Common use of Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies Clause in Contracts

Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.html). 2 Applicable detail follows this page if line-item is funded. ATTACHMENT B.3. GRANT BUDGET LINE-ITEM DETAIL: PROFESSIONAL FEE, GRANT & AWARD AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount INTEREST AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount DEPRECIATION AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount OTHER NON-PERSONNEL AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount CAPITAL PURCHASE AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount ATTACHMENT B.4. GRANT BUDGET Grantee Name Non-Public School Name The grant budget line-item amounts below shall be applicable only to expense incurred during the following Applicable Period: BEGIN: DATE END: DATE POLICY 03 Object Line-item Reference EXPENSE OBJECT LINE-ITEM CATEGORY 1 GRANT CONTRACT GRANTEE PARTICIPATION TOTAL PROJECT 1. 2 Salaries, Benefits & Taxes 0.00 0.00 0.00 4, 15 Professional Fee, Grant & Award 2 0.00 0.00 0.00 5, 6, 7, 8, 9, 10 Supplies, Telephone, Postage & Shipping, Occupancy, Equipment Rental & Maintenance, Printing & Publications 0.00 0.00 0.00 11. 12 Travel, Conferences & Meetings 0.00 0.00 0.00 13 Interest 2 0.00 0.00 0.00 14 Insurance 0.00 0.00 0.00 16 Specific Assistance To Individuals 0.00 0.00 0.00 18 Other Non-Personnel 2 0.00 0.00 0.00 20 Capital Purchase 2 0.00 0.00 0.00 22 Indirect Cost 0.00 0.00 0.00 24 In-Kind Expense 0.00 0.00 0.00 25 GRAND TOTAL 0.00 0.00 0.00

Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.html). 2 Applicable detail follows this page if line-item is funded. ATTACHMENT B.3. C GRANT BUDGET LINE-ITEM DETAIL: PROFESSIONAL FEE, GRANT & AWARD AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount INTEREST AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount DEPRECIATION AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount OTHER NON-PERSONNEL AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount CAPITAL PURCHASE AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount ATTACHMENT B.4. C.1 GRANT BUDGET Grantee Name Non-Public School Name Additional Identification Information As Necessary The grant budget line-item amounts below shall be applicable only to expense incurred during the following Applicable Period: BEGIN: DATE April 1, 2024 END: DATE March 30, 2025 POLICY 03 Object Line-item Reference EXPENSE OBJECT LINE-ITEM CATEGORY 1 GRANT CONTRACT GRANTEE PARTICIPATION TOTAL PROJECT 1. 2 Salaries, Benefits & Taxes 0.00 0.00 0.00 4, 15 Professional Fee, Grant & Award 2 0.00 0.00 0.00 5, 6, 7, 8, 9, 10 Supplies, Telephone, Postage & Shipping, Occupancy, Equipment Rental & Maintenance, Printing & Publications 0.00 0.00 0.00 11. 12 Travel, Conferences & Meetings 0.00 0.00 0.00 13 Interest 2 0.00 0.00 0.00 14 Insurance 0.00 0.00 0.00 16 Specific Assistance To Individuals 0.00 0.00 0.00 17 Depreciation 2 0.00 0.00 0.00 18 Other Non-Personnel 2 0.00 0.00 0.00 20 Capital Purchase 2 0.00 0.00 0.00 22 Indirect Cost 0.00 0.00 0.00 24 In-Kind Expense 0.00 0.00 0.00 25 GRAND TOTAL 0.00 0.00 0.00

Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.html). 2 Applicable detail follows this page if line-item is funded. ATTACHMENT B.3B.2. GRANT BUDGET LINE-ITEM DETAIL: PROFESSIONAL FEE, GRANT & AWARD AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount INTEREST AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount DEPRECIATION AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount OTHER NON-PERSONNEL AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount CAPITAL PURCHASE AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount ATTACHMENT B.4B.3. GRANT BUDGET Grantee Name Non-Public School Name The grant budget line-item amounts below shall be applicable only to expense incurred during the following Applicable Period: BEGIN: DATE END: DATE POLICY 03 Object Line-item Reference EXPENSE OBJECT LINE-ITEM CATEGORY 1 GRANT CONTRACT GRANTEE PARTICIPATION TOTAL PROJECT 1. 2 Salaries, Benefits & Taxes 0.00 0.00 0.00 4, 15 Professional Fee, Grant & Award 2 0.00 0.00 0.00 5, 6, 7, 8, 9, 10 Supplies, Telephone, Postage & Shipping, Occupancy, Equipment Rental & Maintenance, Printing & Publications 0.00 0.00 0.00 11. 12 Travel, Conferences & Meetings 0.00 0.00 0.00 13 Interest 2 0.00 0.00 0.00 14 Insurance 0.00 0.00 0.00 16 Specific Assistance To Individuals 0.00 0.00 0.00 18 Other Non-Personnel 2 0.00 0.00 0.00 20 Capital Purchase 2 0.00 0.00 0.00 22 Indirect Cost 0.00 0.00 0.00 24 In-Kind Expense 0.00 0.00 0.00 25 GRAND TOTAL 0.00 0.00 0.00

Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.html). 2 Applicable detail follows this page if line-item is funded. ATTACHMENT B.3B.1. GRANT BUDGET LINE-ITEM DETAIL: PROFESSIONAL FEE, GRANT & AWARD AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount INTEREST AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount DEPRECIATION AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount OTHER NON-PERSONNEL AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount CAPITAL PURCHASE AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount ATTACHMENT B.4B.2. GRANT BUDGET Grantee Name Non-Public School Name The grant budget line-item amounts below shall be applicable only to expense incurred during the following Applicable Period: BEGIN: DATE END: DATE POLICY 03 Object Line-item Reference EXPENSE OBJECT LINE-ITEM CATEGORY 1 GRANT CONTRACT GRANTEE PARTICIPATION TOTAL PROJECT 1. 2 Salaries, Benefits & Taxes 0.00 0.00 0.00 4, 15 Professional Fee, Grant & Award 2 0.00 0.00 0.00 5, 6, 7, 8, 9, 10 Supplies, Telephone, Postage & Shipping, Occupancy, Equipment Rental & Maintenance, Printing & Publications 0.00 0.00 0.00 11. 12 Travel, Conferences & Meetings 0.00 0.00 0.00 13 Interest 2 0.00 0.00 0.00 14 Insurance 0.00 0.00 0.00 16 Specific Assistance To Individuals 0.00 0.00 0.00 18 Other Non-Personnel 2 0.00 0.00 0.00 20 Capital Purchase 2 0.00 0.00 0.00 22 Indirect Cost 0.00 0.00 0.00 24 In-Kind Expense 0.00 0.00 0.00 25 GRAND TOTAL 0.00 0.00 0.00

Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies. Appendix A. (posted on the Internet at: xxxxx://xxx.xx.xxx/finance/looking-for/policies.htmlxxxx://xxx.xx.xxx/finance/topic/fa-policyinfo). 2 Applicable detail follows this page if line-item is funded. ATTACHMENT B.3. GRANT BUDGET LINE-ITEM DETAIL: PROFESSIONAL FEE, GRANT & AWARD AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount INTEREST AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount DEPRECIATION AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount OTHER NON-PERSONNEL AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount CAPITAL PURCHASE AMOUNT Specific, Descriptive, Detail (Repeat Row As Necessary) Amount TOTAL Amount ATTACHMENT B.4The Pro Forma Contract details the State’s requirements: ▪ Scope of Services and Deliverables (Section A); ▪ Contract Period (Section B); ▪ Payment Terms (Section C); ▪ Standard Terms and Conditions (Section D); and, ▪ Special Terms and Conditions (Section E). The pro forma contract substantially represents the document that the successful agency must sign. See sample Pro Forma Contract below GRANT BUDGET CONTRACT BETWEEN THE STATE OF TENNESSEE, DEPARTMENT OF EDUCATION AND GRANTEE NAME This Grant Contract, by and between the State of Tennessee, Department of Education, hereinafter referred to as the “State” and Contractor Legal Entity Name, hereinafter referred to as the “Grantee,” is for the provision of School Funding Engagement Grant, as further defined in the "SCOPE OF SERVICES." The Grantee Name is a/an Individual, For-Profit Corporation, Non-Public School Name The grant budget line-item amounts below shall be applicable only to expense incurred during the following Applicable PeriodProfit Corporation, Special Purpose Corporation Or Association, Partnership, Joint Venture, Or Limited Liability Company. Grantee Place of Incorporation or Organization: BEGINLocation Xxxxxxx Xxxxxx Vendor ID #: DATE END: DATE POLICY 03 Object Line-item Reference EXPENSE OBJECT LINE-ITEM CATEGORY 1 GRANT CONTRACT GRANTEE PARTICIPATION TOTAL PROJECT 1. 2 Salaries, Benefits & Taxes 0.00 0.00 0.00 4, 15 Professional Fee, Grant & Award 2 0.00 0.00 0.00 5, 6, 7, 8, 9, 10 Supplies, Telephone, Postage & Shipping, Occupancy, Equipment Rental & Maintenance, Printing & Publications 0.00 0.00 0.00 11. 12 Travel, Conferences & Meetings 0.00 0.00 0.00 13 Interest 2 0.00 0.00 0.00 14 Insurance 0.00 0.00 0.00 16 Specific Assistance To Individuals 0.00 0.00 0.00 18 Other Non-Personnel 2 0.00 0.00 0.00 20 Capital Purchase 2 0.00 0.00 0.00 22 Indirect Cost 0.00 0.00 0.00 24 In-Kind Expense 0.00 0.00 0.00 25 GRAND TOTAL 0.00 0.00 0.00Number