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HomeMy WebLinkAboutAgenda - 04-16-1991REGULAR MEETING TUESDAY, APRIL 7:30 P.M. OLD POST OFFICE CHAPEL HILL, NC ORANGE COUNTY BOARD OF COMMISSIONERS AGENDA NOTE: BACKGROUND MATERIAL 16, 1991 ON ALL ABSTRACTS AVAILABLE IN THE CLERK'S OFFICE. NOTICE TO PEOPLE WITH IMPAIRED HEARING: Audio amplification equipment is available on request. If you need this assistance, please call the County Clerk's Office at 732 -8181 or 968 -4501. I. BOARD COMMENTS II. COUNTY MANAGER'S REPORT III. ADDITIONS OR CHANGES TO THE AGENDA IV. AUDIENCE COMMENTS A. Matters on the Printed Agenda (We would appreciate you signing the pad ahead of time so that you are not overlooked.) B. Matters not on the Printed Agenda PUBLIC CHARGE The Board of Commissioners pledges to the citizens of Orange County its respect. The Board asks its citizens to conduct themselves in a respectful, courteous manner, both with the Board and with fellow citizens. At any time should any member of the Board or any citizen fail to observe this public charge, the Chair will ask the offending person to leave the meeting until that individual regains personal control. Should decorum fail to be restored, the Chair will recess the meeting until such time that a genuine commitment to this public charge is observed. V. ITEMS FOR DECISION -- CONSENT AGENDA (Any item may be removed for separate consideration) A. 1991 -92 Contract Between Orange County Health Department and the N. C. Department of Environmental Health and Natural Resources B. Arts Commission Grassroots Awards C. Jail Inspection Report F1 D. Budget Amendment #9 E. Request for Change in Records Schedule F. Rules of Procedure- -Order of Business VI. RESOLUTIONS PROCLAMATIONS A. Resolution Requesting Constitutional Amendments to Prohibit Federally Mandated Local Programs B. Resolutions of Appreciation for Serving on the Planning Board C. Proclamation for Transportation Alternatives Week VII. SPECIAL PRESENTATIONS VIII. PUBLIC HEARINGS IX. REPORTS A. Report on Budget Document and Budget Schedule B. Chapel Hill Satellite Senior Center X. ITEMS FOR DECISION -- REGULAR AGENDA A. Board of Equalization and Review B. Request by Chapel Hill- Carrboro City Schools to Reallocate Bond Proceeds and Allocate $95,585 in Discretionary Funds C. Government Services Building -- Consideration of Historic District Commission Reservations D. Efland Area Study and CP -2 -91 E. Extended Area Service Filing F. Standards for Civil Penalties Decision Making G. Cornwallis Hills -- Revised Phasing Plan XI. APPOINTMENTS XII. MINUTES XIII. EXECUTIVE SESSION -- Litigation Personnel Matter XIV. AW!QURNMENT ( *) Indicates items that need immediate attention. t. J Approved May 21, 1991 1 MINUTES ORANGE COUNTY BOARD OF COMMISSIONERS REGULAR MEETING APRIL 16, 1991 The Orange County Board of Commissioners met in regular session on April 16, 1991 at 7:30 p.m. in the Franklin Street Post Office District Courtroom in Chapel Hill, North Carolina. BOARD MEMBERS PRESENT: Chair Moses Carey, Jr., Vice -Chair Stephen Halkiotis, Commissioners Alice M. Gordon, Verla C. Insko and Don Willhoit. ATTORNEY PRESENT: Geoffrey Gledhill STAFF PRESENT: County Manager John M. Link, Jr., Assistant County Manager Albert Kittrell, Deputy Clerk to the Board Kathy Baker, Clerk to the Board Beverly A. Blythe, Finance Director Ken Chavious, Planning Director Marvin Collins, Register of Deeds Betty June Hayes, Personnel Director Elaine Holmes, Budget Administrator Sally Kost, Tax Assessor Kermit Lloyd, Department on Aging Director Jerry Passmore, County Engineer Paul Thames and Planners David Stancil and Mary Scearbo. I. BOARD COMMENTS Commissioner Gordon noted that as the delegate for Triangle J she received an application to place petroleum contaminated soil in Orange County. She later discovered that this application was sent to Triangle J from the Orange County Planning Department. She asked that on a future agenda a policy be considered whereby the Commissioners are notified whenever these assessments are sent out. Commissioner Halkiotis indicated he has received some letters about the equalization of funding for the two school systems. He asked the Manager about any further communication with the Orange County System with respect to their desire to pursue a district tax similar to the tax that Chapel Hill- Carrboro schools have. John Link stated that he indicated to Dr. Overstreet two weeks ago that the County would like for the Board of Education to review the options and respond. Commissioner Halkiotis requested that an informational statement be made to clarify the situation. Chairman Carey announced that the May 2nd Joint Planning Public Hearing will not be held. There were no applications submitted. II. COUNTY MANAGER'S REPORT John Link announced that Rod Visser is back in the states. He noted that the County has received the Distinguished Budget Presentation award from the Governor's Finance Officers Association. He commended the Budget Department and the County Staff and Department Heads that work on this document. The bond rating for the County was increased to AA1 by Moody Is. This will have a beneficial impact on the interest rate the County will pay. III. ADDITIONS OR CHANGES TO THE AGENDA - NONE IV. AUDIENCE COMMENTS IV. AUDIENCE COMMENTS A. MATTERS ON THE PRINTED AGENDA Chairman Carey announced that those citizens in the audience who would like to speak on an item on the printed agenda will be recognized at the appropriate time. B. MATTERS NOT ON THE PRINTED AGENDA - NONE V. ITEMS FOR DECISION - CONSENT AGENDA (Any item may be removed for separate consideration) Motion was made by Commissioner Insko, seconded by Chairman Carey to approve items A, B, C, and E as stated below. Items F and D were removed from the Consent Agenda and considered separately. A. 1991 -92 CONTRACT BETWEEN ORANGE COUNTY HEALTH DEPARTMENT AND THE NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL HEALTH AND NATURAL RESOURCES The Board approved and authorized the Chair to sign the Contract, assurances, and budget pages with the North Carolina Department of Environmental Health and Natural Resources for $365,406. These state contracts are for various programs as outlined in the contract. B. ARTS COMMISSION GRASSROOTS AWARDS The Board approved the list of recipients for the 1990 -91 Grassroots Arts grants. The projected total is $17,966. C. JAIL INSPECTION REPORT The Board received the jail inspection report for March, 1991. No corrective action is required. E. REQUEST FOR CHANGE IN RECORDS SCHEDULE The Board approved the following resolution authorizing disposal of certain original Register of Deeds records: WHEREAS, G.S. 121 -5 provides that the Board of County Commissioners may authorize the destruction or disposal of any official county records when (1) the custodian of such records certifies to the North Carolina Department of Cultural Resources ( "Department ") that they have no further value for official business and (2) the Department certifies that such records appear to have no further use or value for research or reference; and WHEREAS, the Register of Deeds of Orange County, as a custodian of large numbers of such records, has a need to seek their destruction or disposal on a frequent basis after the records have been microfilmed and converted to the optical disk imaging system; and WHEREAS, the Orange County Board of Commissioners wishes to allow the destruction and /or disposal of such records in the most efficient manner consistent with applicable laws. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Orange County that records of the Orange County Register of Deeds office identified in Exhibit which exhibit is entitled "REQUEST FOR CHANGE IN be destroyed or otherwise disposed of on a con certification from the Register of Deeds and above. VOTE ON THE CONSENT AGENDA: UNANIMOUS 3 A to this Resolution, RECORDS SCHEDULE," may tinuing basis upon the "Department" provided Motion was made by Commissioner Insko, seconded by Commissioner Halkiotis to approve items D and F as stated below: D. BUDGET AMENDMENT #9 Commissioner Insko informed the Board that because of the increase in the number of general assistance applications, the funds in the Department of Social Services have been exhausted. They will be moving money into this fund internally but may need to request additional money from the Contingency Fund. The Board adopted the following budget ordinance amendments, approved the establishment of a permanent full -time Social Worker I position, and authorized the Chair to sign the Maternal Care Coordination contract. GENERAL FUND Source - Miscellaneous $ 5,000 Appropriation - Contributions to outside $ 5,000 agencies (to budget for additional allocation to Planned Parenthood) Source - Intergovernmental $ 8,750 Charges for Services $ 1,380 Appropriation - Human Services $ 10,130 (to budget Maternal Care Coordination program for the Health Department) Source - Intergovernmental $ 8,838 Appropriation - Human Services $ 8,838 To transfer additional state funds for the DSS Child Day Care program) Source - Intergovernmental $ 23,906 Appropriation - Human Services $ 23,906 (to budget for ACES project) Source - Intergovernmental ($ 15,000) Appropriation - Human Services ($ 15,000) (to budget reduction of State AFDC Emergency Assistance funds) F. RULES OF PROCEDURE - ORDER OF BUSINESS The Board approved a change in their Rules of Procedure. The Order of Business shall be as listed below with the understanding that the Chair may change the order at his discretion. 4 I. Additions or Changes to the Agenda II. Audience Comments III. Items for Decision - Consent Agenda IV. Resolutions /Proclamations V. Special Presentations VI. Public Hearings VII. Reports VIII. Items for Decision - Regular Agenda IX. Board Comments X. County Manager's Report XI. Appointments XII. Minutes XIII. Executive Session XIV. Adjournment CiZTi��ijUA1k0fu(@71� ". VI. RESOLUTIONS /PROCLAMATIONS A. RESOLUTION REQUESTING CONSTITUTIONAL AMENDMENTS TO PROHIBIT FEDERALLY MANDATED LOCAL PROGRAMS This item was considered at the end of the agenda. Motion was made by Commissioner Gordon, seconded by Commissioner Willhoit to refer this resolution to Commissioners Gordon and Insko to rework and fax to the other Commissioners for their approval. This resolution and the invoice will be sent to those listed on the resolution including the Governor. VOTE: UNANIMOUS NOTE: This resolution was reworked and for the record is stated below: ORANGE COUNTY RESOLUTION REQUESTING ADEQUATE FUNDING FOR MANDATED PROGRAMS WHEREAS, the Orange County Board of Commissioners recognizes and supports the responsibility of the federal and state governments to provide leadership to identify issues affecting the larger society and to establish these issues as national priorities, and WHEREAS, the US Congress and the North Carolina General Assembly have exercised their leadership role by mandating certain programs and services, but have, at the same time, failed to provide adequate funding, and WHEREAS, the US Congress and the North Carolina General Assembly, through these actions, have effected an increase in property taxes, while avoiding the political responsibility for such increases, and 5 WHEREAS, these actions by the Us Congress and the North Carolina General Assembly raise the issue of fairness based on the regressive nature of property taxes, the primary tax available to counties, as compared to the progressive income taxes available to Congress and the North Carolina General Assembly, and WHEREAS, the federal and state governments have further compounded the problem by requiring excessive and burdensome paperwork requirements, and WHEREAS, mandated programs now account for approximately one - third of all local government expenditures, which in Orange County accounts for 41 cents of the 76.5 cent property tax rate, and WHEREAS, these issues are of such pressing urgency that they cannot adequately be addressed through the current method of federal and state mandates and local funding. NOW, THEREFORE BE IT RESOLVED that the Orange County Board of Commissioners calls for the Congress of the United States and the North Carolina General Assembly - as they identify and establish national priorities - to: 1) increase the financial support for the mandated programs through direct funding or incentive grants in amounts adequate to create and implement successful solution, and 2) recognize and reduce the irrelevant paperwork and other unnecessary administrative burden, associated with mandated programs, and BE IT FURTHER RESOLVED that the County forward to the Governor an invoice for mandated services provided by the County for the period July 1, 1989 through June 30, 1990, and BE IT FURTHER RESOLVED that this resolution be forwarded to 1) each of the 99 other County Boards of Commissioners in North Carolina, 2) the local North Carolina legislative delegation, 3) the National Association of Counties and the North Carolina Association of County Commissioners, and 4) US Senator Terry Sanford, US Senator Jesse Helms, and Congressman David Price. This the 21st day of April, 1991. B. RESOLUTIONS OF APPRECIATION FOR SERVING ON THE PLANNING BOARD Motion was made by Commissioner Willhoit, seconded by Commissioner Halkiotis to adopt the Resolutions of Appreciation for former Planning Board members Barry Jacobs and Chris Best. For the record, these resolutions are entered below: RESOLUTION OF APPRECIATION FOR R1 BARRY JACOBS WHEREAS, Barry Jacobs actively served on the Orange County Planning Board from August 20, 1985 to February 1, 1991, and WHEREAS, Barry improved the quality of decisions through his leadership as Chair from January 17, 1986 to January 15, 1990, and Vice -Chair from January 16, 1990 to February 1, 1991, and WHEREAS, Barry gave of his skill and talent to benefit all the citizens of Orange County in judging the merits of potential land development, and WHEREAS, Barry, through his hard work and dedication, earned the respect and appreciation of government officials, his peers, and the citizens of Orange County; NOW, THEREFORE BE IT RESOLVED that the Orange County Board of Commissioners expresses its sincere appreciation and gratitude for Barry's many years of service and contributions to Orange County. RESOLUTION OF APPRECIATION FOR CHRIS BEST WHEREAS, Chris Best actively served on the Orange County Planning Board from March 6, 1985 to February 1, 1991, and WHEREAS, Chris improved the quality of decisions through his leadership as Chair of the Transportation Advisory Subcommittee and as a member of the Ordinance Review Committee, and WHEREAS, Chris gave of his skill and talent to benefit the citizens of Little River Township as their representative in judging the merits of potential land development and transportation facilities, and WHEREAS, Chris, through his hard work and dedication, earned the respect and appreciation of government officials, his peers, and the citizens of Orange County; NOW, THEREFORE BE IT RESOLVED that the Orange County Board of Commissioners expresses its sincere appreciation and gratitude for Chris's many years of service and contributions to Orange County. VOTE: UNANIMOUS C. PROCLAMATION FOR TRANSPORTATION ALTERNATIVES WEEK Motion was made by Commissioner Insko, seconded by Commissioner Halkiotis to proclaim April 21, 1991 through April 27, 1991 as Transportation Alternatives Week. The proclamation is entered below: 7 PROCLAMATION TRANSPORTATION ALTERNATIVES WEEK WHEREAS, transportation by single occupied vehicle creates traffic congestion and negative environmental impacts, and WHEREAS, considerable public funds are required to support the infrastructure of the single occupied vehicle, and WHEREAS, public transportation systems reduce congestion on our roads and lessen the negative impacts on our environments, and WHEREAS, a comprehensive public transportation system allows access to jobs and independent living for citizens without automobiles or for those unable to drive, and WHEREAS, government has a responsibility to educate its citizens about the benefits of public transportation systems, and WHEREAS, because April 21, 1991 is Earth Day, the Orange County Board of Commissioners proclaims April 21, 1991 through April 27, 1991 as TRANSPORTATION ALTERNATIVES WEEK BE IT RESOLVED THAT the Board encourages an understanding of the benefits which public transportation offers its citizens and the cost associated with the dependence on the single occupied vehicle, and BE IT FURTHER RESOLVED that the Board of Commissioners encourage and support the use of public transportation services and alternative transportation modes such as carpools, bicycles, vanpools and pedestrian travel. VII. SPECIAL PRESENTATIONS - NONE VIII. PUBLIC HEARINGS-- NONE IX. REPORTS A. REPORT ON BUDGET DOCUMENT AND BUDGET SCHEDULE John Link reported that he plans to present the same basic information in the operating budget which has been included in past documents. The document does meet program criteria as a policy document, as an operations guide, as a financial plan, and as a communications device. He plans to improve the document by . - r E3 strengthening the relationship between the Capital Improvement Program and the operating budget and to condense the information when feasible by using graphics. Chair Carey asked that the Board be provided a list of those positions which have been added during the year and which will require additional revenue to continue. John Link indicated he would cite those positions for the Commissioners as they review the budget document. He will include information on whether the funding for positions funded by the State will be continued. Commissioner Insko stated that those positions are not actually continuation budget items but expansion. John Link indicated that the second page of each of the budget highlights will list those items which are expansion and the justification. Commissioner Halkiotis asked if the Manager foresees a cutback in personnel. John Link indicated that in order to maintain the present level of service and account for inflationary impacts, there will need to be a small tax increase. He will have a contingency plan but the budget direction at this point is not to cut services. Commissioner Halkiotis asked for information on other tax rates in North Carolina. Commissioner Willhoit asked that the State cuts in County revenues be verified. A tax increase of 3.3 cents would be needed to replace the reimbursements usually received by the County. Chairman Carey stated that the Board needs to review some of their present policies and some of the other budget information they have not received for the last two years including information on salaries. He likes the present format and does not want to change it. Commissioner Halkiotis asked that those needs identified as replacement items and which are significant be videotaped and presented to the Commissioners instead of visiting the site. Commissioner Gordon asked for information on the fire districts and the justification for their tax rate. The Board decided that budget sessions will be held on June 10, 12, 13, 17 and 20 and that the budget presentation by the County Manager will be held on May 30 with a public hearing on June 11. B. CHAPEL HILL SATELLITE SENIOR CENTER John Link reported on the progress made in establishing a satellite Senior Center in Chapel Hill. The task force has identified that the most appropriate space available is at the Galleria located on South Elliott Road in Chapel Hill. The space currently consists of 9,040 square feet on the main floor and 2,200 square fee on a mezzanine area. The Task Force Report indicates that a minimum of 6,000 square feet of programming space is needed. The landlord has presented two options. The first option would cost $53,271 for 7,587 square feet. The second option would cost $48,816 for 6,102 square feet. The remaining $23,504 would be paid by the task force. The Town of Chapel Hill has been asked to 9 provide programming, staff and operating funds. The task force will renovate the space and provide furniture. John Link recommends that the Board commit to 6,102 square feet and require that there be a commitment from the task force to provide the additional funds necessary or execute a lease for the full 9,040 square feet with the intent to include future potential subleases. Commissioner Willhoit proposed that the intent of the County Commissioners be to lease the entire space with the Town of Chapel Hill providing the programming and accept the offer of the senior citizens group to provide the additional amount for the lease and the upkeep. Commissioner Gordon asked about the long -term plan for the Senior Center after the five year lease. In answer to this question, Commissioner Willhoit indicated that the five years would provide time to show that the Senior Citizens Center is needed and that the Town of Chapel Hill will be requested to put this into their capital improvement plan to build an addition to their recreation facility on Estes Drive. Discussion ensued with Dr. Seymour answering various questions. The senior citizens will be responsible for retrofiting the rented space. Commissioner Gordon stated that this is a new initiative in a tight budget year. This would be a commitment for a five year period of time. There is no commitment from Chapel Hill at this point in time. Commissioner Willhoit indicated that this project was one of the goals set by the County Commissioners in December, 1989. The committee has identified that there is a need and they have found space that will be appropriate for a center. Commissioner Halkiotis supports moving forward with this project stressing that a commitment needs to be received from the Chapel Hill Town Council. He has no problem making a commitment to approve the Manager's recommendation. He feels that if the county has a shortfall then either positions or programs will need to be cut. He feels this is a worthwhile initiative. The County Manager recommended that the Board indicate their intent to lease the base amount of this property (7,587 square feet) and approve a lease on May 6 contingent upon receiving confirmation from the Town of Chapel Hill that they will be pursuing support for the programming and that the seniors themselves will provide monies for the lease beyond the 6,102 square feet and for the retrofiting and the cost of operations. Motion was made by Commissioner Halkiotis, seconded by Commissioner Insko to approve the Manager's recommendation as stated above. VOTE: UNANIMOUS X. ITEMS FOR DECISION - REGULAR AGENDA A. BOARD OF EQUALIZATION AND REVIEW Motion was made by Commissioner Willhoit, seconded by 10 Commissioner Halkiotis to convene the first meeting of the Board of E & R on May 6, 1991 at 7:25 p.m. for the purpose of taking the oaths of office and to establish a schedule to hear appeals. VOTE: UNANIMOUS Motion was made by Commissioner Gordon, seconded by Commissioner Willhoit to schedule the Board of E & R meeting for May 21st at 5:30 p.m. at the Franklin Street Post Office District Courtroom in Chapel Hill. VOTE: UNANIMOUS B. RE EST -BY CHAPEL HILL - CARRBORO SCHOOLS TO REALLOCATE BOND PROCEEDS AND ALLOCATE $95585 IN DISCRETIONARY FUNDS Motion was made by Commissioner Gordon, seconded by Commissioner Halkiotis to approve the capital project ordinances as presented in the amounts stated below and allocate $95,585 in Discretionary Funds for these projects. Sewell Elementary School $ 2,313,670 Carrboro Elementary School $ 1,609,258 Phillips Junior High School $ 2,137,586 Chapel Hill High School Phase I $ 6,446,535 Frank Porter Graham Elementary School $ 1,920,681 Culbreth $ 492,951 VOTE: UNANIMOUS C. GOVERNMENT SERVICES BUILDING CONSIDERATION OF HISTORIC DISTRICT COMMISSION RESERVATIONS The Board considered modifications to the Government Services Building which will address reservations expressed by the Hillsborough Historic District Commission members. The modifications would add $56,785 to the cost of the facility. The Manager recommends the following: 1. that modifications to the fire stair and the exterior screen walls around the mechanical equipment be included as part of the base bid package; 2. that the design be modified to include the extended wall projections, and 3. that the change from Running Bond to Flemish Bond be included as a alternate to the base bid package. This modification will be considered by the Board when the bids are awarded and a decision made at that time. John Link clarified that their intent in to go with the Flemish Bond. The only requirement is that the quality of work be acceptable. The Board agreed with this intent. Motion was made by Commissioner Gordon, seconded by Commissioner Willhoit to approve the modifications as suggested by the architects and outlined in the Manager's recommendation, to fund the changes from contingency set up within the project budget, Y.o, 11 and to refer the project to the Historic District Commission for their consideration of approval. VOTE: UNANIMOUS D. EFLAND AREA STUDY AND CP -2 -91 The Efland Area Study was commissioned by the Planning Board in 1988 to address community character concerns /land use issues in Efland. The process has been community - oriented, utilizing a community survey and a series of seven community meetings to formulate community goals, objectives and issues. A steering committee was appointed to jointly assist the staff in producing the community land use plan recommendations, and to recommend a course of action for village incorporation. In brief, the Efland Area Study recommends a series of actions and strategies designed to enhance the community character of the village from the standpoint of housing, community services, transportation, open space, and land use planning. The Planning Board recommended approval of the Efland Area Study on March 18, 1991. Motion was made by Commissioner Gordon, seconded by Commissioner Halkiotis to receive the Efland Area Study and adopt the CP -2 -91 per the Planning Board recommendation. VOTE: UNANIMOUS E. EXTENDED AREA SERVICE FILING On April 1, 1991, Southern Bell filed a request with the North Carolina Utilities Commission for a 50% rate reduction plan for the Triangle area with seven digit dialing. This plan would include Orange County. John Link asked the Board's approval to file a request asking that the North Carolina Utilities Commission approve an intra- county plan for flat rate service for Orange County. This request includes all exchanges in Orange County with the exception of Prospect Hill, Timberlake and the area on the Durham County line which is currently served by GTE. The public staff to the Utilities Commission has indicated that they would support our request. Motion was made by Chairman Carey, seconded by Commissioner Gordon to approve the filing, as amended by Chairman Carey and included in the permanent agenda file, for extended area telephone service for Orange County and to authorize the Chair to sign on behalf of the Board of Commissioners and to authorize the County Manager to file this request with the North Carolina Utilities Commission on behalf of the Board of Commissioners. VOTE: UNANIMOUS F. STANDARDS FOR CIVIL PENALTIES DECISION MAKING Planner Jim Hinkley reviewed the four stages of zoning enforcement as stated in the agenda abstract. Motion was made by Commissioner Gordon, seconded by Commissioner Halkiotis to approve the guidelines for making civil penalties decisions as presented with the deletion of item 2 - Hardship as stated in the standards. VOTE: UNANIMOUS *y _ 12 G. CORNWALLIS HILLS REVISED PHASING PLAN The Board was requested to consider a request for an extension of time to submit a final plat for the final phase of Cornwallis Hills Subdivision. Phase IV, containing 28 lots, has not yet been developed. The applicant asked to extend the deadline for Final Plat approval from the existing deadline of April 4, 1991 to December 31, 1991, provided that any letter of credit or other security used to guarantee completion of improvements would expire no later than April 4, 1992. On March 18, 1991, the Planning Board recommended approval of the proposed phasing plan. Motion was made by Commissioner Gordon, seconded by Commissioner Halkiotis to approve the revised phasing plan for Cornwallis Hills as recommended by the Planning Board. VOTE: UNANIMOUS XI. APPOINTMENTS Motion was made by Commissioner Gordon, seconded by Commissioner Halkiotis to approve the appointment of Jerry Eidenier to the Library Board of Trustees. This term will expire on June 30, 1997. VOTE: UNANIMOUS Motion was made by Commissioner Gordon, seconded by Commissioner Halkiotis to reappoint Cleon Currie and James E. Gibson to the Private Industry Council. Their terms will expire on September 30, 1992. VOTE: UNANIMOUS XII. MINUTES Motion was made by Commissioner Gordon, seconded by Commissioner Halkiotis to approve the minutes for the March 20, 1991 Regular Meeting as corrected. VOTE: UNANIMOUS XIIi. EXECUTIVE SESSION Motion was made by Commissioner Insko, seconded by Commissioner Halkiotis to go into Executive Session to discuss litigation and a personnel matter. VOTE: UNANIMOUS Motion was made by Commissioner Halkiotis, seconded by Commissioner Willhoit to adjourn the Executive Session and to reconvene into Regular Session. VOTE: UNANIMOUS XIV. ADJOURNMENT With no further items to consider, Chairman Carey adjourned the meeting. The next regular meeting will be held on May 6, 1991 in the Courtroom of the Old County Courthouse, Hillsborough, North Carolina. Moses Carey, Jr., Chair Beverly A. Blythe, Clerk fl�-M , , i .r SUBJECT I ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. )LA ACTION AGENDA ITEM ABSTRACT Meetiag Date: April 16, lq9l 1991 -92 Contract Between Orange County Health Department and the N. C. Department of Environment Health and Natural Resources DEPARTMENT: HEALTH ATTACHMENT(S): 13 -Page Contract Federal Assurance Agreements Local Health Department Budget Pages PUBLIC HEARING: Yes X No INFORMATION CONTACT: HEALTH DIRECTOR'S OFFICE X2412 TELEPHONE NUMBER: Hillsborough - 732 -8181 Chapel Hill - 968 -4501 Mebane - 327 -2031 Durham - 688 -7331 PURPOSE: The attached contract stipulates the State grant support in the amount of three hundred sixty --five thousand, four hundred and six dollars ($365,406.00), a 10% increase over the previous year, for the following programs in FY 1991 -92: General Transfer of Escrow AIDS Testing HCFA- Influenza Tuberculosis Environmental Health Child Health Maternal Health Family Planning CSHS Orthopedic Adult Health Health Promotion The above - mentioned programs, and associated revenue, have been included in the proposed budget. BACKGROUND: Each year the State contracts with the Health Department to render specified, mandated services. The attached contract outlines the terms and dollar amounts of grant support for each program activity as well as local allocations and revenues which support these mandated services. Minor changes in the contract terms are acceptable and do not substantially alter the working relationship. RECOMMENDATION(S): Approve the contract, subject to the endorsement of the County Attorney and County Purchasing Director, and authorize the Chair to sign the contracts, assurances, and budget pages. Page 1 of 12 2 1991 - 1992 CONSOLIDATED CONTRACT BETWEEN THE STATE OF NORTH CAROLINA AS REPRESENTED BY THE DEPARTMENT OF ,ENVIRONMENT, HEALTH, AND NATURAL RESOURCES (Hereinafter called the "State ") i. ca ORANGE COUNTY HEALTH DEPARTMENT (Name of Local Health Department) (Hereinafter called the "Department ") FOR THE PURPOSE OF MAINTAINING AND STIMULATING THE ADVANCEMENT OF HEALTH IN NORTH CAROLINA This Contract Shall'Cover a Period From July 01, 1991 to June 30, 1992 NOW, THEREFORE, the State and the Department agree that the provisions and clauses herein set forth shall be incorporated in and constitute the terms and conditions applicable for the following activities involving State funding. (State funding or funds means state, federal, and /or special funding or funds throughout this contract.) ACTIVITY General Transfer of Escrow AIDS Testing ACTIVITY Child Health _ Maternal-Health - - Family Planning _ HCFA- Influenza CSHS Ortho edic Tuberculosis Adult Health Environmental Health Health Promotion DEHNR 2946 (Revised 02/91) Division of General Services (Review 02/92) Page 2 of 12 3 A. WORK TO BE PERFORMED 1. The Department shall perform activities in compliance with applicable program rules contained in the North Carolina Administrative Code as well as all applicable Federal and State laws and regulations. 2. The Department shall submit for approval the required Program Contract Addenda for State funded budgets. 3. The Department shall submit completed reports as required by budgeted funding criteria and as specified in Listing of Required Fiscal and Statistical Re its (Addenda 1). 4. The Department shall administer and enforce all rules which have been adopted by the Commission for Health Services or approved by the State and adopted by the Local Board of Health. 5. The Department shall provide to the State copies of rules adopted by the Local Board of Health pursuant to G.S. 130A -39 and Public Health Ordinances adopted by the County Commissioners. Copies of existing rules and ordinances shall be submitted to the State Health Director within 45 days. Thereafter, copies of rules adopted shall be submitted within 30 days of adoption. 6. The Department shall provide to the State a Community Diagnosis Prioritization of Needs every biennium. The Department shall also provide a Community Diagnosis narrative, if completed. B. FUNDING STIPULATIONS 1. Funding for this contract is subject to the availability of State, 'Federal, and special funds for the purpose set forth in this Contract. 2. During the period of this Contract, the Department shall not use State funds received under this Contract to reduce locally appropriated funds as reflected in the Local Health Department Budgets. 3. The Department shall not use personal health program funds to support environmental health personnel nor use environmental health program funds to support personal health programs. 4. The Department shall comply with Standards for Mandated Public Health Services, 10 NCAC 12, Section .0200; and Administrative Procedures Manual for Federal Block Grant Funds, 1 NCAC 33, Sections .0100 - .1502. 5. The Department - shall maintain employee time records for the contract period documenting the portion of time that each employee attributes to each activity when State funds are budgeted for the support of employee . salaries and fringe benefits. The percentage of time each employee- spends in each activity shall be converted to dollars based -upon the employees' salary and benefits. These records will serve to- document,:, salary and benefit expenditures reported on DEHNR Form 2949, DEHNR Form-=: - 2950, and compliance with Chapter 479, Section 99 of the 1985 Session—. Laws. ;: Page 3 of 12 M 6. The Department participating in Medicaid Reimbursement shall: a. Comply with the terms of the Memorandum of Understanding between the Division of Medical Assistance and the Division of Health Services and the Local Participation Agreement dated July 1, 1984. b. Make every reasonable effort to collect its cost in providing services, for which Medicaid reimbursement is sought, through public or private third party payors except where prohibited by Federal regulations or State law. No one shall be refused services solely because of an inability to pay. All payments from persons, public or private third party, payors, shall be utilized for the activity that earned it and shall not reduce or replace locally appropriated funds during the period of this Contract. Use of program income generated by the expenditure of Federal categorical funds will be governed by applicable Federal regulations, including but not limited to, 45 CFR 74. 7. The Department agrees to match the expenditure of Adolescent Pregnancy Prevention Project grant funds.with local (i.e., non - federal, non - state) resources in the form of cash or in -kind match. Payment from the State shall be in accordance with Chapter 500, Section 91 of the 1989 Session Laws. B. Funds budgeted for Adolescent Health Activities shall not be expended for dues or out --of -state travel unless prior approval is received from the program. 9. Subject to the approval of the appropriate Division, a local health department may seek reimbursement for services covered by a program operating under 10 NCAC 4C rules when those services are not supported by other state or federal funds. All payment program rules and procedures as specified in the Purchase of Care manual must be followed. 10. Subject to the availability of funds and approval of the Office of Public Health Nursing, a local health department may request reimbursement for: a. Nursing service personnel participating in the Introduction to Public Health and Public Health Nursing course and the Supervisors Training Course. Reimbursement is limited to no more than $200.00 per week per participant upon successful completion of the course. b. Nursing service personnel attending Continuing Education offerings which are identified by letter from the Office of Public Health Nursing as being ' eligible under the nurse training funds. Reimbursement is limited to $25.00 per participant per event. 11. The Department shall have an annual audit performed in accordance with The Single Audit Act of 1984 as implemented by OMB Circular A -110. Audit findings and resolution of said findings shall be handled by the Division of Fiscal Management, Special Accounting Section. Page 4 of 12 5 12. Equipment is a type of fixed asset consisting of specific items of property that: (1) are tangible in nature; (2) have a life longer than one year; and (3) have a significant value. a. For Budgeting and Reporting Purposes 1. Equipment purchases meeting the above definition and having an acquisition cost of $500 or more must be budgeted and reported in Line Item 5000. 2. Women, Infants and Children Program All medical equipment and all other equipment with an acquisition cost of $500.00 or more must be budgeted and reported in Line Item 5000. b. For Inventory Purposes 1. Equipment must be accounted for in accordance with Local Government Accounting System Procedure No. 15. 2. Women, Infants and Children Program All medical equipment and all other equipment with an acquisition cost of $500.00 or more must be inventoried with the Division of Maternal and Child Health. Cameras and accessories, calculators, projectors, tape recorders, dictating equipment, video equipment and accessories, computers and accessories and computer software with a cost of $100.00 or more, and all books and films regardless of cost must be recorded on the Fixed Asset System. c. For Prior Approval Purposes 1. Equipment purchased or equipment leased where there is an option to purchase with State /Federal funds must receive prior written approval from the appropriate Division, Section, or Branch when the acquisition cost exceeds $500.00. 2. women, Infants and Children Program All medical equipment and all other equipment with an acquisition cost of $500.00 or more must receive prior approval from the program office. 3. Equipment purchased with program income generated by the expenditure of Title X Family Planning Funds with an acquisition cost of $500.00 or more must receive prior written approval from the program. Page S of 12 6 C. FISCAL CONTROL 1. The Department shall comply with the Local Government Budget and Fiscal Control Act, North Carolina General Statute Chapter 159, Article 3. a. The Department shall maintain a purchasing and procurement system in accordance with generally accepted accounting practices and procedures set forth by the Local Government Commission. b. The Department shall execute written agreements with all parties who invoice the Department for payment for the provision of services to patients. c. The Department shall receive prior approval from the State when subcontracting for services in the Women, Infants and Children Program. d. When subcontracting, the following conditions must be met: 1. The Department' is not relieved of any of the duties and responsibilities provided in this contract. 2. The subcontractor agrees to abide by the standards contained herein or to provide such information as to allow the Department to comply with these standards. 3. The Department will make available to the State upon request a copy of subcontracts supported with State /Federal funds. e. The Department shall retain all budgets, budget revisions, contracts, contract addenda, and financial records in accordance with the current Records Disposition Schedule for County and District Health Departments issued by the Division of Archives and History, Department of Cultural Resources. 2. The Department shall prepare and maintain a budget for each activity covered by this contract in a manner consistent with instructions provided with DEHNR Form 3370 (Rev. 2/90) and DEHNR Form 2948 (Rev. 2/90). a. The Department shall prepare budget revisions for prior approval of the State when those revisions are in the School Health Program (Line Item 6200). b. The Department shall prepare budget revisions for prior approval of the State when State funds will be increased or decreased. c. The Department shall prepare an informational copy for'the State of all other budget revisions when proposed expenditures exceed the line amount budgeted. Page 6 of 12 7 d. The Department shall submit all revisions prior to the end of the term specified in this Contract. Budget revisions received by the State after the end of the contract period will be returned without action. 3. The Department shall observe the following conditions when budgeting and reporting earned income revenues (escrow): a. All earned income must be budgeted in the program where earned, except that income earned by a program which has no activity budget can be budgeted in a program approved by the State. b. Line Item 9000 in the program budget shall be used to budget TXIX fees. c. Line Item 102 in the program budget shall be used to report TXIX fees received which are used to support TXIX expenditures shown in Line Item 9000. d. Line Item 6864 in Activity 3109, Transfer of Escrow Funds, only shall be used to show anticipated TXIX earnings. e. A local account shall be maintained for unbudgeted /unreported TXIX fees transferred to the Department. Accounts shall be maintained in sufficient detail to identify the program source generating the fees. f. No more than one year's transfer of escrow funds (or $10,000.00) whichever is greater) for any activity can be carried forward from one year to the following year. 4. The Department shall submit a quarterly report of actual receipts and expenditures of the Department according to instructions provided with Expenditure Reports, DEHNR Form 2949 (Rev. 9/89) and DEHNR Form 2950 (Rev. 9/89). a. The Department shall submit quarterly expenditure reports to the_ State within 45 days from the end of the reporting quarter. b. The Department shall submit the final Expenditure Report to the State within 45 days after the end of the contract period. c. The Department shall submit amended or corrected expenditure reports within six (6) months after the end of the contract period. Amended or corrected expenditure reports received after December 31 will be returned without action. d. The Department shall refund to the State all State funds not supported by expenditures within 10 days after notification of overpayment. e. The Department ,shall follow Women, Infants and Children Program and other Federal program reporting requirements when they differ from those stated above. f. The Department shall submit WIC expenditure reports to the State no later than the 8th of the month. 0 Page 7 of 12 g. Reimbursement of WIC approved expenditures for July, August, and September cannot exceed one- fourth of the total budget for the contract period. h. The Department shall submit expenditure reports for Mosquito Control activity in accordance with 15 A NCAC 18 B, Sections .0104 and .0107. i. The Department shall submit request for payment for services provided under 10 NCAC 4 C rules to the Claims Processing Unit, DEHNR Division of Fiscal Management. j. The Department shall submit request for reimbursement for nurse training to the Office of Public Health Nursing. 5. The Department shall submit on an annual basis Staff Time Activity Report, DEHNR Form 3389. The report shall accompany the final expenditure report and must be received by the State within 45 days after the end of the contract period. 6. For Adolescent Health Activity, the Department agrees to (1) have responsibility for the immediate direction and supervision of the activities supported through the contract, which will be conducted in accordance with the amended plan /update submitted by the Department; (2) submit any media material in writing to the Division of Maternal and Child Health for approval prior to release to the public; (3) submit a mid -year report on progress in meeting project objectives by January 31, 1992; (4) submit an evaluation report demonstrating achievement of stated goals no later than August 15, 1992. D. PERSONNEL POLICIES The Department shall adhere to and fully comply with State personnel policies as found in North Carolina General Statute, Chapter 126, and 1 NCAC 8. Such policies include, but are not limited to, the following: 1. Equal employment opportunity; 2. Affirmative action; 3. Policies for local government employment subject to the State Personnel Act; 4. "Local Classification and Salary Range "; S. "Compensation Policy for Local Competitive Services Employees "; and 6. "Recruitment and Selection Policy and Procedures "; 7. Environmental Health Specialists employed by the Department shall be delegated authority by the State to administer and enforce State environmental health rules and laws as directed by the State pursuant to G.S. 130A -4(b). This delegation shall be done according to 10 NCAC 10A .2300. Page B of 12 M a. Local health departments are responsible for sending their newly- employed environmental health specialists (interns) to 20 days of initial field training /orientation at one of the designated training centers within 90 days from date of employment. b. The employing health department shall reimburse the training center(s) $25 per day for providing initial field training /orientation for the newly - employed environmental health specialists. C. Initial field training /orientation centers shall be paid within 90 days by the employing health department for services rendered. d. Arrangements for initial field training /orientation including designation of the training center for newly- employed environmental health specialists will be handled by the Environmental Health Services Section, Division of Environmental Health. E. CONFIDENTIALITY All information as to personal facts and circumstances obtained by Department personnel in connection with the provision of services or other activity under this Contract shall be privileged communication, shall be held confidential, and shall not be divulged without the responsible person's written consent except as may be otherwise required by applicable law or regulation. Such information may be disclosed in summary, statistical, or other form which does not directly or indirectly identify particular individuals. F. CIVIL RIGHTS The Department shall assure that no person, on the grounds of race, color, age, religion, sex, marital status, or national origin (unless otherwise medically indicated) or otherwise qualified handicapped individual solely by reason of his /her handicap be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity covered by this Contract. The Department shall complete HEW Form 441, Assurance of Compliance with the Department of Health and Welfare regulations, under Title VI of the Civil Rights Act of 1964; for the Womens, Infants and Children Program, FNS -64, Assurance of Compliance with the Department of Agriculture Food and Nutrition Service, under Title VI of the civil Rights Act of 1964; and HEW Form 641, Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973. G. RESPONSIBILITIES OF THE STATE 1. The State shall provide to the Department upon request technical assistance in the preparation of the Consolidated Contract /Activity Budgets and Contract Addenda. Page 9 of 12 10 2. The State shall specify those administrative forms /reports and their respective revision dates that are required by particular activities pertaining to the Department's budget with the State in List Required Fiscal and Statistical Reports (Addendum 1) for the contract period. New forms /reports not listed in Required Fiscal and Statistical Reports shall be implemented during a contract period only with the approval of the State Health Director. 3. The State shall provide to the Department within thirty (30) days after receiving an activity budget from the Department an approved signed copy of the budget. 4. The State shall provide funds to the Department upon approval of the Contract Addenda, activity budgets, and signing of this contract. 5. The State shall assist the Department to comply with all applicable laws, regulations, and standards relating to the activities covered in this contract. 6. The State reserves the right to conduct reviews to determine compliance with the terms of this contract. 7. The State shall be assured that the Department maintains expenditure of locally appropriated funds for maternal health, child health, and family planning activities equal to or greater than that reported on the Staff Time Activity Report for the period beginning July 1, 1984, and ending June 30, 1985. This maintenance of effort shall be measured by salary equivalencies which are to be maintained in accordance with Section B. 5. of this contract. H. DISBURSEMENT OF FUNDS The State shall disburse funds to the Department as follows: I. For departments selecting monthly payments through the GMTS option -- Provided the Consolidated Contract is properly executed and all quarterly expenditure reports are filed within the established time frames, payments equal to 1/12 of the total program approved budget shall be made on the 15th of each month as follows: July October February August November April September January May Based on expenditures reported for the first, second, and third quarters, payments shall be adjusted either upward or downward, in payments made on the 15th of the following months: December . March . June Page 10 of 12 11 2. For Departments selecting monthly payments through the check option -- Provided the Consolidated Contract is properly executed and all quarterly expenditure reports are filed within the established time frames, payments equal to 1/12 of the total program approved budget shall be made by the 25th of each month as follows: July October March August December April September January June Based on expenditures reported for the first, second, and third quarters, payments shall be adjusted either upward or downward, in payments made on the 25th of the following months: November February May 3. For departments selecting quarterly reimbursement option, payments shall be made by the 25th of the month in which the quarterly expenditure report is received. 4. For departments receiving Rural obstetrical Care Incentive funds, payment of such funds shall be made in one lump sum the month following receipt and approval of the activity budget. 5. Quarterly payment for reported expenditures in Line Item 1000 shall be limited to one - fourth of the budgeted amount in that line item. 6. Increased or decreased payments necessitated by changes in the total budgeted amount will be reflected in the monthly payments subsequent to approval of the budget revision. 7. Payments shall be suspended when expenditure reports are not received by the time specified. Payments will resume on the specified dates in the months subsequent to receipt of the expenditure reports. S. Payment is limited to the total amount of the budget by line item. 9. Final payments will be made based on the 4th quarter expenditure report. Final payments will be equal to the difference between approved reported expenditures and the sum of previous payments. Final payments should be made not later than September 15th. 10. Transfer of TXIX Fees a. Upon receipt of Title XIX fees, transfer of such funds will be made to departments participating in GMTS on the 15th of the month and to departments not participating in GMTS on the 25th of the month. Page 11 of 12 12 , b. When fees received exceed the amount shown by program in Activity 3109 an internal adjustment will be made to increase the amount shown. I. AMENDMENT OF CONTRACT Amendments, modifications, or waivers of this contract may be made at any time by mutual agreement of all parties. Amendments shall be in writing and signed by appropriate authorities. J. PROVISION OF TERMINATION This contract may be terminated for reasons other than non - compliance upon sixty (60) days written notice by either party. If termination should occur, the Department shall receive payment only for allowable expenditures. The State may withhold payment to the Department until the State can determine whether the Department is entitled to further payment or whether the State is entitled to a refund. K. COMPLIANCE 1. The State shall assure compliance with all terms of this contract. a. Upon determination of non - compliance, the State shall give the Department sixty (60) days written notice to come into compliance. If the deficiency is corrected, the Department shall submit a written report to the State which sets forth the corrective action taken. b. If the above deficiencies should not be corrected to the satisfaction of the State after the sixty (60) day period, disbursement of funds for the particular activity may be temporarily suspended pending negotiation of a plan of corrective action. c. If the deficiency is still not corrected within the next thirty (30) days following temporary suspension of funding, program funds may be permanently suspended until the Department can provide evidence that the deficiencies have been corrected. d. In the event of the Department's non - compliance with clauses of this contract, the State may cancel, terminate, or suspend this contract in whole or in part and the Department may be declared ineligible for further State contracts or agreements. Such terminations for non - compliance shall, not occur until: (1) the provisions of Section K -1 (a -c) have been followed, documented, and have failed to provide a resolution, (2) all other reasonable administrative remedies have been exhausted. 