2016-587-E Finance - Chapel Hill-Carrboro Meals on Wheels - Outside Agency Performance Agreement

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DocuSign Envelope ID:24839407-DB2D-47A2-B399-3BEA061662C1 t A - continued Provider's Outside Agency Application MAIN APPLICATION m.) Work Statement SMART Goals Actual Estimated Projected 2014-2015 2015-2016 2016-2017 Program Activity 1 Deliver meals to the home Deliver meals to the home Deliver meals to the home Provide nutritious meal Provide nutritious meal Provide nutritious meal Program Goal that nourishes that nourishes that nourishes Volunteer log and and Volunteer log and and Volunteer log and and Performance Measures client delivery records client delivery records client delivery records 38,000 meals plus 41,000 meals plus 45,000 plus additional additional groceries and additional groceries and groceries and food Program Results food donations delivered food donations delivered donations delivered Visit with client and Visit with client and Visit with client and Program Activity 2 perform basic safety check perform basic safety check perform basic safety check Provide a personal visit Provide a personal visit Provide a personal visit each weekday to each weekday to each weekday to clients,relieving isolation clients,relieving isolation clients,relieving isolation and depression. Check for and depression. Check for and depression. Check for any obvious problems or any obvious problems or any obvious problems or issues that may need issues that may need issues that may need attention from family or attention from family or attention from family or Program Goal other service providers other service providers other service providers Notes in client files and Notes in client files and Notes in client files and incident reports submitted incident reports submitted incident reports submitted Performance Measures by volunteers by volunteers by volunteers Main Application 5/24/2016 9:18:54 AM P 141 of 2