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FY 2021 - 2022 EMPG AGREEMENT <br />ATTACHMENT H- REPORTING FORMS <br />FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />2021-2022 EMERGENCY MANAGEMENT PERFORMANCE GRANT - EMPG BASE GRANT <br />DIVISION FORM 4 -STAFFING DETAIL <br />EMERGENCY MANAGEMENT AGENCY ANTICIPATED SALARIES AND BENEFITS <br />T` <br />SUB.RECIPIENT: FL County <br />POINT OF CONTACT: I Jane Doe, Planner PHONE/EMAIL: <br />123.1231234 <br />EMPLOYEE INFORMATION <br />LOCAL <br />STATE AND FEDERAL <br />TAL <br />EM Employee Name, Position Title # $ <br />HrsJWeek Total Salaries <br />Demoted to & Benefits <br />EM Activities by Position <br />1 3 <br />% % <br />County Other <br />General Fund Local <br />(Local) Funds <br />4 <br />% $ % $ % <br />EWA EWA EWG EMPG HMGP <br />Base Grant Base Grant Base Grant Base Grant Planning Grant <br />(State) (State) (Federal) (Federal) (State) <br />(6) 8 9 10 <br />% <br />Total <br />All <br />rFunds <br />Funds <br />121 <br />EXMYLE John Smith, Planner 40 $ 40,000.00 <br />0% 0% <br />i 5D% $20,000.00 50% $20,ODD.00 0% <br />100% <br />2 <br />$ - $ - <br />0% <br />3 <br />yyy <br />$ $ <br />0% <br />4 <br />$ $ <br />0% <br />5 <br />$ $ <br />0% <br />6 <br />$ $ <br />0% <br />T <br />$ S <br />0% <br />S <br />$ $ <br />0% <br />9 <br />$ $ <br />0% <br />10 <br />$ $ <br />0% <br />11 <br />$ $ <br />0% <br />12 <br />$ $ <br />0% <br />13 <br />$ $ <br />0% <br />14 <br />X <br />$ $ <br />0% <br />15 <br />$ $ <br />0% <br />6 <br />$ $ <br />0% <br />17 <br />$ $ <br />0% <br />16 <br />$ $ <br />0% <br />1e <br />$- $ <br />0% <br />20 <br />$ $ <br />0% <br />TOTAL $20,000.00 $20,000.00 <br />DIRECTIONS: <br />1. M Cdumn #1, Ilst the name arq position tkle for NMed EMPG Emergency Menagemem ateR.: T + <br />2_In Column #2. enter the amount of amkipated hours worked per week lar gram relatetl ectMtleS for each EM pwkbn, � <br />3_ b Column ff3 list total entklpated annual amount of Salaries arld Benefits to be paidfor each EM positkm.- <br />4_ In Cdumns #4-11 pmMde tha NMing dbblWtbn (% or E) i each applbaMe cdumn� _ _ _ _ Y - <br />5 Cdumn #12 molt later the sum d - <br />pementeges entered in Col s 4 - 11 arM must equal 100% d the antidpated ammlal salades Brod lxme6ts per EM position.. <br />6_ Please protide to the DMsion updates or mNslons to MIs"Ihmughout the period of the agreement,es necessary. - -- {" - --- - t - - -- <br />17. 'This loan Is to be submitted to the DMsion along with the 1st Ouaner submission. or cc <br />OctoW 30, 2021, whichmer ours first. <br />•• <br />