2011-149 DSS - The Family Violence Prevention Center of Orange County

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Contract #68-1007 The Family Violence Prevention Center of Orange County, Inc. ATTACHMENT B SCOPE OF WORK Orange County Department of Social Services Federal Tax Id. or SSN Contract # 68-1007 A. CONTRACTOR INFORMATION 1. Contractor Agency Name: The Familv Violence Prevention Center of Orange Countv Inc 2. If different from Contract Administrator Information in General Contract: Address Telephone Number: Fax Number: Email: 3. Name of Program (s): Familv Violence Prevention 4. Status: ( )Public (X) Private, Not for Profit ()Private, For Profit 5. Contractor's Financial Reporting Year Julv 1, 2011 through June 30. 2012 B. Explanation of Services to be provided and to whom (include SIS Service Code): The Contractor will assess clients referred by the Countv to determine need for domestic violence services and provide counseling services. Services may include but are not limited to crisis counseline, individual assessments support group court advocacv rental assistance utilities and attornev fees. The Contractor is required to meet all goals and outcomes listed in Attachment N C. Rate per unit of Service (define the unit): 1. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart) 45.00/hour 2. Negotiated County Rate. D. Number of units to be provided: E. Details of Billing process and Time Frames; The Countv will reimburse the Contractor for services described in this contract up to the budgetary limits of the contract allotment The Countv will reimburse the Contractor at a rate of $45.00/hour for approved services provided For reimbursement. the Contractor must submit an original and two copies of an invoice by the fifth of the month for the preceding month's expenditures to the designated Countv Administrator The Countv will reimburse the Contractor monthly upon receipt of a complete and correctly filed report. Contract-Scope of Work (06/04) Page 1 of 2