Orange County NC Website
DocuSign Envelope ID:74211493-D876-4700-813D-OA9F75861508 <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. If different 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 Reporting Year July 1,2020 through June 30,2021 <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 Countywill 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 Authority(OWASA)bills/related costs.To be eligible <br /> clients must: be residents of Orange 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 County will also reimburse the Contractor for staff costs(including salary,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 County at time and dates desi a ted by County. <br /> C. Funding reimbursement limits by category: <br /> Rent/related costs and OWASA bills/related costs $60,000 ($5,000 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/Delivery site(s): _Orange County <br /> DocuSigned by: DocuSigned by: <br /> Naunl,� cesfew ,�al,�it, ,�C,�.�S <br /> Nancy Coston,Social Services Director (Signature of Contractor) <br /> 10/27/2020 10/27/2020 <br /> (Date Submitted) (Date Submitted) <br /> 9 <br />