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DocuSign Envelope ID:5FF56C04-3BB8-4567-932F-25B632A40E72 <br /> ATTACHMENT B <br /> SCOPE OF WORK <br /> Orange County Department of Social Services <br /> Federal Tax Id. or SSN <br /> Contract# <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: I, <br /> 2. If different from Contract Administrator Inforination in General Contract: <br /> Address <br /> Telephone Number: Fax Nui-nbcr: Email: <br /> 3. Name of Program (s): Interpreter/Translator Services <br /> 4. Status: ( ) Public ( ) Private,Not for Profit (X)Private, For Profit <br /> 5. Contractor's Financial Reporting Year July 1, 2016 through June 30,2017 <br /> B. Explanation of Services to be provided and to whom(include SIS Service Code): <br /> C. Rate per unit of Service(define the unit): <br /> 1. If Standard Fixed Rate, Maximum Allowable, (See Dates for Services Chart) <br /> 2.Negotiated County Rate. <br /> $40.00/hour—Interpretation and$0.12 per word Translation <br /> D. Number of units to be provided: <br /> E. Details of Billing process and Time Frames;The County will reimburse the Contractor <br /> for services_described in this contract up to the budgetary limits of the contract allotment. <br /> The County will reimburse the Contractor at a rate of$40.00Ihour for approved services <br /> provided and travel at the county rate. For reimbursement, the Contractor must submit the <br /> Orange County Department of Social Services Invoice for Payment of Inte retin <br /> Services form to the County staff at the time services are rendered. County staff will <br /> verify the information, sign the form, and forward the form to the desijmated County <br /> Administrator. TheCCounty will reimburse the Contractor monthly upon receipt of a <br /> complete and correctly filed rgport. <br /> Contract-Scope of Work(06/04) Page l of 2 <br />