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The University of the State of New YorkPROPOSED AMENDMENT FOR A
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THE STATE EDUCATION DEPARTMENTFEDERAL OR STATE PROJECT
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FS-10-A (03/15)
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 = Required Field
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Agency Name:Gorham - Middlesex Central SchoolOntario
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Mailing Address:4100 Baldwin RdCounty
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Rushville, NY 14544
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Agency Code:430901060000003
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Amendment #:
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Project Number:5891-21-2190
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Contract #:
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Contact Person:Erica HasselstromTel:585-554-4848
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E-mail Address:ehasselstrom@mwcsd.org
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INSTRUCTIONS
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● 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.
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● This form need only be submitted for budget changes that require prior approval as follows:
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● Personnel positions, number and type
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● Equipment items having a unit value of $5,000 or more, number and type
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● Minor remodeling
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● Any increase in a budget subtotal (professional salaries, purchased services, travel, etc.) by more than 10 percent or $1,000, whichever is greater
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● Any increase in the total budget amount.
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● Amendment # at top of this page must be completed.
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● If extra room is needed for explanations, expand the rows using the row breaks on the left.
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● Do not use the FS-10-A for requesting a project extension.
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CHIEF ADMINISTRATOR'S CERTIFICATION
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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).
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Date:1/5/2023Signature:
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FOR DEPARTMENT USE ONLY
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Program Approval:Date:
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Finance:
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LoggedApproved
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SUBTOTALEXPLANATION (Provide same detail as required in
FS-10 Budget)
SUBTOTAL INCREASESUBTOTAL DECREASE
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15 - Professional SalariesSummer Program salaries for 20 teachers and related service providers, at a rate of $40 per hour for 16.5 hours per week for 6 weeks. $79,200
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16 - Support Staff SalariesSummer Program salaries for 10 non-certified staff and transportation, at a rate of $18 per hour for 16.5 hours per week for 6 weeks. $17,820
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40 - Purchased ServicesThe budgeted phone system came in well below the quote of $300,000 for the system needed for communication. That system totaled $161,000 leaving $139,000. Of that $5,000 will remain in 40 for additional costs for exterior doors, as well as an additional purchased service through Flower City for an antenna to go on top of the water tower to increase high speed internet access for $7,853. Adding to the playground purchase, is an additional $11,129 for socially distanced play spaces. The remaining $115,018 will be split into 15, 16, and 80 to support the 2023 summer program to address learning loss in students. $115,018
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45 - Supplies & Materials
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46 - Travel Expenses
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80 - Employee BenefitsBenefits for Instructional and Non-Instructional salaries for FICA, ERS and TRS for 30 people.$17,998
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90 - Indirect Cost
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49 - Boces Services
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30 - Minor Remodeling
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20 - Equipment
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Total Increase or Decrease:(+) $115,018(-) $115,018
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Net Increase or Decrease:$0
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ENTER BUDGET >Previous Budget Total:$1,273,281
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Proposed Amended Total:$1,273,281
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