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GRANT NAME: Homeland Security GRANT# 14-DS-L5-10-40-01-XXX <br /> AMOUNT OF GRANT:$ 15 778.00 <br /> DEPARTMENT RECEIVING GRANT: Emergency Services <br /> CONTACT PERSON: John King <br /> PHONE NUMBER: 226-3859 <br /> I. How long is the grant for? 17 months Starting Date: November 5,2013 <br /> 2. Does the grant require you to fund this function after the grant is over? Yes X No <br /> 3. Does the grant require a match? <br /> Yes X No <br /> If yes,does the grant allow the match to be In Kind Services? Yes No <br /> 4. Percentage of match N/A 0% <br /> 5. Grant match amount required$ N/A <br /> 6. Where are the matching funds coming from(i.e.In Kind Services;Reserve for Contingency)?_ <br /> 7. Does the an cover capital costs or start-up costs? <br /> Yes No <br /> If no,how much do you think will be needed in capital costs or start up costs $ <br /> (Attach a detail listing of costs)p <br /> 8. If yes,please list ny(lf additional spacetis needed,please attach funds? Yes <br /> Yes X No <br /> Acct. Description Position Position Position Position Position <br /> 011.12 Regular Salaries N/A <br /> 011.13 Other Salaries&Wages(PT) N/A <br /> 012.11 Social Security N/A <br /> 012.12 Retirement-Contributions N/A <br /> 012.13 Insurance-Life&Health N/A <br /> 012.14 Worker=s Compensation N/A <br /> 012.17 S/Sec.Medicare Matching N/A <br /> tea.. <br /> TOTAL N/A <br /> 9, What is the total cost of each position including benefits,capital,start-up,auto expense,travel and operating? <br /> Salary and Benefits Operating Costs Capital Total Costs <br /> N/A N/A N/A N/A <br /> 10. What is the estimated cost of the grant to the county over five years?$ <br /> Grant Other Match Costs Match- Total <br /> First Year $ 15,778.00 $ N/A $ N/A $ 15,778.00 <br /> $ N/A <br /> Second Year $ <br /> N/A $ $ <br /> Third Year $ $ $ $ <br /> Fourth Year $ $ $ $ <br /> Fifth Year $ $ $ $ <br /> Date: October 29 <br /> Signature of Preparers 2013 <br /> low <br /> 149 <br />