Form FEMA Form 089-0-10 FEMA Form 089-0-10 Workbook Urban Search and Rescue Response System

National Urban Search and Rescue Grant Program

01-FF 089-0-10 BdgtNrrtve(REV FINAL 2015 11-9-15).xlsm

Narrative Statement Workbook, Urban Search Rescue Response System

OMB: 1660-0073

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1660-0073 can be found here:

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Overview

i - Purpose
1-Contents
2-SampleCoverLetter
3-Preparer & Contact Info
4-BUDGET SUMMARY
5-Purpose of Agreement
6-Administration & Management
7-Training
8-Equipment
9-Storage & Maintenance
10-Budget Totals
11-Position Descrips
12-Budget Clarification

Sheet 1: i - Purpose

Department of Homeland Security

OMB 1660-0073
Expires XXXXX

Federal Emergency Management Agency

URBAN SEARCH AND RESCUE RESPONSE SYSTEM

Task Force Narrative Workbook

PAPERWORK BURDEN DISCLOSURE NOTICE
FEMA Form 089-0-10

Public reporting burden for this data collection is estimated to average 4 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. This collection of information is required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW., Washington, DC 20472-3100, Paperwork Reduction Project (1660-0073) NOTE: Do not send your completed form to this address.

Purpose

The U.S. Department of Homeland Security (DHS) and the Federal Emergency Management Agency (FEMA) are accountable to provide support and funding for the maintenance and readiness of the National Urban Search and Rescue (US&R) Response System. The purpose of the Readiness Cooperative Agreement is to support the continued development and maintenance of a national urban search and rescue capability.

Specifically, the agreement provides a mechanism for distribution of Cooperative Agreement funding for certain purposes in preparation for US&R disaster response. The Cooperative Agreement allows each Sponsoring Agency of a US&R task force the opportunity to maintain a high standard and condition of operational readiness and includes guidance on key areas for task force management to focus on continued preparedness efforts.

The Cooperative Agreement provides direction to the US&R task force Sponsoring Agency for the use of funding to provide: administrative and program management, training, support, equipment cache procurement, maintenance and storage. This workbook is designed for use by the Sponsoring Agencies of all current task forces within the US&R Response System when applying for the US&R Readiness Cooperative Agreement solicitation.

For more specific information and instructions for submission, refer to the applicable Notice of Funding Opportunity (NOFO) package and Statement of Work.

Sheet 2: 1-Contents

*Urban Search & Rescue (US&R) Readiness Cooperative Agreement*
Task Force Narrative Workbook
CONTENTS




	Purpose…………………………………………………………………………….	i

	Contents……………………………………………………………………………	1

	Sample Cover Letter……………………………………………………………….	2

	Preparer & Contact Information (FEMA Form 089-0-10A)………………………	3

	Budget Summary (Detailed) (FEMA Form 089-0-10B)…………………………..	4

	Sample of "Purpose of Cooperative Agreement" from Task Force…………………	5

	Administration and Management (FEMA Form 089-0-10C)………………………	6

	Training (FEMA Form 089-0-10-10D)……………………………………………	7

	Equipment (FEMA Form 089-0-10E)……………………………………………..	8

	Storage & Maintenance (FEMA Form 089-0-10F)………………………………..	9

	Budget Totals……………………………………………………………………….	10

	Position Descriptions (FEMA Form 089-0-10H)………………………………….	11

	Form for Additional Budget Clarification Information (FEMA Form 089-0-10I)…	12




































1

Sheet 3: 2-SampleCoverLetter

SAMPLE COVER LETTER FOR COPERATIVE AGREEMENT APPLICATION

Month XX, 20XX

US Department of Homeland Security

Federal Emergency Management Agency

Grants Management Branch

Attn: Ms. Tawana Mack

800 K Street NW - Rm: S430-5

Washington, DC 20472

Dear Ms. Mack:

Enclosed is the US&R application of Your Sponsoring Agency Name for the year 2015 Department of Homeland Security/FEMA, Urban Search & Rescue Cooperative Agreement for a total of $XXX,XXX.

The following items have been completed electronically within ND Grants:

1. Application for Federal Assistance, SF 424

2. Budget Information-Non Construction Programs FEMA form SF 424A

3. Summary sheet for Assurances and Certifications, SF 424 B

4. SF GG/SF LLL - Lobbying Activities

The following are included in the Narrative Statement (FEMA Wkbk 089-0-10) and attached with the Application:

5. Preparer & Contact Information Sheet

6. Budget Narrative (Budget Summary Sheet, four cost categories and Budget Totals)

7. Position Descriptions for all Staff paid by the Cooperative Agreement

The following are submitted as additional attachments:

8. Single Audit Report for 20XX/Corrective Action Plan

9. Indirect Cost Rate Agreement

10. Specifications for all rolling transportation

11. Pre-Award Cost Request and Approval

Please call “Your Point of Contact” at (XXX) XXX-XXX or email at johndoe@wa.us or “Alternate Point of Contact” (XXX) XXX-XXXX or email at janedoe@wa.us for any other information that you may need.

