2016-599-E Finance - OCIM Meals on Wheels - Outside Agency Performance Agreement

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DocuSign Envelope ID:40C90B7F-D85F-4E1C-A5CA-4BC263526A8E t A - continued Provider's Outside Agency Application MAIN APPLICATION • Meals on Wheels Association of America: OCIM's Meals on Wheels program is a member of the national organization which provides information, training, and networking opportunities. "Mayors for Meals" is an event sponsored through MOWAA. This annual event involves mayors from local communities in the delivery of meals on the third Wednesday of March. Through this event, local governments become more aware of Meals on Wheels and the needs of the elderly in our community. Hillsborough's mayor, Tom Stevens, has participated in this event for many years. In 2015, Commissioner Renee Price also participated. h) Describe what would happen if requested funding is not awarded at all or if a reduced allocation is recommended. If the Meals on Wheels program did not receive funding from Orange County, the program would be unable to continue as it currently exists. Without the Orange County funds, so few meals would be able to be purchased that the program would have to either offer no sliding scale and only be available to people who could afford the full cost or only be available to a very few people. i) Include any other pertinent information. The program demographics give description of the individuals receiving meals. The actual cost per unit reflects numbers of meals delivered. Because the individuals receiving the meals come and go for varying periods of time, there is no way to accurately indicate demographic information for each meal delivered. Program/Project Information j) Complete the Target Population and Program Beneficiary Demographics Chart k) Complete the Schedule of Positions Chart for Program Staff I) Disclosure of Potential Conflicts of Interested must be signed m) Complete the Work Statement Chart to describe the work to be performed, and be sure to attach copies of all data collection tools that will be used to verify achievement of program goals and objectives. Describe who will be responsible for monitoring progress. Information to Complete j.) Target Population Complete the following tables to the best of your ability. Show numbers of participants and percentages, as applicable, in each category. Please indicate whether this project/program will serve: x Persons ❑ Households ❑ Units Program: Program Beneficiary Demographics Actual Estimated Projected 2014-15 2015-16 2016-17 Gender Male 19 20 20 Female 47 50 50 Total 66 70 70 Main Application 5/25/2016 9:29:51 AM .. of 22