| SAMPLE | Federal Funds Granted | Proposed In-Kind | Total Budget | Federal Funds Expended (As of Dec 31) | Match Funds Expended (As of Dec 31) | Total Funds Expended (As of Dec 31) |
| Personnel Salaries | $250,000 | $50,000 | $300,000 | $10,000 | $1,000 | $11,000 |
| Personnel Fringe Benefits | $75,000 | $15,000 | $90,000 | $3,000 | $300 | |
| Travel | $35,000 | $10,000 | $45,000 | $0 | $0 | |
| Equipment | $15,000 | $15,000 | $30,000 | $0 | $0 | |
| Materials/Supplies | $15,000 | $30,000 | $45,000 | $5,000 | $5,000 | |
| Subcontracts | ||||||
| XYZ Corporation | $125,000 | $0 | $125,000 | $0 | $0 | $0 |
| ABC Organization | $250,000 | $0 | $250,000 | $15,000 | $0 | $15,000 |
| 123 Business | $475,000 | $50,000 | $500,000 | $25,000 | $0 | $25,000 |
| Total Subcontracts | $850,000 | $50,000 | $900,000 | $40,000 | $0 | $40,000 |
| Construction | $0 | $0 | $0 | $0 | $0 | $0 |
| Other | $0 | $155,000 | $155,000 | $0 | $45,000 | $45,000 |
| Total Direct Costs | $1,240,000 | $325,000 | $1,565,000 | $58,000 | $51,300 | $109,300 |
| Total Indirect Costs | $60,000 | $0 | $60,000 | $1,000 | $0 | $1,000 |
| Total Costs | $1,300,000 | $325,000 | $1,625,000 | $59,000 | $51,300 | $110,300 |
| Percentage | 80.00% | 20.00% | 100.00% | 53.49% | 46.51% | 100.00% |
| Mapping & Planning Budget | Federal Funds Granted | Proposed In-Kind | Total Budget | Federal Funds Expended (As of Dec 31) | Match Funds Expended (As of Dec 31) | Total Funds Expended (As of Dec 31) |
| Personnel Salaries | ||||||
| Personnel Fringe Benefits | ||||||
| Travel | ||||||
| Equipment | ||||||
| Materials/Supplies | ||||||
| Subcontracts | ||||||
| Construction | ||||||
| Other | ||||||
| Total Direct Costs | ||||||
| Total Indirect Costs | ||||||
| Total Costs | ||||||
| Percentage | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! |
| Mapping Budget | Federal Funds Granted | Proposed In-Kind | Total Budget | Federal Funds Expended (As of Dec 31) | Match Funds Expended (As of Dec 31) | Total Funds Expended (As of Dec 31) |
| Personnel Salaries | ||||||
| Personnel Fringe Benefits | ||||||
| Travel | ||||||
| Equipment | ||||||
| Materials/Supplies | ||||||
| Subcontracts | ||||||
| Construction | ||||||
| Other | ||||||
| Total Direct Costs | ||||||
| Total Indirect Costs | ||||||
| Total Costs | ||||||
| Percentage | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! | #DIV/0! |
| Planning Budget | Federal Funds Granted | Proposed In-Kind | Total Budget | Federal Funds Expended (As of Dec 31) | Match Funds Expended (As of Dec 31) | Total Funds Expended (As of Dec 31) |
| Personnel Salaries | ||||||
| Personnel Fringe Benefits | ||||||
| Travel | ||||||
| Equipment | ||||||
| Materials/Supplies | ||||||
| Subcontracts | ||||||
| Construction | ||||||
| Other | ||||||
| Total Direct Costs | ||||||
| Total Indirect Costs | ||||||
| Total Costs | ||||||
| Percentage | #VALUE! | #VALUE! | #VALUE! | #DIV/0! | #DIV/0! | #DIV/0! |
| Provider Name | Contacted? | NDA? | Partial Set? | Complete Set? | Verified? | |||||
| Summary Table | ||||||||||
| Broadband Providers Identified? | ||||||||||
| Broadband Providers Contacted? | ||||||||||
| Agreements Reached for Data Sharing (NDA, etc)? | ||||||||||
| Partial Data Sets Received? | ||||||||||
| Complete Data Sets Received? | ||||||||||
| Data Sets Verified? | ||||||||||
| Staffing | ||||||
| How many jobs have been created or retained as a result of this project? (Use the same figure that you utilized in your ARRA report). | ||||||
| When fully staffed, how many full-time equivalent (FTE) jobs do you expect to create or retain as a result of this project? | ||||||
| Title for each job that will be created or maintained as a result of this project | FTE % | Expected Date of Hire | ||||
| Please describe the status of each subcontract greater than $25,000. | Subcontractor #1 | Subcontract #2 | Subcontract #3 | Subcontract #4 | Subcontract #5 |
| Purpose of the subcontract. | |||||
| Enter Subcontractor Name Here. Enter "Not Selected" if no vendor has been selected. | |||||
| Has an RFP been released (if applicable)? (Y, N, NA). If so, when? | |||||
| Has the project team executed a contract with the selected vendor? (Y,N) | |||||
| If so, please complete the following: | - | - | - | - | - |
| Start/End dates of contract | |||||
| Contract Value | |||||
| a. Federal Portion | |||||
| b. In-Kind Portion |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |