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_____________________________________________________________________________ <br />State Centric MOA 4393-0083-F Orange County <br /> <br />15 <br /> <br />ATTACHMENT B: SUBRECIPIENT MANAGEMENT COST FORM <br /> <br />Project #: County: Modification #: N/A <br />Applicant Name: <br />Project Title: <br /> <br />Point of Contact <br />Name: Title: <br />Agency: Address: <br />Phone: Email: <br /> Current Federal Share <br />Amount: $ - <br />Cost Share <br />Percentage: #DIV/0! <br /> <br />Total Project Costs <br />Total Estimated SRMC Ceiling *up to 5% of total project costs (**adjusted based on <br />cost share) #DIV/0! <br /> <br />Sub-Recipient Management Costs Details <br />A. Personnel (In-House Labor) *If "Salaried" convert to hourly rate (Salary/2080 = Hourly Rate) <br /> Fringe % <br />Position <br />Base <br />Rate FICA <br />Health <br />Insurance <br />Life <br />Insurance Retirement <br />Othe <br />r Total Rate Hours Costs <br /> $- $- <br /> $- $- <br /> $- $- <br /> $- $- <br />Pre-Award $- $- <br />Estimated Subtotal: $- <br />Narrative: <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 9080716C-121D-4F19-9E12-FB2684335DF5DocuSign Envelope ID: A02EDAA0-6072-4731-9C1B-857DF9D747A3