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HomeMy WebLinkAbout2017-557-E Finance - OE Enterprises, Inc. - Outside Agency Performance Agreement DocuSign Envelope ID:6D821DAO-CO6F-4D38-BB4F-DB28CB54AD8E OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2017, ("Effective Date") by and between the County of Orange, a political subdivision of the State of North Carolina, 200 South Cameron Street, Hillsborough, North Carolina, 27278, ("County") and OE Enterprises, Inc., a not-for-profit corporation, located at 348 Elizabeth Brady Road, Hillsborough,NC 27278 ("Provider"). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need, as identified by the Board of Commissioners; NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth, the County and OE Enterprises, Inc. agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2017 to June 30, 2018. 2. Scope of Services. a. Provider will provide services, as outlined in the attached Outside Agency Funding Application and any amendments or revision thereto which is attached as Exhibit "A" and incorporated by reference, to the residents of Orange County. The Scope of Services and the Program Budget may be different from the original application based on County appropriation; however, any revisions or amendments to this Agreement must be approved in writing by the County and attached to this Agreement as Exhibit B. b. The Provider shall be solely responsible for the means, methods, techniques, sequence, safety program and procedures necessary to properly and fully complete the work set forth in the Scope of Services. 3. Funding. a. The County agrees to appropriate for the provision of services described in Exhibit B, Scope of Services and more particularly described in the Revised Program Budget, the maximum sum of 54550 b. All funds appropriated shall be used for purposes described in Exhibit B. Any funds not used for the purposes stated shall be returned to the County. Any changes in the use of funds must be authorized in writing by the County prior to any expenditure of the funds by the Provider. If the funds are expended not in accordance with the Scope of Services, at the discretion of the County the Provider may be required to repay the funds to the County. c. The Provider shall be paid in four equal installments in the amount of 13637.5. The first payment is contingent upon receipt of the agency's performance agreement; the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. d. The County's obligation to make the quarterly payments is contingent upon receipt of Progress Reports, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services. (OE Enterprises,Inc.) Orange County Outside Agency Performance Agreement Revised 7/2017 Page 1 of 7 DocuSign Envelope ID:6D821DAO-CO6F-4D38-BB4F-DB28CB54AD8E e. Once Provider has satisfied its obligations as provided in (d) payment will be made 21 days after receipt of the Progress Report and Request for Reimbursement or 21 days after due date of Progress Report whichever is later. f. The County is not obligated to provide any other support to Provider in this or in succeeding fiscal years. 4. Agency Reporting. a. Provider will provide Orange County a Progress Report that includes a fiscal report and updates on performance measures as outlined in the Scope of Services. Progress Report dates are: July 1 —December 31; January 1 —March 31 and April 1 - June 30. Reports are due on January 12, April 13, and July 13 of the program fiscal year. b. Provider agrees to allow the County to inspect its financial books and records, which document costs of those services,upon reasonable notice during normal working hours. 5. Termination. a. In the event of any of the circumstances set forth below (hereinafter referred to as "default"), the County may immediately terminate this Agreement, in whole or in part, and from time to time. Notice of termination must be in writing, state the reason or reasons for the termination, and specify the effective date of the termination: i. In the event that Provider shall cease to exist as an organization or shall enter bankruptcy proceedings, be declared insolvent, or liquidate all or substantially all of its assets, or significantly reduce its services or accessibility to Orange County residents during the term of this Agreement; or ii. In the event that Provider shall fail to render a satisfactory accounting as provided section 4 above, the County may terminate this Agreement and Provider shall return all payments already made to it by the County for services which have not been provided or for which no satisfactory accounting has been rendered; or iii. In the event of any fraudulent representation by the Provider in an invoice or other verification required to obtain payment under this Agreement or other dishonesty on a material matter relating to the performance of services under this Agreement. iv. Nonperformance,incomplete service or performance, or failure to satisfactorily perform any part of the work identified in the Scope of Services or to comply with any provision of this Agreement, as determined by the County in its sole discretion. v. Failure to adhere to the terms of applicable county, state or federal laws, regulations, or stated public policy. b. In the event of default by the Provider, the county may elect to terminate this Agreement,in whole or in part and/or require the Provider to repay the funds within ten(10)business days from written notice of default. The County may (but shall not be required to) grant the Provider an opportunity to cure the default without termination of this Agreement. This clause shall not be interpreted to limit the County's remedies in law or in equity. (OE Enterprises,Inc.) Orange County Outside Agency Performance Agreement Page 2 of 10 Rev. 7/17 DocuSign Envelope ID:6D821DAO-CO6F-4D38-BB4F-DB28CB54AD8E c. Notwithstanding the foregoing, either party may terminate the agreement at any time without penalty; provided that written notice of such termination is furnished to the other party at least 30 days prior to termination. In the event of such termination, any payment due shall be prorated to the date of termination and any unused funds shall be returned to the County within 10 days of termination. d. Any termination of this Agreement for default under this section that is later deemed to be unjustified shall be deemed a termination for convenience. 6. Insurance. a. General Requirements. The Provider shall purchase and maintain, during the period of performance of this Agreement,insurance: i. Worker's Compensation. For protection from claims under workers' or workmen's compensation acts; ii. Comprehensive General Liability Insurance covering claims arising out of or relating to bodily injury,including bodily injury, sickness, disease or death of any of the Consultant's employees or any other person and to real and personal property including loss of use resulting thereof; iii. Comprehensive Automobile Liability Insurance,including hired and non-owned vehicles,if any, covering personal injury or death, and property damage; and iv. Professional Liability Insurance, covering personal injury,bodily injury and property damage and claims arising out of or related to the performance under this Agreement by the Consultant or his agents, consultants and employees. b. Limits of Coverage: Minimum limits of insurance coverage shall be as follows: INSURANCE DESCRIPTION MINIMUM REQUIRED COVERAGE • Worker's Compensation Limits for Coverage A - Statutory State NC& Coverage B -Employers Liability $500,000 each accident, disease policy limit and disease each employee • Commercial General $1,000,000 Each Occurrence Liability $2,000,000 Aggregate • Automobile Liability $500,000 Combined Single Limit • Professional Liability $1,000,000 Each Occurrence $2,000,000 Aggregate c. All insurance policies (with the exception of Worker's Compensation and Professional Liability)required under this Agreement shall name the County as an additional insured party and as a certificate holder. Evidence of such insurance and all correspondence shall be sent to: Orange County Risk Manager Post Office Box 8181 Hillsborough,NC 27278 d. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. (OE Enterprises,Inc.) Orange County Outside Agency Performance Agreement Page 3 of 10 Rev. 7/17 DocuSign Envelope ID:6D821DAO-CO6F-4D38-BB4F-DB28CB54AD8E 7. Relationship of the Parties. Provider is an independent contractor of the County. Provider represents that they have or will secure, at his own expense, all personnel required in performing the services under this Agreement. Such personnel shall not be employees or have any contractual relationship with the County. All personnel engaged in work under this Agreement shall be fully qualified and shall be authorized and permitted under federal, state and local law to perform such services. 8. Compliance with all Laws. The Provider, at its sole expense, shall comply with all laws, ordinances, orders and regulations of the federal, state or local governments, as well as their respective departments, commissions, boards, and officers, which are in effect at the time of execution of this Agreement or are adopted at any time following execution of this agreement. 9. Subcontract. The County and Provider deem the services provided under this Agreement to be personal in nature and Provider may not subcontract any rights or duties under this Agreement to any other party without prior written consent from the County. 10. Assignment. The Provider shall not assign this Agreement, including the rights to payment, to any other party without the prior written consent of the County. 11. Indemnification. Provider agrees to defend, indemnify, and hold harmless the County, for all loss, liability, claims or expense (including reasonable attorney's fees) arising from bodily injury, including death or property damage, to any person or persons caused in whole or in part by the negligence or willful 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 section to require Provider to indemnify the County to the extent permitted under North Carolina law. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. 12. Non-Appropriation. This Agreement is subject to the availability of funds to purchase the specified services and may be terminated at any time if such funds become unavailable. 13. Non-Discrimination. Provider agrees as part of consideration of the granting of funds by Orange County the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender,national origin, age, handicap, religion, sexual orientation, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Non-discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. 14. Living Wage. Orange County is committed to providing its employees with a living wage and encourages agencies if funds to pursue the same goal. The County's living wage is $ 13.75 per hour. To the extent possible, Orange County recommends that OE Enterprises, Inc. provide a living wage to its employees. 15. Notice. The Parties hereto agree and understand that written notice, mailed or delivered, to the last known address shall constitute sufficient notice to the County and the Provider. All notices required and/or made pursuant to this Agreement to be given to the County and the Provides shall be in writing and mailed to the party addressed as follows: (OE Enterprises,Inc.) Orange County Outside Agency Performance Agreement Page 4 of 10 Rev. 7/17 DocuSign Envelope ID:6D821DAO-CO6F-4D38-BB4F-DB28CB54AD8E County: Finance &Administrative Services Provider: OE Enterprises, Inc. Orange County 348 Elizabeth Brady Road Post Office Box 8181 Hillsborough,NC 27278 Hillsborough,NC 27278 16. Entire Agreement. This Agreement, including any referenced attachments, constitutes the entire Agreement between the parties and shall supersede, replace or nullify any and all prior Agreements of understandings; written or oral, relating to the matters set forth herein, and any such prior Agreements or understandings shall have no force or affect whatsoever on this Agreement. The County and Provider have read this Agreement and agree to be bound by all of its terms, and further agree that this Agreement constitutes the complete and exclusive statement of the Agreement between the County and Provider. 17. Severability. All clauses found herein shall act independently of each other. If a clause is found to be illegal or unenforceable,it shall have no effect on the other provisions of this Agreement. It is understood by the parties hereto that if any part, term or provision of this Agreement is by the Courts held to be illegal or in conflict with any laws of the State of North Carolina or the United States, the validity of the remaining portions or provisions shall not be affected, and the rights and obligations of the parties shall be construed and enforced as if the Agreement did not contain the particular part, term or provision held to be invalid. 18. 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. 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 Non-Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php). Any violation of this requirement is a breach of the Agreement and County may immediately terminate this Agreement without further obligation on part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. 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. 19. 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 11A and Article 40 of North Carolina General Statute Chapter 66. IN WITNESS WHEREOF,the Orange County and the Provider have signed this Agreement, effective on the last date this Agreement is signed by both parties as indicated by the dates set forth under signatures below.For df sIM of the Provider a.V' - SGUMI LI S 10/11/2017 6RCFR1A7(Q2143F... Date (OE Enterprises,Inc.) Orange County Outside Agency Performance Agreement Page 5 of 10 Rev. 7/17 DocuSign Envelope ID:6D821DAO-CO6F-4D38-BB4F-DB28CB54AD8E For wasibakolf of Orange County Government jotAAtdf. kuminkU(SLu? 10/12/2017 06-3-q4A4B75 E4n... Bonnie Hammersley, County Manager Date (OE Enterprises,Inc.) Orange County Outside Agency Performance Agreement Page 6 of 10 Rev. 7/17 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION FOR OFFICE USE ONLY Agency OE Enterprises, Inc. Received By Date/Time Program(s) Transitions to Employment Section Subsection 1. Cover Page a. ® Applicant Contact Information b. ® Funding Requests c. ® Signed Application Cover Page d. Signed Disclosure of Conflicts of Interest and Clause 2. Agency Information a. ® Agency's Years in operation b. ® Agency's Purpose/Mission c. ® Agency's Types of Services Provided d. ® Agency's Experience with Programs e. ® Other Pertinent Agency Information f. ® Schedule of Positions g. ® Living Wage h. ® Agency Budget 3. Program Information a. ® Human Services Needs Priority b. ® Type of Program A separate Section 3 is c. ® Agency Collaboration required for each program. d. ® Summary of Program e. ® Description of Identified Need f. ® Description of Population to be Served g. ® Program Staffing, Capacity, & Expertise h. ® Program Implementation Timeline i. ® Value of Investment j. ® Impact of Reduced/No Allocation k. ® Other Pertinent Information I. ® Target Population/Beneficiary Chart m. ® Work Statement n. ® Program Budget, Detail, & Cost per Individual Application Submittal Checklist 1/31/2017 8:24:51 AM Pago I of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 4. Attachments a. ® Audit: Organizations receiving $300,000 or more in Federal financial assistance, and/or organizations with more than $500,000 of receipts and expenditures in a fiscal year, must secure an audit. b. ® IRS Federal Form 990 c. ® NC Solicitation License d. ® IRS Federal Tax-Exemption Letter e. ® Certificate of Insurance f. ® List of Board of Directors g. ® Solid Waste Program Fee (SWPF)Verification Application Submittal Checklist 1/31/2017 8:24:51 AM 0 ' ago 2 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 1. COVER PAGE a) Applicant Contact Information Applicant Organization's Legal Name: OE Enterprises, Inc. Applicant Organization's Physical Address: 348 Elizabeth Brady Rd. Hillsborough, NC 27278 Applicant Organization's Mailing Address: 348 Elizabeth Brady Rd. Hillsborough, NC 27278 Applicant Organization's Web Address: www.oeenterprises.org Executive Director: Margaret Samuels Telephone Number: 919-732-8124 E-Mail: samuelsm@oeenterprises.org Tax ID Number: b) Funding Request List all FY17-18 Human Services (HS) Funding Being Requested — For All Programs) and the Proposed Use of Funds (2-3 lines or less) Proqram Carrboro Chapel Oranqe Total - HS Hill - HS County-HS Transitions to Employment $5,000 $12,000 $58,000 $75,000 Proposed use of funds: Personnel costs associate with providing vocational placement, training, and community integration supports for students and adults who have disabilities. Totals $5,000 $12,000 $58,000 $75,000 c) To the best of my knowledge and belief all information and data in this application is true and current. The document has been duly authorized by the governing board of the applicant. Signature: a < <._,, ;,� 1/28/17 Exec if Director Date r� Signature: "�.Jov., - (,t 1. 1/28/17 Board Chairpers c Date Agency Information 1/31/2017 8:24:51 AM ll ' ago 3 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION d) DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON DISCRIMINATION CLAUSE Are any of the Board Members or employees of the agency which will be carrying out this program or members of their immediate families, or their business associates... YES NO ❑ ® a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ❑ ® b) Members of or closely related to members of the governing bodies of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ❑ ® c) Current beneficiaries of the program for which funds are being requested? ❑ ® d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below. NON-DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, gender identity/expression, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Anti- discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. To the best of my knowledge and belief all of the above information is true and current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the program ineligible for funding, but the existence of an undisclosed conflict may result in the termination of any grant awarded. Signature: � ,` =' 1/28/17 Execu lve Director Date Signature: (5 - ' " ' 1/28/17 Board Chairpe son Date Agency Information 1/31/2017 8:24:51 AM Page 1 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 2. AGENCY INFORMATION (Be Very Brief and Concise) Please provide the following information about your agency (2 pages OR LESS): a) Years in Operation, Date of Incorporation (Month/Year): Nov, 1981 — 36 Years b) Agency's Purpose/Mission (no more than a few sentences): The Purpose/Mission of OE Enterprises is creating opportunities for personal and professional growth for persons with disabilities or other barriers to employment. OE Enterprises promotes achievements, self-reliance, life choices and respect through connecting individuals with disabilities and their community. c) Types of Services the Agency Provides (bullet format): • Community-based work experiences • Facility based work adjustment services • Volunteer work serving the community • Community integration services • Self-help skill acquisition including adaptive and socialization skills • Job placement services • Job coaching services • Long-term employment supports • Career counseling • Retirement services • Work evaluation • School to work transition services d) Agency's History with Providing These Services: OE Enterprises serves as a major employment resource for the Orange County community and provides vocational and pre-employment training to individuals with disabilities and other disadvantages. All training is geared to the individual's abilities and designed to meet specific vocational goals. OE Enterprises, Inc. has been a fixture in the North Carolina business community for over 40 years with its roots in the Orange County area and providing community employment services for 25+ years. OE Enterprises, Inc. (OE) was incorporated on November 19, 1981 as Orange Industries, a public non-profit agency that was formerly part of OPC Mental Health Center serving individuals with disabilities in the Orange County area. In October, 2003 Orange Enterprises established a federal set-aside custodial operation in Winston-Salem and has since established similar sites across North Carolina and in South Carolina. In 2005 Orange Enterprises expanded services to Alamance and Caswell counties, changing the organization's name to OE Enterprises. OE expanded services to Durham County in 2009 and Rockingham County in 2010. Through our mission, OE meets the employment needs of Orange County citizens with disabilities as well as the Orange County employment community. OE's Transition program provides job experiences to students, allowing them to make informed choices upon graduation and explore employment or post-secondary education options. The Agency Information 1/31/2017 8:24:51 AM II II' ago 5f 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION purpose is to provide an opportunity for students to develop marketable and transferable skills. In addition to work skills, students learn life skills- such as resume building, daily living, and social skills. Our job coaches assist students with disabilities transitioning from high school by developing a student's strengths and working towards independence in areas such as employability, transportation, and daily living skills. Individuals who receive services from OE have the opportunity to go to work every day, earn a salary, pay taxes, buy goods and contribute to their communities. Individuals learn needed skills and work habits that lead to community employment. Senior employees have the opportunity to participate in integrated community-based senior citizen and retirement activities. OE has helped thousands of individuals with disabilities gain employment and work towards self-sufficiency. e) Other Pertinent Agency Information (Ex. Has the agency experienced any major changes in the past year? Is there a new Executive Director?Are there new initiatives?) Last year we reported on our application that OE was invited to join a new commercial venture called the Consumer Products Packaging Initiative (CPPI). This was a very lengthy selection process with over 200 nonprofits applying to participate. OE is a founding member of this initiative. The Consumer Products Packaging (CPP) although still in its pilot phase OE has been working with other similar organizations in the network to provide kitting and packaging services for national business clients. The initiative has been assisting in marketing well as utilizing the strength of the group to seek discounts for consumables to support the CPP Group's members and increase job opportunities for individuals with disabilities in Orange County. OE has been able to bid on jobs throughout North America for work in Orange County. We have also developed a new relationship with AW, NC Inc. a triangle area business that is hiring clients of OE to perform janitorial services. OE is collaborating with a developmental day program for children with disabilities, which has been a staple in Orange County for many years. Although still in the planning phase, the developmental day program is considering relocating its daily operation to a space on our current property in Hillsborough. We still have many details to work out but are very excited about the possibilities this collaboration will bring. Agency Information 1/31/2017 8:24:51 AM Pago 5 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION f) Schedule of Positions (For Entire Agency) • Full Time Equivalent (FTE) staff will be noted as 1.00; half time as .50; quarter time as .25, etc. • Calculate a Full Time Equivalent for all recorded volunteer hours using the following: Total Volunteer Hours = Volunteer FTE 2,080 # of FTE - Full-Time Paid Positions: 99 # of FTE - Paid Part-Time Positions: 27 # of Volunteers: 6 # of FTE -Volunteers: .75 g) Living Wage Does this agency pay permanent employees a minimum living wage? (Yes / No) Yes. OE pays all full time Orange County staff a living wage and provides benefits including health insurance If yes, is this agency an Orange County Living Wage Certified Employer? No. If no, please explain. We have not yet submitted an application. Agency Information 1/31/2017 8:24:51 AM P gf 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION h) Agency Budget Is your agency currently receiving and/or requesting other (non-Human Services) local (Town of Carrboro, Town of Chapel Hill, Orange County) government funding? (Yes/No) No If yes, please list below: Include all programs that have funding requests/awards/totals from Carrboro, Chapel Hill, and Orange County governments (other than Human Services). DO NOT include federal funding sources, such as CDBG and HOME. Program FY16-17 FY17-18 Source Award Request Orange County — Mail $52,380 $52,380 Orange County Services Orange County Library — $1,140 $1,140 Orange County Janitorial Services Guardian Ad Litem Offices - $2,400 $2,400 Orange County Janitorial Services Solid Waste - Janitorial $11,400 $11,685 Orange County Services Cedar Grove Community $33,512.64 $33,512.64 Orange County Center/ Efland Cheeks Community Center Janitorial Services *Add rows or attach additional page, if needed. Agency Information 1/31/2017 8:24:51 AM II ' ago f 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION i. Submit your agency's budget. You may complete the provided template (separate xls file) or you may submit your own budget file (as long as it contains the same information, and in a similar format, as requested in the provided template). Agency Budget Operating Budget for Entire Agency AGENCY NAME: OE Enterprises, Inc. Actual Estimated Projected Percent AGENCY REVENUE 2015-16 2016-17 2017-18 Change Private Donations $ 12,862 $ 2,000 $ 2,000 0% Agency Generated Revenue (fees) $ 6,603,383 $ 6,249,558 $ 6,226,552 0% Local Government Grants: Human Services-Town of Carrboro $ 3,600 $ 3,800 $ 5,000 32% Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ 6,000 $ 10,000 $ 12,000 20% Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ 45,100 $ 51,100 $ 58,000 14% Other-Orange County $ 100,832.64 $ 101,117.64 $ 101,117.64 0% Other-Town of Hillsborough $ - $ - $ - 0 Other Government Grants Triad United Way $ 15,000.00 $ 10,000.00 $ 10,000.00 $ - State Government 0 Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ - $ - $ - 0 Other Revenue $ - $ - $ - 0 Total Agency Revenue $6,786,778 $6,427,576 $6,414,670 0% AGENCY EXPENSES Compensation $ 5,269,389 $ 5,074,046 $ 5,100,000 1% Rent&Utilities $ 204,478 $ 200,000 $ 200,000 0% Supplies&Equipment $ 382,143 $ 385,000 $ 390,000 1% Travel &Training $ 145,440 $ 145,000 $ 147,000 1% Other Expenses: $ 769,104 $ 612,245 $ 555,470 -9% Total Agency Expenses $6,770,554 $6,416,291 $6,392,470 0% SURPLUS/(DEFICIT) FOR PERIOD: $ 16,224 I $ 11,285 I $ 22,200 I 97% Agency Information 1/31/2017 8:24:51 AM Pago 9 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION ii. Does your agency budget show a Surplus or Deficit? Surplus Is there a significant change? Yes/No No Please provide a brief explanation for Surplus or Deficit, and significant changes. Our agency budget shows a surplus. It is our goal and mission to serve the targeted population within our capabilities and funding. We are able to do this with the various segments of our business. Surplus agency funds are used to supplement various program service deficits. iii. What is your agency's fiscal year? July 1, 2017 — June 30, 2018 Agency Information 1/31/2017 8:24:51 AM II ' ago 10 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) Program Name: Transitions to Employment Program Primary Contact and Title: Margaret Samuels Telephone Number:919-732-8124 E-Mail: samuelsm @oeenterprises.org a) Indicate the type of Human Service Needs Priority, if program applicable: Z Priority Area #1: safety-net services for disadvantaged residents ❑ Priority Area #2: education, mentorship, and afterschool programming for youth facing a variety of challenges ❑ Priority Area #3: programs aimed at improving health and nutrition of needy residents b) Indicate the type of program for which you are requesting funding (Check all that apply to this program) Program Category Youth Adult Elderly Disabled Public Housing Neighborhoods/Residents Affordable Housing Affordable Healthcare Education Family Resources Jobs/Jobs Training X X X X Food Transportation Other: Please specify PROGRAM INFORMATION 1/31/2017 8:24:51 AM ll ' ago 11 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION c) Provide a bulleted list of other agencies, if any, with which your agency coordinates/collaborates to accomplish or enhance the Projected Results in the Program(s) to be funded. For each, briefly describe the coordinated/collaborative efforts. • Chamber of Commerce, Cardinal Innovations, and the United Way Greater Triangle. We maximize opportunities, create relationships with local business that may employ Orange County residents with disabilities and ensure that we network for all the available opportunities for our clients. We organize and participate in job fairs and community training with DSS and the school systems. We work with the college systems to engage volunteers, assist in recruiting staff and provide information to students interested in this profession. • Food insecurity and basic needs- Because of our longevity OE has strong connections with Orange Congregation in Mission (OCIM); Interfaith Council for Social Services; Orange County Department of Social Services and through these relationships we assist our clients with unmet basic needs including food. We also hold an annual blood collection drive at our Orange County location in collaboration with the American Red Cross. • Third Sector Alliance - Through the Third Sector Alliance, OE is able to take an active part with other funded agencies to "provide a collective voice for the nonprofit sector". OE is member of the Third Sector Alliance and is represented on the steering committee. • State Organizations - OE also interacts with other agencies in our field throughout North Carolina by participating in two organizations, the NC Association for Persons Supporting EmploymentFirst (NC APSE) and the NC Association of Rehabilitation Facilities (NCARF), to share ideas and training. We have two staff active in the North Carolina Employment First Steering Committee, one serving as the NCEF co-chair. • Group Homes/Housing supports and Transportation - Many of the individuals we support receive services through various residential providers in the area. Housing is extremely important in employment success. Collaborating with these agencies assists our consumers in meeting their residential needs. We collaborate closely with OPT and Chapel Hill Transit as our clients rely heavily on public transportation to get back and forth to work. PROGRAM INFORMATION 1/31/2017 8.24.51 AM Pago 12 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Program Description (3 pages OR LESS) Please provide the following information about the proposed program: d) Summarize the program services proposed and how the program will address a Town/County priority/goal? Town/County priority: Jobs/Job Training OE will utilize all funding from Human Services grant to expand our current mission by supporting staffing and transportation. Our program addresses the above issues by providing employment readiness training, job coaching, volunteer experiences, and vocational placement and support to high school students and adults with disabilities. By preparing individuals for the transition to employment from high school we increase their chances of obtaining and maintaining employment. By providing work training, placement, and support to adults with disabilities we are addressing the rate of unemployment among individuals with disabilities in Orange County. e) Describe the community need or problem to be addressed in relation to the Chapel Hill Human Services Needs Assessment, Orange County BOCC Goals and Priorities, Town of Chapel Hill Council Goals, Carrboro goals, or other community priorities (i.e. Council/Board Goals). Reference local data (using the provided links, i.e. Chapel Hill Human Services Needs Assessment) to support the need for this program. The needs assessment for Chapel Hill shows a high priority need in the area of "local adult education and job training opportunities." The national unemployment rate for 2016 was 4.85%, with a North Carolina average slightly above 5%. The Orange County unemployment rate for *2016 averaged 4.4% (*statistics for December not yet released - Bureau of Labor Statistics). Unemployment is an issue that, at one time or another, affects most Americans. This is a more prevalent issue among those in the disability community and the availability of job training and engagement programs are limited. The 2011 Orange County Community Health assessment reported that the unemployment rate for individuals with a disability was 23.2% statewide, but jumps to 41.1% in Orange County. In 2015 Cornell University reported the employment rate of working-age people with disabilities nation-wide was 35.2%, but only 33.3% in NC. This means that the unemployment rate for those with disabilities in NC is 66.7%. (https://www.disabilitystatistics.orq/reports/acs.cfm?statistic=2) A troubling statistic includes the data that at all levels of education, persons with a disability were much less likely to be employed than were their counterparts with no disability http://www.bls.qov/news.release/pdf/disabl.pdf). Orange County employment is concentrated in government and University positions. Per the 2011 Community Health Assessment, the unemployment rate for individuals with only a high school diploma or equivalent stands at 26.2%. There are fewer opportunities for younger, entry level workers and there is increased competition for these jobs due to the UNC Student population (Orange County Community Health Assessment 2011, p70-71). PROGRAM INFORMATION 1/31/2017 8:24:51 AM P a g e 13 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION There are few services available for integration of individuals with disabilities into established senior retirement and community activities Services for disabled senior citizens remain a critical need. Mobility, vision, hearing, and balance issues become even more impactful for seniors with disabilities. Most seniors lose community and family support as they age and for seniors with disabilities this can be life altering as family members may have been their caretakers. f) Who is your target population of individuals to benefit from this program and how will they be identified and connected with the program? OE will serve students, adults and senior citizens who have a disability or other barriers to employment. Most of our referrals for adult services come from Vocational Rehabilitation and Cardinal MCO, but we also are connected with individuals seeking services from schools, Social Services, residential providers, families, self-referrals and other community members. OE serves individuals with varying disabilities to include development/intellectual disabilities, physical disabilities, mental health issues, substance and alcohol abuse, hearing and vision impaired as well as those with extensive criminal backgrounds. OE works with the student population served through Orange and Cedar Ridge High School's OCS Programs. Students served through this program are age 16 through 22 years of age. g) Describe the credentials of the program manager and other key staff. (Ex. Identify Program Manager and credentials, describe training provided to volunteers, etc.) OE's Job Development Specialists and Job Coaches work with individuals (both adults and students) during the process of finding employment and job skill acquisition. All staff working with individuals in the community must have a minimum of three years experience with population served and all of our Job Development Specialists have a Bachelor's degree. All employment staff and services provided are supervised by staff deemed as Qualified Professionals by the State of NC. Qualified Professionals are individuals who have a Bachelor's degree in a human services area with two years of post graduate experience with individuals served. . h) Describe the specific period over which the activities will be carried out and include an implementation timeline. Measurable activities will begin July 1, 2017 through June 30, 2018. At the beginning of services, each person participates in creating a written individual plan to meet their unique needs. Length of service, frequency and amount of time spent in different phase of service is customized for each person. Individuals participating in OE's pre- vocational services through ADVP are offered services 7 hours a day/5 days a week. Our community based employment services may vary from daily to weekly services. The frequency varies depending on the stage in which the individual is with their employment search and training phase. For our student population served in the high school settings, the frequency of activity led by our Job Development specialists is once per week at each high school. i) Why is funding this program a good investment for the community? How does funding this program add value to the community? (250 words OR LESS) PROGRAM INFORMATION 1/31/2017 8.24.51 AM Pago 11 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Funding this employment program through OE benefits all community stakeholders. For individuals with disabilities, employment helps to gain a sense of self-worth, achieve financial independence, and recognize important social roles like community involvement and volunteerism. Working plays a vital role in mental and physical health by improving overall wellness, resulting in decreased reliance on medical professionals. Once a person is employed they become a taxpayer! Taxpayers experience reductions in the costs of governmental programs. One study examining the timeframe from 2002-2007 quoted that for every $1 used to fund employment services, taxpayers received $1.46 back in the form of taxes paid, savings from alternative programs, and a reduction in governmental subsidies. Employers see a positive economic return when hiring individuals with disabilities. There is a decreased turnover rate among this cohort, reducing the costs associated with recruiting and training. Employers also receive monetary incentives for hiring under-employed populations. Hiring individuals with disabilities improves employer image, increasing sales. Society enjoys the benefit of an integrated workforce, increased tolerance, and acceptance of differences. Increasing and diversifying the workforce advances our nation's productivity and economy. j) Describe what would happen if requested funding is not awarded at all or if a reduced allocation is recommended. OE has worked hard in the Orange County community for over 40 years. We continually look for efficiencies and ways to maximize all of our funding. We are so grateful and appreciative to the funds provided by Orange County, Town of Chapel Hill and the Town of Carrboro. Over the years we have seen both local and state dollars decrease due to the recession, lack of investment in social services and mental health needs and constant change to systems of managing Medicaid dollars and cuts in rates to federal and state dollars. Without the Orange County funds work with students in the high schools and seniors would be in jeopardy. It is challenging for individuals with disabilities to find, obtain and keep jobs. Our staff engages in difficult work and we are always maximizing efficiencies to ensure we are utilizing public dollars efficiently and effectively. Should OE see funding reductions, we would be forced to reduce service provision. k) Include any other pertinent information. PROGRAM INFORMATION 1/31/2017 8.24.51 AM Pago 15 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Additional Program Information I) Target Population Complete the following tables, with numbers (not percentages) of individuals served and to be served, to the best of your ability, Program Target Population Demographics Actual Estimated Projected 2015-16 2016-17 2017-18 Gender Male 109 109 109 Female 101 101 101 Total 210 210 210 Ethnicity African-American 91 91 91 American Indian or Alaska Native 1 1 1 Asian 10 10 10 Caucasian 103 103 103 Native Hawaiian or other Pacific Islander 0 0 0 Other: specify Hispanic/Latino 5 5 5 Total 210 210 210 Of the above, how many Hispanic/Latino 5 5 5 Of the above, how many non-Hispanic/Latino 205 205 205 Total 210 210 210 Age 0-5 years 0 0 0 6-18 years 20 20 20 19-50 years 128 128 128 51+ years 62 62 62 Total 210 210 210 Geographic Location Alamance County 1 1 1 Chatham County 2 2 2 Durham County 7 7 7 Wake County 1 1 1 Orange County Breakdown Chapel Hill Public Housing N/A-OE does not collect data on Public Housing Town of Chapel Hill (Non-Public Housing) N/A-OE does not collect data on Public Housing Town of Chapel Hill 74 74 74 Town of Carrboro 31 31 31 Town of Hillsborough 9 9 9 City of Mebane (Orange County) 3 3 3 Orange County (Outside Municipalities) 82 82 82 Total 210 210 210 Work Statement PROGRAM INFORMATION 1/31/2017 8:24:51 AM Page 16 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION m) Complete the Work Statement Chart to describe the work to be performed. This chart is used to document program activities, program goals, performance measures, and actual results. (Add more rows as needed) If this is a new program, you will only document the projected information. Every program is required to have AT LEAST 1 Program Activity, which should be SMART (Specific, Measurable, Achievable, Relevant, and Time- bound. Click on SMART Goals to learn more. • Program Activities should outline major activities the agency implements to accomplish its program goals. (i.e. Deliver meals to elderly/disabled residents.) • Program Goal should explain what the program is trying to achieve/accomplish. Goals are statements about what the program should accomplish. (i.e. Deliver 100 meals per day, Monday-Friday.) • Performance Measures describe how you will evaluate the degree in which you achieved the stated goals. (i.e. Will track the number of meals delivered each day.) • Actual Program Results use program results to indicate the actual measureable achievement of goals. If goals were not met, please explain. (i.e. Delivered an average of 105 meals per day.) Work Statement Chart for Program Transitions to Employment 1. Program Activity Student Participant Employment Name Program Goal 15 student participants will obtain jobs in the community Performance Measures Number of students placed in competitive employment Previous Year Program 8 Results Current Year Estimated 10 Results Next Year Projected 15 student participants will obtain jobs in the community Results in increase their marketability through post-secondary education 2. Program Activity Adult Participant Employment Name Program Goal 50 adult participants will obtain jobs in the community Performance Measures Number of adults placed in competitive employment Previous Year Program 47 Results Current Year Estimated 50 Results Next Year Projected 50 adult participants will obtain jobs in the community Results 3. Program Activity Senior Engagement Name Program Goal 5 senior adult participants (age 55+) will participate in Community Senior and retirement activities Performance Measures Measuring meaningful senior activities and retirement participation of disabled elderly program participants PROGRAM INFORMATION 1/31/2017 8:24:51 AM P g 1 "' f 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Previous Year Program 5 senior adults either transitioned to retirement or Results participated in senior activities Current Year Estimated 9 unduplicated Results Next Year Projected 10 individuals with disabilities will participate in Results meaningful senior activities and retirement participation of disabled elderly program participants PROGRAM INFORMATION 1/31/2017 8:24:51 AM Page 1 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION n) Program Budget 1. Submit your program budget. You may complete the provided template (separate xls file) or you may submit your own budget file (as long as it contains the same information, in the same format, as requested in the provided template). Program Budget Operating Budget for Program PROGRAM NAME: OE Enterprises, Inc. Actual Estimated Projected Percent PROGRAM REVENUE 2015-16 2016-17 2017-18 Change Private Donations $ 12,862 $ 2,000 $ 2,000 0% Program Generated Revenue $ 1,089,373 $ 1,089,088 $ 1,089,088 0% Local Government Grants: Human Services-Town of Carrboro $ 3,600 $ 3,800 $ 5,000 32% Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ 6,000 $ 10,000 $ 12,000 20% Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ 45,100 $ 51,100 $ 58,000 14% Other-Orange County $ 100,832.64 $ 101,117.64 $ 101,117.64 0% Other-Town of Hillsborough $ - $ - $ - 0 Other Government Grants Triangle United Way $ - $ - $ - 0 State Government $ - $ - $ - 0 Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ - $ - $ - 0 Other Revenue $ - $ - $ - 0 Total Program Revenue $1,257,768 $1,257,106 $1,267,206 1% PROGRAM EXPENSES Compensation $ 1,004,172 $ 1,011,214 $ 1,021,355 1% Rent&Utilities $ 49,628 $ 50,620 $ 51,633 2% Supplies&Equipment $ 93,500 $ 95,370 $ 97,277 2% Travel &Training $ 46,000 $ 47,500 $ 48,500 2% Other Expenses: $ 87,235 $ 87,000 $ 87,500 1% Total Program Expenses $1,280,535 $1,291,704 $1,306,265 1% SURPLUS/(DEFICIT) FOR PERIOD: $ (22,767)1 $ (34,598)1 $ (39,059)1 -13% PROGRAM INFORMATION 1/31/2017 8:24:51 AM Pago 19 of 20 DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 2. Program Budget Detail — Provide description of "other" budget items, not defined. No "other" budget items noted. 3. This program budget represents what percent of the agency budget? 