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3. Eligible trips provided under the Senior Mobility Program are limited to the following <br />categories. Please Indicate the categories of service to be provided by your program: <br />(check all that apply) <br />® Senior Center <br />Nutrition <br />® Medical <br />zPersonal Care <br />® Shopping <br />® Social /Recreational (please list locations) <br />Miles Square Park, The Outlets at Orange, Santa Ana Zoo, OC Court House <br />Museum and Liberty Park. <br />4. SMP Guidelines restricts trips outside of Orange County to medical trips within <br />approximately 10 miles of the Orange County border. Do you intend to provide <br />medical trips outside of Orange County? a Yes Q No <br />If yes, please list the trip purpose and destinations: (e.g., medical trips to the VA Hospital <br />in Long Beach) <br />S, Fare structure: <br />We don't collect any fee for this program. <br />6. Num�berofvvehlcles: <br />7. Projected annual ridership: <br />200 <br />8. Source(s) of 20 percent match funding: <br />VNCOC In -kind and One Stop Center who provide senior volunteers; <br />EXHIBIT 1 <br />25A -10 <br />