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City of Santa Ana <br />Name of Organization <br />Name of Funded Program <br />Annual Accomplishment Goal <br />I. Total number of unduplicated clients (Santa Ana and Non -Santa Ana Residents) anticipated to be served by the <br />funded program, named above, during the 12-month contract period. <br />�. Persons <br />II. Number of unduplicated Santa Ana residents expected to be served by the funded program during the 12-month <br />contract period. <br />Persons <br />Program and Funding Description <br />III. Description of Work - In the space below, describe the program to be funded during the 12-month contract period. <br />What specific activities will be undertaken during the contract period. Please be concise in your response. Only the <br />viewable space will print. <br />Host user meetings <br />Perform site visits <br />Provide training and technical assistance <br />Complete project set-ups <br />Publish data quality and performance reports on our website (211oc.org) <br />Schedule of Performance <br />Estimate the number of unduplicated Santa Ana residents to be served by the funded program during the 12-month <br />contract period per quarter. (Enter number of new Santa Ana clients served each quarter. If they were served in <br />quarter 1 do not count them again In quarter 2 <br />Quarter 1: July 1 - September 30 Persons <br />Quarter 2: October 1 - December 31 Persons <br />Quarter 3: January 1 - March 31 Persons <br />Quarter 4: April 1 -June 30 Persons <br />0 ITotal unduplicated Santa Ana Residents to be served. <br />Schedule of Invoicing <br />Estimate the amount of grant funds to be requested during the 12-month contract period on a quarterly basis. <br />Quarter 1: July 1 - September 30 X15028.00 <br />Quarter 2: October 1 - December 31 <br />Quarter 3: January 1 - March 31 <br />Quarter 4: April 1 -June 30 <br />Total Grant <br />Exhibit A <br />Page 1 of 1 <br />