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GRANT NAME: Wabassos Causeway Park AMOUNT OF GRANT: $ 176,780.91 GRANT# DEPARTMENT RECEIVING GRANT: Public Works CONTACT PERSON: G. Sean McGuire PHONE NUMBER: 407-567-8000 ext. 510 1. How long is the grant for? Not specified Starting Date: upon execution • 2. Does the grant require you to fund this function after the grant is over? x Yes No 3. Does the grant require a match? x Yes No If yes. does the grant allow the match to be in In Kind Sevices? x Yes No 4. Percentage of match to grant 50 5. Grant match amount required $ 175,142.88 6. Where are the matching funds coming from (i.e In kind Services, Reserve for Contingency)? Local Option Sales Tax Revenue 7. Does the grant cover capital costs or start-up costs? x Yes No If no, how much do you think will be needed in capital costs or start up costs? (Attach a detail listing of costs) 8. Arc you adding any additional positions utilizing the grant funds? If yes, please list. (If additional space is needed, please attach a schedule.) Yes X No Acct. Description Position Position Position Position Position 011.12 Regular Salaries Second Year $ $ Request from FIND $ $ 0 011.13 Other Salaries & Wages (PT) $ $ $ Fourth Year $ 012.11 Social Security $ Fifth Year 19 % y 012.12 Rctircment-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? 10. What is the estimated cost of the grant to the county over five years? $ 175,142.88 First Year Grant Amount Other Match Costs Not Covered Match Total $ 176,780.91 $ 175,142.87 $ 175,142.88 $ 527,066.66 Second Year $ $ Request from FIND $ $ 0 Third Year $ $ $ $ Fourth Year $ $ $ $ Fifth Year 19 % y % Signature of Preparer: Date: /i3 �P