HomeMy WebLinkAbout2013-058 DSS - Dispute Settlement Center $10,000 , . Contract#68-1012
The Dispute Settlement Center,Inc.
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Cwmtraot# Fiscal Yemr]0mgin DImdw June 30, 2013
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 U»collectively um the~Pmrties"). The Contractor's federal tux
identification number mr is
8. Contract Documents: This Contract consists of the following documents
(l) This contract
(2) The General Terms and Conditions(Attachment A)
(3) The Scope uf Work,description of services,and rate(Attachment S|)
(4) Federal Certification Regarding Drug-Free Workplace&Certification Regarding Nondiscrimination(Attachment Q
(5) Conflict ofInterest(Attachment D)
(6) No Overdue Taxes(Attachment B)
(7) DRS Federal Tax Exempt Letter or5Ol(o)(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 ofa 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 hwthe order nf documents uo listed in Paragraph l` above, with the first-listed document having the
bicbumt prcocd*mue and the last-listed duunoneot 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 uoJanuary ],20l3 and shall terminate uoJune 30,2013.
This contract must he twelve months urless.
4. Contractor's Duties: The Contractor shall provide the services and ivaccordance with the approved rate am described iu
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 iothe 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$10,000. This
amount consists of$)0,O0U in Federal (CFC>A # , State and County funds, $8 (source ofu/herfuods if
'p,--_-'-,.
[X] a.There are oo matching requirements from the Cuubootur.
[ l h.The Contractor's matching requirement is which shall consist of-
In-kind ( lCash
[ lCash and In-kind | lCash 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 $l0,OOO.
6- Reporting Requirements:
Contractor shall comply with audit requirements as described in N.C.G.S. § 143C-6-22&23 and OMB Circular A-|33.
7, Payment Provisions:
Contract-General (07/10) Pagelnf4
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.
S. 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 ofthe 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
—rgilmore@co.orange.nc.us
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)245-2246
dshaffer co.oran e.nc.us
Contract-General (07/10) Page 2 of 4
Contract#68-1012
The Dispute Settlement Center,Inc.
Program Contact:
Duston Lowell,Program Manager
Orange County Department of Social Services
113 Mayo Street
Hillsborough,NC 27278
(919)245-2857
dlowell@orangecounlyne.ggov
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
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Contract#68-1012
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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.
Signatire Date
#ekde_,,-yvyt
Printed Name Title
ORANGE COUNTY
A I
Frank W. Clifton,1,,�, nt7 Date
a e
This instrument has been approved as to technical content.
Nancy Coston,Dortment of Social Services Director Date
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act.
171.
u J. /;� Z//1113
Clarence G. Grier,Financial and Administrative Services Director Date
This c a has be n roved as to form and legal sufficiency.
Is c I Moo , S orn r!'
Ani*nette .Moore, S ff Attorn ,County Attorney's Office Date
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Contract#68-1012
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ATTACHMENT A
GENERAL TERMS AND CONDITIONS
Orange County Department of Social Services
Relationships of the Parties the County or the Contractor,receiving services or benefits
under this contract shall be deemed an incidental
Independent Contractor: The Contractor is and shall be beneficiary only.
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 Indemnity and Insurance
employees. The Contractor represents that it has,or shall
secure at its own expense, all personnel required in Indemnification: The Contractor agrees to indemnify and
performing the services under this agreement. Such hold harmless the County and any of their officers,agents
employees shall not be employees of, or have any and employees,from any claims of third parties arising out
individual contractual relationship with the County. 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 Insurance: During the term of the contract,the Contractor
written approval from the County. Any approved at its sole cost and expense shall provide commercial
subcontract shall be subject to all conditions of this insurance of such type and with such terms and limits as
contract.Only the subcontractors specified in the contract may be reasonably associated with the contract. As a
documents are to be considered approved upon award of minimum, the Contractor shall provide and maintain the
the contract. The County shall not be obligated to pay for following coverage and limits:
any work performed by any unapproved subcontractor. (a) Worker's Compensation - The contractor shall
The Contractor shall be responsible for the performance of provide and maintain Worker's Compensation
all of its subcontractors. Insurance as required by the laws of North
Carolina,as well as employer's liability coverage
Assignment: No assignment of the Contractor's with minimum limits of$500,000.00,covering all
obligations or the Contractor's right to receive payment of Contractor's employees who are engaged in any
hereunder shall be permitted. However, upon written work under the contract. If any work is sublet,the
request approved by the issuing purchasing authority,the Contractor shall require the subcontractor to
County may: provide the same coverage for any of his
(a) Forward the Contractor's payment check(s) employees engaged in any work under the
directly to any person or entity designated by the contract.
