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GRANT NAME: DEO Community Planning Technical Assistance Grant GRANT# <br /> AMOUNT OF GRANT: $25,000.00 <br /> LDEPARTMENT RECEIVING GRANT: Community Development Department <br /> CONTACT PERSON: Sasan Rohani TELEPHONE: 772-226-1250 <br /> 1. How long is the grant for? Until June 30,2014 Starting Date: 8-1-2013 <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 to grant N/A <br /> 5. Grant match amount required R 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 X No <br /> • If no,how much do you think will be needed in capital costs or start-up costs: $ N/A <br /> (Attach a detail listing of costs) <br /> 8. Are you adding any additional positions 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? $000 <br /> Grant Amount Other Match Costs Not Covered Match Total <br /> First Year $25,000.00 $------ $------ $25,000.00 <br /> Second Year $ $ $ $ <br /> Third Year $ $ $ $ <br /> Fourth Year $ $ $ $ <br /> Fifth Year $ / $ $ $ <br /> .Signature of Preparers /7 Date: 7/9/2013 <br /> ATTACHMENT 2 95 <br />