Common use of Misc Costs Clause in Contracts

Misc Costs. Out-of-State Travel: (describe travel to include location, mode of transportation with cost, meals, registration, lodging and incidentals along with number of travelers) $0 CAPITAL EQUIPMENT (individual items that cost $5,000 ormore) $0 $0 SUPPLIES, MATERIALS and SERVICES (office, printing, phones, IT support, etc.) $0 $0 CONTRACTUAL (list each Contract separately and provide a brief description) $0 $0 Contract with ( ) Company for $ , for ( ) services. Contract with ( ) Company for $ , for ( ) services. Contract with ( ) Company for $ , for ( ) services. OTHER $0 $0 TOTAL INDIRECT CHARGES @ % of Direct Expenses or describe method $0 Date, Name and phone number of person who prepared budget NOTES: Salaries should be listed as a full time equivalent (FTE) of 2,080 hours per year - for example an employee working .80 with a yearly salary of $62,500 (annual salary) which would compute to the sub-total column as $50,000 % of FTE should be based on a full year FTE percentage of 2080 hours per year - for example an employee listed as 50 hours per month would be 50*12/2080 = .29 FTE Salary $0 Fringe Benefits $0 In-State Travel: $0 Out-of-State Travel: $0 Notes: • The budget total should reflect the total amount in the most recent Notice of Grant Award. • The budget in each category should reflect the total amount in that category for that line item in your submitted budget. Salary $0 Fringe Benefits $0 In-State Travel: $0 Out-of-State Travel: $0 Notes: • The budget total should reflect the total amount in the most recent Notice of Grant Award. • The budget in each category should reflect the total amount in that category for that line item in your submitted budget.

Misc Costs. Out-of-State Travel: (describe travel to include location, mode of transportation with cost, meals, registration, lodging and incidentals along with number of travelers) $0 CAPITAL EQUIPMENT (individual items that cost $5,000 ormoreor more) $0 $0 SUPPLIES, MATERIALS and SERVICES (office, printing, phones, IT support, etc.) $0 $0 CONTRACTUAL (list each Contract separately and provide a brief description) $0 $0 Contract with ( ) Company for $ , for ( ) services. Contract with ( ) Company for $ , for ( ) services. Contract with ( ) Company for $ , for ( ) services. OTHER $0 $0 TOTAL INDIRECT CHARGES @ % of Direct Expenses or describe method $0 Date, Name and phone number of person who prepared budget NOTES: Salaries should be listed as a full time equivalent (FTE) of 2,080 hours per year - for example an employee working .80 with a yearly salary of $62,500 (annual salary) which would compute to the sub-total column as $50,000 % of FTE should be based on a full year FTE percentage of 2080 hours per year - for example an employee listed as 50 hours per month would be 50*12/2080 = .29 FTE Salary $0 Fringe Benefits $0 In-State Travel: $0 Out-of-State Travel: $0 Notes: • The budget total should reflect the total amount in the most recent Notice of Grant Award. • The budget in each category should reflect the total amount in that category for that line item in your submitted budget. Salary $0 Fringe Benefits $0 In-State Travel: $0 Out-of-State Travel: $0 SUPPLIES (communications, professional services, office supplies) $0 $0 OTHER (facilities, continued education) $0 $0 TOTAL INDIRECT @ XX% of Direct Expenses (or describe method): $0 $0 $0 Notes: • The budget total should reflect the total amount in the most recent Notice of Grant Award. • The budget in each category should reflect the total amount in that category for that line item in your submitted budget. ATTACHMENT 21 TO PROGRAM ELEMENT #12 For grant cycle: July 1, 2017 2018 – June 30, 2018 2019 Proposed work plan will be due on or before August 1. Final approved work plan will be due on or before September 1. Your approved work plan will be reviewed annually with your PHEP liaison by February 15 and August 15. Refer to PE-12 section 4.e for more information. CDC Capability: Identify which CDC capability your program goals will address.

Misc Costs. Out-of-State Travel: (describe travel to include location, mode of transportation with cost, meals, registration, lodging and incidentals along with number of travelers) $0 CAPITAL EQUIPMENT (individual items that cost $5,000 ormoreor more) $0 $0 SUPPLIES, MATERIALS and SERVICES (office, printing, phones, IT support, etc.) $0 $0 CONTRACTUAL (list each Contract separately and provide a brief description) $0 $0 Contract with ( ) Company for $ , for ( ) services. Contract with ( ) Company for $ , for ( ) services. Contract with ( ) Company for $ , for ( ) services. OTHER $0 $0 TOTAL INDIRECT CHARGES @ % of Direct Expenses or describe method $0 Date, Name and phone number of person who prepared budget NOTES: Salaries should be listed as a full time equivalent (FTE) of 2,080 hours per year - for example an employee working .80 with a yearly salary of $62,500 (annual salary) which would compute to the sub-total column as $50,000 % of FTE should be based on a full year FTE percentage of 2080 hours per year - for example an employee listed as 50 hours per month would be 50*12/2080 = .29 FTE Salary $0 Fringe Benefits $0 In-State Travel: $0 Out-of-State Travel: $0 Notes: • The budget total should reflect the total amount in the most recent Notice of Grant Award. • The budget in each category should reflect the total amount in that category for that line item in your submitted budget. Salary $0 Fringe Benefits $0 In-State Travel: $0 Out-of-State Travel: $0 Notes: • The budget total should reflect the total amount in the most recent Notice of Grant Award. • The budget in each category should reflect the total amount in that category for that line item in your submitted budget.

Misc Costs. Out-of-State Travel: (describe travel to include location, mode of transportation with cost, meals, registration, lodging and incidentals along with number of travelers) $0 CAPITAL EQUIPMENT (individual items that cost $5,000 ormoreor more) $0 $0 SUPPLIES, MATERIALS and SERVICES (office, printing, phones, IT support, etc.) $0 $0 CONTRACTUAL (list each Contract separately and provide a brief description) $0 $0 Contract with ( ) Company for $ , for ( ) services. Contract with ( ) Company for $ , for ( ) services. Contract with ( ) Company for $ , for ( ) services. OTHER $0 $0 TOTAL INDIRECT CHARGES @ % of Direct Expenses or describe method $0 Date, Name and phone number of person who prepared budget NOTES: Salaries should be listed as a full time equivalent (FTE) of 2,080 hours per year - for example an employee working .80 with a yearly salary of $62,500 (annual salary) which would compute to the sub-total column as $50,000 % of FTE should be based on a full year FTE percentage of 2080 hours per year - for example an employee listed as 50 hours per month would be 50*12/2080 = .29 FTE Salary $0 Fringe Benefits $0 In-State Travel: $0 Out-of-State Travel: $0 Notes: • The budget total should reflect the total amount in the most recent Notice of Grant Award. • The budget in each category should reflect the total amount in that category for that line item in your submitted budget. Salary $0 Fringe Benefits $0 In-State Travel: $0 Out-of-State Travel: $0 SUPPLIES (communications, professional services, office supplies) $0 $0 OTHER (facilities, continued education) $0 $0 TOTAL INDIRECT @ XX% of Direct Expenses (or describe method): $0 $0 $0 Notes: • The budget total should reflect the total amount in the most recent Notice of Grant Award. • The budget in each category should reflect the total amount in that category for that line item in your submitted budget. Work Plan Instructions Oregon HSPR Public Health Emergency Preparedness Program For grant cycle: July 1, 2016 2017 – June 30, 20172018 Proposed work plan will be due on or before August 1. Final approved work plan will be due on or before September 1. Your approved work plan will be reviewed with your PHEP liaison by February 15 and August 15.