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Goo<I 1lealdi Services Inc. <br />d. Evidence of Hepatitis B vaccine or appropriate signed release form <br />e. Documentation of self skills assessment at hire <br />f. Documentation of initial OSHA Bloodborne Pathogen and universa] <br />precautions training <br />H. Conduct criminal records checks of all personnel in accordance with North <br />Carolina laws and regulations. <br />I. Provide services without regard to clienYs race, religion, sex, age, national origin <br />or disability. <br />J. Maintain responsibility for FICA, state and federal taxes, workers compcnsation, <br />professional liability, and unemployment compensation insurance for all of <br />Contractor's staff. <br />C. Rate per unit of Service (define the unit): <br />1. If Standard Pixed Rate, Maximum Allowable, (See Rates for Services Chart) <br />2. Negotiated County Rate. <br />In-Home AideServices (Certified): $12.00/hour <br />In-Home Aide Services (Non-Certified): $11.60/hour <br />Skilled Nursing Services (RN) $3435/hour <br />Weekly Overtime Reimbursement: <br />- Time and one-half (1,5) for al] hours worked over forty (40) hours weekly. <br />The weekly period is from Sunday through Saturday. <br />Mileage reimbursement: <br />Between patient visits <br />per day per employee <br />Federal Reimbursement Rate <br />Note: GHS will invoice at the above hourly rate for time spent by GHS employees <br />in travel as part of his/her principal activity, such as travel between patient visits <br />when scheduled for multiple visits during a workday, must be counted as hours <br />worked. <br />D. Number of units to be provided: 134.341 <br />E. Details of Billing process and Time Frames; <br />Contract-Scope of Work (06/04) ~-J Page 2of 2 <br />