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Attachment B For the period 10.1.17 — 9.30.18 Statement of Work Subcontractor: Lee County Senior Services This statement should be short summary describing what the Subcontractor does and how the Subcontractor will use these funds. The terms of the contract between TJAAA and the Subcontractor requires that these goals are met for the stated period. The uses of these funds are not limited to but MUST include the following activities. 1) Conduct a minimum of two outreach activities in each county. A minimum of one outreach activity must be planned in collaboration with a community partner(s) that serves individuals with mental illness, and a minimum of one outreach activity must be held that focuses on people who are aging and/or have disabilities other than mental illness. 2) All outreach activities must include Relay for Extra Help materials provided by the Senor Health Insurance Information (SHIIP) office. 3) Coordinate with local SHIIP sites and refer individuals who are likely eligible for LIS and MSP. 4) Submit Client Counseling Contact forms for individual counseling and Public & Media Outreach forms fro outreach events monthly to the TJAAA office for entering in the national SHIPtalk reporting system. 5) Develop new partnerships for planning and conducting successful outreach events. 6) Encourage Medicare beneficiaries to participate in local disease prevention and wellness activities. 7) Monthly reporting forms for contracted activities and expenses incurred are to be submitted to electronically by the 10th of each month for the month prior to Martha Grove Hipskind at marthagrove@tjcog.org. A final report of expenses incurred is due on or before November 10, 2018. The following Scope of Work should address the ways the Subcontractor will accomplish the above expectations and/or willingness to comply. Page 7 of 12