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DocuSign Envelope ID: A07C4620 -D9F0- 4228- 9B2F- lD499E5F8796 <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 56- 1629016 <br />Contract # 68 -2036 <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Personalized Patient Home Assistance Inc. <br />2. If different from Contract Administrator Information in General Contract: <br />Address <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 />S. Contractor's Financial Reporting Year July 1, 24118 through June 30, 2019 <br />B. Explanation of Services to be provided and to whom (include SIS Service Code): The <br />Contractor will provide emulovees 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 bevel H Home Management and Level II 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 bate, Maximum Allowable, (See Rates for Services Chart) <br />A maximum allowable rate of $22.74 /hour, of which the Contractor must pay the In <br />Home Aide at least the County's Livid Wage (currently $14.25 per/ Mhr M. The County has <br />increased the standard fixed rate to compensate Contractor for anv 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 County will reimburse the Contractor for <br />services described in this contract uv to the budgetary limits of the contract allotment. The <br />County will reimburse the Contractor at a rate of $22.74 /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 lof 2 <br />