HomeMy WebLinkAboutS Social Services - Orange County Schools Adolescent Parenting ProgramContract #68-1004
Orange Gounty School System -Adolescent Parenting Program
Contract # 68-1004 Fiscal Year Begins 7ulyl, 2007 Ends June 30, 2008
This contract is hereby entered into by and between the Orange County
"County") and Orange County Schools (the "Contractor") (referred to
Contractor's federal tax identification number or Social Security Number is
Department of Social Services (the
collectively as the "Parties"). The
1. Contract Documents: This Contract consists of the following documents
(1) This contract
(2) The General Terms and Conditions (Attachment A)
(3) The Scope of Work, description of services, and rate (Attachment B)
(4) Federal Certification Regarding Drug-Free Workplace (Attachment C)
(5) Conflict of Interest (Attachment D)
(6) Federal Certification Regarding Environmental Tobacco Smoke (Attachment F)
(7) Federal Certification Regarding Lobbying (Attachment G)
(8) Federal Certification Regarding Debarment (Attachment ITJ
(9) Certification of Transportation (Attachment J)
(10) Outcomes and Reporting (Attachment N)
These documents constitute the entire agreement between the Parties and supersede all prior oral or written
statements or agreements.
~. Precedence Among Contract Documents: In the event of a conflict between or among the terms of the
Contract Documents, the terms in the Contract Document with the highest relative precedence shall prevail. The
order of precedence shall be the order of documents as listed in Paragraph 1, above, with the first-listed
document having the highest precedence and the last-listed document having the lowest precedence. If there are
multiple Contract Amendments, the most recent amendment shall have the highest precedence and the oldest
amendment shall have the lowest precedence.
3. Effective Period: This contract shall be effective on July 1, 2007 and shall terminate on June 30, 2008.
This contract must be twelve months or less.
4. Contractor's Duties: The Contractor shall provide the services and in accordance with the approved rate as
described in Attachment B, Scope of Work, and shall meet the requirements set forth in Attachment N,
Outcomes and Reporting.
5. County's Duties: The County shall pay the Contractor in the manner and in the amounts specified in the
Contract Documents. The total amount paid by the County to the Contractor under this contract shall not exceed
$ 50,000. This amount consists of $50,000 in Federal funds (CFDA # ), $0 in State Funds, $0 in
County funds, $0 (source of other funds if applicable).
[X] a. There are no matching requirements from the Contractor.
[ ] b. The Contractor's matching requirement is $ ,which shall consist of:
[ ] In-kind [ ]Cash
[ ]Cash and In-kind [ ]Cash and/or In-kind
The contributions from the Contractor shall be sourced from non-federal funds.
The total contract amount including any Contractor match shall not exceed $50,000.
Contract-General (06/04) Page 1 of 3
Contract #68-1004
Orange County School System -Adolescent Parenting Program
~. Reporting Requirements:
Contractor shall comply with audit requirements as described in N.C.G.S. § 143-6.2 and OMB Circular A-133.
7. Payment Provisions:
Payment shall be made in accordance with the Contract Documents as described in the Scope of Work,
Attachment B.
8. Contract Administrators: All notices permitted or required to be given by one Party to the other and all
questions about the contract from one Party to the other shall be addressed and delivered to the other Party's
Contract Administrator. The name, post office address, street address, telephone number, fax number, and
email address of the Parties' respective initial Contract Administrators are set out below. Either Party may
change the name, post office address, street address, telephone number, fax number, or email address of its
Contract Administrator by giving timely written notice to the other Party.
For the County:
•
IF DELIVERED BY US POSTAL SERVICE IF DELNERED BY ANY OTHER MEANS
Yvette Smith, Income Maintenance Director Yvette Smith, Income Maintenance Director
Orange County Department of Social Services Orange County Department of Social Services
P.O. Box 8181 300 West Tryon Street
Hillsborough, NC 27278 Hillsborough, NC 27278
(919) 245-2858
(919) 644-3005
smith co.oran e.nc.us
For the Contractor:
•
IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS
Dr. Shirley Carraway, Superintendent Dr. Shirley Carraway, Superintendent
Orange County Schools ~ Orange County Schools
200 East King Street 200 East King Street
Hillsborough, NC 27278 Hillsborough, NC 27278
(919)732-8126
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Contract #68-1004
' Orange County School System- Adolescent Parenting Program
9. Signature Warranty:
•!'he undersigned represent and warrant that they are authorized to bind their principals to the terms of this
agreement.
The Contractor and the County have executed this contract in duplicate originals, with one original being retained
by each party.
ORANGE COUNTY SCHOOLS
_~~
Date
Dr. Shirley Carraway Superintendent
Printed Name Title
ORANGE COUNTY
Date
printed Name
V
Signature
Printed Name
c ~c~_
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act.
;~~~~ ~~~
igrFature of County Finance Officer
r~
Title
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Contract #68-1004
Orange County School System -Adolescent Parenting Program
•
ATTACHMENT A
GENERAL TERMS AND CONDITIONS
Orange County Department of Social Services
Relationships of the Parties
Independent Contractor: The Contractor is and
shall be deemed to be an independent contractor in the
performance of this contract and as such shall be
wholly responsible for the work to be performed and
for the supervision of its employees. The Contractor
represents that it has, or shall secure at its own
expense, all personnel required in performing the
services under this agreement. Such employees shall
not be employees of, or have any individual
contractual relationship with the County.
respective successors. It is expressly understood and
agreed that the enforcement of the terms and
conditions of this contract, and all rights of action
relating to such enforcement, shall be strictly reserved
to the County and the named Contractor. Nothing
contained in this document shall give or allow any
claim or right of action whatsoever by any other third
person. It is the express intention of the County and
Contractor that any such person or entity, other than
the County or the Contractor, receiving services or
benefits under this contract shall be deemed an
incidental beneficiary only.
Subcontracting: The Contractor shall not
subcontract any of the work contemplated under this
contract without prior written approval from the
County. Any approved subcontract shall be subj ect to
.all conditions of this contract. Only the subcontractors
specified in the contract documents are to be
considered approved upon award of the contract. The
County shall not be obligated to pay for any work
performed by any unapproved subcontractor. The
Contractor shall be responsible for the performance of
all of its subcontractors.
Assignment: No .assignment of the Contractor's
obligations or the Contractor's right to receive
payment hereunder shall be permitted. However, upon
written request approved by the issuing purchasing
authority, the County may:
(a) Forward the Contractor's payment check(s)
directly to any person or entity designated by
the Contractor, or
(b) Include any person or entity designated by
Contractor as a joint payee on the Contractor's
payment check(s).
In no event shall such approval and action obligate the
County to anyone other than the Contractor and the
Contractor shall remain responsible for fulfillment of
all contract obligations.
Beneficiaries: Except as herein specificallyprovided
otherwise, this contract shall inure to the benefit of
and be binding upon the parties hereto and their
General Terms and Conditions - (06/04)
Indemnity and Insurance
Indemnification: The Contractor agrees to
indemnify and hold harmless the County and any of
their officers, agents and employees, from any claims
of third parties arising out or any act or omission of
the Contractor in connection with the performance of
this contract.
Insurance: During the term of the contract, the
Contractor at its sole cost and expense shall provide
commercial insurance of such type and with such
terms and limits as may be reasonably associated with
the contract. As a minimum, the Contractor shall
provide and maintain the following coverage and
limits:
(a) Worker's Compensation -The contractor
shall provide and maintain Worker's
Compensation Insurance as required by the
laws of North Carolina, as well as employer's
liability coverage with minimum limits of
$500,000.00, covering all of Contractor's
employees who are engaged in any work
under the contract. If any work is sublet, the
Contractor shall require the subcontractor to
provide the same coverage for any of his
employees engaged in any work under the
contract.
(b) Commercial General Liability -General
Liability Coverage on a Comprehensive Broad
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Contract #68-1004
Orange County School System -Adolescent Parenting Program
Form on an occurrence basis in the minimum
amount of $1,000,000.00 Combined Single
Limit. (Defense cost shall be in excess of the
limit of liability.)
(c) Automobile -Automobile Liability Insurance,
to include liability coverage, covering all
owned, hired and non-owned vehicles used in
performance of the contract. The minimum
combined single limit shall be $500,000.00
bodily injury and property damage;
$500,000.00 uninsured/under insured
motorist; and $25,000.00 medical payment.
Providing and maintaining adequate insurance
coverage is a material obligation of the Contractor
and is of the essence of this contract. The Contractor
may meet its requirements of maintaining specified
coverage and limits by demonstrating to the County
that there is in force insurance with equivalent
coverage and limits that will offer at least the same
protection to the County. All such insurance shall
meet all laws of the State of North Carolina. Such
insurance coverage shall be obtained from companies
~at are authorized to provide such coverage and that
are authorized by the Commissioner of Insurance to
do business in North Carolina. The Contractor shall
at all times comply with the terms of such insurance
policies, and all requirements of the insurer under any
such insurance policies, except as they may conflict
with existing North Carolina laws or this contract.
The limits of coverage under each insurance policy
maintained by the Contractor shall not be interpreted
as limiting the contractor's liability and obligations
under the contract.
contract in a timely and proper manner, the County
shall have the right to terminate this contract by
giving written notice to the Contractor and specifying
the effective date thereof. In that event, all finished or
unfinished deliverable items prepared by the
Contractor under this contract shall, at the option of
the County, become its property and the Contractor
shall be entitled to receive just and equitable
compensation for any satisfactory work completed on
such materials, minus any payment or compensation
previously made. Notwithstanding the foregoing
provision, the Contractor shall not be relieved of
liability to the County for damages sustained by the
County by virtue of the Contractor's breach of this
agreement, and the County may withhold any
payment due the Contractor for the purpose of setoff
until such time as the exact amount of damages due
the County from such breach can be determined. In
case of default by the Contractor, without limiting any
.other remedies for breach available to it, the County
may procure the contract services from other sources
and hold the Contractor responsible for any excess
cost occasioned thereby. The filing of a petition for
bankruptcy by the Contractor shall be an act of default
under this contract.
Waiver of Default: Waiver by the County of any
default or breach incompliance with the terms of this
contract by the Provider shall not be deemed a waiver
of any subsequent default or breach and shall not be
construed to be modification of the terms of this
contract unless stated to be such in writing, signed by
an authorized representative of the County and the
Contractor and attached to the contract.
Default and Termination
Termination Without Cause: The County may
terminate this contract without cause by giving 30
days written notice to the Contractor. In that event,
all finished or unfinished deliverable items prepared
by the Contractor under this contract shall, at the
option of the County, become its property and the
Contractor shall be entitled to receive just and
equitable compensation for any satisfactory work
completed on such materials, minus any payment or
compensation previously made.
Termination for Cause: If, through any cause, the
Contractor shall fail to fulfill its obligations under this
Availability of Funds: The parties to this contract
agree and understand that the payment of the sums
specified in this contract is dependent and contingent
upon and subject to the appropriation, allocation, and
availability of funds for this purpose to the County.
Force Majeure: Neither party shall be deemed to be
in default of its obligations hereunder if and so long
as it is prevented from performing such obligations by
any act of war, hostile foreign action, nuclear
explosion, riot, strikes, civil insurrection, earthquake,
hurricane, tornado, or other catastrophic natural event
or act of God.
General Terms and Conditions - (06/04) Page 2 of 5
Contract #68-1004
Orange County School System -Adolescent Parenting Program
.Survival of Promises: All promises, requirements,
terms, conditions, provisions, representations,
guarantees, and warranties contained herein shall
survive the contract expiration or termination date
unless specifically provided otherwise herein, or
unless superseded by applicable Federal or State
statutes of limitation.
