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GRANT NAME: Homeland Security Grant GRANT# 11-DS-9Z-39-10-40-XXX <br /> AMOUNT OF GRANT:$ 58 497.00 <br /> DEPARTMENT RECEIVING GRANT: Emergency Services <br /> _'ONTACT PERSON: John King PHONE NUMBER: 772-567-8000 ext.3859 <br /> 1. How long is the grant for? 2.5 years. Starting Date: August 1,2010 <br /> 2. Does the grant require you to fund this function after the grant is over? Yes X No <br /> 3. Does the grant require a match? Yes X No <br /> If yes,does the grant allow the match to be In Kind Services? Yes No <br /> 4. Percentage of match N/A 0% <br /> 5. Grant match amount required$ N/A <br /> 6. Where are the matching funds coming from(i.e.In Kind Services;Reserve for Contingency)? <br /> 7. Does the grant cover capital costs or start-up costs? Yes No <br /> If no,how much do you think will be needed in capital costs or start up costs <br /> (Attach a detail listing of costs) $ <br /> 8. Are you adding any additionalpositions utilizing the grant funds? Yes X No <br /> If yes,please list. (If additional space is needed,please attach a schedule.) <br /> Acct. Description Position Position Position Position Position <br /> 011.12 Regular Salaries <br /> 011.13 Other Salaries&Wages(PT) <br /> 012.11 Social Security <br /> 012.12 Retirement-Contributions <br /> 012.13 Insurance-Life&Health <br /> 012.14 Worker's Compensation <br /> 012.17 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? <br /> Salary and Benefits Operating Costs Capital Total Costs <br /> 10. What is the estimated cost of the grant to the county over five years?$ <br /> Grant Other Match Costs <br /> Amount t Covered Total <br /> First Year $ $ $ $ <br /> Second Year $ $ $ $ <br /> Third Year $ $ $ $ <br /> Fourth Year $ $ $ $ <br /> Fifth Year $ $ $ $ <br /> Signature of Preparer: Date: December 13,2010 <br /> 153 <br />