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GRANT NAME-;: 49 USC Ch. 53, Section 5311 (Formula Grants for Rural Areas) GRANT 4: ARQ46 <br />AMOUNT OF GRANT: $65.214 <br />DEPARTMENT RECEIVING GRANT: Community Development (pass through to Senior Resource Association) <br />low <br />CONTACT PERSON: Brian Freeman PHONE 4: (772) 226-1990 <br />1. How long is the grant for? Twelve Months Starting Date: January 1, 2016 <br />2. Does the grant require you to fund this function after the grant is over? Yes X No <br />Does the grant require a match? <br />If yes, does the grant allow the match to be In Kind Services? <br />4. Percentage of grant to match: 50 <br />5. Grant match amount required: $ 32.607 <br />X Yes <br />No <br />Yes No <br />6. Where are the matching funds corning from (i.e. In Kind Services, Reserve for Contingency? <br />Match consists of $32.607 in County funds already budgeted for public transportation and $32,607 in FDOT grant funds <br />7. Does the grant cover capital costs or start-up costs? Yes X No <br />If no, how much do you think will be needed in capital costs or start-up costs? <br />(Attach a detailed listing of costs.) <br />8. Are you adding any additional positions utilizing the grant funds? <br />If yes, please list. (If additional space is needed, please attach a schedule.) <br />Yes <br />X No <br />Acct. <br />Description <br />Position <br />Position <br />Position <br />Position <br />Position <br />011.12 <br />Regular Salaries <br />$130,428 <br />Second Year <br />$ <br />$ <br />$ <br />011.13 <br />Other Salaries & Wages (PT) <br />$ <br />$ <br />$ <br />$ <br />Fourth Year <br />012.11 <br />Social Security <br />$ <br />$ <br />Fifth Year <br />$ <br />$ <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 />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 <br />Operating Costs <br />Capital <br />Total Costs <br />10. What is the estimated cost of the grant to the County over five years? $32,607 <br />Signature of Preparer: <br />- <br />Date: 3. 1- <br />tai d tL 0t1L14 <br />24 <br />Grant Amount <br />Other Matching Costs <br />Match <br />Total <br />First Year <br />$65,214 <br />$ <br />$32,607 in local funds & <br />$32,607 in FDOT grants <br />$130,428 <br />Second Year <br />$ <br />$ <br />$ <br />$ <br />Third Year <br />$ <br />$ <br />$ <br />$ <br />Fourth Year <br />$ <br />$ <br />$ <br />$ <br />Fifth Year <br />$ <br />$ <br />$ <br />$ <br />Signature of Preparer: <br />- <br />Date: 3. 1- <br />tai d tL 0t1L14 <br />24 <br />