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U.S. Ue parilueut or justice• OPrice of Cucunuolity Uricliled Policing tir►rire•s <br />UntOMW Mig Program Budget IllfotmM bn <br />Applicant Name: Orange County Sheriff ORI Code (Assigned by 1:01): NCn68nnaa State: <br />Unrib- Caraliva`. <br />This worksheet will assist you in properly organizing and estimating your costs and providing the necessary details for financial review. <br />Complete fart l if you are requesting funds for full -time officers, fart 2 if you are requesting part -time officers, and bath parts if you are r tittest- <br />ing full- and part -time officers. Everyone nulst complete a Budget Summary. If you plan to hire more than one part-time officer and they will be <br />working a different number of hours, u-se average salary and benefit figures. <br />The budget information you provide will be used to calculate your grant amount. Assistance in completing this information is available from the <br />U.S. IX- partment of Justice Response Center at 1 -S M1- 421 -6770, or by writing tlu► CUTS Office, 1 I(k) Vermont Ave., NVV, WIshingitil►, l)C 2,1.",. <br />OMt3 Approval #1103 -0027, exp. 5/913 <br />Part 1: Complete ff You Ate omu"m rut-fte immi s <br />1 . Cost Per Cull -Time Officer - Year 1 <br />Current Annual Entry-Level Base Salary $ ?7.577 (a) <br />Annual Fringe Benefits: <br />'MCA /Social Security <br />I teaith Insurance <br />Life Insurance <br />Vacation <br />Sick Leave <br />Retirement <br />'Worker's Camp. <br />'Unemployment Ins. <br />Other_ 401K <br />Dental ins. <br />*Dotal Fringe Benefits <br />Total Year l Salary and Benefits <br />$ _2.110 <br />$ 3,641 <br />$ 99 <br />$ n <br />$— 0 <br />$ <br />$ <br />$ D <br />$ 1 379 <br />154 <br />$ 8,574 (l,� <br />$ U.Ir`1 (c) <br />Instructions <br />Ewer they Ivice• u►11111c11 sti6lly Kral your deep arllllcv►t c urrenI y <br />141ys e1 11e'll► 0dry -ki,1 1 uffice'r. <br />Vellarlulewt costs 1JflCA /55 0"lly roll e•.rc1•n17.(�S ":.). <br />1)ey4lrlule'►d rusts lutlklrd heallh hisurtillcr rolit•ritv". <br />Alparlineid Costs taleylyd lifi• inslertiae e• a i,ea•,e,�•c•. <br />llrl- ,lrlulebul tweuliuu casts, if 11111 int1lided ill hise• welary. <br />1)1'141111)11-111 Sic le•llife e71sts, If ►till ilit•IHtle•d ill salell y. <br />!�� j4rrlsle•1lt ci,utrlbutitul 11, 1.1•tirl•,ltrul lVilc-%itS. <br />lh�4lrh11rul re>, <!s e f tekuArr's cc►nlln',1v11n311. <br />1 h arluu•►1l cosh e►j lulra,lcle►y,►11,1f i►1.,u11 „ec•. <br />Casts Of 01111ilinte nt, trainittV, I/lllf l►rl►fS, "Chie-It's lied UNe rti11►ee tine <br />Plot per„ Pitted. <br />Sun► of eiehvtnu•nt fringe benefit cunt. (ur li•ar 1. <br />Year l base salary plus year I fringe benefits (line a + line b). <br />