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for the period from __________to ___________ Title of Project : Contract No: Name of the principal contractor /assistant contractor:2 Currency (euro/national currency) of the account : |
(Cost basis1:
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PERSONNEL AND OVERHEADS
| Coo3 |
Name4 |
Title (Mr / Ms) |
Category5 |
Status6 (P / T / [I]) |
Employment7 (FT / PT) |
Number8of man-hours |
Hourly (Wage) rate9 |
Hourly rate10 for overheads |
Personnel amount |
Overheads amount11 |
| . |
A |
B |
C |
Col. A x B |
Col. A x C |
| . |
. |
. |
. |
. |
. |
. |
. |
. |
. |
. |
TRAVEL AND SUBSISTENCE EXPENSES
| Coo3 |
Name4 |
Destination (City, Country) |
Reason for journey |
Amount12 |
|
. |
. |
. |
. |
. |
DURABLE EQUIPMENT13
| Coo3 |
Description |
Arrangement (P / L)14 |
Cost/Value15 |
Date of invoice |
Depreciation 36/60 months |
% Allocation to Project16 |
Amount12 |
| . |
. |
. |
. |
. |
. |
. |
. |
SUBCONTRACTING17
| Subcontractors |
Description |
Amount12 |
| . |
. |
. . |
OTHER SPECIFIC COSTS18
| Coo3 |
Description and name of supplier where applicable |
Amount12 |
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. |
. |
. . |
__________________________________________________________________________________ 1. Insert as appropriate : FC (Full costs), FF (Full costs-Flat-rate overheads), AC (Additional costs). 2. Delete as necessary. 3. Insert "C" for the costs of coordination. This column is exclusively reserved for the project coordinator - see Article 2(1) of Annex II of this contract. 4. Full identity of persons working on the project, the costs of which are reported. 5. Clearly identifiable (e.g. engineer, technician, administrator, administrative personnel, cost centre, department, etc.). 6. Insert "P" for permanent employees, "T" for temporary employees and "I" for in-house consultants. 7. Indicate the person's type of employment by inserting "FT" for full time and "PT" for part-time. 8. The time reported must be reflected in the records of the contractor. 9. The wage rate comprises the elements specified in Article 23(1) of Annex II of this contract. It must correspond to the units appearing in column A. 10. The principles governing overheads are specified in Article 24 of Annex II to this contract. The rate must correspond to the units appearing in columns A and B. This column should be left blank for contractors covered by the full costs (FC) or additional costs (AC) systems. 11. Only if the contractor is covered by the full costs (FC) system. 12. Net amounts only. Do not include indirect taxes and duties or customs duties. 13. For the calculation of eligible costs, see Article 23(2) of Annex II to this contract, except in the case of special conditions. 14. For purchased durable equipment, insert "P", for leased durable equipment insert "L". In the case of leasing the cost must not exceed the costs of purchasing the same article (depreciated value) - see the fourth subparagraph of Article 23(2)(4) of Annex II to this contract. 15. Net amounts (excluding indirect duties and taxes and customs duties) for purchased durable equipment. For leased equipment insert the value ofthe equipment. 16. Percentage usage of durable equipment for the project. 17. Attach a certified copy of invoices containing a reference to the subcontract and details of the service or supply concerned, in order to certify the reported costs. 18. See Article 23(8) of Annex II to this contract.
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