HomeMy WebLinkAbout2011-130 DSS - Dispute Settlement Center Workshops for Work 1st On FastTrack $10,000%1 G
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Contract #68-1012
The Dispute Settlement Center, Inc.
Contract # 68-1012 Fiscal Year Begins Julyl, 2011 Ends June 30, 2012
This contract is hereby entered into by and between the Orange County Department of Social Services (the "County") and The
Dispute Settlement Center, Inc. (the "Contractor") (referred to collectively as the "Parties"). The Contractor's federal tax
identification number or Social Security Number is ~
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 & Certification Regarding Nondiscrimination (Attachment C)
(5) Conflict of Interest (Attachment D)
(6) No Overdue Taxes (Attachment E)
(7) IRS Federal Tax Exempt Letter or 501(c)(3) (Attachment K)
(8) Outcomes and Reporting (Attachment N)
These documents constitute the entire agreement between the Parties and supersede all prior oral or written statements or
agreements.
2. 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, 2011 and shall terminate on June 30, 2012.
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 $10,000. This
amount consists of $10,000 in Federal (CFDA # ), State and 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 $10,000.
6. Reporting Requirements:
Contractor shall comply with audit requirements as described in N.C.G.S. § 143C-6-22 & 23 and OMB Circular A-133.
7. Payment Provisions:
Contract-General (07/10) Page 1 of 4
Contract #68-1012
The Dispute Settlement Center, Inc.
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 DELIVERED BY ANY OTHER MEANS
Sharron Hinton, Community Services Manager Sharron Hinton, Community Services Manager
Orange County Department of Social Services Orange County Department of Social Services
P.O. Box 8181 113 Mayo Street
Hillsborough, NC 27278 Hillsborough, NC 27278
(919)245-2840
shinton co.oran e.nc.us
Program Contact:
Robert Gilmore, Work First Manager
Orange County Department of Social Services
P.O. Box 8181
300 West Tryon Street
Hillsborough, NC 27278
(919) 245-2847
For the County:
IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS
Denise Shaffer, Social Work Program Director Denise Shaffer, Social Work Program Director
Orange County Department of Social Services Orange County Department of Social Services
P.O. Box 8181 2501 Homestead Road
Hillsborough, NC 27278 Chapel Hill, NC 27516
(919) 968-2000
(919)968-2912
dshaffer co.oran e.nc.us
Contract-General (07/10) Page 2 of 4
Program Contact:
Contract #68-1012
The Dispute Settlement Center, Inc.
Karen Munoz, Support Services Supervisor
Orange County Department of Social Services
2501 Homestead Road
Chapel Hill, NC 27516
(919) 968-2000 ext.243
nc.us
For the Contractor:
IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS
Frances Henderson Frances Henderson
The Dispute Settlement Center, Inc. The Dispute Settlement Center, Inc.
302 West Weaver Street 302 West Weaver Street
Carrboro, NC 27510 Carrboro, NC 27510
(919)929-8800
Contract-General (07/10) Page3of4
Contract #68-1012
The Dispute Settlement Center, Inc.
9. Signature Warranty:
The 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.
THE DISPUTE SETTLEMENT CENTER, INC.
~il,~~GP~a l7C _ J ~ ~ ~ ~~
Stgnature l _ Date
C X (',C~G.. U 1~-~,~-/ ~~'~ Q YS
Printed Name Title
ORANGE
i a
Signature, De rtm~ent of Social Services Director Date
Printed Name Title
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act.
Clarence G. Grier, Financial Services Director Date
This contract as been ro as to form and legal sufficiency. / /~
,- _. _.
Annette o e, Staff Attorney Date
County torney's Office
Contract-General (07/10) Page 4 of 4
Contract #68-1012
The Dispute Settlement Center, Inc.
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.
the County or the Contractor, receiving services or benefits
under this contract shall be deemed an incidental
beneficiary only.
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.
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 subject 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 specifically provided
otherwise, this contract shall inure to the benefit of and be
binding upon the parties hereto and their 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
Insurance: During the term ofthe 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
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/underfnsured motorist; and $25,000.00
medical payment. The Contractor shall provide
this insurance for all automobiles that are:
a. owned by the Contractor and used in the
performance of this contract;
b. hired by the Contractor and used in the
performance of this contract; and
General Terms and Conditions - (07/10) Page 1 of 5
c. owned by Contractor's employees and
used in performance of this contract
("non-owned vehicle insurance"). Non-
owned vehicle insurance protects
employers when employees use their
personal vehicles for work purposes. Non-
ownedvehicle insurance supplements, but
does not replace, the car-owner's liability
insurance.
The Contractor is not required to provide and
maintain automobile liability insurance on any
vehicle-owned, hired, or non-owned-unless the
vehicle is used in the performance of this contract.
(d) The insurance coverage minimums specified in
subparagraph (a) are exclusive of defense costs.
(e) The Contractor understands and agrees that the
insurance coverage minimums specified in
subparagraph (a) are not limits, or caps, on the
Contractor's liability or obligations under this
contract.
(f) The Contractor may obtain a waiver of any one or
more of the requirements in subparagraph (a) by
demonstrating that it has insurance that provides
protection that is equal to or greater than the
coverage and limits specified in subparagraph (a).
The County shall be the sole judge of whether
such a waiver should be granted.
(g) The Contractor may obtain a waiver of any one or
more of the requirements in paragraph (a) by
demonstrating that it is self-insured and that its
self-insurance provides protection that is equal to
or greater than the coverage and limits specified in
subparagraph (a). The County shall be the sole
judge of whether such a waiver should be granted.
(h) Providing and maintaining the types and amounts
of insurance or self-insurance specified in this
paragraph is a material obligation of the
Contractor and is of the essence ofthis contract.
(i) The Contractor shall only obtain insurance from
companies that are authorized to provide such
coverage and that are authorized by the
Commissioner of Insurance to do business in the
State of North Carolina. All such insurance shall
meet all laws of the State of North Carolina.
(j) The Contractor shall comply at all times with all
lawful terms and conditions of its insurance
policies and all lawful requirements of its insurer.
(k) The Contractor shall require its subcontractors to
comply with the requirements ofthis paragraph.
(1) The Contractor shall demonstrate its compliance
with the requirements of this paragraph by
submitting certificates of insurance to the County
before the Contractor begins work under this
contract.
Contract #68-1012
The Dispute Settlement Center, Inc.
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
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 ofthis agreement, and the Countymay
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 in compliance with the terms ofthis 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 ofthis contract unless stated
to be such in writing, signed by an authorized
representative of the County and the Contractor and
attached to the contract.
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
General Terms and Conditions - (07/ 10) Page 2 of 5
Contract #68-1012
The Dispute Settlement Center, Inc.
war, hostile foreign action, nuclear explosion, riot, strikes,
civil insurrection, earthquake, hurricane, tornado, or other
catastrophic natural event or act of God.
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
Confidentiality
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 ofthe 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.
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.
Federal [ntellectual Property Bankruptcy Protection
Act: The Parties agree that the County shall be entitled to
all rights and benefits ofthe 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.
Title VI, Civil Rights Compliance: In accordance with
Federal law and U.S. Department of Agriculture (USDA)
and U.S. Department of Health and Human Services
(HHS) policy, this institution is prohibited from
discriminating on the basis of race, color, national origin,
sex, age or disability. Under the Food Stamp Act and
USDA policy, discrimination is prohibited also on the
basis of religion or political beliefs.
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 ofthe activities within the
scope of this contract are 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.
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 years since records must
be retained for a period of three years following
submission ofthe 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 started before
expiration of the three year retention period described
above, the records must be retained until completion ofthe
action and resolution of all issues which arise 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 to this
contract ("product" includes, without limitation, any piece
of equipment, hardware, firmware, middleware, custom or
General Tenns and Conditions - (07/10) Page 3 of 5
Contract #68-1 Ol t
The Dispute Settlement Center, Inc.
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, or media-solicited means. The Contractor
certifies that it and all of its affiliates (if any) collect all
required taxes.
Time of the Essence: Time is of the essence in the
performance of this contract.
Executive Order # 24: "By Executive Order 24, issued by
Governor Perdue, and N.C. G.S.§ 133-32, it is unlawful for
any vendor or contractor (i.e. architect, bidder, contractor,
construction manager, design professional, engineer,
landlord, offeror, seller, subcontractor, supplier, or
vendor), to make gifts or to give favors to any State
employee of the Governor's Cabinet Agencies (i.e.,
Administration, Commerce, Correction, Crime Control and
Public Safety, Cultural Resources, Environment and
Natural Resources, Health and Human Services, Juvenile
Justice and Delinquency Prevention, Revenue,
Transportation, and the Office of the Governor). This
prohibition covers those vendors and contractors who have
a contract with a governmental agency; or have performed
under such a contract within the past year; or anticipate
bidding on such a contract in the future.
