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GRANT NAME: OSLO BOAT RAMP PARKING AND DREDGING GRANT # AMOUNT OF GRANT: $ 437,500.00 DEPARTMENT RECEIVING GRANT: Public Works, Engineering Division CONTACT PERSON: Michael Nixon TELEPHONE: 226-1986 1. How long is the grant for? Two years Starting Date: October 1, 2012 Does the grant require you to fund this function after the grant is over? 3. Does the grant require a match? If yes, does the grant allow the match to be In -Kind services? 4. Percentage of match to grant 51.4 Yes x No Yes x No Yes x No 5. Grant match amount required .$ 467,500 00 6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)? IRC Recreation Impact Fees($200,000.00), Florida Boating Improvements Fund ($200,000.00), One Cent Sales Tax ($62 500.00) 7. Does the grant cover capital costs or start-up costs? x Yes If no, how much do you think will be needed in capital costs or start-up costs: $900,000.00 (Attach a detail listing of costs) 8. Are you adding any additional positions utilizing the grant funds? If yes, please list. (If additional space is needed, please attach a schedule.) No Yes x No 9. What is the total cost of each position including benefits, capital, start-up, auto expense, travel and operating? Salary and Benefits Operating Costs Capital Position Position Position Position Position Acct. Description 011.12 Regular Salaries $ $ $ Third Year $ 011A3 Other Salaries & Wages (PT) $ Fourth Year $ , $ $ 012.11 Social Security _ $� 012.12 Retirement — Contributions 012.13 Insurance — Life & Health 012.14 Worker's Compensation 012.17 S/Sec. Medicare Matching TOTAL 9. What is the total cost of each position including benefits, capital, start-up, auto expense, travel and operating? Salary and Benefits Operating Costs Capital Total Costs Total First Year $437,500.00 $ $462,500.00 $900,000.00 Second Year $ $ $ $ Third Year $ $ $ $ Fourth Year $ , $ $ 10. What is the estimated cost of the grant to the county over five years? $ ' ;�-'� Grant Amount Other Match Costs Not Covered Match Total First Year $437,500.00 $ $462,500.00 $900,000.00 Second Year $ $ $ $ Third Year $ $ $ $ Fourth Year $ , $ $ $ Fifth Year $� i Signature of Prepay r: —. ( /� F:\Public Works\ENGINEERINbIVISION PROJEC S\038TB OAT RAMP Phase sign\FIND\FIND APPLICATION 2-27-2012\GrantForm.doc Date