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GRANTNAME: Jones Pier Museum and Education Exhibits GRANT# <br />AMOUNT OF GRANT: <br />DEPARTMENT RECEIVING GRANT: <br />CONTACT PERSON: TELEPHONE: <br />1. How long is the grant for? <br />Starting Date: October 1, 2020 <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 % <br />5. Grant match amount required <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; Land Acquisition Bond Proceeds <br />7. Does the grant cover capital costs or start-up costs? 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) <br />8. Are you adding any additional positions utilizing the grant funds? Yes No <br />If yes, please list. (If additional space is needed, please attach a schedule.) <br />Acct. <br />Description Position <br />011.12 <br />Regular Salaries <br />011.13 <br />Other Salaries & Wages (PT) <br />012.11 <br />Social Security <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 />Position Position Position Position <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 ICapital Total Costs <br />10. What is the estimated cost of the grant to the county over five years? $ <br />Grant Amount Other Match Costs Not Covered <br />First Year $ $ <br />Second Year $ $ <br />Third Year $ $ <br />Fourth Year $ $ <br />Fifth Year $ $ <br />ognaey,;a„ee ey eenn Pob <br />Elizabeth Powell �P—&R leNPoweO.o=IMa RMrCwmy, mrinENn RMe Cowry <br />1 PaM1e 6 Recree,bn, smell=DpvxelR ,-1 , oUS <br />Signature of Preparers � <br />Match Total <br />Date: 10/7/20 <br />