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DocuSign Envelope ID: 1056F994-88AA-4336-8102-E1 F3178D3BE7 <br /> EXIMIT"C" <br /> Scope of Services—FY 2019-20 <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 agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Personnel-program manager salary 10,000 <br /> Rent and utility assistance 8,000 <br /> Food 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 eight 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 Anticipated <br /> Results <br /> Number of meals/grocery services provided to qualifying households 9,184 <br /> Number of qualifying households receiving emergency financial assistance for rent and utilities 175 <br /> GocuSigned by:Certified by:ErBE62EM67SA483 <br /> tAlk. ��t r6t& �- Fft a.kAj y Executive Director Date:7/23/2019 <br /> . <br /> (Provider's Sigi,Lurv) <br /> Orange County Outside Agency Performance Agreement <br /> Revised 5/2018 <br />