Intellectual Property Rights
Copyrights and Ownership of Deliverables: All
deliverable items produced pursuant to this contract
are the exclusive property of the County. The
Contractor shall not assert a claim of copyright or
other property interest in such deliverables.
r~
Federal Intellectual Property Bankruptcy
Protection Act: The Parties agree that the County
shall be entitled to all rights and benefits of the
Federal Intellectual Property Bankruptcy Protection
Act, Public Law 100-506, codified at 11 U.S.C. 365
(n) and any amendments thereto.
Compliance with Applicable Laws
Compliance with Laws: The Contractor shall
comply with all laws, ordinances, codes, rules,
regulations, and licensing requirements that are
applicable to the conduct of its business, including
those of federal, state, and local agencies having
jurisdiction and/or authority.
Equal Employment Opportunity: The Contractor
shall comply with all federal and State laws relating to
equal employment opportunity.
Health Insurance Portability and Accountability
Act (HIPAA): The Contractor agrees that, if the
County determines that some or all of the activities
within the scope of this contract aze subject to the
Health Insurance Portability and Accountability Act
of 1996, P.L. 104-91, as amended ("HIPAA"), or its
implementing regulations, it will comply with the
HIPAA requirements and will execute such
agreements and practices as the County may require
•to ensure compliance.
Confidentiality
General Terms and Conditions - (06/04)
Confidentiality: Any information, data, instruments,
documents, studies or reports given to or prepared or
assembled by the Contractor under this agreement
shall be kept as confidential and not divulged or made
available to any individual or organization without the
prior written approval of the County. The Contractor
acknowledges that in receiving, storing, processing or
otherwise dealing with any confidential information it
will safeguard and not further disclose the information
except as otherwise provided in this contract.
Oversight
Access to Persons and Records: The State Auditor
shall have access to persons and records as a result of
all contracts or grants entered into by State agencies
or political subdivisions in accordance with General
Statute 147-64.7. Additionally, as the State funding
authority, the Department of Health and Human
Services shall have access to persons and records as a
result of all contracts or grants entered into by State
agencies or political subdivisions.
Record Retention: Records shall not be destroyed,
purged or disposed of without the express written
consent of the County. The Department of Health and
Human Services' basic records retention policy
requires all records to be retained for a minimum of
three years following completion or termination of the
contract. If the contract is subject to Federal policy
and regulations, record retention will normally be
longer than three yeazs since records must be retained
for a period of three years following submission of the
final Federal Financial Status Report, if applicable, or
three years following the submission of a revised final
Federal Financial Status Report. Also, if any
litigation, claim, negotiation, audit, disallowance
action, or other action involving this contract has been
stazted before expiration of the three yeaz retention
period described above, the records must be retained
until completion of the action and resolution of all
issues which azise from it, or until the end of the
regular three year period described above, whichever
is later.
Warranties and Certifications
Date and Time Warranty: The Contractor warrants
that the product(s) and service(s) furnished pursuant
Page 3 of 5
Contract #68-1004
Orange County School System -Adolescent Pazenting Program
to this contract ("product" includes, without
imitation, any piece of equipment, hazdware,
firmware, middleware, custom or commercial
software, or internal components, subroutines, and
interfaces therein) that perform any date and/or time
data recognition function, calculation, or sequencing
will support a four digit year format and will provide
accurate date/time data and leap year calculations.
This warranty shall survive the termination or
expiration of this contract.
Certification Regarding Collection of Taxes: G.S.
143-59.1 bars the Secretary of Administration from
entering into contracts with vendors that meet one of
the conditions of G.S. 105-164.8(b) and yet refuse to
collect use taxes on sales of tangible personal
property to purchasers in North Carolina. The
conditions include: (a) maintenance of a retail
establishment or office; (b) presence of
representatives in the State that solicit sales or
transact business on behalf of the vendor; and (c)
systematic exploitation of the market by media-
•assisted, media-facilitated, ormedia-solicited means.
