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GRANT NAME: Florida Department of Transportation- Highway Safety Grant Program GRANT # AMOUNT OF GRANT: $57,187 DEPARTMENT RECEIVING GRANT: Indian River County Sheriff's Office CONTACT PERSON: Amber Grier. Planner TELEPHONE: 772-978-6214 1. How long is the grant for? 1 Year Starting Date: October 1, 2015 2. Does the grant require you to fund this function after the grant is over? Yes X No 3. Does the grant require a match? Yes ___X__No If yes, does the grant allow the match to be In -Kind services? Yes X No c AN 4. Percentage of match to grant 5. Grant match amount required 6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)? 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: $55,009 (Attach a detail listing of costs) 8. Are you adding any additional positions utilizing the grant funds? Yes X No If yes, please list. (If additional space is needed, please attach a schedule.) Acct. Description Position Position Position Position Position 011.12 Regular Salaries 011.13 Other Salaries & Wages (PT) 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 10. What is the estimated cost of the grant to the county over five years? $41160 nn Grant Amount Other Match Costs Not Covered Match Total First Year $ 57,187 $0 $ 57,187 Second Year Third Year Fourth Year Fifth Year Signature of Preparer: Date: February 27, 2015 119