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DocuSign Envelope ID: 717C8AE2- 4D6E- 4E46- A9A7- F4213973D039 <br />Nii 1.`117 l': <br />Scope of Services FY 2018 -19 <br />Outside Agency Performance Agreement <br />Agency Name: Club Nova Community, hie <br />Program Name: Club Nova Community, Inc <br />Funding Award: $16,250 <br />)utline how the agency will spend Orange County's funding award. <br />Expense Description Amount <br />Transportation (fuel, travel, etc) $16,250 <br />Program Services <br />Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2018. <br />o Members Receiving ACTT Services: Provide opportunities and support to our members who are <br />also receiving Assertive Community Treatment Team services. <br />Employment: Continue to support and assist members who desire to return to paid employment in <br />the community. The Transitional and Supported Employment Programs will maintain and strive to <br />increase the number of placements available to members and the number of members who work in <br />the community. <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 within <br />that measure's description or for an earlier performance measure. <br />Performance Measures <br />Anticipated Results <br />Club Nova Drivers will be trained in CPR /15tAid, APD, NCI -A <br />4 Drivers <br />Club Nova maintains its vehicles, and provides our membership with transportation to <br />and from Club Nova (plus socials and occasional medical appointments) throughout <br />Orange County six days a week and on all major holidays. <br />80,000 Miles <br />Docusigned by: <br />Anal, Vl AJA, Executive Director 8/27/2018 <br />04AC92782B5F403... <br />Certified by: Title: Date: . <br />(Providers Signature) <br />