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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 />_250 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 />90. " Persons <br />Program and Funding Description <br />111. 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 />Interval House will continue to provide life-saving shelter and comprehensive supportive services to a minimum of 90 <br />individuals (homeless victims of domestic violence and their children) from the City of Santa Ana. <br />Services will include: <br />EMERGENCY SHELTER: Interval House shelter programs offer a safe, caring, and homelike environment for adults, <br />adolescents, and children in life -threatening situations who are left homeless as a result of domestic violence <br />ADDITONAL SPECIALIZED SUPPORT SERVICES: Comprehensive counseling; legal; health and wellness; financial <br />management; employment counseling; permanent housing; and other services as needed, provided by skilled <br />counselors in over 70 languages. <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 <br />Quarter 2: October 1 - December 31 <br />Quarter 3: January 1 - March 31 <br />Quarter 4: April 1 -June 30 <br />Persons <br />Persons <br />Persons <br />Persons <br />Total 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 <br />Quarter 2: October 1 - December 31 <br />Quarter 3: January 1 - March 31 <br />Quarter 4: April 1 -June 30 <br />�' $20000.00' <br />$20000.00. <br />$ 80,000.00 <br />Total Grant <br />Exhibit A <br />Page 1 of 1 <br />