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EXHIBIT A <br />AGENCY REQUEST FOR FUNDING FROM Indian River COUNTY s' j <br />FISCAL YEAR 2020/2021 <br />A. Program Cover Page <br />Agency: <br />Treasure Coast Homeless Services Council, Inc <br />Contact Person: <br />Louise Hubbard <br />Title: <br />Executive Director <br />Address: <br />2525 St. Lucie Ave. <br />Vero Beach, FL 32960 <br />Website Address: <br />www.tchelpspot.org <br />Program Title: <br />Homeless Resource Center <br />Telephone: 772-567-7790x 1012 <br />Fax: 772-567-5991 <br />E -Mail: irhsclh@aol.com <br />I certify that information contained in this application accurately reflects the activities of this agency and <br />that the expenditures or portions thereof for which County funds are being requested are not reimbursed <br />by any other source. <br />Signature <br />Louise Hubbard, Executive Director <br />Print name and title <br />tsnet description of the Program for which funding is requested: `, <br />The primary function of the Resource Center is to provide housing assistance to prevent and end homelessness. The programs <br />provide assistance to individuals and families to prevent homelessness by avoiding evictions for low income persons, and rehousing <br />eligible homeless individuals and families in fair market rental housing in the community. Target popylations also include homeless <br />disabled persons and Veterans who are homeless or about to become homeless. This year, due to COVIDI9, the Resource Center <br />has been called upon to work with the United Way to provide financial relief to persons affected by the virus and to support the <br />outreach to homeless encampments and assist with the effort to avoid the potential economic fallout of loss of jobs. <br />Amount requested from Indian River County for 2020/2021: <br />Total Proposed Program budget for 2020/2021: <br />Percent of total Program budget: <br />Current Funding (2019/2020) <br />Dollar increase / (decrease) in request: <br />Percent increase / decrease in request: <br />y GA IC 11 I <br />This is not an increase. <br />$15,270.00 <br />$ 778,081.00 <br />2 % <br />$ 15,270.00 <br />$ 0.00 <br />0 % <br />The Organization's Board of Directors has approved this application on (date): <br />Tod Heckman Todd Heckman <br />Name of President/Chair of the Board Signature <br />Louise Hubbard Louise Hubbard <br />Name of Exec. Director/CEO Signature <br />EXHIBIT A <br />:. nyuy m qpm Fxe� <br />e�x+w �. �xs ean.sw.aw r_C m� <br />Caa+ra +4b4ta��,�eeae <br />' p�6aTri^ ucau�-lam <br />Gw: ]Yofn3]I�:li�l uvo cVf <br />