Orange County NC Website
EXHIBIT"A" <br /> Scope of Services—FY 2014- 15 <br /> Outside Agency Performance Agreement <br /> Agency Name: Club Nova Community,Inc. <br /> Program Name: Club Nova Community,Inc. <br /> Funding Award: $75,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Personel Salaries,FICA and Fringe $25,000 <br /> Transportation fuel,travel,etc..) $26,000 <br /> Other Expenses clubhouse(PSR)services for members with ACTT $10,000 <br /> Other Expenses(Employment Coordiantor; Salary,FICA,Fringe) $14,000 <br /> Program Services <br /> For assistance with this or the following section, please reference the Exhibit A instructions and example, located within the <br /> contract and reporting memorandum. Outline the major activities the agency will employ to attain the Anticipated Outcomes <br /> below,by June 30,2015. <br /> • Transportation: Maintain a high-quality transortation program so our membershave the <br /> opportunity to attend and engage in our programming and continue in the recovery process. <br /> • Members Receiving ACTT Services: Provide opportunities and support to our members who are <br /> also receiving Assertive Community Treatment(ACTT)services. <br /> • Employment: Continue to support and assist members who desire to return to paid employment in <br /> the community. The Transitional and Supported Employment Programs will maintain and strive <br /> to increase the number of placements available to members and the number of members who <br /> work in the community. <br /> Anticipated Outcomes <br /> The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Oranize <br /> County. only (all Towns and municipalities). If you use percentages, you must also provide the total number of participants <br /> within that measure's description or for an earlier performance measure. <br /> Performance Measures Anticipated <br /> Results <br /> Number of drivers certified in CPR,AED, 1 st Aid,Blood Borne Pathogens, Seisure 4 <br /> Management <br /> Number of members who receive ACTT services 20 <br /> Number of members supported in their effort to return to paid employment in the 20 <br /> community <br /> Certified J coe Title: t Date: 5 t¢ t C)0 <br /> rovider Si ture) <br />