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Orange County Government FA024-25 <br /> Outside Agency Quarterly Outcomes Form <br /> Instructions: Submit this form (in PDF)and receipts to your Orange County Department Liaison. Please note, the performance <br /> measures below must correspond with your agency's approved Exhibit B: Scope of Services document, as part of the <br /> Performance Agreement. <br /> Agency Information <br /> Agency Name: <br /> Reporting Quarter: ❑ Quarter 1 ❑ Quarter 2 ❑ Quarter 3 ❑ Quarter 4 <br /> Total FY 2024-25 Funding Award: $ <br /> Person Completing Report <br /> Name and Title: <br /> Phone Number: <br /> Email Address: <br /> OUTCOME MEASURES <br /> Report on the performance measures outlined in your agency's Exhibit B: Scope of Services Agreement. Note that the <br /> Proposed Year-End Outcome column is the same as Anticipated Results column, in Exhibit B: Scope of Services. <br /> Please only provide numerical data for all columns,except the Performance Measures column. <br /> Actual <br /> Proposed Quarter 1 Quarter 2 Quarter 3 Quarter 4 Year-End <br /> Performance Measure Year-End (Through (Through (Through (Through Outcome <br /> Outcome 9/30) 12/31) 3/31) 6/30) (Sum of <br /> Quarters) <br /> Table footnotes: <br /> QUARTERLY EXPENSES <br /> Complete the expense worksheets and submit a copy of the agency's receipts.Also, in the space below briefly explain <br /> how the funds spent this quarter's funding (e.g. Program Personnel salary and benefits,educational supplies, utilities). <br /> COMMENTS <br /> Please provide additional information about the above program that the agency would like to share with has occurred <br /> during the previous quarter. <br /> YEAR-END COMMENTS(FOR QUARTER 4 REPORT ONLY <br /> In 150 words or less, please share accomplishments or challenges that occurred, during the grant period (July 1, 2023—June <br /> 30, 2025). Denote whether occurrences affected services to Orange County residents. <br /> Note: If your agency's contact information has changed (Executive Director, primary contacts, phone number, address, etc.), <br /> Please send your updated information to your Orange County Department Liaison. <br />