Commissioner of Administration. As delegated to Office of State Procurement Print Name: Xxxxxx Xxxx Signature: Original signed Title: Contracts Specialist Date: 12-8-2019 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate Schedule ‌ Contractor: Options for Employment SWIFT Number: 0000000000000 Referral Contact(s) and phone number(s): Xxxx Xxxxxxxxx 000-000-0000 Effective Date: 12/8/2019 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Employment Supports/Job Coaching for Short Term Job Supports $60 Hour Transportation (Mileage Reimbursement) Current IRS Rate Mile

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: ~~Xxxxxx~~ Xxxxxxxxx Xxxx Signature: Original signed Title: Contracts Specialist Date: ~~12-8-2019~~ 7/7/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate ~~Schedule ‌~~ Schedule‌ Contractor: ~~Options for Employment~~ Northern Opportunity Works SWIFT ~~Number: 0000000000000~~ #:0000000000 Referral Contact(s) and phone number(s): ~~Xxxx Xxxxxxxxx 000~~Xxxxxx Xxxxx 218-~~000~~326-~~0000~~ 5114 Effective Date: ~~12/8/2019~~ 7/7/2017 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No ~~Employment Supports~~Benefits Counseling/Benefits Analysis $72/$850 Hour/Each Intake (Not Applicable to PBA) $85 Each Job ~~Coaching~~ Shadowing $72 Hour Job Tryout $72 Hour Attachment C Security and Data Protection Contractor is responsible for ~~Short Term Job Supports $60 Hour Transportation (Mileage Reimbursement) Current IRS Rate Mile~~the security and protection of State data subject to and related to Cloud Services in this Contract. The terms, conditions, and provisions of this Security and Data Protection section take precedence and will prevail over any other terms, conditions, and provisions of the Contract, if in conflict. This Security and Data Protection section, including its sub-sections, survives the completion, termination, expiration, or cancellation of the Contract. For the purposes of this Security and Data Protection section, the following terms have the following meanings:

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: Xxxxxx ~~Xxxx~~ Xxxxxxxxx Original signed Signature: ~~Original signed~~ Title: ~~Contracts Specialist~~ AMS Date: ~~12-8-2019~~ 9/20/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate ~~Schedule ‌~~ Schedule‌ Contractor: ~~Options for Employment~~ Hennepin County Vocational Services Program SWIFT ~~Number: 0000000000000~~ #:0000197294-048 Referral Contact(s) and phone number(s): Xxxx ~~Xxxxxxxxx 000~~Xxxxxxxxx-~~000~~Xxxxx 612-~~0000~~ 879-3532 Effective Date: ~~12/8/2019~~ 9/20/2017 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Employment Supports/Job Coaching for Short Term Job Supports $60 100 Hour ~~Transportation~~ Intake (~~Mileage Reimbursement~~Not Applicable to PBA) ~~Current IRS Rate Mile~~$125 Each Intake – Extended Employment $125 Each Job Seeking Skills Training $100 $1000 Hour Package (10-15 Hours)

Appears in 1 contract

Samples: mn.gov

Appears in 1 contract

Samples: mn.gov

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: Xxxxxx ~~Xxxx~~ Xxxxxxxxx Signature: Original signed Title: ~~Contracts Specialist~~ AMS Date: ~~12-8-2019~~ 6/30/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B B-2 – Fee-for-Service Rate Schedule ‌ Contractor: ~~Options for Employment~~ Occupational Development Center, Inc SWIFT Number: ~~0000000000000~~ 000000000000 Referral Contact(s) and ~~phone number(s~~Phone Number(s): Xxxx ~~Xxxxxxxxx~~ Xxxxxxx: 000-000-0000 Xxxx Xxxxxxxx: 218-681-6830 Xxxxxx Xxxxxx: 000-000-0000 Effective Date: ~~12/8/2019~~ October 11, 2019 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Customized Employment Discovery Process $65 $80 $75 Hour Hour (Miles > 9 miles from ODC) Employment Supports/Job Coaching for Short Term Job Supports $60 55 $70 Hour Hour (Miles > 9 miles from ODC) Intake (Not Applicable to PBA) $90 Each Intake – Extended Employment $90 Each Internship $18 Hour Job Seeking Skills Training $55 $70 Hour Hour (Miles > 9 miles from ODC) Service Title Fee Unit Job Shadowing $65 $80 Hour Hour (Miles > 9 miles from ODC) Job Tryout $65 $80 Hour Hour (Miles > 9 miles from ODC) On-the-Job Evaluation $65 $80 Hour Hour (Miles > 9 miles from ODC) Transportation (Mileage Reimbursement) Current IRS Rate Mile Transportation Training (Public Transportation Training) $65 $80 Hour Hour (Miles > 9 miles from ODC) Pre-Employment Transition Services (Pre-ETS) Pre-ETS Individual Rates Service Title Fee for Individual Rate Unit Pre-ETS Job Exploration Counseling Services $75 Hour Pre-ETS Independent Living Services or Soft Skills Training $75 Hour Pre-ETS Job Seeking Skills Training $75 Hour Pre-ETS Public Transportation Training $75 Hour Pre-ETS Informational Interview $75 Hour Pre-ETS Job Shadow $75 Hour Pre-ETS Workplace Tour/Field Trip $75 Hour Pre-ETS Work Experience - Services $75 Hour Pre-ETS Work Experience- Wages Wages + 25% Hour Pre-ETS Group Rate The group rate may be used for all Pre-ETS services listed in the individual rate section, with the exception of Work Experience – Services and Work Experience – Wages. Pre-ETS Rates Services performed 0-25 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider Individual Rate $ 75 $ 75 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider 2 $ 40 $ 80 3 $ 30 $ 90 4 $ 25 $ 100 5 $ 21 $ 105 6 $ 18 $ 108 7 $ 16 $ 112 8 $ 15 $ 120 9 $ 15 $ 135 10 $ 15 $ 150 11 $ 15 $ 165 12 $ 15 $ 180 13 $ 15 $ 195 14 $ 15 $ 210 15 $ 15 $ 225 Pre-ETS Travel Differential The travel differential rates may be used for all Pre-ETS services listed in the individual rate section. Travel Differential 26-50 miles from provider Travel Differential 51-75 miles from provider Travel Differential 76-100 miles from provider Travel Differential 101-125 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 90 $ 90 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 105 $ 105 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 120 $ 120 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 135 $ 135 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 50 $ 100 3 $ 35 $ 105 4 $ 30 $ 120 5 $ 26 $ 130 6 $ 23 $ 138 7 $ 21 $ 147 8 $ 20 $ 160 9 $ 20 $ 180 10 $ 20 $ 200 11 $ 20 $ 220 12 $ 20 $ 240 13 $ 20 $ 260 14 $ 20 $ 280 15 $ 20 $ 300 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 55 $ 110 3 $ 40 $ 120 4 $ 35 $ 140 5 $ 31 $ 155 6 $ 28 $ 168 7 $ 26 $ 182 8 $ 25 $ 200 9 $ 25 $ 225 10 $ 25 $ 250 11 $ 25 $ 275 12 $ 25 $ 300 13 $ 25 $ 325 14 $ 25 $ 350 15 $ 25 $ 375 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 65 $ 130 3 $ 45 $ 135 4 $ 40 $ 160 5 $ 36 $ 180 6 $ 33 $ 198 7 $ 31 $ 217 8 $ 30 $ 240 9 $ 30 $ 270 10 $ 30 $ 300 11 $ 30 $ 330 12 $ 30 $ 360 13 $ 30 $ 390 14 $ 30 $ 420 15 $ 30 $ 450 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 70 $ 140 3 $ 50 $ 150 4 $ 45 $ 180 5 $ 41 $ 205 6 $ 38 $ 228 7 $ 36 $ 252 8 $ 35 $ 280 9 $ 35 $ 315 10 $ 35 $ 350 11 $ 35 $ 385 12 $ 35 $ 420 13 $ 35 $ 455 14 $ 35 $ 490 15 $ 35 $ 525 Attachment B-1 – Fee-for-Service Rate Schedule Contractor: Occupational Development Center, Inc. SWIFT #: 0000000000000 Referral Contact(s) and phone number(s): Xxxx Xxxxxxx: 000-000-0000 Xxxx Xxxxxxxx: 218-681-6830 Xxxxxx Xxxxxx: 000-000-0000 Effective Date: December 12, 2018 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention ServicEes as refeXrenced aPt xxxxx://xXx.xXxx/xxxx/xXxx- seekers/disabilities/partners/ Yes No D Customized Employment Discovery Assessment Process $65 Hour $80 Hour (Miles > 9 miles from ODC) Employment Supports/Job Coaching for Short Term Job Supports $55 Hour $70 Hour (Miles > 9 miles from ODC) Intake (Not Applicable to PBA) $90 Each Intake – Extended Employment $90 Each Internship $18 Hour Job Seeking Skills Training $55 Hour $70 Hour (Miles > 9 miles from ODC) Service Title Fee Unit Job Shadowing $65 $80 Hour Hour (Miles > 9 miles from ODC) Job Tryout $65 $80 Hour Hour (Miles > 9 miles from ODC) On-the-Job Evaluation $65 $80 Hour Hour (Miles > 9 miles from ODC) Transportation (Mileage Reimbursement) Current IRS Rate Mile EXPIRED Attachment B – Fee-for-Service Rate Schedule‌ Contractor: Occupational Development Center, Inc SWIFT #:0000000000 Referral Contact(s) and phone number(s): June Schelde 000-000-0000 Xxxx Xxxxxxxx 218-681-6830 Xxxxxx Xxxxxx 000-000-0000 Effective Date: 7/1/2017 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No E mployment SuEpports/Job Cxoaching fpor Short TiermrJob Suepports d$55 $70 Hour Hour (Miles > 9 from ODC) Intake (Not Applicable to PBA) $90 Each Intake – Extended Employment $90 Each Internship $18 Hour Job Seeking Skills Training $55 Hour $70 Hour (Miles > 9 from ODC) Job Shadowing $65 Hour $80 Hour (Miles > 9 from ODC) Job Tryout $65 Hour (Miles > 9 from $80 ODC) Service Title Fee Unit On-the-Job Evaluation $65 $80 Hour (Miles > 9 from ODC) Transportation (Mileage Reimbursement) Current IRS Rate Mile

Appears in 1 contract

Samples: mn.gov

Appears in 1 contract

Samples: mn.gov

Appears in 1 contract

Samples: mn.gov

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: Xxxxxx Xxxx Signature: Original ~~signed~~ Signed Title: Contracts Specialist Date: ~~12-8-2019~~ 1/15/2019 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate ~~Schedule ‌~~ Schedule‌ Contractor: ~~Options for Employment~~ Xxxxxxx County Developmental Achievement Center SWIFT Number: 0000000000000 Referral Contact(s) and phone number(s): Xxxx ~~Xxxxxxxxx~~ Xxxxxxxx: 000-000-0000 Effective Date: ~~12/8/2019~~ January 15, 2019 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Background Check (DHS specific) $40 Each Consultation for Small Business $65 Hour Employee Development Services (Community Based) $55 Hour Employment Supports/Job Coaching for Short Term Job Supports $60 55 Hour ~~Transportation~~ Informational Interviews $65 Hour Intake (~~Mileage Reimbursement~~Not Applicable to PBA) ~~Current IRS Rate Mile~~$100 Each Internship $18 Hour Job Seeking Skills Training $65 Hour Job Shadowing $65 Hour Job Tryout $65 Hour On-the-Job Evaluation $65 Hour Work/Vocational Evaluation $65 Hour Attachment C Security and Data Protection Contractor is responsible for the security and protection of State data subject to and related to Cloud Services in this Contract. The terms, conditions, and provisions of this Security and Data Protection section take precedence and will prevail over any other terms, conditions, and provisions of the Contract, if in conflict. This Security and Data Protection section, including its sub-sections, survives the completion, termination, expiration, or cancellation of the Contract. For the purposes of this Security and Data Protection section, the following terms have the following meanings:

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement ~~Print Name: Xxxxxx Xxxx~~ Signature: Original signed Title: ~~Contracts Specialist~~ Vocational Rehabilitation Services Director Date: ~~12-8-2019~~ 1/21/2020 Print Name: Xxxx Xxxxxxxxx Signature: Original signed Title: AMS Date: 1/27/20 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate ~~Schedule ‌~~ Schedule‌ Contractor: ~~Options for~~ Arrowhead Community Employment SWIFT Number: 0000000000000 Referral Contact(s) and phone number(s): ~~Xxxx Xxxxxxxxx 000~~Xxxxx Xxxxxx 218-~~000~~464-~~0000~~ 2605 Effective Date: ~~12/8/2019~~ 1/27/2020 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Background Check (DHS specific) $29.15 Each Customized Employment Discovery Assessment Process $75 Hour Driver’s Training $37 Hour Employee Development Services (Community Based) $37 Hour Employee Development Services (In-House) $37 Hour Employment Supports/Job Coaching for Short Term Job Supports $60 37 Hour Informational Interviews $37 Hour Intake (Not Applicable to PBA) $37 Hour Internship $18 Hour Job Seeking Skills Training $37 Hour Job Shadowing $37 Hour Job Tryout $37 Hour On-the-Job Evaluation $37 Hour Service Title Fee Unit Postsecondary Supports (Remedial Training or Services) $37 Hour Transportation (Mileage Reimbursement) Current IRS Rate ~~Mile~~Mile Work/Vocational Evaluation $37 Hour Attachment C Security and Data Protection Contractor is responsible for the security and protection of State data subject to and related to Cloud Services in this Contract. The terms, conditions, and provisions of this Security and Data Protection section take precedence and will prevail over any other terms, conditions, and provisions of the Contract, if in conflict. This Security and Data Protection section, including its sub-sections, survives the completion, termination, expiration, or cancellation of the Contract. For the purposes of this Security and Data Protection section, the following terms have the following meanings:

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: ~~Xxxxxx~~ Xxxxxxxxx Xxxx Signature: Original signed Title: Contracts Specialist Date: ~~12-8-2019~~ 7/7/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B B-1 – Fee-for-Service Rate Schedule ‌ Contractor: ~~Options for Employment~~ Southern Minnesota Independent Living Services and Enterprises (SMILES) SWIFT Number: ~~0000000000000~~ 0000000000 Referral Contact(s) and ~~phone number(s~~Phone Number(s): ~~Xxxx Xxxxxxxxx 000~~Xxxxxx Xxxxxxxx 507-~~000~~345-~~0000~~ 7139 Effective Date: ~~12/8/2019~~ October 1, 2019 Service Title Fee Unit ~~Placement~~ Benefits Coaching and ~~Retention Services~~ Planning under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for ~~Placement~~ Benefits Coaching and ~~Retention~~ Planning Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No ~~Employment Supports/Job Coaching for Short Term Job Supports~~ Rehabilitation Technology Assessments $60 57.86 Hour ~~Transportation (Mileage Reimbursement) Current IRS Rate Mile~~Rehabilitation Technology Training $57.86 Hour

