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CITY OF SANA ANA COMMUNITY DEVELOPMENT BLOCK GRANT Scope of Work Annual Accomplishment Goal I. Total number of clients anticipated to be served during the 12-month contract period= 7,500 PERSONS II. Total number of unduplicated Santa Ana residents to be served with grant funds during the 12-month contract period = 1,700 PERSONS 23% Santa Ana CDBG clients III. Description of Work - in space below, describe the program to be funded during the 12- month contract period including, services to be provided, program goals, client characteristics, & how grant funds will be utilized. The SOS Free Medical and Dental Clinic will provide comprehensive, free medical and dental services to 1,700 Santa Ana residents. The program goal is to protect the health of the community by providing medical and dental services to those with no other access to that service. Medical services include diagnosis, treatment, education, lab work, pharmacy and comprehensive access to specialists. Dental services include hygiene, partials, root canals, radiographs, restorations, extractions and dentures. The patients are low-income Santa Ana residents who do not qualify for government insurance programs. Patients are primarily Hispanic. Grant funds will be utilized to partially fund the dental director and a Nurse Practitioner. Schedule of Performance Estimate the number of unduplicated Santa Ana residents to be served during the 12-month contract period per quarter Quarter 1: July 1 — September 30 425 Persons Quarter 2: October 1 — December 31 425 Persons Quarter 3: January 1 — March 31 425 Persons Quarter 4: April 1 — June 30 425 Persons Total 1,700 Persons Invoicing Schedule 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 $5,000 Quarter 2: October 1 — December 31 $5,000 Quarter 3: January 1 — March 31 $0 Quarter 4: April 1 — June 30 $0 Total $10,000 EXHIBIT A