Orange County NC Website
DocuSign Envelope ID: EB294A71-C7D1-4EE4-82B7-60A6149320D4 <br /> Exhibit B <br /> Emergency Assistance Scope of Services <br /> Federal Tax Id.or SSN 59-1224041 <br /> Contract# <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: Inter-Faith Council for Social Service, Inc. <br /> 2. I_f derent from Contract Administrator Information in General Contract: <br /> Address <br /> Telephone Number: Fax Number: Email: <br /> 3. Name of Program(s):Emergence 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 Program,the <br /> Contractor will assist eligible individuals with rent and related costs as well as Orange Water and Sewer <br /> Authority(OWASA)bills and related costs.The County will reimburse the Contractor up to <br /> $5,000/month,unless prior approval by County,for a total of$60,000 for the contract period for <br /> rent/related costs and/or Orange Water and Sewer Authori OWASA bills/related costs.To be eligible <br /> clients must: be residents of Grange County,have income at or below 200%of the Federal Poverty Level, <br /> and have a household experiencing a financial crisis. Payments are limited to$200 within a 12-month <br /> period.The Coun will also reimburse the Contractor for staff costs(including salmy,FICA and fringe) <br /> for administering the Emergency Assistance Program up to$25,000 for the contract period.The <br /> Contractor will submit program paperwork provided by Cog=at time and dates designated by Coup U. <br /> C. Funding reimbursement limits by category: <br /> Rent/related costs and OWASA bills/related casts $60,000 65,000 per month) <br /> Staff costs: salary,FICA,.fringe $25,000 <br /> D.Number of units to be provided:NA <br /> E.Area to be served/DelivM site(s): Change County <br /> DocuSigned by: DocuSigned by: <br /> Wm 13B317305AEFFNA9.lt. Y� &s <br /> DAE1E196A83B455... .. <br /> Nancy Coston,Social Services Director (Signature of Contractor) <br /> 10/10/2018 10/10/2018 <br /> (Date Submitted) (Date Submitted) <br /> 9 <br />