Contractor, or (b) Commercial General Liability - General
(b) Include any person or entity designated by Liability Coverage on a Comprehensive Broad
Contractor as a joint payee on the Contractor's Form on an occurrence basis in the minimum
payment check(s). amount of$1,000,000.00 Combined Single Limit.
In no event shall such approval and action obligate the (Defense cost shall be in excess of the limit of
County to anyone other than the Contractor and the liability.)
Contractor shall remain responsible for fulfillment of all (c) Automobile-Automobile Liability Insurance,to
contract obligations. include liability coverage, covering all owned,
hired and non-owned vehicles used in
Beneficiaries: Except as herein specifically provided performance of the contract. The minimum
otherwise,this contract shall inure to the benefit of and be combined single limit shall be$500,000.00 bodily
binding upon the parties hereto and their respective injury and property damage; $500,000.00
successors.It is expressly understood and agreed that the uninsured/under insured motorist;and$25,000.00
enforcement of the terms and conditions of this contract, medical payment. The Contractor shall provide
and all rights of action relating to such enforcement,shall this insurance for all automobiles that are:
be strictly reserved to the County and the named a. owned by the Contractor and used in the
Contractor.Nothing contained in this document shall give performance of this contract;
or allow any claim or right of action whatsoever by any b. hired by the Contractor and used in the
other third person.It is the express intention of the County performance of this contract; and
and Contractor that any such person or entity, other than
General Terms and Conditions—(07(10) Page 1 of 5
Contract#68-1012
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c. owned by Contractor's employees and Default and Termination
used in performance of this contract
("non-owned vehicle insurance"). Non- Termination Without Cause:The County may terminate
owned vehicle insurance protects this contract without cause by giving 30 days written
employers when employees use their notice to the Contractor. In that event, all finished or
personal vehicles for work purposes.Non- unfinished deliverable items prepared by the Contractor
owned vehicle insurance supplements,but under this contract shall, at the option of the County,
does not replace,the car-owner's liability become its property and the Contractor shall be entitled to
insurance. receive just and equitable compensation for any
The Contractor is not required to provide and satisfactory work completed on such materials,minus any
maintain automobile liability insurance on any payment or compensation previously made.
vehicle–owned,hired,or non-owned—unless the
vehicle is used in the performance of this contract. Termination for Cause: If, through any cause, the
(d) The insurance coverage minimums specified in Contractor shall fail to fulfill its obligations under this
subparagraph(a)are exclusive of defense costs. contract in a timely and proper manner,the County shall
(e) The Contractor understands and agrees that the have the right to terminate this contract by giving written
insurance coverage minimums specified in notice to the Contractor and specifying the effective date
subparagraph (a) are not limits, or caps, on the thereof. In that event,all finished or unfinished deliverable
Contractor's liability or obligations under this items prepared by the Contractor under this contract shall,
contract. at the option of the County, become its property and the
(f) The Contractor may obtain a waiver of any one or Contractor shall be entitled to receive just and equitable
more of the requirements in subparagraph (a) by compensation for any satisfactory work completed on such
demonstrating that it has insurance that provides materials,minus any payment or compensation previously
protection that is equal to or greater than the made. Notwithstanding the foregoing provision, the
coverage and limits specified in subparagraph(a). Contractor shall not be relieved of liability to the County
The County shall be the sole judge of whether for damages sustained by the County by virtue of the
such a waiver should be granted. Contractor's breach of this agreement,and the County may
(g) The Contractor may obtain a waiver of any one or withhold any payment due the Contractor for the purpose
more of the requirements in paragraph (a) by of setoff until such time as the exact amount of damages
demonstrating that it is self-insured and that its due the County from such breach can be determined. In
self-insurance provides protection that is equal to case of default by the Contractor, without limiting any
or greater than the coverage and limits specified in other remedies for breach available to it,the County may
subparagraph (a). The County shall be the sole procure the contract services from other sources and hold
judge of whether such a waiver should be granted. the Contractor responsible for any excess cost occasioned
(h) Providing and maintaining the types and amounts thereby. The filing of a petition for bankruptcy by the
of insurance or self-insurance specified in this Contractor shall be an act of default under this contract.