Sincerely,

Your Agency Head

Title

Agency

(update/modify highlighted sections check all applicable boxes)

Sheet 4: 3-Preparer & Contact Info

PREPARER INFORMATION
PREPARER INFORMATION




Preparer
Prefix
First Name
Middle Name
Last Name
Title
Agency/Organization
Address 1
Address 2
City
State
Zip
Phone
Fax
E-mail




CONTACT INFORMATION
CONTACT INFORMATION


Point of Contact
Prefix
First Name
Middle Name
Last Name
Title
Agency/Organization
Address 1
Address 2
City
State
Zip
Phone
Fax
E-mail


APPLICANT INFORMATION
APPLICANT INFORMATION


Applicant
Task Force
Organization Name
Employer Identification Number
DUNS Number
Address 1
Address 2
City
County
State
Zip
Country
Submission Date
Type of Applicant
Congressional District Applicant
Congressional District Project
Authorized Representative First Name
Authorized Representative Middle Name
Authorized Representative Last Name
Authorized Representative Title
Authorized Representative Phone Number
Applicant Identifier (if applicable)
State Applicant Identifier (if applicable)
Organizational Unit:
Department:
Division:
Made available for EO 12372 (Answer Y or N )
Date Reviewed If applicable)
"Y" for not covered "N" for not selected

Sheet 5: 4-BUDGET SUMMARY

COOPERATIVE AGREEMENT BUDGET SUMMARY
BUDGET SUMMARY
Grant Program Function or Activity (a)	Catalog of Federal Domestic Assistance Number (b)	Estimated Unobligated Funds		New or Revised Budget
Grant Program Function or Activity (a)	Catalog of Federal Domestic Assistance Number (b)	Federal (c)	Non-Federal (d)	Federal (e)	Non-Federal (f)	Total (g)
1. US&R Readiness Cooperative Agreement	97.025	0.00	0.00	0.00	$	0.00
2.						0.00
3.						0.00
4.						0.00
5. Totals		$0.00	$0.00	$0.00	$0.00	$0.00
BUDGET CATEGORIES
6. Object Class Categories		GRANT PROGRAM, FUNCTION OR ACTIVITY				Total (5)
6. Object Class Categories		(1)Admin. & Mgmnt.	(2) Training	(3) Equipment	(4) Storage & Maint.	Total (5)
a. Personnel		$0.00	$0.00	$0.00	$0.00	$0.00
b. Fringe Benefits		0.00	0.00	0.00	0.00	0.00
c. Travel		0.00	0.00	0.00	0.00	0.00
d. Equipment		0.00	0.00	0.00	0.00	0.00
e. Supplies		0.00	0.00	0.00	0.00	0.00
f. Contractual		0.00	0.00	0.00	0.00	0.00
g. Construction		N/A	N/A	N/A	N/A	N/A
h. Other		0.00	0.00	0.00	0.00	0.00
i. Total Direct Charges (sum of 6a-6h)		0.00	0.00	0.00	0.00	0.00
j. Indirect Charges		0.00	0.00	0.00	0.00	0.00
k. TOTALS (sum of 6i and 6j)		$0.00	$0.00	$0.00	$0.00	$0.00

7. Program Income		$	$	$	$	$


NON-FEDERAL RESOURCES
(a) Grant Program			(b) Applicant	(c) State	(d) Other Sources	(e) TOTALS
8.			$	$	$	$0.00
9.						0.00
10.						0.00
11.						0.00
12. TOTAL (sum of lines 8-11)			$0.00	$0.00	$0.00	$0.00
FORECASTED CASH NEEDS
13. Federal		Total for 1st Year	1st Quarter	2nd Quarter	3rd Quarter	4th Quarter
13. Federal		$0.00	$	$	$	$
14. Non-Federal		0.00
15. TOTAL (sum of lines 13 and 14)		$0.00	$0.00	$0.00	$0.00	$0.00
BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
(a) Grant Program			FUTURE FUNDING PERIODS (Years)
(a) Grant Program			(b) First	(c) Second	(d) Third	(e) Fourth
16.			$	$	$	$
17.
18.
19.
20. TOTAL (sum of lines 16-19)			$0.00	$0.00	$0.00	$0.00
OTHER BUDGET INFORMATION
21. Direct Charges:			22. Indirect Charges:
23. Remarks:

Sheet 6: 5-Purpose of Agreement

National Urban Search & Rescue Response System
US&R Task Force Readiness Cooperative Agreement Budget Narrative
Purpose of Agreement

The purpose of this Readiness Cooperative Agreement is to continue the development and maintenance of National Urban Search and Rescue (US&R) Response System resources to be prepared for mission response and to provide qualified personnel in support of Emergency Support Function-9 (ESF-9) activities under the National Incident Management System (NIMS) and the National Response Framework (NRF).

Casey, Wanda: Our Task Force agrees to manage the continued development and maintenance of this National US&R Response System resource. We will be prepared to provide qualified, competent US&R personnel in support of ESF-9 activities under the National Response Framework. Specifically, the FY2015 US&R Notice of Funding Opportunity and the accompanying budget narrative provides our plan to accomplish our objectives identified by DHS/FEMA. This work plan identifies the key areas that our Task Force will focus its continued readiness efforts. These key areas are admistrative and program management, training, support, equipment cache preparedness, maintenance and storage. These key areas are detailed in the Grant Guidance/Statement of Work. This Cooperative Agreement will allow our Task Force to maintain a high standard and condition of operational readiness. It is the intent of our Task Force to comply with the US&R Response System FY 2015 US&R Notice of Funding Opportunity throughout the duration of this agreement.

While portions of the FY2015 US&R Notice of Funding Opportunity are included in the budget narrative, we acknowledge compliance with the FY2015 Notice of Funding Opportunity in its entirety.

Sheet 7: 6-Administration & Management

ADMINISTRATION & MANAGEMENT

Task Force General Comments

Our Task Force will accomplish the goals set forth in the DHS-FEMA statement of work, guidance, and directives provided by the Urban Search & Rescue Program Office. The costs for the Administration & Management portion of this budget/narrative will be addressed in this section and will cover costs for a maximum amount of time of 12 months, and the costs will occur within the 36 month period of performance. The cost details will be provided in the object classes within this Program Category. The Administrative/Management personnel under this Readiness Cooperative Agreeement is responsible for the day-to-day operations of the Task Force and will be responsible to ensure that all management, administration and operational requirements are accomplished. Our Task Force will attempt to maintain the preparedness of the Task Force under this Readiness Cooperative Agreement, in order to provide critical emergency response services as one of the 28 teams for the National Urban Search and Rescue Response System under the Response Cooperative Agreement. Funding for any deployments will be handled under the Response Cooperative Agreement.

