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Contract # Easter Seals UCP North Carolina, Inc. ATTACHMENT B - Scope of Work Federal Tax Id. Contract # 56-0670676 A. CONTRACTOR INFORMATION I. Contractor Agency Name: Easter Seals UCP North Carolina. Il'\c-. 2. If different from Contract Administrator Information in General Contract: Address Same as Contract Administrator Information in General Contract Telephone Number: No Change Fax Number: No Change Email: No Change 3. Name of Program (s): CAP Choice 4. Status: ~ Public <Xl Private, Not for Profit () Private, For Profit 5. Contractor's Financial Reporting Year Julv 1. 2006 through June 30. 2007 B. Explanation of Services to be provided and to whom (include SIS Service Code): Parties: The Managing Entitv. the County. and the Fiscal Intermediarv. the Contractor. functioning as the financial administrator on behalf ofthe person who is the Participant in the CAP Choice Program. Duties of the County: 1) Provide funds to the Contractor equal to all payroll costs associated with the payment of Participants' employees including. but not limited to. wages. withholdings. taxes and other emplover related expenses. 2) Pay an administrative fee of $35 per Participant per month to the Contractor. If a Participant leaves the program prior to the end of a calendar year. a one time fee will be assessed for continued tax filings and W - 2 preparation. This fee shall be collected at the beginning of the Participant's involvement with the Contractor. 3) Deliver payment for reimbursement of emplover related costs and additional administrative fees no later than fifteen (] 5) days after notification ofthe incurred expense bv the Contractor. 4) Provide the Contractor with all information required to accuratelv report and pay employer related taxes on behalf of the Participant. This includes. but is not limited to. Participants' emjJlover identification number. access to Participant's tax deposit accounts and reporting agent authorization forms. 5) Provide the Contractor with all completed forms and information required to document the Participants' emplovees. This will include. but not limited to. IRS form W-4 and 1-9. NC form NC-4. employment application. 6) Provide the Contractor with summarv of hours worked (including overtime hours) for each Participant's emplovee no later than tlrree (3) business days following the end of each pay period (see attached payroll calendar). All documented hours received after the third business day will be paid on the next payroll cvcle. 7) Provide the Contractor with written approval prior to the release of any payments bv the Contractor on behalf of Participants. (No payments will be released until such approval is secured. 8) Designate a person employed bv the County who shall act as the liaison between the parties. be responsible for monitoring. serve as a primary contact for the Participant and the Contractor. Contract-Scope of Work (06/04) Page lof3 r:-- I 5