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GRANT NAME: FDOT County Incentive Grant Program(CIGP)&Locally Funded Agreement(LFA) <br /> GRANT# 4295431759-1-48/42/43/45-01 <br /> AMOUNT OF GRANT: $4,404,627.00 <br /> DEPARTMENT RECEIVING GRANT: Public Works <br /> CONTACT PERSON: Christopher J.Kafer,Jr..P.E.County Engineer TELEPHONE: (772)226-1221 <br /> 1. How long is the grant for? Until June 30,2018 Starting Date: When executed by FDOT <br /> 2. Does the grant require you to fund this function after the grant is over? Yes X No <br /> 3. Does the grant require a match? X Yes No <br /> If yes,does the grant allow the match to be In-Kind services? Yes X No <br /> 4. Percentage of match to grant 25 <br /> 5. Grant match amount required $4,404,697 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? Yes X No <br /> If no,how much do you think will be needed in capital costs or start-up costs: $ N/A <br /> (Attach a detail listing of costs) <br /> 8. Are you adding any additional positions utilizing the grant funds? Yes X No <br /> If yes,please list. (If additional space is needed,please attach a schedule.) <br /> Acct. Description Position Position Position Position Position <br /> 011.12 Regular Salaries <br /> 011.13 Other Salaries&Wages(PT) <br /> 012.11 Social Security <br /> 012.12 Retirement—Contributions <br /> 012.13 Insurance—Life&Health <br /> 012.14 Worker's Compensation <br /> 012.17 S/Sec.Medicare Matching <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? $ 4,404,677 00 <br /> Grant Amount Other Match Costs Not Covered Match Total <br /> First Year $4,404,627.00 $ $4,404,627.00 $8,809,254.00 <br /> Second Year $ $ $ $ <br /> Third Year $ $ $ $ <br /> Fourth Year $ $ $ $ <br /> Fifth Year <br /> Signature of Prepazer /11°•, „, <br /> / Date: <br /> 93 <br />