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DocuSign Envelope ID: r8378o58e2084Er4~^C81~^AC7048010eA <br /> ATTACHMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services <br /> Federal Tax Id. or SSN <br /> Contract# _68-2025 <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: Community Empowerment Fund <br /> 2. I/different from Contract Administrator Information in General Contract: <br /> Address <br /> �� ���� <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. Contractors Financial Reporting Year July 1, 2016 through June 30. 2017 <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, including medical and mental health ncatmeoccuunse|in�, <br /> life skills, and other services essential for each household to achieve housing stability, while <br /> linking households to othcrfederu|,staAc, \ocu\, and private assistance for which individuals are <br /> eligible. The Contractor is required to meet all goals and outcomes listed i Attachment N. <br /> C. Km1cperundof5orvice (d*OnothruuiM: <br /> I. 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 County 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 ap invoice by the tentt <br /> of the month for the preceding month's expenditures to the designated County Administrator. The <br /> Contractor must use forms supplied by the State with required documentation of xpenses (copies <br /> gFinvoiceu/hi||s/rcccioty and .roof of payment(copies of ledgers or copies of checks used ro pay <br /> expenses). The_Contractor will maintain additional required documentation in household <br /> (participant) files. The County will reimburse the Contractor monthly for staff time upon receipt <br /> Contract-Scope of Work(06/04) Page \n[1 <br />