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GRANT NAME: FPL. Grant AMOUNT OF GRANT: $21:1.106.00 GRANT E N/A DEPARTMENT RECEIVING GRANT: ,Emergency Servicesf.REP CONTACT PERSON: Tad Stone TELEPHONE: 772-226-3859 1. How long, is the grant for? 2 Years 2. Does the grantrequire you to fund this function after the grant is over? 3. Does the grant require a match? If yes, does the grant allow the match to be In -Kind services? 4. Percentage of match to grant 0 % 5. Grant match amount required fi 0 Starting Date: October I, 2018 Yes X No 6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)? N/A 7. Does the grant cover capital costs or start-up costs? If no, how much do you think will be needed in capital costs or start-up costs: (Attach a detail listing of costs) 8. Are you adding any additional positions utilizing the grant funds? If yes, please list. (if additional space is needed, please attach a schedule.) S .Yes X No Yes No Yes X No Yes X No 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 S 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? S000 Signature of Preparer. Date: September 12, 2018 �,� Grant. Amount Other Match Costs Not Covered Match Total First Year S S 0.00 S 0.00 S Second Year S S $ S Third Year S S S S Fourth 'Year S S S S Fifth Year S S $ is Signature of Preparer. Date: September 12, 2018 �,