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Orange County <br />Department on Aging <br />Sample Non-Personal Care Respite <br />Vendor Agreement <br />This Vendor Agreement is entered into this 1st day of .July 2005 between XXXXX, hereinafter known as <br />the Vendor, and Orange County on behalf of the Department on Aging, hereinafter known as the <br />Department. Tire period and duration of the Agreement shall be from July J, 2005 to .June 3Q 2006. <br />WITNESSETH: <br />WI-IEREAS, the Department desires to engage the Vendor to render certain services, hereinafter <br />described, now therefore the parties hereto mutually agree as follows: <br />1) DEPARTMENT AGREES AND MAINTAINS THE RIGHT: <br />1. To determine eligibility of prospective clients for in-home respite services through the vendor in <br />accordance with pre-determined guidelines,. <br />2.. To make all decisions regarding who is served and what services are offered and in what manner <br />to each client refereed to providers, <br />3. To provide to the Vendor for each client referred screening information and a service <br />authorization, describing total amount, duration and frequency of service requested. <br />4. To conduct for each client taken into service at least an annual reassessment, and quarterly <br />reviews, which includes questions about their satisfaction with services and whether they were <br />given an opportunity to cost share. <br />5, To submit new service authorizations for' any client case in which Orange County has approved a <br />change in services. <br />6. To be flexible regarding how many clients are referred at one time. <br />7. To amend this agreement as needed at any time to ensure that Orange County is in compliance <br />with the National Family Caregiver Support Program and to provide notice of such amendments <br />as quickly as practical to the Vendor. <br />2) TILE VENDOR HEREBY AGREES: <br />l.. To provide volunteers or staff members who have been interviewed and screened by the <br />vendor. <br />2. To follow the guidelines as outlined by the Area Agency on Aging for the National Family <br />Caregiver Support Program. <br />3 To have an adequate number of volunteers or staff members available to work throughout <br />Orange County, <br />