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Attachment B <br /> For the period 10.1.15 — 9.30.16 <br /> Statement of Work <br /> Subcontractor: Orange County Department on Aging <br /> This statement should be short summary describing what the Subcontractor does and how the <br /> Subcontractor will use these funds. The terms of the contract between TJAAAA and the <br /> Subcontractor requires that these goals are met for the stated period. The uses of these funds <br /> are not limited to but MUST include the following activities. <br /> 1) Conduct a minimum of two outreach activities in each county. A minimum of one <br /> outreach activity must be planned in collaboration with a community partner(s) that <br /> serves individuals with mental illness, and a minimum of one outreach activity must be <br /> held that focuses on people who are aging and/or have disabilities other than mental <br /> illness. <br /> 2) All outreach activities must include Relay for Extra Help materials provided by the Senor <br /> Health Insurance Information (SHIIP) office. <br /> 3) Coordinate with local SHIIP sites and refer individuals who are likely eligible for LIS and <br /> MSP. <br /> 4) Submit Client Counseling Contact forms for individual counseling and Public & Media <br /> Outreach forms fro outreach events monthly to the TJAAA office for entering in the <br /> national SHIPtalk reporting system. <br /> 5) Develop new partnerships for planning and conducting successful outreach events. <br /> 6) Encourage Medicare beneficiaries to participate in local disease prevention and wellness <br /> activities. <br /> 7) Monthly reporting forms for contracted activities and expenses incurred are to be <br /> submitted to electronically by the 10th of each month for the month prior to Susan Reed <br /> at susan.reeda-wakegov.com. A final report of expenses incurred is due on or before <br /> November 10, 2016. <br /> The following Scope of Work should address the ways the Subcontractor will accomplish the <br /> above expectations and/or willingness to comply. <br /> S,GQPE QF,Y�O <br /> Page 7 of 12 <br />