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Sample of Equipment-Only Budget Narrative

Organization Name: Healthy Youth Clinic (HYC)
Project Type: Equipment-Only
Project Name: HYC East Clinic Equipment Purchase
Total CPF/CDS Funding Request = $116,000
Total Project Cost = $116,000

We will use Community Project Funding/Congressionally Directed Spending (CPF/CDS) funding to purchase movable equipment. View the proposed items in the equipment list. We’ll use these to support services at our existing site location Health Youth Clinic – East Service Site. Each item has a useful life of at least one year. This equipment will result in improved patient services. The HYC project cost is $116,000.

$116,000 in CPF/CDS funds will pay for this project.

 

Allowable Costs—CPF/CDS Projects

Unallowable Costs

Line 1—Administrative and legal expenses

$0 – Not requesting funds to support the administration costs of this project.

  

Line 2—Land, structures, right- of-way, appraisals, etc.

$0 – Not allowable in equipment-only projects.

  

Line 3—Relocation expenses and payments

$0 – Not allowable in equipment-only projects.

  

Line 4— Architectural and engineering fees

$0 – Not allowable in equipment-only projects.

  

Line 5—Other architectural and engineering fees

$0 – Not allowable in equipment-only projects.

  

Line 6—Project inspection fees

$0 – Not allowable in equipment-only projects.

  

Line 8—Demolition and removal

$0 – Not allowable in equipment-only projects – costs to dispose of old equipment and furnishings are not allowable.

  

Line 9—Alteration/ Renovation (Construction)

$0 – Not allowable in equipment-only projects – costs to make permanent connections to utilities are not allowable.

  

Line 10— Equipment

$116,000 is the total for equipment.

See attached itemized list.

Total = $116,000

  

Line 11—Miscellaneous

$0 – For Equipment-only projects, please list all items on line 10.

  

Line 12—SUBTOTAL

(Allowable and Unallowable Costs)

$116,000
(The sum of Lines 1 through 11)

  

Line 13— Contingencies

$0 – Not allowable in equipment-only projects

  

Line 14— SUBTOTAL

$116,000
(The sum of lines 12 and 13)

  

Line 15—Project (program) income

Not Applicable

  

Line 16—TOTAL PROJECT COSTS

(Allowable and Unallowable)

$116,000
(Sum of allowable and unallowable costs from Line 14 above)

Line 17— GRANT funding requested
(Note: round to the nearest whole dollar amount)

$100,000

SEE APPENDIX B: Allowable and Unallowable Costs in the guidance document.

Date Last Reviewed: