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Service Service <br />Grand Admin.Senior Center Operation HDM to Congregate Clients/Delivery/Carry Out <br />Total Cost 170 185 <br />48,714$ -$ -$ 48,714$ <br />352,873$ -$ 120,688$ 20,180$ <br />401,587$ -$ 120,688$ 68,894$ <br /> 1) FICA @ 7.65 30,721$ -$ 9,233$ 5,270$ <br />-$ <br />-$ <br />-$ <br />-$ <br />-$ <br />30,721$ -$ 9,233$ 5,270$ <br /> 1) -$ <br /> 2) -$ <br />3) -$ <br />-$ -$ -$ -$ <br />-$ <br />-$ <br />-$ <br />-$ <br />-$ -$ -$ -$ <br /> 1) -$ <br /> 2) -$ <br />3) -$ <br /> 4) -$ <br /> 5) -$ <br /> 6) -$ <br /> 7) -$ <br />8) -$ <br />-$ -$ -$ -$ <br />-$ <br />Division of Aging and Adult Services <br />Service Cost Computation Worksheet <br />II. Line Item Expenses <br /> 6) Other <br />B. Subtotal, Fringe Benefits <br /> Staff Salary From Labor Distribution Schedule <br /> 1) Full-time Staff (do not include Title V workers) <br /> 2) Part-time staff (do not include Title V workers) <br />A. Subtotal, Staff Salary <br /> Fringe Benefits <br />% <br /> Travel <br /> 2) Health Insurance <br /> 3) Retirement <br /> 4) Unemployment Insurance <br /> 5) Worker's Compensation <br /> 1) Per Diem <br /> 2) Mileage Reimbursement <br /> 3) Other Travel Cost <br />E. Subtotal, Travel <br /> General Operating Expenses <br />Local In-Kind Resources Non-Match <br />C. Subtotal, Local In-Kind Resources Non-Match <br />D. OAA Title V Worker Wages, Fringe Benefits and Costs <br />F. Subtotal, General Operating Expenses <br />G. Subtotal, Other Administrative Cost Not Allocated in <br />Lines II.A through E <br />DocuSign Envelope ID: 16A1D963-40F9-46F1-A38B-8B0D62C87C54