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2017-340-E DSS - Personalized Patient Home Assistance, Inc. for in-home aides services
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2017-340-E DSS - Personalized Patient Home Assistance, Inc. for in-home aides services
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Last modified
7/3/2018 9:28:54 AM
Creation date
7/24/2017 4:02:45 PM
Metadata
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Template:
Contract
Date
7/1/2017
Contract Starting Date
7/1/2017
Contract Ending Date
6/30/2018
Contract Document Type
Agreement - Services
Amount
$415,647.00
Document Relationships
R 2017-340-E DSS - Personalized Patient Home Assistance, Inc. for in-home aides services
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2017
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DocuSign Envelope ID: E51E535C-r71e-44A8-80o0eEAe7rrA0A81 <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 S <br /> Contract# 68-2004 <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: Personalized Patient Home Assistance, Inc. <br /> 2. If d/ferenI 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: ( )9uhUu ( ) Private,Not for Profit (X)Priv te,For Profit <br /> 5. Contractor's Financial Reporting Year July l,20l7 through June 30,2018 <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, (SIS Code 042) The <br /> Contractor will provide Level H Home Management 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$21.95/hour, of which the Contractor must pay the In <br /> Home Aide at least the County's Living Wage(currently$13.75 per/hr). The County has <br /> increased the standard fixed rate to compensate Contractor for any amount above Fedeml <br /> Minimum Wage. <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 tip to the budgetaiy limits of the contract allotment. The <br /> ( <br /> County will reimburse the Contractor at a rate of$21.95/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 in[2 <br />
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