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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 �(J <br />House Livina Centers <br />87- 979 -7165 <br />Allison Davenport, PO Box 1905 Santa Ana, CA 92702 <br />Street Outreach Shelter Homeless Prevention_ Rapid Re- Housing _ X <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 plans to serve <br />during 2015 -2016? <br />5 <br />What is the total unduplicated number of Santa Ana residents that this program plans to serve during 2015 -2016? <br />5 <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. What specific activities will be undertaken <br />during the contract period. Please be concise in your response. Only the viewable space will print. <br />We anticipate serving 5 individuals with medium -term assistance. We feel that in order to stabilize housing for the Civic Center <br />population we will need to provide a longer term assistance than 3 months. <br />We have one client in our Joseph House shelter who came from the Civic Center which we would like to help with this additional <br />funding. He currently has a housing voucher and ESG assistance will help provide for his deposit assistance. For other clients <br />served by these additional dollars, we will be working with existing Coordinated Entry outreach teams in the Civic Center area to <br />refer clients to us who have completed VI -SPDAT assessments and whose assessments rank them appropriate for Rapid <br />Rehousing interventions. <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 -month <br />contract period per quarter. (Enter number of new Santa Ana Participants served each quarter. If theywere served in quarter 1 <br />do not count them again in quarter 2) <br />Quarter 1: July 1 - September 30 <br />0 Participants <br />Quarter 2: October 1 - December 31 <br />0 Participants <br />Quarter 3: January 1 - March 31 <br />4 Participants <br />Quarter 4: April 1 -June 30 <br />11 Participants <br />5 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 />$ <br />Quarter 2: October 1 - December 31 <br />$ <br />Quarter 3: January 1 - March 31 <br />$ 8,000.00 <br />Quarter 4: April 1 -June 30 <br />$ 17,786.33 <br />$ 25,786.33 Total Grant <br />