ose Use Only:

Reporting Code:

Category Code: cfDate Contract Approved:

FORMA

State Consultant Services - Contractor's Planned EmploymentFrom Contract Start Date Throu h The End Of The Contract Term

State Agency Name: University at Albany, SUNY Agency Code:

33:::2023j28010

Contractor Name:The Research Foundation of SUNY on behalf of theUniversity at Albany Contract Number:

Contract Start Date: 1/1/2015 Contract End Date: 12/31/2015

Number of Number of hours to be Amount PayableEmployment Category Employees worked Under the Contract

Administrative Services Managers 11-3011.00 7 214.5 $ 13,610.76Computer Suppt. Specialist 15-1041.00 1 39.0 $ 1,794.35Computer Programmers 15-1021.00 1 19.5 $ 1,143.01Education Administr. -Postsec 11-9033.00 1 19.5 $ 3,180.85Exec. Secretaries & Admin. Assistants. 43-6011.00 2 117.0 $ 3,703.57Graphic Designer 27-1024.00 0 0.0 $ -Network & Computer Sys Adm 15-1071.00 0 0.0 $ -Office & Administrative Support, all other 43-9199.99 0 0.0 $ -Vocational Educ. Teacher - Postsec.25-1194.00 4 1,443.0 $ 71,905.86Graduate Teaching Assistant 25-1191.00 0 0.0 $ -Social Scientists & Related Workers, All Other 19-3099.99 0 0.0 $ -Training and Development Managers 11-3042.00 1 195.0 $ 11,460.36Social Science Research Assistant 19-4061.00 1 19.5 $ 1,472.76

0 0.0 $ -0 0.0 $ -0 0.0 $ -0 0.0 $ -

Total this page 18 2,067.0 $ 108,272IGrand Total 18 2,067.0 $ 108,272.00

Preparer's Signature:

Date Pre ared:

~ ~{ ?(()~~t~~~ ~D~t-2/17/2015

Name of person who prepared this report: Julie Aversa

Title: Project Staff Associate

Phone No: 518-956-7857

page_l_ofL

WP#7 CC05 (Use additional pages as necessary)

FORM A - Data Entry FormStllt.~N.me 'f==~~:;;::=}Un!!l=r~!:!"!!:lA!!!b9!iny!;;S!!wrilK======:J1ContrKI Starl Oale . 11112015 _

Contrad EI\d Oatil ,213112015,....."Codo

DaleReporIPfeperlld

28010 -MeriI,... 0."" "-'"CoIIIR ••• 2."" •.......F&AR••• 13.45'" G •••••••

Def ••••• hout&ln~-" ", --•....If'R(NYS)

Contlact~

Name 01Repof1 Preper.

rlaryC'kU~Method

Uetllo41 \IlJ1e52~'t'8o'and26payPfl"adsmethod(lJ5eYrl • ...u-.s.\IIIks,OatSl

Utltlod1 O&e,..,roII52.14_bJ 26.07 p.lyp«bckperyur IMthod (Uw;Ptlformanc:ePl!rbd)

Jul;eA_Prv;edSI..,AModIoIe

CMck to 'Applf Odaull: Values 0 0 (2) 0 0 0InthlltcolUIIVI

OdllIllbMG'rNb_fJt'*HF -t¥ff!i" HI': fi tfW ~ i I in PeriOd" calculation---- weeks,," ~Section II: PROJECT PERSONNEL COST . ...~: .. pay periodslyr 26

,I I.m~M·1 I, .I ~m I ·1EmployMTypt Fringeltate P.pbte

EmDlovment C.leaonANNUAUZEO ,,~ ~::;!::!.UMd %:':"'0 Hour. In ....••""" WHbln Salary In Subtotal- (S-Ernp/IoryM Under Number of Millo

A1. PERSONNEL·''''', TITLE SAlAAV V •• "''' WOo. SUrto.tlt End Oat. WorIIW.,p VIN '~Iod ~Iod Mt'rtt.~ Sat, T Fr II F •..•• 'U6% Conlract be WorIo;ed