The Contractor certifies that it and all of its affiliates
(if any) collect all required taxes.
Severability: In the event that a court of competent
jurisdiction holds that a provision or requirement of
this contract violates any applicable law, each such
provision or requirement shall continue to be enforced
to the extent it is not in violation of law or is not
otherwise unenforceable and all other provisions and
requirements of this contract shall remain in full force
and effect.
Headings: The Section and Paragraph headings in
these General Terms and Conditions are not material
parts of the agreement and should not be used to
construe the meaning thereof.
Time of the Essence: Time is of the. essence in the
performance of this contract.
Key Personnel: The Contractor shall not replace any
of the key personnel assigned to the performance of
this contract without the prior written approval of the
County. The term "key personnel" includes any and
all persons identified as such in the contract
documents and any other persons subsequently
identified as key personnel by the written agreement
of the parties.
Miscellaneous
Choice of Law: The validity of this contract and any
of its terms or provisions, as well as the rights and
duties of the parties to this contract, aze governed by
the laws of North Carolina. The Contractor, by
signing this contract,. agrees and submits, solely for
matters concerning this Contract, to the exclusive
jurisdiction of the courts of North Cazolina and
agrees, solely for such purpose, that the exclusive
venue for any legal proceedings shall be Wake
County, North Carolina. The place of this contract
and all transactions and agreements relating to it, and
their situs and forum, shall be Wake County, North
Carolina, where all matters, whether sounding in
contract or tort, relating to the validity, construction,
interpretation, and enforcement shall be determined.
Amendment: This contract may not be amended
• orally or by performance. Any amendment must be
made in written form and executed by duly authorized
representatives of the County and the Contractor.
Care of Property: The Contractor agrees that it shall
be responsible for the proper custody and care of any
property furnished to it for use in connection with the
performance of this contract and will reimburse the
County for loss of, or damage to, such property. At
the termination of this contract, the Contractor shall
contact the County for instructions as to the
disposition of such property and shall comply with
these instructions.
Travel Expenses: Reimbursement to the Contractor
for travel mileage, meals, lodging and other travel
expenses incurred in the performance of this contract
shall not exceed the rates established in County
policy.
Sales/Use Tax ~2efunds: If eligible, the Contractor
and all subcontractors shall: (a) ask the North
Cazolina Department of Revenue for a refund of all
sales and use taxes paid by them in the performance
of this contract, pursuant to G.S.105-164.14; and (b)
exclude all refundable sales and use taxes from all
General Terms and Conditions - (06104) Page 4 of 5
- Contract #68-1004
Orange County School System -Adolescent Parenting Program
reportable expenditures before the expenses aze
entered in their reimbursement reports.
Advertising: The Contractor shall not use the awazd
of this contract as a part of any news release or
commercial advertising.
•
General Terms and Conditions - (06/04) Page 5 of 5
Contract #68-1004
Orange County School System -Adolescent Parenting Program
• ATTACffi1~NT B
SCOPE OF WORK
Orange County Department of Social Services
Federal Tax Id. or SSN
Contract # 68-1004
A. CONTRACTOR INFORMATION
1. Contractor Agency Name: Orange County Schools
2. If d~erent from Contract Administrator Information in General Contract:
Address Donna Williams
200 East King Street, NC 27278
Telephone Number: (919) 732-6271 Fax Number: Email:
3. Name of Program (s): Adolescent Pazenting_Program
4. Status: (X) Public ( )Private, Not for Profit ( )Private, For Profit
5. Contractor's Financial Reporting Year July 1, 2007 through June 30, 2008
B. Explanation of Services to be provided and to whom (include SIS Service Code):
The Contractor willprovide case management (SIS code 522), information and referral
services (SIS code 520) and education and training (SIS code 527) to teen parents in the
Orange County Schools System. The Contractor is required to maintain a caseload of 12-
16teen parents develop a case plan with each teen outlining specific goals, participate in
bi-monthly Community Advisory Committee (CACI meetings, submit a status report by
the fifth workday of each month to the County recruit, train, and match volunteers with
teen parents and maintain data on the number of teen pazents within the school system.