paragraph is a material obligation of the
Contractor and is of the essence of this contract. Waiver of Default: Waiver by the County of any default
(i) The Contractor shall only obtain insurance from or breach in compliance with the terms of this contract by
companies that are authorized to provide such the Provider shall not be deemed a waiver of any
coverage and that are authorized by the subsequent default or breach and shall not be construed to
Commissioner of Insurance to do business in the be modification of the terms of this contract unless stated
State of North Carolina. All such insurance shall to be such in writing, signed by an authorized
meet all laws of the State of North Carolina. representative of the County and the Contractor and
(j) The Contractor shall comply at all times with all attached to the contract.
lawful terms and conditions of its insurance
policies and all lawful requirements of its insurer. Availability of Funds: The parties to this contract agree
(k) The Contractor shall require its subcontractors to and understand that the payment of the sums specified in
comply with the requirements of this paragraph. this contract is dependent and contingent upon and subject
(1) The Contractor shall demonstrate its compliance to the appropriation, allocation, and availability of funds
with the requirements of this paragraph by for this purpose to the County.
submitting certificates of insurance to the County
before the Contractor begins work under this Force Majeure: Neither party shall be deemed to be in
contract. 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–(07110) 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 Confidentiality
catastrophic natural event or act of God.
Confidentiality: Any information, data, instruments,
Survival of Promises: All promises,requirements,terms, documents, studies or reports given to or prepared or
conditions, provisions, representations, guarantees, and assembled by the Contractor under this agreement shall be
warranties contained herein shall survive the contract kept as confidential and not divulged or made available to
expiration or termination date unless specifically provided any individual or organization without the prior written
otherwise herein, or unless superseded by applicable approval of the County.The Contractor acknowledges that
Federal or State statutes of limitation. in receiving,storing,processing or otherwise dealing with
any confidential information it will safeguard and not
Intellectual Property Rights 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 Oversight
exclusive property of the County. The Contractor shall not
assert a claim of copyright or other property interest in Access to Persons and Records:The State Auditor shall
such deliverables. have access to persons and records as a result of all
contracts or grants entered into by State agencies or
Federal Intellectual Property Bankruptcy Protection political subdivisions in accordance with General Statute
Act: The Parties agree that the County shall be entitled to 147-64.7. Additionally,as the State funding authority,the
all rights and benefits of the Federal Intellectual Property Department of Health and Human Services shall have
Bankruptcy Protection Act,Public Law 100-506,codified access to persons and records as a result of all contracts or
at I 1 U.S.C. 365 (n)and any amendments thereto. grants entered into by State agencies or political
subdivisions.
Compliance with Applicable Laws
Record Retention:Records shall not be destroyed,purged
Compliance with Laws: The Contractor shall comply or disposed of without the express written consent of the
with all laws, ordinances, codes, rules, regulations, and County. The Department of Health and Human Services'
licensing requirements that are applicable to the conduct of basic records retention policy requires all records to be
its business, including those of federal, state, and local retained for a minimum of three years following
agencies having jurisdiction and/or authority. completion or termination of the contract. If the contract is
subject to Federal policy and regulations,record retention
Title VI,Civil Rights Compliance: In accordance with will normally be longer than three years since records must
Federal law and U.S.Department of Agriculture(USDA) be retained for a period of three years following
and U.S. Department of Health and Human Services submission of the final Federal Financial Status Report,if
(HHS) policy, this institution is prohibited from applicable, or three years following the submission of a
discriminating on the basis of race,color,national origin, revised final Federal Financial Status Report. Also,if any
sex, age or disability. Under the Food Stamp Act and litigation,claim,negotiation,audit,disallowance action,or
USDA policy, discrimination is prohibited also on the other action involving this contract has been started before
basis of religion or political beliefs. expiration of the three year retention period described
above,the records must be retained until completion ofthe
Equal Employment Opportunity: The Contractor shall action and resolution of all issues which arise from it, or
comply with all federal and State laws relating to equal until the end of the regular three year period described
employment opportunity. above,whichever is later.
