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ATTACHMENT [. - RFPnRTItir_ PnORAQ <br />z <br />FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />2020-2021 EMERGENCY MANAGEMENT PERFORMANCE GRANT - EMPG BASE GRANT <br />DIVISION FORM 4 - STAFFING DETAIL <br />- <br />EMERGENCY MANAGEMENT AGENCY ANTICIPATED SALARIES AND BENEFITS <br />SUB -RECIPIENT: <br />FL County POINT OF CONTACT: sane o: e. Planner PHONE/EMAIL <br />123-123-1234 <br />EMPLOYEE INFORMATION LOCAL STATE AND FEDERAL <br />TOTAL <br />EM Employee Name, Position Title <br />0 $ % % % <br />$ ' <br />Hrs./week Total Salaries County Other EMPA EMPA EMPG <br />$ % <br />EMPG HMGP <br />) <br />Other Total <br />Devoted to & Benefits General Fund Local Base Grant Base Grant Base Grant <br />Base Grant Planning Grant state <br />or Federal All <br />EMActivlties by Posifon (Local) Funds (Slate) (State) (Federal) <br />(Federal) (State) <br />Funds Funds <br />1 EXAMPLE <br />2 13 4 5. 18] 7 8 <br />IB] 1101 <br />fill [12] <br />John Smith, Planner <br />40 $ 40,000.00 0% 0% 50% $ 20,000.00 50% <br />$ 20,OD0.00 0 % <br />0% 100% <br />0% <br />3 <br />$ <br />$ <br />0% <br />4 <br />$ <br />$ <br />D% <br />5 <br />6 <br />7 <br />$ <br />$ <br />0% <br />B <br />$ <br />$ <br />0% <br />9 <br />$ <br />$ <br />0% <br />10 <br />$ <br />$ <br />0% <br />11 <br />$ <br />$ <br />0% <br />12 <br />$ <br />$ <br />0% <br />13 <br />14 <br />$ <br />$ <br />D% <br />15 <br />16 <br />17 <br />18 <br />9 <br />$ <br />$ <br />0% <br />TOTAL $ 20,D00.00 <br />$ 20,000.00 <br />DOiECT10NS: <br />1, In Column k1, list the name and posit, title <br />for funded EMPG Emergency Management staff. <br />2. In Column 42, enter Me amount of anticipated hours worked per mek for grant related activities for each EM position. <br />3. In Column p3, list total anticipated annual <br />amount of Salaries and Benefits b be paid for each EM position. <br />4. In Columns 114-11 provide the funding distribution <br />(% or $) in each applicable column. <br />5. Column #12 calc hies the sum of pe a <br />tages eirldrel -n Columns 4 11 and must equal 100% of the anticipated annual salar es and benerls. per EM <br />pos�tien. <br />6. Please protide to the D ve,on updates or <br />revisions to this form throughout the period of the agreement, as necessary. <br />7. This form is to be submitted to the Division alon win the 1st Quarter submission, or by October 30, 2020, whichever occurs first - <br />z <br />