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DocuSign Envelope ID: 1056F994-88AA-4336-8102-E1F3178D3BE7 <br /> Exhibit B <br /> Emergency Assistance Scope of Services <br /> Federal Tax Id.or SSN <br /> Contract# <br /> A. CONTRACTOR INFORMATION <br /> 1. Contractor Agency Name: Orange Congregations in Mission <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}: Emergency Assistance <br /> 4. Status: { }Public (X)Private,Not for Profit { )Private, For Profit <br /> 5. Contractor's Financial Deporting Year July 1,2014 through June 30,2020 <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 Town of Hillsboroujzh water <br /> bills and related costs.The County will reimburse the Contractor u to 3 000/month unless prior approval <br /> by County for a total of$36,000for the contract period for rent/related costs and/or Town of Hillsborou <br /> bills/related costs. To be eligible clients must: be residents of Orange Counjy,have income at or below <br /> 200%of the Federal Poverty Level,and have a household experiencing a financial crisis. Payments are <br /> limited to 200 within a 12-month period.The Coqujy will also reimburse the Contractor for staff costs <br /> (including salary FICA and fringe)for administering the Emergency Assistance Program up to$15,000 for <br /> the contract period.The Contractor will submit 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 $36,000s 3 000per month} <br /> Staff costs: salary.FICA,fringe $15,000 <br /> D.Number of units to be provided:NA <br /> E. Details of Billing process and Time Frames:One fourth of the contract amount( 9 000 for rent and <br /> related costs and$3 750 for staff costs)for Emergency Assistance services described in this contract will be <br /> paid upon receipt of a completed contract.The Contractor will subsequentl)�provide Vayment records for <br /> actual costs for the initial payment.After payment records are Rrovided for the entire initial payment,the <br /> County will reimburse the Contractor for services described in this contract M to the budgetary limits of the <br /> contract allotment. The Counjy will reimburse the Contractor for actual ex enditures for approved services <br /> provided For reimbursement,the Contractor must submit copies of bills,checks,receipts and/or other proof <br /> of expenditures by the fifth of the month for the preceding month's expenditures to the designated County <br /> Administrator. The Contractor must submit a payment records for staff cost reimbursement. The County <br /> will reimburse the Contractor month/ u on receipt of a complete and correctly filed re art. <br /> 9 <br />