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GRANT NAME: DEP AGREEMENT NO. 50733 <br />AMOUNT OF GRANT: $175,000 <br />GRANT # S0733 <br />DEPARTMENT RECEIVING GRANT: PUBLIC WORKS — STORMWATER DIVISION <br />CONTACT PERSON: KEITH McCULLY, P.E. TELEPHONE: 226-1562 <br />I. How long is the grant for? SIX MONTHS Starting Date: OCTOBER 2014 <br />2. Does the grant require you to fund this function after the grant is over? Yes XX No <br />3. Does the grant require a match? Yes XX No <br />If yes, does the grant allow the match to be In -Kind services? Yes No <br />4. Percentage of match to grant -0- <br />5. Grant match amount required 1-0- <br />6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)? <br />NO MATCHING FUNDS ARE REQUIRED FOR THIS GRANT <br />7. Does the grant cover capital costs or start-up costs? - NOT ALL COSTS Yes No XX <br />If no, how much do you think will be needed in capital costs or start-up costs: $53,000 <br />ADDITIONAL FUNDS FOR EQUIPMENT COST = $48,000; ADDITIONAL FUNDS OR INSTALLATION = $5,000 <br />8. Are you adding any additional positions utilizing the grant funds? <br />If yes, please list. (If additional space is needed, please attach a schedule.) <br />Yes XX No <br />Acct. <br />Description <br />Position <br />Position <br />Position <br />Position <br />Position <br />011.12 <br />Regular Salaries <br />$228,000 <br />Second Year <br />$ <br />$ <br />$ <br />011.13 <br />Other Salaries & Wages (PT) <br />$ <br />$ <br />$ <br />$ <br />Fourth Year <br />012.11 <br />Social Security <br />$ <br />$ <br />Fifth Year _ <br />$ ,,, <br />$ <br />012.12 <br />Retirement — Contributions <br />012.13 <br />Insurance — Life & Health <br />012.14 <br />Worker's Compensation <br />012.17 <br />S/Sec. Medicare Matching <br />TOTAL <br />9. What is the total cost of each position including benefits, capital, start-up, auto expense, travel and operating? N/A <br />Salary and Benefits <br />Operating Costs <br />Capital <br />Total Costs <br />10. What is the estimated cost of the grant to the county over five years? $41,(100 <br />, `Y 5 <br />Grant Amount <br />Other Match Costs Not Covered <br />Match <br />Total <br />First Year <br />$175,000 <br />NO MATCHING COSTS <br />REQUIRED. ADDITIONAL <br />COUNTY FUNDS = $53,000 <br />$-0- <br />$228,000 <br />Second Year <br />$ <br />$ <br />$ <br />$ <br />Third Year <br />$ <br />$ <br />$ <br />$ <br />Fourth Year <br />$ <br />$ <br />$ <br />$ <br />Fifth Year _ <br />$ ,,, <br />$ <br />$ <br />$ <br />Signature of Preparer: <br />Date: 11-22-2o/4 <br />68 <br />