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, are 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 Carolina
and agrees, solely for such purpose, that the exclusive
venue for any legal proceedings shall be Orange County,
North Carolina. The place of this contract and all
transactions and agreements relating to it, and their situs
and forum, shall be Orange 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.
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 ofthe
agreement and should not be used to construe the meaning
thereof.
For additional information regarding the specific
requirements and exemptions, vendors and contractors are
encouraged to review Executive Order 24 and G.S. Sec.
133-32.
Executive Order 24 also encouraged and invited other
State Agencies to implement the requirements and
prohibitions of the Executive Order to their agencies.
Vendors and contractors should contact other State
Agencies to determine if those agencies have adopted
Executive Order 24."
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.
Care of Property: The Contractor agrees that it shall be
responsible for the proper custody and care of anyproperiy
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.
General Terms and Conditions - (07/ 10) Page 4 of 5
Contract #68-1012
The Dispute Settlement Center, Inc.
Sales/Use Tax Refunds: If eligible, the Contractor and all
subcontractors shall: (a) ask the North Carolina
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 reportable
expenditures before the expenses are entered in their
reimbursement reports.
Advertising: The Contractor shall not use the award of
this contract as a part of any news release or commercial
advertising.
Orange County Living Wage: Orange County is
committed to providing its employees with a living wage
and encourages agencies to which it provides funding to
pursue the same goal. The County's living wage hourly
standard, as adopted by the Orange County Board of
County Commissioners annually, can be found in the
Orange County Budget Ordinance. To the extent possible,
Orange County recommends that the Contractor and all
subcontractors provide a living wage, as defined in this
section, to their employees.
General Terms and Conditions - (07/ 10) Page 5 of 5
Contract #68-] Ol t
The Dispute Settlement Center, Inc.
ATTACHMENT B
SCOPE OF WORK
Orange County Department of Social Services
Federal Tax Id. or SSN
Contract # 68-1012
A. CONTRACTOR INFORMATION
1. Contractor Agency Name: The Dispute Settlement Center, Inc.
2. If different from Contract Administrator Information in General Contract:
Address
Telephone Number: Fax Number: Email:
3. Name of Program (s): Conflict Resolution
4. Status: ( )Public (X) Private, Not for Profit ( )Private, For Profit
5. Contractor's Financial Reporting Year July 1, 2011 through June 30, 2012
B. Explanation of Services to be provided and to whom (include SIS Service Code): The
Contractor will assist the County in meetine coals of family safety and self-sufficiency by
providing Job Readiness/Conflict Resolution classes and Team Building workshops to Work First
participants (SIS Code 547), and Communication/Conflict Resolution classes to families involved
in Child Welfare Services. The Contractor is required to meet all coals and outcomes listed in
Attachment N.
C. Rate per unit of Service (define the unit):
1. If Standard Fixed Rate, Maximum Allowable, (See Rates for Services Chart)
2. Negotiated County Rate.
$65.00/hour
D. Number of units to be provided:
E. Details of Billing process and Time Frames; The County will reimburse the Contractor for
services described in this contract un to the budeetarv limits of the contract allotment. The
County will reimburse the Contractor at a rate of $65.00/hour for approved services provided. For
reimbursement, the Contractor must submit an original and two copies of an invoice by the fifth
of the month for the preceding month's expenditures to the designated County Administrators.
The County will reimburse the Contractor monthly uRon receipt of a complete and correctly
report.
F. Area to be served/Delivery site(s): Orange County
Contract-Scope of Work (06/04) Page lof 2
Contract #68-1012
The Dispute Settlement Center, Inc.
(Sin ure of ounty Authorized Person) (Sig ature of Contractor)
®s-a~-n 5-'2-I'll
(Date Submitted) (Date Submitted)
Contract-Scope of Work (06/04) Page 2of 2
Contract #68-1012
The Dispute Settlement Center, Inc.
ATTACHMENT C
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
AND CERTIFICATION REGARDING NONDISCRIMINATION
Orange County Department of Social Services
1. 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 of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee assistance programs; and
(4) The penalties that may be 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 subparagraph
(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
paragraphs (A), (B), (C), (D), (E), and (F).
Federal Certification -Drug-Free Workplace (07/10) Page 1 of 2
Contract #68-1012
The Dispute Settlement Center, Inc.
