Item 19 - Memorandum of Understanding Regarding Grant Funds for Supplemental Community Engagement

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Docusign Envelope ID: 6DA6840A-CBC0-4053-80F1-F219D97CE273 Line-Item Billing - CBO 0 Sub-Recipient Name: Invoice #: 0 0 0 0 0 Billing Period: MOU #: CBO Name: In PrMaximum Approved Rates T o ask #1 c Ta e sk #2 s Ta s sk #3 Task #4 Task #5 Task #6 Grand Total (All tasks)Reference No. Cost Categories Actual Billing Hourly Rates Input Task Name Input Task Name Input Task Name Input Task Name Input Task Name Input Task Name Hours Amount Hours Amount Hours Amount Hours Amount Hours Amount Hours Amount Hours Amount Direct Labor Classification(s): Input Employee Title and Name Input Employee Title and Name Input Employee Title and Name $ $ $ - - - $ $ $ - - - $ $ $ - - - $ $ $ - - - $ $ $ - - - $ $ $ - - - $ $ $ - - - 0.00 0.00 0.00 $ $ $ - - - Subtotal - Direct Labor 0.00 $-0.00 $-0.00 $-0.00 $-0.00 $-0.00 $-0.00 $- Indirect/Overhead & Fringe (inc. G&A): Indirect/Overhead Fringe 0.00% 0.00% $ $ - - $ $ - - $ $ - - $ $ - - $ $ - - $ $ - - $ $ - - Subtotal - Overhead & Fringe (inc G&A):$-$-$-$-$-$-$- Other Direct Costs (ODCs) Travel $ $ $ - - - $ $ $ - - - $ $ $ - - - $ $ $ - - - $ $ $ - - - $ $ $ - - - $ $ $ - - - Printing - Directly Chargeable only Other Subtotal - ODCs:$ $ - - $ $ - - $ $ - - $ $ - - $ $ - - $ $ - - $ $ - -GRAND TOTAL OVERALL PERCENTAGE OF COMPLETION FROM PROGRESS REPORT 0.00%0.00%0.00%0.00%0.00%0.00%0.00% BUDGET $ $ $ $ $ - - - - - $ $ $ $ $ - - - - - $ $ $ $ $ - - - - - $ $ $ $ $ - - - - - $ $ $ $ $ - - - - - $ $ $ $ $ - - - - - $ $ $ $ $ - - - - - PREVIOUSLY (CUMULATIVE) REIMBURSED AMOUNT AFTER DISALLOWANCES YTD EXPENDITURES (BILLED TO DATE) EARNED TO DATE VARIANCE #DIV/0! Legend: Formulas For input