Appears in 1 contract

Samples: mn.gov

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: ~~Xxxxxx~~ Xxxx Xxxxxxxxx Signature: Original signed Title: ~~Contracts Specialist~~ AMS Date: ~~12-8-2019~~ 6/29/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B B-1 – Fee-for-Service Rate Schedule ‌ Contractor: ~~Options for~~ LJ & A Employment Counseling and Placement Services, LLC SWIFT Number: ~~0000000000000~~ 0000000000 Referral Contact(s) and ~~phone number(s~~Phone Number(s): ~~Xxxx~~ Xxxxxxxxx ~~000~~Xxxxx 651-~~000~~481-~~0000 Effective Date: 12/8/2019~~ 0090 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Cancellation Fee $100 Each Employee Development Services (Community Based) $65 Hour Employment Supports/Job Coaching for Short Term Job Supports $60 75 Hour Informational Interviews (Transition/Youth Pre-ETS) $55 Hour Intake (Not Applicable to PBA) $125 Each Internship $18 Hour Job Seeking Skills Training $75 Hour Job Shadowing $55 Hour Job Tryout $55 Hour On-the-Job Evaluation $75 Hour Social Coaching (Personal Adjustment Training) $75 Hour Transportation (Mileage Reimbursement) Current IRS Rate ~~Mile~~Mile Other – Internship Setup Fee $350 Each Effective Date: October 23, 2019 Pre-Employment Transition Services (Pre-ETS) Pre-ETS Individual Rates Service Title Fee for Individual Rate Unit Pre-ETS Job Exploration Counseling Services $75 Hour Pre-ETS Post-Secondary Education Counseling Services $75 Hour Pre-ETS Benefits Information Services $75 Hour Pre-ETS Independent Living Services or Soft Skills Training $75 Hour Pre-ETS Job Seeking Skills Training $75 Hour Pre-ETS Public Transportation Training $75 Hour Pre-ETS Instruction in Self-Advocacy Services $75 Hour Pre-ETS Informational Interview $75 Hour Pre-ETS Job Shadow $75 Hour Pre-ETS Service Learning $75 Hour Pre-ETS Workplace Tour/Field Trip $75 Hour Pre-ETS Work Experience - Services $75 Hour Pre-ETS Work Experience- Wages Wages + 25% Hour Pre-ETS Travel Differential The travel differential rates may be used for all Pre-ETS services listed in the individual rate section. Travel Individual Rate / Travel Differential Cost Per Student Per Hour 0 - 25 miles from provider Individual Rate $75 26-50 miles from provider Individual Rate + Travel Differential $90 51-75 miles from provider Individual Rate + Travel Differential $105 76-100 miles from provider Individual Rate + Travel Differential $120 101-125 miles from provider Individual Rate + Travel Differential $135 Attachment B – Fee-for-Service Rate Schedule‌ Contractor: LJ&A Employment Counseling and Placement Services, LLC SWIFT #:0000000000 Referral Contact(s) and phone number(s): Xxxxxxxxx Xxxxx 651-481-0090 Effective Date: 7/1/2017 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Cancellation Fee $100 Each Employee Development Services (Community Based) $65 Hour Employment Supports/Job Coaching for Short Term Job Supports $75 Hour Informational Interviews (Transition/Youth Pre-ETS) $55 Hour Intake (Not Applicable to PBA) $125 Each Internship $18 Hour Job Seeking Skills Training $75 Hour Job Shadowing $55 Hour Job Tryout $55 Hour On-the-Job Evaluation $75 Hour Social Coaching (Personal Adjustment Training) $75 Hour Transportation (Mileage Reimbursement) Current IRS Rate Mile EXPIRED Service Title Fee Unit Other – Internship Setup Fee $350 Each EXPIRED Attachment C Security and Data Protection Contractor is responsible for the security and protection of State data subject to and related to Cloud Services in this Contract. The terms, conditions, and provisions of this Security and Data Protection section take precedence and will prevail over any other terms, conditions, and provisions of the Contract, if in conflict. This Security and Data Protection section, including its sub-sections, survives the completion, termination, expiration, or cancellation of the Contract. For the purposes of this Security and Data Protection section, the following terms have the following meanings:

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: Xxxxxx ~~Xxxx~~ Xxxxxxxxx Signature: Original signed Title: ~~Contracts Specialist~~ AMS Date: ~~12-8-2019~~ 8/3/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B B-1 – Fee-for-Service Rate Schedule ‌ Contractor: ~~Options for Employment~~ Allina Health dba Courage Xxxxxx Rehabilitation Institute SWIFT Vendor Number: ~~0000000000000~~ 0000000000 Referral Contact(s) and phone number(s): ~~Xxxx Xxxxxxxxx~~ Xxxxxxxx Xxx (Vocational Services): 000-000-0000 Xxxx Xxxxxxx (Vocational Services): 000-000-0000 Driver Assessment and Training: 000-000-0000(phone)/000-000-0000(fax) Effective Date: ~~12/8/2019~~ 10/19/2018 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Occupational Communication Specialist Services (OCSS) Differential for PBA $400 Each Cancellation Fee $100 Day, if notified less than 2 business days prior to appointment for Rehabilitation Technology Assessments/training or Vocational Evaluation appointment $150 Day, if notified less than 4 business days prior to Work Evaluation appointment $100 Fee, if notified less than 1 business day prior to Post Secondary Navigation of Career Navigation appointment Service Title Fee Unit Employment Supports/Job Coaching for Short Term Job Supports $60 75 Hour ~~Transportation~~ Informational Interviews $100 Hour Intake (~~Mileage Reimbursement~~Not Applicable to PBA) ~~Current IRS~~ $85 Each Intake – Extended Employment $85 Each Job Seeking Skills Training $600 Each On-the-Job Evaluation $120 Hour Postsecondary Supports (Remedial Training or Services) $120 Hour Work/Vocational Evaluation $400 Day $100 Each Staffing $2,500 Each 4 week in house work evaluation $1,000 Cancellation fee through 1st week of Service $1,500 Cancellation fee through 2nd week of Service $2,000 Cancellation fee through 3rd week of Service $120 Hour $80 Hour Vocational Evaluation $500 Day of Vocational Evaluation (off site, 7 county metro area) Driver and assessment training services have fees that are negotiated for each year of the contract and are set forth in a separate fee schedule below: Service Title Fee: 2018 Fee: 2019 Fee: 2020 Fee: 2021 Fee: 2022 Unit Rehabilitation (Assistive) Technology Assessments $400 $400 $400 $400 $400 Day $150 $150 $150 $150 $150 Per Hour of Consultation Driver Comprehensive Evaluation $426 $439 $452 $466 $479 Each Sedan Evaluation $559 $576 $593 $611 $629 Each Van Evaluation Post Vehicle Equipment Assessment $331 $341 $351 $362 $373 Each Post Vehicle Modification Assessment $404 $416 $428 $442 $454 Each: 2 Hour Sedan Lesson $560 $576 $594 $612 $630 Each: 2 Hour Van Lesson Rehabilitation (Assistive) Technology Training $100 $100 $100 $100 $100 Per Hour $150 $150 $150 $150 $150 Per Hour if Community Based $202 $208 $214 $221 $227 Per Hour for Sedan Lesson $280 $288 $297 $306 $315 Per Hour for Van Lesson State Road Test $404 $416 $428 $442 $454 Each: 2 Hour Sedan Lesson $560 $576 $594 $612 $630 Each: 2 Hour Van Lesson Attachment B – Fee-for-Service Rate ~~Mile~~Schedule‌ Contractor: Allina Health Systems dba Sister Xxxxx Rehabilitation Institute SWIFT #:0000000000 Referral Contact(s) and phone number(s): Intake Coordinator: Xxxxxxxx Xxx, 000-000-0000 Supervisor: Xxxx Xxxxxxx, 000-000-0000 Effective Date: 8/3/2017 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See PerformancEe Based Agrexement (PpBA) for Pliacemrent aend Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No d Service Title Fee Unit Cancellation Fee Expire $100 $150 $100 d Day, if notified less than 2 business days prior to appointment for Rehabilitation Technology Assessments or Vocational Evaluation appointment Day, if notified less than 4 business days prior to Work Evaluation appointment Fee, if notified less than 1 business day prior to Postsecondary Navigation or Career Navigation appointment Employment Supports/Job Coaching for Short Term Job Supports $75 Hour Informational Interviews (Transition/Youth Pre-ETS) $100 Hour Intake (Not Applicable to PBA) $85 Client Intake – Extended Employment $85 Client Job Seeking Skills Training $600 Each On-the-Job Evaluation $120 Hour Postsecondary Supports (Remedial Training or Services) $120 Hour Rehabilitation (Assistive) Technology Assessments $400 $150 Day Hour of consultation Rehabilitation (Assistive) Technology Training $100 $150 Hour Hour in community Service Title Fee Unit Work/Vocational Evaluation Expire $400 $100 $2,500 $1,000 $1,500 $2,000 $120 d$80 $500 Day Staffing - Each 4 weeks, in-house work evaluation Cancellation fee through 1st week of service Cancellation fee through 2nd week of service Cancellation fee through 3rd week of service Hour of Career Navigation Hour of Vocational Evaluation Day of Vocational Evaluation (off site, 7 county metro area) Attachment C

