Common use of Levels of Accomplishment – Goals and Performance Measures Clause in Contracts

Levels of Accomplishment – Goals and Performance Measures. The Subrecipient agrees to provide the following levels of program services: Activity Units* per Month Total Units / Year Activity #1 [# of Units] [# of Units] Activity #2 [# of Units] [# of Units] Activity #3 [# of Units] [# of Units] * Units of Service means Staffing Provide list of staff and time commitments to be allocated to each activity specified above. Name / Title Time Commitments [Any changes in the Key Personnel assigned or their general responsibilities under this project are subject to the prior approval of the County Staff.] EXHIBIT B LINE ITEM BUDGET [NAME OF THE SUBRECIPIENT] Budget for [Name of the Program] receiving FY18 CDBG Entitlement Program Funds Line Item Amount $ $ $ $ $ $ $ $ $ [Salaries] [Fringe] [Office Supplies (Program only)] [Utilities] [Communications] [Reproduction / Printing] [Supplies and Materials] [Mileage] [Audit] $ $ $ $ Other (Specify) $ $ $ $ Indirect Costs (Specify) TOTAL $ Any indirect costs charged must be consistent with the conditions of of this Agreement. In addition, the County Staff may require a more detailed budget breakdown than the one contained herein, and the Subrecipient shall provide such supplementary budget information in a timely fashion in the form and content prescribed by the County Staff. Any amendments to the above Line Item budget must be approved in writing by both the County Staff and the Subrecipient. EXHIBIT C PROGRAM EVALUATION FORM [NAME OF THE SUBRECIPIENT] Scope of Services for [Name of the Program] receiving FY18 CDBG Entitlement Program Funds ALLOCATION: [$ Insert Grant Amount] GRANT YEAR: FY 2018/CD 43 COUNTY STAFF: [Insert Name of County staff to monitor] EVALUATION PERIOD: July 1, 2017 - June 30, 2018 DATE EVALUATION COMPLETED: [Insert Completion Date] HOUSING AND COMMUNITY DEVELOPMENT OBJECTIVE: . PROGRAM OBJECTIVE: . STRATEGIES USED TO ACHIEVE OBJECTIVES: 1. . 2. . 3. .

Levels of Accomplishment – Goals and Performance Measures. The Subrecipient agrees to provide the following levels of program services: Activity Units* per Month Total Units / Year Activity #1 [# of Units] [# of Units] Activity #2 [# of Units] [# of Units] Activity #3 [# of Units] [# of Units] * Units of Service means Staffing Provide list of staff and time commitments to be allocated to each activity specified above. Name / Title Time Commitments [Any changes in the Key Personnel assigned or their general responsibilities under this project are subject to the prior approval of the County Staff.] EXHIBIT B LINE ITEM BUDGET [NAME OF THE SUBRECIPIENT] Budget for [Name of the Program] Program receiving FY18 FY19 CDBG Entitlement Program Funds Funds] Line Item Amount $ $ $ $ $ $ $ $ $ [Salaries] [Fringe] [Office Supplies (Program only)] [Utilities] [Communications] [Reproduction / Printing] [Supplies and Materials] [Mileage] [Audit] $ $ $ $ Other (Specify) $ $ $ $ Indirect Costs (Specify) $ $ $ $ TOTAL $ Any indirect costs charged must be consistent with the conditions of section VII. A. 2. of this Agreement. In addition, the County Staff may require a more detailed budget breakdown than the one contained herein, and the Subrecipient shall provide such supplementary budget information in a timely fashion in the form and content prescribed by the County Staff. Any amendments to the above Line Item budget must be approved in writing by both the County Staff and the Subrecipient. EXHIBIT C PROGRAM EVALUATION FORM [NAME OF THE SUBRECIPIENT] Scope of Services Program Evaluation for [Name of the Program] Program receiving FY18 FY19 CDBG Entitlement Program Funds Funds] ALLOCATION: [$ Insert Grant Amount] GRANT YEAR: FY 20182019/CD 43 44 COUNTY STAFF: [Insert Name of County staff to monitor] EVALUATION PERIOD: July 1, 2017 2018 - June 30, 2018 2019 DATE EVALUATION COMPLETED: [Insert Completion Date] HOUSING AND COMMUNITY DEVELOPMENT OBJECTIVE: . PROGRAM OBJECTIVE: . STRATEGIES USED TO ACHIEVE OBJECTIVES: 1. . 2. . 3. .

Levels of Accomplishment – Goals and Performance Measures. The Subrecipient agrees to provide the following levels of program services: Activity Units* per Month Total Units / Year Activity #1 [# of Units] [# of Units] Activity #2 [# of Units] [# of Units] Activity #3 [# of Units] [# of Units] * Units of Service means Staffing Provide list of staff and time commitments to be allocated to each activity specified above. Name / Title Time Commitments [Any changes in the Key Personnel assigned or their general responsibilities under this project are subject to the prior approval of the County Staff.] EXHIBIT B LINE ITEM BUDGET [NAME OF THE SUBRECIPIENT] Budget for [Name of the Program] receiving FY18 CDBG Entitlement Program AHIF Grant Funds Line Item Amount $ $ $ $ $ $ $ $ $ [Salaries] [Fringe] [Office Supplies (Program only)] [Utilities] [Communications] [Reproduction / Printing] [Supplies and Materials] [Mileage] [Audit] $ $ $ $ Other (Specify) $ $ $ $ Indirect Costs (Specify) TOTAL $ Any indirect costs charged must be consistent with the conditions of of this Agreement. In addition, the County Staff may require a more detailed budget breakdown than the one contained herein, and the Subrecipient shall provide such supplementary budget information in a timely fashion in the form and content prescribed by the County Staff. Any amendments to the above Line Item budget must be approved in writing by both the County Staff and the Subrecipient. EXHIBIT C PROGRAM EVALUATION FORM [NAME OF THE SUBRECIPIENT] Scope of Services Budget for [Name of the Program] receiving FY18 CDBG Entitlement Program AHIF Grant Funds ALLOCATION: [$ Insert Grant Amount] GRANT YEAR: FY 2018/CD 43 42 COUNTY STAFF: [Insert Name of County staff CPHD Staff to monitor] EVALUATION PERIOD: July 1, 2017 - June 30, 2018 DATE EVALUATION COMPLETED: [Insert Completion Date] HOUSING AND COMMUNITY DEVELOPMENT OBJECTIVE: . PROGRAM OBJECTIVE: . STRATEGIES USED TO ACHIEVE OBJECTIVES: 1. . 2. . 3. .

