f. Extension Service family nutrition program

Schedule A - Alternate County: Cass FACILITIES SPACE VALUATION WORKSHEET (Must be completed to count the value of any 'space') FACILITY: Madison Elementarv (A separate worksheet must be completed for each facility) This worksheet provides a standard cost calculation that may be used in lieu of using actual depreciation cost data to charge the cost of government owned space by Food and Nutrition Service (FNS) grantees. It provides a more simplified, less labor-intensive approach to determining these costs. I Standard Space Cost Physical Space = $ 5.00 sq. ft./yr. $ 0.002041 hourly rate per sq. ft. Operation & Maintenance = $ 8.00 sq. ft./yr. $ 0.003265 hourly rate per sq. ft. TOTAL COST =$13.00 sq. ft./yr. TOTAL hourly rate per square foot =$ 0.005306 [Q] I Proportionate Share of Space and Costs (Amount of space used by FNP) 1 a. Space value calculated as a percentage of time (ex. FNP office, FNP storage room, display areas, etc.). If calculating for a split appointment, then divide FNP FTE by total FTE. Ex. .25 FTE / .65 FTE = .3846 % of time allotted to FNP. Room name Square X Cost/Sq. X % of Time = $ Annual value Feet F t./Y r. Allotted to of space FNP* X X = X X = X X = X X = TOTAL 1a: .Please use decimals rather than whole numbers. For example, 15% would read .15. 1 b. Space value calculated using an hourly rate (ex. County chair offices, classrooms, etc.) Room name Square X Estimated X Hourly Rate = $ Annual value Feet Hours per per sq ft [Q] of space year Grades 2, 4, 5, & Head Start 1216 X 56 X .005306 = $361.32 Grades K, 1, 3 812 X 48 X .005306 = $206.81 X X .005306 = X X .005306 = X X .005306 = TOTAL 1b: $568.13 Total Annual Value of Facility's Space (TotaI1a: $ + Total1b: $ ) = $568.13 (Total Annual Value of Facility's Space) (Transfer this number to the Contributor Support Form Value of Physical Space) 3/08