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Name of Organization <br />Name of Funded Program <br />Annual Accomplishment Goal <br />City of Santa Ana <br />Scope of Work <br />House Living Centers <br />I. Total number of unduplicated Participants (Santa Ana and Non -Santa Ana participants) anticipated to be <br />served by the funded program, named above, during the 12-month contract period. <br />275 Participants <br />II. Number of ONLY unduplicated Santa Ana Participants to be served by the funded program, named <br />above, during the 12-month contract period. <br />9 Participants <br />Program and Funding Description <br />III. Description of Work - In the space below, describe the program to be funded during the 12-month <br />contract period. What specific activities will be undertaken during the contract period. Please be concise in <br />your response. Only the viewable space will print. <br />Mercy House will provide Rapid Rehousing assistance to 9 homeless persons who will receive security deposit <br />assistance , rental assistance, case managment and housing search and placement services. It is anticipated that 5 <br />households will receive short term assistace (up to 3 months) and 4 will receive longer term assistance (5-6 <br />months), <br />As required by ESG , all referrals for the program will come from the Coordinated Entry System and will have <br />connections to the City of Santa Ana . Priority will be given to those who are exiting directly from The Link <br />emergency shelter. <br />Schedule of Performance <br />Estimate the number of ONLY unduplicated Santa <br />Ana participants to be served by the funded program <br />during the 12-month contract period per quarter. <br />(Enter number of new Santa Ana Participants served each <br />Quarter 1: July 1 - September 30 <br />1 <br />Participants <br />Quarter 2: October 1 - December 31 <br />3 <br />Participants <br />Quarter 3: January 1 - March 31 <br />4 <br />Participants <br />Quarter 4: April 1 -June 30 <br />1 <br />Participants <br />9 <br />Total unduplicated Santa Ana Participants to be serve, <br />Schedule of Invoicing <br />Estimate the amount of grant funds to be <br />Quarter 1: July 1 - September 30 <br />Quarter 2: October 1 - December 31 <br />Quarter 3: January 1 - March 31 <br />Quarter 4: April 1 -June 30 <br />during the 12-month contract period on a quarterly basis. <br />$16,000 <br />$31,491 <br />14911 Total Grant <br />Confirm that the quarterly request add up to grant amount <br />Exhibit A <br />