Total Administration & Management Cost

Personnel Salaries & Fringe Benefits

Notes for Personnel Salaries and Fringe Benefits Section

The US&R Task Force will provide sufficient staff for management and administration of the Task Force day- to-day activities to accomplish required supervisory, administrative, training and logistical duties. Specifically: program management; grants management; financial management; administrative support; training coordination and instruction; logistics management and property accountability. This shall include, but is not limited to, funding personnel salaries relating to Task Force development and management; record-keeping, inventory and maintenance of the US&R Equipment Caches; correspondence with Task Force members and parties who support Task Force activities; along with similar management and administrative tasks.

National Meetings:

Provide the staffs' salary, benefits, and also note any cost of living increases (percentage and amount) below that will be paid under the Readiness Cooperative Agreement. There is a drop down menu for the staff positions, and any additional staff not noted can be added. If a staff position is part time, please provide the hours and hourly rate in the Personnel box below to clarify the time to be allotted, e.g., one day a week, 40 hours a month at a rate of $45.00 per hour , etc. If overtime hours are listed, please note them as a separate line item below. Put the total amount under salary. Note the hourly rate in the clarification box.

Operations Group Meeting

Task Force Representatives’ Meeting

Work Group Meetings

Task Force Representatives’ Meeting

Personnel Salaries and Fringe Benefits

On-Site Peer Evaluation (Peer Evaluators)

Staff Position

Name

Full/Part Time

Overtime Hours

Salary Dates (Current)

Salary Dates (Prior)

Fringe Benefits

Salary

Total

Strategic Group Meeting

Grant Workshop

Sponsoring Agency Chiefs' Meeting

Other Authorized Travel

If other, list here

Totals

Personnel Salaries

Cost Basis:

Please mark appropriate box(es) below.

The area below is for any additional notes the Task Force may need to add for clarifying the paid staff positions. If the position is part-time list the hours, and hourly rate. Also there is a separate area (Tab 11) for the position descriptions for each staff position listed, or position descriptions may be added as an attachment.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Fringe Benefits

Cost Basis:

Please mark appropriate box(es) below.

The area below is to state the total percentage (e.g., 23%) for the Fringe Benefits (if applicable) and list the items (e.g., health, dental, workers' comp) that are included.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Travel

Notes for Travel Section

Attend DHS/FEMA-sponsored or DHS/FEMA-approved US&R meetings, conferences, and training sessions, to include Task Force Leader meetings, Advisory Organization Meetings, Ad Hoc Groups and Sub-Groups, Incident Support Team (IST) training/meetings, workshops, or others as directed by the US&R Program Office as they relate to the National US&R Response System. Other activities include on-site peer Administrative Readiness Evaluation (ARE) of other Task Forces, quality assurance oversight of FEMA-sanctioned training courses, training with other Task Forces, grants management training, and research and development for equipment, as directed by the US&R Program Office. Based on approval by the US&R Program Office and available funding, Task Forces can use funds to cover travel for product research and development efforts, thereby keeping apprised of cutting edge technology for equipment used within the System.

There are also miscellaneous meetings that are required due to the dynamic program. Costs can be provided in detail or by trip costs, and a detail of the costs should be listed in the comments sections, that will show how you arrived at the trip total. The costs listed below are estimates due to travel locations that are unknown at the time of application. It is at this time when costs are generally based on historical data. There are drop down menus for some of the meetings, and you can add others that are in line with the statement of work. The drop down menu in the section below includes all events, allowing you the flexibility to account for your travel costs in this section Admin/Management Program Category or the Training Program Category. The Task Force is authorized to reallocate funds between Admin/Management travel and Training travel without requesting a budget change authorization. However, this change must be reflected in your Performance Report and note the reason(s) for the change.

Travel

Event Title

No. of Personnel

No. of Trips

Cost Per Person

Lump Sum

If other, list here

Total

Travel

Cost Basis:

Please mark appropriate box(es) below.

Briefly describe breakdown of travel Cost Per Person. Provide examples of "other authorized travel" if selected above.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

This narrative box has character limitations. For additional clarification use tab 12

Other

(List here):

Equipment

Notes for Equipment Section

Purchase of office furniture and equipment specifically for administrative purposes are allowable under this Cooperative Agreement. This shall include, but is not limited to, laptops and desktop computers, cellular telephones/wireless PDAs, printers, scanners, copy machines, desks, book shelves, etc. The costs noted in this area are for the purchase of equipment and not service agreements, which should be included under contractual or other. Rolling or floating transportation will require specifications as part of the application and should be listed under the Equipment Program Category. The general definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000.

Equipment

These are the items our Task Force anticipates requiring for this Cooperative Agreement for the equipment object class under the Administration/Management Program Category. However, due to the dynamic program, the requirements for these items (within the amount approved at time of award for this object class) may change. Any changes to listed items will be reflected in the Performance Reports, with the reason for the change noted and the Task Force will not be required to submit a budget change if items are on the approved cache lists, authorized by program guidance or directives.

Item Description

Cache #

Unit Cost

No. of Units

Total Cost

Total

Equipment

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for equipment costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

This narrative box has character limitations. For additional clarification, use tab 12.

Other

(List here):

Supplies

Notes for Supplies Section

In the below area, provide an approximate listing of the supplies necessary for the administration/management of this cooperative agreement. Supply items/costs that should be listed are items to support the administration/management of the Task Force and other then what the equipment definition states as follows: The general definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000. However, due to the dynamic program, the requirements for these items (within the amount approved at time of award for this object class) may change. Any changes to the listed items will be reflected in the Performance Reports, including the reason for the change(s) noted.

Supplies

These are the items we anticipate requiring for this Cooperative Agreement. However, due to the dynamic program, requirement of these items may change and any changes will be reflected in the Performance Reports, with the reason for the change noted.

