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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: Meals on Wheels <br /> Funding Award: $40,950 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Meals on Wheels meal purchases $20,842.50 <br /> Personnel-salary and mileage to support programming $20,107.50 <br /> Program Services <br /> Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2020. <br /> • Delivery of meals to elderly/disabled residents five days/week(Monday-Friday) <br /> ■ Increase meal delivery to Cedar Grove and Little River Townships as well as keeping up with referrals from <br /> other parts of northern Orange County. <br /> Anticipated Outcomes <br /> The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Or� ange <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 delivered 10,237 <br /> Nwnnber of new direct interviews conducted and/or individuals enrolled in program 20 <br /> OacuSignred by: <br /> . S�iGU'66t, S, VC.tpt 7/23/2019 <br /> Certified b Executive Director Date: <br /> y' 6E62EC6�675A483 . <br /> (Provider's Signature) <br /> 2 <br />