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GRANT NAME: RCMP — Hurricane Loss Mitigation Program Mitigation Retrofit Improvenmts GRANT # AMOUNT OF GRANT: $194,000 DEPARTMENT RECEIVING GRANT: Community Development Dept. CONTACT PERSON: Bill Schutt TELEPHONE: 226 - 1243 1. How long is the grant for? 1 years Starting Date: May 2016 (estimated) 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 No 4. Percentage of match to grant 0% 5. Grant match amount required $0 6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)? N/A 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 X No Acct. I Description Position Position Position Position Position 011.12 Regular Salaries $194,000 Second Year $ $ N/A Third Year 011.13 Other Salaries & Wages (PT) Fourth Year $ $ $ N/A $ 012.11 Social Security $ $ N/A $ 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? 'MA + "�-fy Grant Amount Other Match Costs Not Covered Match Total First Year $194,000 Funds to be disbursed to County as needed over one year. $ $ N/A $194,000 Second Year $ $ N/A Third Year $ $ N/A Fourth Year $ $ $ N/A $ Fifth Year $ $ $ N/A $ Signature of Preparer: F:\Community Development\UserALONG RANGE\GRANTS\RCMP 2016\Staff Reports\Budget Office GrantForm - Attachment 2.doc Date: Attachment 2 100