Item

Cache #

Unit Cost

No. of Units

Total cost

Total

Supplies

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for supply costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

This narrative box has character limitations. For additional clarification, use tab 12.

Other

(List here):

Contractual

Notes for Contractual Section

In the area below, list any contractual costs for medical exams, services, rentals, etc. The Task Force will ensure that Task Force Medical Screening will take place in accordance with Program Directive 2005-008 or a more current revised directive issued by the US&R Program Office.

Contractual

Service

Quantity

Unit Cost

Total Cost

Total

Contractual

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for contractual costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification, use tab 12.

Other

Notes for Other Section

This area will cover any miscellaneous items that are not covered in the other object classes and are allowable within the Statement of Work.

Item

Quantity

Unit Cost

Total Cost

Total

Other

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for other costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

This narrative box has character limitations. For additional clarification, use tab 12.

Other

(List here):

Indirect Costs

Notes for Indirect Costs Section

Indirect Costs can only be listed if there is an Indirect Cost Rate Agreement that has been approved by a cognizant Federal Agency. A copy of the Indirect Cost Rate Agreement should accompany the application. The Indirect Cost Rate Agreement you provide should state what category or categories the Indirect Costs are based on, ie equipment, salaries, all expenses, etc. The information provided below should list the description of the cost category for the base, the amount on which it's based, the percentage, and the total. The rate or amount approved at time of award will prevail thru the term of the Cooperative Agreement.

Indirect Costs

Item/Category

Item Description

Base Amount

Percentage

Total Cost

Total

Indirect Costs

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for indirect costs below. Please advise who is the Cognizant Federal Agency and the date of approval.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification, use tab 12.

Sheet 8: 7-Training

TRAINING

Task Force General Comments

This Program Category covers the costs for the training portion of this Readiness Cooperative Agreement. The training portion of this budget/narrative will cover costs for a maximum amount of time of 12 months, and will be accomplished within the 36 month period of performance. This Task Force intends to maintain a deployable Task Force and will provide the required training to insure mission readiness, safety, and management of the Task Force. The training will be accomplished in accordance with the Urban Search & Rescue Program Office statement of work, program guidance, directives, and will also include training to meet the NIMS compliance requirements. The training cost details will be provided in the below object classes under this Program Category. Our Task Force will attempt to maintain the preparedness of the Task Force under this Readiness Cooperative Agreement, in order to provide critical emergency response services as one of the 28 teams for the National Urban Search and Rescue Response System. Funding for any deployments will be handled under the Activation Cooperative Agreement. The below list of training and costs covers what is anticipated for this Readiness Cooperative Agreement. Due to the dynamic program, training scheduling and requirement changes, some of the training listed may require revisions. Any changes will be noted within the Performance Reports, and will include the change and the reason for the change. It will not require a budget adjustment as long as the change is within the Program Category total as noted at time of award, and is an approved training requirement within the statement of work, program guidance, and directives. The only exception to this is the movement of travel funds between the Administration/Managment Program Category and the Training Program Category, which can be accomplished without requiring a budget change, however, it must be noted in the Performance Reports, with the change and the reason for the movement of funds.

Staff Positions

Administrative Specialist

Financial Grants Manager

Grant Manager

Logistics Coordinator

Program Manager

Total Training Cost

Training Coordinator

Training Manager

Personnel Salaries & Fringe Benefits

Full-Time

Part-Time

Notes for Personnel Salaries and Fringe Benefits Section

The Task Force can use this category to account for the salaries of Task Force Members attending US&R-related, US&R required, and local training as well as salaries for the training coordinator. This includes, but is not limited to, functional training, mobilization training, local training for the program, grants management training, training with other task forces, research and development for equipment, and other DHS/FEMA approved training events, or training related to the requirements of the US&R program, as approved by the Program Manager/Grants Assistance Officer. This may also include backfill expenses for the individual(s) attending training. If specific costs are unknown, give estimated salary hours and average salary rate. If specific dates are unknown, provide estimated time frame (e.g., 1 day per week/month, etc.). If overtime hours are listed, please note them as a separate line item below. Put the total amount under salary. Note the hourly rate in the clarification box.

Functional Training Courses:

All Courses/Meetings

Canine Search Specialist

Communications Specialist

Heavy Equipment & Rigging Specialist

Grants Manager Training

Technical Information Specialist

Logistics Specialist

Personnel Salaries and Fringe Benefits

Technical Search Specialist

Medical Specialist

Staff Position

Training Event Description

Full/Part Time

Overtime Hours

Date Salary Charged

Fringe Benefits (If Applicable)

Salary

Total

Planning Specialist

National Meetings:

Safety Officer

On-Site Peer Evaluation

Structural Collapse Technician

Operations Group Meeting

Task Force Leader

Task Force Representatives’ Meeting

Task Force Safety Officer

Work Group Meetings

Technical Information Specialist

Technical Search Specialist

Other Authorized Travel

Add'l Notes

Task Force Representatives’ Meeting (usually planned adjacent to Ops Group Meeting)

On-Site Peer Evaluation (Peer Evaluators)

(Events take place in different locations)

Cost Basis

Union Agreements

City/County/Organization Negotiated Agreements

Totals

Historical Data

Bids/Quotes

Personnel Salaries

Cost Basis:

Please mark appropriate box(es) below.

Costs are in Comparison with other TFs for Similar Tasks or Items

The area below is to provide additional notes the Task Force may need to add for clarifying the range of salary rates used to develop the average hourly costs.

Other

Union Agreements

Cache List

City/County/Organization Negotiated Agreements

Communications

Haz Mat/WMD

Historical Data

Logistics

Medical

Bids/Quotes

Planning

Rescue

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Technical

Water

Other

(List here):

N/A

This narrative box has character limitations. For additional clarification use tab 12

Fringe Benefits

Cost Basis:

Please mark appropriate box(es) below.

