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GRANT NAME : Tenant Based Rental Assistance (TBRA) GRANT # <br /> AMOUNT OF GRANT : $ 500 , 000 <br /> DEPARTMENT RECEIVING GRANT : General Services/Housing Authority/Rental Assistance <br /> CONTACT PERSON : Mark V . Thomas TELEPHONE : 770-5014 <br /> 1 . How long is the grant for? 24 Months Starting Date : Upon Execution of Agreement <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? Yes X No <br /> If yes, does the grant allow the match to be In-Kind services ? Yes No <br /> 4 . Percentage of match to grant 0 % <br /> 5 . Grant match amount required $0 <br /> 6 . Where are the matching funds coming from (i . e . In-Kind Services ; Reserve for Contingency) '. <br /> N/A <br /> 7 . Does the grant cover capital costs or start-up costs ? X Yes No <br /> If no , how much do you think will be needed in capital costs or start-up costs : $ 600 <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 /> Note : Program will be administered using existing staff; salary amounts reflect overtime compensation. <br /> Acct. Description Position Position Position Position Position <br /> 011 . 12 Regular Salaries <br /> 011 . 13 Other Salaries & Wages (PT) $ 14 , 102 . 40 $ 15177 . 80 $ 25460 . 12 $ 1 , 563 . 12 $ 1 , 517 . 10 <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 $ 141102 . 40 $ 1 , 177 . 80 $25460 . 12 $ 1 , 563 . 12 $ 11517 . 10 <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 Capital Total Costs <br /> Costs <br /> $ 145102 . 40 $ 111040 . 50 $ 11693 . 33 $ 26, 836 . 23 <br /> $ 1 , 177 . 80 $ 922 . 08 $ 141 .42 $ 2 ,241 . 30 <br /> $ 25460 . 12 $ 1 , 925 . 98 $295 .40 $4 , 681 . 50 <br /> $ 1 , 563 . 12 $ 1 ,223 . 74 $ 187 . 69 $ 25974 . 55 <br /> $ 1 , 517 . 10 $ 11187 . 71 $ 182 . 16 $ 206 . 97 <br /> $ 10 , 379 .46 $ 10 , 379 .46 <br /> $ 20 , 820 . 54 $ 26, 679 .47 $ 2 , 500 . 00 $ 50, 000 . 01 <br /> Misc . Co . Admin . <br /> 10 . What is the estimated cost of the grant to the county over five years ? 0 <br /> Signature of Preparers YIN4 �'<' ----'� Date : d <br />