OC MENTAL HEALTH (4) - 2015 - Laserfiche WebLink

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Name of Organization: Name of Funded Program: DUNS # Contact Name and Address: ESG 2015.2016 Scope of Work of Santa Ana Street Outreach _X_ Shelter Homeless Prevention Rapid Re- Housing HMIS Coordinated Assess m ant/Central ized Intake What is the total unduplicated number (both Santa Ana residents and Non -Santa Ana residents) that this program plans to serve during 2015 -2016? 3,000 What is the total unduplicated number of Santa Ana residents that this program plans to serve during 2015 -2016? 1,700 Program and Funding Description Description of Work - In the space below, describe the program to be funded during the 12 -month contract period, What specific activities will be undertaken during the contract period. Please be concise in your response. Only the viewable space will print. Homeless Outreach Team provides supportive outreach and engagement for homeless mentally -ill individuals throughout Santa Ana and active linkage to mental health, social and medical services to stabilize and eliminate homelessness. s Schedule of Performance /Goal Outcomes Estimate the number of ONLY unduplicated Santa Ana participants to be served by the funded program during the 12- month contract period per quarter. (Enter number of new Santa Ana Participants served each quarter. If they were served in quarter 1 do not count them again in quarter 2) Quarter 1: July 1 - September 30 Quarter 2: October 1 - December 31 Quarter 3: January 1 - March 31 Quarter 4: April 1 -June 30 Participants Participants Participants Participants Total Santa Ana Participants to be served. Schedule of Invoicing 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 Quarter 2: October 1 - December 31 Quarter 3: January 1 - March 31 Quarter 4: April 1 -June 30 $ 5,812.00 $ 5,814.00 $ 5,812.00 $ 5,812.00 $ 23,250.00 Total Grant Exhibit A Page 1 of 1