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 are subject to the Health Insurance Warranties and Certifications
Portability and Accountability Act of 1996,P.L. 104-91,
as amended("HIPAA"),or its implementing regulations, Date and Time Warranty: The Contractor warrants that
it will comply with the HIPAA requirements and will the product(s) and service(s) furnished pursuant to this
execute such agreements and practices as the County contract("product"includes,without limitation,any piece
may require to ensure compliance. of equipment,hardware,firmware,middleware,custom or
General'Perms and Conditions—(07110) Page 3 of 5
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commercial software,or internal components,subroutines,
and interfaces therein)that perform any date and/or time Time of the Essence: Time is of the essence in the
data recognition function, calculation, or sequencing will performance of this contract.
support a four digit year format and will provide accurate
date/time data and leap year calculations. This warranty Executive Order#24:"By Executive Order 24,issued by
shall survive the termination or expiration of this contract. Governor Perdue,and N.C.G.S.§ 133-32,it is unlawful for
any vendor or contractor(i.e.architect,bidder,contractor,
Certification Regarding Collection of Taxes: G.S. 143- construction manager, design professional, engineer,
59.1 bars the Secretary of Administration from entering landlord, offeror, seller, subcontractor, supplier, or
into contracts with vendors that meet one of the conditions vendor), to make gifts or to give favors to any State
of G.S. 105-164.8(b)and yet refuse to collect use taxes on employee of the Governor's Cabinet Agencies (i.e.,
sales of tangible personal property to purchasers in North Administration,Commerce,Correction,Crime Control and
Carolina. The conditions include: (a) maintenance of a Public Safety, Cultural Resources, Environment and
retail establishment or office; (b) presence of Natural Resources,Health and Human Services,Juvenile
representatives in the State that solicit sales or transact Justice and Delinquency Prevention, Revenue,
business on behalf of the vendor; and (c) systematic Transportation, and the Office of the Governor). This
exploitation of the market by media-assisted, media- prohibition covers those vendors and contractors who have
facilitated, or media-solicited means. The Contractor a contract with a governmental agency;or have performed
certifies that it and all of its affiliates (if any) collect all under such a contract within the past year; or anticipate
required taxes. bidding on such a contract in the future.
Miscellaneous For additional information regarding the specific
requirements and exemptions,vendors and contractors are
Choice of Law: The validity of this contract and any of its encouraged to review Executive Order 24 and G.S. Sec.
terms or provisions,as well as the rights and duties of the 133-32.
parties to this contract,are governed by the laws of North
Carolina.The Contractor,by signing this contract,agrees Executive Order 24 also encouraged and invited other
and submits,solely for matters concerning this Contract,to State Agencies to implement the requirements and
the exclusive jurisdiction of the courts of North Carolina prohibitions of the Executive Order to their agencies.
and agrees, solely for such purpose, that the exclusive Vendors and contractors should contact other State
venue for any legal proceedings shall be Orange County, Agencies to determine if those agencies have adopted
North Carolina. The place of this contract and all Executive Order 24."
transactions and agreements relating to it, and their situs
and forum,shall be Orange County,North Carolina,where Key Personnel: The Contractor shall not replace any of
all matters,whether sounding in contract or tort,relating to the key personnel assigned to the performance of this
the validity,construction,interpretation,and enforcement contract without the prior written approval of the County.
shall be determined. The term "key personnel" includes any and all persons
identified as such in the contract documents and any other
Amendment: This contract may not be amended orally or persons subsequently identified as key personnel by the
by performance. Any amendment must be made in written written agreement of the parties.
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
Severability: In the event that a court of competent furnished to it for use in connection with the performance
jurisdiction holds that a provision or requirement of this of this contract and will reimburse the County for loss of,
contract violates any applicable law, each such provision or damage to, such property. At the termination of this
or requirement shall continue to be enforced to the extent it contract, the Contractor shall contact the County for
is not in violation of law or is not otherwise unenforceable instructions as to the disposition of such property and shall
and all other provisions and requirements of this contract comply with these instructions.
shall remain in full force and effect.
Travel Expenses: Reimbursement to the Contractor for
Headings: The Section and Paragraph headings in these travel mileage, meals, lodging and other travel expenses
General Terms and Conditions are not material parts ofthe incurred in the performance of this contract shall not
agreement and should not be used to construe the meaning exceed the rates established in County policy.
thereof.
