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Backup Documents 06/23/2009 Item #16E15 IhE15 MEMORANDUM Date: June 23, 2009 To: Teri Wides, Grants Supervisor Human Services Department From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Employed Worker Training Application Career and Service Center of Southwest Florida Attached, please find one (1) original grant as referenced above (Agenda Item #16E15), approved by the Board of County Commissioners on Tuesday, June 23, 2009. Please return a fully executed original back to the Minutes and Records Department once all signatures have been recieved, which will be kept as part of the Board's permanent records. If you should have any questions, please call 252-7240. Thank you. Attachments (1) CAREER <~=&-/ CONNECT 16E15 Career and Service Centers of Southwest Florida Employed Worker Training Application SECTION 1. Company Information Company Name: Collier County Government- Public Utilities Division Street Address: 3301 Tamiami Trail East City: Naples, Florida I Zip: 34112 I County: Collier CAREER <;~V CONNECT 16 E 15 Career and Service Centers of Southwest Florida Employed Worker Training Application SECTION 1. Company Information Company Name: Collier County Government- Public Utilities Division Street Address: 3301 Tamiami Trail East City: Naples, Florida I Zip: 34112 County: Collier Title: Career Development and Company Contact Person: Teri Wides Training Manager Email: teriwides@colliergov.net I Website:www.colliergov.net Date of Inception: 5/8/1923 I Years in Business: 86 I Total Full-Time Employees: 1588 legal Structure of Business: o Sole Proprietorship o Partnership o Corporation X GOVERNMENT Employer's FederaIID#:59-6000558 I Unemployment Comp.#: 9975545 Fl Sales Tax Reg.#: 85-8012621830C-2 I Primary NAICS Codes: 91 Is your company current on all State of Florida tax obligations? X Yes o No Is your company receiving or applying for other public training funds? 0 Yes X No If Yes, please explain: Description of your business, product(s) and/or service(s): local County Government. This particular department is responsible for supplying water and wastewater services to the residents of Collier County. -0-- I Number of full time employees to be trained: 86 Amount of grant request: $ 57,800.00 Training start date: 10-01-2009 I Training end date: 9-30-2010 If Gompany is minority owned, please check appropriate box(es) below: o Native American 0 African American 0 Asian American 0 Woman 0 Hispanic American 0 Other (Specify): Is company located in (specify): o Distressed inner-city area 0 Enterprise Zone (provide EZ number) o HUB Zone o Rural area SECTION 2. Training Provider Information The training provider will be a: X Public training institution X Private training institution 0 Company employee o Private instructor Training will be delivered: DOn-site X At the training institution o At a remote location Name of Training Provider(s):Florida Water and Pollution Control Operators Association Name of Training Provider contact: Shirley Reaves 1 Phone: 321-383-9690 Street Address: PO Box 5668 City Titusville I State: Fl I Zip: 32783 16E15 Name of Training Provider(s):TREEO Center University of Florida Name of Training Provider contact: Stephanie West I Phone: 352-392-9570 Street Address: 3900 SW 63rd Boulevard City Gainesville I State: Fl I Zip: 32608 Name of Training Provider(s): Florida Engineering Society Name of Training Provider contact: Danielle Pitt Slaterpryce I Phone: 850-224-7121 Street Address: 125 South Gadsden Street City: Tallahassee I State: Fl I Zip 32301: Name of Training Provider(s):Florida American Water Works Association Name of Training Provider contact: Michelle Miller I Phone: 888-437-2992 Ext. 3 Street Address: 666 West Quincy Avenue City: Denver I State: CO I Zip: 80235 Name of Training Provider(s): David H. Paul Name of Training Provider contact: David H. Paul I Phone: 877-711-4347 Street Address: 1206 East 20th Street City: Farmington I State: NM I Zip: 87401 SECTION 3. Training Project Information Description of the proposed training project - provide number of trainees, job titles, and departments broken out by type of training, number of hours of training, training provider, cost of instruction/tuition, resulting