Estimated eligible actual costs

Transcription

1 GRANT AGREEMENT NR/TITLE : REPORTING PERIOD : EXPENDITURE FINANCIAL STATEMENT COMM/MAD/2016/04 - Annex VIII From dd/mm/yyyy to dd/mm/yyyy REIMBURSEMENT OF ELIGIBLE COSTS Applicants should give full details of related costs by using the sheets dedicated to each heading Estimated eligible actual costs () Actual cost () fluctuation estimated costs/ actual costs Maximum budget transfers % allowed between cost categories: 10% Direct eligible costs 1. Staff #DIV/0! 2. Travel and subsistence expenses #DIV/0! 3. Equipment #DIV/0! 4. Other Expenditure #DIV/0! 5. Services subcontracted #DIV/0! I. Total direct eligible costs (1-5) II. Indirect eligible costs -flat rate : 7% of total direct eligible costs III. Total eligible costs (I+II) Actual Subcontracting percentage Maximum EU contribution % reported in grant agreement : 80% Maximum eligible subcontracting : 50% #DIV/0! REVENUE REVENUE LINKED TO ELIGIBLE COSTS DESCRIPTION Estimated Revenue Actual Revenue 1. Co-financing by the beneficiary 2. Other co-financers 3. DG COMM financial contribution already received 4. Direct revenue generated by the action TOTAL REVENUE LINKED TO ELIGIBLE COSTS REQUESTED EU CONTRIBUTION DESCRIPTION Estimated EU Contribution Actual EU Contribution DG COMM contribution requested by beneficiary Balance : Actual EU Contibution requested -Pre-financing already received 0.00 TOTAL REVENUE : The undersigned certifies that the information provided in the financial statement is full, reliable and true. The costs incurred can be considered eligible in accordance with the agreement, all receipts have been declared, and this financial statement will substantiated by adequate supporting documents that can be checked upon request of the Commission after receipt of the financial statement. DATE: SIGNATURE OF THE AUTHORISED LEGAL REPRESENTATIVE: NAME: TITLE: Contact person: Tel:

2 : Person - daily/hourly rate calculation Please use one sheet per staff member involved Please note that, at the end of the project, the Commission may ask supporting documents (salary slips, other social document or payment statement for each staff member involved in the projet, declaration of social security, employer costs to the national authorities,...) in order to verify this person/day rate Organisation name : Expert's name : 1 Annual Gross salary 0 Working days/hours calculation 2 Social security (if not included in 1) 0 Total days in the year Employer charges (if not included in 2) 0 Week-end Other employer costs (ex group insurances) Annual holidays 21 5 Total Salary ( ) 0 Statutory holidays 15 Ilness/other 5 6 Working days/hours [1] per year 220 Working days 220 Hours per day 0 5/6 Daily/hourly [1] rate 0 Working hours 0 [1] Please choose Organisation name : EXAMPLE Expert's name : ME Example of working days calculation 1 Annual Gross salary 33, Total days in the year Social security (if not included in 1) included in 1 Week-end Employer charges (if not included in 2) 11, Annual holidays 21 4 Other employer costs (ex group insurances) 5, Statutory holidays 15 5 Total Salary ( ) 50, Ilness/other 5 Working days Working days per year 220 Hours per day 8 Working hours /6 Daily rate Please provide us with one table of working hours calculation by organisation - Add as many sheets as necessary to have the monthly/hour rate calculated for each expert working on the project

3 This section should include the costs of personnel working under an employment contract with the beneficiary or an equivalent appointing act and assigned to the action, provided that these costs are in line with the beneficiary's usual policy on remuneration. Please refer to Article II.19.2 (a) of the draft agreement. l Heading 1 - Staff costs Time for the project hours/ days Total salary costs in productive hours/days per year Hourly/Daily rate in Costs for exchange rate Name Period (see staff rate caldulation) (see staff rate caldulation) (see staff rate caldulation) project in Currency (Currency/ ) Staff costs for project in Example : ME 01/05/ /10/ , , O 1 4, TOTAL 20 4,584.67

4 These costs should be in line with the beneficiary's usual practices on travel. Heading 2 - Travel and subsistence expenses necessary to implement the action Expert Name Travel Dates Purpose example : Mr John Smith London - Brussels - Londen 29-31/03/2014 Mission costs (in ) Travel (in ) Currency Exchang e rate (Currenc y/) Travel Mission costs Total Kick off meeting GBP Total Please use as many sheets as needed, copying this one. You may add or delete rows when necessary.

5 Heading 2 - Equipment # months used for the charge for project in Exchang e rate (Currenc Description equipment Cost in (*) project Deprecia tion # months Rate of use Currency y /) Example : Machine x 4, % 1, GBP , Total for the period 1, You may add or delete rows when necessary, and more generally, adapt this form to your own accountancy method. (*) Exclusive of VAT unless VAT is eligible in accordance with the grant agreement. The beneficiary certifies that the costs given above are necessary and related to the implementation of the action for the percentage indicated. Equipment must be written off in accordance with the tax and accounting rules which apply to the beneficiary. Only the portion of the equipment's depreciation corresponding to the duration of the action is eligible. The costs of rental or lease of equipment are eligible provided they do not exceed the depreciation costs of similar equipment.

6 This section may include : -costs of consumables and supplies that are purchased in accordance with Article II.19 of the draft agreement and are directly assigned to the action ; -costs arising directly form requirements imposed by the grant agreement (dissemination of information, specific evaluation of the action, translations, reproductions) including the costs of requested financial guarantee; provided that the services are purchased in accordance with the conditions applicable to implementation contracts. Please refer to Article II.9 of the draft agreement. This section may not contain indirect costs such as costs connected to infrastructures and the general operation of the organisation such as hiring of buildings, water, gas, electricity, insurance, general supplies and petty office equipment, communication and connection costs, postage, etc. and costs connected to horizontal services such as admnistrative and financial management, training,... Heading 4 - Other expenditure Description procurement For exxmple:, CD's for specific event,folders for specific meeting,, translation,... # of units unit price (*) in (*) Currency Exchang e rate (Currenc y /) , , Total for the period You may add or delete rows when necessary, and more generally, adapt this form to your own accountancy method. (*) Exclusive of VAT unless VAT is eligible in accordance with the grant agreement. The beneficiary certifies that the costs given above are necessary and exclusively related to the implementation of the action.

7 This section should include costs entailed for procurement contracts concluded for the externalisation of specific tasks or activities which form part of the action or workprogramme as described in the proposal, provided that the conditions applicable to implementation of contract are met. Please refer to Articles II.9 and II.10 of the draft grant agreement. The below text may be copied as many times as possible 1. Contractor's Name 2. Tasks subcontracted 3. Tasks explicitely mentioned as subcontracted in the Description of Work? 4. Contract has been procured on the basis of best value for money / in accordance with the applicable procurement rules? 5. Is there a personal link between the contractor's owner, shareholder or manager and one of the applicants or their affiliates? 6. If "Yes" under point 5. please specify relationship Heading 5 - SUB-CONTRACTING Note that the applicant has to have the necessary capacity to perform the project. Subcontracting refers to the externalisation of specific tasks or activities which form part of the action. Subcontracting is allowed up to 50%. Estimated cost per day in *) N of days foreseen *) Total estimated costs for the contractor Total for contract , Contractor's Name 2. Tasks subcontracted 3. Tasks explicitely mentioned as subcontracted in the Description of Work? 4. Contract has been procured on the basis of best value for money / in accordance with the applicable procurement rules? 5. Is there a personal link between the contractor's owner, shareholder or manager and one of the applicants or their affiliates? 6. If "Yes" under point 5. please specify relationship 1. Contractor's Name 2. Tasks subcontracted 3. Tasks explicitely mentioned as subcontracted in the Description of Work? 4. Contract has been procured on the basis of best value for money / in accordance with the applicable procurement rules? 5. Is there a personal link between the contractor's owner, shareholder or manager and one of the applicants or their affiliates? 6. If "Yes" under point 5. please specify relationship Total for contract 2 0 Total for contract 3 0 GRAND TOTAL 1,500 *) for contracts on the basis of a consultancy fee