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<br />State Council on Developmental Disabilities <br />Form I (lor 2) <br />Cover Sheet <br />Community Program Development Grant <br />FY 2005-06 <br /> <br />Exhibit A - Attachment 1 <br />Program Description <br />Page 1 of 17 <br />Agreement # C2805010 <br /> <br />Contracting Entity: Ci of Redwood Ci Parks Recreation & Communi Services <br /> <br />Address: ~son Avenue. ~wood CitY CA 94061 <br />Implementing Entity: Ci of Redwood Ci Parks Recreation & Communi Services <br /> <br />Title ofProposa1: CommunitY Inclusion Initiative <br /> <br />Amount Requested: $243.067 <br /> <br />Months of Project: 12 Months Pilot <br /> <br />Phone Number: ~O\ 780-7313 <br /> <br />Fax Number: ~O) 366-5276 <br /> <br />Project Director: Steohanie Doufdas <br /> <br />Emai1: SDoUt!lasIilRedwoodCitv.OI'2 <br /> <br />Authorized Official: Linda Gdffith <br /> <br />Title: CommunitY Services Mana2er <br /> <br />Address of Implementing Entity (if different from contracting entity): N I A <br /> <br />Federal Identification or Social Security Number: 94-6001116 <br /> <br />Is This Entity a Disabled Veteran's Business Enterprise? <br /> <br />Yes <br /> <br />K...No <br />Higher Education <br /> <br />Check Type of Organization: <br />X Local Government Agency <br /> <br />Non-Profit <br /> <br />- Proprietary <br /> <br />_Other (specify) - <br /> <br />Identify the Regional Center(s) That Proposal Will Serve: San Mateo & San Francisco <br />Identify the Regional Office/Area Board(s) That Proposal Will Serve: San Mateo <br /> <br />Identify the Counties That Proposal Will Serve: San Matec} <br /> <br />Our organization attended the training sessions L Yes _No <br />If yes, mark location: San Diego - EI Segundo X Oakland <br /> <br />Sacramento <br /> <br />Check State Plan Objective(s) Proposal Will Serve: <br /> <br />Homes Objective (HO1.2) <br /> <br />LRecreation Objective (RE1.1) <br /> <br />x...Community Suppo~ Objective (CSt.7) <br /> <br />¡, <br />