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 Orange County Living Wage: Orange County is
Department of Revenue for a refund of all sales and use committed to providing its employees with a living wage
taxes paid by them in the performance of this contract, and encourages agencies to which it provides funding to
pursuant to G.S. 105-164.14; and (b) exclude all pursue the same goal. The County's living wage hourly
refundable sales and use taxes from all reportable standard, as adopted by the Orange County Board of
expenditures before the expenses are entered in their County Commissioners annually, can be found in the
reimbursement reports. Orange County Budget Ordinance. To the extent possible,
Orange County recommends that the Contractor and all
Advertising: The Contractor shall not use the award of subcontractors provide a living wage, as defined in this
this contract as a part of any news release or commercial section,to their employees.
advertising.
General Terms and Conditions—(07/10) Page 5 of 5
Contract#68-1012
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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: 919 j2,!E9&fb Fax Nurnber:'W 9W 9Jl Email: �f
�t'V�A�0-41 -'U
3. Name of Program(s): Conflict Resolution C
4. Status: ( )Public (X)Private,Not for Profit Private,For Profit
5. Contractor's Financial Reporting Year July 1,2012 through June 30,2013
B. Explanation of Services to be provided and to whom(include SIS Service Code): The
Contractor will assist the Count in meeting goals of family safety and self-sufficiency
providing Job Readiness/Conflict Resolution classes and Team Building workshops to Work First
participants(SIS Code 547), Communication/Conflict Resolution classes to families involved in
Child Welfare Services,and Communication/Conflict Resolution/Team Building training and
training curriculum and materials to Department of Social Services staff. 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 Standard Fixed Rate,Maximum Allowable, (See Rates for Services Chart)
2.Negotiated County Rate.
$75,00/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 up to the budgetM limits of the contract allotment. The
County will reimburse the Contractor at a rate of$75.00/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 upon receipt of a complete and correctly filed
report.
F. Area to be served/Delivery site(s): Orange County
Contract-Scope of Work(06/04) Page I of 2
Contract#68-1012
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C"ALC4-
Nancy Coston,Social Services Director (Signature of Contractor)
-e /Y h-'s 1-2-4-11
(Date Submitted) (Date Submitted)
Contract-Scope of Work(06/04) Page 2of 2
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ATTACHMENT
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
AND CERTIFICATION REGARDING NONDISCRIMINATION
Orange County Department of Social Services
l. By execution of this Agreement the Contractor certifies that it will provide a drug-free workplace by:
A. Publishing u statement notifying employees tboltbcuulumvfu1roonufaubmre, distzihmdioo,
dispensing,possession nr use ofu controlled substance im prohibited io the Contractor's
workplace and specifying the actions that will be taken against employees for violation ofsuch
B. Establishing udrug-free avvoceocmo program to iofbon employees about:
(l)The dangers of drug abuse iothe workplace;
C2\The Contractor's policy of maintaining adrug-free nmrkn|uoe;
(3)Any available drug counseling,rehabilitation,and employee assistance programs;and
(4)The penalties that may he imposed upon employees for drug abuse violations
occurring iu the workplace;
C. Making ba requirement tbuneocbenmpluy be engaged io the performance of the agreement bm
given u copy uf the statement required 6v paragraph(f\);
D. Notifying the employee in the statement required by paragraph(A)that, as u condition of
employment under the agreement,the employee will:
(l)/�bidc kvtb�t�rn�m of m���nman1' and
` ' ~ ,
C2\Notify the employer of any o6o`ioul drug statute conviction for uviolation occurring
io the workplace oV later than five days after such conviction;
E. Notifying the County within ten days after receiving notice under subparagraph([))(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
(0)(2),with respect toany employee who i000convicted:
(1)Taking appropriate personnel action against such an employee, nytu and including
termination;or
(2)Requiring such employee toparticipate satisfactorily ioa 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 a drug-free workplace through implementation of
p (A),(B),(C),([})`(B),and(F).
Federal Certification-Drug-Free Workplace(O7/lO) Pagel of2
Contract#68-1012
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II. The site(s)for the performance of work done in connection with the specific agreement are listed
below:
1. 0 tit.
(Street address)
(City,county, state, zip code)
2.
f� (Street address)
Vra K C i4 Af
(City,county,state,zip co e)
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.
