CONTACT FOR NOTIFICATION. Unless specified elsewhere, all notices required or desired to be sent by either Party shall be sent to the persons listed below. GRANTOR CONTACT GRANTEE CONTACT Name: _ _ Name: _ _ Title:_ _ Address: Phone: TTY#: _ Fax#: E-mail Address: _ Title: Address: Phone: TTY #: Fax #: _ E-mail Address: _ Additional Information: _ EXHIBIT E PERFORMANCE MEASURES EXHIBIT F PERFORMANCE STANDARDS EXHIBIT G SPECIFIC CONDITIONS Grantor may remove (or reduce) a Specific Condition included in this Exhibit G by providing written notice to the Grantee, in accordance with established procedures for removing a Specific Condition.
CONTACT FOR NOTIFICATION. All notices required or desired to be sent by either Party shall be sent to the persons listed below. DHS CONTACT PROVIDER CONTACT Name: Name: Title: Title: Address: Address: Phone: Phone: TTY#: TTY #: Fax#: Fax #: E-mail Address: E-mail Address: Agreement No. EXHIBIT E PERFORMANCE MEASURES Agreement No. EXHIBIT F PERFORMANCE STANDARDS Agreement No. EXHIBIT G STATE AGENCY CONTRACTS For each contract or other agreement to which Provider is a party with any other State agency, state:
CONTACT FOR NOTIFICATION. Unless specified elsewhere, all notices required or desired to be sent by either Party shall be sent to the persons listed below. GRANTOR CONTACT GRANTEE CONTACT Name: Title: Address: Phone: TTY#: Fax#: E‐mail Address: Name: Title: Address: Phone: TTY #: Fax #: E‐mail Address: Additional Information: EXHIBIT E PERFORMANCE MEASURES EXHIBIT F PERFORMANCE STANDARDS EXHIBIT G STATE AGENCY CONTRACTS For each contract or other agreement to which Grantee is a party with any other State agency, state:
CONTACT FOR NOTIFICATION. Unless specified elsewhere, all notices required or desired to be sent by either Party shall be sent to the persons listed below. GRANTOR CONTACT GRANTEE CONTACT Name: Xxxxxxx Xxxxxx Title: VOCA Program Grant Monitor Address: 000 Xxxxx 0xx Xx., Xxxxx 000, Xxxxxxxxxxx, Xxxxxxxx 00000 IL 61701 Phone: (000)-000-0000 TTY#: Fax#: E-mail Address: xxxxxxx@xxxxxxxxxx.xxx Name: Xxxxx Xxxxx Title: Director Address: 000 Xxxx Xxxxx Xx., 0xx Xxxxx, Xxxxxxxxxxx, Phone: 000-000-0000 TTY #: Fax #: 000-000-0000 E-mail Address: _ xxxx.xxxxx@xxxxxxxxxxxxxx.xxx Additional Information: EXHIBIT E PERFORMANCE MEASURES (Please review and make any corrections) Objectives and performance indicators for each VOCA funded staff position are included in chart form below. Measurement for Success and Program Evaluation: The center utilizes the Outcome Measurement System (OMS) model and has begun to institute a Therapy Survey; both are designed to assess satisfaction for clients (independent children and caregivers) with service delivery and MDT responsiveness. The agency’s service delivery is analyzed internally through the following mechanisms: Weekly/Monthly: MDT case review sessions with a case-by-case analysis of needs met/needs existing; team supervision regarding issues and challenges. Quarterly: review of Outcome Measurement Survey (OMS) responses from clients regarding service delivery and review of MDT OMS responses biannually; forensic interviewer peer review; review of grant monitors’ feedback and site visit assessments; review by senior staff of each grant’s goals,
CONTACT FOR NOTIFICATION. Unless specified elsewhere, all notices required or desired to be sent by either Party shall be sent to the persons listed below. GRANTOR CONTACT Name: Xxxxxx Xxxxxxx Title: Special Programs Manager Address #0 Xxxxxxxxx Xxxx Xxxxx, Xxxxxxxxxxx, Xxxxxxxx 00000 Phone: (000) 000-0000 TTY#: Fax#: (000) 000-0000 E-mail Address: Xxxxxx.Xxxxxxx@xxxxxxxx.xxx GRANTEE CONTACT Name: Xx. Xxxxxxx Xxxxxx Title: Airport Manager Address 0000 Xxxx Xxxxxx Xxxx, Xxxxxxxx, Xxxxxxxx 00000-0000 Phone: (000) 000-0000 TTY#: Fax#: (000) 000-0000 E-mail Address: xxxxxxx@xxxxxxxxxx.xx Additional Information: Agreement No. EXHIBIT E PERFORMANCE MEASURES Key Performance Measures under the AIP: AIP provides funding to airports for infrastructure improvements such as safety, security and capacity projects. • Eliminate airport conditions that cause aircraft accidents and security breaches. • Reduce the number of people exposed to high levels of noise. • Maintain airfield pavement in fair or better condition. • Updated measures as issued by the FAA. The GRANTEE will submit to the GRANTOR a complete and detailed final invoice with applicable supporting documentation of all incurred costs, less previous payments, no later than twelve (12) months from the date of completion of this phase of the improvement or from the date of the previous invoice, which ever occurs first. If a final invoice is not received within this time frame, the most recent invoice may be considered the final invoice and the obligation of the funds closed. The GRANTEE shall provide the final report to the appropriate GRANTOR within twelve (12) months of the physical completion date of the project so that the report may be audited and approved for payment. If the deadline cannot be met, a written explanation must be provided to the district prior to the end of the twelve months documenting the reason and the new anticipated date of completion. If the extended deadline is not met, this process must be repeated until the project is closed. Failure to follow this process may result in the immediate close-out of the project and loss of further funding. For Federally Funded Projects: The GRANTOR is to comply with FAA Order 5100.38D or most current publication of the Airport Improvement Handbook as well as all current Airport Sponsor Grant Assurances. In accordance with AIP Sponsor Guide – 1500 , drawdowns of federal funds are to be done in a reasonable timeframe; prolonged inactivity (i.e., 12 months) may establish sufficient...
