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DocuSign Envelope ID:64B57AAO-E577-48A7-A2AD-05217CDOF7DB <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 different 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 .Tune 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 /> $40.00lhour-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 Lip to the budgetary limits of the contract allotment. <br /> The County will reimburse the Contractor at a rate of$40,00/hour fora roved services <br /> provided and travel at the county rate. For reimbursement the Contractor must submit the <br /> Orange Count Department of Social Services Invoice for Pa ent of Interpretie <br /> Services form to the County staff at the time services are rendered. County staff will <br /> verify the information sign the forme and forward the form to the desi ated Count <br /> Administrator. The CgIlLiV will reimburse the Contractor monthly upon receipt of a <br /> complete and correctly filed rel2ort. <br /> Contract-Scope of Work(06/04) Page Iof 2 <br />