II. The site(s) for the performance of work done in connection with the specific agreement are listed
below:
(Street address)
(City, county, state, zip code)
(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 (45 C.F.R. Section
82.510. Section 4 CFR Part 85, Section 85.615 and 86.620).
CERTIFICATION REGARDING NONDISCRIMINATION
The Vendor certifies that it will comply with all Federal statutes relating to nondiscrimination. These
include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits
discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of
1972, as amended (20 U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis
of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which prohibits
discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C.
§§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and
Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation
Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; (h) the Food Stamp Act and
USDA policy, which prohibit discrimination on the basis of religion and political beliefs; and (i) the
requirements of any other nondiscrimination statutes which may apply to this Agreement.
~~~--
Sign ture
Title
~d s , ~v~e ~e;~~ec~ e~ Cf ~' Z 0 - ~
Agency/ rganization Date
(Certification signature should be same as Contract signature.)
Federal Certification -Drug-Free Workplace (07/10) Page 2 of 2
Contract #68-1012
The Dispute Settlement Center, Inc.
ATTACHMENT D
CONFLICT OF INTEREST POLICY
Orange County Department of Social Services
Instructions: This document is intended as an aid to assist non-State entities in establishing a
conflict of interest policy. It is not intended to be used verbatim, but rather to serve
as a template for nongovernmental organizations as they craft their individual
conflict of interest policy. This example includes definitions of what is considered
unacceptable, and the consequences of any breaches thereof. Each organization that
chooses to use this template should take care to make changes that reflect the
individual organization.
Conflict of Interest Defined:
A conflict of interest is defined as an actual or perceived interest by a (Contractor/staff
memberBoard member) in an action that results in, or has the appearance of resulting in,
personal, organizational, or professional gain. A conflict of interest occurs when an
employee/Contractor/Board member has a direct or fiduciary interest in another relationship. A
conflict of interest could include:
- Ownership with a member of the Board of Directors/Trustees or an employee where
one or the other has supervisory authority over the other or with a client who receives
services.
- Employment of or by a member of the Board of Directors/Trustees or an employee
where one or the other has supervisory authority over the other or with a client who
receives services.
- Contractual relationship with a member of the Board of Directors/Trustees or an
employee where one or the other has supervisory authority over the other or with a
client who receives services.
- Creditor or debtor to a member of the Board of Directors/Trustees or an employee
where one or the other has supervisory authority over the other or with a client who
receives services.
- Consultative or consumer relationship with a member of the Board of
Directors/Trustees or an employee where one or the other has supervisory authority
over the other or with a client who receives services.
The definition of conflict of interest includes any bias or the appearance of bias in a
decision-making process that would reflect a dual role played by a member of the
organization or group. An example, for instance, might involve a person who is an
employee and a Board member, or a person who is an employee and who hires family
members as consultants.
Employee/Contractor/Board Member Responsibilities:
It is in the interest of the organization, individual staff, and Board members to strengthen trust
and confidence in each other, to expedite resolution of problems, to mitigate the effect and to
minimize organizational and individual stress that can be caused by a conflict of interest.
Employees are to avoid any conflict of interest, even the appearance of a conflict of interest. This
organization serves the community as a whole rather than only serving a special interest group.
The appearance of a conflict of interest can cause embarrassment to the organization and
jeopardize the credibility of the organization. Any conflict of interest, potential conflict of
Conflict of Interest Policy (06/04) Page 1 of 3
Contract #68-1012
The Dispute Settlement Center, Inc.
__
interest, or the appearance of a conflict of interest is to be reported to your supervisor
immediately. Employees are to maintain independence and objectivity with clients, the
community, and organization. Employees are called to maintain a sense of fairness; civility,
ethics and personal integrity even though law, regulation, or custom does not require them.
Acceptance of Gifts:
Employees, members of employee's immediate family, and members of the Board are prohibited
from accepting gifts, money or gratuities from the following:
a. Persons receiving benefits or services from the organization;
b. Any person or organization performing or seeking to perform services under contract
with the organization; and
c. Persons who are otherwise in a position to benefit from the actions of any employee of
the organization.
Employees may, with the prior written approval of their supervisor, receive honoraria for lectures
and other such activities while on personal days, compensatory time, annual leave, or leave
without pay. If the employee is acting in any official capacity, honoraria received by an
employee in connection with activities relating to employment with the organization are to be
paid to the organization.
