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DocuSign Envelope ID: E1573D55- lDC0 -4F4C- 9784- 749E3E95640B <br />1 5►:: I 111 1 li Iu <br />Scope of Services — FY 2018 -19 <br />Outside Agency Performance Agreement <br />Agency Name: Chapel Hill Carrboro Meals on Wheels <br />Program Name: Food for the homebound and elderly <br />Funding Award: $15,900 <br />Outline how the agency will spend Orange County's funding award. <br />Expense Description Amount <br />Food Expense $15,900 <br />Program Services <br />Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2019. <br />• Delivery of a hot, nutritious meal every Monday- Friday. <br />• Weekday check -in during delivery to ensure health and safety of recipient. <br />• Outreach to community to inform of our services and so that those in need of our services will <br />have the information to access the service. <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 <br />Anticipated <br />Results <br />Total # of meals delivered <br />48,500 <br />Total # of recipient check -ins <br />48,500 <br />Total # of individuals served <br />370 <br />OocuSigned by: <br />S6kt buo4ajo. <br />24BP22FB870.44A5... <br />Certified by: <br />(Provider's Signature) <br />Executive Director 8/16/2018 <br />Title: Executive Director Date: 7 -24 -18 <br />