Laserfiche WebLink
BK - 00026 PG <br />ATTACHMENT B — Scope of Work Federal Tax Id. 20- 5493375 <br />A. CONTRACTOR INFORMATION <br />1. Contractor Agency Name: Value Mart <br />2. If different from Contract Administrator Information in General Contract: <br />Address <br />Telephone Number: Fax Number: Email: <br />3. Name of Program (s): Transportation Services <br />4. Status: ❑ Public ❑ Private, Not for Profit ® Private, For Profit <br />5. Contractor's Financial Reporting Year January through December. <br />B. Explanation of Services to be provided and to whom (include SIS Service Code): <br />Service Number of Number of Definition of <br />Service Code Persons Served Units of Service Unit of Service <br />Transportation 532 Varies Varies MonetM purchase of gas <br />Transportation 541 Varies Varies Monetary purchase of gas <br />C. Rate per unit of Service (define the unit): <br />1. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart) <br />As designated on the "Authorization to Purchase" <br />2. Negotiated County Rate. <br />D. Number of units to be provided: Number of individuals served to vary and requests for <br />service will be determined by level of needs and remaining revenue in line item. <br />E. Details of Billing process and Time Frames; Billing will be submitted to Lee County <br />DSS at a minimum of monthly. <br />F. Area to be served /Delivery site(s): Lee County as authorized by Lee County DSS <br />,&_P,1. J1. A 4�A <br />renda Potts, Director) <br />J1 <br />(Date ub itted) <br />(Shailesh Patel/Owner) <br />) c4-- o / 14 <br />(Date ubmitted) <br />Contract -Scope of Work (7 -2008) Page lof 1 <br />