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Certified by: _______________________ Title: ___Director of Operations_____ Date: _8/8/22______ <br /> (Provider’s Signature) <br /> <br /> <br />EXHIBIT “B” <br /> <br />Scope of Services – FY 2022-23 <br />Outside Agency Performance Agreement <br /> <br />Agency Name: TABLE <br />Program Name: TABLE@Home <br />Funding Award: $16,000 <br /> <br />Outline how the agency will spend Orange County’s funding award. <br />Expense Description Amount <br />Food (healthy nonperishables and fresh food) $10,000 <br />Space (rent/mortgage and utilities) $3,000 <br />Program staff salaries $3,000 <br />Program Services <br />Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2023 . <br />● Deliver weekly bags of healthy nonperishables and fresh produce directly to the homes of 800 <br />children each week. <br />● Provide regular nutrition education opportunities throughout the year. <br />● Carry out family engagement efforts (primarily events, communications, and a Parent Advisory <br />Committee) throughout the year to learn how we can improve services, resources, and learning <br />opportunities. <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 within <br />that measure’s description or for an earlier performance measure. <br />Performance Measures Anticipated Results <br />% and # of program participants who receive food <br />assistance <br />800 kids <br /># of people reporting healthier functionality and lifestyle <br />behaviors (ex. improved nutrition) <br />50% of parents (400 kids) report improvement in <br />their child’s physical health. <br />% and # of program participants who consume fresh food 45% of kids (360) eat 4+ fruits or vegetables daily. <br /> <br />DocuSign Envelope ID: 5334673A-3749-4438-A4C5-1C05EECD11F3