Laserfiche WebLink
H. FRINGE <br />Position Title <br />Name * <br />Type and Rate <br />Amount <br />Paid by <br />Local <br />Agency <br />Amount <br />Paid by the <br />sate <br />COntmd <br />1. Nurse 1 <br />Name <br />Retirement Rate : i'1.13 et <br />0 <br />.�,� , <br />i/,, ,..a s <br />W <br />Lori n S <br />A Rate: 7. o <br />Ma -In <br />M cal Amount: S fol C) <br />Other Rate: <br />2. Nurse 2 1 Mame <br />U Retirement Rate: /o <br />CIfUrIek LoVl� <br />FI <br />Ute: o <br />, <br />It <br />i t Amount: ou <br />Other. Rate: <br />3. Nurse 3 <br />U Retirement Rate: % <br />Ka Stack. <br />FICA Rate: <br />Medical Rat Amount: <br />Other: Rate: <br />TOTAL FRINGE PAID BY CONTRACT <br />$ <br />r <br />*Fringe benefit amounts may change due to longevity, etc. that the employee may be eligible for during <br />the school year. <br />Justification: Funds will be used to employ nationally certified school nurse(s) or registered nurses) working <br />toward national certification to work full time in schools and enhance the local school district's capacity to provide basic <br />health services to students. <br />III. Other <br />In-state <br />ost per <br />mile <br />lunches I # of dinners <br />Cost <br />TRAINING PAID BY CONTRACT (If no funds available after covering salary 10.00 <br />and fringe for these positions, leave at 0.00. If funds available, amount is limited to <br />a total of $750 per Position. See Scone of Work for Allowable Costs) <br />Page 5 of 5 <br />