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Name of Organization <br />Name of Funded Program <br />Annual Accomplishment Goal <br />I. Total number of unduplicated Participants (Santa Ana and Non -Santa Ana participants) anticipated to be served by <br />the funded program, named above, during the 12 -month contract period. <br />5001 Participants <br />City of Santa Ana <br />II. Number of ONLY unduplicated Santa Ana Participants to be served by the funded program, named above, during <br />the 12 -month contract period. <br />900 1 Participants <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 />Santa Ana CDBG funds will be utilized to help fund the raw food costs of meals on wheels and congregate lunch <br />meals to Santa Ana older adult participants. <br />Home Delivered Meal Program: <br />Participants in the Home Delivered Meals program will receive 3 meals per day 5 days per week and case <br />management services. Meals will be delivered by paid and volunteer drivers. Eligibility and case management <br />services will be provided by CSS Case Managers. Participants will also have access to other services at no <br />charge including in -home services, respite services, home safety equipment, and other resources. <br />Congregate Lunch Program: <br />Participants in the Congregate Lunch program's will be provided a daily (Monday- rriday) hot nutritional lunch <br />at 3 nutrition sites in Santa Ana, <br />Locations: <br />Southwest Senior Center <br />Santa Ana Senior Center <br />Vietnamese Community Center <br />Schedule of Performance <br />Estimate the number of ONLY unduplicated Santa Ana participants to be served by the funded program during the 12 <br />month contract period per quarter. (Enter number of new Santa Ana Participants served each quarter. If they were <br />served in quarter 1 do not count them again inquarter 2 __..... <br />Quarter 1: July 1 - September 30 <br />Participants <br />Quarter 2: October 1 - December 31 <br />Participants <br />Quarter 3: January 1 - March 31 <br />A900 <br />Participants <br />Quarter 4: April 1 -June 30 <br />Participants <br />Total unduplicated Santa Ana Participants 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 />$ 19;349.00 <br />0 <br />Quarter 2: October 1 - December 31 <br />$ 19,349,00 <br />Quarter 3: January 1 - March 31 <br />$ 19,349.00 <br />Quarter 4: April 1 -June 30 <br />$ _19,351 00 <br />$ 77,398.00 jTotal Grant <br />Exhibit A <br />Page 1 of 1 <br />25D -21 <br />