The Contractor is required to meet all goals and outcomes listed in Attachment N.
C. Rate per unit of Service (define the unit):
1. If Standazd Fixed Rate, Maximum Allowable, (See Rates for Services Chart)
2. Negotiated County Rate.
$50 000
D. Number of units to be provided: 1 Full-time staff person for aten-month school
year including benefits training and travel costs.
E. Details of Billing process and Time Frames; The County will reimburse the Contractor
• for services described in this contract ~ to the budgetary limits of the contract allotment,
which includes salary benefits travel other miscellaneous expenses, indirect costs and
Contract-Scope of Work (06/04) Page lof 2
Contract #68-1004
Orange County School System -Adolescent Parenting Program
• staff development services For reimbursement the Contractor must submit an original
and two copies of an invoice by the fifth of the month for the precedm~ month's
expenditures to the designated County Administrator. Expenditures for Mav and June
must be estimated based on average monthly expenditures year-to-date and reported by
Ma~S 2008 The County will reimburse the Contractor monthly upon receipt of a
complete and correctlyfiled report
F. Area to be served/Delivery site(s): Orange Count~Schools
~~'
(Signature o ounty Authorized Person) (Sig re of Contracto
~~g/07 ~sz a5-d?
(Date Submitted) (Date Submitted)
u
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Contract-Scope of Work (06/04) Page 2of 2
Contract #68-1004
Orange County School System -Adolescent Parenting Program
ATTACHMENT C
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
Orange County Department of Social Services
I. By execution of this Agreement the Contractor certifies that it will provide adrug-free
workplace by:
A. Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession or use of a controlled substance is prohibited in the Contractor's
workplace and specifying the actions that will be taken against employees for violation of
such prohibition;
B. Establishing adrug-free awareness program to inform employees about:
(1) The dangers of drug abuse in the workplace;
(2) The Contractor's policy ofmaintaining adrug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee assistance programs; and
(4) The penalties that maybe imposed upon employees for drug abuse violations
occurring in the workplace;
C. Making it a requirement that each employee be engaged in the performance of the
agreement be given a copy of the statement required by paragraph (A);
D. Notifying the employee in the statement required by paragraph (A) that, as a condition of
employment under the agreement, the employee will:
(1) Abide by the terms of the statement; and
(2) Notify the employer of any criminal drug statute conviction for a violation occurring
in the workplace no later than five days after such conviction;
E. Notifying the County within ten days after receiving notice under subparagraph (D)(2)
from an employee or otherwise receiving actual notice of such conviction;
F. Taking one of the following actions, within 30 days of receiving notice under
subpazagraph (D)(2), with respect to any employee who is so convicted:
(1) Taking appropriate personnel action against such an employee, up to and including
termination; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State, or local health,
law enforcement, or other appropriate agency; and
Making a good faith effort to continue to maintain adrug-free workplace through implementation
• of pazagraphs (A), (B), (C), (D), (E), and (F).
Federal Certification -Drug-Free Workplace (06/04) Page 1 of 2
Contract #68-1004
Orange County School System -Adolescent Parenting Program
i II. The site(s) for the performance of work done in connection with the specific agreement are
listed below:
1.
(Street address)
(City, county, state, zip code)
2.
(Street address)
(City, county, state, zip code)
Contractor will inform the County of any additional sites for performance of work under this
agreement.
False certification or violation of the certification shall be grounds for suspension of payment,
suspension or termination of grants, or government-wide Federal suspension or debarment
(Section 4 CFR Part 85, Section 85.615 and 86.620).
• Superintendent
Signature Title
Orange County Schools 6/29/07
Agency/Organization Date
(Certification signature should be same as Contract signature.)
