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GRANT NAME: FWC Bulk Derelict Vessel Removal Grant GRANT # FWC19240 AMOUNT OF GRANT: $22,100 DEPARTMENT RECEIVING GRANT: Public Works / Coastal Engineering Division CONTACT PERSON: Ouintin Bergman TELEPHONE: (772)226-1648 1. How long is the grant for? 5 months Starting Date: 2. Does the grant require 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 N/A % 5. Grant match amount required -0- Yes X No 6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)? N/A — No Match Required Yes X No Yes No 7. Does the grant cover capital costs or start-up costs? X Yes No 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.) 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 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? $n First Year Grant Amount $22,100 Other Match Costs Not Covered $ Match $ Total $ Second Year $ $ $ $ Third Year $ $ $ $ Fourth Year $ $ $ $ Fifth Year $ $ $ $ Signature of Preparer: 2uudiuc &evsxac Date: 4/27/2020 54