2. If the Department or the State should be determined out of compliance with the provisions of the contract, either party may file a formal appeal with the Office of Administrative Hearings. Page 12 of 12 3N WITNESS WHEREOF, the Department and the State have executed this agreement in duplicate originals, one of which is retained by each of the parties. LOCAL SIGNATURES DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES William W. Cobey, Jr., Secretary Health Director Date By Finance Officer Date Department Head's Signature or Authorized Agent Chairman of County Date Commissioners 13 ASSURANCE OF COMPLIANCE WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES REGULATION UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 e CO1r'ty Health Dt~partimect (hereinafter called the "Applicant ") Name of Applicant (type or print) HEREBY AGREES THAT it will comply with Title VI of the Civil Rights Act of 1964 (P.L. 88 -352) and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 80) issued pursuant to that title, to the end that, in accordance with Title VI of that Act and the Regulation, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Depart- ment; and HEREBY GIVES ASSURANCE THAT it will immediately take any measures necessary to effectuate this agreement. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this Assurance shall obligate the Applicant, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is so provided, this Assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. In all other cases, this Assurance shall obligate the Applicant for the period during which the Federal financial assistance is extended to it by the Department. THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all Federal grants, loans, contracts, property, discounts or other Federal financial assistance extended after the date hereof to the Applicant by the Department, including installment payments after such date on account of applications for Federal financial assistance which were approved before such date. The Applicant recognizes and agrees that such Federal flnan- cial assistance will be extended in reliance on the representations and agreements made in this Assurance, and that the United States shall have the right to seek judicial enforcement of this Assurance. This Assurance is binding on the Applicant, its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this Assurance on behalf of the Applicant. Date By P. 0. Box 8181 Hillsborough, NC 27278 APpticmt's maiWq address HHS441 (Rev. 121 County Health Departnmt Applicant (type or print) Sitnature and Tide of Audxdted Official Moses Carey, Chair Board of County Coamissioners 14 15 DEPARTMENT OF HEALTH AND HUMAN SERVICES ASSURANCE OF COMPLIANCE WITH SECTION 9W OF THE REHABILITATION ACT OF 1973, AS AMENDED The undersigned (hereinafter called the "recipient ") HEREBY AGREES THAT it will comply with Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 7921), all require- ments imposed by the applicable HHS regulation (45 C.F.R. Part 84), and all guidelines and interpretations issued pursuant thereto. Pursuant to 184.5(a) of the regulation [45 C.F.R. 84.5(a)], the recipient gives this Assurance in consideration of and for the purpose of obtaining any and all Federal grants, loans, con. tracts (except procurement contracts and contracts of insurance or guaranty), property, dis- counts, or other Federal financial assistance extended by the Department of Health and Human Services after the date of this Assurance, including payments or other assistance made after such date on applications for Federal financial assistance that were approved before such date. The recipient recognizes and agrees that such Federal financial assistance will be extended in reliance on the representations and agreements made irrthis Assurance and that the United States will have the right to enforce this Assurance through lawful means. This Assurance is binding on the recipient, its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this Assurance on behalf of the recipient. This Assurance obligates the recipient for the period during which Federal financial assistance is extended to it by the Department of Health and Human Services or, where the assistance is in the form of real or personal property, for the period provided for in §84.5(b) of the regulation [45 C.F.R. 84,50)]. The. recipient: [Check (a) or (b)) a• ( ) rmploys fewer than fifteen persons; b. ( X ) employs fifteen or more persons and, pursuant to §84.7(a) of the regulation [45 C.F.R. 84.7(a)), has designated the following person(s) to coordinate its efforts to comply with the HHS regulations: Daniel B. Reimer Name of Designee(s) (Type or Print) Orange Gounty Heap Departnent P. 0. Box 8181 Name of Recipient -(Type or Print) Street Address or P.O. Box 56 -M327 Hillsborough (IRS) Employer Identification Number City North Carolina 272.78 State Zip I certify that the above information is complete and correct to the best of my knowledge. Date Signature and Title of Authorized Official If there has been a change in name or ownership within the last year, please PRINT the former name below: HH5*41 tRev. 12/121 roarrrs..a. U.S. DEPARTMENT OF AGRICULTURE •e..,..wwar[vv....v.ow...o « »' Food and Nutrition Service ASSURANCE OF COMPLIANCE WITH THE DEPARTMENT OF AGRICULTURE, FOOD AND NUTRITION SERVICE, UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 Orange County Health Department tName of Applicant) (Hereinafter called the "Applicant. ") HEREBY AGREES THAT it will comply with Title V1 of the Civil Rights Act of 1964 (P.L. 88 -352) and all requirements imposed by the Regulations If the Department of Agriculture (7 CFA Part 15), Department of Justice (28 CFR Parts 42 b 50), and FNS directives or regulations issued pursuant to that Act and the Regulations, to the effect that, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subject to discrimi- nation under any program or activity for which the Applicant received Federal financial assistance from the Department; and REREBY GIVES ASSURANCE THAT it will immediately take any measures necessary to effectuate this agreement. THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all Federal financial assistance. grants and loans of Federal funds, reimbursable expenditures, grant or donation of Federal property and interest in property, the detail of Federal personnel, the sale and lease of, and the permission to use, Federal property or interest in such property or the furnishing of services without consideration or at a nominal consideration, or at a consider- ation which is reduced for the purpose of assist- ing the recipient, or in recognition of the public interest to be served by such sale, lease, or furnishing of services to the recipient, or Dated P. O. Box 8181 Hillsborough, NC 27278 (Address of Applicant) any improvements made with Federal finantlal assistance extended to the Applicant by the Department. This includes any Federal agreement, arrangement, or other contract which has as one of its purposes the provision of assistance such as food, food stamps, cash assistance for the purchase of food, and cash assistance for purchase or rental of food service equipment or any other financial assistance extended in reliance on the representations and agreements made in this assurance. BY ACCEPTING THIS ASSURANCE, the applicant agrees to compile data, maintain records and submit reports as required, to permit effective enforce- ment of Title VI and permit authorized USDA personnel during normal working hours to review such records, books and accounts as needed to ascertain compliance with Title VI. If there are any violations of this assurance, the Department of Agriculture, Food and Nutrition Service, shall have the right to seek judicial enforcement of this assurance. This assurance is binding on the applicant, its' successors, transferees, and assignees as long as it receives assistance or retains possession of any assistance from the Department. The person or persons whose signatures appear below are authorized to sign this assurance on the behalf of the applicant. Orange County Health' Department (Applicant) By. (Title of authorized official) Moses Carey, Chair Board of County Commissioners No further monies or other benefits may be paid out under Food and Nutrition Service Federal assistance programs unless this Assurance is completed and filed as required by existing regulations (7 CFR 15). r0 Fat 463 16 17 OMs Approval No. 03"4040 ASSURANCES — NON – CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your project or program. If you have questions. please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non- Federal share of project costs) to ensure proper planning, management and com- pletion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain- 4. Will initiate and complete the work within the 7. applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 44 4728.4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 98.352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. If 1681.1683, and 1685. 1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973. as amended 129 U.S.C. 4 794), which prohibits dis- crimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 V.S.C.H 6101. 6107). which prohibits discrim- ination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92.255), as amended. relating to nondiscrimination on the basis of drug abuse: M the Cornprehens,' a Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91.616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) If 523And 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd -3 and 290 ee- 3). as amended, relating to confidentiality of alcohol and drug Abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. I 3601 et seq.), as amended, relating to non- discrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made. and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91 -646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply with the provisions of the Hatch Act (5 U.S.C. It 1501 -1508 and 7324 -7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. If 276a to 276a- 7). the Copeland Act (40 U.S.C. 1276c and .18 U.S.C. 11 674), and the Contract Work Hours and Safety Standards Act (40 U.S.C. If 327.333), regarding labor standards for federally assisted construction subagreements. Stare 93— J2Je 14,881 oreserroae *v CIAO C•mWar C.102 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93 -234) which requires recipients in a special flood hazard area to participate in the program andto purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or snore. 11. Will comply with environmental standards which may be prescribed pursuant to the following- (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91.190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplai.ns in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. if 1451 et seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. f 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93 -523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93 -205). 12. Will comply with the Wild and Scenic Rivers Act Of 1968 (16 U.S.C. if 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17a 13. Will assist the awarding agency in assuripg compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a -1 et seq.). 14. Will comply with P.L. 93.348 regarding the Protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89.544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. If 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required Financial and compliance audits in accordance with the Single Audit Act of 1984. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE Moses CaM Chair, Board of Coamissimmars APPLICANT ORGANIZATION DATE SU /MITTED Ormge Q=ty health Department SF 1246 11401 &wit CERTIFICATION REGARDING DEBARMENT AND SUSPENSION By signing and submitting this proposal, the applicant, defined as the primary participant in accordance with 4S CFA Part 76, certifies to the best of its knowledge and belief that it and its prin- cipals: (a) are not presently debarred, suspended, proposed for debar- ment, declared ineligible, or voluntarily excluded from covered transactions by any Federal Department or agency; (b) have not within a 3-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with o- btaining, attempting to obtain, or performing a public (Federal. State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; It) are not presently indicted or for otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) -with Orange Cvamty Health DVarbnmt Name of gency Moses Carev Signature ot AUtnorized ilia W commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) have not within a 3 -year period preceding this applica- tion /proposal had one or more public transactions (Federal, State, or local) terminated for cause or default. The applicant agrees that by submitting this proposal, it will in- clude without modification the clause entitled "Certification Regarding Debarment, Suspension. Ineligibility, and voluntary Ex- clusion - Lower Tier Covered Transactions," i.e., with subgrantees or contractors. in all lower tier covered transactions and in all solic- itations for lower tier covered transactions in accordance with 45 CFR Part 76. Should the applicant not be able to provide this certification, an explanation as to why should be placed after the assurances page in the application package. CERTIFICATION REGARDING DRUG -FREE WORKPLACE REQUIREMENTS By signing and submitting this grant application, the applicant, in accordance with 45 CFA Part 76, certifies that it will provide a drug -free workplace by: (a) Publishing a statement notifying employees that the unlaw- ful manufacture, distribution, dispensing, possession cruse of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (bl Establishing a drug -free awareness program to inform em- ployees about — (1 ) The dangers of drug abuse in the workplace: (2) The grantee's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation, and em- ployee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; Ic) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a), above: Orange Cotaity Health 1]epartEMt Name ot Agency Tana ure of u orize icia M] Id) Notifying the employee in the statement required by para- graph W. above, that, as a condition of employment under the grant, the employee will — (1 ) Abide by the terms of the statement: and (2) Notify the employer of any criminal drug statute con- viction for a violation occurring in the workplace no later than five days after such conviction; (a) Notifying the agency within tan days after receiving notice under subparagraph (d)(21, above, from an employee or otherwise receiving actual notice of such conviction: (f) Taking one of the following actions, within 30 days of receiving notice under subparagraph (d)(2), above, with respect to any employee who is so convicted -- ( 1 ) Taking appropriate personnel action against such an em- ployee, up to and including termination: or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program ap- proved for such purposes by a Federal, State. or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug - free workplace through implementation of paragraphs (a), (b), (c), (d), (e). and (f), above. CSRTWICASIOA REGARDING LOBRTMffG L � . K1] The undersigned cartUlm, to the bmt af I& ar bar knowledge and belief, that: (i) No Federal apprmn lated funds haw been paid ar wM be paid, by or an influence an ar empkwee of any agency, a member of Congress, an ccffl ar employee of Congress, or an employee af a member of Congress in c=necth= vtth the awardtag of any Federal contract, the mak:inq of any Federal grant, the k•■ g of any Pedual loan, the .=tc . .. ■• Of _ • coope.Latty agreement, and the extension, continuabon, renewal, amemdment, or modifeabon of any Federal contract, grant, loan, or --- attwe agreement. (2) If any funds other than Federal appropriated ft: be paid to any person for Influencing or attapting ' employee of any agency, a Member of Congress, an i Congress, or an employee of a Member of Congress i Contract, grant, loan, or coopexalive agrument, the and submit StLudar perm -.LLL, •Diwlom= Farm to ■ .r,ds have be= paid or wM rr, . i ■ u.. an . r. Wer or .r ar employee of necdork wtth the Federal undersigned sball complete Rep= • • • ■ • • I. To } _r M 1 • .. _1 • .■ _ rJ .•. . • . Placed when ■• • r.._. v made or a. ro r. Into. • •1 ■ max... of this carttBicadel" making or enterIng into thds transaction imposed by section, =%, tMe 31, U.S. Code. Any person wbo faJIs to Me the 0_.r_u=ed a my fx=5on shaM be subject to a d�vn penalty of not less than S10,000 and not mcre than S100,000 fw each such bul=*- e Calm Health RMEtment (Name cc ) N.C. Department of Environment, Health, and Natural Resources Division of General Services SFY LOCAL HEALTH DEPARTMENT BUDGET Division of General Services 07 / 91 / Effective Date Termination Date 21 Revision Number P. O. Number 9 2 3 1 0 4 0 L Contract Number Contractor: Activity: General Project Director: Total Budget: $ 474 - 609 Local Authorized Official Signature Date bmta Had Division /Section Signature bwtw Finance Officer Signature Date A� Fiscal Management Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) Date Date LOCAL HEALTH DEPARTMENT BUDGET z2 N.C. Department of Environment, Revision Number — Health, and Natural Resources Division of General Services SF.1, Division of General Services P. O. Number 07 / 91 06 / 92 9 2 3 1 0 9 0 6 8 Effective Date Termination Date Contract Number Contractor: Activity: Transfer of Escrow Project Director: Total Budget: S E X P E N D I T U R E S ITEM DESCRIPTION STATE EXPENDITURES: Salaries & Fringe Benefits Operating Expenses Purchase of Equipment General Contracted or Purchased Services School Health Clinician Delivery Services Laboratory Pharmacy Services Transfer TXIX Subtotal State LOCAL EXPENDITURES: 121,070 CLASSIFICATION ITEM AMOUNT R SA/FEL 1000 OP EXP 2000 E UIP 5000 Other Receipts GENER.AL SCH HLTH ;.:.:..6200 Subtotal Loral Funds $ CiN DEL SERV STATE /FEDERAL /SPECIAL FUNDS: ........ <:::...:: :. . > : ! ...... IX. SERV 6864 i ,), mn -- LOCAL EXP 9000 TOTAL EXPENDITURES — equal to Total Receipts EJ $121,070 Local Authorized Official Signature Date Bmr4h mew Wmal Finance Officer Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/91) Date Division /Section Signature man, Fiscal Management Signature Initial Date Date LOCAL FUNDS: R Appropriation APPROP 101 TXIX /SSBG 102 E TXIX /SSBG Fees OTHR REC 103 Other Receipts C Subtotal Loral Funds $ E STATE /FEDERAL /SPECIAL FUNDS: I P TRANSFER XIX 121,070 T S Subtotal State/Federal/Special $ 121,070 TOTAL RECEIPTS — equal to Total Expenditures $ 121,070 Local Authorized Official Signature Date Bmr4h mew Wmal Finance Officer Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/91) Date Division /Section Signature man, Fiscal Management Signature Initial Date Date 23 N.C. Department of Environment, Health, and Natural Resources Page 1 of 1 Division of General Services FY 91-r92 CONTRACT ADDENDUM r9mgemmt sa_1_cw 923109068 Office, Section, or Branch Contract Number 3510 TB CONTROL 20978 3532 PAP SMEAR 3511 VD CONTROL 3533 GONORRHEA 3512 HYPERTENSION 3534 AUDIOMETRY 3513 BLOOD PRESSURE 3535 BLOOD CHEM SMA -6 3514 DIABETES 3536 BLOOD CHEM SMA -12 3515 GLAUCOMA 3537 MAT CARE INITIAL 3516 CANCER DETECTION 3538 MAT CARE SUBSEA 34.796 3517 HEART /RH FV 3539 CHILDBIRTH CLASS 3518 NEUROLOGY 3540 MAT HOME VISIT 3519 CLI —SPCH /HEAR 3541 PARENTING CLASS 3520 ORTHOPEDIC 3542 VAG DELIV ONLY 3521 SPCH THERAPY 3548 FAMILY PLANNING 6,W 3522 CLI --PHYS THER 3549 EPSDT 3523 CHILD HLTH TREAT 6,504 3550 IMMU UPDATE 3524 MAT HLTH TREAT 10,000 3551 TOT OBSTET VAG 3525 INTRA PARTUM CARE 3561 NEUROMUSCULAR 3526 DENTAL 10,000 3562 ULTRASOUND 3527 EYE CARE 4 3563 ARTHRITIS ASSES 3528 ADULT HEALTH 3564 OBSTETRIC CARE 3529 NON STRESS 3565 CESAREAN DELIV 3530 REFUGEE HEALTH 3566 HYSTERECTOMY 3531 ADULT SCREENING 3570 CHLD SERV COORD 37.90 Reviewed by DFHNR 3300 (Revised 2/90) General Services Division (Review 1/95) Initials Date ` LOCAL HEALTH DEPARTMENT BUDGET 24 N.C. Department of Environment, Health, and Natural Resources Revision Number — Division of General Services _ _ _ Ste, Division of Epidemiola�* 7N — P. O. Number / 06 / 92 9 2 5 2 2 2 _a _fL_ _EL_ Effective Date Termination Date Contract Number Contractor: ,CB user =-- -4-R 2–mm Project Director: Daniel B. Reimer Activity: Aids (federal) Total Budget: $ 30Z25 Local Authorized Official Signature Date a Kr�e Division /Section Signature Date Finance Officer Signature Date Aammumma Fiscal Management Signature Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: E TXIX /SSBG Fees Other Receipts OTHR REC 103 C Salaries & Fringe Benefits SA/FR 1000 2900M X Operating Expenses I OP EXP 2000 p P urchase of Equipment 5x00 28,000 S E General Contracted or Subtotal State/Federal/S $ 28,000 TOTAL RECEIPTS — equal to Total Expenditures $ 30,525 Purchased Services N School Health D Clinician CLN T Laboratory T Pharmacy Services RX V'' fa8f, U Transfer TXIX R Subtotal State Erpmd. $ 28,000 E LOCAL EXPENDITURES: LOCAL EXP 9000 S TOTAL EXPENDITURES — equal to Total Receipts $30,525 Local Authorized Official Signature Date a Kr�e Division /Section Signature Date Finance Officer Signature Date Aammumma Fiscal Management Signature Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) LOCAL FUNDS: R Appropriation APPROP 101 2,525 TXIX /SSBG 102 0 E TXIX /SSBG Fees Other Receipts OTHR REC 103 C Subtotal Local Funds $ E STATE/FEDERAL /SPECIAL FUNDS: I P T 28,000 S Subtotal State/Federal/S $ 28,000 TOTAL RECEIPTS — equal to Total Expenditures $ 30,525 Local Authorized Official Signature Date a Kr�e Division /Section Signature Date Finance Officer Signature Date Aammumma Fiscal Management Signature Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) LOCAL HEALTH DEPARTMENT BUDGET 25 N.C. Department of Environment, Health, and Natural Resources Revision Number — Division of