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GRANT NAME: Head Island Improvements — FIND WAP GRANT # AMOUNT OF GRANT: $71,500 DEPARTMENT RECEIVING GRANT: Community Development / Environmental Planning CONTACT PERSON: Roland M. DeBlois TELEPHONE: (772) 226-1258 1. How long is the grant for? Two years Starting Date: October 1, 2014 2. 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? X Yes No X Yes No X Yes No 4. Percentage of match to grant 50 5. Grant match amount required 571,500 6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)? $54,750 — County's Florida Boating Improvement Fund; $16,750 — St. Christopher Harbor HOA 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. Are you adding any additional positions utilizing the grant funds? If yes, please list. (If additional space is needed, please attach a schedule.) Yes No Acct. Description Position Position Position Position Position 011.12 Regular Salaries $143,000 Second Year $ $ $ 011.13 Other Salaries & Wages (PT) $ $ $ $ Fourth Year 012.11 Social Security $ $ Fifth Year $ $ 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? N/A Salary and Benefits Operating Costs Capital Total Costs 10. What is the estimated cost of the grant to the county over five years? (RS4,70 ft Grant Amount Other Match Costs Not Covered Match Total First Year $71,500 $16,750 (St. Christopher HOA) $54,750 $143,000 Second Year $ $ $ $ Third Year $ $ $ $ Fourth Year $ $ $ $ Fifth Year $ $ $ $ Signature of Preparer: Date: 4/8/14 ATTACH 'ENT 1 2R