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2016-356-E DSS - L.I.F.E. Skills Foundation for fostering youth opportunities
DocuSign Envelope ID: 3D9A2C3C-B477-4E3B-886F-5583C52FF19A [Departmental Use Only] TITLE LIFE Skills Foundation FY 2016-17 NORTH CAROLINA SERVICES AGREEMENT UNDER $90,000.00 NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter "Agreement"), made and entered into this 1 day of July, 2016, ("Effective Date") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and L.I.F.E. Skills Foundation, (hereinafter, the "Provider"). WITNESSETH: That the County and Provider, for the consideration herein named, do hereby agree as follows: 1. Services a. Scope of Work. i) This Agreement is for services to be rendered by Provider to County with respect to (insert type of project): Fostering Youth Opportunities ii) By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof. Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 2. Responsibilities of the Provider a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Provider is solely responsible for the professional Revised 6/16 DocuSign Envelope ID: 3D9A2C3C-B477-4E3B-886F-5583C52FF19A quality, accuracy and timely completion and/or submission of all work related to the Basic Services. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, or assigns in the performance of the Ageement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Provider represents that it and/or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) In determining the basic services to be provided, should any documents be referenced in this Agreement, the terms of this Agreement shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. Should a request for proposals and a proposal be referenced the terms of the request for proposals shall have priority over the terms of any proposal. 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Provider will provide independent living skill building, mental health services, and transitional housing assistance to participants of the Fostering Youth Opportunities program at a rate of $60/hour at the request of the County. The County will reimburse the Provider for a maximum of $25,000.00 for services provided. 4. Duration of Services a. Term. The term of this Agreement shall be from July 1, 2016 to June 30, 2017. b. Scheduling of Services. i) The Provider shall schedule and perform its activities in a timely manner. Revised 6/16 2 DocuSign Envelope ID: 3D9A2C3C-B477-4E3B-886F-5583C52FF19A ii) Should the County determine that the Provider is behind schedule, it may require the Provider to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform its services in accordance with the approved project schedule at no additional cost to the County. iii) The Commencement Date for the Provider's Basic Services shall be July 1, 2016. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services under this Agreement. The maximum amount payable for Basic Services shall not exceed Twenty-Five Thousand Dollars ($60/hour). Payment for Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Payment shall be subject to provisions of Section 5(b). b. Disputes. In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. c. Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such additional services in writing and such additional services are evidenced by a written amendment to this Agreement. 6. Responsibilities of the County a. Cooperation and Coordination. The County has designated (Nancy Coston, Director, Orange County Department of Social Services) to act as the County's representative with respect to the Project and shall have the authority to render decisions within guidelines established by the County Manager and/or the County Board of Commissioners and shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance a. General Requirements. Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by County's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at httpijwww.ora ngeco u ntyinc.gqyjdt?pa rtme nt.V.pg rctla.sjfig_si sjo oLconra,clu hp). If County's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of N/A (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in Revised 6/16 3 DocuSign Envelope ID: 3D9A2C3C-B477-4E3B-886F-5583C52FF19A effect and certification thereof has been received by the County's Risk Manager. 8. Indemnity a. Indemnity. The Provider agrees to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from bodily injury including death or property damage to any person or persons caused in whole or in part by the negligence or misconduct of the Provider except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 9. Amendments to the Agreement a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. 10. Termination a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days' prior written notice to the Provider. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. c. Compensation After Termination. i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider. ii) Should this Agreement be terminated, the Provider shall deliver to the County within seven (7) days, at no additional cost, all deliverables including any electronic data or files relating to the Project. d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. Revised 6/16 4 DocuSign Envelope ID: 3D9A2C3C-B477-4E3B-886F-5583C52FF19A e. Suspension. County may suspend the Basic Services and this Agreement at any time for County's convenience and without penalty to County upon three (3) days' notice to Provider. Upon any suspension by County, Provider shall discontinue work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor, on the list created by the State Treasurer pursuant to G.S. 147- 86.58. c. Anti-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal anti-discrimination laws, policies, rules, and regulations and the Orange County Anti-Discrimination Policy. Any violation of this requirement is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. d. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. e. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. f. Severabilit r. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. g. Ownership of Work Product. Should Provider's performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or Revised 6/16 5 DocuSign Envelope ID: 3D9A2C3C-B477-4E3B-886F-5583C52FF19A things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non-appropriation of public funds. It is expressly agreed that County shall not activate this non-appropriation provision for its convenience or to circumvent the requirements of this Agreement, but only as an emergency fiscal measure during a substantial fiscal crisis. In the event of a change in the County's statutory authority, mandate and/or mandated functions, by state and/or federal legislative or regulatory action, which adversely affects County's authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County's legal authority. i. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article I 1 A and Article 40 of North Carolina General Statute Chapter 66. j. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Provider's Name Attention:Nancy Coston LIFE Skills Foundation P.O. Box 8181 2670 Durham-Chapel Hill Blvd. Hillsborough, NC 27278 Durham, NC 27707 [SIGNATURE PAGE TO FOLLOW] Revised 6/16 6 DocuSign Envelope ID: 3D9A2C3C-B477-4E3B-886F-5583C52FF19A IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder set their hands and seal, all as of the day and year first above written. ORANGE COUNTY: PROVIDER: DocuSigned by: DocuSigned by: j5oliuwit, tkcvmmurstui By: nfilZ9.9.4.E175F477_... BY: Asa241313E5C7q4E3_ County Manager Alex Protzman, Executive Director Printed Name and Title Revised 6/16 7 DocuSign Envelope ID: 3D9A2C3C-B477-4E3B-886F-5583C52FF19A Client#: 1232534 20LIFESKI , MlDO/YYYY) (M ACORD., CERTIFICATE OF LIABILITY INSURANCE DATE TE(M /2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ PRODUCER NAME: Beth Wilkerson BB&T Insurance Services,Inc. PHONE FAX {Arc,No,E�Z919 281-4560 iAr No). 8887468761 Post Office Box 13941 EMAIL ADDRESS: bcwilkerson@bbandtcom Durham, NC 27709 INSURER(S)AFFORDING COVERAGE NAIC 0 919 281-4500 INSURER A:Philadelphia Indemnity Insuranc 18058 INSURED INSURERS: LIFE Skills Foundation INSURER C 2670 Durham Chapel Hill Rd �._. Durham,NC 27707 INSURER D: INSURER E INSURER F:_ e 1 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE LIMITS .- „ .._.._.—_ INSR MD .__.. POLICY NUMBER ._.....__.[MMlDDlYYYY MMlDD1YYYY} _.. A X COMMERCIAL GENERAL LIABILITY PHPK1396797 19/15/2015 09/15/201;EACH OCCURRENCE $1,000 000 DAMAGE TO RENTED CLAIMS-MADE 1 X OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000 000 GE 'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $3,000,000 PRO- 1 POLICY JECT I LOG PRODUCTS-COMPIOPAGG '$3,000,000 OTHER: ....._..__....,.........__.'..S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I Ea acodena.._..____..._......._.........__ S ANY AUTO BODILY INJURY(Per person) $ ALL OWNED I SCHEDULED P_._...a_.___ ,__ AUTOS AUTOS BODILY INJURY I,Perccidontt 5 nt) ..- ........_.................... _ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident. S P UMBRELLA,LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE S .._....,-.. DEO RETENTION$ S WORKERS COMPENSATION ■PER AND EMPLOYERS'LIABILITY Y!N 1 Fig ANY PRCPRIETORIPARTNEREXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under ,DESCRIPTION OF OPERATIONS below „”,,,,,,, ,_,,,.,_.,,,.._-_-_ _ E.L.DISEASE-POLICY LIMIT $ A (Abuse/Molestation PHPK1396797 +9/15/2015 09/15/201. $50,000/$100,000 A Professional Liab PHPK1396797 '115/2015 9/15/2016 $1 Mil/$3Mil DESCRIPTION OF OPERATIONS(LOCATIONS(VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Oran a CDUn De artment of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g ty p THE EXPIRATION DATE THEREOF, NOTICE WILL BE. DELIVERED IN Social Services ACCORDANCE WITH THE POLICY PROVISIONS. 113 Mayo Street Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S16429102/M16429096 AB4 000vSign Envelope ID: 3o8AuC3C'e4r7-4s3e-880E-5n83Cnurr18A POLICY CHANGE DOCUMENT POLICY NO.: PHPK1396797 U Philadelphia Indemnity Insurance CprnpanyU 1�58 BB&T Insurance Services, Inc. NAMED INSURED LIFE Skills Foundation MAILING ADDRESS 2670 Durham Chapel Hill Blvd Durham, NC 27707-I829 POLICY PERIOD: FROM 09/I5/2015 TO 09/15/2016 at 12:01 A.M. Standard Time at your mailing address shown above, CHANGE EFFECTIVE 11/11/2015 CHANGE# 1 - - -- DESCRIPTION In consideration of the premium reflected, the policy is amended as indicated below: Amended: General Liability/Professional Liability Limits to $1,080,000 Per 0ccurnence/$3,000,008 Aggregate in lieu of $1,000,000 Per Dccurrnnce/$2,000,000 Aggregate per attached Path ID 9340540 Total Annual Total Prorate Additional/Return Premium $ -3.00 Additional/Return Premium $ 2.00 RETURN RETURN COUNTERSIGNED BY (Date) (Authorized Representative) 11/19/2015 Issue Date Insurance Policy Page 1 of 1 000vSign Envelope ID: 3o8AuC3C'e4r7-4s3e-880E-5n83Cnurr18A Change Date: 11/11/2015 Philadelphia Indemnity Insurance Company COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Policy Number: PHPK1396797 Agent# 1558 I See Supplemental Schedule LIMITS OF INSURANCE 3' 000' 000 General Aggregate Limit (Other Than Products—Completed Operations) � 3' 000' COO Products/Completed Operations Aggregate Limit (Any One Person Or Organization) � z' 000' nno Personal and Advertising Injury Limit � 1' ouo. 000 Each Occurrence Limit � 100, on Rented To You Limit � 5, 000 Medical Expense Limit (Any One Person) FORM OF BUSINESS: CORPORATION Business Description: Non Profit Organization Location of All Premises You Own, Rent or Occupy: SEE SCHEDULE ATTACHED AUDIT PERhOQ,ANNUAL. UNLESS OTHERV8SESTATED: This poUcyis not subject to premium audit. Rates / Advance Premiums Premium Prom/ Prod./ Prem./ Prod./ Classifications Code No. Basis Ops. Comp.Ops Ops. Comp.Ops. SEE SCHEDULE ATTACHED TOTAL PREMIUM FOR THIS COVERAGE PART: $ 317.00 $ . RETROACTIVE DATE (CG 00 02 ONLY) This insurance does not apply to Bodily Injury', "Property Damage", or Personal and Advertising Injury' which occurs before the retroactive dete, if any, shown below. Retroactive Date: NONE FORM (S)AND ENDORSEMENT (S) APPLICABLE TO THIS COVERAGE PART: Refer To Forms Schedule Countersignature Date Authorized Representative DocuSign Envelope ID: 3D9A2C3C-B477-4E3B-886F-5583C52FF19A Change Date: 11/11/2015 PI-HS-003D (07/04) PHILADELPHIA INDEMNITY INSURANCE COMPANY HUMAN SERVICES ORGANIZATION PROFESSIONAL LIABILITY COVERAGE PART DECLARATIONS POLICY NO. PHPK1396797 Effective Date: 09/15/2015 12:01 A.M. Standard Time LIMITS OF INSURANCE AGGREGATE LIMIT 3,000,000 EACH PROFESSIONAL INCIDENT LIMIT 1,000,000 BUSINESS DESCRIPTION Form of Business: CORPORATION Business Description: Non Profit Organization PREMIUM: $ 1,495.00 FORMS AND ENDORSEMENTS (Other than Applicable Forms and Endorsements Shown Elsewhere in the Policy) Forms and Endorsements Applying to this Coverage Part and Made Part of this Policy at Time of Issue: SEE SCHEDULE THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. Includes Copyrighted Material of the Insurance Service Office, Inc Used with its Permission, Page I of 1