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ATTACHMENT A <br /> 23 <br /> "Exhibit B" - Scope of Services —FY 2010 <br /> Orange County Outside Agency Performance Agreement Certification <br /> Funded Amount: $ <br /> Agency <br /> Agency Name Here <br /> Program <br /> Program Name Here <br /> Purpose <br /> Program description, including population served, methods of service and program duration. <br /> Outcomes <br /> The desired outputs or outcomes(in quantitative or narrative format). <br /> Program Budget <br /> Description Expense Justification <br /> P (use whole numbers <br /> Personnel-Salaries <br /> Personnel-FICA and Fringe <br /> Travel/Mileage <br /> Office Supplies <br /> Pro am Supplies <br /> Advertising <br /> Rent and Utilities <br /> Miscellaneous <br /> Other Expense <br /> Total Program Expenses $ <br /> {The Program, Purpose and Outcomes sections will repeat, if the agency has multiple County-funded programs.} <br /> Certified By: Title: Date: <br /> (Agency Nam e) <br /> Orange County Outside Agency Performance Agreement <br /> Page 9 of 9 <br /> Page 23 of 26 <br /> Allocation>=$10,000 <br />