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<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 proram, named above, during the 12-month contract period. <br />I 33 Persons <br /> <br />II. Number of ONLY unduplicated Santa Ana residents to be served by the funded program, named above, during the <br />12-month contract period. <br />I 33lpersons <br /> <br />City of Santa Ana <br />Scope of Work <br />Interval House Crisis Shelters <br />Domestic Violence Shelter Program <br /> <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 /> <br />The Interval House Domestic Violence Shelter Program will provide assistance to 33 Santa Ana victims of domestic <br />violence and their children through emergency and transitional shelter services. <br /> <br />Types of Services Include: <br /> <br />Emergency Shelter: Emergency shelter programs will offer a safe, caring, and homelike environment for women, <br />adolescents, and children in life-threatening situations and left homeless as a result of domestic violence and abuse. <br />The typical length of stay in emergency shelter is 30-45 days. <br /> <br />Transitional Housing: Since 1982, Interval House has maintained additional homes and programs for those families <br />needing a longer transition period to become self-sufficient, contributing members of their communities. The typical <br />length of stay at our second-stage homes varies from 60 days to 24 months. <br /> <br />Support Services will include individual and group counseling, legal assistance, health and wellness services, social <br />service advocacy, youth violence prevention programs, multi-cultural programs, and other support services needed by <br />victims. <br /> <br />Schedule of Performace <br />Estimate the number of ONLY unduplicated Santa Ana residents to be served by the funded program during the 12- <br />month contract period per quarter. (Enter number of new Santa Ana clients served each quarter. If they were served <br />in 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 /> <br />8 <br />8 <br />8 <br />9 <br />33 <br /> <br />Persons <br />Persons <br />Persons <br />Persons <br />Total unduplicated Santa Ana Residents to be served. <br /> <br />Schedule of Invoicing <br />Estimate the amount of grant funds to be requested durina the 12-month contract period on a quarterly basis. <br />Quarter 1: July 1 - September 30 $ 4,000.00 <br />Quarter 2: October 1 - December 31 $ 4,000.00 <br />Quarter 3: January 1 - March 31 $ 4,000.00 <br />Quarter 4: April 1 -June 30 $ 3,000.00 <br />$ 15,000.00 Total Grant <br /> <br />Exhibit A <br />Page 1 of 1 <br />