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000vSign Envelope ID: 8eE8uAu0-4CEE-4AC3eC41'ee34nE3nn1*4 <br /> ATTACHMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services and Orange County Department on Aging <br /> Federal Tax Id.or S0N <br /> Contract# <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: Personalized Patient Home Assistance, inc. <br /> 2. If dVfrrent from Contract Administrator Information in General Contract: <br /> Address___ <br /> Telephone Number; Fax Number: Email: <br /> 3. Name of Program (s): In-Home Services <br /> 4. Status: ( ) Public ( ) Private, Not for Profit (X) Private, For Profit <br /> 5. Contractor's Financial Reporting Year July 1, 2016 through June 30, 20l7 <br /> B. Explanation of Services to be provided and to whom (include B|S Service Code): The <br /> Contractor will provide employees to perform in-home services for the Department of Social <br /> Services' clients and the Department on Aging's clients, at the level, amount and frequency <br /> specified by the social worker in the In-Home Aide Services Plan. (8I8 Code 042) The <br /> Contractor will provide Level II Home Management and Level U1 Personal Care. The Contractor <br /> is required to meet all goals 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 /> A maximum allowable rate of$21.00/hour, of which the Contractor must pay the In <br /> Home Aide at least the County's Living Wage (currently $13.15 per/hr). The County has <br /> increased the standard fixed rate to compensate Contractor for any amount above Federal <br /> Mmmi urn Wage. <br /> 2. Negotiated County Rate. <br /> D. Number of units to be provided: <br /> E. Details of Billing process and Time Frames; The County will reimburse the Contractor for <br /> services described in this contract upto_the_budgetary limits of the contract allotment. The <br /> County will reimburse the Contractor at a rate of$21.00/hour for approved services provided, For <br /> reimbursement, the Contractor must submit an original and two copies of an invoice by the fifth <br /> of the month for the preceding month's expenditures to the designated County Administrator. All <br /> invoices for tIjprovision of services to the Department of Social Services shall be submitted to <br /> the Administrator for said Department. Alli or the provision of services to the <br /> Contract-Scope of Work(06/04) Page lof 1 <br />