Orange County NC Website
DocuSign Envelope ID:6CD4A528-52AE-410E-B18B-BA619068A9AB <br /> Exhibit B <br /> Scope of Services—FY 2016-17 <br /> Outside Agency Performance Agreement <br /> Agency Name: Dispute Settlement Center,Inc. <br /> Funding Award: $80,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Personnel—Salaries and FICA 80,000 <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 /> • Intake, information, referral and mediation for Orange County residents in Criminal District <br /> Court <br /> • Mediations for separating couples, families, and neighbors on a sliding scale basis and Medicaid <br /> Appeals mediations. <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 /> Provide Mediation Services 650 <br /> DocuSigned by: <br /> lAtA Gt.S tkt,141-V'Sbin, <br /> Certified by: 35CO3A4B2c124c8_. Title: Executive Di rector Date: 10/25/2016 <br /> (Provider's Signature) <br />