19% 4. COST PER INDIVIDUAL This Cost per Individual must reflect the total program budget divided by the total number of program individuals in this application. Actual 2015-16 Estimated 2016-17 Projected 2017-18 Total Cost of Program $ 1,280,535 $ 1,291,704 $ 1,306,265 Total # of Individuals 210 210 210 Cost Per Individual $6,098 $6,151 $6,221 PROGRAM INFORMATION 1/31/2017 8.24.51 AM Pago 20 of 20 DocuSign Envelope ID:6D821DAO-CO6F-4D38-BB4F-DB28CB54AD8E EXHIBIT`B" Scope of Services—FY 2017-18 Outside Agency Performance Agreement Agency Name: OE Enterprises,Inc. Program Name: Transitions to Employment Funding Award: $54,550 Outline how the agency will spend Orange County's funding award. Expense Description Amount Personnel costs associate with providing vocational placement, training, and community $54,550 integration supports for students and adults who have disabilities. Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2018. • Job Club Services: In small group settings within the school, OE staff assists students in exploring various occupations, industries, career options, develop resumes, increase interviewing skills, and discuss skills needed to maintain employment. They will also explore options to post- secondary education and careers where advanced degrees/certifications are necessary. • Job Development Services: Individual services work with the individual to evaluate skills, interests, preferences, and support needs of the job seeker, and then assist the person in finding employment that matches. • Senior activity services: Provides guidance and education to assist individuals with disabilities in participating in chosen activities in their communities. This includes both individual and group activities that assist individuals in connecting with our community partners. Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange County, only (all Towns and municipalities). If you use percentages, you must also provide the total number of participants within that measure's description or for an earlier performance measure. Performance Measures Anticipated Results Student participants will obtain jobs in the community or increase their marketability 15 through post-secondary education Adult participants will obtain jobs in the community 50 Individuals with disabilities will participate in meaningful senior activities and 10 retirement participation of disabled elderly program participants DocuSigned by:(' J mmtaS CEO 10/11/2017 6BCE63A7092143F... Certified by: Title: Director Date: 7/17/17 (Provider's Signature) DocuSign Envelope ID:6D821DAO-CO6F-4D38-BB4F-DB28CB54AD8E ATTACHMENT "A" Orange County Certifications—FY 2017-18 Outside Agency Performance Agreement Chief Contact,Administrators, Chief Executive Officer and Chief Financial Officer I certify that I have provided a list of the chief contact, administrators, chief executive officer and chief financial officer for my agency with this Agreement and that I will keep it current to the County of Orange. The list should be in writing with the name, title,residential address;phone and email address and if possible, fax number. Officers and Board of Directors I certify that I have provided a current list of the Officers and Board of Directors with this Agreement and that we will continue to update the list as changes occur. The list should be in writing,with the name, physical address,mailing address and if possible,phone, fax and email address. Budget Submission I certify that I have provided a budget for the period to be covered by funding Orange County, and that any substantive changes made to this budget have been in advance authorized in writing by Orange County. Annual Financial Review I certify that I have provided a copy of the latest annual Financial Review for our agency and the budget adopted by the agency for the fiscal years encompassing this Agreement. If not,please explain on a separate sheet of paper. Alignment with Organization's Mission I certify that the programs and services for which this funding is requested align with the mission of the organization. Intended Purpose I certify that the funds provided to the agency under the terms of this Agreement will be used for a public purpose and shall only be used for the purposes intended and any money not used for those purposes will be promptly returned to Orange County. L kDocuSigned by: o ' l SGUMI LI S Title: 10/11/2017 Certified by: 6BCE63A7092143F... Title. CEO Date: (Provider's Signature) (OE Enterprises,Inc.) Orange County Outside Agency Performance Agreement Page 10 of 10 Rev. 7/17 DocuSign Envelope ID:6D821DAO-CO6F-4D38-BB4F-DB28CB54AD8E a DATE(MM/DDNYYY) A��>J CERTIFICATE OF LIABILITY INSURANCE 7/11/2017 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 CONTACT Tammy Brown Jennings Bryan-Chappell Insurance Services ( oNN,Ext): (336)227-7458 FAX (336)343-1000 PO Box 1118 ■ooRess:tammyb@ jbcins.com INSURER(S)AFFORDING COVERAGE NAIC# Burlington NC 27216 INSURERA:Philadelphia Indeminity Ins. Co. 18058 INSURED INSURER B Accident Fund General Insurance OE Enterprises, Inc. INSURER C: 348 Elizabeth Brady Road INSURERD: INSURER E: Hillsborough NC 27278 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1762903121 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 LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 A CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ PHPK1677966 6/30/2017 6/30/2018 MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 2,000000 OTHER: - AUTOMOBILE LIABILITY COMBINED tSINGLE LIMIT $ 1,000,000 (Ea X ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTOS AUTOS PHPK1677966 6/30/2017 6/30/2018 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ X AUTOS X AUTOS .(Per accident)Medical payments $ 5,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4,000,000 A EXCESS LIAB X CLAIMS-MADE AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 PHUB591253 6/30/2017 6/30/2018 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 N/A OFFICER/MEMBER EXCLUDED? B (Mandatory in NH) 2000017714 7/1/2017 7/1/2018 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ i 500,000 A Professional Liability PHPK1677966 6/30/2017 6/30/2018 1,000,000 2,000,000 A Sexual Abuse / Molestation PHPK1677966 6/30/2017 6/30/2018 1,000,000 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION tcomar @orangecountync.gov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Tammy Comar P.O. Box 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE Tammy Brown/TB t;:t0A-ry /L,- i- ot.-'ce," -' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025mum