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DocuSign Envelope ID:2131C227-EE7F-46A7-A603-446386DA3B96 <br /> Orange County Health.Depar-tment (her-einafter referred to as "OCHD") <br /> Additional Terms and Conditions <br /> These are additional terms and conditions to the Agreement between Orange County and the <br /> (PROVIDER)to the Countywide Interpreter Translator Contract of$15,000 or less. The additional <br /> terms and conditions shall supersede any terms in the original contract and are hereby incorporated <br /> as follows: <br /> Add to Section 2. b <br /> V. The Provider will follow the National Code of Ethics and Standards of <br /> Practice outlined by the National Council on Interpreting in Health <br /> Care which can be found at www.ncihc.or6 and is hereby incorporated <br /> by reference, <br /> Vi. The Provider is required to sign the OCHD Conditions of Contract <br /> Statement containing the confidentiality, Title X and public health <br /> activities in emergency situations information which is hereby <br /> incorporated by reference.. <br /> Add to Section 2 d.i 3 the following sentence: <br /> the Provider should generally instruct clients to call the Health <br /> Department front desk staff'or the Spanish voicemail line at 644-3350 <br /> (when language appropriate) to schedule an appointment or to inquire <br /> about services. <br /> Add Section 2 e. <br /> e Medical Documentation Prior to beginning work,the Provider is required to: <br /> i, Provide proof of immunity to varicella,measles, mumps and rubella. Proof <br /> of immunity must be one of the following: medical records diagnosing the <br /> disease, laboratory records confirming the disease, laboratory records <br /> documenting positive disease titers, or medical xecoxds documenting receipt <br /> of 2 doses of each vaccine (Exception: If the Provider has documentation <br /> of only one dose of vaccine, the Provider must provide documentation of a <br /> second dose within:60 days of'the first day of contract work) <br /> ii Provide proof of a TB screening and results to OCHD The screening can <br /> be one of the following: <br /> 1 Receipt of a T skin test (IST)if the Piovidex has no history of IB <br /> inf'ection/disease or of a positive ISI (Note: If'the Provider has not <br /> had an additional T S I within the previous 12 months, a second ISI <br /> will be required one week after the first to establish an accurate <br /> baseline.) <br /> 2 Completion of a rB Screening Ioxm by a medical provider if'the <br /> Provider has a history of IB disease or of having a positive IST. <br /> 6 <br /> Revised 06115 <br />