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<br /> WORKSHEET TO EXHIBIT A <br /> Community Development Block Grant Program <br />- -~ -~ - - ~- P. O. Box 391, Redwood City, CA 94064 <br /> Please provide Name of . - -- -- ~ -~- -- <br /> Agency, Address and Zip Code Below <br /> Center for Independence of the Disabled <br /> lH5 0 I Nej'l1 Ave <br /> Belmont, Ca 94002 <br /> -- <br /> Activity Name <br /> Housing Accessibility Modification <br /> <br /> 1 <br /> A. Salary and Wages <br /> position Hours @ - Budget <br /> Installers $ $73 ~OO <br /> ~OOral nator $ $3.500 <br /> $ $ <br /> $ $ <br /> Total Salary and Wages $ m . UUU <br /> B. Fringe Benefits <br /> Health Insurance $ ~n <br /> Life Insurance $ $ <br /> Retirement $ $ <br /> Workmen's Compensation $ $7UU <br /> State Unemployment Insurance $ $ <br /> Other Personnel Costs (Specify) $ $ <br /> Total Fringe Benefits $ $Z~U "" <br /> C. Office <br /> Telephone $ $Z~ <br /> Office Supplies $ $10 <br /> postaqe $ $ , <br /> Duplicating Costs $ $~ , <br />Total Office Costs $ $- <br /> D. Marketingfoutreach <br /> Promotion $ $ <br />Traininq $ $ <br />Advertising $ $ <br />Total Miscellaneous $ $ <br /> E. Fiscal Management <br />Accountinq $ $ on <br />Auditing $ $~ >U <br />Total Fiscal Management $ $ 50 -- <br />F. Operations <br />Instructional materials $ $ <br />Activities $ $ <br />G. Other Budget Line Items ": <br /> LUmDer $ $1UUU <br /> lJtl1er l'Iäter 1 a 1 $ $ 1 ,525 <br /> <br />Total Operations $ $ ~ 000 <br /> TOTALS $'U\ nnn <br /> <br />. Please fill this section if the line items listed in your application are not found in the listed examples above. <br />ATTACH NARRATIVE TO DESCRIBE YOUR LINE ITEMS. <br />