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2021-109
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Last modified
12/3/2021 11:09:17 AM
Creation date
9/7/2021 10:48:52 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Grant
Approved Date
08/17/2021
Control Number
2021-109
Agenda Item Number
8.L.
Entity Name
Florida Division of Emergency Management
Subject
For expenses related to maintaining an Emergency Management Program
EMPG-ARPA Agreement No. G0310
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FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br />2020-2021 EMERGENCY MANAGEMENT PERFORMANCE GRANT -ARPA <br />DIVISION FORM 4 - STAFFING DETAIL <br />EMERGENCY MANAGEMENT AGENCY ANTICIPATED SALARIES AND BENEFITS <br />SUB -RECIPIENT: FL County <br />POINT OF CONTACT: <br />I <br />PHONE/EMAIL 123-123-1234 <br />EMPLOYEE INFORMATION <br />LOCAL <br />STATE AND FEDERAL <br />TOTAL <br />M Employee Name. Position Title # $ <br />Hrs.ANeek Total Salaries <br />Devoted to & Benefits <br />EM Activities by Position <br />[�I [2] [3] <br />% <br />County <br />General Fund <br />(Local) <br />[41 <br />% $ <br />EWA EMPA <br />Base Grant Base Grant <br />(State) (State) <br />[5) [6] <br />% <br />EMPG- <br />ARPA <br />(Federal) <br />[71 <br />$ <br />EMPG- <br />ARPA <br />(Federal) <br />1$1 <br />% <br />Other <br />state or Federal <br />Funds <br />191 <br />% <br />Total <br />All <br />Funds <br />[10] <br />1 EXAMPLE: John Smith, Planner 40 $ 40,000.00 <br />0% <br />50% $20,000.00 <br />50% <br />$ 20,000.00 <br />0% <br />100% <br />2 <br />$ <br />$ <br />0% <br />3 <br />$ <br />$ <br />0% <br />4 <br />$ <br />$ <br />0% <br />5 <br />$ <br />$ <br />0% <br />6 <br />$ <br />$ <br />0% <br />7 <br />$ <br />$ <br />0% <br />6 <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 />$ <br />$ <br />0% <br />14 <br />$ <br />$ <br />0% <br />15 <br />$ <br />$ <br />0% <br />16 <br />$ <br />$ <br />0% <br />17 <br />$ - <br />$ - <br />0% <br />18 <br />$ <br />$ <br />0% <br />19 <br />$ <br />$ <br />0% <br />20 <br />$ <br />$ - <br />0% <br />TOTAL $20,000.00 <br />$ 20,000.00 <br />DIRECTIONS: <br />1. In Column #1, list the name of Emergency Management staff. <br />2. In Column #2, enter the amount of anticipated hours worked per week for grant related activities for each EM position. <br />3. In Column #3, list total anticipated annual amount of Salaries and Benefits to be paid for each EM position. <br />4. In Columns #4-9, protide the funding distribution (% or $) in each applicable column. <br />5. Column #10 calculates the sum of percentages entered in Columns 4 - 9 and must equal 100% of the anticipated annual <br />6. Please provide to the Division updates or revisions to this form throughout the period of the agreement, as necessary. <br />salaries and benefits per EM position. <br />FY 2021-2022 EMPG-ARPA AGREEMENT <br />ATTACHMENT H - REPORTING FORMS <br />64 <br />
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