Averu, JUlie project sarr AuoclMe AdmIniWetMScMr.n-Ml~111-1011.00 L!'J 8522' 52 R_, t,000. 37.S V•• 52.0 852 17 869 43.00'110 374 167 1,410 19.5

BashIw,J ••••• Sf Educ8tJon Spec/al/sl. \IocatkWMoIEdut.Tuchet- PoaMc.lS-JI94.G-. 57000 52 Regular 15.oo-JI. 37.5 V •• 52.0 8,550 '" 8,721 43.00% 3,750 1,6n 14,148 292.5

Il<nm ••••••••• AdmInIstmw AsUllnt I fAa. Seu~.AdmIn.~.'O'6011~ 33'50 52 Regulart."""

37.5 V•• 52.0 332 7 338 43.000. ,.. 55 54. 19.5

Harrison,EmIIy Project SQrf AsUtant ~StMr:HHI~Jl-)QlI.OO ~"""'"

52 Regular ,.""" 37.5 V•• 5~0 <80 , ••• 43.000. 202 90 te 19.5

KoYatchitch. Corinne Admlnillratlw AnImnt II f:I«. Seadtf1a.Adrnk'I.~."]-601(~J 38112 52 R_ 5.""" 37.5 V•• 52.0 I,W7 38 ,.... 43.000. 836 374 3,155 97.5

R0W8n.Dawn Protect Sllff AuociMe ~.tlft5aWaHMllga'Jl-lOU.OO l.jl"""" 52 Regular 3.00% 37.5 V•• 52,0 2,049 .. 2.090 .,."" ••• .," 3,390 50.5

lee, lily Sr Progr.mmerAnaIyst ComputerPtogf.mrnen.1Sol(l2J.OO ~ ""73 52 R•••••• ,.""" 37~ V_ 52.0 .., '" 705 43.000. 303 '36 1,143 19.5

l.an, loa Informatlon SysterM AaMtInt ComputerSupflLSptdalhlJ5-l041.00 ~ ...,17 52 R_ 2."" 37.5 V•• 5~0 '."" 22 1.106 C."" -cs 213 1,7~ 39.0

Loucks. KtiatiI-. ProjeclSt.ffAssistMII ~5etW:H~I.l·)Qll.DO l. 51001 52 R_ ,.""" 37.5 V•• 52.0 510 10 520 .,."" 22. 100 •.... 19.5

Mntan, JtrIe ProjAdmlnlstrMiYeOtficef AdI:nIniWatNc:StMr:a~U-)QU.DO • '''2!10 52 R_ ,.""" 37.5 V•• 52.0 ,.•... 27 1,371 C."" 589 264 2.224 19.5

Monaco, Eugene PMclpallnvntigltor EducItiollAdft'llnlltr,·PostsecU-9011.00 L. '0m2 52 R_ '.000. 37.5 V •• 52.0 1,922 38 1,961 43.000. 843 In 3,181 19.5

""""""","'" Pm Research SUppOrtSpec SOt"ISdmctRaelldl~lM061.DO l.J 00000 " R_ •.000. 37.5 V •• 52.0 890 16 ""43.ClO"Ib 390 175 1,473 19.5

PotIer.Reg«, Parnell Pm Education SpecWt.I VOUotlonllfdut.ltKI'B· Posts«.2S'l191.a..!:-J 011253 52 R_ 3."" 37~ V •• 52.0 2,678 54 2,731 43.CJO'lI, 1,174 525 4.431 ".5

Per1tI,E~ SrEducatIonsJ*:laljsl ~fclut.'ud'Icr·Post$«..2S·l191.Q,_. 57000 52 R_ 55.""" 37.5 V•• 52.0 31,350 627 31,m <3.000. 13,750 6,150 51,8n 1072.5