The area below is to state the total percentage (e.g., 23%) for the Fringe Benefits (if applicable) and list the items (e.g., health, dental, workers' comp) that are included.

Union Agreements

Program Manager

City/County/Organization Negotiated Agreements

Grant Manager

Administrative Specialist

Historical Data

Training Manager

Cache Manager

Bids/Quotes

Logistics Manager

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Full-Time

Part-Time

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Travel

Notes for Travel Section

Attend DHS/FEMA-sponsored or DHS/FEMA-approved US&R meetings, conferences, and training sessions, to include Task Force Leader meetings, the Advisory Organization Meetings, Incident Support Team (IST) training/meetings, workshops, or others as directed by the US&R Branch as they relate to the National US&R Response System. Other activities include on-site peer Administrative Readiness Evaluations (AREs) of other US&R Task Forces, quality assurance oversight of FEMA-sanctioned training courses, training with other Task Forces, grants management training, and research and development for equipment, as directed by the US&R Branch. Based on approval by the US&R Branch and available funding, Task Forces can use funds to cover travel for product research and development efforts, thereby keeping apprised of cutting edge technology for equipment used within the System.

There are also miscellaneous meetings that are required due to the dynamic program. Costs can be provided in detail or by trip costs, and a detail of the costs should be listed in the comments sections, that will show how you arrived at the trip total. The costs listed below are estimates due to travel locations are unknown at the time of application. It is at this time when costs are generally based on historical data. There are drop down menus for some of the meetings/training, and you can add others that are in line with the statement of work, program guidance, and directives. This will allow you the flexibility to account for your travel costs in this section (Training) or Admin/Management categories. The Task Force is authorized to reallocate travel funds between Admin/Management travel and Training travel without requesting a budget change authorization. However, any changes must be reflected in your Performance Report, with an explanation on the reason(s) for the change.

Travel

Event Title

No. of Personnel

Cost Per Person

Lump Sum

If other, list here

Total

Travel

Cost Basis:

Please mark appropriate box(es) below.

Briefly describe breakdown of travel Cost Per Person. Provide examples of "other authorized travel" if selected above.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Equipment

Notes for Equipment Section

Purchase of equipment specifically for training, to include props, training materials, training facility expenses, etc. are allowable under this Cooperative Agreement. The costs noted in this area are for the purchase of equipment and not service agreements, which should be included under contractual or other. Rolling or floating transportation, if allowable, will require specifications/approval as part of the application.
The general definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000.

Equipment

These are the items our Task Force anticipates requiring under this Cooperative Agreement for the equipment object class under the Training Program Category. However, due to the dynamic program, the requirements for these items (within the amount approved at time of award for this object class) may change. Any changes to listed items will be reflected in the Performance Reports, noting the reason for the change and the Task Force will not be required to submit a budget change if items are on the approved cache lists, authorized by program guidance or directives. Rolling or floating equipment requires the specifications to be submitted to the Program Office/Grants Assistance Officer for prior approval.

Item Description

Item #

Cache #

Unit Cost

No. of Units

Total Cost

Total

Equipment

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for equipment costs below.

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Supplies

Notes for Supplies Section

In the area below, provide an approximate listing of the supplies necessary for preparing and/ or delivery of training within this cooperative agreement. Supply items/costs that should be listed are items other then what the equipment definition states as follows: The general definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000.

Supplies

These are the items our Task Force anticipates requiring under this Cooperative Agreement. However, due to the dynamic program, the requirements for these items may change and any changes will be reflected in the Performance Reports, with the reason for the change noted. A budget change is not required to be submitted if the costs in this category if costs remain the same and items are allowable under the Grant Guidance, current Cache List and official documentation from the US&R Branch.

Item

Cache #

Unit Cost

No. of Units

Total Cost

Total

Supplies

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for supply costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

This narrative box has character limitations. For additional clarification use tab 12

Other

(List here):

Contractual

Notes for Contractual Section

In the area below, list any supporting information for the contractual costs of services, rentals, etc., as it pertains to training.

Contractual

Service

Quantity

Unit Cost

Total Cost

Total

Contractual

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for contractual costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

This narrative box has character limitations. For additional clarification use tab 12

Other

(List here):

Other

Notes for Other Section

This area will cover any miscellaneous items that are are training-related and allowable under the Statement of Work but not covered in the other object classes.

Other (If Applicable)

Item

Quantity

Unit Cost

Total Cost

Total

Other

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for other costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

This narrative box has character limitations. For additional clarification use tab 12

Other

(List here):

Indirect Costs

Notes for Indirect Costs Section

Indirect Costs can only be provided if there is an Indirect Cost Rate Agreement that has been approved by a cognizant Federal Agency. A copy of the Indirect Cost Rate Agreement should accompany the application. The Indirect Cost Rate Agreement that you provide should state what category or categories the Indirect Costs are based on, ie equipment, salaries, all expenses, etc. The information provided below should list the description of the cost category for the base, the amount on which it's based, the percentage, and the total. The rate or amount approved at time of award will prevail thru the term of the Cooperative Agreement.

Indirect Costs

Item/Category

Item Description

Base Amount

Percentage

Total Cost

Total

Indirect Costs

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for indirect costs below. Please advise who is the Cognizant Federal Agency and the date of approval.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List Here):

This narrative box has character limitations. For additional clarification use tab 12

Sheet 9: 8-Equipment

EQUIPMENT

Task Force General Comments

This Program Category covers the costs for the equipment portion of the Readiness Cooperative Agreement for our Task Force. The period of performance covers a 36 month period to accomplish the work in this area. Our Task Force intends to maintain a deployable Task Force and will provide the required equipment to insure mission readiness, safety, and management of the Task Force. The equipment will be purchased in accordance with the requirements of the Urban Search & Rescue Program Office statement of work, current cache list, and official guidance from the US&R Program Office. The equipment and supporting cost details will be provided in the below object classes under this Program Category. Our Task Force will attempt to maintain the preparedness of the Task Force under this Readiness Cooperative Agreement, in order to provide critical emergency response services as one of the 28 teams for the National Urban Search and Rescue Response System.

