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DocuSign Envelope ID: FCE3F262-3C43-41 138-130137-AE5E968413477 <br /> Contract 968-2021 <br /> Vantage Care& Staffing,L.L.C. <br /> ATTACHMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services and Orange County Department on Aging <br /> Federal Tax Id. or SSN <br /> Contract 0 68-2021 <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: Vantage Care& Staffing, L.L.C. <br /> 2. If different from Contract Administrator Information in General Contract: <br /> Address <br /> Telephone Number: Fax Number: <br /> Email: sdickev apremierhomelicaltlicare.com <br /> 3. Name of Program (s): In-Home Services <br /> 4. Status: ( ) Public ( ) Private,Not for Profit (X)Private, For Profit <br /> 5. Contractor's Financial Reporting Year July 1, 2015 through June 30,2016 <br /> B. Explanation of Services to be provided and to whom(include SIS Service Code): The <br /> Contractor will provide employees to perform in-home services for the Department of Social <br /> Services' clients and the Department on A in 's clients at the level amount and frequency <br /> specified by the social worker in the In-Home Aide Services Plan. (SIS Code 042)The <br /> Contractor will provide Level II Home Management and Level III Personal Care. The Contractor <br /> 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 /> $14.40/hour <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$14.40/hour 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. All <br /> invoices for the provision of services to the Department of Social Services shall be submitted to <br /> the Administrator for said Department. All invoices for the provision of services to the <br /> Department on Aging shall be submitted to the Administrator for said Department. The County <br /> Contract-Scope of Work(07/08) Page 1 of 2 <br />