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/GRANT UUV <br />-_ tsar: Grant NTV_ <br />RM -79 <br />iMOLINT OF GRANT: 5 71.148, <br />DEPARTMF"NT REcE VING GRANT: Solid Waste Disposal. District <br />CONTACT PERSON: Ronald R. imro s PHONE NUMBER•— ( 561) 770-5113 <br />1, flow long is the grant for? <br />i Starling loots: Octotaer 1, 199f3 <br />2. Does the grant require you to fund this function alio tic grant is over? <br />3. Does the grant require a match? <br />.Yes X No <br />If yes, docs the grant allow the match to be to In Kind Seytcrs? - <br />Yes Y. No <br />Yes No <br />4. Percentage of match to grant <br />S. Grant match antotutt required <br />5. Where are the matching funds coming from (i.e In kind Services; Reserve for Contingency)? <br />7. Does the grant cover capital costs or start-up coasts? <br />If no, how much do you think will he needed in capital costs or start tip costs? <br />(Attach a detail listing of costs) <br />Ycs No <br />8. Are you adding any additional positions utilizing the grant funds? <br />If yes, picase fist. (If additional space is needed, }Tease attach a schedule.) <br />Yes X No <br />Acct, Position Position Position <br />17escription <br />Position Position <br />011.12 Rczular Salaries <br />011.13 Other Salaries & Wa es PT <br />012-11 Social Sccu6ty <br />012-12 Retirement -contributions <br />012.13 Insurance -Life & Health <br />012.14 Worker's corm ensation <br />012.17 SfSrr mPA;...,._ ■._._�-' - - <br />9. What is the total cost of each position including laenrrjts, capital, start-up, auto expense, travel and operating? <br />Salary and Benefits Operating Costs <br />10. 4Yhat is the estimated cost of the grant to the county over five years? <br />Year <br />'Third Year <br />Capital ! 1''.7,l Costs <br />Grant Other Match Costs <br />Amount Not Covered <br />Match <br />S <br />$ S <br />S <br />$ <br />S � <br />S � <br />5 <br />Signature of Ptr trer <br />p <br />KUna:ld R kA <br />18rm, <br />� managermanagerDale / . <br />Total <br />