Federal Certification -Drug-Free Workplace (06/04) Page 2 of 2
Contract #68-1004
Orange County School System- Adolescent Parenting Program
ATTACHMENT F
CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE
Orange County Department of Social Services
Certification for Contracts Grants, Loans and Cooperative Agreements
Public Law 103-227, Part C-Environmental Tobacco Smoke, also known as the Pro-
Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any
indoor facility owned or leased or contracted for by an entity and used routinely or
regularly for the provision of health, day care, education, or library services to children
under the age of 18, if the services are funded by Federal programs either directly or
through State or local governments, by Federal grant, contract, loan, or loan guarantee.
The law does not apply to children's services provided in private residences, facilities
funded solely by Medicare or Medicaid funds, and portions of facilities used for inpatient
drug or alcohol treatment. Failure to comply with the provisions of the law may result in
the imposition of a civil monetary penalty of up to $1,000 per day and/or the imposition
of an administrative compliance order on the responsible entity.
By signing and submitting this application, the Contractor certifies that it will comply
with the requirements of the Act. The Contractor further agrees that it will require the
• language of this certification be included in any subawards which contain provisions for
children's services and that all subgrantees shall certify accordingly.
Superintendent
Signs Title
Orange County Schools 6/29/07 .
Agency/Organization Date
(Certification signature should be same as Contract signature.)
•
Federal Certification -Environmental Tobacco Smoke (06/04) Page 1 of 1
Contract #68-1004
Orange County School System -Adolescent Parenting Program
• ATTACHMENT G
CERTIFICATION REGARDING LOBBYING
Orange County Department of Social Services
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned,
to any person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with the awarding of any Federal contract, continuation, renewal,
amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federally funded contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form SF-LLL, "Disclosure of
Lobbying Activities," in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award
document for subawards at all tiers (including subcontracts, subgrants, and contracts under grants,
• loans, and cooperative agreements) who receive federal funds of $100,000.00 or more and that all
subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who
fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00
and not more than $100,000.00 for each such failure.
Superintendent
Signa a Title
Orange County SchooYs 6/29/07
Agency/Organization Date
(Certification signature should be same as Contract signature.)
Federal Certification -Lobbying (06/04) Page 1 of 1
Contract #68-1004
Orange County School System -Adolescent Parenting Program
• ATTACHMENT H
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY
AND VOLUNTARY EXCLUSION-LOWER TIER COVERED TRANSACTIONS
Orange County Department of Social Services
Instructions for Certification
1. By signing and submitting this proposal, the prospective lower tier participant is
providing the certification set out below.
2. The certification in this clause is a material representation of the fact upon which
reliance was placed when this transaction was entered into. If it is later determined that
the prospective lower tier participant knowingly rendered an erroneous certification, in
addition to other remedies available to the Federal Government, the department or agency
with which this transaction originated may pursue available remedies, including
suspension and/or debarment.
3. The prospective lower tier participant will provide immediate written notice to the
person to which the proposal is submitted if at any time the prospective lower tier
participant learns that its certification was erroneous when submitted or has become
• erroneous by reason of changed circumstances.
4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier
covered transaction," "participant," "person," "primary covered transaction," "principal,"
"proposal," and "voluntarily excluded," as used in this clause, have the meanings set out
in the Definitions and Coverage sections of rules implementing Executive Order 12549.
You may contact the person to which this proposal is submitted for assistance in
obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by submitting this proposal that, should
the proposed covered transaction be entered into, it shall not knowingly enter any lower
tier covered transaction with a person who is debarred, suspended, determined ineligible
or voluntarily excluded from participation in this covered transaction unless authorized by
the department or agency with which this transaction originated.
6. The prospective lower tier participant further agrees by submitting this proposal that
it will include this clause titled "Certification Regarding Debarment, Suspension,
Ineligibility and Voluntary Exclusion -Lower Tier Covered Transaction," without
modification, in all lower tier covered transactions and in all solicitations for lower tier
covered transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction that it is not debarred, suspended,
ineligible; or voluntarily excluded from covered transaction, unless it knows that the
certification is erroneous. A participant may decide the method and frequency of which it
Federal Certification -Debarment (06/04) Page 1 of 2
Contract #68-1004
Orange County School System -Adolescent Parenting Program
•
•
determines the eligibility of its principals. Each participant may, but is not required to,
check the Nonprocurement List.
