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DOCUMENT NO. 7560022067-2003 <br /> ATTACHMENT NO. 05 <br /> <br /> PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT <br /> RECEIVING AGENCY PROGRAM: BUREAU OF NUTRITION SERVICES <br /> TERM: October 01, 2002 THRU: September 30, 2003 <br /> <br /> SECTION I. SCOPE OF WORK: <br /> <br /> PERFORMING AGENCY shall provide supplemental food instruments, nutrition education and <br /> counseling, and immunizations to enhance good health care at no cost to low-income pregnant <br /> and postpartum women, infants and children identified to be at nutritional risk. In meeting this <br /> goal, PERFORMING AGENCY shall: <br /> <br />A. Perform professional, administrative and clerical services necessary to determine <br /> eligibility, provide food instruments, and provide appropriate nutrition education and <br /> counseling to qualified women, infants and children in a specified geographic ama. <br /> PERFORMING AGENCY shall ensure adequate staff coverage and uninterrupted <br /> delivery of services. Services shall be performed according to the terms and <br /> specifications of RECEIVING AGENCY'S Special Supplemental Nutrition Program for <br /> Women, Infants, and Children (WIC) and/or the United States Department of Agriculture <br /> (USDA) as referenced in this Attachment. During the term of this Attachment, USDA <br /> will issue regulations, instructions, policies and/or directives which may be incorporated <br /> into the State WlC Policy and Procedures Manual and program rules. <br /> <br /> PERFORMING AGENCY shall provide services in the authorized geographic service <br /> ama(s) described in PERFORMING AGENCY'S application and agreed to by <br /> RECEIVING AGENCY. PERFORMING AGENCY can change the authorized <br /> geographic servic_e area(s) with approval from RECEIVING AGENCY. If RECEIVING <br /> AGENCY disagrees on change of geographic service ama(s), PERFORMING AGENCY <br /> may terminate this contract with at least thirty (30) days written notice. <br /> <br />B. Assist in the collection of data that shall identify benefits of this nutrition intervention <br /> program and furnish financial, health, nutrition education and any other special reports in <br /> a timely manner as required by RECEIVING AGENCY Program's written rules and <br /> policies for the compilation of such data. <br /> <br />C. Determine eligibility of applicants through assessment of their income, residence and <br /> nutritional status; provide nutrition education and counseling; provide immunizations; <br /> train staff; conduct outreach to potential applicants; make referrals to other health and <br /> human service providers; complete surveys as requested; and maintain records as <br /> required by RECEIVING AGENCY Program's written rules and policies. <br /> <br /> ATTACHMENT - Page I <br /> <br /> <br />