2017-044 Aging - UNC OC CARES grant services to be rendered by Jennifer Womack, MS OTR/L

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. —Please return e this copy to the Clerk to the Board's office for permanent agenda file. (', ) INDEPENDENT CONTRACTOR AGREEMENT This INDEPENDENT CONTRACTOR AGREEMENT ("Contract") is made September 1, 2016 between Orange County and The University of North Carolina at Chapel Hill ("Contractor ") , for clinical services to be rendered by Jennifer Womack, MS OTR/L, employee of Contractor, additional employees of Contractor and students l; under her direct supervision. RECITALS A. orange County Department on Aging is headquartered at 2551 Homestead Road, Chapel Hill, NC 27516 and serves all adults over the age of 60 living in Orange County. Orange County Department on Aging desires to have occupational therapy services provided as part of the Dementia-Capable Communities Outreach including but not limited to occupational therapy functional assessment, caregiver training and support, program evaluation, injury prevention education and wellness promotion through direct services and consultation. B. Orange County desires to retain Contractor for clinical services to be rendered by Jennifer Womack, MS OTR/L, professional colleagues at her request, I` employees of Contractor and students under her direct supervision to perform such services for Orange County under the terms and conditions set forth in the Contract. In consideration of the mutual promises set forth in the Contract, it is agreed €' by and between Orange County and Contractor:. Allied Health Sciences, School of Medicine, University of North Carolina at Chapel Hill. SECTION ONE DESCRIPTION OF SERVICES The services to be performed by Contractor include occupational therapy t inin and support, dementia-s ecific interventions, assessment, caregiver ra g pp p program evaluation, intervention and programmatic services generally performed by occupational therapists including but not limited to assessment of performance of daily living skills and related capacities, functional mobility, community living s kills, transportation use, and provision of related education. Contractor shall provide on-site supervision by faculty of students who are not licensed professionals. Contractors in the roles described below will not collectively exceed 48 hours per week in providing services listed above. SECTION TWO PAYMENT orange County will pay Contractor for occupational therapy services in conjunction with Dementia-Capable Communities Outreach as follows: Clinical Supervisor (Jennifer Womack, MS OTR/L) up to 8 hours per week, and no more than $15,000 per year, including salary and benefits; Occupational Therapist (to be determined) up to 20 hours per week, and no more than $25,000 per year, including salary and benefits. Contractor will also provide Clinical Program ( , leadership and Program Evaluation (to be determined) up to 20 hours per week, tt !f and no more than $50,000 per year, including salary and benefits,