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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. . ... . · .405 Persons <br /> <br />City of Santa Ana <br />Scope of Work <br />Council on Agin!;j-Orange County <br />Linkages <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 521 Persons <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 />The Linkages Program provides case management services and comprehensive information and referrals to frail <br />elderly and disabled persons aged 18 and above to aid in obtaining appropriate community resources that prevent or <br />delay institutionalization. To meet the needs of vulnerable adults living in Santa Ana, Linkages staff will: <br /> <br />J Provide phone intake services in person during business hours with bilingual service available. <br />:::J Respond promptly to requests for case management &/or service referral requests. <br />:::J Provides timely assessments and create an appropriate care-plan using an informal collaborative or contractual <br />approach. <br />= Purchase assistive devices and respite services for clients as care plan indicates. <br />= Refer caregivers to counseling, family consulting services and respite assistance. <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 />18 Persons <br />12 Persons <br />12 Persons <br />10 Persons <br />52 Total unduplicated Santa Ana Residents to be served. <br /> <br />Schedule of Invoicing <br />Estimate the amount of grant funds to be requested durinq the 12-month contract period on a quarterly basis. <br />Quarter 1: July 1 - September 30 $ 1,500.00 <br />Quarter 2: October 1 - December 31 $ 1,500.00 <br />Quarter 3: January 1 - March 31 $ 1,500.00 <br />Quarter 4: April 1 -June 30 $ 1,500.00 <br />$ 6,000.00 Total Grant <br /> <br />Exhibit A <br />Page 1 of 1 <br />