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Contract #68-2014 <br />Senior Care of Orange County, Inc. <br />ATTACHMENT B <br />SCOPE OF WORK <br />Orange County Department of Social Services <br />Federal Tax Id. or SSN <br />Contract # 68-2014 <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Senior Care of Orange County Inc <br />2. If different from Contract Administrator Information in General Contract: <br />Telephone Number: <br />Fax Number: Email: <br />Name of Program (s): Adult Day Health Service <br />4. Status: ( )Public (X) Private, Not for Profit ( )Private, For Profit <br />5. Contractor's Financial Reporting Year May 1, 2011 through June 30. 2011 <br />B. Explanation of Services to be provided and to whom (include SIS Service Code): The <br />Contractor will,provide Adult Day Health Services (SIS Code 0911 to clients of the Orange <br />Count~Department of Social Services These services will include assistance with Activities of <br />Daily Living health monitoring by an RN and therapeutic recreational proerams. The <br />Contractor is required to meet all goals and outcomes listed in Attachment N. <br />C. Rate per unit of Service (define the unit): <br />1. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart) <br />Minimum daily rate: $38.92/day <br />2. Negotiated County Rate. <br />D. Number of units to be provided: <br />E. Details of Billing process and Time Frames; The County will reimburse the Contractor for <br />services described in this contract up to the budgetary limits of the contract allotment. The <br />County will reimburse the Contractor at a rate of $38 92/day for approved services provided. For <br />reimbursement the Contractor must submit an original and two copies of an invoice by the fifth . <br />of the month for the preceding month's e~enditures to the designated County Administrator. <br />The County will reimburse the Contractor monthly upon receiRt of a complete and correctly filed <br />report. <br />The service(s) under contract with the Contractor are services for which a client may voluntarily <br />contribute to the cost Policies re~arding_the solicitation and acceptance of voluntary <br />contributions are contained in Famil~Services Manual Volume VI. Chapter III. If a client <br />C pe of Work (06/04) Page lof 2 <br />