2016-647-E Finance - TABLE - Outside Agency Performance Agreement

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DocuSign Envelope ID:B32F3E9F-996A-4000-8CAF-83514F2E5759 EXHIBIT `B" Scope of Services—FY 2016-17 Outside Agency Performance Agreement Agency Name: TABLE Funding Award: $5,000 Outline how the agency will spend Orange County's funding award. Expense Description Amount Personnel—Salaries 5,000 Programmatic Supplies—Food Rental assistance Program Services For assistance with this or the following section, please reference the Exhibit A instructions and example, located within the contract and reporting memorandum. Outline the major activities the agency will employ to attain the Anticipated Outcomes below,by June 30,2016. • Partner with local schools,after school centers, non-profits, Town Housing departments, etc to provide food weekly to local kids through our weekend meal backpack program. • Partner with Fanner FoodShare, local farms, and other businessess to purchase and receive donations of fresh produce and milk for our weekend meal Backpack program. • Provide nutritious foods that kids need every week as well as reinforce health and academic habits using Food for Thought worksheets. Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange County, only (all Towns and municipalities). If you use percentages, you must also provide the total number of participants within that measure's description or for an earlier performance measure. Performance Measures Anticipated Results Provide kids with healthy food 600 kids/ 40 weeks. Percentage of food bags that include produce and fresh milks 36% Percentage of kids that experience academic,health,personal,or social benefit as a result of 30% receiving the nutrition they need each week. DocuSigned by: slew fippiws Executive Di rector 11/10/2016 Certified by: q,�Rq,�E6 acp Title: Date: (Provider's Signature)