Orange County NC Website
DocuSign Envelope ID:CD6526B8-31F8-4494-98D6-FFE6244E4DOF <br /> ATTACHMENT B <br /> SCOPE. OF WORK <br /> Orange County Department of Social Services <br /> Federal Tax Id. or SSN__ _ <br /> Contract# <br /> A CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: <br /> 2 If different from Contract Administrator Information in General Contract: <br /> Address <br /> Telephone Number: _ Fax Number: Email: <br /> 3 Name of Program (s): Inter Teter Services _ <br /> 4. Status: ( )Public ( )Private,Not for Profit (X)Private,For Profit <br /> 5 Contractor's Financial Reporting Year July 1, 2015 through .tune 30 2016 <br /> B Explanation of Services to be provided and to whom (include SIS Service Code): <br /> C Rate per unit of Service (define the unit): <br /> 1 . If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart) <br /> 2 Negotiated County Rate <br /> $40,00/hour - Interpretation <br /> D Number,of units to be provided: <br /> E Details of'Billing process and Time Frames; The Countv will reimburse the Contractor <br /> for services described in this contr act up to the budgetary limits of the contract allotment. <br /> The County will reimburse the Contractor at a rate of$40.00/hour_fol' approved services <br /> provided and travel at the county rate For reimbursement the Contractor must submit the <br /> Orange County Department of Social Services Invoice for Payment of Interpretin <br /> Services form to the County staff at the time services are rendered. County staff will <br /> verify the information sign the form and forward the form to the designated County <br /> Administrator. The County wilt reimburse the Contractor monthly u on recei t of a <br /> complete and correctly fried report. <br /> Contract-Scope of Work(46104) Page I of 2 <br />