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GRANT NAME: Construction and CEI of 43rd Avenue (12th Street to 18th Street) GRANT # <br />AMOUNT OF GRANT: $1,470,610.00 <br />FM 444270-1-54-01 <br />DEPARTMENT RECEIVING GRANT: Public Works/Engineering <br />CONTACT PERSON: Kirstin Lelendecker, P.E. TELEPHONE: 772-226-1327 <br />1. How long is the grant for? Until June 30, 2025 Starting Date: Once FDOT issues NTP <br />2. Does the grant require you to fund this function after the grant is over? <br />P <br />3. Does the grant require a match? <br />If yes, does the grant allow the match to be In -Kind services? <br />4. Percentage of match to grant 67.6518 oho <br />5. Grant match amount required � 3, 075, 576.00 <br />6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)? <br />7. Does the grant cover capital costs or start-up costs? <br />If no, how much do you think will be needed in capital costs or start-up costs: <br />(Attach a detail listing of costs) <br />8. Are you adding any additional positions utilizing the grant funds? <br />If yes, please list. (If additional space is needed, please attach a schedule.) <br />Yes X No <br />Yes No <br />Yes X No <br />Yes X No <br />Yes X No <br />Acct. <br />Description Position Position Position Position Position <br />011.12 <br />Regular Salaries <br />011.13 <br />Other Salaries & Wages (PT) <br />012.11 <br />Social Security <br />012.12 <br />1 Retirement — Contributions <br />012.13 <br />Insurance — Life & Health <br />012.14 <br />Worker's Compensation <br />012.17 <br />S/Sec. Medicare Matching <br />$ <br />TOTAL <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 Capital Total Costs <br />10. What is the estimated cost of the grant to the county over five years? $ <br />Kirstin Leiendecker, P.E. ��°°°.,R� °E"�'°-°�"�°` 9-28-2023 <br />Signature of Preparers °.. ��, ��, ��,: , �•� Date: <br />58 <br />Grant Amount <br />Other Match Costs Not Covered <br />Match <br />Total <br />First Year <br />$1,470,610.00 <br />$ <br />$3,075,576.00 <br />$4,546,186.00 <br />Second Year <br />$ <br />$ <br />$ <br />$ <br />Third Year <br />$ <br />$ <br />$ <br />$ <br />Fourth Year <br />$ <br />$ <br />$ <br />$ <br />Fifth Year <br />$ <br />$ <br />$ <br />$ <br />Kirstin Leiendecker, P.E. ��°°°.,R� °E"�'°-°�"�°` 9-28-2023 <br />Signature of Preparers °.. ��, ��, ��,: , �•� Date: <br />58 <br />