Staff Positions

Administrative Specialist

Financial Grants Manager

Grant Manager

The below list of equipment and costs covers what is anticipated for this Readiness Cooperative Agreement. Due to the dynamic program, training scheduling and requirement changes, some of the equipment listed may require revisions. Any changes will be noted within the Performance Reports, and will include the change and the reason for the change. It will not require a budget adjustment as long as the change is within the Program Category total as noted at time of award, and is an approved equipment requirement within the statement of work, current cache list, and official guidance from the US&R Program Office.

Logistics Coordinator

Logistics Manager

Program Manager

Training Coordinator

Total Equipment Cost

Training Manager

Full-Time

Personnel Salaries & Fringe Benefits

Part-Time

Notes for Personnel Salaries and Fringe Benefits Section

Functional Training Courses:

All Courses/Meetings

The Task Force can use this category to account for the salaries of Task Force Members who perform duties related to maintenance of US&R equipment and vehicles. This may also include backfill expenses for individual(s) who are working with the cache. If specific costs are unknown, give estimated salary hours and average salary rate. If specific dates are unknown, provide estimated time frame (e.g., 1 day per week/month, etc.). If overtime hours are listed, please note them as a separate item below. Put the total amount under salary. Note the hourly rate in the clarification box.

Canine Search Specialist

Communications Specialist

Heavy Equipment & Rigging Specialist

Grants Manager Training

Incident Support Team

Haz Mat Specialist

Technical Search Specialist

Heavy Equipment & Rigging Specialist

Personnel Salaries and Fringe Benefits

Logistics Specialist

Staff Position

Full/Part Time

Overtime Hours

Date Salary Charged

Fringe Benefits (If Applicable)

Salary

Totals

National Meetings:

Medical Specialist

On-Site Peer Evaluation

Operations Group Meeting

Task Force Leaders’ Meeting

Planning Specialist

Working Group Meetings

Safety Officer

Structural Collapse Technician

Task Force Leader

Add'l Notes

Task Force Leaders’ Meeting

Task Force Leaders’ Meeting (usually planned adjacent to Ops Group Meeting)

Task Force Safety Officer

On-Site Peer Evaluation (Peer Evaluators)

Technical Information Specialist

(Events take place in different locations)

Technical Search Specialist

Working Group Meetings

Cost Basis

Other Authorized Travel

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Totals

Bids/Quotes

Costs are in Comparison with other TFs for Similar Tasks or Items

Personnel Salaries

Cost Basis:

Please mark appropriate box(es) below.

Other

The area below is to provide additional notes the Task Force may need to add for clarifying the range of salary rates used to develop the average hourly costs.

Union Agreements

Cache List

Communications

City/County/Organization Negotiated Agreements

Haz Mat/WMD

Logistics

Historical Data

Medical

Planning

Bids/Quotes

Rescue

Technical

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Water

N/A

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Fringe Benefits (If Applicable)

Cost Basis:

Please mark appropriate box(es) below.

The area below is to state the total percentage (e.g., 23%) for the Fringe Benefits (if applicable) and list the items (e.g., health, dental, workers' comp) that are included.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Travel

Notes for Travel Section

Travel in this category would cover costs relating to quality assurance on equipment or vehicle, or any other travel related to cache management within the scope of the Grant Guidance. Please note: These expenses can be reflected within the Administrative/Management or Training travel category instead. Costs can be provided in detail or by trip costs, and a detail of the costs should be listed in the comments sections, that will show how you arrived at the trip total. The costs listed below are estimates due to travel locations that are unknown at the time of application. It is at this time when costs are generally based on historical data. There are drop down menus for some of the meetings, and you can add others that are in line within the Statement of Work.

Travel (If Applicable)

Event Title

No. of Personnel

Cost Per Person

No. of Trips (approx.)

Total Cost

If other, list here

Total

Travel

Cost Basis:

Please mark appropriate box(es) below.

Briefly describe breakdown of travel Cost Per Person. Provide examples of "other authorized travel" if selected above.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Equipment

Notes for Equipment Section

Your agency is authorized to purchase equipment as listed in the approved DHS/FEMA 2015 US&R Task Force Equipment Cache List, or any subsequently approved DHS/FEMA US&R Equipment list. Task Force personnel are reminded and directed not to exceed quantity and/or cost caps as listed on the cache list. Task Force must follow department procurement regulations, which are in accordance with 2 CFR Part 200 to ensure reasonable prices are obtained. The US&R Program Office and the Grants Office Assistance Officer must provide written approval for any other equipment not identified on approved cache list(s), in program guidance, or specifications. Those Task Forces who maintain an IST Medical Cache are to include the appropriate amount below for replacement of equipment and pharmaceuticals.

However, due to the dynamic program, the requirements for these items (within the amount approved at time of award for this object class) may change. Any changes to listed items will be reflected in the Performance Reports, noting the reason for the change and the Task Force will not be required to submit a budget change if items are on the approved cache lists, noted in the statement of work, or authorized by program guidance or directives. Rolling or floating equipment requires the specifications to be submitted to the US&R Branch/Grants Assistance Officer for prior approval. The general definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000.

Equipment

These are the items our Task Force anticipates requiring for this Cooperative Agreement under the equipment object class within the Equipment Program Category. However, due to the dynamic program, the requirements for these items (within the amount approved at time of award for this object class) may change. Any changes to listed items will be reflected in the Performance Reports, noting the reason for the change and the Task Force will not be required to submit a budget change if items are on the approved cache lists, authorized by program guidance or directives. Rolling or floating equipment requires the specifications and budget information to be submitted to the Program Office/Grants Assistance Officer for prior approval.

