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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 CSDOntario
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Mailing Address:4100 Baldwin RoadCounty
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 Rushville, NY 14544
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Agency Code:430901060000001
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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 x1807
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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:9/28/2021Signature:
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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 SalariesSalaries for summer professional development on ELA reading Currriculum for teachers.$62,707
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16 - Support Staff Salaries
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40 - Purchased ServicesDue to the increased time needed to get confirmation from SEA, bid and begin through completion the work on the ventilation systems, we are moving all of the items in our FS-10 original for ventilation system upgrades. This work will be moved to the ARP stimulus funds. We plan to add work to our Phone system and the construction design and drawings for $300,000 and $200,000 respectively. Additionally, we need to add doors in 6 interior and exterior places for a total of $60,000. Finally, we will need to build a socially distanced adaptive outdoor playground for all students including those with special needs at our Gorham campus at an estimated cost of $400,000. Additionally, training by Wilson Language System in the amount of $14000.$974,000$1,092,155
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45 - Supplies & MaterialsWilson materials for supplemental reading instruction to be purchased at a cost of $35,000. In addition, we will be purchasing supplies for all students in grades k - 12 totaling $20,448.$55,448
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46 - Travel Expenses
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80 - Employee Benefits
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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:(+) $1,092,155(-) $1,092,155
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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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