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GRANT NAME: FDOT LAP Indian River Blvd ((3701 St — 531d St) Sidewalk GRANT # 436860-1-58-01 AMOUNT OF GRANT: $416.720.00 DEPARTMENT RECEIVING GRANT: Public Works CONTACT PERSON: James W. Ennis. P.E.. PMP, Counjy Engineer TELEPHONE: (772) 226-1221 1. How long is the grant for? Until December 31, 2019 Starting Date: Letting Date prior to 3/12/18 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 20.77205046% 5. Grant match amount required R 109,7.56 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 $ 1 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? - 10919560D Signature of Preparer: /� _ Date: /o I Er / t . P32 Grant Amount Other Match Costs Not Covered Match Total First Year $ 416,720.00 $ $ 109,256.00 $ 525,976.00 Second Year $ $ $ $ Third Year $ $ $ $ Fourth Year $ $ $ $ Fifth Year $ Is $ $ Signature of Preparer: /� _ Date: /o I Er / t . P32