429x Filetype XLSX File size 0.05 MB Source: eda.gov
Sheet 1: EDA Disclaimer
| Period of Performance (months): | Totals: | Checkpoint: All Project Totals line up? | ||||||||
| Total Federal: | $- | |||||||||
| Total Match: | $- | Yes | ||||||||
| Personnel - Cost as shown on the Staffing Plan. This will autofill from what is entered on the Staffing Plan tab. | Checkpoint: Match totals line up? | |||||||||
| Total Personnel Costs | $0 | Yes | ||||||||
| Fringe - Associated fringe costs for the personnel listed in the staffing plan. This will autofill from what is entered on the Staffing Plan tab. | Additional Details | |||||||||
| Total Fringe Costs | $0 | Please include a yearly breakdown for federal, and non-federal (matching) share for each line item. | ||||||||
| Travel - Requirements for travel costs can be found in 2 CFR 200.475. | Year 1 | Year 2 | Year 3 | |||||||
| Event | Travelers | Purpose | Program Component | Cost | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share |
| Program Implementation | $- | |||||||||
| $- | ||||||||||
| $- | ||||||||||
| $- | ||||||||||
| Total Travel Costs | $- | $- | $- | $- | $- | $- | $- | |||
| Equipment - Typically exceeds $5000 per unit cost and has a useful life greater than 1 year. See the definition of equipment at 2 CFR 200.1. | Year 1 | Year 2 | Year 3 | |||||||
| Equipment | Cost per Unit & Quantity | Purpose | Program Component | Cost | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share |
| $- | ||||||||||
| $- | ||||||||||
| Total Equipment Costs | $- | $- | $- | $- | $- | $- | $- | |||
| Supplies - Supplies must be itemized and must correlate to the purpose of the award. Miscellaneous is not sufficient. See the definition of supplies at 2 CFR 200.1. | Year 1 | Year 2 | Year 3 | |||||||
| Supply | Cost per Unit & Quantity | Purpose | Program Component | Cost | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share |
| $- | ||||||||||
| $- | ||||||||||
| $- | ||||||||||
| $- | ||||||||||
| Total Supply Costs | $- | $- | $- | $- | $- | $- | $- | |||
| Contractual - Contractors are subject to procurement standards in 2 CFR 200.317 - 200.327. All Subawards to eligible recipients should be noted under this line item as well. Please denote in the second column if this line item applies to a "subaward" or "contractor". For guidance on these two distinct roles, see 2 CFR 200.331. (Please note, this section will not autopopulate from the subawardees tab, but please also fill out the subawardees time for subawards - not for contractual). | Year 1 | Year 2 | Year 3 | |||||||
| Organization Name (if applicable) | Subaward or Contractor? | Details of services being provided | Program Component | Cost | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share |
| $- | ||||||||||
| Subaward | $- | |||||||||
| Subaward | $- | |||||||||
| $- | ||||||||||
| Total Contractual Costs | $- | $- | $- | $- | $- | $- | $- | |||
| Construction - Not an allowable expense under the Good Jobs Challenge NOFO. Please see other EDA funding opportunities for construction-related expenses. | Year 1 | Year 2 | Year 3 | |||||||
| Construction | Quantity | Purpose | Program Component | Cost | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share |
| N/A | N/A | $- | ||||||||
| Total Construction Costs | $- | $- | $- | $- | $- | $- | $- | |||
| Other - any other costs that do not fit in previous categories. | Year 1 | Year 2 | Year 3 | |||||||
| Other | Quantity | Purpose | Program Component | Cost | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share |
| $- | ||||||||||
| $- | ||||||||||
| $- | ||||||||||
| $- | ||||||||||
| Total Other Costs | $- | $- | $- | $- | $- | $- | $- | |||
| Total Non-Federal (Matching) Share - list all matching/leveraged funds here with source and description of match being provided (both cash and in-kind). If applicant is providing match, please list here as well. | Breakdown for matching share should be denoted in the "Non-Federal share" columns throughout this table. This section should still be completed as a double check to confirm any matching share provided is correctly documented. | |||||||||
| Organization Providing Match | Type of Match | Valuation Method and Purpose | Program Component | Cost | ||||||
| Total Match | $0 | |||||||||
| Indirect Cost - Must be within your NICRA from your cognizant agency and provide basis for calculations. If your organization does not have a NICRA, may use de minimus rate of 10% or your organization can apply for a NICRA (see NOFO for instructions on how to apply for NICRA). | Year 1 | Year 2 | Year 3 | |||||||
| Enter allowable base costs as provided in your NICRA. See the definition of modified total direct cost at 2 CFR 200.1. | Modified Total Direct Costs (cost base) | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share | |||
| Rate as named in your NICRA should be used here. If opting to use de minimis rate, should put 10% here as the Indirect Rate. | Indirect Rate | |||||||||
| If using de minimis rate, please include statement from the NOFO here. | Total Allowable Indirect Cost | $0.00 | ||||||||
| Program Design | ||||||||||
| System Design | ||||||||||
| Program Implementation | ||||||||||
| Program Design, System Design, Program Implementation | ||||||||||
| Program Design, Program Implementation | ||||||||||
| System Design, Program Implementation | ||||||||||
| Cash | ||||||||||
| In-kind | ||||||||||
| Contractor | ||||||||||
| Subaward | ||||||||||
| AUTHORIZED STAFFING PLAN | |||||||||||||
| Staffing Plan - Budget | Year 1 | Year 2 | Year 3 | Checkpoint | |||||||||
| Name | Annual Salary/Rate | % of Annual Hours for project | Annual $ from Award | Number of Years | Total Cost by Employee | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share | Federal Share | Non-Federal Share | Does breakdown match your total? | |
| Employee 1 | $0 | 0% | $0 | 0.00 | $0 | $- | |||||||
| Employee 2 | $0 | 0% | $0 | 0.00 | $0 | $- | |||||||
| Employee 3 | $0 | 0% | $0 | 0.00 | $0 | $- | |||||||
| Employee 4 | $0 | 0% | $0 | 0.00 | $0 | $- | |||||||
| Employee 5 | $0 | 0% | $0 | 0.00 | $0 | $- | |||||||
| Employee 6 | $0 | 0% | $0 | 0.00 | $0 | $- | |||||||
| Total Personnel Costs | $0 | $- | $- | $- | $- | $- | $- | $- | |||||
| Total Fringe Costs (Please Provide the Basis for Fringe Calculations) | 0.00% | $0 | $- | $- | $- | $- | $- | $- | $- | ||||
| Staffing Plan - Narrative | |||||||||||||
| Name | Title | Project Responsibilities | |||||||||||
| Employee 1 | |||||||||||||
| Employee 2 | |||||||||||||
| Employee 3 | |||||||||||||
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