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Health Department (hereinafter referred to as "OCHD") <br />Additional Terms and Conditions <br />These are additional terms and conditions to the Agreement between Orange County and the <br />(PROVIDER) to the Countywide Interpreter Translator Contract of $15,000 or less. The additional <br />terms and conditions shall supersede any terms in the original contract and are hereby incorporated <br />as follows: <br />Add to Section 2. b. <br />vi. The Provider is required to sign the OCHD Conditions of Contract <br />Statement containing the confidentiality, Title X and public health <br />activities in emergency situations information which is hereby <br />incorporated by reference. <br />Add to Section 2.d.i.3 the following sentence: <br />Add Section 2.e. <br />The Provider should generally instruct clients to call the Health <br />Department front desk staff or the Spanish voicemail line at 644-3350 <br />(when language appropriate) to schedule an appointment or to inquire <br />about services. <br />e. Medical Documentation. <br />The Provider is required to provide proof of immunity to varicella, measles, <br />mumps and rubella prior to inception of contract work. Proof of immunity <br />must be one of the following: medical records diagnosing the disease, <br />laboratory records confirming the disease, laboratory records documenting <br />positive disease titers, or medical records documenting receipt of 2 doses of <br />each vaccine. (Exception: If the Provider has documentation of only one <br />dose of vaccine, the Provider must provide documentation of a second dose <br />within 60 days of the first day of contract work.) The Provider is <br />responsible for covering all costs associated with acquiring any necessary <br />titers, medical diagnosis or laboratory confirmation of disease or <br />vaccinations. <br />ii.The Provider is required to get a TB screening and provide those results to <br />OCHD prior to beginning contract work. The Provider is responsible for the <br />costs associated with acquiring such screening. The screening can be one of <br />the following: <br />1. Receipt of a TB skin test (TST) if the Provider has no history of TB <br />infection/disease or of a positive TST (Note: If the Provider has not <br />had an additional TST within the previous 12 months, a second TST <br />will be required one week after the first to establish an accurate <br />baseline.) <br />Revised June 2010 6 <br />