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Contract#68-2009 <br /> Charles House Association <br /> ATTACHMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services <br /> Federal Tax Id. o <br /> Contract 4 68-2009 <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: Charles House Association <br /> 2. If different from Contract Administrator Information in General Contract: <br /> Address <br /> Telephone Number:�*AG 7 7.0&--> _ Fax Number:9Y9•*07 X57&Email: -,n <br /> o tiQti/rs/tlhlQ�.or g <br /> 3. Name of Program(s): Adult Day Service J <br /> 4. Status: ( )Public (X) Private,Not for Profit ( ) Private, For Profit <br /> 5. Contractor's Financial Reporting Year July 1,2013 through June 30,2014 <br /> B. Explanation of Services to be provided and to whom(include SIS Service Code): The <br /> Contractor will provide Adult Day Services(SIS Code 030)to clients of the Orange County <br /> Department of Social Services. These services will be provided in accordance with provisions set <br /> forth in Volume IV of the Adult and Family Services Manual,Chapter II-Adult Day Care <br /> Services. The 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 /> $33.07/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$33.07/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 expenditures to the designated County Administrator. <br /> The County will reimburse the Contractor monthly upon receipt 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 regarding the solicitation and acceptance of voluntary <br /> Contract-Scope of Work(06/04) Page Iof 2 <br />