ReynoIds,catherine Project Staff Auociate Admil'Iistral:iYtSeMcnHlnlgtn-ll')OJ1,OO l. 5"84 52 R_, 3.00% 37.5 V•• 52.0 '.734 35 1.768 43.000. 760 340 2,869 ".5

santev. RebeccI Pm Educltlan Specialist VOCltlonllfduc.ltkhtr· f'a5t5t(.2S'11"'A.~.J 87579 52 Rogu1O' .."" 37.5 V •• 52.0 8" " 893 43.00% 384 '" 1,449 19.5

McGuire, DebbIe ProjAdminlstrar..OfIk:er Mmln!stratNc:ScMtuHanago:rs 11·]OU.OOl. ,mo, 52 R_ t."" 37.5 V•• 52.0 ,.m ze '.303 <3.000. 560 25' 2,113 19.5

l'hompKIn, John O. Training Progrwn CoordInMor T,.1nkIg1M DewIopmtnt~. U-1042.~_ ••••• 52 R_ 10.()()'Ii. 37.5 V •• 52.0 8.026 '39 7.064 43."" 3.038 '.359 11.460 '95.0

L" 0 52 Regular 0._ 37.5 V•• 52.0 0 0 0 C."" 0 0 0 0.0

L'" 52 Regular 0._ 37.5 V•• 52.0 0 0 0 C.OO% 0 0 0 0.0

L" 0.0 65.429 '.300 66,738 .N/A 28.697 12.836 108.272 2067.0

l"L.•j.•l"_

- L·L" 0.0 0 0 0 .N/A .N/A .N/A 'N/A 0.0

I:'" 0.0 0 0 0 *NIA .N/A .N/A .N/A 0.0

I.• 0.0 0 0 0 .N/A 'N/A .N/A .N/A 0.0

L" 0.0 0 0 0 .N/A .N/A .N/A .N/A 0.0

L" 0.0 0 0 0 INIA .NIA .N/A .N/A 0.0. 0.0 0 0 0 IN!A 'N!A .N/A .N/A 0.0

L" 0.0 0 0 0 .NlA .N/A .N/A IN/A 0.0

- - l· 0.0 0 0 0 .N/A .N/A IN!A .NlA 0.0

l.• 0.0 0 0 0 .N/A ,NlA IN!A IN!A 0.0

- l"J -, 0.0 0 0 0 'NlA .N/A 'N/A IN/A 0.0

, l! 0.0 a 0 a 'NlA .N/A IN/A 'N!A 0.0

t- 0.0 0 0 0 'N/A .N/A .N/A .N/A 0.0

L.•J 0.0 0 0 a .N/A .N/A .N/A .N/A 0.0

~ 0.0 0 0 0 .N/A IN!A .N/A 'N/A 0.0

L"~ 0.0 0 0 0 tlN!A .N/A .NlA 'NlA 0.0

l!. 0.0 0 0 0 IN/A IN/A IN/A .N/A 0.0.• 0.0 0 0 0 'N/A .N/A .N/A .N/A 0.0

L". 0.0 0 0 0 IN/A .NlA .N/A .N/A 0.0

L·_I 0.0 0 0 0 'N/A IN!A .N/A .N/A 0.0

., L!.. 0.0 0 0 0 IN/A IN/A 'N/A .N/A 0.0

- t"J 0.0 0 0 0 .N/A 'N!A .N/A 'N/A 0.0

. , t .• 0.0 0 0 0 .N/A 'N/A .N!A .N/A 0.0

l!J 0.0 0 0 0 .N/A .N/A .N/A .N/A 0.0

I ~J 0.0 0 0 0 IN/A .N/A .N/A 'N!A 0.0

Form A CalculationRFAward # 69958Contract # C0274302015 OCFSWorkplan # 7, CCD5

EquipmentSupplies

Staff TravelOtherTrainee Costs

SubtotalIndirect Costs on Above

Total Costs excluding Form A Costs

1,021

10,2353,045

14,3011,924

16,225

Form A Total (includes Salaries, Fringe,Consultants, Subcontractors & applicable indirect costs)

108,272

124,497 *124,500

TotalContract Reimbursable Amount*Difference due to rounding on Form A (3)