2017-372 Aging - Jennifer Womack, MS OTR/L, (UNC) for occupational therapy assessments

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3 INDEPENDENT CONTRACTOR AGREEMENT This INDEPENDENT CONTRACTOR AGREEMENT ("Contract") is made December 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 and students under her direct supervision. RECITALS A. Orange County operates two Senior Centers in Orange County, NC: Robert and Pearl Seymour Center at 2551 Homestead Road, Chapel Hill, NC 27516 and Central Orange Senior Center at 515 Meadowlands Drive, Hillsborough, NC 27278. Orange County desires to have the following services provided at these senior centers at the same addresses: occupational therapy services as part of the Aging Transitions Program, including occupational therapy functional assessment, 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, and students under her direct supervision to perform such services for Orange County under the terms and conditions set forth in the Contract. Students may be on-site under a separate executed affiliation agreement or as a volunteer. In no event shall students be paid for services rendered pursuant to this Agreement. 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 assessment, 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 skills, transportation use, and provision of related education. Contractor will provide on-site supervision by faculty of students who are not licensed professionals. Contractor will not exceed 40 hours per month in providing services listed above. SECTION TWO PAYMENT Orange County will pay Contractor $35/hour for occupational therapy services in conjunction with the Aging Transitions program. Contractor will provide billings reports to Orange County Aging Transitions Coordinator. Contractor will submit a bill at 90-day intervals for screening services rendered, payable within 30 days of receipt. Orange County will provide payment to the University within 30 days of receipt of contractor bill.