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DocuSign Envelope ID: OF93300E -D182- 4824- AB97- AB4A8DFC99A5 <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 SSN #80- 0406469 <br />Contract # 68 -2017 <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Express Support Group, LLC <br />2. If different from Contract Administrator Information in General Contract: <br />Telephone Number: Fax Number: Email: <br />3. Name of Program (s): In -Home Services <br />4. Status: ( ) Public ( ) Private, Not for Profit (X) 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 em to ees to perform in -home services for the De artment of Social <br />Services' clients and the De artment on A in 's clients at the level amount and fre uenc <br />s ecified b the social worl�er in the In -Home Aide Services Plan. (SIS Code 042 The <br />Contractor will provide Level II 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 pqy the In <br />Home Aide at least the County's Living Wage (currently $13.75 pe r/hr . The County has <br />increased the standard fixed rate to coln ensate Contractor for an amount above Federal <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 Counly will reimburse the Contractor for <br />services described in this contract u to the budgetqg limits of the contract allotment. The <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 ex enditures 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 (06104) Page lof 2 <br />