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ESG 2095-2016 <br />Scope of Work <br />Name of Organization: Grandma's House of Hope <br />Name of Funded Program: Emergency Shelter <br />DUNS # 969463293 <br />Contact Name and Address: Audrey McIntosh, 1505 E. 17th Street, Suite 116, Santa Ana, CA 92705 <br />Street Outreach Shelter _x Homeless Prevention Rapid Re -Housing <br />HMIS Coordinated Assessment/Central!zed Intake <br />What is the total unduplicated number (both Santa Ana residents and Non -Santa Ana residents) that this program <br />tans to serve during 2015-2016? <br />40 <br />What is the total unduplicated number of Santa Ana residents that this program plans to serve during 2015-2016? <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 GHH Emergency Shelter Program reserves beds for emergency use by 6 Santa Ana residents who are uniquely <br />challenged homeless women that may require services not available at traditional emergency shelters. <br />Activities during the funding period will include providing the following services to 6 Santa Ana residents: <br />- Safe Housing and Meals <br />- Case Management <br />Creation of an Individual Action Plan <br />- Group/ Individual Counseling <br />- Mental and Physical Health Referrals <br />- Job Search and Skill Training Support when relevant <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 i <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 <br />2 <br />4 <br />10 <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 />$ 2,500.00 <br />$ <br />2,500.00 <br />$ <br />2,500.00 <br />$ <br />2,500.00 <br />$ <br />10,o00.00 <br />Total Grant <br />Exhibit A <br />Page 1 of 1 <br />