HomeMy WebLinkAbout2017-107-E Health - Freedom House Recovery - Navigator Agreement Amendment to 2016-296-E DocuSign Envelope ID:84E24AAE-8F4A-4C46-8D70-6B738C4BEF95
ORANGE COUNTY
AMENDMENT TO SERVICES AGREEMENT
NORTH CAROLINA
THIS AMENDMENT, made and entered into this the first day of January, 2017, by and between the County of
Orange, a body politic and corporate of the State of North Carolina, ("County"), and Freedom House Recovery
Center("Provider");
WITNESSETH:
WHEREAS,the County and Provider entered into a Services Agreement dated, May 1, 2016, to provide services to
be rendered by Provider to County's Health Department("Original Agreement"); and
WHEREAS, the County and Provider desire to amend the Original Agreement, while keeping in effect all terms
and conditions of the Original Agreement not inconsistent with the terms and conditions set forth below.
NOW THEREFORE, for and in consideration for the mutual covenants and agreements made herein, the parties
agree to amend the Original Agreement as follows:
1. Amend Section 3.a as follows: The County agrees to appropriate for the provision of services described
in Exhibit "A", Scope of Services and more particularly described in the Program Budget Categories,
the maximum sum of Sixty Seven Thousand Five Hundred Ninety Four dollars ($67,594).
2. Amend Exhibit A, Scope of Services, to add: (See Attached Amendment to Exhibit A, Scope of
Services)
Except for the changes made to Section 3.a. Funding and Exhibit A, Scope of Services, the Original Agreement
shall remain in full force and effect to the extent it is not inconsistent with this Amendment. In the event that there
is a conflict between the Original Agreement and this Amendment, this Amendment shall control.
IN WITNESS WHEREOF, Orange County and the Consultant have signed this Amendment, effective this
the 1st day of January, 2017.
FO : N/O :COUNTY �t OVIDER:
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By: 1647994R7Ci5F477 By' RA5R219G11785471
County Manager Patricia Hussey
Freedom House Recovery Center
Revised July 2015
DocuSign Envelope ID:84E24AAE-8F4A-4C46-8D70-6B738C4BEF95
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Freedom House Party/Vendor Contact Person: Patricia Hussey Contact Phone: 919-942-8083
Party/Vendor Address: 104 New Stateside Drive City Chapel Hill State: NC Zip: 27516 Department: HEALTH Amount:
$9,701 Purpose: Navigator Agreement Amendment to contract 2016-296-E Budget Code(s): 10412020-681000-71453
Vendor#34104 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑
Renewal❑ Amendment ® Effective Date 1/1/17 Approved by Board Yes No Agenda Date:
This agreement is approved as to to c°81f Yid content:
tent:
VW t�VUt 2/28/2017
Department Director's Signature F14Fczrnon�4nF... Date:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to
information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency -riast,warroacystandards, specifications,and requirements:
attSa. C,or .A,ltb 3/1/2017
Office of the Risk Management Officer B6F8-0Z5890498 Date:
Financial Services
This instrument has been pre-audited i gif-gifinditquired by the Local Government Budget and Fiscal Control Act:
relotri � � 3/7/2017
Office of the Chief Financial Officer � Date:
�6,4E5181ACC1109...
Legal Services
This agreement is approved as ta'1`redicf8igfg`'ahfd sufficiency:
Office of the County Attorne y Date: 3/14/2017
—1035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised July 2015
DocuSign Envelope ID:84E24AAE-8F4A-4C46-8D70-6B738C4BEF95
Attachment A-Amended Scope of Work
Family Success Alliance will provide additional funding to allow zone navigators to work an
additional 8 hours per week from January 2017-June 2017 for a total of 28 hours per week (.70
FTE). With the additional hours, navigators will:
• Recruit between 15-18 families into navigator program.
• Assist with recruitment for K Readiness (with minimal assistance to those families re
expectations for Kindergarten —e.g., immunizations)
• Meet with cohort one families on a monthly (as opposed to bimonthly) basis if that
better meets family needs.
Personnel: 2 zone navigators
Additional Cost: $9,701
Budget Categories
1. Salaries: $7,488 (2 staff paid $18 for up to 8 additional hours per week for a six
month, 26 week time period)
2. Taxes: $668 (FICA/Social Security-0.062, Medicare - 0.0145, NC Unemployment -
0.01272)
3. Overhead: $1,224 (15% of salary plus taxes)
4. Mileage: $321 (@.535/mile for up to 50 additional miles per month per
navigator)
Additional Provider Deliverables:
1. Ensure that each navigator successfully recruits 15-18 cohort 2 families.
2. Review with navigators activities related to K Readiness recruitment and share
any reported challenges with FSA Program Manager.