CONTACT FOR NOTIFICATION. All notices required or desired to be sent by either Party shall be sent to the persons listed below. DHS CONTACT PROVIDER CONTACT Name: Title: Address: Phone: TTY#: Fax#: E-mail Address: Name: Title: Address: Phone: TTY #: Fax #: E-mail Address: Agreement No. EXHIBIT E PERFORMANCE MEASURES Agreement No.
CONTACT FOR NOTIFICATION. Unless specified elsewhere, all notices required or desired to be sent by either Party shall be sent to the persons listed below. GRANTOR CONTACT GRANTEE CONTACT Name: Xxxxxxxxx Xxxxxxxxx _ Name: _Trisha Xxxxxxx Title: _Criminal Justice Specialist I Title: Victim Advocate Address: 000 X Xxxxx Xx, Chicago, IL 60606 Address: 000 X Xxxxxx Xx, Xx 000, Xxxxxxxxx, XX Phone: _(000) 000-0000 Phone: _(000) 000-0000_Ext. 409 Fax#: Fax #: (000) 000-0000 E-mail Address: _xxxxxxxxx.xxxxxxxxx0@xxxxxxxx.xxx_ E-mail Address: _ xxxxxxxx@xxxxxxxxxxxxx.xxx _ Additional Information: EXHIBIT E PERFORMANCE MEASURES Goal: To provide advocacy services to victims of crime. Objective Performance Measure SCREENING # _360 victims screened for eligibility by your agency. # 342_ clients will be provided services by your agency. # of victims screened for eligibility by your agency. # of victims not eligible for services by your agency and referred to a victim service provider. Please list the agencies to which you referred. # of clients provided services by your agency. INFORMATION & REFERRAL # _342 clients will receive information about the criminal justice process. # of clients provided information about the criminal justice process. # of times staff provided information about the criminal justice process. # _150_ clients will receive information about victim rights, how to obtain notifications, etc. # of clients provided information about victim rights, how to obtain notifications, etc. # of times staff provided information about victim rights, how to obtain notifications, etc. # 50 clients will receive referrals to other victim service providers. # of clients provided with referrals to other victim service providers. Please list the agencies to which you referred. # of times staff provided referrals to other victim service providers. # 300 clients will receive referrals to other services, supports, and resources (includes legal, medical, faith- based organizations, etc.) # clients provided with referrals to other services, supports, and resources. # of times staff provided referrals to other services, supports, and resources. PERSONAL ADVOCACY/ACCOMPANIMENT # 50_ clients will receive individual advocacy (e.g., assistance applying for public benefits). # of clients provided individual advocacy (e.g., assistance applying for public benefits). # of times staff provided individual advocacy (e.g., assistance applying for public benefits). #_150 clients will receive assistance filing for ...
CONTACT FOR NOTIFICATION. Unless specified elsewhere, all notices required or desired to be sent by either Party shall be sent to the persons listed below. GRANTOR CONTACT GRANTEE CONTACT Name: Xxxxxxx Xxxxxxx Name: Xxxxxxx Xxxx Title: EMPG Grant Program Manager Title: Address: 0000 Xxxxx Xxxxxxx Xxxxxxx, Address: 000 Xxxxxxxxx Xxxxxx Xxxxx Xxxxx, Danville, Springfield, IL IL,61832 Phone: 217/000-0000 Phone:(000) 000-0000 E-mail Address: Xxxxxxx.Xxxxxxx@xxxxxxxx.xxx E-mail Address: xxxxxxx.xxxx@xxxxxxxxx.xxx Additional Information: _
CONTACT FOR NOTIFICATION. If you believe your Card and/or PIN has been lost, stolen or misappropriated, or that someone has transferred or may transfer money from your Account without your authorization, NOTIFY US AT ONCE at: 0-000-000-0000. Error Resolution Procedures
CONTACT FOR NOTIFICATION. Unless specified elsewhere, all notices required or desired to be sent by either Party shall be sent to the persons listed below. GRANTOR CONTACT GRANTEE CONTACT Name: ___________________________________ Name: _________________________________ Title:_____________________________________ Title: __________________________________ Address: ________ Address: _______________________________ Phone: __________________________________ Phone: _________________________________ TTY#: __________________________________ TTY #: ________________________________ Fax#: _________ Fax #: __________________________________ E-mail Address: _____________________________ E-mail Address: __________________________ Additional Information:______________________ EXHIBIT E PERFORMANCE MEASURES EXHIBIT F PERFORMANCE STANDARDS EXHIBIT G SPECIFIC CONDITIONS Grantor may remove (or reduce) a Specific Condition included in this Exhibit G by providing written notice to the Grantee, in accordance with established procedures for removing a Specific Condition.
