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HomeMy WebLinkAbout2017-589-E Finance - Orange County Rape Crisis Center - Outside Agency Performance Agreement DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 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 Orange County Rape Crisis Center, a not-for-profit corporation, located at 1506 E. Franklin St, Suite 302, Chapel Hill,NC 27514 ("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 Orange County Rape Crisis Center 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 52500 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 13125. 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. (Orange County Rape Crisis Center) Orange County Outside Agency Performance Agreement Revised 7/2017 Page 1 of 7 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 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. (Orange County Rape Crisis Center) Orange County Outside Agency Performance Agreement Page 2 of 10 Rev. 7/17 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 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. (Orange County Rape Crisis Center) Orange County Outside Agency Performance Agreement Page 3 of 10 Rev. 7/17 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 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 Orange County Rape Crisis Center 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: (Orange County Rape Crisis Center) Orange County Outside Agency Performance Agreement Page 4 of 10 Rev. 7/17 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 County: Finance &Administrative Services Provider: Orange County Rape Crisis Orange County Center Post Office Box 8181 1506 E. Franklin St, Suite 302 Hillsborough,NC 27278 Chapel Hill,NC 27514 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 ilvfittriteilf of the Provider 7 c\--y. C- 10/12/2017 92B2D5E8D36A439... , Date (Orange County Rape Crisis Center) Orange County Outside Agency Performance Agreement Page 5 of 10 Rev. 7/17 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 E F � v if of Orange County Government 01A,bUt ba,1144U'SLu? 10/24/2017 06379949755E477 Bonnie Hammersley, County Manager Date (Orange County Rape Crisis Center) Orange County Outside Agency Performance Agreement Page 6 of 10 Rev. 7/17 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION FOR OFFICE USE ONLY Agency Orange County Rape Crisis Center Received By Program(s) Client Services & Community Education Date/Time Section subsection 1. Cover Page a. 44 Applicant Contact Information b ri Funding Requests Signed Application Cover Page d. LiSigned Disclosure of Conflicts of Interest and Clause 2. Agency Information a. I Agency's Years in operation b. Al Agency's Purpose/Mission C. ri Agency's Types of Services Provided d. lIl Agency's Experience with Programs e. lI4 Other Pertinent Agency Information f. El Schedule of Positions g. MI Living Wage h. 114 Agencyl:udget 3, Program Information a. Human Services Needs Priority b. 1, Type of Program A separate Section 3 is c. $21 Agency Collaboration required for each program. d. 114 Summary of Program e. 14 Description of Identified Need r4 Description of Population to be Served g. L Program Staffing, Capacity, & Expertise h. le Program Implementation Timeline L L Value of Investment j. 114 Impact of Reduced/No Allocation k. AI Other Pertinent Information I. 114 Target Population/Beneficiary Chart m. Z Work Statement n. IF Program Budget, Detail, &Cost per Individual 4. Attachments a. El 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. Z IRS Federal Form 990 c. Ai NC Solicitation License d. P14 IRS Federal Tax-Exemption Letter e. 111 Certificate of Insurance f. List of Board of Directors g. PO Solid Waste Program Fee (SWPF)Verification Application Submittal Checklist 1/30/2017 5:14:05 PM P q 1 2 2 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 1. COVER PAGE a) Applicant Contact Information Applicant Organization's Legal Name: Orange County ape Crisis Center Applicant Organization's Physical Address: 1506 E. Franklin Street, Suite 302 Chapel Hill, NC 27514 Applicant Organization's Mailing Address: PO Box 4722, Chapel Hill, NC 27515 Applicant Organization's Web Address: ocrcc.orq Executive Director: Alyson Culin Telephone Number: 919-968-4647 E-Mail: alysonocrec.orq Tax ID Number: b) Funding Request List all FY17-18 Human Services (HS) Funding :eing Requested — For All Program's) and the Proposed Use of Funds (2-3 lines or less) Carrboro Chapel Orange I Program - - HS Hill -HS I Count -HS Total I Client Services: 24-hour crisis intervention services for survivors of $10,000 $20,000 $35,000 $65,000 sexual violence, their loved ones, and professionals who support them Community Education: Education programs, training, and advocacy on sexual violence prevention and response, including programs $10,000 $20,000 $35,000 $65,000 in Chapel Hill-Carrboro City Schools, Orange County Schools, and independent schools Totals $20,000 $40,000 $70,000 $130,000 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: , Executivel.Director Date / / Signature: I / 7, 1/.7) CKailWreon Date AGENCY INFORMATION 1/30/2017 5:14:05 PM Pn9e 2 u I 22 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 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 0 AI 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? LI 2 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: 4L J i / -2() 1 1 Execiuti4 Director, Date Signature: ___//iv,24,4; 7":"/- BArd haiiperson Date AGENCY INFORMATION 1/30/2017 5:14:05 PM I ,r; DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 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): 43 years in operation. Founded in September 1974. Incorporated in December 1978. b) Agency's Purl.ose/Mission (no more than a few sentences): Our mission is to stop sexual violence and its impact through support, education, and advocacy. We envision a world free from sexual violence and all other forms of oppression. c) Types of Services the Agency Provides (buffet format): Client Services: • Crisis intervention services via 24-Hour Help Line including: o Emotional support, active listening, safety planning, suicide intervention o Accompaniment to the hospital, to make a report to law enforcement, to court, etc. o Information and referrals; case management as needed • Support groups and workshops o Traditional, discussion-based groups organized around trauma experience (e.g, a group for adult survivors of child sexual abuse) or demographics (e.g., a group for LGBTQ+ survivors) o Alternative healing groups organized around an activity such as yoga, arts, meditation, etc. • Latino services—All services are also provided in Spanish. Community Education: • Safe Touch — Our annual safety education program for preventing child sexual abuse victimization is in every elementary school in both local school districts plus a number of independent schools and private groups (pre-K through 5h grade). • Start Strong — Our multi-session, evidence-informed primary prevention program empowers students to stand against sexual violence in their schools and communities, preventing the perpetration of sexual violence (71h and V grade). • Parent & caregiver education — Our programs utilize both primary prevention and risk reduction strategies, teaching parents and caregivers concrete steps and practical tips for preventing, recognizing, and responding to child sexual abuse. • Professional training — We provide professionals (e.g., healthcare providers, law enforcement, victim advocates, attorneys, etc.) with custom trainings on the dynamics of sexual assault, providing trauma-informed care, and basic guidelines for providing effective support. d) Agency's History with Providing These Services: The OCRCC has provided crisis intervention services for survivors of sexual violence for over 40 years. Our highly qualified staff h embers regularly attend continuing education trainings and review new research to ensure that we are providing the best level of trauma-informed care. Additionally, we have the most comprehensive volunteer training program in the state. With more than 60 hours of training, our volunteer crisis Companions — along with our staff — provide expert support and advocacy services to 550-600 clients each year. Both qualitative and quantitative data show the high success level of our client services. As a leader in the field, our Client Services tea I regularly provides consultations for other anti-violence agencies. We have presented at state-wide and national conferences; provided one-on-one consultations for agencies seeking advice; and offered trainings for victim service providers, healthcare professionals, -Ind others on best practices for trauma-informed care, Additionally, we created a train-the-trainer program and accompanying manual on how to develop and expand a support group program; in collaboration with the NC Agency Information 1/30/2017 5:14:05 PM ;-1 () r, 4 (? 