Item Description

Item #

Cache #

Unit Cost

No. of Units

Total Cost

Total

Equipment

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for equipment costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Supplies

Notes for Supplies Section

In the area below, provide an approximate listing of necessary supplies. Supply items/costs that should be listed are items other then what the equipment definition states as follows: The general definition of ‘‘Equipment’’ out of the CFR is: "Equipment" means an article of nonexpendable, tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds the lesser of the capitalization level established by the governmental unit for financial statement purposes, or $5000. However, due to the dynamic program, the requirements for these items (within the amount approved at time of award for this object class) may change. Any changes to the listed items will be reflected in the Performance Reports, including the reason for the change(s) noted.

Supplies

These are the items our Task Force anticipates requiring under this Cooperative Agreement. However, due to the dynamic program, the requirements for these items may change and any changes will be reflected in the Performance Reports, with the reason for the change noted. A budget change is not required to be submitted for approval if the costs in this object class remain as approved at time of award and the items are allowable in accordance with the statement of work, program guidance and directives.

Item

Cache #

Unit Cost

No. of Units

Total Cost

Total

Supplies

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for supply costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Contractual

Notes for Contractual Section

In the area below, list any supporting information for the contractual costs of services, rentals, etc., for equipment.

Contractual

Service

Quantity

Unit Cost

Total Cost

Total

Contractual

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for contractual costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Other

Notes for Other Section

This area will cover any miscellaneous items that are are equipment-related and allowable under the Statement of Work but not covered in the other object classes.

Other

Item

Quantity

Unit Cost

Total Cost

Total

Other

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for other costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Indirect Costs

Notes for Indirect Costs Section

Indirect Costs can only be provided if there is an Indirect Cost Rate Agreement that has been approved by a cognizant Federal Agency. A copy of the Indirect Cost Rate Agreement should accompany the application. The Indirect Cost Rate Agreement that you provide should state what category or categories the Indirect Costs are based on, i.e., equipment, salaries, all expenses, etc. The information provided below should list the description of the cost category for the base, the amount on which it's based, the percentage, and the total. The rate or amount approved at time of award will prevail thru the term of the Cooperative Agreement.

Indirect Costs

Item/Category

Item Description

Base Amount

Percentage

Total Cost

Total

Indirect Costs

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for indirect costs below. Please advise who is the Cognizant Federal Agency and the date of approval.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Sheet 10: 9-Storage & Maintenance

STORAGE & MAINTENANCE

Task Force General Comments

This Program Category covers the costs for the storage/maintenance portion of this Readiness Cooperative Agreement. The costs for the Storage/Maintenance portion of this budget/narrative will be addressed in this section and will cover costs for a maximum amount of time of 12 months for any warehouse lease or maintenance costs for the equipment/vehicles, and the costs will occur within the 36 month period of performance. Our Task Force intends to provide the required storage and maintenance for the equipment to insure mission readiness, safety, and management of the Task Force. The storage and maintenance will be in accordance with the requirements of the Urban Search & Rescue Program Office statement of work, program guidance, and directives. The supporting cost details will be provided in the below object classes under this Program Category.

Our Task Force will attempt to maintain the preparedness of the Task Force under this Readiness Cooperative Agreement, in order to provide critical emergency response services as one of the 28 teams for the National Urban Search and Rescue Response System. The below list of costs covers what is anticipated for this Readiness Cooperative Agreement. Minor renovations are allowed for the warehouse and they will not change the footprint of the facility.

Cache List

Communications

Haz Mat/WMD

Logistics

Total Storage & Maintenance Cost

Medical

Planning

Rescue

Personnel Salaries & Fringe Benefits

Technical

Water

Notes for Personnel Salaries and Fringe Benefits Section

N/A

The Task Force can use this category to account for the salaries of Task Force Members who perform duties related to storage & maintenance. This may also include backfill expenses for individual(s) who are working with related projects. If specific costs are unknown, give estimated salary hours and average salary rate. If specific dates are unknown, provide estimated time frame (e.g., 1 day per week/month, etc.). If overtime hours are listed, please note them as a separate line item below. Put the total amount under salary. Note the hourly rate in the clarification box

Personnel Salaries and Fringe Benefits

Staff Position

Full/Part Time

Overtime Hours

Date Salary Charged

Fringe Benefits (If Applicable)

Salary

Totals

Totals

Personnel Salaries

Cost Basis:

Please mark appropriate box(es) below.

The area below is to provide additional notes the Task Force may need to add for clarifying the range of salary rates used to develop the average hourly costs.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Fringe Benefits

Cost Basis:

Please mark appropriate box(es) below.

The area below is to state the total percentage (e.g., 23%) for the Fringe Benefits (if applicable) and list the items (e.g., health, dental, workers' comp) that are included.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Travel

Notes for Travel Section

This section can be used for those travel items related to storage, maintenance and/or equipment (e.g., mileage, etc.) allowable within the scope of the Statement of Work. Please note: These expenses can be reflected within the Administrative/Management travel category instead. Costs can be provided in detail or by trip costs, and a detail of the costs should be listed in the comments sections, that will show how you arrived at the trip total. The costs listed below are estimates due to travel locations that are unknown at the time of application. It is at this time when costs are generally based on historical data. There are drop down menus for some of the meetings, and you can add others that are in line within the Statement of Work.

Travel (If Applicable)

Event Title

No. of Personnel

Cost Per Person

Number of Trips

Total Cost

If other, list here

Total

Travel

Cost Basis:

Please mark appropriate box(es) below.

