Performance-Based Deliverables and Invoice Schedule
Fiscal Year:
TAPS Number
A.
06B004
1) Eligible Applicant:
5) Telephone/SunCom:
2) Program Name:
6) FAX Number:
3) Contact Name:
7) E-mail:
4) Title:
8) Project Number:
B.
(Please include a description of all the goals
measured in program application)
Performance Measure / Objective
(1)
Evidence of Completion
(2)
(Data showing goals achieved / outcomes / products)
Total Amount
Budgeted / Goal
(List total amount
for each goal
measured)
(3)
Goals
(Number for
each goal
measured)
(3a)
(4)
(Automatically
calculates)
Col. 3
divided by Col. 3a
Unit Cost
1. Supplemental Instructional Services. Create
curriculum framework alignments and hire
teachers and staff to assist in teaching the
students of the Front Porch communities;
enable communication between teachers and
statewide students.
THIS IS AN EXAMPLE, DO
NOT USE…….
Printed frameworks correlations; list of teachers
assigned to GED classes for the Front Porch
communities. Documentation verfying 1-888
telephone number for students throughout the
state to contact teachers and staff.
THIS IS AN
EXAMPLE, DO NOT USE……
37,500
$
10
3,750
$
2. Technological Hardware/Software Acquisition;
Create client tracking system and obtain
courseware licenses.
THIS IS AN EXAMPLE,
DO NOT USE……
ESOL Foundation Course in FlashWave and
HTML formats with accompanying
correlations.
THIS IS AN EXAMPLE, DO NOT
USE……
50,500
$
5
10,100
$
3.
-
$
#DIV/0!
4.
-
$
#DIV/0!
5.
-
$
#DIV/0!
4/6/2005
Page 1 of 2
Schedule of Deliverables
Performance-Based Deliverables and Invoice Schedule
Fiscal Year:
TAPS Number
06B004
Instructions for Completion of Performance-Based Deliverables and Invoice Schedule
1.
Enter the TAPS Number that corresponds with the TAPS Number on the appropriate DOE A or B Form.
2.
?
Applicants must complete Sections A, and B, of the Performance-Based Deliverables and Invoice Schedule. This report must
clearly delineate the specific area(s) that will be addressed, the measurable goal(s) that will be attained and the outcome(s)
and/or product(s) to be delivered that will support the goals.
Section A - Complete all information as requested.
1)
Enter name of eligible applicant.
2)
Enter the program name that corresponds to the Block A on the DOE 100 A or B form.
3 - 7)
Enter requested information for the applicant's contact person. This is the person responsible for responding to all questions
regarding information included in this application.
8)
Project Number - Application purposes - Leave blank. Invoice Submission - enter the number located on the approved DOE 200
form.
Section B - Complete information as requested. Columns (1), (2), (3), (3a), (4)
NOTE:
The rows for the 'performance measures' and 'evidence of completion' will expand, however, be sure to spread the area by pulling the
row down in order to view each line. Put your cursor on the row line under the number. Hold down the left button and drag until all the
words appear. The Unit Cost (B4) is calculated by dividing Column 3 by Column 3a, this colum will automatically calculate once the
'total amount budgeted' has been estabished for each measure / goal addressed.
3.
?
Full payment is conditional upon meeting the performance requirements of the deliverable. Payments for partial performance will be
based on unit cost.
4.
?
A Performance-Based Achievement Report (Descriptive data and Achievement data) is to be sent to the program office representative
on or by October 14, 2005, quarterly evaluation data; summer evaluation data, December 14, 2005, quarterly evaluation; midterrm
evaluation data, March 14, 2006, quarterly evaluation data, and May 15, 2006, quarterly evaluation data; final evaluation data; summer
evaluation data.
5. The final DOE-399 is to be attached to the final invoice for payment and sent to the Office of Grant Management.
4/6/2005
?
Page 2 of 2
Schedule of Deliverables