1 2 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Coalition Against Sexual Violence (NCCASA), our staff visited agencies across the state to offer this training. We also created protocols and procedures to serve incarcerated survivors according to federal standards set by the Prison Rape Elimination Act (PREA); our protocols and corresponding training helped to inform those created by NCCASA, which in turn will be shared with victim service providers across the state, Launched 35 years ago, our Community Education program is one of the oldest in the country, and we have enjoyed a close relationship with local school districts, delivering safety education to tens of thousands of students. Our annual curriculum is truly comprehensive, with each lesson building on skills learned in past years, Safe Touch prevents sexual abuse by helping students understand safe and healthy relationships. By learning that your body belongs to you° at a young age, children easily grasp the concept of consent when it is introduced as 'flirting vs, bullying in middle school. Start Strong has a peer-to-peer focus, teaching tweens that sexual behaviors such as holding hands and hugging are only okay if the other person wants to do it. Having already learned to respect boundaries at a young age, teens have a deeper understanding of healthy relationships when they learn about communication, consent, and sexual assault in high school. uilding key concepts and skills over several years allows students to learn boundaries, communication, and consent in a more effective, lasting way. Furthermore, our programs are based on the best available research, follow national best practice standards, and are provided by highly trained educators. Staff and volunteers are also trained to look for 'red flags' during programs that may suggest a child is at risk of sexual abuse. Our staff follows up with every red flag and disclosure, coordinating with schools and with Child Protective Services, to ensure appropriate intervention and services are received. e) Other Pertinent Agency Information Client Services: With increased client numbers and contacts in addition to significant challenges in accessing services across the system of care, our client services staff have unsustainably heavy workloads. We hope to secure funding for a part-time support group coordinator, which would allow more time for the high-demand Support Group program as well as more time for the Client Services Director to focus on high-need clients and systems-level advocacy. Additionally, we are excited to have potential opportunities for funding a new in-house Bilingual Therapist. This has been a priority need for our clients for years, and we hope this funding will come through for FY17-18 Community Education: More than 80 percent of our programs are provided in public schools within Orange County, but they are not paid for by the two district school systems. We rely on town and county funding to ensure this crucial safety education can be delivered to local students. Also, we have received multiple requests for programs that we have unfortunately had to decline due to limits on staff capacity. We hope to secure funding to expand our education program, Overall: Alyson Culin is now serving as our Executive Director. She has been with the Center since 2010 as the Development & Communications Director. Under her leadership, we will continue our capital campaign, which has plans for program expansion and moving to a larger facility, f) Schedule of Positions (For Entire Agency) # of FTE - Full-Time Paid Positions: 9 # of FTE - Paid Part-Time Positions: 1 # of Volunteers: pprox. 100 # of FTE - Volunteers: 11 FTE g) Living Wage Does this agency pay permanent employees a inimum livina_wpcie? (Yes/No) Yes If yes, is this agency an Oral qeCountyLivin , Wagejl:ejlifie Elnpfoler? Yes Agency Information 1/30/2017 5:14:05 PM P t, 22 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION h) Agency Budget L Is your agency currently receiving or requesting other local (Town of Carrboro, Town of Chapel Hill, Orange County) gayer ment funding? (Yes/No) No ii. Submit your agency's budget. iii, Does your agency budget show a Surplus or Deficit? Minor surplus Is there a significant change? (Yes/No) Yes Yes, the Projected 'udget for 2017-2018 shows a large increase to account for additional staff: • The addition of a Bilingual Therapist at 1.0 FTE • The addition of a Support Group Coordinator at 0 75 FTE • Increasing the Education Coordinator from 0.75 to 1,0 FTE • Increasing the Finance Coordinator from 0.25 to 0,75 FTE On the Client Services team, our staff are stretched beyond capacity and often unable to provide more in-depth services that many of our clients require. We served a record number of clients in September 2016 and again in October 2016. As our numbers increase, we have also seen a greater need for long-term options like support groups (SGs) and therapy, which require more time and resources to serve fewer clients. A Support Group Coordinator will allow us to offer more SGs and workshops. It will also allow the Client Services Director, who currently coordinates the SG program, to focus on case management for high-needs clients as well as systems-level advocacy to improve county-wide response services. A Bilingual Therapist will allow us to serve approximately 40-50 clients with culturally competent, trauma-informed, evidence-based therapy services. It is unlikely that the expansion of the Support Group program or the addition of the Therapy program will greatly increase the number of individuals we are able to serve, especially considering that many individuals accessing these programs will already be receiving other services from the OCRCC. However, the expansion will provide much more in-depth, greatly needed services that research shows are more effective at reducing long-term negative health impacts. Our staff on the Community Education (CE) team are also stretched beyond capacity and have unfortunately had to turn down many program requests in the past two years. We continue to provide more programs to more people each year: In FY15-16 we reached 15,904 individuals, a 17% increase from FY14-15, when we reached 13,614. More time for the Education Coordinator will allow us to offer more educational programs to more areas of the county. It will also relieve some pressure on other CE staff, allowing them to spend more time on in-depth, multi-session educational programming and professional training. For example, if we are able to provide programs to youth, parents, and teachers, we are likely to have a greater impact in reducing child sexual abuse by coordinating a community-wide initiative for response and prevention. The addition of a Finance Coordinator is necessary as our programs and budget continue to expand. Though diversification of funding is an excellent practice to ensure agency sustainability, adding more funders does require additional financial management. Furthermore, as funders increase requirements, we need a Finance Coordinator who can dedicate more time to grant and budget management. iv. What is your agency's fiscal year? July 1, 2017—June 30, 2018 Agency Information 1/30/2017 5:14:05 PM DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) Program Name: Client Services Prograrn Primary Contact and Title; Bethany Vilichman-Buescher, Chant Services Director Telephone Number: 919-968-4647 E-Mail: bethanvocrcc.org a) Indicate the type of Human Service Needs Priority, if program applicable: ri. Priority Area #1: safety-net services for disadvantaged residents — Priority Area #2: education, mentorship, and afterschool programming for youth facing a variety V challenges Z 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 Housin• Affordable Healthcare X X X 1 X X Education Family Resources X X X X X Jobs/Jobs Trainii29 Food' Transportation Other: Services for victims of crime X X X X X lrvivors of sexual assault c) Provide a bulletedl 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. • OC Domestic Violence Needs Assessment Planning Committee: Along with community members, service providers, and researchers, the OCRCC sits on this committee to address the need for a local shelter for violence survivors. • Chapel lill-Carrboro City Schools: OCRCC serves as a consultant for technical assistance and professional training for local school social workers and counselors on preventing and responding to sexual violence in schools. We collaborate with staff to promote school safety and ensure student survivors receive appropriate intervention and care. • NC Coalition Against Sexual Assault: In FY12-13 and FY13-14, the OCRCC collaborated with NCCASA to create a training program and manual for establishing a comprehensive support group (SG) program. We also partner on other projects, such as professional development and staff training. Agency Information 1/30/2017 5:14:05 PM n 7 f 2 2 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION • University of North Carolina at Chapel Hilt o We work closely with the Carolina Women's Center, specifically with the Gender Violence Services Coordinators (GVSCs), in providing appropriate support for student survivors, partnering on community events, and serving on joint prevention and response committees. O Since UNC hired the Interpersonal Violence Prevention Coordinator (IVPC) in 2009, we have maintained a strong relationship to assist their work with educational programs to prevent sexual violence (SV) and relationship abuse on campus, O We participate on the UNC Sexual Violence