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Home My WebLink AboutFY15 Smart Start RAR amendmentSmart Start of New Hanover County Amendment/Revision Reuuest Form Section I. Basic Information Contract 4: 3- 15 -3 -03 -0431 Direct Services Provider: New Hanover County Public Library Amendment #: I Smart Start Activity Name: Smart Start Raising A Reader Revision #: Purpose Svc Code -ID #: 5512 Section II. Change Requested Change existing activity description X Amend budget ❑ Revise budget ❑ Initiate Contract ❑ Terminate ❑ Other Changes (dates, provisions, etc.) "Requested effective date: December 31, 2014 "Accurate and complete revision requests received between the Is' and the Loth of the month will be effective no later than the last day of the month. Those received between the Ilth and the end of the month will be effective no later than the 15th of the following month. Amendment requests will follow NCPC's effective date policy. Section III. Justification (If additional space is needed, please attach a separate sheet.) Amend budget to 100% allocation Section IV. DSP Authorizing Signature(s) Signature of Co ar ct Adnin` rator, Direct Services Provider Date (iivvUdj -eta .�� v:� -- Signature ofNHC Assist Manager Date Section V. Local Smart Start Agency Approval /Denial /Acceptance The contract/budget revision /amendment is approved as submitted effective The contract /budget revision /amendment is denied for the reason(s) stated below: SS of NHC Executive Director Date SS of NHC Programming & Evaluation Director Date SSNHC -DSP Rev -AMD Request Form Amd I with corrected contract #s.doc Smart Start of New Hanover County Budget Change Sheet Direct Service Provider: NHCPL Fiscal Year: 2015 Amendment #: 1 I Revision #: Activity: Smart Start Raising A Reader Effective Date: 12/31/14 Contract #: 3- 15 -3 -03 -0431 Purpose Service Code: 5512 Current Amount Amount Changed New Amount 51 X 11) Personnel 52XX 12) Contracted Services 13) Total Personnel /Contracted Services 531X 14) Office Supplies & Materials 538X 15) Service Related Supplies 16) Total Supplies & Materials $58,945.00 $0.00 $17,000.00 $0.00 $75,945.00 $0.00 $58,945.00 $17,000.00 $75,945.00 $75.00 $135.00 $210.00 $3,000.00 $3,505.00 $6,505.00 $3,075.00 $1640.00 $6,715.00 541X 17) Travel $750.00 $250.00 $1,000.00 542X 18) Communications & Postage $0.00 $0.00 $0.00 5430 19) Utilities $0.00 $0.00 $0.00 5440 20) Printing & Binding $50.00 $0.00 $50.00 5450 21) Repair and Maintenance $0.00 $0.00 $0.00 546X 22) Meeting /Conference Expense $0.00 $0.00 . . _ $0.00 5470 23 Employee Training ( not travel ) $235.00 ($235.00) $0.00 5480 24) Advertising & Outreach $0.00 $0.00 $0.00 5.49X 25) Not Available for Use $0.00 $0.00 $0:00 $1,035.001 $15.00 $1,050.00 26) Total Non -Fixed Operating Expenses 5510 27) Office Rent (Land, Buildings, etc.) $0.00 $0.00 $0.00 5520 28) Furniture Rental $0.00 $0.00 $0.00 5530 29) Equipment Rental (Phones, Computer, etc.) $0.00 $0.00 $0.00 5540 30) Not Available for Use $100.00 $0.00 $100:00 5550 31) Dues, Subscriptions, & Fees $0.00 $0.00 $0.00 5560 32) Insurance & Bonding $0.00 $0.00 $0.00 5570 33) Books /Library Reference Materials $0.00 $0.00 $0.00 5580 34) Not Available for Use $0.00 $0.00 $0:00 5590 ...... 35) Other Expenses ...... . .. $0;00 $0.00 $0:00 $100.001 $0.00 $100.00 36 ) Total Fixed Charges & Other Expenses 5610 5620 5630 5640 5650 61XX 62XX 66XX 67XX 69XX 37) Not Available for Use 38} Not Available for Use 39) Furniture /Non - Computer Eqpt., $500+ per item 40) Computer Equipment/Printers, $500+ per item 41) Furniture /Eqpt., under $500 per item 42) Total Property & Equipment Outlay 43) Purchases of Services 44} Not Available for Use 45) Scholarships /Stipends 46) Cash Grants & Awards 47) Non -Cash Grants & Awards 48) Total Services /Contracts /Grants $0;00 $0100 $0.00 $ 0.00 $0:00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0700 $0:00. $0.00 $0.00 $2,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,000.00 $2,000.00 $0.00 $2,000.00 res ,155.001 $20,655.00 .001 Local Partnership Name: SMART START OF NEW HANOVER COUNTY rf 1W Fiscal Year: 2014-2015 Activity Title: Smart Start Raising A Reader Purpose/Service Code: 5512 BUDGET NARRATIVE BUDGETAM Budget Narrative Form 712012 .. .. .. .. .. c 1 Program Manager/Coordinator @ approx 25 hours week & I Literacy 11) Personnel ConsultantlCoordinator @ approx 20 hours /week $75,945.00 12) Contracted Professional Services 13) Total Person nel/Contracted Services $75,945.00 14) Office Supplies and Materials general office supplies $21000 Purchase infant toddler materials & replacement materials, iPod & speaker for 15) Service Related Supplies use in programs $6,505.00 16) Total Supplies & Materials $6,715.00 17) Travel travel to sites $1,000m 18) Communications & Postage $0.00 19) Utilities 20) Printing and Binding $50.00 21) Repair and Maintenance 22) Meeting/Conference Expense $0.00 23) Employee Training (no travel) $0.00 24) Advertising & Outreach 25) Not Available for Use 26) Total Non-Fixed Operating Expenses $1,050.00 27) Office Rent (Land, Buildings, etc.) 28) Furniture Rental 29) Equipment Rental (Phone, Computer, etCr) 30) Vehicle Rental rental to travel to RAR training in Raleigh $100,00 31) Dues, Subscriptions, & Fees 32) Insurance & Bonding 33) Books / Library Reference Materials 34) flat :Availablef,orUse: 35) Other Expenses ........ 36) Total Fixed Charges & Other Expenses $100.00 37) Not Availa-6e for Use U) Not Available for Use 39) Furniture/Non-computer Eqpt.. $500+ per item 40) Computer Equipment/Printers.$500+ per item 41) Furniture/Eqpt., under $500 per item $0.00 42) Total Property and Equipment Outlay c $0,00 43) Purchase of Services 44): Cornsacts with Service Providers 45) Stipends & Scholarships 46) Cash Grants and Awards 47) Non-Cash Grants and Awards purchase blue begs & parent awards $2,000.00 48) Total Services/Contracts/Grants $2,0 4 ted Expenditures kai Total kd ;� - 1 $85,810.00 Budget Narrative Form 712012