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to ~~Office of State Procurement~~ Materials Management Division Print Name: ~~Xxxxxx Xxxx~~ Signature: ~~Original signed~~ Title: ~~Contracts Specialist~~ Date: ~~12-8-2019~~ Attachment A – Work ~~Plan~~ Plan‌ Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/~~partners/.~~ partners/ Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate ~~Schedule ‌~~ Schedule‌ Contractor: ~~Options for Employment~~ SWIFT ~~Number~~#: ~~0000000000000~~ Referral Contact(s) and phone number(s): ~~Xxxx Xxxxxxxxx 000-000-0000~~ Effective Date: ~~12/8/2019~~ Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Occupational Communication Specialist Services (OCSS) Differential for PBA $400 Each Background Check (DHS specific) Benefits Counseling/Benefits Analysis Cancellation Fee Consultation for Small Business Customized Employment Driver’s Training Employee Development Services (Community Based) Employee Development Services (In-House) Employment Supports/Job Coaching for Short Term Job Supports ~~$60 Hour~~ Informational Interviews (Transition/Youth Pre-ETS) Service Title Fee Unit Intake (Not Applicable to PBA) Intake – Extended Employment Internship Job Seeking Skills Training Job Shadowing Job Tryout On-the-Job Evaluation Postsecondary Supports (Remedial Training or Services) Rehabilitation (Assistive) Technology Assessments Rehabilitation (Assistive) Technology Training Skill Training/Occupational Vocational Training (specify): Social Coaching (Personal Adjustment Training) Transportation (Mileage Reimbursement) ~~Current IRS Rate Mile~~Transportation Training (Public Transportation Training) Work/Vocational Evaluation Other - Specify

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: Xxxxxx ~~Xxxx~~ Xxxxxxxxx Signature: Original signed Title: ~~Contracts Specialist~~ AMS Date: ~~12-8-2019~~ 7/14/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B-1 – Fee-for-Service Rate Schedule Contractor: Lifetrack Resources, Inc SWIFT Number: 0000000000 Referral Contact(s) and Phone Number(s): Effective Date: November 18, 2019 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) Customized Employment under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Yes No Cancellation Fee $185 Each Customized Employment Discovery Assessment Process $65 $75 Hour Employment Supports/Job Coaching for Short Term Job Supports $50 $65 Hour Informational Interviews (Transition/Youth Pre-ETS) $40 $75 Hour Intake (Not Applicable to PBA) $100 Each Intake – Extended Employment $100 Each Job Seeking Skills Training $65 Hour Job Shadowing $185 Day Service Title Fee Unit On-the-Job Evaluation $185 Day Postsecondary Supports (Remedial Training or Services) Rehabilitation (Assistive) Technology Assessments Rehabilitation (Assistive) Technology Training Skill Training/Occupational Vocational Training: Customer Service Training $700 Each 60 Hour Training Transportation (Mileage Reimbursement) $.053 Current Federal IRS Rate Mile Transportation Training (Public Transportation Training) $50 Hour Work/Vocational Evaluation $185 Day Pre-Employment Transition Services (Pre-ETS) Pre-ETS Individual Rates Service Title Fee for Individual Rate Unit Pre-ETS Job Exploration Counseling Services $75 Hour Pre-ETS Post-Secondary Education Counseling Services $75 Hour Pre-ETS Benefits Information Services $75 Hour Pre-ETS Independent Living Services or Soft Skills Training $75 Hour Pre-ETS Job Seeking Skills Training $75 Hour Pre-ETS Public Transportation Training $75 Hour Pre-ETS Instruction in Self-Advocacy Services $75 Hour Pre-ETS Informational Interview $75 Hour Pre-ETS Job Shadow $75 Hour Pre-ETS Service Learning $75 Hour Pre-ETS Workplace Tour/Field Trip $75 Hour Pre-ETS Work Experience - Services $75 Hour Pre-ETS Work Experience- Wages Wages + 25% Hour Pre-ETS Group Rate The group rate may be used for all Pre-ETS services listed in the individual rate section, with the exception of Work Experience – Services and Work Experience – Wages. Pre-ETS Rates Services performed 0-25 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider Individual Rate $ 75 $ 75 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider 2 $ 40 $ 80 3 $ 30 $ 90 4 $ 25 $ 100 5 $ 21 $ 105 6 $ 18 $ 108 7 $ 16 $ 112 8 $ 15 $ 120 9 $ 15 $ 135 10 $ 15 $ 150 11 $ 15 $ 165 12 $ 15 $ 180 13 $ 15 $ 195 14 $ 15 $ 210 15 $ 15 $ 225 Pre-ETS Travel Differential The travel differential rates may be used for all Pre-ETS services listed in the individual rate section. Travel Differential 26-50 miles from provider Travel Differential 51-75 miles from provider Travel Differential 76-100 miles from provider Travel Differential 101-125 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 90 $ 90 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 105 $ 105 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 120 $ 120 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 135 $ 135 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 50 $ 100 3 $ 35 $ 105 4 $ 30 $ 120 5 $ 26 $ 130 6 $ 23 $ 138 7 $ 21 $ 147 8 $ 20 $ 160 9 $ 20 $ 180 10 $ 20 $ 200 11 $ 20 $ 220 12 $ 20 $ 240 13 $ 20 $ 260 14 $ 20 $ 280 15 $ 20 $ 300 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 55 $ 110 3 $ 40 $ 120 4 $ 35 $ 140 5 $ 31 $ 155 6 $ 28 $ 168 7 $ 26 $ 182 8 $ 25 $ 200 9 $ 25 $ 225 10 $ 25 $ 250 11 $ 25 $ 275 12 $ 25 $ 300 13 $ 25 $ 325 14 $ 25 $ 350 15 $ 25 $ 375 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 65 $ 130 3 $ 45 $ 135 4 $ 40 $ 160 5 $ 36 $ 180 6 $ 33 $ 198 7 $ 31 $ 217 8 $ 30 $ 240 9 $ 30 $ 270 10 $ 30 $ 300 11 $ 30 $ 330 12 $ 30 $ 360 13 $ 30 $ 390 14 $ 30 $ 420 15 $ 30 $ 450 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 70 $ 140 3 $ 50 $ 150 4 $ 45 $ 180 5 $ 41 $ 205 6 $ 38 $ 228 7 $ 36 $ 252 8 $ 35 $ 280 9 $ 35 $ 315 10 $ 35 $ 350 11 $ 35 $ 385 12 $ 35 $ 420 13 $ 35 $ 455 14 $ 35 $ 490 15 $ 35 $ 525 Attachment B – Fee-for-Service Rate ~~Schedule ‌~~ Schedule‌ Contractor: ~~Options for Employment~~ Lifetrack Resources, Inc SWIFT ~~Number: 0000000000000~~ #:0000000000 Referral Contact(s) and phone number(s): ~~Xxxx Xxxxxxxxx~~ Xxxxx XxxXxxxxxxx, Manager of Vocational Services 000-000-0000 ~~Effective Date: 12/8/2019~~ or Xxxxxx@xxxxxxxxx-xx.xxx Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Cancellation Fee $185 Each Customized Employment $65 Hour Employment Supports/Job Coaching for Short Term Job Supports $50 Hour Informational Interviews (Transition/Youth Pre-ETS) $40 Hour Intake (Not Applicable to PBA) $100 Each Intake – Extended Employment $100 Each Job Seeking Skills Training $65 Hour Job Shadowing $185 Day On-the-Job Evaluation $185 Day Skill Training/Occupational Vocational Training: Customer Service Training $700 60 Hour Training Transportation (Mileage Reimbursement) ~~Current IRS Rate Mile~~$0.53 Mile Effective Date: 7/14/2017 EXPIRED Service Title Fee Unit Transportation Training (Public Transportation Training) $50 Hour Work/Vocational Evaluation $185 Day EXPIRED Attachment C Security and Data Protection Contractor is responsible for the security and protection of State data subject to and related to Cloud Services in this Contract. The terms, conditions, and provisions of this Security and Data Protection section take precedence and will prevail over any other terms, conditions, and provisions of the Contract, if in conflict. This Security and Data Protection section, including its sub-sections, survives the completion, termination, expiration, or cancellation of the Contract. For the purposes of this Security and Data Protection section, the following terms have the following meanings:

