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Name of Organization: <br />Name of Funded Program: <br />DUNS # <br />Contact Name and Address: <br />ESG 2015.2016 <br />Scope of Work <br />Women's Transitional Livina Center. Inc. <br />Independence from Depencence Program <br />Street Outreach Shelter _x Homeless Prevention Rapid Re -Housing <br />HMIS Coordinated Assessment/Centralized Intake _n/a_ <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 />605 <br />What is the total unduplicated number of Santa Ana residents that this program plans to serve during 2015-2016? <br />75 <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 Independence from Dependence Program provides emergency shelter, transitional housing, and community <br />education and advocacy to victims of domestic violence and human trafficking. The program will,identify a minimum <br />of 200 survivors of domestic violence from the City of Santa Ana and provide supportive services to include but not be <br />limited to: in community intervention through education and advocacy, shelter in emergency or transitional housing, <br />after care supportive services and more. The program will provide a minimum of 6 community trainings to Santa Ana <br />residents, shelter a minimum of 75 individuals in our emergency an transitional housing, and provide supportive <br />counseling, and other supportive servcies to prevent ongoing homelessness or the need to 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 <br />Quarter 2: October 1 - December 31 <br />Quarter 3: January 1 - March 31 <br />Quarter 4: April 1 -June 30 <br />Participants <br />Participants <br />Participants <br />Participants <br />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 />R28000.00 <br />Total Grant <br />Exhibit A <br />Page 1 of 1 <br />