HomeMy WebLinkAboutexhibit2Miami M4066
18. Budget:
Salaries and Benefits: For
each position title, provide the
amount of salary per hour,
FICA per hour, fringe benefits,
and the total number of hours.
Costs
_
Justification: Provide a brief
justification why each of the positions
and the numbers of hours are
necessary for this project.
• TOTAL:
$ 0.00
Expenses: These are travel
costs and the usual, ordinary,
and incidental expenditures by
an agency, such as,
commodities and supplies of a
consumable nature, excluding
Costs: List the
price and source(s)
of the price
identified.
Justification: Justify why each of the
expense items and quantities are
necessary to this project.
expenditures classified as
operating capital outlay (see
next category).
28 CPAP units, complete (28
@$700 = $19,600)
$19,600,00
A quantity of28 will provide a CPAP
unit for each ALS vehicle in the F-R
fleet with 4 spares
Y
1,000 Face masks for CPAPs
(1,000 @$25=$25,000)
$25,000.00
A quantity of 1,000 will provide a mask
for an estimated 12 months of CPAP
patient users
TOTAL:
$44,600,00
DH Form 1767, Rev. 2002
Miami M4066
Vehicles, equipment, and
other operating capital outlay
means equipment, fixtures, and
other tangible personal
property of a non consumable
and non expendable nature,
and the normal expected life of
Costs: List the .
price of the item
and the source(s)
used to identify the
price.
Justification: State why each of the
items and quantities listed is a
necessary component of this project.
which is 1 year or more.
TOTAL:
$ 0.00
State Amount
(Check applicable program)
® Matching: 75 Percent
❑ Rural: 90 Percent
Local Match Amount
(Check applicable program)
® Matching: 25 Percent
❑ Rural: 10 Percent
Grand Total
DH Form 1767, Rev. 2002
$33,450.00
$11,150.00
44.600.00