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DocuSign Envelope ID: EBOFBDBE -FD15- 4428- 899B- 19A867F94OCC <br />EXMI1T "C" <br />Scope of Services — FY 2018 -19 <br />Outside Agency Performance .Agreement <br />Agency Name: Orange Congregations in Mission, Inc. <br />Program Name: Samaritan Relief Ministry <br />Funding Award: $37,500 <br />Outline how the aeenev will spend Orange County's funding award. <br />Expense Description <br />Amount <br />Personnel:program manager salM <br />8,000 <br />Rent and utility assistance <br />10,000 <br />Food <br />19,500 <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 a week's worth of groceries to referred households a maximum of seven times in twelve months. <br />• Provide emergency financial assistance for rent and utilities. <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 <br />Results <br />Number of meals /grocery services provided to qualifying households <br />9,184 <br />Number of qualifying households receiving emergency financial assistance for rent and utilities <br />175 <br />D"uSigned by: <br />%Y6n. S rmd alnD <br />Certified <br />by: I 6E62EC9D&75A483 . <br />(Provider's Signature) <br />e: Executive Director Date: 9/7/2018 <br />Orange County Outside Agency Performance Agreement <br />Revised 612018 <br />