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.