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9 <br /> <br /> <br />Exhibit B <br />Emergency Assistance Scope of Services <br /> <br /> <br />Federal Tax Id. or SSN ____58-1563438____________ <br />Contract # ________________ <br /> <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Orange Congregations in Mission <br />2. If different from Contract Administrator Information in General Contract: <br />Address <br /> _______ ___ ______ <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, 2022 through June 30, 2023 <br /> <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 Hillsborough water <br />bills and related costs. The County will reimburse the Contractor up 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 Hillsborough <br />bills/related costs. To be eligible clients must: be residents of Orange County, 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 County 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 /> <br />C. Funding reimbursement limits by category: <br /> <br />Rent/related costs and Town of Hillsborough bills/related costs $36,000 ($3,000per month) <br />Staff costs: salary, FICA, fringe $15,000 <br /> <br /> <br />D. Number of units to be provided: NA <br /> <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 subsequently provide payment records for <br />actual costs for the initial payment. After payment records are provided for the entire initial payment, the <br />County will reimburse the Contractor for services described in this contract up to the budgetary limits of the <br />contract allotment. The County will reimburse the Contractor for actual expenditures 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 monthly upon receipt of a complete and correctly filed report. <br /> <br />DocuSign Envelope ID: 71F97F5F-5151-4635-B81A-84B74866F622