Financial Status Reports. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 149347 Austin, Texas 00000-0000 Fax: (000) 000-0000 Email: xxxxxxxx@xxxx.xxxxx.xxx and XXXxxxxxxxx@xxxx.xxxxx.xxx Personnel $18,918.00 $5,460.00 $24,378.00 Fringe Benefits $16,269.00 $4,259.00 $20,528.00 Travel $1,823.00 $0.00 $1,823.00 Equipment $0.00 $0.00 $0.00 Supplies $2,179.00 $0.00 $2,179.00 Contractual $8,148.00 $0.00 $8,148.00 Other $1,261.00 $0.00 $1,261.00 Total Direct Costs $48,598.00 $9,719.00 $58,317.00 Indirect Costs $0.00 $0.00 $0.00 In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.
Financial Status Reports. Except as otherwise provided, for Grant Agreements with categorical budgets, Grantee shall submit a quarterly Financial Status Report (“FSR”) to HHSC review and financial assessment in accordance with Attachment C, Contract Deliverables, of the Grant Agreement. Through submission of an FSR, Grantee certifies that (1) any applicable invoices have been reviewed to ensure all grant-funded purchases of goods or services have been completed, performed, or delivered in accordance with Grant Agreement requirements; (2) all Grantee-performed services have been completed in compliance with the terms of the Grant Agreement; (3) that the amount of the FSR added to all previous approved FSRs does not exceed the maximum liability of the Grant Award; and (4) all expenses shown on the FSR are allocable, allowable, actual, reasonable, and necessary to fulfill the purposes of the Grant Agreement. The Quarterly FSRs must be submitted to XXXX.Xxxx@xxx.xxxxx.xxx.
Financial Status Reports. Department of State Health Services Claims Processing Unit, MC 0000 0000 Xxxx 00xx Xxxxxx
Financial Status Reports. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, Texas 00000-0000 Fax: (000) 000-0000 Email: xxxxxxxx@xxxx.xxxxx.xxx and XXXxxxxxxxx@xxxx.xxxxx.xxx
Financial Status Reports. Financial Status Reports for the calendar quarter must be received by Worksystems by the 15th day of the month following the end of the quarter. Expenditure data is required to be reported on an accrual basis. Worksystems will provide CONTRACTOR with the Financial Status Report template to be used for this purpose.
Financial Status Reports. One copy of the quarterly Financial Status Report shall be submitted within 30 calendar days of the end of each calendar quarter.
Financial Status Reports. A Federal Financial Report, form SF-425, must be submitted quarterly. The report is due 30 days after the reporting period ending March 31, June 30, September 30, December 31. The final SF-425 must be submitted either with the final payment request or no later than 120 days from the expiration date of the agreement. The form may be found at: xxxxx://xxx.xxxxxx.xxx/forms/post-award-reporting-forms.html.
Financial Status Reports. Department of State Health Services Claims Processing Unit, MC 0000 0000 Xxxx 00xx Xxxxxx X.X. Xxx 149347 Austin, Texas 00000-0000 Fax: (000) 000-0000 Email: xxxxxxxx@xxxx.xxxxx.xxx and XXXxxxxxxxx@xxxx.xxxxx.xxx DSHS Contract No. HHS001182200022 Page 5 of 6 Personnel $24,960.00 $0.00 $24,960.00 Fringe Benefits $10,483.00 $0.00 $10,483.00 Travel $344.00 $0.00 $344.00 Equipment $0.00 $0.00 $0.00 Supplies $0.00 $6,533.00 $6,533.00 Contractual $0.00 $0.00 $0.00 Other $0.00 $624.00 $624.00 Total Direct Costs $35,787.00 $7,157.00 $42,944.00 Indirect Costs $0.00 $0.00 $0.00 DSHS Contract No. HHS001182200022 Page 6 of 6 Envelope Id: B54566AEF1ED40DABB77DCD85552EA99 Status: Completed Subject: Please DocuSign: HHS001182200022; Port Xxxxxx; A1; TB STATE Signature Packet Source Envelope: Document Pages: 6 Signatures: 2 Envelope Originator: Certificate Pages: 5 Initials: 0 CMS Internal Routing Mailbox AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 00000 Xxxxxx Xxxxx Xxxx #000 Reston, VA 20190 XXX.XxxxxxxxXxxxxxx@xxxx.xxxxx.xxx IP Address: 167.137.1.18 Status: Original 3/3/2023 9:33:52 AM Holder: CMS Internal Routing Mailbox XXX.XxxxxxxxXxxxxxx@xxxx.xxxxx.xxx Location: DocuSign Xxx Xxxxxx, City Manager xxx.xxxxxx@xxxxxxxxxxxx.xxx City Manager City of Port Xxxxxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 71.40.211.219 Sent: 3/3/2023 9:36:26 AM Viewed: 3/31/2023 8:52:10 AM Signed: 3/31/2023 8:52:29 AM Accepted: 3/31/2023 8:52:10 AM ID: c3bd76a2-2b21-4015-b73e-792c31a1e8fd Xxxxxx Xxxxxx Xxxxxx.Xxxxxx@xxxx.xxxxx.xxx CTCM, Unit Director DSHS Security Level: Email, Account Authentication (None) Accepted: 4/3/2023 8:07:24 AM ID: 0f0a9865-5f80-4511-9fa1-699d222a2105 XXXXX XXXXXXXX Xxxxx.Xxxxxxxx@xxxx.xxxxx.xxx Director, DSHS CMS Security Level: Email, Account Authentication (None) Accepted: 5/5/2022 12:43:08 PM ID: f01589da-43a7-481e-996a-7c50409e5d48 Xxxxxx Xxxxxx XxxxxxX.Xxxxxx@xxxx.xxxxx.xxx Associate Commissioner Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Accepted: 7/6/2021 8:08:45 AM ID: 1a6909aa-b026-45a9-be9f-4240c2e32ff9 Using IP Address: 167.137.1.9
Financial Status Reports. Grantee shall submit TSC Form FS-1-G (Financial Status Report for Governmental Entities) to document all costs and allowable expenses paid with grant funds.
Financial Status Reports. (FSRS) Except as otherwise provided, for contracts with categorical budgets, Grantee shall submit quarterly FSRs to System Agency by the last business day of the month following the end of each quarter for System Agency review and financial assessment. Grantee shall submit the final FSR no later than forty-five (45) calendar days following the end of the applicable term.
