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IF- - <br />40 <br />GRANT NAME:—U=- --TIZF GRANT GRANT 4 `iu kili ASSIGNM <br />AMOUNT OF GRANT. S - YL*r TO BE DMERMINM <br />DEPARTMENT RECEIVING GRANT: SOLID WASTE DISPOSAL DISTRICT <br />CONTACT PERSON: RnNAr.n u_ BEQQU PHONE NUMBER: 561-770-5113 <br />1. How long is the grant for? ONE YEAR Sinning Dale: tactober 1, 2000 <br />2. Docs the grant require you to fund this function alter the grant is over? _Yes —X --No <br />3. Does the grant require a match? ,,Yes _�L—No <br />If yes, does the grant allow the match to be in In Kind Sevices? Yes No <br />4. Percentage of match to grant % <br />S. Grant match amount required S _s <br />6. Where are the matching funds coming from (i.c In kind Sarvices; Reserve for Contingency)? <br />7. Does the grant cover capital casts or sta.K-up costs? x Ycs No <br />If no, how much do you think will be needed in capital costs or start up costs? <br />(Attach a detail listing ofcosta) S <br />S. Are you adding any additional positions utilizing the grant funds? Yes No <br />if yes, please lisle_ (lf additional space is needed, please attach a scheduk.) <br />Acct,Description <br />Position Position Position Position Position <br />011.12 <br />ReRulu Sol&des <br />011.1.3 <br />Other Salaries &. Wages PT <br />812.11 <br />Social SccMtY <br />012.12 <br />Relirement•Contributions <br />012.13 <br />Insuranco•Life & Health <br />012.14 <br />Worker's Compmetion <br />012.17 <br />Sf$ce. Medicare Matching <br />S <br />TQTAT <br />9. What is the total cost ofeach position including bmcRts, capital, start-up, auto expense, travel and operating? <br />Salary and Benefits Operating, Costs Capital Total Costs <br />18. What is the estimated cost of the grant to Lite county over rive years? S —n— <br />r ° <br />SignslureofPrcparcr: c<�� r r 'c- pate: '' Y <br />Grant <br />Amount <br />other Match Cos is <br />Not Covered <br />Match <br />Total <br />First Ycar <br />S <br />S <br />S <br />S <br />Second Year <br />S <br />S <br />S <br />S <br />Third Year <br />S <br />S <br />S <br />S <br />Fourth Year <br />S <br />S <br />S <br />S <br />r ° <br />SignslureofPrcparcr: c<�� r r 'c- pate: '' Y <br />