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Contract #68-1007 <br />The Family Violence Prevention Center of Orange County, Inc. <br />ATTACHMENT N <br />OUTCOMES AND REPORTING <br />Orange County Department of Social Services <br />By signing and submitting this document, the Contractor certifies that it agrees to the following: <br />1. The Contractor agrees to participate in program, fiscal and administrative monitoring and/or audits, <br />making records and staff time available to Federal, State and County staff. <br />2. The Contractor agrees to take necessary steps for corrective action, as negotiated within a corrective <br />action plan, for any items found to be out of compliance with Federal, State, and County laws, regulations, <br />standards and/or terms of the Contract. <br />3. The Contractor agrees that continuation of and/or renewal of this Contract is contingent on meeting the <br />following requirements. The Contractor agrees to: <br />A. Refer clients to the County for eligibility determination. <br />B. Get Release of Information forms signed to allow communication between the County and the <br />Contractor about specific clients. <br />C. Assess clients and determine needs. <br />D. Maintain client records that date and document the service delivered to the individual, a valid <br />authorization for service, program records, and documents and other evidence that reflect <br />program operattons. <br />E. Furnish information to the County, as requested, to support provision of service(s) pursuant to <br />this Contract and the full cost of the service; and submit changes, as needed or required for <br />review and approval by the County. <br />F. Maintain books, records, documents and other evidence and accounting procedures that reflect <br />all direct and indirect costs expended under this Contract. A current, complete inventory of all <br />equipment purchased under the terms of this Contract must be kept. <br />G. Retain all financial and program records for a period of three years from the date of final <br />payment under this agreement or until all audits continued beyond this period are completed. <br />Federal auditors and any persons authorized by the Division of Social Services or the County <br />shall have the right to examine any of these materials. <br />~n ul.,~ <br />Signature <br />~on;~y ~id~et~C.e ~ie~ea~~or.C-k. <br />Agency/Organization /~.,.,,,, o~ 1~ , <br />~x~~~ ~~ ~ ~.~o ~ <br />Title <br />~ ( (~ <br />Date <br />(Certification signature should be same as Contract signature.) <br />Outcomes (06/04) Page 1 of 1 <br />