based on disability pursuant to California Code of Regulations, title 5, sections 59300 et seq.; provided, however, that if Grantee or any subgrantee or subcontractor is not a community college district the references in the regulations of the Board of Governors to "the district" shall be deemed to refer to the Grantee, subgrantee or subcontractor and references to the "district governing board" shall be deemed to refer to the management or governing body of the Grantee, subgrantee or subcontractor. f. Grantee and its subcontractors and subgrantees shall indemnify, defend, and hold harmless the Chancellor's Office, its officers, agents, and employees, from any and all claims by any person resulting from the failure to comply with the requirements of this section. Grantee incorporate the requirements of this section into all subcontract or subgrant agreements to perform work under this Grant Agreement. 31. Drug-Free Workplace Certification By signing this Grant Agreement, the Grantee hereby certifies under penalty of perjury under the laws of the State of California that the Grantee will comply with the requirements of the Drug-Free Workplace Act of 1990 (Gov. Code. §§ 8350 et seq.) and will provide a drug-free workplace by taking the following actions: a. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations. b. Establish a Drug-Free Awareness Program to inform employees about: 1. The dangers of drug abuse in the workplace; 2. The organization's policy of maintaining a drug-free workplace; 3. Any available counseling, rehabilitation, and employee assistance programs; and, 4. Penalties that may be imposed upon employees for drug violations. c. Every employee who works under the Grant will: 1. Receive a copy of the Grantee's drug-free policy statement; and, 2. to abide by the terms of the Grantee's policy statement as a condition of employment under the Grant. Failure to comply with these requirements may result in suspension of payments under the Grant Agreement or termination of the Grant Agreement or both and Grantee may be
Chancellor’s Office California Community Colleges District: College: RFA Specification Number: 17-034 Application Budget Summary Note: When entering dollar amounts, round off to nearest dollar. Submit an Application Budget Detail Sheet for each funding source reflected here in cash or in-kind. Also explain expenditures by budget category. Object of Expenditure Classification Line Grant Funds Requested (1) District Match Funds (2) Other Source (3a) Source (3b) Other Source (3c) Grand Total All Funding Sources 1000 Instructional Salaries 1 2000 Noninstructional Salaries 2 3000 Employee Benefits 3 4000 Supplies and materials 4 5000 Other Operating Expenses & Services 5 6000 Capital Outlay 6 7000 Other Outgo 7 Direct Costs 8 Total Indirect (4% of Line 8) 9 Total Program Costs 10 Note: General Fund, District Match. For each grant dollar awarded, the recipient district shall provide one dollar in matching funds. Sources of Funds or In-kind Contributions. (Provide an Application Budget Detail Sheet for each funding source.) Indirect costs cannot exceed four percent (4%) of total direct costs (line 8). I authorize this costs proposal as the maximum amount to be claimed for this project and assure that funds shall be spent in compliance with State and federal regulations. Project Director Signature: Date: District Business Officer Signature: Date: (or Authorized Designee)
FORMAT EXAMPLE ONLY Chancellor’s Office California Community Colleges District: College: RFA Specification Number: Application Budget Detail Sheet Program Year: Source of Funds: Fill In Object of Expenditure Classification Requested Funds Gen. Fund Dist. Other Sources 1100 Instructional Salaries Name/Classification (Days/hours) x (Daily/hourly rate) = $ Fill In  Fill In  Fill In  1210 Supervisors’ Salaries Name/Classification x (Daily/hourly rate) = $ 1230 Counselors’ Salaries Name/Classification (Days/hours) x (Daily/hourly rate) = $ 1420 Project Director Name/Classification (Days/hours) x (Daily/hourly rate) = $ 2140 Classified Salaries, Noninstructional (Regular Full-time) Name/Classification x (Daily/hourly rate) = $ 2200 Instructional Aides’ Salaries (Regular, Full-time) Name/Classification (Days/hours) x (Daily/hourly rate) = $ 2340 Classified Salaries, Noninstructional (Non-Regular Full-time) Name/Classification (Days/hours) x (Daily/hourly rate) = $ 2400 Instructional Salaries (Non-Regular, Full-time) Name/Classification (Days/hours) x (Daily/hourly rate) = $ 3000 Employee Benefits Name and rate change 4000 Supplies and Materials List type and costs 5000 Other Operating Expenses and Services List type and costs, including travel and per diem Subcontractors Name (daily/hourly rate) Identify specific service to be rendered 6000 Capital Outlay List type and costs Equipment 7000 Other Outgo List type and costs Student financial aid Other payments to/for students Total Direct Cost Indirect Cost (4%) Total Program Cost
Chancellor’s Office California Community Colleges District: College: RFA Specification Number: 17-034 Application Budget Detail Program Year: 2017-18 Source of Funds: Fill In Object of Expenditure Classification Requested Funds Gen. Fund Dist. Match Other Sources Total Direct Cost Total Indirect Cost (4%) Total Program Cost