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: Xxxxxx ~~Xxxx~~ Xxxxxxxxx Signature: Original signed Title: ~~Contracts Specialist~~ AMS Date: ~~12-8-2019~~ 7/14/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B B-1 – Fee-for-Service Rate Schedule ‌ Contractor: ~~Options for Employment~~ Enlightening Advantage, LLC SWIFT Number: ~~0000000000000~~ 0000000000 Referral Contact(s) and ~~phone number(s~~Phone Number(s): ~~Xxxx Xxxxxxxxx 000-000-0000~~ Xxxxx Xxxxxxxx Effective Date: ~~12/8/2019~~ November 12, 2019 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Cancellation Fee $100 Each Occurrence Employee Development Services (Community Based) $60 Hour Employment Supports/Job Coaching for Short Term Job Supports $50 $70 Per Hour (During Business Hours, 9 am- 5pm) Intake – Extended Employment $125 Each Job Seeking Skills Training $50 Hour Job Tryout $50 $60 Hour (w/out Coach) Hour (w/Coach) On-the-Job Evaluation $60 Hour Skill Training/Occupational Vocational Training: Customer Service Skill Training $80 Hour Service Title Fee Unit Transportation (Mileage Reimbursement) Current IRS Rate ~~Mile~~Mile Pre-Employment Transition Services (Pre-ETS) Pre-ETS Individual Rates Service Title Fee for Individual Rate Unit Pre-ETS Job Exploration Counseling Services $75 Hour Pre-ETS Post-Secondary Education Counseling Services $75 Hour Pre-ETS Benefits Information Services $75 Hour Pre-ETS Independent Living Services or Soft Skills Training $75 Hour Pre-ETS Job Seeking Skills Training $75 Hour Pre-ETS Public Transportation Training $75 Hour Pre-ETS Instruction in Self-Advocacy Services $75 Hour Pre-ETS Informational Interview $75 Hour Pre-ETS Job Shadow $75 Hour Pre-ETS Service Learning $75 Hour Pre-ETS Workplace Tour/Field Trip $75 Hour Pre-ETS Work Experience - Services $75 Hour Pre-ETS Work Experience- Wages Wages + 25% Hour Pre-ETS Group Rate The group rate may be used for all Pre-ETS services listed in the individual rate section, with the exception of Work Experience – Services and Work Experience – Wages. Pre-ETS Rates Services performed 0-25 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider Individual Rate $ 75 $ 75 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider 2 $ 40 $ 80 3 $ 30 $ 90 4 $ 25 $ 100 5 $ 21 $ 105 6 $ 18 $ 108 7 $ 16 $ 112 8 $ 15 $ 120 9 $ 15 $ 135 10 $ 15 $ 150 11 $ 15 $ 165 12 $ 15 $ 180 13 $ 15 $ 195 14 $ 15 $ 210 15 $ 15 $ 225 Pre-ETS Travel Differential The travel differential rates may be used for all Pre-ETS services listed in the individual rate section. Travel Differential 26-50 miles from provider Travel Differential 51-75 miles from provider Travel Differential 76-100 miles from provider Travel Differential 101-125 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 90 $ 90 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 105 $ 105 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 120 $ 120 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 135 $ 135 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 50 $ 100 3 $ 35 $ 105 4 $ 30 $ 120 5 $ 26 $ 130 6 $ 23 $ 138 7 $ 21 $ 147 8 $ 20 $ 160 9 $ 20 $ 180 10 $ 20 $ 200 11 $ 20 $ 220 12 $ 20 $ 240 13 $ 20 $ 260 14 $ 20 $ 280 15 $ 20 $ 300 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 55 $ 110 3 $ 40 $ 120 4 $ 35 $ 140 5 $ 31 $ 155 6 $ 28 $ 168 7 $ 26 $ 182 8 $ 25 $ 200 9 $ 25 $ 225 10 $ 25 $ 250 11 $ 25 $ 275 12 $ 25 $ 300 13 $ 25 $ 325 14 $ 25 $ 350 15 $ 25 $ 375 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 65 $ 130 3 $ 45 $ 135 4 $ 40 $ 160 5 $ 36 $ 180 6 $ 33 $ 198 7 $ 31 $ 217 8 $ 30 $ 240 9 $ 30 $ 270 10 $ 30 $ 300 11 $ 30 $ 330 12 $ 30 $ 360 13 $ 30 $ 390 14 $ 30 $ 420 15 $ 30 $ 450 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 70 $ 140 3 $ 50 $ 150 4 $ 45 $ 180 5 $ 41 $ 205 6 $ 38 $ 228 7 $ 36 $ 252 8 $ 35 $ 280 9 $ 35 $ 315 10 $ 35 $ 350 11 $ 35 $ 385 12 $ 35 $ 420 13 $ 35 $ 455 14 $ 35 $ 490 15 $ 35 $ 525 Attachment B – Fee-for-Service Rate Schedule‌ Contractor: Enlightening Advantage, LLC SWIFT #:0000000000 Referral Contact(s) and phone number(s): Xxxxx Xxxxxxxx Effective Date: Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Cancellation Fee $100 Each Occurrence Employee Development Services (Community Based) $60 Hour Employment Supports/Job Coaching for Short Term Job Supports $50 Per Hour (During Business Hours, 9am- 5pm) $70 Per Hour (Outside Normal Business Hours) Intake (Not Applicable to PBA) $125 Each Job Seeking Skills Training $50 Hour Job Tryout $50 Hour (w/out Coach) $60 Hour (w/Coach) On-the-Job Evaluation $60 Hour Skill Training/Occupational Vocational Training: Customer Service Skills Training $80 Hour 7/14/2017 EXPIRED Service Title Fee Unit Transportation (Mileage Reimbursement) Current IRS Rate Mile EXPIRED

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Title: Vocational Rehabilitation Services Director Date: 4/7/2020 Print Name: ~~Xxxxxx~~ XxXxxx Xxxx Signature: Original signed Title: Contracts Specialist Date: ~~12-8-2019~~ 4/28/2020 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate ~~Schedule ‌~~ Schedule‌ Contractor: ~~Options for Employment~~ Range Center, Inc. SWIFT Number: 0000000000000 Referral Contact(s) and phone number(s): ~~Xxxx Xxxxxxxxx~~ Xxxxx Xxxxxxx 000-000-0000 or 000-000-0000 Effective Date: ~~12/8/2019~~ 4/28/2020 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Customized Employment Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Yes No Customized Employment $75 Hour Employee Development Services (Community Based) $60 Hour Employee Development Services (In-House) $60 Hour Employment Supports/Job Coaching for Short Term Job Supports $60 50 Hour ~~Transportation~~ Informational Interviews $40 Hour Intake (~~Mileage Reimbursement~~Not Applicable to PBA) ~~Current IRS~~ $70 Each Job Seeking Skills Training $50 Hour Job Shadowing $40 Hour Job Tryout $50 Hour Service Title Fee Unit On-the-Job Evaluation $65 Hour Pre-Employment Transition Services (Pre-ETS) Pre-ETS Individual Rates Service Title Fee for Individual Rate ~~Mile~~Unit Pre-ETS Job Exploration Counseling Services $75 Hour Pre-ETS Post-Secondary Education Counseling Services $75 Hour Pre-ETS Job Seeking Skills Training $75 Hour Pre-ETS Informational Interview $75 Hour Pre-ETS Job Shadow $75 Hour Pre-ETS Workplace Tour/Field Trip $75 Hour Pre-ETS Work Experience - Services $75 Hour Pre-ETS Work Experience- Wages Wages + 25% Hour Pre-ETS Group Rate The group rate may be used for all Pre-ETS services listed in the individual rate section, with the exception of Work Experience – Services and Work Experience – Wages. Pre-ETS Rates Services performed 0-25 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider Individual Rate $ 75 $ 75 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider 2 $ 40 $ 80 3 $ 30 $ 90 4 $ 25 $ 100 5 $ 21 $ 105 6 $ 18 $ 108 7 $ 16 $ 112 8 $ 15 $ 120 9 $ 15 $ 135 10 $ 15 $ 150 11 $ 15 $ 165 12 $ 15 $ 180 13 $ 15 $ 195 14 $ 15 $ 210 15 $ 15 $ 225 Pre-ETS Travel Differential The travel differential rates may be used for all Pre-ETS services listed in the individual rate section. Travel Differential 26-50 miles from provider Travel Differential 51-75 miles from provider Travel Differential 76-100 miles from provider Travel Differential 101-125 miles from provider Individual Rate Individual Rate Individual Rate Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 90 $ 90 Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 105 $ 105 Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 120 $ 120 Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 135 $ 135 Group Rates Group Rates Group Rates Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 50 $ 100 3 $ 35 $ 105 4 $ 30 $ 120 5 $ 26 $ 130 6 $ 23 $ 138 7 $ 21 $ 147 8 $ 20 $ 160 9 $ 20 $ 180 10 $ 20 $ 200 11 $ 20 $ 220 12 $ 20 $ 240 13 $ 20 $ 260 14 $ 20 $ 280 15 $ 20 $ 300 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 55 $ 110 3 $ 40 $ 120 4 $ 35 $ 140 5 $ 31 $ 155 6 $ 28 $ 168 7 $ 26 $ 182 8 $ 25 $ 200 9 $ 25 $ 225 10 $ 25 $ 250 11 $ 25 $ 275 12 $ 25 $ 300 13 $ 25 $ 325 14 $ 25 $ 350 15 $ 25 $ 375 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 65 $ 130 3 $ 45 $ 135 4 $ 40 $ 160 5 $ 36 $ 180 6 $ 33 $ 198 7 $ 31 $ 217 8 $ 30 $ 240 9 $ 30 $ 270 10 $ 30 $ 300 11 $ 30 $ 330 12 $ 30 $ 360 13 $ 30 $ 390 14 $ 30 $ 420 15 $ 30 $ 450 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 70 $ 140 3 $ 50 $ 150 4 $ 45 $ 180 5 $ 41 $ 205 6 $ 38 $ 228 7 $ 36 $ 252 8 $ 35 $ 280 9 $ 35 $ 315 10 $ 35 $ 350 11 $ 35 $ 385 12 $ 35 $ 420 13 $ 35 $ 455 14 $ 35 $ 490 15 $ 35 $ 525 Attachment C Security and Data Protection Contractor is responsible for the security and protection of State data subject to and related to Cloud Services in this Contract. The terms, conditions, and provisions of this Security and Data Protection section take precedence and will prevail over any other terms, conditions, and provisions of the Contract, if in conflict. This Security and Data Protection section, including its sub-sections, survives the completion, termination, expiration, or cancellation of the Contract. For the purposes of this Security and Data Protection section, the following terms have the following meanings:

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: ~~Xxxxxx~~ XxXxxx Xxxx Signature: Title: Original signed ~~Title:~~ Contracts Specialist Date: ~~12-8-2019~~ 6/11/2020 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate Schedule ‌ Contractor: ~~Options for~~ Empower Inclusive Employment and Education SWIFT Number: 0000000000000 Referral Contact(s) and phone number(s): Xxxx ~~Xxxxxxxxx~~ Xxxxxx 000-000-0000 Effective Date: ~~12/8/2019~~ 6/11/2020 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Customized Employment $75 Hour Employee Development Services (Community Based) $75 Hour Employment Supports/Job Coaching for Short Term Job Supports $60 75 Hour Informational Interviews $100 Each Internship $18 Hour Job Seeking Skills Training $75 Hour Job Shadowing $75 Hour Job Tryout $75 Hour On-the-Job Evaluation $75 Hour Transportation (Mileage Reimbursement) Current IRS Rae Mile Pre-Employment Transition Services (Pre-ETS) Pre-ETS Individual Rates Service Title Fee for Individual Rate ~~Mile~~Unit Pre-ETS Job Exploration Counseling Services $75 Hour Pre-ETS Post-Secondary Education Counseling Services $75 Hour Pre-ETS Independent Living Services or Soft Skills Training $75 Hour Pre-ETS Job Seeking Skills Training $75 Hour Pre-ETS Public Transportation Training $75 Hour Pre-ETS Instruction in Self-Advocacy Services $75 Hour Pre-ETS Informational Interview $75 Hour Pre-ETS Job Shadow $75 Hour Pre-ETS Service Learning $75 Hour Pre-ETS Workplace Tour/Field Trip $75 Hour Pre-ETS Work Experience - Services $75 Hour Pre-ETS Work Experience- Wages Wages + 25% Hour Pre-ETS Group Rate The group rate may be used for all Pre-ETS services listed in the individual rate section, with the exception of Work Experience – Services and Work Experience – Wages. Pre-ETS Rates Services performed 0-25 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider Individual Rate $ 75 $ 75 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider 2 $ 40 $ 80 3 $ 30 $ 90 4 $ 25 $ 100 5 $ 21 $ 105 6 $ 18 $ 108 7 $ 16 $ 112 8 $ 15 $ 120 9 $ 15 $ 135 10 $ 15 $ 150 11 $ 15 $ 165 12 $ 15 $ 180 13 $ 15 $ 195 14 $ 15 $ 210 15 $ 15 $ 225 Pre-ETS Travel Differential The travel differential rates may be used for all Pre-ETS services listed in the individual rate section. Travel Differential

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: ~~Xxxxxx~~ Xxxx Xxxxxxxxx Signature: Original signed Title: ~~Contracts Specialist~~ AMS Date: ~~12-8-2019~~ 6/29/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B-1 – Fee-for-Service Rate Schedule Contractor: Tasks Unlimited, Inc SWIFT Number: 0000000000 Referral Contact(s) and Phone Number(s): Xxx Xxxxxx, 000-000-0000 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) Customized Employment Performance Based Agreement See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Yes No Customized Employment Discovery Assessment Process $75 Hour Employee Development Services (Community Based) $270 Week Effective Date: October 14, 2019 Pre-Employment Transition Services (Pre-ETS) Pre-ETS Individual Rates Service Title Fee for Individual Rate Unit Pre-ETS Job Exploration Counseling Services $75 Hour Pre-ETS Post-Secondary Education Counseling Services $75 Hour Pre-ETS Independent Living Services or Soft Skills Training $75 Hour Service Title Fee for Individual Rate Unit Pre-ETS Job Seeking Skills Training $75 Hour Pre-ETS Public Transportation Training $75 Hour Pre-ETS Instruction in Self-Advocacy Services $75 Hour Pre-ETS Informational Interview $75 Hour Pre-ETS Job Shadow $75 Hour Pre-ETS Workplace Tour/Field Trip $75 Hour Pre-ETS Group Rate The group rate may be used for all Pre-ETS services listed in the individual rate section, with the exception of Work Experience – Services and Work Experience – Wages. Pre-ETS Rates Services performed 0-25 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider Individual Rate $ 75 $ 75 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider 2 $ 40 $ 80 3 $ 30 $ 90 4 $ 25 $ 100 5 $ 21 $ 105 6 $ 18 $ 108 7 $ 16 $ 112 8 $ 15 $ 120 9 $ 15 $ 135 10 $ 15 $ 150 11 $ 15 $ 165 12 $ 15 $ 180 13 $ 15 $ 195 14 $ 15 $ 210 15 $ 15 $ 225 Pre-ETS Travel Differential The travel differential rates may be used for all Pre-ETS services listed in the individual rate section. Travel Differential 26-50 miles from provider Travel Differential 51-75 miles from provider Travel Differential 76-100 miles from provider Travel Differential 101-125 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 90 $ 90 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 105 $ 105 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 120 $ 120 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 135 $ 135 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 50 $ 100 3 $ 35 $ 105 4 $ 30 $ 120 5 $ 26 $ 130 6 $ 23 $ 138 7 $ 21 $ 147 8 $ 20 $ 160 9 $ 20 $ 180 10 $ 20 $ 200 11 $ 20 $ 220 12 $ 20 $ 240 13 $ 20 $ 260 14 $ 20 $ 280 15 $ 20 $ 300 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 55 $ 110 3 $ 40 $ 120 4 $ 35 $ 140 5 $ 31 $ 155 6 $ 28 $ 168 7 $ 26 $ 182 8 $ 25 $ 200 9 $ 25 $ 225 10 $ 25 $ 250 11 $ 25 $ 275 12 $ 25 $ 300 13 $ 25 $ 325 14 $ 25 $ 350 15 $ 25 $ 375 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 65 $ 130 3 $ 45 $ 135 4 $ 40 $ 160 5 $ 36 $ 180 6 $ 33 $ 198 7 $ 31 $ 217 8 $ 30 $ 240 9 $ 30 $ 270 10 $ 30 $ 300 11 $ 30 $ 330 12 $ 30 $ 360 13 $ 30 $ 390 14 $ 30 $ 420 15 $ 30 $ 450 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 70 $ 140 3 $ 50 $ 150 4 $ 45 $ 180 5 $ 41 $ 205 6 $ 38 $ 228 7 $ 36 $ 252 8 $ 35 $ 280 9 $ 35 $ 315 10 $ 35 $ 350 11 $ 35 $ 385 12 $ 35 $ 420 13 $ 35 $ 455 14 $ 35 $ 490 15 $ 35 $ 525 Attachment B – Fee-for-Service Rate ~~Schedule ‌~~ Schedule‌ Contractor: ~~Options for Employment~~ Tasks Unlimited Inc SWIFT ~~Number: 0000000000000~~ #:0000000000 Referral Contact(s) and phone number(s): ~~Xxxx Xxxxxxxxx 000-000-0000 Effective Date: 12/8/2019~~ Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No ~~Employment Supports/~~Employee Development Services (Community Based) $270 Week On-the-Job ~~Coaching~~ Evaluation $190 Week Xxx Xxxxxx, 000-000-0000 Effective Date: 7/1/2017 EXPIRED Attachment C Security and Data Protection Contractor is responsible for ~~Short Term Job Supports $60 Hour Transportation (Mileage Reimbursement) Current IRS Rate Mile~~the security and protection of State data subject to and related to Cloud Services in this Contract. The terms, conditions, and provisions of this Security and Data Protection section take precedence and will prevail over any other terms, conditions, and provisions of the Contract, if in conflict. This Security and Data Protection section, including its sub-sections, survives the completion, termination, expiration, or cancellation of the Contract. For the purposes of this Security and Data Protection section, the following terms have the following meanings:

Appears in 1 contract

Samples: mn.gov

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: ~~Xxxxxx~~ Xxxxxxxxx Xxxx Signature: Original signed Contracts & Policy Analyst Title: ~~Contracts Specialist~~ Date: ~~12-8-2019~~ 6/29/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate ~~Schedule ‌~~ Schedule‌ Contractor: ~~Options for Employment~~ Opportunity Partners SWIFT ~~Number: 0000000000000~~ #:0000000000 Referral Contact(s) and phone number(s): Xxxx ~~Xxxxxxxxx~~ Xxxxxxxx 000-000-0000 Effective Date: 12/8/2019 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Employment Supports/Job Coaching for Short Term Job Supports $60 Hour Transportation (Mileage Reimbursement) Current IRS Rate Mile:

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: ~~Xxxxxx~~ XxXxxx Xxxx Date: 6/19/2020 Signature: Original signed Title: Contracts Specialist Date: ~~12-8-2019~~ 6/22/2020 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate Schedule ‌ Contractor: ~~Options for Employment~~ Peace of Mind of Duluth, Inc SWIFT Number: ~~0000000000000~~ 0000000000 Referral Contact(s) and phone number(s): ~~Xxxx Xxxxxxxxx 000-000-0000~~ Xxxxxxx Xxxxx Effective Date: ~~12/8/2019~~ 6/22/2020 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Employment Supports/Job Coaching for Short Term Job Supports $60 45 Hour Informational Interviews $65 Each Intake (Not Applicable to PBA) $90 Each Internship $18 Hour Job Seeking Skills Training $65 Hour Job Shadowing $65 Hour On-the-Job Evaluation $65 Hour Transportation (Mileage Reimbursement) Current IRS Rate ~~Mile~~Per Mile Attachment C

Appears in 1 contract

Samples: mn.gov

Appears in 1 contract

Samples: mn.gov

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: Xxxxxx ~~Xxxx~~ Xxxxxxxxx Signature: Original signed Title: ~~Contracts Specialist~~ AMS Date: ~~12-8-2019~~ 7/18/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B B-1 – Fee-for-Service Rate Schedule ‌ Contractor: ~~Options for~~ Creative Employment Opportunities SWIFT Number: ~~0000000000000~~ 0000000000 Referral Contact(s) and ~~phone number(s~~Phone Number(s): ~~Xxxx Xxxxxxxxx~~ Xxx Xxxxxx 000-000-0000 ~~Effective Date: 12/8/2019~~ Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Cancellation Fee $50 Each Consultation for Small Business $75 Each Employee Development Services (Community Based) $75 Hour Informational Interviews (Transition/Youth Pre-ETS) $50 Hour Intake (Not Applicable to PBA) $125 Each Job Seeking Skills Training $75 Hour Job Shadowing $50 Hour Job Tryout $75 Hour On-the-Job Evaluation $75 Hour Social Coaching (Personal Adjustment Training) $100 Hour Transportation (Mileage Reimbursement) Current IRS Rate Mile Transportation Training (Public Transportation Training) $50 Hour Effective Date: October 23, 2019 Pre-Employment Transition Services (Pre-ETS) Pre-ETS Individual Rates Service Title Fee for Individual Rate Unit Pre-ETS Job Exploration Counseling Services $75 Hour Pre-ETS Post-Secondary Education Counseling Services $75 Hour Pre-ETS Benefits Information Services $75 Hour Pre-ETS Independent Living Services or Soft Skills Training $75 Hour Pre-ETS Job Seeking Skills Training $75 Hour Pre-ETS Public Transportation Training $75 Hour Pre-ETS Instruction in Self-Advocacy Services $75 Hour Pre-ETS Informational Interview $75 Hour Pre-ETS Job Shadow $75 Hour Pre-ETS Service Learning $75 Hour Pre-ETS Workplace Tour/Field Trip $75 Hour Pre-ETS Work Experience - Services $75 Hour Pre-ETS Work Experience- Wages Wages + 25% Hour Pre-ETS Group Rate The group rate may be used for all Pre-ETS services listed in the individual rate section, with the exception of Work Experience – Services and Work Experience – Wages. Pre-ETS Rates Services performed 0-25 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider Individual Rate $ 75 $ 75 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider 2 $ 40 $ 80 3 $ 30 $ 90 4 $ 25 $ 100 5 $ 21 $ 105 6 $ 18 $ 108 7 $ 16 $ 112 8 $ 15 $ 120 9 $ 15 $ 135 10 $ 15 $ 150 11 $ 15 $ 165 12 $ 15 $ 180 13 $ 15 $ 195 14 $ 15 $ 210 15 $ 15 $ 225 Pre-ETS Travel Differential The travel differential rates may be used for all Pre-ETS services listed in the individual rate section. Travel Differential 26-50 miles from provider Travel Differential 51-75 miles from provider Travel Differential 76-100 miles from provider Travel Differential 101-125 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 90 $ 90 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 105 $ 105 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 120 $ 120 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 135 $ 135 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 50 $ 100 3 $ 35 $ 105 4 $ 30 $ 120 5 $ 26 $ 130 6 $ 23 $ 138 7 $ 21 $ 147 8 $ 20 $ 160 9 $ 20 $ 180 10 $ 20 $ 200 11 $ 20 $ 220 12 $ 20 $ 240 13 $ 20 $ 260 14 $ 20 $ 280 15 $ 20 $ 300 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 55 $ 110 3 $ 40 $ 120 4 $ 35 $ 140 5 $ 31 $ 155 6 $ 28 $ 168 7 $ 26 $ 182 8 $ 25 $ 200 9 $ 25 $ 225 10 $ 25 $ 250 11 $ 25 $ 275 12 $ 25 $ 300 13 $ 25 $ 325 14 $ 25 $ 350 15 $ 25 $ 375 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 65 $ 130 3 $ 45 $ 135 4 $ 40 $ 160 5 $ 36 $ 180 6 $ 33 $ 198 7 $ 31 $ 217 8 $ 30 $ 240 9 $ 30 $ 270 10 $ 30 $ 300 11 $ 30 $ 330 12 $ 30 $ 360 13 $ 30 $ 390 14 $ 30 $ 420 15 $ 30 $ 450 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 70 $ 140 3 $ 50 $ 150 4 $ 45 $ 180 5 $ 41 $ 205 6 $ 38 $ 228 7 $ 36 $ 252 8 $ 35 $ 280 9 $ 35 $ 315 10 $ 35 $ 350 11 $ 35 $ 385 12 $ 35 $ 420 13 $ 35 $ 455 14 $ 35 $ 490 15 $ 35 $ 525 Attachment B – Fee-for-Service Rate Schedule‌ Contractor: Creative Employment Opportunities (CEO) SWIFT #:0000000000 Referral Contact(s) and phone number(s): Xxx Xxxxxx 000-000-0000 Effective Date: 7/18/2017 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Cancellation Fee $50 Each Consultation for Small Business $75 Each Employment Supports/Job Coaching for Short Term Job Supports $60 75 Hour Informational Interviews (Transition/Youth Pre-ETS) $50 Hour Intake (Not Applicable to PBA) $125 Each Job Seeking Skills Training $75 Hour Job Shadowing $50 Hour Job Tryout $75 Hour On-the-Job Evaluation $75 Hour Social Coaching (Personal Adjustment Training) $100 Hour Transportation (Mileage Reimbursement) Current IRS Rate ~~Mile~~Mile Transportation Training (Public Transportation Training) $50 Hour EXPIRED Attachment C Security and Data Protection Contractor is responsible for the security and protection of State data subject to and related to Cloud Services in this Contract. The terms, conditions, and provisions of this Security and Data Protection section take precedence and will prevail over any other terms, conditions, and provisions of the Contract, if in conflict. This Security and Data Protection section, including its sub-sections, survives the completion, termination, expiration, or cancellation of the Contract. For the purposes of this Security and Data Protection section, the following terms have the following meanings:

Appears in 1 contract

Samples: mn.gov

Commissioner of Administration. As delegated to Office of State Procurement Print Name: ~~Xxxxxx~~ Xxxx X Xxxxxxx Signature: Original signed Title: ~~Contracts Specialist~~ Date: ~~12-8-2019~~ AMS 1/17/2020 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B – Fee-for-Service Rate Schedule ‌ Contractor: ~~Options for Employment~~ Polk County Developmental Achievement Center SWIFT Number: ~~0000000000000~~ 0000000000 Referral Contact(s) and phone number(s): ~~Xxxx Xxxxxxxxx 000~~Jo An Xxxxxxx 218-~~000~~281-~~0000~~ 4181 Effective Date: ~~12/8/2019~~ 1/17/2020 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Background Check (DHS specific) $45 Each Employee Development Services (Community Based) $50 Hour Employee Development Services (In-House) $50 Hour Employment Supports/Job Coaching for Short Term Job Supports $50 Hour Informational Interviews $50 Hour Intake (Not Applicable to PBA) $70 Each Job Seeking Skills Training $60 Hour Job Shadowing $50 Hour Job Tryout $50 Hour On-the-Job Evaluation $50 Hour Rehabilitation (Assistive) Technology Assessments $50 Hour Rehabilitation (Assistive) Technology Training $50 Hour Transportation (Mileage Reimbursement) Current IRS Rate ~~Mile~~Mile Service Title Fee Unit Transportation Training (Public Transportation Training) $50 Hour Pre-Employment Transition Services (Pre-ETS) Pre-ETS Individual Rates Service Title Fee for Individual Rate Unit Pre-ETS Job Exploration Counseling Services $75 Hour Pre-ETS Post-Secondary Education Counseling Services $75 Hour Pre-ETS Benefits Information Services $75 Hour Pre-ETS Independent Living Services or Soft Skills Training $75 Hour Pre-ETS Job Seeking Skills Training $75 Hour Pre-ETS Public Transportation Training $75 Hour Pre-ETS Instruction in Self-Advocacy Services $75 Hour Pre-ETS Informational Interview $75 Hour Pre-ETS Job Shadow $75 Hour Pre-ETS Service Learning $75 Hour Pre-ETS Workplace Tour/Field Trip $75 Hour Pre-ETS Work Experience - Services $75 Hour Pre-ETS Work Experience- Wages Wages + 25% Hour Pre-ETS Group Rate The group rate may be used for all Pre-ETS services listed in the individual rate section, with the exception of Work Experience – Services and Work Experience – Wages. Pre-ETS Rates Services performed 0-25 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider Individual Rate $ 75 $ 75 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider 2 $ 40 $ 80 3 $ 30 $ 90 4 $ 25 $ 100 5 $ 21 $ 105 6 $ 18 $ 108 7 $ 16 $ 112 8 $ 15 $ 120 9 $ 15 $ 135 10 $ 15 $ 150 11 $ 15 $ 165 12 $ 15 $ 180 13 $ 15 $ 195 14 $ 15 $ 210 15 $ 15 $ 225 Pre-ETS Travel Differential The travel differential rates may be used for all Pre-ETS services listed in the individual rate section. Travel Differential 26-50 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 90 $ 90 Group Rates Travel Differential 51-75 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 105 $ 105 Group Rates Travel Differential 76-100 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 120 $ 120 Group Rates Travel Differential 101-125 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 135 $ 135 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 50 $ 100 3 $ 35 $ 105 4 $ 30 $ 120 5 $ 26 $ 130 6 $ 23 $ 138 7 $ 21 $ 147 8 $ 20 $ 160 9 $ 20 $ 180 10 $ 20 $ 200 11 $ 20 $ 220 12 $ 20 $ 240 13 $ 20 $ 260 14 $ 20 $ 280 15 $ 20 $ 300 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 55 $ 110 3 $ 40 $ 120 4 $ 35 $ 140 5 $ 31 $ 155 6 $ 28 $ 168 7 $ 26 $ 182 8 $ 25 $ 200 9 $ 25 $ 225 10 $ 25 $ 250 11 $ 25 $ 275 12 $ 25 $ 300 13 $ 25 $ 325 14 $ 25 $ 350 15 $ 25 $ 375 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 65 $ 130 3 $ 45 $ 135 4 $ 40 $ 160 5 $ 36 $ 180 6 $ 33 $ 198 7 $ 31 $ 217 8 $ 30 $ 240 9 $ 30 $ 270 10 $ 30 $ 300 11 $ 30 $ 330 12 $ 30 $ 360 13 $ 30 $ 390 14 $ 30 $ 420 15 $ 30 $ 450 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 70 $ 140 3 $ 50 $ 150 4 $ 45 $ 180 5 $ 41 $ 205 6 $ 38 $ 228 7 $ 36 $ 252 8 $ 35 $ 280 9 $ 35 $ 315 10 $ 35 $ 350 11 $ 35 $ 385 12 $ 35 $ 420 13 $ 35 $ 455 14 $ 35 $ 490 15 $ 35 $ 525 Attachment C Security and Data Protection Contractor is responsible for the security and protection of State data subject to and related to Cloud Services in this Contract. The terms, conditions, and provisions of this Security and Data Protection section take precedence and will prevail over any other terms, conditions, and provisions of the Contract, if in conflict. This Security and Data Protection section, including its sub-sections, survives the completion, termination, expiration, or cancellation of the Contract. For the purposes of this Security and Data Protection section, the following terms have the following meanings:

Appears in 1 contract

Samples: mn.gov

Appears in 1 contract

Samples: mn.gov

Common use of Commissioner of Administration Clause in Contracts