Orange County NC Website
9 <br /> <br />Exhibit B <br />Emergency Assistance Scope of Services <br /> <br />Federal Tax Id. or SSN 59-1224041 <br />Contract # ________________ <br /> <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 /> _______ ___ ______ <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 Orange Water and Sewer <br />Authority (OWASA) bills and related costs. The County will 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 designated by County. <br /> <br />C. Funding reimbursement limits by category: <br /> <br />Rent/related costs and OWASA bills/related costs $60,000 ($5,000 per month) <br />Staff costs: salary, FICA, fringe $25,000 <br /> <br /> <br />D. Number of units to be provided: NA <br /> <br />E. Area to be served/Delivery site(s): __Orange County ___________ <br /> <br /> <br /> <br /> <br /> <br /> <br />____________________________________ _____ _____ _____________ <br />Nancy Coston, Social Services Director (Signature of Contractor) <br /> <br /> _ ___________ _____________ <br /> (Date Submitted) (Date Submitted) <br />DocuSign Envelope ID: D55BA9F3-2E5A-43E1-B098-5435F6FD4E2D