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GRANT NAME: Archie Smith Fish House Restoration PH.III GRANT# N/A <br />AMOUNT OF GRANT: $147,121.00 <br />DEPARTMENT RECEIVING GRANT: Parks and Conservation Resources <br />CONTACT PERSON: Beth Powell <br />TELEPHONE: x1873 <br />1. How long is the grant for? 2 Years Starting Date: Not Awarded Yet <br />x <br />2. Does the grant require you to fund this function after the grant is over? Yes No <br />3. Does the grant require a match? x - Yes No <br />If yes, does the grant allow the match to be In -Kind services? X Yes No <br />4. Percentage of match to grant 50% <br />5. Grant match amount required R $ 147,124.00 <br />6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)? <br />Improvements are alloocated in the CIE for Fiscal year 2021; Matching Funds xdA utilize Optional Sales Tax. <br />7. Does the grant cover capital costs or start-up costs? <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) <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 <br />No <br />Yes <br />x <br />No <br />Acct. <br />Description <br />Position <br />Position <br />Position <br />Position <br />Position <br />011.12 <br />Regular Salaries <br />$ <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 />Insurance — Life & Health <br />012.14 <br />Worker's Compensation <br />012.17 <br />S/Sec. Medicare Matching <br />TOTAL <br />9. What is the total cost of each position inc uding benefits, capital, start-up, auto expense, travel and operating? <br />Salary 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? 0 (part of a multi -phase effort) <br />— - <br />Grant Amount <br />Other Match Costs Not Covered <br />Match <br />Total <br />First Year <br />$ <br />$ <br />$ <br />$ <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 />Date: 06/05/2019 <br />7 <br />