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DocuSign Envelope ID: C4A8ABA9- 961E- 4297- 82F0- 5B1739260CFF <br />EXIMIT "C" <br />Scope of Services — FY 2018 -19 <br />Outside Agency Performance Agreement <br />Agency Name: Diaper Bank of North Carolina <br />Program Name: Outcome Based Diaper Distribution Program <br />Funding Award: $10,000 <br />Outline how the agency will spend Orange County's funding award. <br />Expense Description <br />Amount <br />Compensation <br />$3000 <br />Rent - <br />$3,000 <br />utilities <br />$500 <br />Supplies <br />$3,500 <br />Equipment <br />$0 <br />(451/850) <br />Program Services <br />Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 34, 2019. <br />• Distribute diapers and related products to low - income families that are actively participating in programs through the <br />Orange County Department of Social Services. <br />• Distribute products to the Orange County Department of Social Services. <br />Anticipated Outcomes <br />The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Urance <br />County, only (all Towns and municipalities), If you use percentages, you must also provide the total number of participants within <br />that measure's description or for an earlier performance measure. <br />Dom Signed by; <br />X� <br />Certified by: 997DB380FECF4BD... <br />(Provider's Signature) <br />Title: <br />Executive Director Date: 7/24/2018 <br />Orange County outside Agency Performance Agreement <br />Revised 612038 <br />Anticipated <br />Performance Measures <br />Results <br />Number of diapers distributed yearly <br />42,500 <br />Households reporting that receiving diapers from DNBC allows children to be healthier <br />30% <br />255/850 <br />Households reporting that receiving diapers from DNBC reduces parental stress <br />53% <br />(451/850) <br />Households reporting that receiving diapers allows them to purchase food <br />53% <br />(451/850) <br />Partner organizations reporting that distributing diapers extends the average length of a <br />56% <br />relationship with clients. <br />2.24/4 <br />Partner organizations reporting that distributing diapers reduces missed visits. <br />66% <br />2.64/4 <br />Partner organizations reporting that distributing diapers improves communication with <br />41% <br />clients. <br />1.64/4 <br />Dom Signed by; <br />X� <br />Certified by: 997DB380FECF4BD... <br />(Provider's Signature) <br />Title: <br />Executive Director Date: 7/24/2018 <br />Orange County outside Agency Performance Agreement <br />Revised 612038 <br />