411CV,CX^ e c
Sig ature Title
015P(A* ��/f 141 et C�e(4)� - Zy ri3
Agency/Organization Date
(Certification signature should be same as Contract signature.)
Federal Certification-Drug-Free Workplace(07/10) Page 2 of 2
Dispute
Settlenient
LCenter
OF ORANGE COUNTY
Dispute Settlement Center,Inc.
Conflict of Interest Policy
A. Agency officers, directors, employees, and agents are obligated to always act in the
best interest of the organization. This obligation requires that any officer, director,
employee, or agent, in the performance of Agency duties, seek only the furtherance of the
Agency mission.
B. The officers, directors, employees, or agents of the Agency should neither solicit nor
accept gratuities, favors, or anything of monetary value from contractors/vendors. This is
not intended to preclude bona-fide Agency fund-raising activities.
C. No officer, director, employee or agent of the Agency shall participate in the
selection, award, or administration of a purchase or contract with a vendor where, to his
knowledge, any of the following has a financial interest in that purchase or contract:
1. the officer, director, employee, or agent;
2. any member of their immediate family;
3. their partner;
4. an organization in which any of the above is an officer, director, or
employee;
5. a person or organization with whom any of the above individuals is
negotiating or has any arrangement concerning prospective employment.
D. Disclosure — Any possible conflict of interest shall be disclosed by the person or
persons concerned.
E. Board Action— When a conflict of interest is relevant to a matter requiring action by
the Board, the interested person(s) shall call it to the attention of the Board and said
person(s) shall not vote on the matter. In addition, the person(s) shall not participate in
the final deliberation or decision regarding the matter under consideration and shall leave
the room during the vote of the Board. When there is doubt as to whether a conflict
exists, the matter shall be resolved by vote of the Board, excluding the person(s)
concerning whose situation the doubt has arisen.
F. Record of Conflict—The official minutes of the Board shall reflect that the conflict of
interest was disclosed and the interested person(s) was (were) present during the final
discussion or vote and did not vote on the matter.
*r
T
M=Vft 302 West Weaver Street,Carrboro,N.C.27510■ (919) 929-8800 ■ fax: (919) 942-6931 a www.disputesettlement.org
Page 2 of 2
Adopted by the Dispute Settlement Center,Inc. Board of Directors, 10127104
Signed: date:
Print name: r--�-Ct Vic e-J #C"t"t--s
State of North Carolina
County of Orange
1, M Notary Public for said County and
State certify that F-y-n� (S Cj 0 personally appeared before me
this day and acknowledged that she is Executive Director of the Dispute Settlement
Center 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 27th day of October, 2004.
MANDI ATKINS
Sworn to and subscribed before me thie day of Notary Public, North Caroijina
Granville County
Oi I
My Commission Expires
Atlaust 02. 2017
(Official Seal)
My Commission expires � Cn Lao
Attached above is the Conflict of Interest Policy for the Dispute Settlement Center, Inc.
Signature of Corporation Official
Page 2 of 2
(Frances Henderson) Sworn to and subscribed before me on the day of the date of said
certification.
MANDI ATKINS
Notary Public, North Carolina
Granville County Notary Public
My Commission Expires
August 02, 2017
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 h agrees to the following:
l. The Contractor agrees 1oparticipate in program, f]muu|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, um negotiated within ucorrective
action plan,for any items found to be out ofcompliance 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.
u. 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 bv the County per year.
o. The maximum number of billable hours per class is 27 and includes all prep time.
D. Submit invoices bo the appropriate mdnziuimbntoz.
u. Work First and staff training invoices 1w Sharron Hinton
b. Child Welfare Services invoices 0oDenise Shaffer
E. Help to ensure that 80Y6 of Work First clients enrolled inclasses obtain employment within]
months of completion and maintain employment for at least 6 months after the class ends.
E Help to ensure that 8096 Vf clients referred through child welfare will have ou instances oruo
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,um needed or required for
review and approval}m the County.
Y. 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 wfall
equ' nmeotporubumeduodeTtbebammuoftbim(�oo�uuto�umthekent.
J. ' ' all fiuunuiu1and program records for u period of three years from the date offinal
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 10 examine any of these materials.
ye e
Si ature Tjdc
/\Qeucv/6rgaoizatioo []u1e
(Certification signature should besame as Contract signature.)
�u0� \ ofl
Outcomes (06/04)