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RFR - Community Partners

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ATTACHMENT C:<br />

BUDGET WORKSHEET<br />

(Bidder may modify categories as appropriate to suit its response)<br />

Applicant Organization Name: _______________________________<br />

Grant Period: from 10/19/07 to 06/30/08<br />

I. Personnel:<br />

Program Staff<br />

Current staff used for project<br />

Proposed new hires for project<br />

Total<br />

Salary<br />

# of<br />

FTEs<br />

Current<br />

amount<br />

(before any<br />

grant awards)<br />

Amount proposed to be<br />

covered by MassHealth<br />

and Commonwealth<br />

Care/Choice Grant<br />

Amount added by other<br />

new funding (specify<br />

funding source in<br />

narrative)<br />

Total Proposed spending<br />

Subtotal:<br />

II. Direct Costs<br />

Project Operations<br />

Equipment (including IT)<br />

Marketing/Communications/<br />

Outreach<br />

Subtotal:<br />

III. Indirect Costs**<br />

Total Grant Request<br />

Amount<br />

In addition to completing this Cost Worksheet, attach a narrative (2-page limit) to it, detailing the elements of your Cost Proposal. Bidders should<br />

not allocate grant funds to cover expenses they would have funded in the absence of grant funding. However, indirect costs**, or overhead, are<br />

those costs that are not exclusively part of the grant project but are necessary to conduct the grant. Bidders’ indirect costs are capped at 12%.<br />

<strong>RFR</strong> for MassHealth and Commonwealth Care Enrollment Outreach Grants<br />

FY 2008<br />

1

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