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13 <br />review program progress and identify problem areas. A brief written <br />assessment will be produced including a written plan to address problem <br />areas. <br />2. An annual self-assessment of the service collaboration will be conducted. <br />The OCHS/EHS Director or her designee, with assistance from other <br />OCHS/EHS and OCHD Staff will solicit feedback from staff and families <br />involved in the collaboration to assess the success of the model, <br />management needs/problems, communication needs/problems, etc. The <br />goal is to create and implement a win-win partnership for both programs <br />that has a positive impact on children and families. Concerns regarding <br />the implementation of this agreement will be discussed by the Directors of <br />the Agencies and their designated staff. Failure to meet the expectations <br />of this agreement by either party may result in the decision to discontinue <br />the agreement. <br />VIII. Payment for Services/Shared Costs: <br />Orange County Head Start/Early Head Start agrees to pay to Orange County <br />Health Department the actual expenses related to salary and fringe benefits <br />of one Orange County Early Head Start Family Service Coordinator up to a <br />maximum of $ 4227 per month through December 31, 2005 as long as <br />federal Early Head Start funds continue to be available. Any amount in <br />excess of this must be agreed to by both parties, OCHS/EHS agrees to <br />provide office space, supplies, computer, phone, mileage reimbursement and <br />training resources. <br />Orange County Health Department agrees to provide the number of Medicaid <br />billable units of service submitted by the OCEHS-OCHD Family Service <br />Coordinator in this agreement to the OCHS/EHS Program annually. (The <br />number of units billed does not represent actual revenue earned due to <br />denials for various reasons. Actual revenue earned is not discernible per <br />employee due to limitations in our current software. Revenue earned is used <br />to partially offset OCHD Administrative and Supervision costs). <br />IX. Renewal/Termination of agreement by either party: <br />Renewal of this agreement shall be on an annual basis, subject to program <br />continuation based on a review of program outcomes and subject to available <br />funding. Renewal shall commence upon written notice executed by both <br />parties. This agreement shall run from January 1, 2005 through December <br />31, 2005 as long as Federal Early Head Start funds continue to be available. <br />This agreement or its renewals may be terminated at any time without penalty <br />by either party provided that written notice of such termination is furnished to <br />the other party at least ninety (90) days prior to termination. In the event of <br />such termination, any payment due shall be prorated to the date of <br />termination. <br />X. Amendments to the collaboration agreement: <br />No provision of this agreement shall be construed or interpreted as creating a <br />pledge of the faith and credit of Orange County Head Start/Early Head Start