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Name of Organization: <br />Name of Funded Program: <br />DUNS # <br />87- 979 -7165 <br />ESG 2015 -2016 <br />Scope of Work <br />House Living Centers <br />Contact Name and Address: Patti Long, Operations Director <br />PO Box 1905 Santa Ana, CA 92702 <br />Street Outreach Shelter Homeless Prevention _x_ Rapid Re- Housing <br />HMIS Coordinated Assessment /Centralized Intake <br />What is the total unduplicated number (both Santa Ana residents and Non -Santa Ana residents) that this program <br />plans to serve during 2015 -2016? <br />100 <br />What is the total unduplicated number of Santa Ana residents that this program plans to serve during 2015 -2016? <br />10 <br />Program and Funding Description <br />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 Homeless Prevention Program provides short term financial assistance and on -going case management to <br />households who are at -risk of homelessness and, who without assistance, would become homeless. <br />Schedule of Performance /Goal Outcomes <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 in quarter 2) <br />Quarter 1: July 1 - September 30 r�12 Participants <br />Quarter 2: October 1 - December 31 Participants <br />Quarter 3: January 1 - March 31 Participants <br />Quarter 4: April 1 -June 30 Partic ipants <br />10�Total 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 />Quarter 2: October 1 - December 31 <br />Quarter 3: January 1 - March 31 <br />Quarter 4: April 1 -June 30 <br />$ 2,500.00 <br />$ <br />3,000.00 <br />$ <br />4,000.00 <br />$ <br />500.00 <br />$ <br />10,000.00 <br />Total Grant <br />Exhibit A <br />Page 1 of 1 <br />