Orange County NC Website
DocuSign Envelope ID:2131C227-EE7F-46A7-A603-446386DA3B96 <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 fxom. Contract Administrator Information in General Contract: <br /> Address <br /> Telephone Number: _ Fax Number: . Email: <br /> 3. Name of Program (s): _ Intelpreter 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): <br /> C. Rate per unit of Service (define the unit): <br /> I 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 Iime Frames; The County will reimburse the Contractor, <br /> for services described in this contract up 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 county rate. For reimbursement, the Contractor must submit the <br /> Orange County Department of Social Services Invoice for Payment of Interpreting <br /> Services form to the Cojm 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 will reimburse the Contractor monthly upon receipt of a <br /> complete and correctly filed report. <br /> Contract-Scope of Woik(06/04) Page iof 2 <br />