Project No: Revision #: Form ExhA (Rev. 6/2015)

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Project No:
Revision #:
Exhibit A
Agency:
Primary Agency
Form ExhA
(Rev. 6/2015)
(RTI)
Revision Date:
X
Final Project Yr:
Fiscal Year:
2017
Direct Costs (Allocate per Deliverable)
Salaries & Fringe
Fringe Rate
Role
Research Supervisor
Professional
Sub professional/ Technical
Other Personnel
Student
Student (Tuition)
TM1
29%
29%
29%
29%
29%
TM2
-
Total Salaries and Wages
TM3
-
-
TM4
TM5
P1
PSR
R1
Total Costs
9,226.00
21,048.00
10,146.00
40,420.00
2,389.00
13,644.00
26,789.00
12,103.00
1,194.00
1,581.00
1,435.00
-
1,194.00
1,581.00
1,435.00
-
1,194.00
1,581.00
1,435.00
-
8,361.00
13,999.00
16,743.00
1,957.00
54,925.00
4,210.00
4,210.00
4,210.00
41,060.00
TM3
TM4
14,332.00
41,612.00
68,885.00
24,206.00
$
149,035.00
Supplies
Description of Supplies
Type
TM1
Office supplies, reproduction, etc.
Total Expendable Supplies
-
TM2
-
62.00
78.00
5.00
5.00
5.00
49.00
-
-
62.00
78.00
5.00
5.00
5.00
49.00
$
Total
204.00
204.00
-
TM3
40,482.00
TM4
55,003.00
TM5
4,215.00
P1
4,215.00
PSR
4,215.00
R1
41,109.00
$
Total
149,239.00
TM5
P1
PSR
TM1
Total Direct Costs
TM2
-
TM5
P1
PSR
R1
Indirect Costs
TM1
% MTDC * =
55.00%
Less University's Contribution
MTDC ($) ** =
125,033.00
-
-
TM3
16,684.00
TM4
23,595.00
% MTDC*** =
45.00%
Indirect Cost Total
-
-
13,651.00
3,033.00
19,305.00
4,290.00
Description of
Overhead:
TM2
2,318.00
2,318.00
2,318.00
R1
21,533.00
1,897.00
421.00
1,897.00
421.00
1,897.00
421.00
17,618.00
3,915.00
Total
68,766.00
$
56,265.00
12,501.00
* Enter University's federally approved indirect cost rate % in blank. Form will calculate total, based on MTDC
**Calculate Modified Total Direct Costs (MTDC) based on the University's negotiated (federal) F&A agreement. Per OMB Circular A-21, MTDC should never include, equipment, tuition remission, rental costs, scholarships and
fellowships, and the portion of each subcontract over $25,000.
*** The Performing Agency will share in the cost of the project by making the above Institutional Contribution.
TM5
P1
PSR
TM1
TM2
TM3
TM4
R1
Total
2016
2017
41,692.00
-
66,502.00
-
12,069.00
43,515.00
59,293.00
4,636.00
4,636.00
4,636.00
45,024.00
Total Project Cost
Deliverable's Budget % of Total****
41,692.00
14.8%
66,502.00
23.6%
55,584.00
19.7%
59,293.00
21.0%
4,636.00
1.6%
4,636.00
1.6%
4,636.00
1.6%
45,024.00 $
16.0%
120,263.00
161,740.00
282,003.00
100%
Total Project Costs by Fiscal Year
FY
TOTAL PROJECT COST FY
Notes:
**** The Final Deliverable is weighted at a minimum of 15% of total project budget must be alloted to the Final Deliverable in the Project's Final FY. The amount can be invoiced after the Final Deliverable is received and accepted by the RTI Project Manager.
Amounts on Exhibit A are estimates of a deliverable and its tasks.
This electronic form contains formulas that may be corrupted when adding or deleting rows, or by conversion of the spreadsheet. The university is responsible for the accuracy of the budget submitted.
Amounts on Exhibit A are estimates of a Deliverables budget.
Amounts associated with a Deliverable's budget line items on Exhibit A can be shuffled within the Deliverable's budget line items without creating a modification if the Total for the Deliverable does not change. The changed Exhibit A, Deliverables Table and Schedule of Activities must be approved by the RTI Project Manager.
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