HomeMy WebLinkAbout2025-060GRANT NAME: Surfing `s Evolution & Preservation Foundation
AMOUNT OF GRANT: 3 Beach Wheelchairs $8,487, one ATV cost TBD
DEPARTMENT RECEIVING GRANT: Parks Recreation & Conservation
CONTACT PERSON: Gustavo Vergara
1. How long is the grant for? N/A
2. Does the grant require you to fund this function after the grant is over?
3. Does the grant require a match?
If yes, does the grant allow the match to be In -Kind services?
4. Percentage of match to grant
5. Grant match amount required
GRANT # N/A
TELEPHONE: 226-1777
Starting Date: 3/11/2025 (chairs)
Yes 2L—No
6. Where are the matching funds coming from (i.e. In -Kind Services; Reserve for Contingency)?
7. Does the grant cover capital costs or start-up costs?
If no, how much do you think will be needed in capital costs or start-up costs:
(Attach a detail listing of costs)
8. Are you adding any additional positions utilizing the grant funds?
If yes, please list. (If additional space is needed, please attach a schedule.)
Yes x No
Yes No
X Yes No
Yes X No
Acct.
Description Position position Position position position
011.12
Regular Salaries
011.13
Other Salaries & Wages (PT)
012.11
Social Security
012.12
1 Retirement — Contributions
012.13
Insurance — Life & Health
012.14
Worker's Compensation
012.17
S/Sec. Medicare Matching
$
TOTAL
9. What is the total cost of each position including benefits, capital, start-up, auto expense, travel and operating?
Salary and Benefits Operating Costs Capital Total Costs
10. What is the estimated cost of the grant to the county over five years?
0i"iy,gn by: Gee vas,
Signature of Preparer: Gustavo Ver(�ara ^^N^ wa,CIM a �o�=PaMa`Rm�.l�e°�,; .�° Date: 2/11/2025
g 1� J C(Me: 2025,02.11 12:N:2845100'
Grant Amount
Other Match Costs Not Covered
Match
Total
First Year
$8487 Value
$
S
$8487
Second Year
$TBD
S
$
$TBD
Third Year
$
S
$
$
Fourth Year
$,
$
S
Fifth Year
$
$
$
$
0i"iy,gn by: Gee vas,
Signature of Preparer: Gustavo Ver(�ara ^^N^ wa,CIM a �o�=PaMa`Rm�.l�e°�,; .�° Date: 2/11/2025
g 1� J C(Me: 2025,02.11 12:N:2845100'