NOTARIZED CONFLICT OF INTEREST POLICY
State of North Carolina
County of Orange
~-~' ) '
I, e.~ 'ei 1i r Notary Public for said County
and State, certify that
~rct v~ ce S ~~ t'vi d PA'S o w, personally appeared before
me this day and acknowledged
that he/she is ~ ~ ~u~~ ~ ° '~~~" ~~ of
and by that authority duly given and as the act of the corporation, affirmed that the
foregoing Conflict of Interest Policy
was adopted by the Board of Directors in a meeting held on the ~ 2 ~ day of
Sworn to and subscribed before me this _s~SL~ day of t ,~,
Conflict of Interest Policy (06/04) Page 2 of 3
Contract #68-1012
The Dispute Settlement Center, Inc.
___ __ __
s
(Official Seal)
Notary Public
;RIFE E'Jd1JI'ADM --
gWidE~~s90iNNC
Mvoorweaow IISS.IU~Ie~ oa,~
My Commission expires
20
Attached is the Conflict of Interest Policy for: The Dispute Settlement Center, Inc.
Signature of Corporation Official
Conflict of Interest Policy (06/04) Page 3 of 3
Internal Revenue Service
Date: December 13, 2004
Department of the Treasury
P. O. Box 2508
Cincinnati, OH 45201
DISPUTE SETTLEMENT CENTER INC
302 W WEAVER ST
CARRBORO NC 27510-6004
Dear Sir or Madam:
Person to Contact:
Lois Parrott 31-07342
Customer Service Specialist
Toll Free Telephone Number:
8:00 a.m. to 6:30 p.m. EST
877-829-5500
Fax Number:
513-263-3756
Federal Identification Number:
This is in response to your request of December 13, 2004, regarding your- organization's tax-
exempt status.
In June 1979 we issued a determination letter that recognized your organization as exempt
from federal income tax. Our records indicate that your organization is currently exempt
under section 501(c)(3) of the Internal Revenue Code.
Our records indicate that your organization is also classified as a public charity under.
sections 509(a)(1) and 170(b)(1)(A)(vi) of the Internal Revenue Code.
Our records indicate that contributions to your organization are deductible under section 170
of the Code, and that you are qualified to receive tax deductible bequests, devises, transfers
or gifts under section 2055, 2106 or 2522 of the Internal Revenue Code.
If you have any questions, please call us at the- telephone number shown in the heading of
this letter. -
Sincerely,
Janna K. Skufca, Director, TE/GE
Customer Account Services
Contract #68-1012
The Dispute Settlement Center, Inc.
ATTACHMENT 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. Provide Job Readiness/Conflict Resolution Workshops to Work First clients referred by the
County.
a. The maximum number of billable hours per class is 33 and includes all prep time.
B. Provide Team Building Workshops to Work First clients referred by the County.
a. The maximum number of billable hours per class is 6 and includes all prep time.
C. Provide Communication/Conflict Resolution classes to families or individuals involved with
Child Welfare Services and referred by the County per year.
a. The maximum number of billable hours per class is 27 and includes all prep time.
D. Submit invoices to the appropriate administrator.
a. Work First invoices to Sharron Hinton
b. Child Welfare Services invoices to Denise Shaffer
E. Help to ensure that 80% of Work First clients enrolled in classes obtain employment within 3
months of completion and maintain employment for at least 6 months after the class ends.
F. Help to ensure that 80% of clients referred through child welfare will have no instances or no
repeat instances of child maltreatment.
G. Maintain client records that date and document the service delivered to the individual, a valid
authorization for service, program records, and documents and other evidence that reflect
program operations.
H. Furnish information to the County, as requested, to support provision of service(s) pursuant to
this Contract and the full cost of the service; and submit changes, as needed or required for
review and approval by the County.
I. Maintain books, records, documents and other evidence and accounting procedures that reflect
all direct and indirect costs expended under this Contract. A current, complete inventory of all
equipment purchased under the terms of this Contract must be kept.
J. Retain all financial and program records for a period of three years from the date of final
payment under this agreement or until all audits continued beyond this period are completed.
Federal auditors and any persons authorized by the Division of Social Services or the County
shall have the right to examine any of these materials.
~Sc1~~P ~C~~i
Sig ature /~ Title c, ~ / ~
Agency~nization Date
(Certification signature should be same as Contract signature.)
Outcomes (06/04) Page 1 of I