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FRINGE BENEFIT WORKSHEET: A�reement# 106026 <br /> Not applicable <br /> Use this sheet to calculate tlze fringe benefits to be paid for p��oject personnel. For each element of the benefit <br /> package, indicate the dollar amount of the flat rate paid per employee or tlze rate as a percentage of salary. <br /> Use the TOTAL FRINGE BENEFITS amount from this worksheet as the fringe benefit dollar amount on the <br /> BUDGET under PERSONNEL SERVICES. <br /> RATED FRINGE BENEFITS Rate as % of Salar <br /> FICA 7.650% <br /> UNEMPLOYMENT , <br /> RETIltEMENT/PENSION I�' <br /> WORKER'S COMP <br /> DENTALNISION <br /> HOSPITALIZATION <br /> Other(Specify) <br /> Total%Fringe Rate '7,650%� <br /> Total Salary Paid By Grant(Total Salary for Personnel in the Budget Detail) <br /> TOTAL RATED FRINGE BENEFITS xp <br /> FLAT RATE FRINGE BENEFITS $ er FTE <br /> HEALTH/MEDICAL INSURANCE <br /> OTHER(SPECIFY) <br /> Total Flat Rate Fringe $Q.pp <br /> Number of grant—funded FTE(full-time equivelent)positions t).00 <br /> FLAT RATE FRINGE BENEFITS �p <br /> TOTAL FRINGE BENEFITS: (Total rated+ Total flat rate be�zefits) $p <br />