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Certified by: _______________________ Title: __________________________ Date: ____________ <br /> (Provider’s Signature) <br /> <br /> <br />EXHIBIT “B” <br /> <br />Scope of Services – FY 2021-2022 <br />Outside Agency Performance Agreement <br /> <br />Agency Name: TABLE, Inc. <br />Program Name: TABLE@home <br />Funding Award: 15000 <br /> <br />Outline how the agency will spend Orange County’s funding award. <br />Program Services <br />Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2022. <br />• Delivery of nutritious food to kids in Orange County every week. <br />• Improve and scale food access pilot program for families to order food for their family. <br />• <br /> <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 <br />within that measure’s description or for an earlier performance measure. <br />Performance Measures Anticipated <br />Results <br />Children eat, taste, or are exposed to more fresh food than they would without TABLE. 30% <br />regularly <br />consume <br />fruits & <br />veggies <br />Rate of food insecurity decreases among TABLE participants and they can rely on <br />steady food assistance. <br />11% rated as <br />very low <br />food security <br />Expense Description Amount <br />Purchase nutritious food 7500 <br />Support staff needs to execute programming and develop relationships with families 3000 <br />Space 3000 <br />Supplies 1500 <br /> <br /> <br />DocuSign Envelope ID: 6AACAE3D-76C8-46BA-8DCC-C71ED367AD95 <br />Executive Director 10/27/2021