certifications, continuing education credits or in-service credits. Please use additional pages if you need more space to describe the training project. Please see attached spreadsheets SECTION 4. Training Program Budget Please use this as a guide. Show all formulas used to calculate totals. BE SPECIFIC. Note: Training funds cannot be used to reimburse any training costs incurred before the grant is approved. Please take this into account when developing your budget and timeline. A. B. C. D. BUDGET CATEGORY EWT ASSISTANCE *EMPLOYER TOTAL (B + C) REQUESTED CONTRIBUTION 1. Instructor WagesjTuition $56.000 $59.316.66 $115.316.66 (Tuition must be paid to a qualified, licensed training provider) This information should reconcile with Section 3. Training provider Description Florida Water and Pollution Control Operators Association, (FWPCOA), Tuitlon- $18,100; Florida American Water Works Association, (FAWWA), Tuition- $4,750; TREECO Center, University Of Florida, Tuitlon- $19,900 Florida Engineering Society, (FES) Tuitlon-$3,250 Davidi. Paul, INC., Tuition-$10,00O Sub-total- $56,000.00 Page:' af (. AD-002-t. WI Employed Worker Training Application June 6, 2003 ReviS8d June 30, 2008 16 E 15 2. Curriculum Development 3. Materials/Supplies/Textbooks (Itemize) 11SQQ ~ ~ FWPCOA- 30 Books @ $60.00 per Sub- total-$18oo 4. Training Equipment Purchase (Must be employer . . ~ ' H, i contribution) \i"i ':: 11\ 5. Other Costs (Describe) N/A 6. Travel, Food. lodging , i'i 1,1 " ,Ut \\ij <,..i'lt 7. Trainee Wages (Including benefits) , I I.\\, , Ji! , , 8. TOTALS $57.800.00 $60.216.66 $118.016.66 EWT Cost Per Trainee: $672.09 (Line 8. Column B. divided by Number of Employer Contribution Ratio: Trainees) _1.04 (Line 8, Column C. divided by Line 8, Column B.) *Note: The employer must contribute to the training project to receive an EWT grant award. Examples of employer contribution include. but are not limited to, expenses associated with: Instruction/tuition, curriculum development. materials/supplies, use of employer's space and equipment during the training project (show calculation of value), and trainee wages (including benefits) of employees during training. SECTION 5. Anticipated Outcomes of the Training Project Please check the boxes that apply to the anticipated training project. Attach a brief statement to this application for each checked box explaining how and/or why this training would result in the specific outcome. See attached. o Will save jobs within our company o Will create openings in entry-level positions X Will improve the long-term wage levels of trainees X Will improve the short-term wage levels of trainees o Would help prevent the company from having to relocate o Will create new jobs within our company operations DWilllower employee turnover in our company X Critical to the long-term viability of our company X Critical to the short-term viability of our company 0 Will make this location more competitive within company Will assist in the training of veterans 0 Will assist in the training of minorities Will assist in the training of the disabled o Will assist Welfare Transition participants Will increase the profitability of our company X Important to the stated mission of our company X Will be an important component of our company's overall employee workforce development efforts o Will assist in the improvement of international trade opportunities SECTION 6. Certification by Authorized Company Representative (Note: The individual signing the application below must have authority to enter into contractual agreements on behalf of the applying company.) As an authorized representative of the company listed above. I hereby certify the information listed above and attached to this application is true and accurate. I am aware any false information or intended omissions may subject me to civil or criminal penalties for filing of false ublic records and/or forfeiture of any training award approved through this program. Signature: Print Name: 0 l c::i ~ ~ Title: Date: "': {~ .~/,. ~ "/fl i i//,... ;, AT-tESr: 1 DWiGHT 1:$; . BROCK, Getle ~~~ ._,"'~ Page 3 of6 AD-002-EWT Empfoyed Worl<er Training AppJicatio June 6, 2003 Revised June 3D, 2008 Colleen Greene, Assistant County Attorney