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DocuSign Envelope ID:5B6FF7D8-5B74-4BD3-BC2C-DDBAEB3C9E82 <br /> ATTACEMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services <br /> Federal Tax Id. or SSN <br /> Contract 4 <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): Interpreter Services <br /> 4. Status: ( ) Public ( j Private, Not for Profit (X)Private, For Profit <br /> 5, Contractor's Financial Reporting Year- July, 2015 .through_ June 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 /> l 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 County will reimburse the Contractor <br /> for,services described in this contract L:ip to the budgetary limits of the contract allotment. <br /> The County will reimburse the Contractor at a rate of$40.00/hour for approved services <br /> provided and travel at the cojM rate. For reimbursement the Contractor must submit the <br /> Orange County De artment of Social Services Invoice for Payment of Inter retin <br /> Services form to the Caunty staff at the time services are rendered. County staff will <br /> verify the information sigLi the form and forward the form to the designated County <br /> Administrator. The County will rcimburse the Contractor monthly upon receipt of a <br /> complete and correctly filed report. <br /> Contract-Scope of Wozk(06104) Page 1of 2 <br />