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DocuSign Envelope ID 24E74r01'7e88-4rA8-92A7r4r70e27ro1e <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 SSN <br /> Contract# 68'2012 <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: CNC//\coess, Inc. cKb/uRcsCarcRunoeCurc <br /> 2. If djfferent from Contract Administrator Information in General Contract: <br /> Address <br /> ------- <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 ]` 20l6 through June 30, 2017 <br /> B. Explanation of Services to be provided and to whom (include SIS 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. (5|5 Code 042) The <br /> Contractor will srovide Level II Home Mana'ement and Level III 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 $l3.l5peribr). The County has <br /> increased the standard fixed rate to compensate Contractor for any amount above Federal <br /> Minimum Wage. <br /> 2.Negotiated County Rate. <br /> D. Number of units to he provided: <br /> EDctaleofBillingproceoxuodThocFrumes; ThcCounry*iDreimbumctbeCoo|oactorfo[ <br /> services described in this contract 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 the provision of services to the Department of Social Services shall be submitted to <br /> the Administrator for said Department. All invoices for the provision of services to the <br /> Contract-Scope of Work(06/04) Page lofl <br />