8. Nothing contained in the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification required by this clause.
The knowledge and information of a participant is not required to exceed that which is
normally possessed by a prudent person in the ordinary course of business dealings.
9. Except for transactions authorized in paragraph 5 of these instructions, if a
participant in a covered transaction knowingly enters into a lower tier covered transaction
with a person who is suspended, debarred, ineligible, or voluntarily excluded from
participation in this transaction, in addition to other remedies available to the Federal
Government, the department or agency with which this transaction originated may pursue
available remedies, including suspension, and/or debarment.
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -
Lower Tier Covered Transactions
(1) The prospective lower tier participant certifies, by submission of this proposal, that
neither it nor its principals is presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from participation in this transaction by any
Federal department or agency.
(2) Where the prospective lower tier participant is unable to certify to any of the
statements in this certification, such prospective participant shall attach an explanation to
this proposal.
Superintendent
Signa a Title
Orange County Schools 6/29/07
Agency/Organization Date
(Certification signature should be same as Contract signature.)
(Federal Certification -Debarment) (06/04)
Page 2 of 2
Contract #68-1004
• Orange County School System - Adolescent Pazenting Program
ATTAC~IMENT J
CERTIFICATION REGARDING TRANSPORTATION
Orange County Department of Social Services
By execution of this Agreement the Contractor certifies that it will provide safe client
transportation by:
1. Insuring that all drivers (including employees, contractors, contractor's employees, and
volunteers) shall be at least 18 years of age;
2. Insuring that all drivers (including employees, contractors, contractor's employees, and
volunteers) shall be licensed to operate the specific vehicle used in transporting clients in
accordance with Chapter 20-7 of the General Statutes of North Carolina and the Division
of Motor Vehicle requirements;
3. Insuring that all vehicles used to transport clients shall have valid State registrations and
State inspection stickers;
4. Insuring that all vehicles transporting clients shall have at least the minimum level of
liability insurance appropriate for the type of vehicle;
5. Insuring that the contractor shall have written policies and procedures regarding how
drivers handle and report client emergencies and/or vehicle crashes involving clients to
contractor and how contractor notifies the Orange County Department of Social Services
Superintendent
Signa ' r Title
Orange County Schools 6/29/07
Agency/Organization Date
(Certification signature should be same as Contract signature.)
•
Transportation Certification (03/06) Page 1 of 1
Contract #68-1004
Orange County School System -Adolescent Pazenting Program
ATTAC~iMENT N
OUTCOMES AND REPORTING
Orange County Department of Social Services
~~
~~
By signing and submitting this document, the Contractor certifies that it agrees to the following:
1. The Contractor agrees to participate in program, fiscal and administrative monitoring and/or
audits, making records and staff time available to Federal, State and County staff.
2. The Contractor agrees to take necessary steps for corrective action, as negotiated within a
corrective action plan, for any items found to be out of compliance with Federal, State, and County
laws, regulations, standards and/or terms of the Contract.
3. The Contractor agrees that continuation of and/or renewal of this Contract is contingent on
meeting the following requirements. The Contractor agrees to:
A. Maintain a caseload of 12-16 parents
B. Develop a case plan with each teen parent outlining specific goals
C. Participate in bi-monthly Community Advisory Committee (CAC) meetings
D. Submit a monthly status report by the fifth workday of the month
E. Recruit, train and match volunteers with teens
F. Maintain data on number of teen parents within school system and their associated
outcomes
G. Assure that 85% of teen mothers fictive in the program will avoid a second pregnancy
H. Assure that 85% of teen mothers will continue their education
Signature
Orange County Schools
Agency/Organization
Superintendent
Title
6/29/07
Date
(Certification signature should be same as Contract signature.)
Outcomes (06/04)
Page 1 of 1