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 #1 [# of Units] [# of Units] Activity #2 [# of Units] [# of Units] Activity #3 [# of Units] [# of Units] * Units of Service means 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.] [NAME OF THE SUBRECIPIENT] 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. [NAME OF THE SUBRECIPIENT] ALLOCATION: [$ Insert Grant Amount] COUNTY STAFF: [Insert Name of CPHD Staff to monitor] DATE EVALUATION COMPLETED: [Insert Completion Date] 1. .

Levels of Accomplishment – Goals and Performance Measures. The Subrecipient Grantee agrees to provide the following levels of program services: Activity #1 [# of Units] [# of Units] Activity #2 [# of Units] [# of Units] Activity #3 [# of Units] [# of Units] * Units of Service means 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.] [NAME OF THE SUBRECIPIENTGRANTEE] 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 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. [NAME OF THE SUBRECIPIENTGRANTEE] Program Evaluation for [Name of the Program receiving FY19 AHIF Grant Funds] ALLOCATION: [$ Insert Grant Amount] COUNTY STAFF: [Insert Name of CPHD Staff to monitor] DATE EVALUATION COMPLETED: [Insert Completion Date] 1. _ . 2. .

Levels of Accomplishment – Goals and Performance Measures. The Subrecipient agrees to provide the following levels of program services: Activity #1 [# of Units] [# of Units] Activity #2 [# of Units] [# of Units] Activity #3 [# of Units] [# of Units] * Units of Service means 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.] [NAME OF THE SUBRECIPIENT] 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. [NAME OF THE SUBRECIPIENT] ALLOCATION: [$ Insert Grant Amount] COUNTY STAFF: [Insert Name of CPHD Staff County staff to monitor] DATE EVALUATION COMPLETED: [Insert Completion Date] 1. .

Levels of Accomplishment – Goals and Performance Measures. The Subrecipient agrees to provide the following levels of program services: Activity #1 [# of Units] [# of Units] Activity #2 [# of Units] [# of Units] Activity #3 [# of Units] [# of Units] * Units of Service means 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.] [NAME OF THE SUBRECIPIENT] 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. [NAME OF THE SUBRECIPIENT] Budget for [Name of the Program] receiving FY18 AHIF Grant Funds ALLOCATION: [$ Insert Grant Amount] COUNTY STAFF: [Insert Name of CPHD Staff to monitor] DATE EVALUATION COMPLETED: [Insert Completion Date] 1. .