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DocuSign Envelope ID:8953AD6C-C803-4BE3-B456-79DFD2637F3E <br /> ATTACHMENT J <br /> CERTIFICATION REGARDING TRANSPORTATION <br /> Orange County Department of Social Services and Orange County Department on Aging <br /> By execution of this Agreement the Contractor certifies that it will provide safe client transportation by: <br /> 1. Insuring that all drivers(including employees, contractors,contractor's employees, and <br /> volunteers)shall be at least 18 years of age; <br /> 2. Insuring that all drivers(including employees, contractors,contractor's employees, and <br /> volunteers) shall be licensed to operate the specific vehicle used in transporting clients in <br /> accordance with Chapter 20-7 of the General Statutes of North Carolina and the Division of <br /> Motor Vehicle requirements; <br /> 3. Insuring that all vehicles transporting clients shall have at least the minimum level of liability <br /> insurance appropriate for the type of vehicle as defined by Article 7,Rule R2-36 of the North <br /> Carolina Utilities Commission; <br /> 4. Insuring that the contractor shall have written policies and procedures regarding how drivers <br /> handle and report client emergencies and/or vehicle crashes involving clients to contractor and <br /> how contractor notifies the Orange County Department of Social Services; <br /> 5. Insuring that no more than one quarter of one percent of all trips be missed by the contractor <br /> during the course of the contract period; (Medicaid only) <br /> 6. Insuring that that no more than five percent(5%)of trips should be late for recipient drop off to <br /> their appointment per month; (Medicaid only) <br /> 7. Contractor will maintain records documenting the following(County may require contractor to <br /> provide): <br /> a.Valid current copies of Driver's License for all drivers; <br /> b. Current valid Vehicle Registration,for all vehicles transporting clients; <br /> c.Driving records for all drivers for the past three years and with annual updates; <br /> d. Criminal Background checks through North Carolina Law Enforcement or NCIC <br /> prior to employment and every three years thereafter; <br /> e.Alcohol and Drug Testing policy to meet the Federal Transit Authority guidelines. <br /> 8. Disclosing, at the outset of the contract,upon renewal and upon request, any criminal convictions <br /> or other reasons for disqualifications from participation in Medicare,Medicaid or Title XX <br /> Iw�DocuSiPWgrams(signature on this form confirms this statement). <br /> s t, rvmt ,V'fbvu VP Homecare Contracts & Sales <br /> Signature Title <br /> CNC/Access, INC. dba All ways caring Hord;E 42021 <br /> Agency/Organization Date <br /> (Certification signature should be same as Contract signature.) <br /> Transportation Certification(06/16) Page 1 of 1 <br />