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� <br /> 000vS�nEnvo�po ID: eAoE4Cnr�0er�uo0~^88s�o4081eE40eCA ! <br /> ATTACHMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services <br /> Federal Tax Id.or S <br /> Contract# <br /> A. CONTRACTOR INFORMATION <br /> l. Contractor Agency Name: Charles House Association <br /> 2. /foiffere//tfrom Contract Administrator Information in General Contract: <br /> Address <br /> Telephone Number: Fax Number: Email: <br /> 3. Name of Program (s): Adult Day Care <br /> 4. Status: ( )Public (X)Private,Not for Profit ( ) Private, For Profit <br /> 5. Contractor's Financial Reporting Year July 1,2017 through June 30,2018 <br /> B. Explanation of Services to be provided and to whom(include SIS Service Code):—The <br /> Contractor will provide Adult Day Services(SIS Code 030)to clients of the Orange County <br /> Department of Social Services. These services will be provided in accordance with provisions set <br /> forth in Volume IV of the Adult and Family Services Manual, Chapter II-Adult Day Care <br /> Services. The Contractor is required to meet all goals and outcomes listed in Attachment N. <br /> C. Rate per unit of Service(define the unit): <br /> ( <br /> 1. If Standard Fixed Rate,Maximum Allowable,(See Rates for Services Chart) <br /> Minimum dail rate: '.33.07/do ourc|iun1 <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 up to the budgetary limits of the contract allotment. The <br /> County will i'eiinburse the Contractor at a rate of$33.07/day 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. <br /> The County will reimburse the Contractor monthly upon receipt of a complete and correctly filed <br /> report, <br /> The service(s) under contract with the Contractor are services for which a client may voluntarily <br /> contribute to the cost. Policies regarding the solicitation and acceptance of voluntary <br /> contributions are contained in Family Services Manual, Volume VI, Chapter III. If a client <br /> Contract-Scope of Work(06/04) Page lo[2 <br />