BCDEFGHIJKLMNOPQRSTUVWXYZ
1
The University of the State of New YorkPROPOSED AMENDMENT FOR A
2
THE STATE EDUCATION DEPARTMENTFEDERAL OR STATE PROJECT
3
FS-10-A (03/15)
4
5
 = Required Field
6
7
Agency Name:Gorham Middlesex CSDOntario
8
Mailing Address:4100 Baldwin RoadCounty
9
 Rushville, NY 14544
10
11
12
13
Agency Code:430901060000001
14
Amendment #:
15
Project Number:5880-21-2190
16
17
Contract #:
18
19
Contact Person:Erica HasselstromTel:585-554-4848 x1807
20
21
E-mail Address:ehasselstrom@mwcsd.org
22
INSTRUCTIONS
23
● Submit the original and two copies directly to the same State Education Department office where budget was mailed. DO NOT submit this form to Grants Finance.
24
● This form need only be submitted for budget changes that require prior approval as follows:
25
● Personnel positions, number and type
26
● Equipment items having a unit value of $5,000 or more, number and type
27
● Minor remodeling
28
● Any increase in a budget subtotal (professional salaries, purchased services, travel, etc.) by more than 10 percent or $1,000, whichever is greater
29
● Any increase in the total budget amount.
30
● Amendment # at top of this page must be completed.
31
● If extra room is needed for explanations, expand the rows using the row breaks on the left.
32
● Do not use the FS-10-A for requesting a project extension.
33
34
CHIEF ADMINISTRATOR'S CERTIFICATION
35
By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, & accurate, & the expenditures, disbursements, & cash receipts are for the purposes& objectives set forth in the terms & conditions of the Federal (or State) award. I am aware that any false,fictitious, or fraudulent information, or the omission of any material fact may subject me to criminal, civil, or administrative penaltiesfor fraud, false statements, false claims, or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812).
36
37
38
39
40
Date:Signature:
41
42
43
FOR DEPARTMENT USE ONLY
44
45
Program Approval:Date:
46
47
Finance:
48
LoggedApproved
49
50
SUBTOTALEXPLANATION (Provide same detail as required in
FS-10 Budget)
SUBTOTAL INCREASESUBTOTAL DECREASE
51
15 - Professional SalariesOriginal allocation for school social worker of $45,000 needs to be increased for multiple years. This salaray also needs to be moved from the 150 to the 160 code as the social worker is a licensed social worker, not school certified. The total salary for 2.1 years (May 2022 - June 2024) will be $92,951 ($5985, $42735, $44231 yearly). The bulk of this will be covered through soft amendments in code 160, but $49000 needs to be transfered from 150 to 160, with the additional $3,380 coming from the 20% learning loss allocation for special education teachers.$48,380
52
16 - Support Staff SalariesThe Social Worker position is currently a clinical social worker and therefore needs to have the salary taken from the 160 code. The total salary for 2.1 years (May 2022 - June 2024) will be $92,951 ($5985, $42735, $44231 yearly). This will be supported through a transfer from the 150 code as well as the following soft amendments: Support staff and non-certified staff for summer 2021 - 2023 - Original Allocations 6,322 and 14,000 (20322 total) Actual total $22,618.44 (Negative $2296.44); Transportation for summer program 2021 - 2023 - Original Allocation $16092. Actual cost - $12,225.63 (Extra $3866.37); Nurse to support COVID testing - due to retirement, the amount needed to support this position for 1.63 years is $47987.57 (Extra $31589.43). We have not been able to run afterschool programs for the last three years due to staffing, so the allocations for transportation ($12000) and staffing ($5000) will be applied to salaries for social worker and for curriuclum costs associated with COVID planning for 2021 - 2023 totaling $5588.36. This would include summer work for aides at a rate of $18 per hour for summer program and paraprofessional training in the summer of 2021 - 2024 for 17 aides for 21 hours.$48,380
53
40 - Purchased Services
54
45 - Supplies & Materials
55
46 - Travel Expenses
56
80 - Employee Benefits
57
90 - Indirect Cost
58
49 - Boces Services
59
30 - Minor Remodeling
60
20 - Equipment
61
Total Increase or Decrease:(+) $48,380(-) $48,380
62
63
Net Increase or Decrease:$0
64
65
ENTER BUDGET >Previous Budget Total:$2,861,676
66
67
Proposed Amended Total:$2,861,676
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100