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DocuSign Envelope ID: 6818677A -D518- 4750- B391- F6169FB2A4C4 <br />151:4: I 1111"Iu <br />Scope of Services — FY 2018 -19 <br />Outside Agency Performance Agreement <br />Agency Name: A Helping Hand <br />Program Name: Caregiving Collaborative <br />Funding Award: $6,500 <br />Outline how the agency will spend Orange County's funding award. <br />Expense Description <br />Amount <br />Wages and FIC costs for program facilitators <br />$4,250 <br />Intertiship Program costs: training materials, mileage, advertising and office material costs <br />$2,250 <br />Program Services <br />Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2019. <br />• Provide companion services to low income seniors, including: escorted medical transportation, <br />shopping assistance, and in -home help. <br />• Recruit, train and provide interns with an intergenerational service experience. <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 />Recruitment, onboarding and training of 40 health interns. 1 40 1 <br />Provide 180 clients with scheduled visits for escorted medical transportation, shopping assistance 180 <br />and in -home help. <br />DocuSigned by: <br />QS Executive Director 8/15/2018 <br />clEaaeaoaog3 <br />Certified by: 46D _ Title: Date: <br />(Provider's Signature) <br />