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8/7/2019 <br />Housing and Independent Living Services <br />1 <br />,V <br />Black/African American + HISPANIC <br />1 <br />100 <br />Asian <br />0 <br />_ <br />0 00 <br />Asian + HISPANIC <br />1 <br />?G <br />American Indian/Alaskan Native <br />0 <br />American Indian/Alaskan Native + <br />HISPANIC <br />1 <br />1 G <br />Native Hawaiian/Other Pacific <br />Islander <br />0 <br />OG <br />Native Hawaiian/Other Pacific <br />Islander + HISPANIC <br />0 <br />American Indian/ Alaskan Native and <br />White <br />0 <br />0 <br />0.00 <br />American Indian/ Alaskan Native and <br />White + HISPANIC <br />0 <br />0 <br />0.00 <br />Asian and White <br />0 <br />0 <br />0.00 <br />Asian and White + HISPANIC <br />0 <br />0 <br />0.00 <br />Black/African American and White <br />0 <br />0 <br />0.00 <br />Black/African American and White + <br />HISPANIC <br />0 <br />0 <br />0.00 <br />American Indian/Alaskan Native and <br />Black/African American <br />0 <br />0 <br />0.00 <br />American Indian/Alaskan Native and <br />Black/African American + HISPANIC <br />0 <br />0 <br />0.00 <br />Other/Multi Racial <br />0 <br />0 <br />0.00 <br />Other/Multi Racial + HISPANIC <br />15.00 <br />5.00 <br />20.00 <br />TOTAL <br />UNITS OF SERVICE <br />16. Please define the primary UNIT OF SERVICE you use for this project or program (e.g., counseling hours, <br />medical visits, meals served, miles driven, etc.; should match the unit of service stated in your HHSG <br />contract): <br />-Text questions are not calculated - <br />17. Numeric GOAL stated in your HHSG contract for the units of service to be provided to Livermore clients <br />THIS FISCAL YEAR (if none, enter a zero) <br />-Text questions are not calculated - <br />18. Please complete the following table regarding the UNIT OF SERVICE listed above: <br />99 0 v8 307.50 Number of units of service provided <br />to Pleasanton clients during THIS <br />REPORTING PERIOD (if none, <br />enter a zero) <br />https://www.zoomgrants.com/rapp2.asp?rfpid=1608&propid=102489 5/8 <br />