Summary, Line 2)–>			$

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 –> (To Budget Summary, Line 3)	>$

Section III: Equipment Purchases
Item / Description		Amount
A.		$
B.
C.
Total Equipment Purchases (To Budget Summary, Line 7)–>		$

Section IV: Purchased Services
Item / Description		Amount
A.		$
B.
C.
Total Purchased Services (To Budget Summary, Line 8) –>		$

Budget Summary Year One (2007–2008) and
Proposed Budget Summaries for Years Two and Three (2008–2010)

	Budget Totals Year 1	Projected Budget Totals YEAR 2	Projected Budget Totals YEAR 3	Three Year Totals
Personal Service
Fringe Benefits
General Operating Expenses
Total Direct Costs
Indirect Cost Rate
Indirect Costs
Equipment Purchases
Purchased Services
GRAND TOTAL

Grand Total Amount for Three Years $ ________________________________
Subcontracting is limited to 25% of non-employee direct personal services and related incidental expenses, including travel.