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GRANT NAME. Florida Public Transportation Block Grant GRANT #: NA <br />AMOUNT OF GRANT. $500,000 <br />DEPARTMENT RECEIVING GRANT Community Development (pass through to Senior Resource Association) <br />CONTACT PERSON Brian Freeman PHONE # (772) 226-1990 <br />1 Flow long is the grant for? Three Years Starting Date: October I. 2016 <br />Description Position Position Position Position Position <br />2. Does the grant require you to fund this function after the grant is over? Yes X <br />No <br />3 Does the grant require a match? X Yes <br />No <br />If yes, does the grant allow the match to be In Kind Services? Yes <br />No <br />4 Percentage of grant to match 50 % <br />Retirement Contributions <br />5. Grant match amount required: $ 500.000 <br />Life and Health Insurance <br />6 Where are the matching funds coming from (i.e. In Kind Services, Reserve for Contingency? <br />Worker's Compensation <br />$166,666.67 annual County match already budgeted in general fund <br />Soc. Sec. Medicare Matching <br />7. Does the grant cover capital costs or start-up costs? Yes X <br />No <br />If no, how much do you think will be needed in capital costs or start-up costs? <br />$333,333.32 <br />(Attach a detailed listing of costs.) <br />$ <br />8. Are you adding any additional positions utilizing the grant funds? Yes X <br />No <br />If yes, please list. (If additional space is needed, please attach a schedule.) <br />Fifth Year <br />Acct. <br />Description Position Position Position Position Position <br />Ol 1 12 <br />Regular Salaries <br />Ol l 13 <br />Other Salaries & Wages (PT) <br />012.11 <br />Social Security <br />012.12 <br />Retirement Contributions <br />012.13 <br />Life and Health Insurance <br />012.14 <br />Worker's Compensation <br />012.17 <br />Soc. Sec. Medicare Matching <br />$166,666.66 <br />TOTAL <br />9. What is the total cost of each position including benefits, capital, start-up, auto expense, travel, and operating? <br />Salaries and Benefits Operating Costs Capital Total Costs <br />10 What is the estimated cost of the grant to the County over five years? $500,000 <br />Signature ofPreparer• (/1�'-"""-Date: ��2� �5P 114 <br />ATTACHMENT 3 <br />Grant Amount <br />Other Matching Costs <br />Match <br />Total <br />First Year <br />$166,666.67 <br />$ <br />$166,666.67 (County) <br />$333,333.34 <br />Second Year <br />$166,666.67 <br />$ <br />$166,666.67 (County) <br />$333,333.34 <br />Third Year <br />$166,666.66 <br />$ <br />$166,666.66 (County) <br />$333,333.32 <br />Fourth Year <br />$ <br />$ <br />$ <br />$ <br />Fifth Year <br />$ <br />$ <br />$ <br />$ <br />Signature ofPreparer• (/1�'-"""-Date: ��2� �5P 114 <br />ATTACHMENT 3 <br />