Primary Prevention Task Force. O We work with the Dean of Students Office to provide services and to advocate for student survivors. o We provide education programs to UNC faculty and staff (e.g., EOC hearing panel), classrooms, student groups, and Greek organizations. o We provide service-learning opportunities for students. With student volunteers and interns, the OCRCC is able to maximize our outreach and services while students gain invaluable professional experience. O OCRCC advocates accompany student survivors to Campus Health Services when they need medical attention and/or a sexual assault forensic evidence kit ("rape kit") completed, • Sexual Assault Response Team (SARTI The Center coordinates the county-wide SART. This team brings together representatives from local law enforcement, the District Attorney's office, UNC Hospitals, UNC-Chapel Hill, and other local agencies to improve the overall co munity response to survivors. The goal is to collaboratively provide the best system of care for survivors needing services through a variety of local departments. Meeting monthly, SART receives training, shares experiences, and addresses issues as they arise. • Law Enforcement: We partner with local law enforcement agencies to provide professional training to patrol officers and investigators on responding to crimes related to sexual violence. • The Compass Center for Women & Families: We collaborate with the Compass Center through all •ur services, referring clients to each other, coordinating shelter services for clients, providing mutual assistance for volunteer training, and conducting joint educational programs. Additionally, a representative from the Compass Center sits on SART. • El Centro Hispano: Our Latino Services Coordinator works closely with El Centro in order to improve services to the Latino community. The LSC provides services and programs through weekly office hours in their space, allowing greater outreach to Latinos in our community. • El Futuro: OCRCC and El Futuro refer clients to each other. Also, an OCRCC staff member sits on El Futuro's "Expert Advisory Panel" to provide consultation in the creation of a legal assessment tool and resources for Latinos in Orange County. • Freedom House Recovery Center: In addition to cross-referrals, we work with Freedom House to provide support groups to survivors of sexual assault who also struggle with addiction. • Salvation Army — PROJECT FIGHT: We participate in the Rapid Response Team of the Triangle together in order to address the needs of trafficking victims in our area. The two agencies also provide cross-referrals. • Orange County Latino Health Coalition: OCRCC sits on this team with other service providers, government agencies, and medical professionals in order to improve health outcomes for Latinos in Orange County. • Orange Correctional Center: OCRCC provides counseling in person or via phone or mail at the prison. We also provide accompaniment to the hospital if an inmate needs a forensic evidence kit Crape kit"). • Orange County Jail: We are in the planning stages with the local jail to begin offering services to individuals qnca rce rated at their facility. • Orange County Multi-Disciplinary Team: OCRCC attends MDT meetings along with the Department of Social Services, the District Attorney's Office, local law enforcement, Guardian ad Litem, and other services providers to review child abuse cases, coordinator response, and ensure better judicial outcomes. Agency Information 1130/2017 5:14:05 PM 2 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Program Description (3 pages OR L SS) Please provide the following information about the proposed program: d) Summarize the program services and how they will address a Town/County priority/goal. The Orange County Rape Crisis Center(OCRCC) provides support to survivors of sexual violence (SV), their loved ones, and professionals who serve them. Our expert staff and trained volunteer Companions provide emotional support, resources, and referrals through our 24-Hour Help Line. Companions are available at all times to provide assistance and advocacy as well as to acco pany survivors to the hospital, law enforcement, and court proceedings. We also provide case management for high-need survivors with multiple concerns, For example, we have connected survivors with resources for emergency and long-term housing, job training, substance abuse treat ent, clothing, food, and more, For long-term support, we provide support groups and workshops for SV survivors and their loved ones. Our innovative support group program, which has served as a model for agencies across North Carolina, offers both traditional discussion-based groups as well as activity-based groups utilizing alternative healing methods. All our services are free, confidential, and offered in both English and Spanish. We also hope to secure funding to restore our Bilingual Therapy program, Mental healthcare is extremely difficult to access, particularly for SV survivors, who may have difficulty finding a therapist who has experience with trauma or, more specifically, sexual violence. Low-income and Latino survivors may face additional challenges such as financial, transportation, immigration status, or language barriers. Even with our partnerships with other service agencies (e.g., El Futuro) and private therapists, there remains a significant lack of accessible and affordable therapeutic resources in our community. Our free therapy program will provide crucial long-term healing resources to even the most marginalized members of our community. Research shows that psychotherapy successfully reduces negative health outcomes as it reduces post-traumatic stress, PTSD symptoms, anxiety and depression; teaches relaxation & anger-control skills; promotes better sleep, diet & exercise; develops active coping skills; encourages resolution of trauma; and improves overall quality of life. Therapy provided through a community-based rape crisis center offers these benefits while increasing accessibility by utilizing resources the OCRCC can provide such as administrative assistance, program support, and access to public transportation. Additionally, our range of core victim services such as 24-hour crisis intervention and support groups ensures that survivors have comprehensive support for whatever needs arise during their unique journey to recovery. Because our services are free, they are part of the safety net of services for disadvantaged residents (Priority Area #1). Through an array of counseling options utilizing best practices in the field, we aim to improve the health of needy residents (Priority Area #3). Overall, our Client Services program provides affordable mental healthcare (CH HS Needs Assessment) in the form of crisis counseling and support groups as well as by connecting clients to reduced fee and pro bono therapy through our soon-to-be-opened in-house Therapy Program or our existing community therapy referral database. In addition to providing direct services to survivors of SV and their loved ones, we coordinate improved services throughout the system of care by facilitating the county-wide Sexual Assault Response Team, bringing together healthcare providers, law enforcement, public attorneys, University officials, and other professionals. Through this work, we aim to create a safe community (OC :OCC Goals) by enhancing the quality of life for all (Carrboro Priorities) and participating in the community network of basic human services that supports the well-being of all residents (OC BOCC Goals). Our work seeks to foster a community culture that rejects oppression and inequity (OC BOCC Goals) by empowering survivors to heal in their own unique way. Agency Information 1/30/2017 5:14:05 PM ^! DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION e) Describe the community need to be addressed in relation to community priorities. In 2010 the CDC found that 1 in 5 women in the United States are raped in their lifetime. it also found that nearly 1 in 2 women and 1 in 5 men experience some form of SV other than rape, such as sexual coercion, unwanted touch, sexual harassment, and more. Although local crime statistics on sexual violence are difficult to obtain for any jurisdiction, our experience corroborates this finding and illustrates the need for services. The OCRCC served 546 people in FY2015-16. In that time, we had a total of 2,478 contacts, meaning that we saw each client an average of 4.5 times. The long-term effects of SV can be profound and may include depression, anxiety, physical illness, substance abuse, eating disorders, suicidal thoughts and attempts, self-harming behaviors, and more. All of these factors can make it difficult for survivors to function on a daily basis, obtain and keep a job, and maintain safe housing. Mental Health America (MHA) reports that 20.2% of adults with mental illness in North Carolina said they did not get the mental health services they needed and an astounding 45,7% of children did not receive them. For SV survivors, it may be difficult to find a therapist who has experience with trauma or, more specifically, SV. Low-income and Latino survivors may face additional challenges such as financial, transportation, immigration status, or