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2017-587-E Finance - Marian Cheek Jackson Center for Saving and Making History - Outside Agency Performance Agreement
DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 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 Marian Cheek Jackson Center for Saving and Making History, a not-for-profit corporation, located at 512 W. Rosemary Street, Chapel Hill, NC 27516 ("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 Marian Cheek Jackson Center for Saving and Making History 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 11250 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 2812.5. 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. (Marian Cheek Jackson Center for Saving and Making History) Orange County Outside Agency Performance Agreement Revised 7/2017 Page 1 of 7 DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 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. 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 (Marian Cheek Jackson Center for Saving and Making History) Orange County Outside Agency Performance Agreement Page 2 of 10 Rev. 7/17 DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 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. 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 (Marian Cheek Jackson Center for Saving and Making History) Orange County Outside Agency Performance Agreement Page 3 of 10 Rev. 7/17 DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 d. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. 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 Marian Cheek Jackson Center for Saving and Making History 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 (Marian Cheek Jackson Center for Saving and Making History) Orange County Outside Agency Performance Agreement Page 4 of 10 Rev. 7/17 DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 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: County: Finance &Administrative Services Provider: Marian Cheek Jackson Center for Orange County Saving and Making History Post Office Box 8181 512 W. Rosemary Street Hillsborough,NC 27278 Chapel Hill,NC 27516 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 and on behalf of the Provider (Marian Cheek Jackson Center for Saving and Making History) Orange County Outside Agency Performance Agreement Page 5 of 10 Rev. 7/17 DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 L-tk-uti,sotA,D ocuSigned by: VattidLtun, 10/16/2017 DB797898152D48B... For a Date E $f of Orange County Government otAAt,tt, holoku'SLi 10/23/2017 627994az55E471-- Bonnie Hammersley, County Manager Date (Marian Cheek Jackson Center for Saving and Making History) Orange County Outside Agency Performance Agreement Page 6 of 10 Rev. 7/17 DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Agency The Marian Cheek Jackson Center FOR OFFICE USE ONLY Program(s) Learning Across Generations: Received By Youth Leadership and Civil Rights Ciiatetrime. Education Section Subsection 1. Cover Page a II Applicant Contact Information b. r Funding Requests c, 4 Signed Application Cover Page d. Signed Disclosure of Conflicts of Interest and Clause 2. Agency information a Agency's Years in operation b. 14 Agency's Purpose/Mission c. Agency's Types of Services Provided d. it: Agency's Experience with Programs e, II Other Pertinent Agency Information f. X4 Schedule of Positions g. 10.41 Living Wage h. ' Agency Budget I 3. Program Information a. Human Services Needs Priority b. i Type of Program A separate Section 3 is c, 4 Agency Collaboration required for each program. d. "'" Summary of Program e. C Description of Identified Need f. 4 Description of Population to be Served 9. ""Pril Program Staffing, Capacity, &Expertise h. Program implementation Timeline L II Value of Investment j. C Impact of Reduced/No Allocation k. L Other Pertinent Information L 4 Target Population/Beneficiary Chart rn. 11" Work Statement n: 0, Program Budget, Detail, & Cost per Individual 4. Attachments a. 4 Audit: Organizations receiving $300,000 or more in Federal financial assistance,and/or organizations with ore than $500,000 of receipts and expenditures in a fiscal year, must secure an audit. b. IRS Federal Form 990 c. NC Solicitation License IRS Federal Tax-Exemption Letter e. 14 Certificate of Insurance f. kilt List of Board of Directors g. L Solid Waste Program Fee (SWPF)Verification Application Submittal Checklist 1/31/2017 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION -- 1,,, COVE mt PAGE a) tili,,plicant Contact information, Applicant Organization's Legal Name: The Marian Cheek Jackson Center for Saving and , Melding Histca_ Applicant Organization's Physical Andress: 512W, Riosernaly Street. Clia2e1Hill, NC 27516 Applicant Organization's Mailing Address: Same as above Applicant Organization's Web Address: www iacksonicenter.ipfc Executive Director: Della Pollock Tel Number: _(„„9,19 960-1670 E-Mail. nudscoAjacksoncentecinfo Tax ID Number: h) Fu ding Request List JH FYI 7-18 Human Services HS," Funding Being Requested - For Ali Prpkima) and the Prcnosed Use of Funds (24 lines or less) Program Carrboro Chapel Orange Intel - Hp Hin Hq ct, - !,,,is Learning Across Generations: Expansion of K-12 riivd1 $4,000 $6,000 $12, 600 $22, 500 rights education curriculum and audio irnmersQon program rooted in social justice work and yddth-ied activism CITS°; .. ..„, Totals L$4,000 r$6,000 $12, 50 22, 5(:)9_, c) To the best of my kno ledge and belief all information and data in this application is true and current. The gob/merit has been duly authorized by the doyen ing h curd of the 'spoils ,nt, / Signature: ex,/ , , ,, ,,' „/ / - _ F e f.itiv /rY.eector Date Signature: "9 21- '-,----------", Bo Chairperson ,,,,,K Date ii AGENCY INFORMATION 1/27/2017 3:01:18 PM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION d) DISCLOSURE OF POTE1 :TIAL CONFLICTS OF INTEREST ND 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 J 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? H c) Current beneficiaries of the program for which funds are being requested? H 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-DISCRIIIINATiON 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 belitf all of the alhove inform lion is true and c, ,rrent, 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 ':f an undisclosed conflict ma, result i the termination of an 1,rant ,,warded, / Signature: / / / 4//// (//t e6iltiveirector Date Signature: Yoartt Chairperson Date AGENCY INFORMATION 1127/2017 3:01:18 PM , i DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HI BIT 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): Founded in 2008, incorporated March. 2012 b) Agency's Purpose/Mission (no more than a few sentences): The Jackson Center's mission is to honor, renew, and build community in the historic Northside, Pine Knolls, Tin Top, and Lloyd/Broad communities of Chapel Hill/Carrboro. We were established in 2008 to respond to rapid demographic changes in these identified and neighboring, historically African-American, low-wealth communities in Orange County, NC. These communities have been especially hard hit by the economic recession, increased cost of living, and market pressures to fulfill the demand for rental housing for UNC-Chapel Hill students, resulting in diminishing numbers of low-income and racially and ethnically diverse populations. We were founded as a history activism center a community-based hub that brings history into active neighborhood dialogue in order to make history and change together. Our efforts have always intentionally engaged difference directly and crossed all preconceived boundaries of division [across race, class, religion, sexuality, university-neighborhood (historically segregated "service" communities)] with a sustained commitment to social justice and community-led development. As a place-based and oral history driven organization, we preserve the future of neighborhoods in transition and establish our vision of beloved community through the three services described below, c) Types of Services the Agency Provides (bullet format): • Youth Leadership and Civil Rights Education: O Civil Rights and Oral History Workshops (grades k-12 and college) o Intergenerational Community Education Tours o Audio Immersion High School Mentorship Program o Oral History Trust & Neighborhood Soundwalk • As seen in Section 3, all of our youth and education services engage the wisdom of youth voices and amplify community perspectives through creative strategies like youth-led radio, educational work in the public schools, and neighborhood tours led by community elders. • Organizing and Advocacy: o Home Repair Advocacy o Landbank Organizing and Affordable Housing Advocacy o Land Preservation (legal and financial tools to preserving land ownership) o Student Engagement (volunteer training and good neighbor work) O Coalition Mobilization (proactive engagement on development policy) • Our organizing and advocacy services challenge inequity and reverse unjust housing trends through community-first planning, research, and relational organizing by activating neighborhood networks to strengthen communities and bring about systemic policy change. 8 Celebration and Connection: o Community Gatherings and Annual Celebratory Festivals o Interactive History Exhibits o Resident-Driven Newspaper • We meet despair with hope; erasure with memory: isolation with connection. Our celebration and connection work is founded on in-depth listening and is reflected in our exhibitions, resident-driven newspaper, and participatory events. We honor civil rights history and inspire consciousness and action through our services. Agency Information 1/31/2017 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION d) Agency's History with Providing These Services: This is the fourth year of the Jackson Center's Youth Leadership & Civil Rights Education Program. Each year we have met and exceeded our goals and benchmarks laid out for our program. Halfway into the current year, for example, we have already significantly expanded our school partnerships by creating a new and exciting relationship with Phoenix Academy, a school that not only has our target youth demographics but also has historical ties to Northside; by establishing a second ongoing partnership with the Boomerang Youth Program, to pair alongside our sustained collaboration with Northside Elementary; and by developing a course partnership template to further engage our University students and help build our programming capacity. In addition to a full-staff team of support, we have two staff members (including one lifetime resident of the neighborhood) and two four-year long interns dedicated solely to the prat/ram. Additionally, we have built a community-first and driven teacher team, composed of Jj more than a dozen long-term residents who lived through and participated in the Civil Rights struggle. Coined our 11„4,„ 1111 "Community Mentors," these treasured neighbors drive 1'19 1L the implementation of our curriculum through the telling of their stories. Finally, the Jackson Center has gained support from local, state, and national foundations SIL 114'111111140,10, 111111'11 "'" „6. 9111 „ because of the success of this program and has been Irl du io invited to participate in local, state, and national presentations for our model of place-based learning and ill Hp ti intergenerational civil rights and oral history curricula, e) Other Pertinent Agzncy Information: The Jackson Center has been recognized with several awards for its work over the last six years, including but not limited to: the Harlan Joel Gradin Award for Excellence in the Public Humanities from the NC Humanities Council; the Dr, Martin Luther King Jr. Bridge Builder Award from UNC- Chapel Hill: the Advocacy Award from Preservation Chapel Hill for our historical education work in Chapel HilliCarrboro; and an award from UNC's Office of Engaged Scholarship for our neighborhood partnership work, Our Fusion Youth Radio program served as the inspiration for WUNC'S Youth Radio Institute and several of our youth pieces have won national awards, Our events and forums have been hailed by civil rights and social justice activists as the most genuinely integrated events" they have ever attended. In the last year we have been leading partners in the Northside Neighborhood Initiative, a major housing collaboration between neighborhood leadership, Self-Help Credit Union, UNC, the Towns of Chapel Hill & Carrboro, and all local affordable housing agencies to preserve the future of Northside. We have also begun a 3-year strategic planning process, led by our Executive Director and Board of Directors, which should help us increase capacity for our core programming in the coming year. 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. O 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: 3 (+1 Full-time AmeriCorps Member) # of FTE - Paid Part-Time Positions: 2.1,t, 4 paid summer interns) #of Volunteers: 380 # of FTE Volunteers: 4,1§ **Please note: Our Executive Director is a volunteer of-30 hours/week, We also have a Social Work Intern (25 hoursiwk) and six undergraduate interns (6 hrs/wk each) in addition to the large number of volunteers for discreet service each year. Agency Information 1/31/2017 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION g) Living Wage Does this agency pay permanent employees a minimum ti ri.p wva, ? (Yes/No) Yes If yes, is this agency an ,,g Count' L;ivifa 1,.. ge 'Hie I, . i1? Imo If no, please explain. We will plan to submit for certification this spring. We had never considered being certified because we have never needed certification and have always prioritized a living wage for our employees. h) Agency Budget I. 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) Yes mm If yes, please list below: Include all programs that have funding requests/awards/totals from Carrboro, Chapel HA and Orancie 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 Implementing the $40,000 $45,000 Chapel Hill —Affordable Housing NorthsidefPine Knolls Trust Fund (Note: request this Community Plan (Housing year is from CDBG, not a local Advocacy Program) source, but still included the request amount here) *Add rows or attach additional page, if needed, II. Submit your agency's budget. You may complete the provided template (separate xIs 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 Budgets are required to define budget amounts for the previous program year, current program year, and next program year for the following categories: • Revenues o Private Donations o Program Generated Revenue o Local Government Grants • Carrboro Human Services • Carrboro Other • Chapel Hill Human Services • Chapel Hill Other(DO NOT include CDBG funding here) • Orange County Human Services • Orange County Other (DO NOT include HOME funding here) O Other Government Grants • Triangle United Way • State Government. • Federal Government (CDBG/HOME/etc,) • Private Foundation Grants o Other Revenue • Expenditures O Compensation • Rent & Utilities • Supplies & Equipment Agency Information 1/31/2'©17 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION we Travel & Training o Other Expenses iii. Does your agency budget show a Surplus or Deficit? Yes, a surplus last veer. Is there a significant change? Yes/No No, but an explanation for the change's described below. Please provide a brief explanation for Surplus or Deficit, and significant changes. Last year, we had a surplus, which enabled the Jackson Center to build reserves for the first time to he able to limit cash flow shortages and ensure organizational sustainability and hire a Deputy Director this year. Our budget this current year is lower than last year because we no longer are engaged in the Rogers Road contract work that represented —$90,000 of our budget last year. iv. What is your agency's fiscal year? 1 • throu.h uhe 31 _018 Agency Information 1/31/2017 10:50;57 AM ^ ■ DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDE"Snplii.,j4iPE AGENCY APPLICATION Operating Budget for Entire Agency AGENCY NAME: The Marian Cheek Jackson Center for Saving and Making History Actual Estimated Projected I.. Percent AGENCY REVENUE 2015-16 2016-11 2017-18 Chan_e 14% $ 28, _. Private Donations (fees)� $ . 23, 0 260 � a Agency Generated Revenue fees $ 131,025 $ 1401 000 $ 150,000 7 J� Local Government Grants: Human Services-Town of Carrboro $ 2,500 1 5 3, *II $ 4,000 33% Other-Town of Carrboro 1 °. - 01 Human Services-Town of Chapel Hull 5 1 000 5 4 000 $ 6 000 50% Other-Town of Chapel Hill I $ 115,000 $ 40,000 $ 45,000 13% Human Services-Orange County $ 8,01 0 $ 10,000 $ .. 12 500 25% Other-Orange County $ 89 900 ' $ - $ 0 Other-Town of Hillsborough $ �` 0 Other Government Grants Triangle United Way 5 $ - $ - 0 State Government $ $ - $ 0 Federal Government(CDBGIHOMEletc.) $ $ $ 1 0 Private Foundation Grants $ 77 9511.00 ' $ 50 000,00 I 67 500.00 I $ Other Revenue $ 108,000 5 90,000 $ (0,17 Total A«enc Revenue 449 026 ', 380 000 403 500 % AGENCY EXPENSES Compensation $ 184,556 $ 210 600 $ 219 650 4% Rent&Utilities $ 15,190 5 16,500 $ 16,750 2% Supplies&Equipment $ 18 460 20 000 23 600 18%,, Travel 8.Training $ 4,025 $ 11„500 $ 13,500 17% Other Expenses: 112 088 121 400 130 000 7% Total Agency Expenses 334,419 380,000 403,500 6% U PLU 1(D Ft iT') FOR PERIOD: 114,607.... _ - 1 0 FY 2015-16 Comparative Agency Budget Revised 9/29/2014 DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 3. PROGRAM INFORMATION (Submit a separlte Section 3 for each program) Program Name: Learnin• Across Generations: Youth Leadership and Civil RIP hts Education Program Primary Contact and Title: Moaan Sterile Co-Coo ii ator if , IP uth & EducktIL0 Telephone Number: (919) 960-1670 E-Mail; medan(ajacksoncenter info a) Indicate the type of Human Service Needs Priority, if program applicable: 0 Priority Area#1: safety-net services for disadvantaged residents 14 Priority Area#2: education, mentorship, and afterschool programming for youth facing a variety of challenges 0 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) • Public Housing Program Category Youth Adult Elderly Disabled Neighborhoods/Residents Affordable Housing Affordable Healthcare Education X X X Family Resources Jobs/Jobs Trainig Food Transportation Other: Please spz.cify 1 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. • Collaborators for our Civil Rights & Oral History Workshops and Community Tours: Chapd Hill/Carrboro City Schools, Orange County Schools, and Additional School partnrs: We have collaborated with 13 school partners for workshops, including 3 intensive, ongoing partnerships (Northside, Phoenix, Boomerang); We continue to partner with additional CHCCS and Orange County Schools for workshop faciiitation. These school partnerships occur at every level: meetings with administrators, teachers, and curriculum coordinators pre and post all educational work within the schools, o Chapel Hill Public Library: Coordinates educational events and showcases, including oral history based exhibits and educational workshops. o UNC NAACP: UNC partner in educational design and college implementation. • Collaborators for our Audio Immersion High School Programs: o Beatmaking Lab: Coordinates youth media workshops to create and support our youth audio-immersion program in the summer. o WUNC: Our staff has partnered with WUNC to create a Youth Summer Radio Institute, which featured works by two alumni of our program and enabled these youth to have their stories reach over 80,000 listeners throughout the state on Morning PROGRAM INFORMATION 1131/2017 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Edition. Additionally, WUNC has provided professional mentors to come and speak to our youth participants of the summer audio-immersion program. Sacrificial Poets & WXYC: Our Fusion Youth Radio program was produced in partnership with Sacrificial Poets and WXYC-Chapel Hill (89.3 FM). Sacrificial Poets provided key mentors and connected us with poets for nearly every episode, and WXYC hosted the live broadcast and donated critical technical support we could not otherwise access, 0 Collaborators for our Oral History Trust and Soundwalle o NC Central University: Course partnerships to develop community archives and educational material. c St. Joseph CME Church, First Baptist, St. Paul AME, and Lincoln High Alumni Association: Partners in the creation of the community teacher network to assist in all neighborhood workshops and tours. 0 Southern Oral History Program: Assists in oral history archive support and implementation. o UNC Campus Y: Provides us with Bonner Scholar Interns who are critical in the development and expansion of our oral history archive, Program ascription (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? Our Youth Leadership and Civil Rights Education program involve three main initiatives, • Civil Rights Workshops and Intergenerational Community Education Tours This educational series focuses on civil rights, local and oral history, and cross- generational education, It can be broken down into the following: 1. Local ivil Rishts Worksho , which aims to highlight the critical and transformative role of local youth in the struggle to integrate public spaces and attain racial justice. 2. Arts and Methods of Oral History V‘torkshu, which focuses on the experiences, actions, and accomplishments of our everyday history-makers. To maintain the legacies of our neighbors who laid the stone wails at UNC, integrated area schools, and ultimately risked their lives, jobs, and safety for freedom, we give students the opportunity to learn from and interact with our community mentors and we strive to keep their stories alive, 3. &ventures in Local History, which allows students to explore Historical Northside through a guided and informational tour. Together we build customized modules that encompass teacher ideas and student creativity. All our workshops meet Common Core State Standards for grade and unit goals. Please view our video Beliefs Like G e CrIti2S)/YOLI bt,'Ait-'),51 DVW1rs), a glimpse into the freedom dreams of fourth graders, as an example of the learning and visioning made possible through our unique model of multicultural intergenerational education work. • Audio Immersion High School Mentors hip Program Our audio immersion programs are dedicated to cultivating community leadership among diverse, local high school students. This project fuses youth and civic leadership training, media arts and performance, and historical education. For the past five years, Fusion Youth Radio co-directors and a team of adult mentors have worked with a total of 70 students to create a monthly radio show on UNC-Chapel Hill's student-run radio station, WXYC. Live FYR broadcasts feature youth-produced audio documentaries, performances by local youth spoken word artists, and discussions about issues that affect our students and their communities. PROGRAM INFORMATION' 1/31/2017 10;50:57 AM _ _ DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B1S (HI BIT A PROVIDER'S OUTSIDE AGENCY APPLICATION As an extension from our renowned FYR ,The F0,07,0,13 Yn Rack)plo,(077e/77 program, we are piloting a new audio- i±o ryfy Niece, coses:e,7 immersion series Phoenix Academy this foefight mrrilh school year Entitled 'Telling Your Story & Making It ere:tees ere/eeteeete ciJ NO( Stick," media workshops and opportunities ,s0.90e,0 crovvd 7--(;, see her..)() fro/77 th t will be tailored to fit within their school day ttffice go to ceeettle, s ln t17,7it for all students to participate in. In addition vyo d/1:1 thiS prcilghTim IS d ii./'Al /T to building public speaking, critical thinking, ee y 0(irtg per() e " and audio editing skills, students will - Doi:m[6 Corsor , fm ultimately engage in racial equality rl?ent er nir'y"R f)r:irIjC iii")1;::117/ discussions and recognize the power of their own voice and truth. We believe this in- school program will help nurture participatory retention and also develop a larger community base for growth, creativity, and collaboration, Next year, we hope to work with three school partners for this series, including at least one Orange County school program, • Oral History Trust and Neighborhood Soundwalk Our ongoing oral history initiatives with long-time residents of this County fuel and deepen our education work. Our oral histories are held in the "Northside Memory Project" archive, which is utilized for our workshops and ongoing educational work, Additionally, we have produced a Northside Soundwalk, an audio-documentary-tour featuring fifteen oral histories of the neighborhood & civil rights struggle. This audio-tour orients hundreds of young people each year to learn about the history, transformation, and vision for our community, e) Describe the community need or problem to be addressed in relation to the various community priorities (i.e. Council/Board Goals), Reference local data (using the provided links) to support the need for this program. The mission for equity work is a core value and substantive need expressed in both the Human Services Needs Assessment and Orange County BOCC Goals and Priorities. The need for "quality, equitable education for everyonel," "diversity and education at all levels2," and a reduction in the "achievement gap, school-to-prison pipeline3" and additional discrepancies along racial lines' are all priorities encapsulated within this equitable framework, Throughout the country, educators are working to address the ever-growing achievement gap that occurs primarily between low-income students of color and their more affluent white peers. Having one of the most egregious achievement gaps in the US, the Chapel Hill-Carrboro City School District had only 31% of black students and 40% of Latina students pass end-of-grade and end-of-course tests in 2015- 2016 versus 85% of their white counterparts. Additionally, when spending time in classrooms around Orange County, these deficits are fairly easy to spot. Our education programming address this critical need by: • Increasina community eneaoement through the connection of primarily low-income youth and youth of color with mentors in the community to which they can relate. Our utilization of community mentors directly addresses the need for youth support and connectedness via mentors and advisors' as well, • tilizi • culturall relevant and rzslionsive teachi • !ractic- by integrating relevant local history, facilitating reflective dialogue to assess dimensions of power and social' justice issues, and developing engaging activities to aid in the student's learning experience, Chapel Hill Human Services Needs Assessment 2 Orange County BOCC Goals and Priorities 3 Orange County BOCC Goals and Priorities 4 Chapel Hill Human Services Needs Assessment 5 Chapel Hill Human Services Needs Assessment PROGRAM INFORMATION 1/31/2017 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8135-4AB3-9AFA-939AE0010B1S (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION • Encouraging career readiness through the exposure to skills and technology that students would otherwise not have been able to access. • Incorsoratin• the 'foals and values ex•ressed in the CHCCS E•uit Plan into our curriculum and teaching style. Teachers universally report these programs having a substantial impact on students, noting increased engagement and excitement in English and Social Studies classes, as well as the sense that these programs bring history to life for students, showing them that the Freedom Movement affected their homes, communities, and people they know. We believe these programs are essential to the curricula of CHCCS and OCSS. f) Who is your target population of individuals to benefit from this program and how will they be identified and connected with the program? Our initiatives reach a wide range of beneficiaries across the county, as our demographic statistics show. Our civil rights education workshops were created from over 200+ area oral histories, primarily with African-American residents, and engage 30+ elder residents in their implementation each year The workshops reach full grade levels of every partner school involved and have already reached five school groups this year, three of which are new school partnerships, as well as several unique organizations like Boomerang, Blue Ribbon, and the UNC Hospital School. Linked with our goal of school expansion, we intend to deepen our partnership with the Orange County School System to reach an increased number of students outside of town designations. Our audio immersion program is available to high school youth throughout Orange County. This year, we began seeing value in rebranding our Fusion Youth Radio afterschool program to an in- school pilot program. We hope to offer this intensive workshop series to three ongoing partners throughout the County in the coming year, as well as a summer audio immersion camp that will target youth who have completed these workshop series. While the repertoire of skills gained and programmatic goals remain the same, the ability to build and retain community and to practice introspection and self-actualization increases. Our audio immersive programming has a track record of reaching across barriers, not just in the group's composition but also in the selection of show themes. Past audio-documentary pieces have focused on topics such as immigration legislation, HB2 and LGBT rights, race in local schools, feminism, mental and physical health, and democratic participation. g) Describe the credentials of the program manager and other key staff. Our Youth Leadership and Civil Rights Education Program will be carried out by the following: Our Full-Time Program Coordinator of Youth Leadership & Education would have a professional background in education and/or youth-based work, knowledge of NC curriculum and standards, and receive informative training on the history of Northside, the local Civil Rights history, and the oral history archive housed at the Jackson Center. • Our Assistant Director of Youth Leadership & Education is a former participant in Fusion Youth Radio and award-recipient of a national radio competition. He has extensive history in beatmaking, audio production and editing, and workshop facilitation. Additionally, he is a community member with deep connections to both our county schools and Northside. • Our Executive Director is a professor in the Department of Communication at UNC and a former interim director of the Southern Oral History Program • Our Administrative Associat has extensive workshop facilitation experience. She is also a community member with deep roots and connections, • Our Community Mentor Team is composed of lifetime residents of Northside and community activists within the Civil Rights Movement in Chapel Hill. They are essentially the history makers by which our curriculum is based. PROGRAM INFORMATION 1/31/2017 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION h) Describe the specific period over which the activities will be carried out and include an implementation timeline. Our education programming is carried throughout the year, with Learning Across Generations workshops occurring each month and our audio immersion program occurring each week, A simple implementation timeline is as follows: Summer Host r annual audio immersion youth summer program 2017 Build additional school partnerships for the fall semester and create fall 2017 workshop schedule Deepen and refine curriculum based on 2016-2017 feedback Fall 2017— Facilitate workshops in partnerships with various schools throughout the year Spring 2018 Please note: services primarily boom in the spring semester Develop audio-documentary pieces with student groups to be submitted to PRX and other nationally known public radio forums Host student groups from UNC on weekly basis for neighborhood tours via our Soundwalk Summer Conduct end-of-year evaluations to assess program impact and areas for 2018 refinement 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) All of these programs aim to preserve and empower local communities: we sustain the historically African American community of Northside through oral history preservation and a neighborhood soundwalk; we empower elderly neighbors to share their history with younger generations and intentionally engage with the community; and we also empower youth to develop and share their own stories and perspectives with communities, both local and national. We believe that our Youth Leadership & Education programs address a variety of chosen Town/County priorities. Additionally, our education initiatives align with both the CHCCS Equity Plan and the vision for equity and excellence expressed in each individual School Improvement Plan within our district. Our programs foster creative engagement and civic participation across race, class, and age barriers by intentionally focusing on innovative, intergenerational education practices that address a variety of social justice issues, including the Civil Rights Movement of the 1960's and its connections to our current political climate. We offer nuanced Civil Rights curricula that empowers and engages youth in the classroom (especially youth of color and low-income youth), and directly connects them with older community mentors. This in turn fosters intergenerational communication and listening because older residents are then empowered to share their histories with youth. We support the next generation of leaders by providing students tools and a platform to share their perspectives on impending social justice issues, We work to create safe spaces and community forums, honor cultural practices, and revitalize our community while connecting across difference. j) Describe what would happen if requested funding is not awarded at all or if a reduced allocation is recommended, If funding was not awarded or was reduced, we would ultimately be faced with reducing the number of workshops offered to our school partners. We would struggle to sustain the full staff support that we are able to offer to our programs and to keep our programs free of cost to student participants, which is a key way in ensuring true diversity and equitable access. Having said this, we would be determined to find a way to continue at capacity because we recognize the value and importance these projects have to our collective community. k) Include any other pertinent information. We are excited to continue deepening this intergenerational work in the year to come and are pleased to answer any additional questions as needed. Thank you for your consideration, PROGRAM INFORMATION 1/31/2017 10:50:57 AM „ <? DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B1S (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Additional IProuram Information I) Target Population Program Target Population Demographics Actual Estimated Projected 2015-16 2016-17 , 2017-18 Gender Male 717 830 1,001 Female 726 852 1,047 Nonbinary" 0 8. 0 ... _ , Total 1,443 1,690 2,048 Ethnicity African-American 270 360 420 - American Indian or Alaska Native 7 5 6 Asian 190 206 245 Caucasian 756 , 789 973 Native Hawaiian or other Pacific Islander I 2 2 3 ... _... Hispanic/Latino** , 141** 218** 260** Other: Multiracial or Unidentified 77 110 141 Total 1,443 I 1,690 2,048 Age 0-5 years 5 5 7 6-18 years 977 1,011 1,141 19-50 years 416 619 835 51+years 45 55 65 Total 1,443 1,690 2,048 Geotraphic Location Alamance County 0 0 0 Chatham County 0 I 0 0 Durham County 200 } 225 225 Wake County 0 0 0 . .. . Orange County Breakdown Town of Chapel Hill" 701** 836** 1,028" Town of Carrboro 333 379 479 _ Town of Hillsborough _N/A 5 8 Orange County** 209" 245" 308** _ Total 1,443 1,690 2,048 1 .. "Please Note: On our demographic surveys we do not separate race from ethnicity, thus we have kept the Hispanio/Latmo grouping as its own racial category within the gl_h_nic Demographic section, We have made slight modifications to the Geographic Location section as well, On our surveys we do not break up the town of Chapel Hill on the basis of public and non-public housing nor do we break up Orange County by its municipalities For this reason, we have provided you with the cumulative total of youth and elders served in both areas, Finally, we have made our 2016-2017 surveys more gender inclusive which is why a nonbinary option is added to the Gender section, PROGRAM INFORMATION 1131/2017 10:50:57 AM _. _ _ DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B1S (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Work Statement m) Complete the Work Statement Chart to describe the work to be performed. Work Statement Chart for Program: --r 'n1 Across Gener- is: Youth Leadershia and ivil 1 s . duo, i• 1. Program Activity Name Learning Across Generations Educational Workshops and Tours • Local Civil Rights Workshop • Arts and Method of Oral History Workshop I Intergenerational Community Education Tours Program Goal Teachers report 75% greater engagement with curricular units and studies after successful facilitation and implementation of education initiatives Performance Measures • Early planning meetings that allow teachers to: c Set clear goals in collaboration with Jackson Center staff t: Identify learning needs and strengths of students • intake and exit surveys for teachers to provide feedback and suggestions, analyze student's engagement and learning depth during workshop, and assess strengths • Age-appropriate intake and exit surveys for students to provide feedback and suggestions, analyze their own engagement, and assess strengths II Previous Year Program Results During a Civil Rights workshop, this fourth grade student had originally been quiet and distanced from the group hen he raised his hand to proudly announce that 1r was his grandmother in one of rrivf, the Jim Wallace civil rights 1, photos that we included in our presentation, With a sense of urgency and pride, he went to emalitiroe i1111111111111111'11'111'11'1111001111111111111,1:11'L'Idll the black and vvhite photo to identify the person he now knew had spearheaded a sit-in at Colonial Drug Store. Upon learning that his grandmother was a hero and brave, fighter within the movement, he became one of our most engaged students. He participated in sit-in reenactments, sang freedom songs, and after th l-. class, his teacher. share at he had never b: so enta!ed in lear Please note: While we have many more qualitative excerpts like the one described above that express a noticeable increase in engagement for the 2015-2016 school year, we had not yet created a surveying system that was able to quantifiably track increases in engagement. Because of this, we have created and successfully implemented a new surveying measure to include a metric system for the fall of 2016; current results can be found _Lin the "'Current Year Estimates" box. Curr::nt Year Estimat:d Results • 75% of teachers report greater engagement with curricular units and studies after successful facilitation and implementation of educational workshop(s) and/or tour(s) ci To date, we currently have 100% of educators gauging their student's engagement as either a 4 or 5 (5 being: "My students were fully engaged'). Additionally, we currently have 92,1% of students gauging their own engagement as either a 4 or 5, • Increas:d attention to North Carolina education standards and Common Core strengthens education programs and increases PROGRAM INFORMATION 1/31/2017 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION relevancy to student growth and development Next Year Projected Results 0 Over 75% of teachers report greater engagement with curricular units and studies after successful facilitation and impRimentation of educational workshop(s) and/or tour(s) • Increased attention to North Carolina education standards and Common Core strengthens education programs and increases relevanc to student *rowth and develo foment 2. Pro,,ram Activity Name Learning Across Generations Educational Workshops and Tours • Local Civil Rights Workshop • Arts and Method of Oral History Workshop • Inter9enarational Community Education Tours Program Goal Develop 4 new, sustainable partnerships by the end of the school year to strengthen and grow the reach of our Civil Rights and Oral History curricula. These new partnerships will focus particularly on county schools, low-income outh and students from hish-needs communities Performance Measures • Workshops and/or tours have been given to new school partners that we have not worked with before Previous Year Program Results 0 By the end of the 2015-2016 school year, we established 5 new partnerships Current Year Estimated Results • Sustained partnerships with those gained in the 2015-2016 year while establishing four new partners • Two new, ongoing partnerships have been developed to complement the ongoing partnership that has already been established with Northside Elementary Next Year Project,,d Results • Sustained partnerships with four additional partnerships established in the 2016-2017 year, adding at least two additional partners in 2017- 2018 • Firmly established at least 12 school and educational partnerships benefitting from the Jackson Center Civil Rights and Oral History curricula on an annual basis. 3. Program Activity Nam, Audio Immersion High School Mentorship Program • Fusion Youth Radio • "Telling Your Story and Making It Stick — A Collective Interview Pro'ect worksho)series within schools Program Goal 75% of audio immersion participants will show measurable increase of civic media skills and confidence in their voices after completion of their workshop sessions Performance Measures • Intake and exit surveys that target civic participation, confidence, media, and literacy skills to provide a comparative baseline of our program's effectiveness O Supplemental surveys at various checkpoints throughout the workshop timeline to assess the mastery of a specific skill • Mentors provide copious opportunities for student feedback on curricula and program development so that the program is tailored for student success Previous Year Program Results • While 24 total youth were trained in FYR during 2015-2016, 13 reported an increase in confidence and engagement(54.2%) Please note:We believe the value representing the progress of our 2015- 2016 FYR participants was impacted by participatory attrition, in year's past, the vision of FYR has been an afterschoot program that met twice a week for students to develop their own radio broadcasts. During implementation, we ultimately found difficulty retaining students due to afterschool priorities conflicting with our afterschool FYR sequence, To buffer against this, we have now catalyzed an in-school version of our audio immersion program that we are piloting with Phoenix Academy this PROGRAM INFORMATION 1/31/2017 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION spring. We believe this in-house atmosphere will help nurture participatory retention and develop a larger community base for creating, collaborating, and discussing, thus allowing us to see a more accurate picture of ram's effectiveness on civic media deveto ment and self-confidence, Currint Year Estimated Results 9 75% of audio immersion participants will show measureable increases , in civic media skills and confidence in their voices upon completion of the spring semester * A student-produced audio-documentary will be submitted to PRX following the spring listening party with family and friends of the youth •articiniants and communit members and .artners Next Year Projected Results 9 75% of audio immersion participants will show measureable increases in civic media skills and confidence in their voices upon completion of the yearlong audio immersion program I fa A compiled series of student-produced audio-docurnientaries will be submitted to PF ,X by the time of the spring listening party 11 * 45 youth will have developed a digital portfolio of interviews, audio pieces, audio-documentary pitches and storyboards, and other clips that can be used for future eirofessional develd*ment 4. Program Activity Name Oral History Trust and Neighborhood Soundwalk Program Goal Expand the Jackson Center's Oral History Trust by processing 15 new oral histories and iterformins 5 new oral histor interviews Performance Measures 15 oral histories (in addition to their transcript and tape log) will be uploaded, tagged, and organized for our Northside Memory Project * Staff, interns, and volunteers will conduct and record oral history interviews with at least 5 new neighbors who are currently not found in our oral histor archive Previous Year Program Results • This year, priority was given to organizing and processing our oral history database. Over 150 oral histories have been tagged, labeled, and organized into a new Dropbox system for the purpose of streamlining our new Oral History Archive launch O In the spring of 2016, one of our Bonner Scholar Interns created a Black Lives Matter oral history series as an opportunity to connect Civil Rights struggles of the past with events today. The logistics and guidelines for this oral history project have been developed for 2016- 2017 implementation and two oral histories related to the theme of Black Lives Matter have been conducted and processed ii Current Year Estimated Results 9 3 additional oral history interviews related to the theme of Black Lives Matter will be conducted and processed • 5 oral history interviews performed by staff will be conducted with neighbors who are currently not found in our oral history archive 9 10 oral history interviews with our student service partners will be conducted and transcribed to measure *no rammatic irnitact Next Year Projected Results * The new, revamped Northside Memory Project will officially be live in the fall of 2017 • 20 additional oral history interviews will be conducted or processed with nei hbors who are currentl not found in our oral histor archive 5, Program Activity Name Oral History Trust and Nei!hborhood Soundwalk Program Goal An increasing number of students, neighbors, and community members will participate in our Neighborhood Soundwalk each year. Performance Measures 9 Sign-in system for participants after completion of the Soundwalk ' 0 Utilization of Betterlmpact, a volunteer management software, to improve and streamline efficiency of Soundwalk participants (particularly would increase the accuracy of our student Soundwalk participant numbers) Previous Year Program Results 9 381 UNC students Partici sated in our Nei.hborhood Soundwalk as PROGRAM INFORMATION 1/3112017 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION part of their service partner orientation to the Jackson Center during the 2015-2016 year Current Year Estimated Results e Over 400 people will have participated in our Neighborhood Soundwalk at the completion of 2016-2017 o This estimate is informed by the new implementation of Betterimpact and electronic use of spreadsheets in addition to continued outreach and connectivity work with the community and university Next Year Projected Results Over 500 people will have participated in our Neighborhood Soundwalk at the completion of 2017-2018 O This estimate is informed by the continued use of BetterImpact and spreadsheets in addition to improved outreach and connectivit work with the communit and universit 6, Program Activity Name Community Mentor Team Program Goal 50% of workshops and tours will actively involve community mentors, thus increasing the intergenerational dialogue and connection between long- term neiiihbors and outh Performance PO asures 0 Educational workshop checklists to track and manage community mentor involvement 0 Quarterly mentor team meetings allowing mentors to sign up and *_prepare for workshop and tour opportunities Previous Year Program Results * A total of 6 new neighbors were added to the Community Mentor Team for the 2015-2016 school year, Additionally, our community mentors were actively involved in 50% of our workshops and tours (they connected with the first, second, and fifth graders at Northside; eighth graders at both Smith and Mcbougle Middle School: and students with the Homeschoolers of Color group), A few of the roles they fulfilled as community mentors included: o Serving as interviewees and facilitators in a group oral history interview project with McDougle Middle School Leading tours around the neighborhood with Smith Middle School and various grade levels at Northside Elementary Providing oral history interviews to be recreated into The Chronicles of Northside, a collection of oral-history based storybooks produced in collaboration with first-grade classes at Northside Elementary Current Year Estimated "i esuits 0 Half of the workshops we facilitate during the 2016-2017 school year will include opportunities for mentors to be interviewees, tour guides, The Chronicles of Northside storybook subjects, and instructional coordinators to further develop and refine our Learning Across Generations curriculum Next Year Projected Results 0 75%of workshops and tours will actively involve community mentors, with participation beginning immediately in the fall semester PROGRAM INFORMATION 1/31/2017 10:50:57 AM DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 (HIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION n) Program Budget 1, Submit your program budget. You may complete the provided template (separate xis 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 Budgets are required to define budget ;,mounts for the previous rogram year, current program year, and next program year for the following categories: • Revenues o Private Donations o Program Generated Revenue O Local Government Grants • Carrboro Human Services • Carrboro Other • Chapel Hill Human Services a Chapel Hill Other (DO NOT include CDBG funding here) • Orange County Human Services ▪ Orange County Other(DO NOT Include HOME funding here) o Other Government Grants • Triangle United Way • State Government • Federal Government (CDBG/HOME/etc.) • Private Foundation Grants o Other Revenue • Expenditures O Compensation O Rent & Utilities o Supplies & Equipment o Travel & Training o Other Expenses 2. Program Budget Detail — Provide description of "other" budget items, not defined. "Other expenses" includes insurance, printing, online services, and postage & miscellaneous. 3. This program budget represents what percent of the agency budget? 17% 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 E;timated 2016.17 Pro acted 2017-10 Total Cost of Program $50,312 $58,955 $69,500 Total # of Individuals 1443 1690 2048 Cost Per Individual i $34.87 $34.88 $33.94 PROGRAM INFORMATION 1/31/2017 10:50:57 AM DocuSign Envelope ID: 1 OF°B4DA-C8B5-4AB3-9AFA-939AE00 1 OB1 8 (H IBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Program Budget Operating Budget for Progra PROG M NAME: Actuat Estimated Projected Percent PROGRAM REVENUE , 2016.16 2018-17 2017-18 Change Private Donations $ 7 787 $ 7955 $ 8 000 I% Program Generated Revenue $ 11,025 $ 11,500 $ 16,500 11111111.23 Local Government Grants: Human Services-Town of Candoero $ 2,500 $ 3 000 4 000 Other Town of Carrdoro 11111- $1.$MIMil Human Services-Town of Chapel Hill $ 1,000 $ 4 000 6 000 50% Other-Town of Chapel 0 Human Services-Orange County $ 8,000 $ 10,003 $ 121,500 25% Other Orange County ME LIME $ 111.11 Other-Town of Hiiilsborough $ - Other Government Grants Triangle United Vitay 0 State Government $11111111111111111. , Federal Government(CDEG/HOMElisto.) Private Foundation Grants $ 2C111 , 00 00 $ 22 500 00 $ 2E1=00 00 0,00%I • • " Other Revenue $ 0 Total Pro ram Revenue , 50 312 68 965 69 500 PROGRAM EXPENSES Compensation $ 38,865 I $ 43,669 $ 50 850 16% Rent&Utilihes Supplies&Equipment 3 z39 3 760 $ 4 700 24% Travel]&Training(Includes youth summer training) $ 2 088 $ 5 580 700 20% Other Expenses: 2 633 I 2 421 3 3,5ttl 38% Total Program Expenses $ 60,312 $ 68,955 $ 69,500 18% SURPLUSt(DEFICIT) FOR PERIOD', $ 0 $ $ 0 DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 EXHIBIT`B" Scope of Services—FY 2017-18 Outside Agency Performance Agreement Agency Name: The Marian Cheek Jackson Center for Saving and Making History Program Name: Learning Across Generations: Youth Leadership and Civil Rights Education Funding Award: $11,250 Outline how the agency will spend Orange County's funding award. Expense Description Amount Salary for Director of Education&Communications $11,250 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2018. • Local Civil Rights History workshops: K-12 educational workshop offerings that highlight the critical and transformative role of local youth in the struggle to integrate public spaces and attain racial justice • Oral History workshops: K-12 educational workshop offerings for students to learn from, interact with, and interview our local heroes who were active during the Civil Rights Movement and/or impacted by school desegregation • Adventures in Local History neighborhood tours: guided and informational tours that provide students of all ages the opportunity to explore Historical Northside • Telling Your Story & Making It Stick audio immersion program: weekly audio sessions for high school students to collaboratively develop audiodocumentaries related to social justice issues • Northside Memory Project & Neighborhood Soundwalk: oral history initiatives produced with long-time residents that expose students and outside community members to stories, struggles, and aspirations of the Northside neighborhood 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 Teachers report greater engagement with curricular units and studies 75% New school and educational partnerships formed to receive oral history and civil rights education 4 programming Percentage increase(improvement)in audio production skills,radio journalism,social justice 75% consciousness,digital and media literacy,and research skills for audio immersion participants 2017-2018 workshops and tours actively involve the Community Mentor Team 50% New oral histories added to our Oral History Trust 15 Participant completion of the Neighborhood Soundwalk 400+ �yD ocuSigned by: Ck-uti,sotA, Vat4zun, 10/16/2017 Senior Director Certified by: a1319-„,-28152 Title: Date: (Provider's Signature) DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 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. �yD ocduSigned by: C1U"Dl SblA VattidLtun, 10/16/2017 Senior Director Certified by: DB797898152D48B_. Title: Date: (Provider's Signature) (Marian Cheek Jackson Center for Saving and Making History) Orange County Outside Agency Performance Agreement Page 10 of 10 Rev. 7/17 DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 MARICHE OP ID: NJE '' 7.,.... DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/30/2017 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 Phone: 919-682-4814 NAME: Natalie Engelhart The Sorgi Insurance Agency Fax:919-682906 PHONE g19-682814 FAX 16 Consultant Place Suite 102 (A/C,No,Ext): (A/C,No): 919-682-4906 Durham,NC 27707 ADDRESS: natalie@sorgiinsurance.com James E.Sorgi,CIC INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Erie Insurance Exchange 26271 INSURED Marian Cheek Jackson Center INSURER B:Westchester Fire Insurance Co for Saving and Making History 512 West Rosemary St INSURER C: Chapel Hill,NC 27510 INSURERD: INSURER E: INSURER F: 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 INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X Q970503239 08/15/2017 08/15/2018 DAMAGE TO PREMISES(Ea RENTED occurrence) $ 1,000,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) A ANY AUTO X Q970503239 08/15/2017 08/15/2018 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE Q921501020 08/15/2017 08/15/2018 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 B Professional Liab. G27932368002 11/05/2016 11/05/2017 Prof Liab 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Orange County is named as additional insured as regards General Liability per written contract. CERTIFICATE HOLDER CANCELLATION ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. Risk Manager PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 ,n 5 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD