Line Item Shift Request · Contact Name: Email: Justification Line Item Shift Budget Adjustment...
Transcript of Line Item Shift Request · Contact Name: Email: Justification Line Item Shift Budget Adjustment...
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LINE ITEM SHIFT REQUEST Form 2.1.4. (Rev. 10.2019) State of California California Department of Food and AgricultureOffice of Grants Administration
Date Grant Agreement # Grant Award Amount Line Item Shift #
Grant Recipient Information
Organization Name:
Contact Name: Email:
Justification
Line Item Shift Budget Adjustment Table
Project Budget Categories Current Project
Budget
(A)
Line Item Shift
Revision
(B)
Revised Project
Budget
(A + B)
1. PERSONNEL
a) Salaries and Wages
b) Fringe Benefits
2. OPERATING EXPENSES
a) Travel
b) Equipment
c) Supplies
3. CONTRACTORS/CONSULTANTS
4. OTHER DIRECT COSTS
5. INDIRECT COSTS (can't increase)
Totals:
(Must net zero) (Must equal award
amount)
Authorized Official
Printed Name Telephone Number
Signature Date
FOR STATE USE ONLY
Approved LISR #1 _____% LISR #2 _____% LISR #3 _____% LISR #4 _____%
Not Approved
CDFA Authorized Signature: Date:
Grant Agreement #: Line Item Shift Request Number: Organization Name: Contact Name: Email Address: Justification: Current Budget - Fringe Benefits: 0Current Budget - Salaries & Wages: 0Current Budget - Travel: 0Current Budget - Equipement: 0Current Budget - Supplies: 0Current Budget - Contractor/Consultant: 0Current Budget - Other Direct Costs: 0Current Budget - Indirect Costs: 0Current Project Budget Total (A): 0Line Item Shift Revision - Salaries & Wages: 0Line Item Shift Revision - Fringe Benefits: 0Line Item Shift Revision - Travel: 0Line Item Shift Revision - Equipment: 0Line Item Shift Revision - Supplies: 0Line Item Shift Revision - Contractors/Consultants: 0Line Item Shift Revision - Other Direct Costs: 0Line Item Shift Revision - Indirect Costs: 0Revised Project Budget - Salaries and Wages: 0Revised Project Budget - Fringe Benefits: 0Revised Project Budget - Travel: 0Revised Project Budget - Equipment: 0Revised Project Budget - Supplies: 0Revised Project Budget - Contractors/Consultants: 0Revised Project Budget - Other Direct Costs: 0Line Item Shift Revision Total (B): 0Revised Project Budget - Indirect Costs: 0Revised Project Budget Total (A + B): 0Authorized Official Name: Authorized Official - Telephone Number: Grant Award Amount: Authorized Official Signature: Date: Authorized Official - Date Signed: For State Use Only: