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HomeMy WebLinkAbout2015-657-E Aging - UNC-Chapel Hill MAP Housing Study DocuSign Envelope ID: F20A5A45-7o63-452E'e4*r-3C98o2C3604E Research Subaward Agreement Prime Recipient Subrecipient Institution/Organization ("PhmoRooipiontl Institution/Organization("Subrecipient") Name: Orange County, North Carolina Name: | --------'| - --- -------- -- ----- - !----- - ---------- ----- '-----' Prime Award No, Nita Subaward No. | N/A - - ------------------ Awarding Agency 3 Orange County, NC Amount Funded This Action $57,527 Prime Recipient PI K-WA--------- ---'------' - --- Subrecipient P| Charie------ --- -- - - - Subaward Period of Performance: Estimated Project Period (if incrementally funded): Budget Period From: From: - - To: -' --------' From: O701�O15 � x �u/� 07/01/2014 ------- -- - - -- 00/30V2010 Project Title U MAP I-busing Study -- -------- -- - --- Reporting Requirements See Attachment 4 Terms & Conditions 1) Prime Recipient hereby awards a cost reimbu mab|enubawavd. aodosohbedabuve.tnSubrecipient.-The'sta-te- mentofwmrkand budget for this subaward are (check one): I - As specified in Subrecipient's proposal dated ; or as shown i n Attachment 5. In its performance of the subaward work, Subrecipient shall be an independent entity and not an employee or agent of Prime Recipient. 2) Prime Recipient shall reimburse Subrecipient not more often than monthly for allowable costs. All invoices shall be submitted using Subrecipient's standard invoice, but at a minimum shall include current and cumulative costs (including cost-sharing), subaward number, and certification as to truth and accuracy of invoice. Invoices that do not reference Prime Recipient's Suba ward Number shall be returned to Subrecipient. Invoices and questions concerning invoice receipt or payment should be directed to appropriate party's Financial Contact as shown in Attachments 3A& 3B. 3) A final statement of cumulative costs incurred, including noat'uhuring. marked ^F|NAL^ mus� beaubmi�edto the Prime Recipient's Financial Contact, as shown in Attachments 3A& 3B, NO LATER THAN F---66- 0U uubawend and date. The final statement of costs shall constitute Subrecipient's final financial report. 4) All payments shall be considered provisional and subject to adjustment within the total estimated cost in the event such adjustment is necessary as a result of an adverse audit finding against Subrecipient. 5) Matters concerning the technical performance of this subaward should be directed to the appropriate party's Principal Investigator, as shown in Attachments 3A& 3B. Technical reports are required as shown above, "Reporting Requirements." 6) Matters concerning the request or negotiation of any changes in the terms conditions or amounts cited in this subaward agneament, and any changes required prior approval, should be directed to the appropriate party's Administrative Contsnt, as shown in Attachments 3A& 3B. 7) Each party shall be responsible for its negligent acts or omissions and the negligent acts or omissions of its emp|oyeou, offiuom, or directs, to the extent allowed by law. 8) Either party may terminate this subaward with thirty(30) days written notice to the appropriate party's Administrative Contact as shown in Attachments 3A& 3B Prime Recipient shall pay Subrecipient for termination costs as allowable under OMB Circular A'21orA'122or45CFR74 Appendix Eaoapplicable. 9) No Cost Extensions require the approval of the Prime Recipient.Any request for a no cost extension should be addressed to and received by the Administrative Cuntazt, as shown in Attachments 3A&3B, not less than thirty(30) days prior to the desired effective date of the requested change. 10) The Subaward is subject to the terms and conditions of the Prime Award (Attachment 6) and other special terms and conditions, as identified in Attachment 2. 11) By Signing below Subrecipient makes the certifications and assurances shown in Attachment 1. Subrecipient also assures that it will comply with applicable regulatory requirements specified in the Prime Award and Attachment 2. By and Authorized Official of Prime Recipient: By an Auth i d Offi i |ufSubrecipient: r—DocuSigned by: �� �^° � . 12/30/2015 ^^"kux�� ,.�*w*W�°~� cl9P - _' /6 `Wenve»�oOn�nin Hammersley Date Name Barbara Entwisle Date Title County Manager Title Vice Chancellor for Research Attachment 1 Research Subaward Agreement Certifications and Assurances By signing the Subaward Agreement,the authorized official of Subrecipient certifies,to the best of his/her knowledge and believe that: Certification Regarding Lobbying 1) No grant funds have been paid or will be paid, by or on behalf of the Subrecipient,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,the making of any Federal grant,the making of any Federal|oan,the entering into of any cooperative agreement, and the ex1onsion, onntinuetion, enmwo|, emondmnnt, or modification of any Federal contract, grant, |omn,or cooperative agreement. 2) If any funds other than grant funds have been paid or will be paid to any person for influencing or intending to influence an officer or employee of any agency, a Member of Congress, an office or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, |oan, or cooperative agreement, the Subrecipient shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying,"to the Prime Recipient 3) The Subrecipient shall require that the language of this certification be included in the award documents for all subawards at all tiers (including aubcontmcto, oubgnynto, and contracts under grants, |uano, and cooperative agreements)and that all Subrecipient 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 Section1352,Title 31, U.S.Code. Any person who fails to file the required certification shall be subject to a civil penalty not less than$10,000 and not more than $100,000 for each such failure. Debarment, Suspension, and Other Responsibility Matters Subrecipient certifies by signing this Subaward Agreement that neither it nor its principals are presently dmbarned, suspended, proposed for debarment, declared ineligible or voluntarily excluded from participation in this transaction by any federal department or agency. OMB Circular A-133Assurance Subrecipient assures Prime Recipient that it complies with A-133 and that it will notify Prime Recipient of completion of required audits and of any adverse findings which impact this subaward. Other Assurances and Certifications The Subrecipient agrees to complete and submit to the Prime Recipient any other assurance and/or certification which may be required by the funding agency. Such certifications include but are not limited to Drug Free Workplace, Delinquent Federal Debt, Research Misconduct, Inclusion of Women and Minorities as Subjects, Inclusion of Children as Subjects, and Financial Conflict of Interest. Attachment 2 Research Subaward Agreement Special Terms and Conditions 1. ALLOWABLE COSTS The amount authorized will cover the direct costs of the research and whatever indirect costs are allocable thereto. The allowability of costs will be determined in accordance with OMB Circular A-21, applicable Cost Accounting Standands, and cost principles referenced in the prime owand, as oppropriaba, and any addenda thereafter. Any prior approvals are to be sought from UNC-CH. 2. RECORDS (a) The SUBRECIPIENT'S fani|iUes, or such part thereof as may be engaged in the performance of this Agreemant, and any pertinent bnoks, documents, papers and records directly related to performance of this Agreement, shall be subject at all reasonable times to inspection and audit by UNC-CH. . the State of North Carolina or any authorized representatives. (b) Financial recondo, supporting documents and other records pertinent to this Agreement shall be retained by the SUBRECIPIENT for a period of at least three (3) years from the date of submission of the final expenditure report and additional time as required by prime award. Records pertaining to audits, appeals, litigation or settlement of claims arising out of performance of this Agreement shall be retained until such audits, appeals, litigation or claims have been settled. 3. SUBCONTRACTING None of the work performed under this Agreement shall be subcontracted without prior written authorization from UNC-CH. 4. LIABILITY The SUBRECIPIENT shall at all times be considered to be an independent contractor and shall not hold himself/herself out as an employee of UNC-CH. Each party shall be solely liable for any claims, ocUono, demands or damages arising out of its performance of this Agreement. 5. SEVERABILITY If any provision of this Agreement or any provision of any document incorporated by reference shall be held inve|id, such invalidity shall not affect the other provisions of this Agreement which can be given effect without the invalid provioion, and to this and the provisions of this Agreement are declared to be severable. 6. SPECIAL PROVISIONS The following c|aueea, which have been morhmd, are incorporated into this Agreement. The full text of the clauses is included in their entirety in the Attachment 2 continuation to this Agreement F~ (a) Publicity r (g) Human Subjects T- (b) Equipment r (h) HIPAA ) (c) Copyright r (i) Vertebrate Animals ✓ (d) Patents r (j) Payment Schedule ✓ (e) Publications ✓ (f) Civil Rights and Equal Employment Opportunity (a) PUBLICITY Neither party shall use the name of the other party in news releases or advertising or in other publications directed to the general public without approval of an authorized signatory of the other party. (b) EQUIPMENT Title to all equipment purchased under this Agreement will be retained in accordance with prime award requirements. The SUBRECIPIENT agrees to maintain sufficient records to enable UNC-CH to fulfill its accountability under this award. Attachment 2 Research Subaward Agreement Special Terms and Conditions (c) COPYRIGHT Subrecipient shall grant to Prime Recipient an irn*vocmb|e, royalty-hoe, non-tnensfenab|m, non-exclusive right and license to use, napnoduma, make derivative worha, diop|oy, and perform publicly any copyrights or copyrighted material (including any computer software and its documentation and/or databases) first developed and delivered under this Subaward Agreement solely for the purpose of and only to the extent required to meet Prime Recipient's obligations under its Prime Award. (d) PATENTS The determination of the rights of ownership and disposition of patentable inventions resulting from the performance of the work under this Agreement and the administration of such inventions shall be in accordance with Prime Agreement. If the SUBRECIPIENT decides it will not take title to any such invondon, it will so notify UNC-CH and provide such information as may be needed and requested by UNC-CH to permit UNC-CH to petition the Government for title. The SUBRECIPIENT shall provide such notice to UN{}-CH at least two (2) months before it informs the Government that it elects not to take title. The 8UBREC|P|ENT shall submit a final report of inventions within thirty (30) days after the expiration of the subcontract to the UNC-CH Contract Administrator (e) PUBLICATIONS All publications must cite the source of support (e.g., the Prime Agency through UNC-CH) and shall indicate that the findingn, opinions and recommendations expressed therein are those of the author and not necessarily those of UNC-CH or the prime sponsor. An advance copy of all proposed publications shall be furnished to the UNC-CH Principal Investigator (f) CIVIL RIGHTS AND EQUAL EMPLOYMENT OPPORTUNITY The SUBRECIPIENT shall comply with Title VI and VII of the Civil Rights Act of 1964. and Executive Order 11246 and certifies that it has a valid Assurance of Compliance on file with the HHS (Form HHS 690). The SUBRECIPIENT agrees to include in any contract entered into pursuant to this Agreement, paragraphs (1) through (7), Part II, Subpart B. Section 302. and Executive Order 11246. (g) HUMAN SUBJECTS (1) Any activity under this Agreement which involves the use of human subject shall be governed by applicable Department of Health and Human Services (DHHS) policies and federal regulations. The SUBRECIPIENT agrees that any human research protocol conducted under this Agreement shall be reviewed and approved by a designated Institutional Review Board (IRB) and certifies that this IRB is in full compliance with all relevant federal regulations. (2) Prior to conducting research with human subjects, SUBRECIPIENT certifies that, if applicable, it has an appropriate and current Federal Wide Assurance of Protection for Human Subjects (or other applicable assurance) on file with the United States Department of Health and Human Services and will provide a copy of such assurance upon request. (3) SUBRECIPIENT further certifies that it has in place all required programs or procedures for education and training in the protection of human subject research and that SUBRECIPIENT's investigator and other individuals (or any substituted investigators) have completed any required education and training. Upon request, SUBRECIPIENT shall provide a description of the education completed. (h) HIPAA SUBRECIPIENT represents and warrants that it has all necessary authority under applicable state and federal law, including, but not limited to, the Health Insurance Portability and Accountability Act of 1996, to provide to the UNC-CH any and all data as required by the prime sponsor (i) VERTEBRATE ANIMALS Pursuant to the Animal Welfare Act and the Public Health Service Policy on Humane Care and Use of Laboratory Animals, the SUBRECIPIENT and UNC-CH agree that any animal research protocol conducted under this Agreement shall be reviewed and approved by SUBRECIPIENT'S Institutional Animal Care and Use Committee (IACUC) before any animal research is undertaken in the project. SUBRECIPIENT certifies that its IACUC is in full compliance with all relevant federal regulations and has an approved General Assurance on file with DHHS. Attachment 2 Research Subaward Agreement Special Terms and Conditions (j) Payment Schedule SUBRECIPIENT shall submit an invoice for payment of the start-up costs up to| «Pon execution of this Agreement. Costs up to the maximum rate of per patient will be paid to the SUBRECIPIENT based on the milestones reached and completion of data collection. The maximum �__'_-__-____ peynnmntfor the SUBRECIPIENT under this Agreement shall not exceed Increase in the maximum payment is dependent on enrollment numbers. Any change to the maximum payment to SUBRECIPIENT will require formal Amendment with the written consent of both SUBRECIPENT and UNC- CH. Future funding is contingent on UNC-CH receiving continued funding from Sponsor and successful enrollment numbers by SUBRECIPIENT. Neither UNC-CH nor SPONSOR for costs incurred in excess of the amount allotted for the performance of this Agreement. 7. SPECIAL AWARD CLAUSES El Applicable (see below) || Not Applicable Attachment 3A 8ubawmrdNumbe� . Subaward Agreement Prime Recipient Contacts Institutional/Organization ( Prime Recipient") Name: Orange County Address: 200 Cameron Street City: Hillsborough State: NC Zip Code: 27278 Administrative Contact F��-~--- -'�------- -----------------�------''�-'------'--' �'~�---'-------�--- '- -----' Name: ! Kathie Kearns Address: Orange County Homestead Road City: Chapel Hill State: NC ZipCode: 27516 Telephone: 0 819-2454254 Fax: Email: kkeannm@oranQecountync.gov Principal Investigator Name: N/A ~ ___--__ _ _____-_�_______'__'_ _______~ Address: ~ � ���, �_______________________�~ ^__________ J- ' ` '' ' - ' - �--~�-~�~�~-~--------~^------~----------�—~ ^ _~^-�'----------- City: State: ZipCode: Telephone: o Fax Email: Financial Contact ___-__-__--____ Name: Kathie Kearns Address: Orange County 2551 Homestead Road City: Chapel Hill State: ZipCode: 27516 Telephone: 919-245-4254 Fax: Email: kkearns@orangecountync.gov Authorized Official Name: Bonnie Hammersley Address: Orange County Manager 200 S. Cameron Street P.O. Box 8181 City: Hillsborough State: NC ZipCode: 27278 Telephone: (919) 732-8181 Email: BHammersley©onangeoountynn.gov Attachment 3B Subaward Number: [------------'-- ---- Research Subaward Agreement Subrecipient Contacts |notitubonoNDrganizetion ("8ubreoipient") N ---- '�-�--- ---1 --'--� -----' --- ---�----------------------- --'-- _ __-_ -'-_ �m�� | The University of North Carolina at Chapel Hill Address: Office of Sponsored Research -'-- -------- --- --- '-'----- ---- ---- --'---'------ . 104 Airport Drive Suite 2200,CB 1350 City: Chapel Hill State: r NC --------~ ZipCode: EIN No.: 566001393 Institution Type: n'tatemot.mHigherBi--- ----- SAM.gov Reg Yes No Performance Sit Same Addres as Above? Yes No DUNS No.: If no, is the performance sitetha same as P| address below? (.; Yes No K-----' Administrative Contact K'- --- ---� ' - - -- --� ----- --- - - --'— --' -- - - Name: V John Stray horn Address: Office of Sponsored Research 104 Airport Drive,Suite 2200,CB 1350 _ _ _ __ _-_ __--_ __ -_ — _ � _ __ - _ City: � C�ape H0 State: ZipCode: 27599-1350 Telephone: Fax: [ ------------'----'------ ^--'- ------- -----~~~~-- ----'------------------- Email: | ymtroy@live.unu.edu Principal Investigator onne � =�'i~Rnoamong - --- - -- -------- - ---- �------------ Name: Address: . Center for Health Promotion and Disease Prevention 1700 Martin Luthe King,Jr., Blvd. r----- --'-------- ---------^---~- -----'--------'----'---------------- r -- -------------- ---- - -- City: | Chapel Hill State: ZipCode: K 275997426 Telephone: F -------- ----- -- -- -- Fax:�----- -- --- ' - - - - ' Email: cmuemun@meduno.edu ----------- -- -- --- -- -- � ----- ----------------- Financial Contac Name: Vanessa ----------------------- -- --' '---'--- --- --- - ----- --- - - � ----- Address: , Office of Sponsored Research [ 104 Airport Drive Suite 2200 CB 1350 [ --------------'---- ------ ---------- --- �--------�-~'~~----------------------- {----- -------' ------' ----------- City: Chapel Hill State: | --------------------ZipCode: ------' Telephone: 919-9665411 Fax: [-____-___ _-__^__-,'--- Email: | edu Authorized Official Name: | Barbara Entw isle [ --- -------- ----- ----'---'-- ---------- ------ Address: Office of Sponsored Resear h 104 Airport, - CB 1350 � City Chapel Hill State: NC ZipCode: I 275991350 ;_________ Telephone: / 910-960-3411 Fax Email: / esodminoor@unc.edu Attachment 4 Research Subaward Agreement Reporting Requirements 1. SUBRECIPIENT progress reports as required by the agency should be submitted to PRIME RECIPIENT Principal Investigator as indicated in Attachment 3. Attachment 5 Research Subaward Agreement Scope of Work and Budget Scope of Work: The project deliverables include the following. 1. Continue to monitor and engage in development of new housing options available to older adults in Orange County. 