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Special Terms and Conditions <br />(1) Job Seeker Tools: Paid upon receipt of a School -to -Work Billing Checklist and a written <br />report in the Student Guide. The total billable amount for this activity is $1,000 per <br />Student. <br />(2) Job Offer: Paid upon receipt of a School -to -Work Billing Checklist and a written report in <br />the Student Guide. The total billable amount for this activity is $2,000 per Student. A job <br />offer is payable once upon receipt of the offer regardless of whether or not the Student <br />accepts the job offer. <br />(3) If a Student with a placement goal of 10 hours per week or more accepts a placement <br />for less than 10 hours per week, an exception for payment may be granted with <br />approval of the appropriate DVR Supervisor. This approval shall be in consultation with <br />the team including the Student, Student's Family (as applicable), DVR Counselor, CRP, <br />and County staff. <br />c. Employment Phase — A total payment of $6,000 per Student shall be paid to the Contractor when <br />the individual Student has completed the following activities: <br />(1) Employment Verification: Paid upon receipt of a School -to -Work Billing Checklist and a <br />written report in the Student Guide. The total billable amount for this activity is $1,000 <br />per Student. <br />(2) Job Stabilization: Paid upon receipt of a School -to -Work Billing Checklist and a written <br />report in the Student Guide. The total billable amount for this activity is $5,000 per <br />Student. <br />10. Billing and Payment <br />a. The Contractor shall submit no less than three (3) separate original School -to -Work Billing <br />Checklists to the assigned DVR Vocational Rehabilitation Counselor for each Student who is <br />successfully served by this Agreement. <br />(1) At a minimum, one School -to -Work Billing Checklist per phase as outlined in Section 5, <br />Statement of Work. <br />(2) School -to -Work Billing Checklists may only be submitted to DVR upon the successful <br />completion of an activity outlined in the SDOP. <br />b. Payment shall be considered timely if made by DSHS within thirty (30) days after receipt and <br />acceptance by the designated DVR Counselor of the properly completed School -to -Work Billing <br />Checklist. Payment shall be sent to the address designated by the Contractor on page one (1) of <br />this Agreement. <br />c. DSHS may at its sole discretion, withhold payment claimed by the Contractor for services rendered <br />if the Contractor fails to satisfactory comply with any term or condition of this Agreement. <br />11. Insurance - Self -Insured <br />a. DSHS certifies that it is self -insured under the State's self-insurance liability program, as provided <br />by RCW 4.92.130, and shall pay for losses for which it is found liable. <br />b. The Contractor certifies, by checking the appropriate box below, initialing to the left of the box <br />selected, and signing this Agreement, that: <br />DSHS Central Contract Services <br />6017CF County Program Agreement (10-31-2017) Page 14 <br />