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Attachment B <br /> For the period 7/1/2014—6/30/2015 <br /> Statement of Work <br /> Grantee: Orange County North Carolina <br /> This statement should be a short summary describing what the Grantee does and how the Grantee will use these funds. <br /> The terms of the contract between the SHIIP office and the agencies require local programs meet these goals for <br /> SFY2015. The uses of these funds are not limited to but MUST include the following activities: <br /> 1) Conduct a minimum of seven (7)dedicated enrollment events(counseling clinics)--one(1)must be dedicated to <br /> the disability population--during the period 10/15/2014 through 12/7/2014 and conduct bi-weekly counseling <br /> clinics during the period 1/1/2015 through 2/14/2015; <br /> 2) Coordinate a county volunteer recognition event during the grant period; <br /> 3) Attend the SHIIP Coordinators'Training Conference July 17& 18,2014;this is mandatory for all coordinators; all <br /> new coordinators are required to attend a special training at 8 am on July 17d'; <br /> 4) Submit Client Counseling(CC)Contact and Public&Media(PAM) Outreach(NPR)forms by the 15''of the month <br /> following the counseling session or event through the SHIPtalk website or mail completed paper forms to the SHIIP <br /> office in Raleigh; <br /> 5) Each SHIIP coordinating site must reach out to 50%of the county's total population for activity events(PAM)and <br /> report in SHIPtalk; <br /> 6) Each SHIIP coordinating site must counsel 5%of their county's Medicare population(CC)and report in SHIPtalk; <br /> 7) Represent SHIIP at a minimum of 2 healthfair/senior fair/special events utilizing local certified SHIIP counselors; <br /> 8) Conduct a minimum of two(2)presentations-at least one(1)New to Medicare or Medicare 101 presentation to the <br /> general public and one(1)Medicare Education presentation to a disability group or potential LIS group in your <br /> county;and <br /> 9) Participate in 75%of the monthly coordinator conference calls conducted from August 2014 through June 2015. <br /> SCOPE OF WORK: <br /> (Maximum 2 pages) <br /> 1)The Orange County SHIIP Coordinator and/or SHIIP counselors will conduct weekly enrollment events(counseling <br /> clinics), including at least one(1)dedicated to the disability population between 10/15/2014- 12/7/2014.The Coordinator <br /> and/or counselors will conduct weekly counseling clinics between 1/1/2015 -6/30/2014. <br /> 2) Orange County SHIIP Coordinator will hold a volunteer recognition event during the grant period. <br /> 3)The Orange County SHIIP Coordinator attended the annual SHIIP Coordinators'Training Conference,July 17& 18, <br /> 2014 and will attend the July 2015 conference. <br /> 4)Orange County SHIIP will submit NPR Client Counseling(CC)Contact and Public&Medica(PAM)Outreach forms <br /> by the 15th of each month through SHIPtalk or by mailing paper forms to the SHIIP office in Raleigh. <br /> Page 10 of 16 <br />