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DocuSign Envelope ID: FB3E3E71-F2B8-41 1A-81 C9-1392ACCOFE1 1 <br /> Contract#68-2025 <br /> The Community Empowerment Fund <br /> ATTACHMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services <br /> Federal Tax Id. Or SSN 27-0428981 <br /> Contract#68-2025 <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: The Coimnunjj2/Empowerment-Fund <br /> 2. 1fdifferent from Contract Administrator Information in General Contract: <br /> Address <br /> Telephone Number:- Fax Number., Email: <br /> 3. Name of Program(s): Emergency Solutions Grant <br /> 4. Status: ( ) Public (X)Private,Not for Profit 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 assist homeless individuals to obtain and maintain permanent housing through <br /> individualized housing stabilization case management services,as well as other supportive <br /> services as needed and as funds allow, inc I uding..medical and mental health treatment, coqnsejin <br /> life skills,and other services essential for each household to achieve housing stability, while <br /> linking households to other federal, state, local, and private assistance for which individuals are <br /> eligible. The Contractor is required to meet all gpals 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 /> 2. Negotiated County Rate, <br /> $20 per hour <br /> D.Number of units to be provided: <br /> E. Details of Billing process and Time Frames; The Count,will reimburse the Contractor for <br /> services described in this contract up to the budgetary limits of the contract allotment. For <br /> reimbursement,the Contractor must submit an original and two copies of an invoice by the tenth <br /> of the month for the preceding month's expenditures to the desig-,nated County Administrator. The <br /> Contractor must use forms supp lied...by the State with required,documentation of expenses(copies <br /> of invoices/bills/receilAts)and proof of payment(copies of ledgers or copies of checks used to pay <br /> expenses). The Contractor will maintain additional required documentation in household <br /> tp,articipant) files. The..Countv will reimburse the Contractor monthly for staff.time upon recei t <br /> Contract-Scope of Work(07/08) Page I of 2 <br />