language barriers. With a lack of accessible therapeutic resources in our community, the OCRCC hopes to provide free community-based therapy services to all SV survivors through our proposed Bilingual Therapy program. We will continue to provide free, accessible, culturally competent short- and long-term services through our 24-Hour Crisis Response and Support Group programs, The issue of sexual violence intersects with multiple local priorities, including: • Safety-net services for disadvantaged residents (CH Priority Area #1) • Programs aimed at improving health and nutrition of needy residents (CH Priority Area #3) • Affordable healthcare (CH Human Services Needs Assessment) • Enhancing and sustaining the quality of life for everyone, particularly around crime and safety (Carrboro Board Priorities) • Fostering a community culture that rejects oppression and inequity (OC BOCC Goals) • Creating a safe community (OC BOCC Goals) • Ensuring a community network of basic human services and infrastructure that maintains, protects, and promotes the well-being of all county residents (OCI:OCC Goals) Who is your target population and how will they be connected with the program? We support survivors of SV, their toyed ones, and professionals who support them, Clients hear about our services through internet research, word of mouth, promotional materials, referrals from community partners, and more. i'ecause SV occurs across demographic lines, we strive to be accessible to people from all backgrounds. To that end, we conduct specific outreach to underserved populations such as Spanish speakers, LGBTQ populations, and African-Americans. g) Describe the credentials of the program manager and other key staff. • Client Services Director Bethany Wichman-I-uescher M. A. Trauma Healing • Crisis esponse Coordinator Jennifer Grant— Master of Public Health • Latino Services Coordinator Denisse Horcasitas Ruiz M. A. Counseling Psychology Volunteer Companions respond to calls on our 24-Hour Help Line by either carrying a cell phone for a 24-hour shift or answering the tine directly at the Center's office Trainees receive over 60 hours of Masters-level instruction from experienced staff containing both practical skills as well as the research base underlying practice. Training focuses on best practices in relevant areas such as trauma-Informed response, systems advocacy, trauma stewardship, and cultural competency. Agency Information 1/30/2017 5:14:05 PM 1 ■ DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION h) Describe the implementation timeline, Program Activity:1 —Crisis Support Provide over-the-phone crisis counseling via the 24-Hour Help Line Provide in-person crisis counseling during office hours at the OCRCC Provide resources and referrals to other community partners Ongoing Follow up with clients as needed to ensure case mana siement isprovided U•date resources in crisis counselirlg manual and therapist database Recruit and train volunteer Crisis Companions in fail trainin. 08/2017-11/2017 Recruit and train volunteer Crisis Companions in spririgtraining 01/2018-04/2018 Protram Activity 2 —Support Groups &Workshops Review waitlist of clients interested in participating in2royps Schedule support group facilitators to facilitate groups and workshops Publicize support groups and workshops Ongoing Review client requests for group participation Screen clients and if appropriate, place in group Facilitate oroups and workshops Com.ile and review FY17-18 support group evaluation data 07/2018 l) Why is funding this program a good investment for the community? Public health and safety are imperatives for any community, and a number of priorities for improving health and safety have rightly been set by all three local governments. Our agency works to stop SV and its impact through support, educatilin, and advocacy - a crucial piece of public health and safety. We have successfully provided our services for over 40 years, Not only are we a proven program, but we continue to expand and enhance our efforts through constant evaluation according to best practices and emerging research. We lead the field in client services, with our staff providing consultations to other victim services providers, presenting at state and national conferences, and collaborating with other community partners to provide professional and adult training. Not only are we providing exceptional care for survivors in our community, but the Orange County Rape Crisis Center's expertise is highly regarded by agencies across the state. The addition of our Bilingual Therapy program will be of great service to a community that, like many others, is experiencing a significant lack of accessible mental healthcare resources. j) Describe what would happen if requested funding is not awarded. With consistently higher client numbers, increased need for case management and high-level support, and higher demand for our support groups and workshops, our services are stretched to capacity and, in some cases, beyond. The workload for many of our staff members is unsustainable, particularly for the Client Services Director. We hope that additional funding will help us hire additional staff, including a Therapist and a Support Group Coordinator, which would both expand our services and ease the workload of existing staff. Without funding from local government, we would not be able to maintain the level of comprehensive, unique service that we currently offer our clients, including the large number of support groups and workshops. Altogether, local government grants comprise about 10% of our budget. k) include any other pertinent information. In FY2015-2016, our evaluation data showed that OCRCC support group participants, on average, experienced a reliable decrease in PTSD symptom severity. And in reflecting on positive gains from participating in a support group, one participant said, "I made friends from this group, I learned coping skills that I am now using in everyday life. I found out that I have inner strength and resources: Another participant said, ""[This group has] changed my life [and] given my hope," Agency Information 1/30/2017 5:14:05 PM DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 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, 1-----Actuaf Estimated Projected 2015-16 2016-17 2017-18 Gender Male 71 87 90 Female 371 452 460 Other 8 13 15 Unknown* 96 98 I 110 Total - 546 650 1 675 Ethnicity ___ African-American 21 24 30 American Indian or Alaska Native 0 0 0 Asian 3 3 5 Caucasian 163 211 215 Native Hawaiian or other Pacific Islander 1 0 I 0 0 Other 79 77 80 Unknown* 280 335 345 Total 546 650 675 1 Of the above, how many Hispanic/Latino 1 78 I 72 80 Of the above, how many non-Hispanic/Latino 468 578 595 Total 546 650 675 Age 1 0-5 years 0 I 2 0 6-18 years _. _ 9 15 15 19-50 years 176 190 200 I 51+ years _ 34 43 45 Unknown* I 327 1 400 415 Total 546 I 650 675 Geographic Location Alamance County 20 9 15 Chatham County 10 3 5 Durham County 29 41 35 Wake County 31 I 24 25 Orange County :reakdown Chapel Hill Public Housing N/A N/A N/A Town of Chapel Hill (Non-Public Housing) 148 190 200 1 Town of Carrboro 28 ' 22 1 25 Town of Hillsborough 8 I 26 30 City of Mebane(Orange County) 9 7 10 Orange County (Outside Municipalities) N/A N/A N/A Other 55 58 60 ' Unknown* 208 1 270 270 ......_ Total 546 I 650 675 * A large amount of our contact with clients is over the phone on our 24-Hour Help Line. Many clients may be experiencing a mental or physical crisis situation, in which case it may not be appropriate to ask demographic questions. Further, because of the nature of our work, many clients may feel very nervous about calling us, and they greatly value anonymity. Out of respect for their confidentiality, it may not be appropriate to ask demographic questions. Therefore, a large amount of demographic data for our client services program is unknown. Agency Information 1/30/2017 5:14:05 RI 11 P d q H 1 2 il 22 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Work Statement 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 Program Activity, which should be SMART(§pecific, Measurable, Achievable, Relevant, and Time-bound. Click on SMART cpatq to learn more. Work Statement Chart for Program Client Services 1. Program Crisis Support: Staff and trained volunteers ("Companions") respond to walk-in Activity clients and to calls on the 24-Hour Help Line. Companions provide emotional Name support, give resources, information, and referrals; and accompany survivors to medical, legal, and law enforcement appointments. Staff and trained volunteers facilitate support groups and workshops for survivors. Program Goal The OCRCC will provide assistance to approximately 675 individuals. Performance Staff and volunteers keep records of each client contact through web-based v'easures database. Previous Year We served 546 individuals in FY2015-2016. Prograrry Results Current Year We expect to serve about 650 individuals in FY2016-2017. Estimated Results Next Year Projected We expect to serve about 675 individuals in FY2017-2015. Results 2. Program Support Groups: Staff and trained volunteers facilitate support groups and Activity workshops for survivors. Some are traditional discussion-based groups and others Name are activileocused groups utilizing alternative healing modalities, Program Goal More than 90% of those completing support group evaluations will (1) report that participation in a support group helped them feel less alone in their experience of sexual violence and (2) report that participation in a support group increased feelings of being supported in their healing process. Performance Using a quantitative standardized scale for measuring post-traumatic stress Measures disorder (PTSD), support group participants will be given a pre- and post-test for these symptoms. Participants are also asked to provide qualitative feedback about the service(s) they utilized at the OCRCC, to evaluate their service provider, and to comment on the accessibility of our programs. The Client Services Director corn siles data after each support group and at the end of the fiscal year. Previous Year In FY2015-2016, 82% of support group participants reported that our groups Program Results helped them feel less alone in their experience of sexual violence and 100% reported that our groups made them feel more suppprted in their healing process. Current Year In FY2016-2017, we expect that at least 90% of support group participants will Estimated Results report that our groups helped them feel less alone in their experience of sexual violence and at least 90% will report that our groups made them feel more supported in their healingprocess. Next Year Projected In FY2017-2018, we expect that at least 90% of support group participants will Results report that our groups helped them feel less alone in their experience of sexual violence and at least 90% will report that our groups made them feel more I supported in their healing process. Agency Information 1/30/2017 5:14:05 PM I ■■ u, I 3 f 2 2 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION n) Program Budget: Client Services 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 amounts for the previous program year, current program year, and next program year. 2, Program Budget Detail — 1"rovide description of"other" budget items, not defined. 3. This program budget represents what percent of the agency budget? 50 % 4 COST PER INDIVIDUAL This Cost per Individual must reflect the total program budget divided by the total number of program individuals on this application. Actual 2015-16 Estimated 2016-17 Projected 2017-18 Total Cost of Program $317,573,52 $325,316,00 $424,682.00 Total # of Individuals 546 650 II 675 Cost Per Individual $581 $500 $629 *In the Client Services program, our primary areas of planned growth are through the expansion of the Support Group program and the addition of the Therapy program. It is unlikely that either of these efforts will greatly increase the number of individuals we are able to serve, especially considering that the majority of individuals participating in these programs will already be accessing other services from the Center such as our 24-Hour Help Line. However, the expansion will provide much more in-depth, greatly needed services that research shows are more effective at reducing long-term negative health impacts. Agency Information 1/30/2017 5:14:05 PM DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) Program Name: Community Education Program Primary Contact and Title: Rachel Valentine, Community Education Director Telephone Number: 919-968-4647 E-Mail: rvalentineocrcc.org a) Indicate the type of Human Service Needs Priority, if program applicable: El Priority Area #1: safety-net services for disadvantaged residents A Priority Area #2: education, mentorship, and afterschool programming for youth facing a variety of challenges 14 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 I Neighborhoods/Residents Affordable Housing EMI Affordable Healthcare Education X X I X I X X Famil Resources Jobs/Jobs Training .1.1111 Food Trans•ortation Other: Please specify X X X X Violence Prevention 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. • Orange County Schools and Chapel Hill-Carrboro City Schools: The OCRCC maintains an annual Memorandum of Agreement (MOA) with both OCS and CHCCS outlining responsibilities of both parties for program delivery, parent communication, and follow-up protocol with students who raise concerns during or immediately following a program. • Compass Center for Women & Families: The OCRCC collaborates with Compass to provide joint programming in the Start Strong program. The OCI7CC provides 7" and 9" grade programs, and Compass provides 6' and 8" grade programs. We work together to ensure content and evaluation coherence. • Department of Social Services: The OCRCC regularly refers families of students who raise concerns during classroom programs to the Child Protective Services division of DSS for follow-up services and intervention if needed. DO NOT SU:MIT THIS PAGE 1/30/2017 5:14:05 PM P 1 1 27 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION • YMCA of the Triangle: We partner with the Y for the delivery of the evidence-based Stewards of Children@ child sexual abuse prevention training for parents and professionals. The OCRCC facilitates dozens of trainings each year with support (Le., coordination and materials) from the Y of the Triangle's tri-county prevention initiative. • United Way and the Making Connections Collaborative: The OCRCC is a participant in the UW-sponsored collective impact collaborative, Making Connections. Members of the collaborative include the Childcare Services Association, Orange County Partnership for Young Children, Freedom House Recovery Center, Compass Center for Women & Families, Orange Literacy, and Orange County Head Start/Early Head Start. Our role is to provide educational training for low-income/disabled parents of children enrolled in local Head Start/Early Head Start programs. • Smart Start: Funded by Smart Start, our Safe Families Child Sexual Abuse Prevention initiative focuses on providing evidence-based training to childcare professionals in Orange County as well as low-income/disabled parents of children enrolled in local Head Start/Early Head Start programs. • l'oornerang, Inc.: The OCRCC provides bi-weekly educational programming to students enrolled in the Boomerang alternatives-to-suspension program focused on empowerment, leadership development, and healthy relationships. • UilC-Chapel Hill: The OCRCC provides advanced sexual violence prevention programming to students, faculty, and staff at UNC. We focus on students working with children, students pursuing degrees in human services fields, students engaged in Greek life, and staff/faculty with sexual violence response and prevention responsibilities. • The OCRCC also offers programming by request to a number of independent schools, community groups, professional organizations, faith communities, and others DO NOT SUBMIT THIS PAGE 1/30/2017 5:14:05 PM DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Program Description (3 pages OR LESS) d) Summarize the program services and how they will address a Town/County priority/goal, The OCRCC has provided our groundbreaking safety education programs to local youth and adults for over 35 years, We continue to incorporate new research and best practices into our curriculum to ensure the highest quality content and delivery. - Safe Touch (preK-5" grade)focuses on protective factors against sexual abuse victimization, We teach age-appropriate messages for how to identify inappropriate touches, what to do if they experience violence, and who to talk to about violence. In fourth and fifth grade, we introduce lessons about internet safety, cyber bullying, and sexual bullying. - Start Strong (7th & r‘th grade) focuses on risk and protective factors for perpetration of sexual violence (SV). We focus on positive behavior development and bystander empowerment. Our programs increase protective factors for youth, including developing positive and healthy relationships, promoting healthy sexuality, developing media literacy skills, increasing bystander efficacy, and challenging rape myths, - Our adult and parent programs utilize both primary prevention and risk reduction strategies. Our major program is Stewards of Children®, a professional training curriculum provided by Darkness to Light. Through evidence-based methodology, we teach parents and caregivers concrete steps and tips for preventing, recognizing, and responding to child sexual abuse. Our programs address community priorities by reducing what the CDC terms Adverse Childhood Experiences (ACEs), which form the root causes of many public health issues and contribute to negative life outcomes such as substance abuse, mental and behavioral health issues, and chronic disease. In addition to their prevention focus, the programs are designed to identify children and adolescents currently experiencing violence and connect them with appropriate professional supports. Over the last five years, our staff has assisted school personnel with providing intervention services to 544 students, including making reports to the Department of Social Services in cases where mandated or recommended. The majority of our programs take place within local schools, enabling us to educate youth and adults across all demographics in Orange County. Many of our initiatives focus primarily on the provision of education and prevention services to underserved and vulnerable populations, including low-income families, children and/or parents with disabilities, and students facing challenges in school, We are therefore providing education for youth facing a variety of challenges (Priority Area #2) through a program aimed at improving the health of needy residents (Priority Area #3). By providing education and family resources (CH HS Needs Assessment), we work to create a safe community (OC BOCC Goals) and to enhance the quality of life for everyone (Carrboro Priorities), Our prevention and support services form a part of the community network of basic human services that promote the wellbeing of all residents (OC BOCC Goals), We seek to foster a community culture that rejects oppression and inequity (OC BOCC Goals) through education programs for youth and adults focusing on primary prevention of bullying and SV; teen and adult programs that explore the social and cultural context that produces SV by discussing socialization, oppression, gender stereotyping, media literacy, and rape culture; and staff mentorship to youth anti-violence organizations such as Youth Against Rape Culture and the Queer-Straight Alliance at McDougle Middle School, e) Describe the community problem to be addressed in relation to community priorities. Sexual violence (SV) occurs in all communities and across all demographic groups, and research shows that children and teens .re at even higher risk of victimization than adults, 70% of reported sexual assaults occur to children under the age of 18. According to the Darkness 2 Light Coalition, about 1 in 10 children will be sexually abused before their 18th birthday, while even more will experience other forms of non-contact SV, such as exposure, voyeurism, sexual harassment, and DO NOT SUBMIT THIS PAGE 1/30/2017 5:1405 PM DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION exposure to pornography. Though local data on SV is difficult to assess, our experience corroborates these national findings. The negative impacts of SV can be severe. Children who experience SV may have mental health issues such as anxiety, depression, aggression, low self-esteem, or suicidal thoughts; difficulty at school such as poor performance, poor behavior, or poor attendance; physical illness; and more. Without proper support, these difficulties may persist into adulthood, creating limitations on their health, employment, and housing outcomes. But as with adults, these long-term consequences can be diminished if children receive early intervention and a supportive environment to disclose their abuse and begin to heal. Further, because offenders often perpetrate in an escalating manner, recognizing inappropriate behavior and intervening early can prevent more severe abuse from occurring. The imperative to prevent SV through safety education intersects with multiple local priorities: • Education, mentorship, and afterschool programming for youth facing a variety of challenges (CH Board Priority Area #2) • Programs aimed at improving health & nutrition of needy residents (CH Board Priority Area #3) • Education and family resources (CH Human Services Needs Assessment) • Enhancing and sustaining the quality of life for everyone, particularly around cri le and safety (Carrboro Board Priorities) • Fostering a community culture that rejects oppression and inequity (OC BOCC Goals) • Creating a safe community (OC BOCC Goals) • Ensuring a community network of basic human services and infrastructure that maintains, protects, and promotes the well-being of all county residents (SC BOCC Goals) f) Who is your target population and how will they be connected with the program? Over 80% of our education programs take place in Orange County Schools and Chapel Hill- Carrboro City Schools, We will therefore serve a majority of families with school-aged children in the county, with a particular emphasis on services to vulnerable and low-income families through our partnership with HeadStartlEarly HeadStart and the Exceptional Children programs in both districts. Every preschool and elementary student enrolled in CHCCS, OCS, or HeadStart will benefit from our programs. Older students in middle and high school will also benefit from our program, which will reach every 7 ' and 9th grader in each of the CHCCS schools. OCS middle and high school participation is determined based on which schools opt in. We are assured that with extensive reach in the schools, we provide benefits to students from a variety of income levels and housing situations, approximately reflecting the population of the county. g) Describe the credentials of the program manager and other key staff. • Community Education Director Rachel Valentine - B. A. Women's Studies and Latin American Studies; 6+ years experience in SV prevention education Spanish proficiency; certifications in Stewards of Children® facilitation, Mental Health First Aid and HIV & Suicide Prevention for LGBTQ Youth • Education Coordinator Alexis Kralic - B. A. Psychology and Sociology/Anthropology; 9+ years in child education and SV prevention education; certifications in Stewards of Children® facilitation, Massage Therapy, Infant Developmental Movement, and Somatic Movement Education • Education Assistant Anita Woodley - B. A. :roadcast & Electronic Communication Arts; 4+years in education; certifications in Conflict Resolution and Stress Management Our volunteer Community Educators (CEs) facilitate developmentally appropriate lessons to students of all ages. CE training is based on the best available research on violence prevention with young people. Trainees receive over 40 hours in Masters-level instruction on delivering evidence- informed prevention programming as well as best practices for positive youth development, building positive classroom relationships, and providing competent support to students of all backgrounds. DO NOT SUBMIT THIS PAGE 1/30/2017 5:14:05 PM DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION h) Describe the implementation timeline. Prcsram Activity 1 —Safe Touch(ST) Renew Memorandum of Agreement with OCS and CHCCS I 07/2017-08/2017 Work with school personnel to coordinateprogram schedule 07/2017-09/2017 Parent Open House in OCS 09/2017 Imementation of Safe TouchIST) programs in OCS 09/2017-11/2017 Parent Open House in CHCCS 11/2017 implementation of ST programs in CIICCS 11/2017-04/2018 Implementation of ST programs in OCS/CHCCS Pre-K/HeadStart/Early HeadStart 05/2018 Schedule and implement ST programs as requested for charter schools, private schools, 1 Ongoing community groups, professional organizations, faith communities, etc. Pri2glarn Activity 2— Start Strong Renew Memorandum of Agreement with OCS and CHCCS ! 07/2017-08/2017 Work with school personnel to coordinate program schedule 07/2017-0912017 I Implementation of Start Strong 7th grade program in CHCCS & OCS middle schools 10/2017-05/2018 (4 sessions in eachparticipating health class) Implementation of Start Strong 9 grade program in CHCCS & OCS high schools 10/2017-05/2018 2 sessions in each_participating health class) Schedule and implement Start Strong programs as requested for charter schools, private Ongoing schools, community groups, professional organizations, faith communities, etc. Program Activity 3—Adult Education &Training Schedule and implement parent & professional programs as requested for independent Ongoing schools, community groups, professional o_r_ganizations, faith communities, et ..o i) Why is funding this program a good investment for the community? In addition to the human cost articulated throughout this narrative, SV poses a substa tial financial cost to the community. Research suggests that sexual assault is the most costly of all crimes, resulting in inflated healthcare costs in the short and long term. Child sexual abuse is also shown to disrupt academic attainment, later job performance, and earnings, resulting in an estimated 1,245090, Itletorrte_ean nincLdeftcat12;: ervNofs. An investment in sexual violence prevention is an investment in the preservation of the mental, physical, and financial health of our community. j) Describe what would happen if requested funding is not awarded, Without funding from local governments, we would not be able to provide a large number of safety education programs to our community. With current staffing, we are stretched beyond capacity. In FY2015-2016, the OCRCC provided a total of 898 programs to 15,904 youth and adults — 17% more than the previous year. But we unfortunately had to decline more than 55 programs due to limits on staff capacity, More than 80% of programs each year are delivered to pre-K through grade 12 students, and these programs are not financially supported by the school districts As the education team works to deliver community-wide education opportunities, we rely on local government support. To meet increasing demand, we need additional funding for a part-time, contracted educator to assist with program delivery. Otherwise, we will be forced to continue declining program requests due to limits on staff capacity. Altogether, Vocal government grants comprise about 10% of our budget. k) Include any other pertinent information, The OCRCC's education program has received statewide and national attention for its innovative and promising approach to the prevention of sexual violence, In 2016, the OCRCC received the North Carolina Council for Women's Purple Ribbon of Excellence Award to honor the work of the program to advance evidence-informed prevention practices. Additionally, the Start Strong program is currently under review by the CDC for an evaluability assessment in recognition of the potential for this high-impact program to become an evidence-based practice for other communities. DO NOT SUBMIT THIS PAGE 1/30/2017 5:14:05 PM H 1 9 c I 2 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 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 our ability, Actual Estimated Projected 2015-16 2016-17 2017-18 Gender Male N/A lr N/A j N/A Female N/A A N/A Total _ N/A N/A N/A Ethnicity African-American N/A I N/A N/A American Indian or Alaska Native N/A N/A N/A Asian N/A N/A I N/A Caucasian N/A N/A N/A Native Hawaiian or other Pacific Islander N/A N/A N/A Total L N/A N/A 1 N/A _ Of the above, how many Hispanic/Latino N/A N/A N/A Of the above, how many non-Hispanic/Latino N/A N/A N/A Total 1 N/A N/A N/A Age 0-5 years II_ 2077 2000 2000 6-18 years I 12199 11500 12000 19-50 years 1628 I 1300 1400 I 51+ year 1 14800 I 15400 Total 15904 Geographic Location .., .... Alamance County 0 I 0 0 Chatham County 65 I 50 1 50 ............. Durham County 1830 1500 I 1550 I Wake County 14 0 0 Orange County Breakdown Chapel Hill Public Housing N/A N/A N/A Town of Chapel Hill (Non-Public Housing) 7838 7700 7600 1 Town of Carrboro . 2004 1750 1750 Town of Hillsborough 3490 3400 3450 City of Mebane (Orange County) 0 1 0 _ 0 _....._ Orange County(Outside Municipalities) 549 500 500 Other/Unknown 114 100 100 Total 15,904 15,000 15,400 * We are not able to track education programs based on Gender or Ethnicity since they typically have large, mixed audiences, With the vast majority of our programs taking place in the local school districts, we can assume that our outreach numbers reflect county-wide demographic data. Figures for Geographic Location are determined based on where the program was delivered (e.g., a program at Carrboro Elementary School will place all participants in the Town of Carrboro). DO NOT SUBMIT THIS PAGE 1/30/2017 5:14:05 PM IP 2 0 (d d 2 2 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Work Statement 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 Goa s 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 imeasureable 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 Community Education 1. Program Community Education: Present educational programs to youth and adults in Activit Name the community. Program Goal OCRCC will provide 1,030 programs to 15,400 individuals. Performance Program record sheets maintained and monitored by OCRCC education staff. Measures Previous Year In FY2015-2016, we provided education programs to 15,904 individuals in the Program Results communit . Current Year In FY2016-2017, we estimate that we will provide education programs to Estimated Results 15,000 individuals in the community. Next Year Projected In FY2017-2018, we estimate that we will provide education programs to Results 15,400 individuals in the communi 2. Program Safe Touch: Present Safe Touch educational programs in CHCCS, OCS, and Activit Name indesendent elementary schools. Program Goal At least 90% of teachers and counselors whose classrooms receive Safe Touch programs will report an increase in student awareness of personal safety and protection against sexual violence. Performance For each program within a school setting, the OCRCC will provide each Measures teacher and school counselor with an evaluation asking them to assess whether the program resulted in an increased awareness of personal safety 1 and protection against sexual violence among students. OCRCC staff will review evaluations periodically_and compile results biannually. Previous Year In FY2015-2016, 94.7% of teachers and counselors at schools that received Program Results OCRCC Safe Touch programs reported an increase in student awareness of sersonal safety and protection against sexual violence. Current Year In FY201612017, we estimate that at least 90% of teachers and counselors at Estimated Results schools that receive OCRCC Safe Touch programs will report an increase in student awareness of personal safety and protection against sexual violence. Next Year Projected in FY2017-2018, we estimate that at least 90% of teachers and counselors at Results schools that receive OCRCC Safe Touch programs will report an increase in student awareness of personal safety and protection against sexual violence. DO NOT SUBMIT THIS PAGE 1/30/2017 5:14:05 PM P q 2 1 i) I 22 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION n) Program Budget: Community Education 5, Submit your program bud!et. 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 Budgets are required to define budget amounts for the previous program year, current program year, and next program year. 6, Program Budget Detail- Provide .escription of "other" budget items, not define.. 7. This program budget represents what percent of the agency budget? 50 % fl 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 201546 Estimated 2016-17 Projected 2017-18 Total Cost of Program $317,574,97 $325,316.00 $424,681.00 Total #of Individuals 15,904 15,000 15,400 Cost Per Individual $19.97 $21.69 $27,58 *As we expand our educational programs to include more effective options for violence prevention and response, we are seeing the cost per individual increase. (1) Multi-session prevention programs for adolescents and young adults are proven to be more effective but require more staff time for fewer individuals (2) Holistic education for whole communities- for example, educational sessions for all children, teachers, and parents at one school - is more effective than one-time programs directed at young children. But programs for parents and teachers require more staff time for fewer audience members. (2) We are offering more professional training for adults, such as "Providing Trauma-Informed Care" for law enforcement officers and custom training on appropriate response and Title IX considerations for CHCCS social workers. These high-level programs are typically very customized and require significantly more staff time for both curriculum development and program delivery. DO NOT SUBMIT THIS PAGE 1/30/2017 5:14:05 PM DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S'I2tITSi�rLa IE ` rAPPLICATION Agency Budget 2015.2016 // 2016-2017 j 2017.2016 l tit Income 1 ActuaIs Estimated i projections % change 4000•DONATIONS/FUNDRAISING SINda ∎4410 Aran at APPeili (other them Auction), 16,597 00 040 00 25„000 00 % 20% 34,Fait S se.b 5900001 300!(0100 3,000.00 0 �' ad06_ 4440•Demn ianslNSe rmegs Llrunellclt 10,193.00 2Y0p0000� 8,00000 -43% 25,000.00 17,500 00 / 43 ' 14050 Campus Grout' 1 ,4060 Other Ap aN Cocktails net) 11 1544.4 Ch 15,40 4 25:000.00 00 0i� Cupcakes&Cc�c � 00[Y 00 + 0% ci ca ) 89,406.00- I 60,56 p Auction,(net) t 67,3000 1' 10% 4065 Board .., Holiday A�ppes9s 000 °� 6,548]40 % 6,500.010„' 0% 4099 Non cash donations, 22 102.00 0,00 0 00, ` 0 _�m.... 182:061!,00! X74,340 14844p•4UNNT 9dhlA � ALLOCATIONS i�NG 19i5,20Wi.32 982 d7 ;4050 UNITED WAY ., va 261.44 30,130.000 30 404 40 II DIRECT DESIGNATION 16169.77 154440 15,00000 0% '5200 LOCAL GOVERNMENT GRANTS 8 19 0005 00 25 000 00 24%,, 5210 Orange County 20,000!!00 �,,, 27000,00 1... 40„000 33 9 47 30 000.00 39 000 00Y 70,000 00 5 5220 Chapel Hill ,5240• Hills o 9 _... 5 000.00 0.001 20 00 0.00 0% �._ 10,000,00 12,000.00! 1 5240 MfII9lslastrgvn h 'Total 6200 LOCAL GOVERNMENT GRANTS 65„000.00 74,0 40 130,000.00 43% 15540 F'6DER.AUSTATE GRANTS 5510 YOGA 61 447.95 ,< 61„447 00 i 94,000.0011 35% 5620 RPE 59 164 17,708,00 2 r 60 00000 65000 04 32%0 � RPE � a 00 21,063,00 i i 5�•Other.R, _.. A 51 609.50 47,720 00 45.000.00 , 6 111 5550 SA Fund II lJ+ ) 126,547.681 134.000 00 240,0 RALISTATE GRANTS... � 00 470 44�, other rTet�I 5 e . 315 977.65 a 317,441100 465063 00 3293 5800 MISCELLANEOUS, 5810 MNGsc�M eo¢msce 3,571,42 10 00000 1' ° 0 001 '� O 0% 1 .... 2 300000 '�rai 56443 i MISCELLANEOUS ... � _ �71� 1�1d�� �,��2��11 8�4918��01P�d 123 Total Income Expense 1 16060'PERSONNEL 461,274.50 473,400,00 664,500.00! 290 10200'BUILDING/OCCUPANCY TRAVEL/TRAINING miles a conference rce fees) 6387 94! l 7 000.00 8,200.'11' � 15 (Rent 6 ) 67 531 32 67,650 00 1 7192:050600:0000 15% 16700,EOtAIPMENT(Purchase,Rental t&Repair)f Answering Serwdce) 17,228.51 j 19,300.00 20, 0000' 5 II 6900-PROFESSIONAL FEES(Audit Parole 11,229.0. , .. 6644 INSURANCE 0 ,' 7,782.00 r 8,50000 8 I r � Payroll) 11,22904 91850:00 92.35000 4% 7400 SUPPLIES 13 339 74 3 500 00 3 5 40 20% 1 9 50000 12,2 .7200 PRINTING 80000 0% 17400-7900.MI POSTAGE ELL EXPENSE(Contract Fees,Event Fees„ 3694394 ? 35,850. 7% I MISCELLANEOUS E7CP �.. 2,053,00 00 00 -37% ��. 1 635,148.50 1 650,152.80 ? 849,36 Total Expense Q 23 Ii .. Net Ordinary income 2,281 92 480,00 �7�t�C1 ,1 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XH I BIT A PROVIDE R' aGUP8C3'GAP PL I CATI ON Client Services Program Budget Irucrarnel 2015-2fNt6 ,%% Estimated o 2017-2018 %�L Actual' Prolections 619 00 Change ;4600 UNITED WAY ALLOCATIONS 00 ii 22,638.00,. ._ DONATIONS/FUNDRAISING 50 22,500.00 -1% 114650-UNITED WAY DIRECT DESIGNATION 8,082 88 i 7,500.00 7,500 00 I , 0% 0 00 0.0, 5200^CDC GOVERNMENT GRANTS I5210•Orange County 1;5,000 00 17 500,00 35 0. 00 00 50�"F 52 5220;Chapel Hilt 000.00 13,500,00 00 00 13°/ 1522 0 ......d 20°0 5230 � 1�. 0•Carrborc 5,000,00" 6,000.00" 10,0 fD �^ � 00001 40% '5240 Hillsborough 500.00' 0,00 0.00 0% 1 Total 5200 ° � 0 65 00dN 00: 43% LOCAL GOVERNMENT GRANTS 32 I `. 5500•FEDERAL/STATE GRANTS 37 Q00 0., 5510 VOCA 61,447.95 1 61,447 00 84,000 00 35' 15520 SASP 17,208,00 14 265.00 21,063.00 3'2% 553 �... 0,IRPE 0.00 0.00 ! 0.00 0% 1 5556 SA Fund 25,804 75 23,864.50 0.00 0%1 Total 5500'FEDERALJSTATE GRANTS LAY x03 508.38 218,06.50 2000.00 0 31 ,5590;Other IRCVS,other VOCA,5800 MISCELLANEOUS ;a. 15805 Fees for Seravice 0 00 0% 5810 Miscellaneous 1,785.71 1,500.00 0�00i 0 'Total 5800.MISCELLANEOUS 7 1,785 71 1,500,001 0.00 00,E I1 Total Income X15,715 15, 165 424,882.00 23% ■ I if !Ex�pen e I �� I 600 PERSONNEL (mileage, �,....... 230,637,25 .r ..... ._.,243500.00 338,250.00 4,10000 151; 6x200 TRAVELNTRAINING milea e,conference fees) 3,444 44 8 6500 COMMUNICATIONS Phone,Internet,Answering ervice 7,343,43 7,520001 7,500 00 0%I 6700;EQUIPMENT BUILDING/OCCUPANCY Rant S Utilities) ._. � ._ �i3 765.66 ......33'825 00. CtlU ENT Paurchrase Rental&Repair) 9 8,614 75 9,650,00 10,150 00 15 ., .... 6 2... 4 250 001 8% 3668 501 1 3,891.00 6,175.00 � I6800; N ( 4% 70CY0°SUPPLIES FEES(Audit&INaa ruulW 5,614 52 �r 925 00 1mm 6900-PROFESSIONAL 2,850 00 3,000,00 4,250 00 29%11 17200•PRINTING 692 00 % 1,750.00 1,750,00 0�1, �, _..... .. .. .._ �.. ;i, ..®. 1 Vii 3% i 7400•POSTAGE 1,027.00 3'/o A, (contract fees,event fees,ti 20,6 2r 97 1 000 0 7800^MISCELLANEOUS EXPENSE 2a 97 13,290.001 7,450.00 78%1 {Total Expense I 317,573.52 325,316,00 424,682.00' 23% Net Ordinary Income 1 1,141801 0.00 0.00 v, I i DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A PROVIDER'S'OUPSt0E8''"i.ENCYeAPPLICATION Community Education Program Budget ,,.......,,,, 2,0154016 1 20162017 1 20174018 1 1111111111111111111.111 Income Actuals I Estimated Projections %Change 912410t4fh . 4000.DONATIONS/FUNDRAISING '151,231.08 143,459.50' 159,681,001 10% 1 4600°UNITED WAY-ALLOCATIONS 7,492,00 7,500.00 0%11 '4650 1 1 1 1 4650.UNITED WAY.DIRECT DESIGNATION 7,500.00 1 7,500(00 ' 0% 4900.PRIVATE GRANTS 8,00000, l 19,000.00 25,00000 24% 5200°LOCAL GOVERNMENT GRANTS , 1 „5210°Orange County 15,000.00 1 17,500.00 35,000,00 50% II 1 5220°Chapel Hill 10,000_00' 13,500.001 20,000,001 33% 1 ° 5230'Carrtioro 5,00000 6,000,00 10,000.00 40% 1 , 5240-Hillsborough 2,500.00 000 0,001 0% ITotal 5200.LOCAL GOVERNMENT GRANTS 32,500,00 37,000.00 1 55,000.00 43% 5500.FEDERAL/STATE GRANTS 5510,VOCA 0,00 1 0,001 0.00 0% 5520 SASP 0.00 0.00 , 0.00 0%1 1 , 15530°RPE 59,164.72 60,000.00 6500000 8% 5550-SA Fund 25,804,75 23,864.50 45,000,00 1 47%; •- ° 1 5590°Other(RCVS,other VOCA,li.AV) 17,500.001 15,500,00 40,000,00 61% , , 1 Total 5500-FEDERAL/STATE GRANTS 102,469,47 99,364.501 1 150,000.00 34% 5800'MISCELLANEOUS 1 5805°Fees for Service 7,130.06' 10,000 00 , 10,000,00 0% I 5010.Miscellanectis r.1.111111011 1,785.71 1,500.001 0,00 0%11 , I . . 1 ;Total 5800'MISCELLANEOUS 8,91571 11,500,00 10,000,00 -15% Total Income 318,715.21 325,316.00 424,681.00 23%1' 1 , Expense I ,1 312046,,,112505000:0000001 1 r 1 1!6,000°PERSONNEL 230,637.25 1 231,435,00 29%1 6200-TRAVEL/TRiailNING(nnileage,conference fees) 2,943.50 1 3,500.00 15% , 1 ' 6300°BUILDING/OCCUPANCY(Rent&Utilities) 33,765_66 33,825,00 39,780,00 15%1 6500'COMMUNICATIONS(Phone,Internet,Answeiring Senrice; 4,343.00 4,500,00 4,500.001 0% 16700°EQUIPMENT(Purchase„Rental,&Repair) 6,614.751 9,650,00 , 5% 1 — ° 6800•INSURANCE 3,698,50 3,891.00 4,250,00, 8% 6900'PROFESSIONAL FEES(Audit&Payroll) 5,614.52 , 5,925.00 6,175.00 4%1 1 1 1000'SUPPLIES 8,105.11 6,800.00 7,950.00 14%1 7200'PRINTING 2647,70 1,750.00 1 1,750,00 0% 7400'POSTAGE 887.01 1.000.00 1,026.00 1 3%11 1 7900-MISCELLANEOUS EXPENSE(contract fees,event fees,t 16,317.971 23040.00 1 18,750.00 23% 1 1Total Expense L 317,574.97 325,316.001 424,681.001 23%, , Net Ordinary Income 1 1,140.24 0,00 0.00 , 1 - - r 1 , I I I I I 1 I 1 1 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 EXHIBIT "B" Scope of Services—FY 2017-18 Outside Agency Performance Agreement Agency Name: Orange County Rape Crisis Services Program Name: Client Services & Community Education Funding Award: $52,500 Outline how the agency will spend Orange County's funding award. Expense Description Amount Personnel: Salary&Fringe(FICA&Retirement) 37,872 Phone:Helpline answering service 1,500 Rent 4,800 Financial Expenses: Audit and Insurance 5,500 Printing&Postage 2,828 TOTAL 52,500 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2018. • Provide 24-hour crisis intervention and response services for survivors of sexual violence and community members. • Provide support groups and workshops for primary and secondary survivors of sexual violence. • Present educational programs on the awareness and prevention of violence to youth and adults. • Present Safe Touch educational programs to students in elementary schools. 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 The OCRCC will provide crisis response assistance to approximately 600 individuals.* 600 At least 90% of clients who complete support group evaluations will report that 90% participation in a support group helped them feel less alone in their experience of sexual violence and that participation in a support group increased feelings of being supported in their healing process.* The OCRCC will present education programs on the awareness and prevention of 13,000 violence to 13,000 individuals in Orange County. At least 90% of teachers and counselors whose classrooms receive Safe Touch programs 90% will report an increase in student awareness of personal safety and protection against sexual violence. *A large amount of our contact with clients is over the phone via our 24-Hour Help Line.Many clients may be experiencing a mental or physical crisis situation, in which case it may not be possible to ask demographic or residential questions.Further, because of the nature of our work, many clients greatly value anonymity. Out of respect for their confidentiality, it may not be appropriate to ask demographic or residential questions. Therefore, we cannot accurately report crisis response numbers only on individuals living in Orange County. For performance measures related to our crisis intervention services, we have instead listed Anticipated Results for ALL clients.For reference, our data from the 2015-2016 fiscal year show that about 38%of clients had unknown residences, 36%live in Orange County, DcuSi b 17%in other North Ca lino o c_ ounTied s,y:nd 10%in other states. Executive Director 10/12/2017 Certified by: roider s Signature)M.� Title: Executive Director Date: 7/11/2017 r DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 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. DoocuuSiignned by: Executive Director 10/12/2017 Certified by: 92B2D5E8D36A439.. Title: Date: (Provider's Signature) (Orange County Rape Crisis Center) Orange County Outside Agency Performance Agreement Page 10 of 10 Rev. 7/17 DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 OP ID: LP ACORCr CERTIFICATE OF LIABILITY INSURANCE DA 07/11DD/YYYY) �►.---"'� 07/11/2017 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 NAMEACT Jeffrey A. Rubish,GIG High&Rubish Insurance Agency PHONE FAx P.O.Box 3040 (A/C,No,EXt):919-913-1144 (A/C,No): 919 913-1155 6015 Farrington Rd.Ste 101 E-MAIL • ADDRESS:jeff @mghandrubish.com Chapel Hill,NC 27517 PRODUCER ORANG-2 Christopher Ives Rubish CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Orange Cty Rape Crisis Center INSURERA:Philadelphia Insurance Co 1506 E. Franklin St, Ste 302 INSURER B:Hartford Insurance Company Chapel Hill, NC 27514 INSURER C: INSURER D: 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 A POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I W INSR VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X PHPK1390370 10/10/2016 10/10/2017 DAMAGE TO RENTED PREMISES(Ea occurrence) $ 100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 X prof liab-$2 mill GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- JECT $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE A X HIRED AUTOS (PER ACCIDENT) X NON-OWNED AUTOS PHPK1390370 10/10/2016 10/10/2017 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER Y/N B ANY PROPRIETOR/PARTNER/EXECUTIVE 22WBCNY9475 04/24/2017 04/24/2018 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 A Directors&Office PHSD1245509 06/30/2017 06/30/2018 D&O 1,000,000 B Dishonesty Bond 22BDDHK0780 06/03/2017 06/03/2018 Bond 300,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured: Orange Count (Professional Liability limits are $1,000,000 occurrence/$2,000,000-aggregate) CERTIFICATE HOLDER CANCELLATION ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ORANGE COUNTY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Government 200 South Cameron Street P O Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 Christopher Ives Rubish ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD