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DocuSign Envelope ID: B3FB92A5-8DCA-444B-BA7D-945F9A80BEF7 <br /> EDIT B <br /> Scope of Services—FY 2019-20 <br /> Outside Agency Performance Agreement <br /> Agency Name: Diaper Sank of North Carolina <br /> Program Name: Outcome Based Diaper Distribution Program <br /> Funding Award: $10,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Compensation $3000 <br /> Rent $3,000 <br /> Utilities $500 <br /> Supplies $3,500 <br /> Equipment $0 <br /> Program Services <br /> Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2020. <br /> ■ Distribute diapers and related products to low-income families that are actively participating in programs through the <br /> Orange County Department of Social Services. <br /> ■ Distribute products to the Orange County Department of Social Services. <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 /> Resu Its <br /> Number of diapers distributed yearly 42,500 <br /> Households reporting that receiving diapers from DNBC allows children to be healthier 30% <br /> 2551850 <br /> Households reporting that receiving diapers from QNBC reduces parental stress 53% <br /> 451/850 <br /> Households reporting that receiving diapers allows them to purchase food 53% <br /> (451/850) <br /> Partner organizations reporting that distributing diapers extends the average length of a 56% <br /> relationship with clients. 2.2414 <br /> Partner organizations reporting that distributing diapers reduces missed visits. 66% <br /> 2,6414 <br /> Partner organizations reporting that distributing diapers improves communication with 41% <br /> clients. (1.6414 <br /> Ooclu,Siigned by: <br /> Executive Director 7/29/2019 <br /> Certifiedl)y: 197DB380FECF4BD.. l [tic: l €T.0 <br /> (Provider's Signature) <br /> Orange County Outside Agency Performance Agreement <br /> Revised 6/2018 <br />