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I GRANT NAME. FDOT LAP 8' Street Sidewalk (58`x' Ave to 21" Court) GRANT # 431733-1-58/68-01 AMOUNT OF GRANT: $455,243.00 DEPARTMENT RECEIVING GRANT: Public Works CONTACT PERSON: James W. Ennis, P.E.. PMP County Engineer TELEPHONE: (772) 226-1931 1. How long is the grant for? Until June 30, 2018 Starting Date: Letting Date prior to 11/4/2016 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? X Yes No If yes, does the grant allow the match to be In -Kind services? Yes X No 4. Percentage of match to grant 14.236% 5 Grant match amount required X75,593 nn 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? Yes X No If no, how much do you think will be needed in capital costs or start-up costs: $ N/A (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? 751521 nn ------- -- - Grant Amount Other Match Costs Not Covered Match Total First Year $455,24300 $ $ 75,523.00 $ 530,766.00 Second Year $ $ $ $ Third Year $ $ $ $ Fourth Year $ $ $ $ Fifth Year $ $ $ $ Signature of Preparer: Date: 31