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INVESTMENT # State/Territory Name: <br />3 Investment Name: <br />Grantee Type: <br />Local Jurisdiction / Entity / NGO / Tribal <br />Is this amulti-jurisdictional or statewide project? <br />List the Jurisdictions served by this project: <br />Is this amulti-disciplinary project (e.g., law enforcement, fire <br />service, public health)? <br />List the disciplines served wyl this project: <br />V.A. Funding Plan <br />Detail the total estimated cost for the Investment throughout the PSIC period of performance (FY 2007 - FY 2010). <br />Describe any other concurrent funding sources that may also support this Investment, Including form of cost share. <br />Detailed estimated expenditure plan which credibly demonstrates ability to meet expenditure deadline of September 30, <br />2010. <br /> PSIC Federal Funds Non-Federal Matching <br /> Re nested Fund Amount Total Investment <br />Acqufaition S i,27s,ooo.oo s 33o,o00 on s i,6o5,000.00 <br />Deployment S - <br />Training S - <br />Plannin Coord S - <br />. <br />Total S 7,275,000.00 S 330,000.00 S 1,605,000.00 <br />' -Total investment includes the Non-Federal Match and Total PSlC Federal Funds Requested. 20% match is <br />required for a!! Acquisition and Deployment funds; however, match can be identified and allocated al either the <br />investment level or the total PSIC iJ level (on the Overall Funding Summary tab). Therefore, individual <br />investments can be undermatched or overmatched according to the needs of the applicant <br />V.B. Matching Plan <br />How does your Investment meet the non-Federal cash or in-kind matching requirement? Please itemize both the funding <br />category and amount in the table below. (1,000 Char. Max) <br />as part of the Department of Defense agency's budget request and available March 2008 <br />Governor's signature. State Civil Defense will distribute the match via Memorandum of <br />with the federal PSIC allocation. The match will be accounted for in the same manner <br />deral dollars are accounted for. All funds will be accounted for and reported to the <br />islature upon closeout of the grant. <br />Non-Federal Matching Fund Category Non-Federal Matching <br />Fund Amount <br />Cash -State S 330,D00.00 <br />Cash - LocallTribal s - <br />Cash -Non-governmental 5 - <br />In-Knd -Donated volunteer services S - <br />In-lend -Donated salaries S - <br />In-Kind -Donated equipment S - <br />In-Kind -Donated property S - <br />In-Kind -Indirect costs S - <br />Other' S - <br />Total $ 330,000.00 <br />' -Please explain "Other' 1n the 'Mefch/rrg <br />Plan' dialog box above. <br />Total Matching Fund Amount Must be Equal to Section V.A. Total Matching Fund Amount of: $ 330,000.00 <br />Matching Seff Check: <br />Federal Emergency Management Agency <br />For Official Use Only -Page 5 - U.S. Department of Homeland Security <br />