Levels of Accomplishment – Goals and Performance Measures. The Subrecipient agrees to provide the following levels of program services: Activity Units* per Month Total Units / Year Activity #1 [# of Units] [# of Units] Activity #2 [# of Units] [# of Units] Activity #3 [# of Units] [# of Units] * Units of Service means Staffing Provide list of staff and time commitments to be allocated to each activity specified above. Name / Title Time Commitments [Any changes in the Key Personnel assigned or their general responsibilities under this project are subject to the prior approval of the County Staff.] EXHIBIT B LINE ITEM BUDGET [NAME OF THE SUBRECIPIENT] Budget for [Name of the ProgramProgram receiving FY19 CSBG Grant Funds] receiving FY18 CDBG Entitlement Program Funds Line Item Amount $ $ $ $ $ $ $ $ $ [Salaries] [Fringe] [Office Supplies (Program only)] [Utilities] [Communications] [Reproduction / Printing] [Supplies and Materials] [Mileage] [Audit] $ $ $ $ Other (Specify) $ $ $ $ Indirect Costs (Specify) $ $ $ $ TOTAL $ Any indirect costs charged must be consistent with the conditions of Section VI. A.1. of this Agreement. In addition, the County Staff may require a more detailed budget breakdown than the one contained herein, and the Subrecipient shall provide such supplementary budget information in a timely fashion in the form and content prescribed by the County Staff. Any amendments to the above Line Item budget must be approved in writing by both the County Staff and the Subrecipient. EXHIBIT C PROGRAM EVALUATION FORM [NAME OF THE SUBRECIPIENT] Scope of Services Program Evaluation Form for [Name of the ProgramProgram receiving FY19 CSBG Grant Funds] receiving FY18 CDBG Entitlement Program Funds ALLOCATION: [$ Insert Grant Amount] GRANT YEAR: FY 20182019/CD 43 COUNTY STAFF: [Insert Name of County staff CPHD Staff to monitor] EVALUATION PERIOD: July 1, 2017 2018 - June 30, 2018 2019 DATE EVALUATION COMPLETED: [Insert Completion Date] HOUSING AND COMMUNITY DEVELOPMENT OBJECTIVE: . PROGRAM OBJECTIVE: . STRATEGIES USED TO ACHIEVE OBJECTIVES: 1. . 2. . 3. .

Levels of Accomplishment – Goals and Performance Measures. The Subrecipient Grantee agrees to provide the following levels of program services: Activity Units* per Month Total Units / Year Activity #1 [# of Units] [# of Units] Activity #2 [# of Units] [# of Units] Activity #3 [# of Units] [# of Units] * Units of Service means Staffing Provide list of staff and time commitments to be allocated to each activity specified above. Name / Title Time Commitments [Any changes in the Key Personnel assigned or their general responsibilities under this project are subject to the prior approval of the County Staff.] EXHIBIT B LINE ITEM BUDGET [NAME OF THE SUBRECIPIENTGRANTEE] Budget for [Name of the ProgramProgram receiving FY19 AHIF Grant Funds] receiving FY18 CDBG Entitlement Program Funds Line Item Amount $ $ $ $ $ $ $ $ $ [Salaries] [Fringe] [Office Supplies (Program only)] [Utilities] [Communications] [Reproduction / Printing] [Supplies and Materials] [Mileage] [Audit] $ $ $ $ Other (Specify) $ $ $ $ Indirect Costs (Specify) $ $ $ $ TOTAL $ Any indirect costs charged must be consistent with the conditions of of this Agreement. In addition, the County Staff may require a more detailed budget breakdown than the one contained herein, and the Subrecipient Grantee shall provide such supplementary budget information in a timely fashion in the form and content prescribed by the County Staff. Any amendments to the above Line Item budget must be approved in writing by both the County Staff and the SubrecipientGrantee. EXHIBIT C PROGRAM EVALUATION FORM [NAME OF THE SUBRECIPIENTGRANTEE] Scope of Services Program Evaluation for [Name of the ProgramProgram receiving FY19 AHIF Grant Funds] receiving FY18 CDBG Entitlement Program Funds ALLOCATION: [$ Insert Grant Amount] GRANT YEAR: FY 20182019/CD 43 44 COUNTY STAFF: [Insert Name of County staff CPHD Staff to monitor] EVALUATION PERIOD: July 1, 2017 2018 - June 30, 2018 2019 DATE EVALUATION COMPLETED: [Insert Completion Date] HOUSING AND COMMUNITY DEVELOPMENT OBJECTIVE: . PROGRAM OBJECTIVE: . STRATEGIES USED TO ACHIEVE OBJECTIVES: 1. _ . 2. . 3. .