Briefly describe breakdown of travel Cost Per Person. Provide examples of "other authorized travel" if selected above.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Equipment

Notes for Equipment Section

This section may be used to reflect expenses related purchasing, maintenance and repair of equipment and vehicles, as approved by DHS/FEMA and within the scope of the Statement of Work. Your Task Force is authorized to purchase equipment as listed in the approved DHS/FEMA 2015 US&R Task Force Equipment Cache List, or any subsequently approved DHS/FEMA US&R Equipment list. Task Force personnel are reminded and directed not to exceed quantity and/or cost caps as listed on the cache list. Task Force must follow department procurement regulations, which are in accordance with 2 CFR Part 200 to ensure reasonable prices are obtained. The US&R Program Office and the Grants Office Assistance Officer must provide written approval for any other equipment not identified on approved cache list(s). Those Task Forces who maintain an IST Medical Cache are to include the appropriate amount below for replacement of equipment and pharmaceuticals. Please note: These expenses can be reflected within the Equipment category instead.

Equipment

Item Description

Item #

Cache #

Unit Cost

No. of Units

Total Cost

Total

Equipment

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for equipment costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Supplies

Notes for Supplies Section

Supplies

Item

Cache #

Unit Cost

No. of Units

Total cost

Total

Supplies

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for supply costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

This narrative box has character limitations. For additional clarification use tab 12

Other

(List here):

Contractual

Notes for Contractual Section

In the area below, list any supporting information for the contractual costs of services, rentals, etc., as it pertains to the maintenance and/or lease of storage facilities and associated US&R equipment and supplies. Under the quantity for leases please include the square footage of the warehouse. This section can also include costs for planning, engineering and other costs for development, maintenance, minor construction, upgrades, minor renovations and modifications, etc. of the existing warehouse/training facilities that do not change the footprint of the structures. Any costs for upgrades to existing warehouse facilities associated with this funding must be included and be approved by the Program Office and Grants Assistance Officer. This Cooperative Agreement may not be used for funding new capital construction.

Contractual

Service

Prior Coverage Dates

Lease Begin Date

Lease End Date

Quantity

Unit Cost

Total Cost

Total

Contractual

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for contractual costs below. Include square footage and cost per for any facility leases included above.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Other

Notes for Other Section

This area will cover any miscellaneous items that are are storage & maintenance-related and allowable under the Statement of Work but not covered in the other object classes, including minor construction costs.

Other (List minor renovation costs here)

Item

Quantity

Unit Cost

Total Cost

Total

$0.00

Other

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for other costs below.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Indirect Costs

Notes for Indirect Costs Section

Indirect Costs

Item/Category

Item Description

Base Amount

Percentage

Total Cost

Total

Indirect Costs

Cost Basis:

Please mark appropriate box(es) below.

Describe any additional supporting information for indirect costs below. Please advise who is the Cognizant Federal Agency and the date of approval.

Union Agreements

City/County/Organization Negotiated Agreements

Historical Data

Bids/Quotes

Costs are in Comparison w/ other TFs for Similar Tasks or Items

Other

(List here):

This narrative box has character limitations. For additional clarification use tab 12

Sheet 11: 10-Budget Totals

BUDGET TOTALS
This summary will be populated based on figures entered into other sections of this narrative.


	Activity	Cost
	Administration & Management	$0.00
	Training	$0.00
	Equipment	$0.00
	Storage & Maintenance	$0.00
	Object Class	Cost
	Personnel	$0.00
	Fringe Benefits	$0.00
	Travel	$0.00
	Equipment	$0.00
	Supplies	$0.00
	Contractual	$0.00
	Other	$0.00
	Indirect Charges	$0.00

	Activity Sum	$0.00

	Object Class Sum	$0.00

	Total	$0.00

Sheet 12: 11-Position Descrips

POSITION DESCRIPTIONS
Please fill in position descriptions below, or attach pre-typed descriptions.

1. Administrative Specialist:	Name	4. Logistics Coordinator:	Name
Describe Administrative Specialist functions here.		Describe Logistics Coordinator functions here.


















2. Financial Grants Manager:	Name	5. Logistics Manager:	Name
Describe Financial Grants Manager functions here.		Describe Logistics Manager functions here.


















3. Grant Manager:	Name	6. Program Manager:	Name
Describe Grant Manager functions here.		Describe Program Manager functions here.






















7. Training Coordinator:	Name	8. Training Manager:	Name
Describe Describe Training Coordinator functions here.		Describe Training Manager functions here.


















Other (Please list position and name)		Other (Please list position and name)
Describe position functions here.		Describe position functions here.


















Other (Please list position and name)		Other (Please list position and name)
Describe position functions here.		Describe position functions here.

Sheet 13: 12-Budget Clarification

BUDGET CLARIFICATION

*Please use the blocks below if additional space is needed to clarify other sections of the narrative*
ADMINISTRATIVE/MANAGEMENT					ADMINISTRATIVE/MANAGEMENT
*Personnel Salaries:*					*Equipment:*













*Fringe Benefits:*					*Supplies:*













*Travel:*					*Contractual:*














ADMINISTRATIVE/MANAGEMENT					ADMINSTRATIVE/MANAGEMENT
*Other:*













*Direct Charges*














TRAINING					TRAINING
*Personnel Salaries:*					*Equipment:*













*Fringe Benefits:*					*Supplies:*













*Travel:*					*Contractual:*
















TRAINING					TRAINING
*Other:*













*Direct Charges*














EQUIPMENT					EQUIPMENT
*Personnel Salaries:*					*Equipment:*













*Fringe Benefits:*					*Supplies:*













*Travel:*					*Contractual:*















EQUIPMENT					EQUIPMENT
*Other:*













*Direct Charges*
















STORAGE & MAINTENANCE					STORAGE & MAINTENANCE
*Personnel Salaries:*					*Equipment:*













*Fringe Benefits:*					*Supplies:*













*Travel:*					*Contractual:*














STORAGE & MAINTENANCE					STORAGE & MAINTENANCE
*Other:*













*Direct Charges*

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