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DIVISION OF EMERGENCY MANAGEMENT <br /> EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT-EMPA BASE GRANT <br /> County <br /> STAFFING DETAIL <br /> Form 4 <br /> FY 2016-2017 <br /> COUNTY EMERGENCY MANAGEMENT AGENCY <br /> ANTICIPATED SALARIES&BENEFITS <br /> LOCAL STATE/FEDERAL <br /> Approx.#of Annual % % % % % % % <br /> Hrs./Week Total Salaries County Other EMPA EMPG Hazardous Materials Other Total <br /> Devoted to &Benefits$ General Fund Local Base Grant Base Grant Planning Grant State or Federal All <br /> Name&Position Title EM Activities by Position (Local) Funds (State) (Federal) (State) Funds Funds <br /> 1] [2] 3] [4] [5] [6] [7] 161 [9) 10 <br /> DIRECTIONS: <br /> 1. In column 1,list titles of ALL Emergency Management Agency staff,regardless of funding. <br /> 2. Complete column 2 for each position. <br /> 3. In column 3 list total anticipated annual amount of Salaries and Benefits to be paid for each position. <br /> 4. In columns 4-9.provide the funding distribution(%)in each applicable column for amounts in column 3. <br /> 5. Column 10 is the sum of columns 4 through 9 and must equal 100%. <br /> Due November 15.2016 <br />