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DocuSign Envelope ID: CC04046A-B5EF-46B4-A803-5AA8F66A6F23 <br /> EXHIBIT"A" <br /> Scope of Services—FY 2015-16 <br /> Outside Agency Performance Agreement <br /> Agency Name: Chapel Hill-Carrboro Meals On Wheels <br /> Program Name: Meals For The Homebound <br /> Funding Award: $10,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> meals subsidy-helping to defray the cost of meals for those who have limited resources $10,000 <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 30,2016. <br /> • deliver meals <br /> • provide personal visit <br /> • provide extra food and information from other agencies <br /> Anticipated Outcomes <br /> The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange <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 /> deliver 41,800 meals 41,800 <br /> serve 266 individuals 266 <br /> DocuSigned by: <br /> !fa" q(ASL6 <br /> C3AM19565584FO... <br /> Certified by: Title: Date: <br /> (Prnvirl e Cimino iral <br />