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DocuSign Envelope ID:29F69F49-AF01-438A-86A0-C2EF1EC6D661 <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: <br /> 2. If dierent from Contract Administrator Information in General Contract; <br /> Address <br /> Telephone Number: Fax Number: Email: <br /> 3. Name of Program (s): Interpreting Services <br /> 4. Status: ( )Public ( ) Private, Not for Profit (X) Private, For Profit <br /> 5. Contractor's Financial Reporting Year July 1, 2019 through June 30,2020 <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 Rates for Services Chart) <br /> 2.Negotiated County Rate. <br /> 40.001hour- Interpretation <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 u to the budgetary limits of the contract allotment. <br /> The County will reimburse the Contractor at a rate of$40.001hour fora roved 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 Interpreting <br /> Services form to the County staff at the time services are rendered. Coin staff will <br /> verify the information sign the form and forward the form to the designated Coon <br /> Administrator. The County will reimburse the Contractor monthly u on receipt of a <br /> complete and correctly filed report. <br /> Contract-Scope of Work(06/04) Page l of 2 <br />