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Please download this budget as an Excel file to complete it.
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Details, explanations and definitions entered as comments in the cells.
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12 Month Budget
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Contractor NameProgram Contact Name, Title, Phone and Email
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Budget PeriodFiscal Contact Name, Title, Phone and Email
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Project Name
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Expenditure Categories
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Personal Services
Salaried Employees
List all salaried personnel to perform work for the project. Include proposed salaries, time and effort percentage (full time equivalent or FTE), and fringe benefits. In the justification, include the role and expected contribution of budgeted personnel. A description of how fringe benefits are projected and what components are included in the calculation (insurance, paid time off, etc.) must be included.
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Position Title, Name of person or TBDDescription of Work Gross or Annual SalaryFringePercent of Time on ProjectTotal Amount Requested from CDPHE
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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Personal Services
Hourly Employees
List all hourly personnel to perform work for the project. Include proposed salaries, time and effort percentage (full time equivalent or FTE), and fringe benefits. In the justification, include the role and expected contribution of budgeted personnel. A description of how fringe benefits are projected and what components are included in the calculation (insurance, paid time off, etc.) must be included.
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Position TitleDescription of Work Hourly Wage Hourly FringeTotal # of Hours on ProjectTotal Amount Requested from CDPHE
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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Total Personal Services
(including fringe benefits)		$0.00
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Supplies & Operating Expenses
Include list of all allowable operating expenses. The justification should describe the rationale, necessity and reasonableness of the operation costs budgeted. If rent is claimed as direct cost, provide a narrative justification which describes the prescribed policy including the effective date of the policy.
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ItemDescription of Item RateQuantityTotal Amount Requested from CDPHE
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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Total Supplies
& Operating Expenses		$0.00
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Travel
Include all travel and indicate whether in-state or out-of-state. Include costs for attendance of any mandatory meetings. Include appropriate per diem, mileage or airfare rates or include link to current approved rates.
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ItemDescription of Travel (include calculations)RateQuantityTotal Amount Requested from CDPHE
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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Total Travel$0.00
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Contractual
Include all subcontracts planned to complete the proposed work. This includes, but not limited to, consulting and personal services subcontracts. Restrictions outline in the budget guidelines, including cost reimbursement terms, shall also apply to subcontracts. No subcontractor may be pre-paid for services. Describe how the subcontractor will be selected, the work to be performed, how the costs were calculated and expected deliverables.
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Subcontractor NameDescription of ItemRateQuantityTotal Amount Requested from CDPHE
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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Total Contractual$0.00
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SUB-TOTAL BEFORE INDIRECT$0.00
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Indirect Please see Indirect Rate description in the Budget Reqirements Section of the RFA. No budget justification is required for the indirect rates.
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ItemDescription of Item Total Amount Requested from CDPHE
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Federally-negotiated indirect cost rate
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CDPHE-approved indirect cost rate
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De minimis indirect cost rate
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Total Indirect$0.00
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TOTAL $0
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