2004-085-RES AUTHORIZATION IN REGARDS TO SEEKING GRANT FROM US DEPT OF JUSTICE FOR FUNDING UNDER THE COPS IN SCHOOLS GRANT PROGRAM TO PROVIDE FUNDING FOR SALARY AND BENEFITS OF 1 SCHOOL RESOURCE OFFICER

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Applicant Legal Name: ORT (Assigned by FBI): T- ..x.... -.L -1 -9 --D-.2 c Enter the base annual sal~ that your department currendy pays a new, entry-level officer in the second year of service. % of base salary .00 180 2. Cost Per Full-Time Officer - Year 2 $}6 Annual Entry-Level Base Salary Current Cost for Social Security may not exceed 6.2%. If exempt check here CJ Cost for Medicare may not exceed 1.45%. If exempt check here (] Costs toward health insurance coverage; please indicate if this is for Family Coverage (] Yes XI No Costs toward life insurance coverage. Vacation costs, if not included in base salary. # of hours annually: 120 Sick leave costs, if not included in base salary. # of hours annuallyPO Contribution to retirement benefits. Costs of worker's compensation. (See Part III, Question 4) Costs of unemployment insurance. (See Part ill, Question 4) Costs of equipmeJ!lt, training, uniforms, vehicles and overtime are not permitted. % % % % % % % % % % % 6.2 1.45 2,243 .00 525 .00 5 , 400 .00 .00 .00 .00 4, 280 .00 1,280 .00 .00 .00 .00 $ $ $ $ $ $ $ $ $ $ $ Annual Fringe Benefits: *Social Security *Medicare Health Insurance Life Insurance Vacation Sick Leave Retirement *Worker's Camp. *Unemployment Ins. Other. Other Sum of department's annual fringe benefits for Year 2. Vear 2 base salary plus Year 2 fringe benefits. .00 .00 $ 13,728 $ 49,908 Total Fringe Benefits Total Year 2 Salary and Benefits Enter the base annual salary that your department currendy pays a new, entry-level officer in the third year of service. Cost for Social Security may not exceed 6.2%. If exempt check here CJ Cost for Medicare may not exceed 1.45%. If exempt check here (] Costs toward health insurance coverage; please indicate if this is for Family Coverage (] Yes 10 No Costs toward life insurance coverage. Vacation costs, if not included in base salary. # of hours annually: 120 Sick leave costs, if not included in base salary. # of hours annually~20 Contribution to retirement benefits. Costs of worker's compensation. (See Part III, Question 4) Costs of unemployment insurance. (See Part III, Question 4) Costs of equipment, training, uniforms, vehicles and overtime are not permitted. % of base salary % % % % % % % % % % % 6.2 1.45 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 286 2,312 541 5.400 4,410 1.320 $ _37 $ $ $ $ $ $ $ $ $ $ $ Per Full-Time Officer - Year 3 Annual Entry-Level Base Salary Annual Fringe Benefits: *Social Security *Medicare Health Insurance Life Insurance Vacation Sick Leave Retirement *Worker's Camp. *Unemployment Ins. Other. Other 3. Cost Current 3. annual fringe benefits for Year plus Year 3 fringe benefits. Sum of department's Year 3 base salary 23 .00 .00 $ 13,983 $.51.269 and Benefits Total Fringe Benefits Total Year 3 Salary