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2022-366-E-Health-Farmer Foodshare-Outside Agency Agreement
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2022-366-E-Health-Farmer Foodshare-Outside Agency Agreement
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Last modified
8/16/2022 2:53:03 PM
Creation date
8/16/2022 2:52:41 PM
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Template:
Contract
Date
8/12/2022
Contract Starting Date
8/12/2022
Contract Ending Date
8/16/2022
Contract Document Type
Contract
Amount
$7,650.00
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<br />Program information Page 24 of 37 <br /> <br />Program Target Population Demographics <br /> <br />Projected <br /> 2020-2021 <br />Actual <br />2020- <br />2021 <br /> Projected <br /> 2021-2022 <br />Projected <br /> 2022-2023 <br />Gender <br />Men 612 447 <br />Women 1032 753 <br />Nonbinary/Genderqueer 0 0 <br />Self-Describe 0 0 <br />Total 1644 1,200 <br />Race and Ethnicity <br />Black or African-American 402 294 <br />American Indian or Alaska Native 0 0 <br />Asian Indian 0 0 <br />White 228 166 <br />Native Hawaiian or other Pacific Islander 0 <br />Chinese 0 <br />Japanese 0 <br />Vietnamese 0 <br />Filipino 0 <br />Korean 0 <br /> Some other race (Hispanic, since not reported separately) 1014 740 <br />Total 1644 1,200 <br /> <br />Of the above, how many Hispanic, Latino or Spanish origin 1014 740 <br />Of the above, how many non-Hispanic, Latino or Spanish origin 630 460 <br />Total 1644 1,200 <br />Age <br />0-5 years 122 89 <br />6-18 years 682 498 <br />19-50 years 700 511 <br />51+ years 140 102 <br />Total 1644 1,200 <br />Geographic Location <br />Town of Chapel Hill 0 0 <br />Town of Carrboro 0 0 <br />Orange County ( Outside of Chapel Hill/Carrboro) 1644 1,200 <br />Outside of Orange County 0 0 <br />Total 1644 1,200 <br />Income <br />Low-income (80% of the Area Median Income and Below) Please see <br />income table in the attachments 1644 1,200 <br />Total 1644 1,200 <br /> <br /> <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: BC021861-30DF-4F8A-9FA3-8AE2B71D28D0
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