Sub-Recipient Cost Share SummaryRev. 10/2018, Sub-Recipient Cost Share Summary.xls
SUB-RECIPIENT COST SHARE SUMMARY
MUNICIPAL STAFF AND/OR VOLUNTEERS
PROJECT # ___________________ FOR PERIOD OF _____________ TO ______________ MUNICIPALITY: __________________________
(A)
NAME
(B)
TITLE OR COMMITTEE ROLE
(C)
HOURS THIS
PERIOD
(D)
HRLY WAGE +
FRINGE (if
applicable)
(E)
VOLUNTEER
RATE USED
(F)
TOTAL
MATCH
TOTAL MATCH USED FOR THIS
PERIOD
$
1) Column D applies only to Municipal Employees. Show the total of the hourly wage plus fringe (if including fringe). On an additional page, provide the fringe rate
% and the calculation of the total rate shown.
2) Column E, Volunteer Rate. On an additional page, please provide a statement of the calculations used to obtain the volunteer rate .
3) For each person listed above, attach the meeting sign-in sheets showing date and time, meeting description, attendees name and title and number of hours.
4) For Municipal Employees listed, attach proof of payment (time sheets, payroll, etc.)
MUNICIPAL CERTIFICATION: I hereby certify that the Sub-Recipient Cost Share shown above is accurate. The above staff members are not paid by a
federal source and are eligible to be used as cost share by my organization for a federal grant.
Authorized Signatory: ____________________________________________ Date: ______________________________
Printed Name and Title: ___________________________________________