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Outcomes (06/18) Page 1 of 1 <br />ATTACHMENT O <br />OUTCOMES AND REPORTING <br /> <br />Orange County Department of Social Services <br />By signing and submitting this document, the Contractor certifies that it agrees to the following: <br /> <br />1. The Contractor agrees to participate in program, fiscal and administrative monitoring and/or audits, <br />making records and staff time available to Federal, State and County staff. <br /> <br />2. The Contractor agrees to take necessary steps for corrective action, as negotiated within a corrective <br />action plan, for any items found to be out of compliance with Federal, State, and County laws, regulations, <br />standards and/or terms of the Contract. <br /> <br />3. The Contractor agrees that continuation of and/or renewal of this Contract is contingent on meeting the <br />following requirements. The Contractor agrees to: <br />A. Adhere to all Federal and State transportation laws & regulations. <br />B. Transport client(s) to and from medical appointments as requested by the County. <br />C. Transport approved, authorized client(s) to specified destinations within and outside of Orange <br />County upon request, on time, and in accordance with arrangements made by the County. <br />D. Transport clients only to approved destinations. Any additional destinations cannot be provided <br />without the expressed consent and authorization of the County. <br />E. Provide services to enrolled participants within three days of a request. <br />F. Provide critical services on short notice when requested. <br />G. Coordinate maintenance with private vendors to ensure vehicles are in safe operating order. <br />H. Discuss the specific situation, and present evidence of cause, with the County prior to <br />termination of services for any client. <br />I. Complete the DMA 5124 as part of the annual contract process. <br />J. Only submit invoices for trips approved by the County. Trips included on invoices that were <br />not pre-approved will not be reimbursed. <br />K. Meet on-time performance standards such that no more than 5% of trips should be late for client <br />drop-off to his appointment per month. Late is defined as past the client’s appointment time. <br />L. Not miss more than one quarter of one percent of all trips during the course of the contract year. <br />M. Report all no-shows on a daily basis and cancellations on a monthly basis to the County. <br />N. Record all client complaints which deal with the matters under the control of Contractor, <br />including the date of the complaint, the nature of the complaint, and what steps were taken to <br />resolve the complaint. <br />O. Provide names of all owners, managers, management entities, and subcontractors. <br />P. Report any changes such as insurance provider, business ownership or management. <br />Q. Disclose, 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 />programs. <br /> <br /> <br />___________________________________ ____________________________________ <br />Signature Title <br /> <br /> <br />___________________________________ ____________________________________ <br />Agency/Organization Date <br /> <br />(Certification signature should be same as Contract signature.) <br />DocuSign Envelope ID: 74375224-B7BF-4B07-89E3-8426200297F5 <br />Holistic Transportation Service 8/30/2023 <br />owner