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City of Santa Ana Name of Organization Name of Funded Program Annual Accomplishment Goal I. Total number of unduplicated clients (Santa Ana and Non -Santa Ana Residents) anticipated to be served by the funded program, named above, during the 12-month contract period. Persons II. Number of unduplicated Santa Ana residents expected to be served by the funded program during the 12-month contract period. Persons Program and Funding Description III. Description of Work - In the space below, describe the program to be funded during the 12-month contract period. What specific activities will be undertaken during the contract period. Please be concise in your response. Only the viewable space will print. Host user meetings Perform site vists Provide training and technical assistance Complete project set-ups Publish data quality and performance reports on the 2110C website (211oc.org) HMIS licenses HMIS Street Outreach mobile app licenses Monthly demoraphic survey data via 2-1-1 Santa Ana calls into Community Information Exchange Creation and implementation of quarterly HMIS/I&R Dashboard Schedule of Performance Estimate the number of unduplicated Santa Ana residents to be served by the funded program during the 12-month contract period per quarter. (Enter number of new Santa Ana clients served each quarter. If they were served in quarter 1 do not count them again in quarter 2 Quarter 1: July 1 -September 30 Persons Quarter 2: October 1 - December 31 Persons Quarter 3: January 1 - March 31 Quarter 4: April 1 -June 30 duplicated Santa Ana Residents to be served. Schedule of Invoicing Estimate the amount of grant funds to be requested during the 12-month contract period on a quarterly basis. Quarter 1: July 1 - September 30 Quarter 2: October 1 - December 31 Quarter 3: January 1 - March 31 Quarter 4: April 1 -June 30 $32 148.25 . _ $32148,25 $32;E48:25r $32148:25 $ 128,593.00 Total Grant Exhibit A Page 1 of 1