2. Provide leadership to the Orange County Long Term Care Collaborative, an initiative to improve the quality of life of recipients of LTC services. Consultation to assist leaders with the implementation of positive change will also be provided on an as- requested basis. 3. Help organize and facilitate a series of discussions for community members to learn abnutaudcoosideroevvbousiugnoode}soucbasiotendoualronmnmunities, co' housing, modular structures,and pocket neighborhoods. 4. Interview Architects and Developers to understand their perspectives on innovative housing models that maybe introduced into Orange County. They will be asked to consider housing of various types that serve seniors from diverse backgrounds and levels of socioeconomic resources and identify barriers that might prohibit their development. G. Facilitate meetings between Architects/Developers and the Orange County Planning Department to address the feasibility of building out current and future models of senior housing. 6. Attend regularly scheduled meetings between Mary Fraser, Director of Orange County's Aging Transitions Program and Janice Tyler, Director of Orange County Department on Aging to ensure project direction progress and timeline are moving forward per overall project goals. 7. Supervise two -six public health students as they conduct community-based research on long-term care, MD dissemination, Complete Streets and senior housing. 8. Continue providing leadership to disseminate information about Department on Aging services to the medical community,with the aim of increasing referrals to community services and improving the transition experience from hospital to home. ----- DRAFT Principal Investigator: Cherie Rosemond,PhD DATES: July 1,2015-June 30. 2016 TYPE %OF BASE PERSONNEL (MOS) Mos. APPT SALARY SAL. FRNG TOTAL Rosemond,C. Principal Investigator 12 6.00 50.0% 89301 44651 12876 57527 TOTAL PERSONNEL 0.50 44,651 12,876 57,527 TOTAL DIRECT COSTS 57,527 COSTS SUBJECT TO INDIRECT 0 INDIRECT COST @ 10% 0 TOTAL COSTS 57,527 Aging in Orange County: Exploring Options for Housing and Care Budget Justification PERSONNEL Dr. Rosemond is a Research Scientist with the UNC Center for Health Promotion and Disease Prevention. She will serve as Principal Investigator on this p 'ect and will coordinate the. She will devote 50% of her time to this p ject. Specifically, she will: 1) continue to monitor and engage in development of new housing options available to older adults in Orange County; 2) provide leadership to the Orange County Long Term Care Collaborative, an initiative to improve the quality of life of recipients of LTC services. Consultation to assist leaders with the implementation of positive change will also be provided on an as- requested basis; 3) help organize and facilitate a series of discussions for community members to learn about and consider new housing models such as intentional communities, co- housing, modular structures, and pocket neighborhoods; 4) interview Architects and Developers to understand their perspectives on innovative housing models that may be introduced into Orange County. They will be asked to consider housing of various types that serve seniors from diverse backgrounds and levels of socioeconomic resources and identify barriers that might prohibit their development; 5)facilitate meetings between Architects/ Developers and the Orange County Planning Department to address the feasibility of building out current and future models of senior housing; 6) attend regularly scheduled meetings between Mary Fraser, Director of Orange County's Aging Transitions Program and Janice Tyler, Director of Orange County Department on Aging to ensure project direction progress and timeline are moving forward per overall project goals; 7) supervise two -six public health students as they conduct community-based research on long-term care, MD dissemination, Complete Streets and senior housing; 8) and continue providing leadership to disseminate information about Department on Aging services to the medical community,with the aim of increasing referrals to community services and improving the transition experience from hospital to home. BENEFITS Fringe benefits for full-time employees are calculated using 22.634% composite rate plus medical insurance at $5,378 per FTE. Fringe benefit rates are regulated by the University and will be adjusted to accommodate any rate changes. A 3% increase is budgeted annually for health insurance. DocuSign Envelope ID:F20A5AA5-7D63-452E-B44F-3C99D2C3604E Attachment 6 Research Subaward Agreement Prime Award Not Applicable DocuSign Envelope ID: F20A5AA5-7D63-452E-F344F-3C99D2C3604E Attachment 7 Research Subaward Agreement Subrecipient Commitment Form Not Applicable