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DocuSign Envelope ID: EBOFBDBE -FD15- 4428- 899B- 19A867F94OCC <br />ATTACHMENT B <br />SCOPE OF WORK <br />Orange County Department of Social Services <br />Federal Tax Id. or SSN 58- 1563438 <br />Contract # NA <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Orange Congregations in Mission <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): TmeMency Assistance <br />4. Status: ( ) Public (X) Private, Not for Profit ( ) Private, For Profit <br />5. Contractor's Financial Reporting Year July 1, 2018 through June 30, 2019 <br />B. Explanation of Services to be provided and to whom: Through the Emergency Assistance <br />Program, the Contractor will assist eligible individuals with rent and related costs as well as <br />Town of Hillsborough water bills and related costs, The County will reimburse the Contractor up <br />to $3 000 /month unless prior approval by County, for a total of $36,000 for the contract period <br />for rent/related costs and/or Town of Hillsborough bills /related costs. To be eligible clients must: <br />be residents of Orange County, have income at or below 200% of the Federal Poverty Level, and <br />have a household cUeriencing a financial crisis. Pa merits are limited to 200 within a 12 -month <br />period. The Couft will also reimburse the Contractor for staff costs (including saIaLy, FICA and <br />fringe) for administering the Emergency Assistance Program up to $15,000 for the contract <br />period The Contractor will program paperwork provided by County at time and dates <br />designated by County. <br />C. Funding reimbursement limits by category: <br />Rent/related costs and Town of Hillsborough bills/related costs $36,000 ($3,000 per month) <br />Staff costs: salary FICA, fringe X15,000 <br />D. Number of units to be provided: NA <br />E. Details of Billing process and Time Frames: The County will reimburse the Contractor for <br />services described in this contract up to the budgetary limits of the contract allotment. The <br />Counly will reimburse the Contractor for actual ex enditures for approved services provided. For <br />reimbursement the Contractor must submit copies of bills, checks, receipts and/or other proof of <br />ex enditures by the fifth of the month for the preceding month's expenditures to the designated <br />County Administrator. The Contractor must submit a pMment records for staff cost <br />reimbursement. The County will reimburse the Contractor monthly upon receipt of a complete <br />and correctly filed report. <br />F. Area to be served/Delivery site(s): Orange County <br />Contract -Scope of Work (06/04) Page lof 2 <br />