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DocuSign Envelope ID: 53EDA064- 8713- 4EAA- 828B- 4C2296C1101`6 <br />Orange County Health Department (hereinafter referred to as "OCHD ") <br />Additional Terms and Conditions <br />These are additional terms and conditions to the Agreement between Orange County and the <br />(PROVIDER) to the Countywide Interpreter Translator Contract of $15,000 or less, The additional <br />terms and conditions shall supersede any terms in the original contract and are hereby incorporated <br />as follows: <br />Add to Section 2. b. <br />V. The Provider will follow the National Code of Ethics and Standards of <br />Practice outlined by the National Council on Interpreting in Health <br />Care which can be found at crwrv.ncihc.or and is hereby incorporated <br />by reference. <br />vi. The Provider is required to sign the OCHD Conditions of Contract <br />Statement containing the confidentiality, Title X and public health <br />activities in emergency situations 'information which is hereby <br />incorporated by reference. <br />Add to Section 2.d.i.3 the following sentence: <br />Add Section 2.e. <br />The Provider should generally instruct clients to call the Health <br />Department front desk staff or the Spanish voicemail line at 644 -3350 <br />(when language appropriate) to schedule an appointment or to inquire <br />about services. <br />e. Medical Documentation. Prior to beginning work, the Provider is required to: <br />i. Provide proof of immunity to varicella, measles, mumps and rubella. Proof <br />of immunity must be one of the following. medical records diagnosing the <br />disease, laboratory records confirming the disease, laboratory records <br />documenting positive disease titers, or medical records documenting receipt <br />of 2 doses of each vaccine. (Exception: If the Provider has documentation <br />of only one dose of vaccine, the Provider must provide documentation of a <br />second dose within 60 days of the first day of contract work.) <br />ii.Provide proof of a TB screening and results to OCHD. The screening can <br />be one of the following: <br />Receipt of a TB skin test (TST) if the Provider has no history of TB <br />infection/disease or of a positive TST (Note: If the Provider has not <br />had an additional TST within the previous 12 months, a second TST <br />will be required one week after the first to establish an accurate <br />baseline.) <br />2. Completion of a TB Screening Form by a medical provider if the <br />Provider has a history of TB disease or of having a positive TST. <br />7 <br />Revised O6/18 <br />