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GRANT NAME: Edward Byrne Memorial Justice Assistance Grant (JAG) Local GRANT # FY2016 AMOUNT OF GRANT: $23,482.00 DEPARTMENT RECEIVING GRANT: Indian River County Sheriffs Office (Sub -Recipient of Indian River County) CONTACT PERSON: Annette M_ Russell TELEPHONE: 772-978-6214 1. How long is the grant for? 2 years 2. Does the grant require you to fund this function after the grant is over? 3. Does the grant require a match? If yes, does the grant allow the match to be In -Kind services? 4. Percentage of match to grant 0% 5. Grant match amount required S n nn Starting Date: October 1, 2016 6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)? N/A Yes X No Yes X No Yes No 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: $ N/A (Attach a detail listing of costs) 8. Are you adding any additional positions utilizing the grant funds? Yes _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 (P7) 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? S n On Signature of Preparer. Date: June 27, 2016 111 Grant Amount Other Match Costs Not Covered Match Total First Year $23,482.00 $0.00 $0.00 $NO MATCH Second Year $ $ $ $ Third Year $ $ $ $ Fourth Year $ $ $ $ Fifth Year , $ $ $ $ Signature of Preparer. Date: June 27, 2016 111