General Services SFY Division of Epideraiolm — — — — P. O. Number 07 91 // -9? -L -2� 5 2 2 6 0 6 8 Effective Date Termination Date' Contract Number Contractor: Activity: HCFA- Influenza Project Director: Total Budget: $14, %8 Local Authorized Official Signature Finance Officer Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) Date Date eM"& Had Division /Section Signature Imad Acommunr Fiscal Management Signature W Date Date ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: E TXIX /SSBG Fees Other Recei is OTHR REC 103 2,548 X Salaries & Fringe Benefits SA/FR 1000 12,0W STATE/FEDERAL /SPECIAL FUNDS: Operating Expenses I OP EXP 2000 P Purchase of Equipment E LJIP - 5000 E General Contracted or S N Purchased Services Subtotal State/Federal/Special $ 12,000 GE R ..:.. ,;:" 06 :. . School Health $1'HLTH. D Clinician 6$C3 T Laboratory h Parma Services SER U Transfer TXIX R Subtotal State Expend. $ 12,000 E LOCAL EXPENDITURES: LOCAL EXP 9000 2 >548 S TOTAL EXPENDITURES — equal to Total Receipts $14,548 Local Authorized Official Signature Finance Officer Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) Date Date eM"& Had Division /Section Signature Imad Acommunr Fiscal Management Signature W Date Date LOCAL FUNDS: R Appropriation APPROP 101 0 TXIX /SSBG 102 Q E TXIX /SSBG Fees Other Recei is OTHR REC 103 2,548 C Subtotal Local Funds $ 2,5Q E STATE/FEDERAL /SPECIAL FUNDS: I P T S Subtotal State/Federal/Special $ 12,000 TOTAL RECEIPTS — equal to Total Expenditures $ 14,548 Local Authorized Official Signature Finance Officer Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) Date Date eM"& Had Division /Section Signature Imad Acommunr Fiscal Management Signature W Date Date LOCAL HEALTH DEPARTMENT BUDGET N.C. Department of Environment, Health, and Natural Resources Division of General Services S.y Division of Epidemiology 07 / 91 Effective Date 06/ 92 Termination Date 26 Revision Number — P. O. Number --q -2– -L 2 3 0 _Q__� _8_ Contract Number Contractor: MAn MJM HFXT[-t DEPAR2= _ Activity: Tuberculosis Project Director: Vim;P] R_ Reiman „_ _..� Total Budger. $1.57- W - - -- LOCAL FUNDS: R Appropriation APPROP 101 E TXIX /SSBG Fees TXIX /SSBG 102 2 978 Other Receipts OTHR REC 103 0 C E Subtotal Local Funds $ 144,752 I STATE /FEDERAL /SPECIAL FUNDS: P T S Subtotal State/Federal/Special $ 124M TOTAL RECEIPTS — equal to Total Expenditures $ 1 Local Authorized Official Signature Date anmb& Had Inuad Finance Officer Signature DEHh-R 2948 (Revised 2/90) General Services Division (Review 2/93) Date rma Division /Section Signature Date Fiscal Management Signature Date LOCAL HEALTH DEPARTMENT BUDGET 27 N.C. Department of Environment, Health, and Natural Resources Revision Number Division of General Services SFY Division of Environmental Health P O Number 07 / 91 06 / 92 9 2 5 3 0 1 0 6 8 Effective Date Termination Date Contract Number Contractor: CHAISE OXRM HEALTH DEPAMMC Activity: Environmental Health Project Director: D=] n Rcinnnr. Total Budget: $ 459,126 ' FOCAL FUNDS: R Appropriation E TXIX /SSBG Fees Other Recei is C Subtotal Local Funds E STATE /FEDERAL /SPECIAL FUNDS: I P T S APPROP 101 320 926 Txix/SSBG 102 OTHR REC 103 $ 446.176 Subtotal State/Federal /S TOTAL RECEIPTS — equal to Total Expenditures Local Authorized Official. Signature �� °i°`" Wad KCW Date L'alasuV� Yaa.�r• ...b..... �.� DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) 6-000 $ 452,176 Division /Section Signature Date SUP Fiscal Management Signature Date I WWI LOCAL HEALTH. DEPARTMENT BUDGET 28 N.C. Department of Environment, Health, and Natural Resources Revision Number — — Division of General Services SFY Division of Maternal and Child Health - - - -- P. O. Number 07 / 91 06 / 92 9 2 __4_ _ __I 0 _L 8 Effective Date Termination Date Contract Number Contractor: .... Cg= .CrIlMY W9 7N nFPAR'iMFM- _ ! Activity: Child Health Project Director: ' R04 -mr- - - . Total Budget: $ - 471,991 Local Authorized Official Signature Date bumb ridd bWW Finance Officer Signature DaLe DEHNR 2949 (Revised 2/90) ' General Services Division (Review 2/93) Division /Section Signature Fiscal Management Signature WWI Date Date ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E X P E N D I T STATE EXPENDITURES: Salaries S. Fringe Benefits Operating Expenses Purchase of Equipment General Contracted or Purchased Services School Health Clinician Laboratory ry Pharmacy Services r T arufer TX1X SA/FR 1000. 34 007 OP EXP 2000 EQUIP 5000 Subtotal Local Funds $ GENERAL 6100 12,469 SCH HLTH 6200 I CLN 6863. 0.. ... P _ 6862 RX SERV 6665.. 65,572 S R Subtotal State Expend. TOTAL RECEIPTS — equal to Total Expenditures $ 471,991 $ 65 572 E LOCAL EXPENDITURES: TTOCAL EXP 9000 406.419 S TOTAL EXPENDITURES — equal to Total Receipts $ 471,991 Local Authorized Official Signature Date bumb ridd bWW Finance Officer Signature DaLe DEHNR 2949 (Revised 2/90) ' General Services Division (Review 2/93) Division /Section Signature Fiscal Management Signature WWI Date Date LOCAL FUNDS: R Appropriation APPROP 101 358,842 E TXIX /SSBG Fees Other Receipts _ TXIX /SS_BG 102 4%,577. OTHR REC 103 C E Subtotal Local Funds $ STATE /FEDERAL /SPECIAL FUNDS: I P T 65,572 S Subtotal State/Federal/Special $ 65,572 TOTAL RECEIPTS — equal to Total Expenditures $ 471,991 Local Authorized Official Signature Date bumb ridd bWW Finance Officer Signature DaLe DEHNR 2949 (Revised 2/90) ' General Services Division (Review 2/93) Division /Section Signature Fiscal Management Signature WWI Date Date LOCAL HEALTH DEPARTMENT BUDGET 29 N.C. Department of Environment, Health, and Natural Resources Revision Number — _.., Division of General Services SFY Division of Maternal and Child Health — — — — P. O. Number / 91 06 / 99 2 _Q_. -6- 4— Effective Date Termination Date Contract Number Contractor:._, CBANZ 03U1J1Y Ht''AT Tj =02= _ Activity,: Maternal Health Project Director: --Daniel B. Rgitr Total Budget: $ 35,5.,w Local Authorized Official Signature Date Finance Officer Signature Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) a* HOW Division /Section Signature Inind Fiscal Management Signature Date Date ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E X P E N D 1 Z, U STATE EXPENDITURES: Salaries &. Fringe Benefits Operating Expenses Purchase of Equipment General Contracted or Purchased Services School Health Clinician Laboratory Pharmacy y Transfer TXIX SA/FR 1000 54,653 OP EXP 2000 1(,.= EQUIP 5000 _ 0 — .. GENERAL 6.10.0 -- - - - 52388 ::$CH 1,00 .. .. .... .' 777777 CLN 6863 0 P 77777777. - -. - LAB 6862 0 RX SERV 686 5 76,976 S R Subtotal State E nd. TOTAL RECEIPTS -- equal to Total Expenditures $ $ 76,976 E LOCAL EXPENDITURES: LOCAL EXP 9000 278,584 S TOTAL EXPENDITURES — equal to Total Receipts $355,560 Local Authorized Official Signature Date Finance Officer Signature Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) a* HOW Division /Section Signature Inind Fiscal Management Signature Date Date LOCAL FUNDS: R Appropriation APPROP 101 224,7Q2 TXIX /SSBG 102 53,875 E TXIX /SSBG Fees Other Receipts OTHR REC 103 0 C Subtotal Local Funds $ 2 E STATE /FEDERAL /SPECIAL FUNDS: i P T 76,976 S Subtotal State/Federal /5 $ TOTAL RECEIPTS -- equal to Total Expenditures $ Local Authorized Official Signature Date Finance Officer Signature Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) a* HOW Division /Section Signature Inind Fiscal Management Signature Date Date N.C. Department of Environment, Health, and Natural Resources Division of General Services SFY LOCAL HEALTH DEPARTMENT BUDGET Division of Maternal and Child Health 07 / 91 06/ 99 Effective Date Termination Date Project Director: — Dial R_ RaiM Ell Revision Number — — P. O. Number 92 5 4 3 0 0 6 8 Contract Number Activity: Family Planning Total Budget: $ Local Authorized Official Signature Dare B;; H- d Division/ 'On Signature Date Finance Officer Signature Date Fiscal Management Signature Date DEHNR 2948 (Revised 2/90) Generd Services Division (Review 2/93) ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: X Salaries 6,. Fringe Benefits SA/FR 1000 63 885 Operating Expenses OP EXP 2000 5,251 P Purchase of Equipment E UIP 5000 E General Contracted or N Purchased Services GENERAL 6100 18 378 School Health SCH HLTH ' .. g20L3.:::' .:.... . D Clinician CLN 6863 . 0 Y . ;: ;.. ,r Laboratory :..: { 2 .... > :.:;:;:::: Pharmacy Services :'RAC >:SF.AU 6865': U Transfer TXIX R Subtotal State Expend. $ 87,514 E LOCAL EXPENDITURES: LOCAL EXP 9000 S TOTAL EXPENDITURES — equal to Total Receipts $ Local Authorized Official Signature Dare B;; H- d Division/ 'On Signature Date Finance Officer Signature Date Fiscal Management Signature Date DEHNR 2948 (Revised 2/90) Generd Services Division (Review 2/93) LOCAL HEALTH DEPARTMENT BUDGET 31 N.C. Department of Environment, Health, and Natural Resources Revision Number Division of General Services SFY Division of Maternal and Child Health -- — --- --- P. O. Number 07 / 91 06 / 92 —A 0 6 8 Effective Date Termination Date Contract Number Contractor: ORAL Activity. CSHS Orthopedic Project Director: — DEalie.1 B. Re m?r Total Budget: $ ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: X P E N D I T U Salaries & Fringe Benefits Operating Expenses Purchase of Equipment General Contracted or Purchased Services School Health Clinician Laboratory Pharmacy Services, Transfer TXIX SA/FR 1000 221 OP EXP 2000 EQUIP 5000 GENERAL 6100 230 `SC>"1 HI:TH .... ..,:: 62 CLN 6863 .. . ; ...:........:. .::.. , ........ LAB � 2 RX SER_ _ V _ 6865 R Subtotal State Ex 2Md. $601 -T E LOCAL EXPENDITURES: LOCAL EXP 9000 S I TOTAL EXPENDITURES — equal to Total Receipts $ 601 Local Authorized Official Signature Date hwNd Finance Officer Signature Date A=aummt Wad DEHNR 2948'(Revised 1/90) General Semees Division (Review 2/93) Division /Section Signature Date Fiscal Management Signature Date LOCAL FUNDS: R Appropriation APPROP 101_ E TXIX /SSBG Fees Other Receipts TXIX /SSBG 102 ^" OTHR REC 103 C Subtotal Loral Funds $ E STATE /FEDERAL /SPECIAL FUNDS: I P T 601 S Subtotal State/Federal /S $ fol TOTAL RECEIPTS — equal to Total Expenditures $ 601 Local Authorized Official Signature Date hwNd Finance Officer Signature Date A=aummt Wad DEHNR 2948'(Revised 1/90) General Semees Division (Review 2/93) Division /Section Signature Date Fiscal Management Signature Date N.C. Department of Environment, Health, and Natural Resources Division of General Services SFY 07 / 91 Effective Date LOCAL HEALTH DEPARTMENT BUDGET M Termination Date Division of Adult Health 32 Revision Number P. O. Numbe 9 2 5 5 0 0 0 6 Contract Number Contractor: IGE Q7IM g8LT1 D):PARDM Activity: Adult Health Project Director: Daniel B. Reimer Total Budget: $ Al 241; ITEM DESCRIPTION CLASSIFICATION ITEM EXPENDITURES:ies AMOUNT TSTATE & Fringe Benefits SAXFR 1000 ating Expenses hase of Equipment OP EXP 2000 E ULr 5000 E General Contracted or N Purchased Services GENERAL, 6100 D School Health I Clinician CLN 6863 0 T Laboratory for Y Pharmacy Services LAB ........ U Transfer TXIX RV SE.... ' ` 5 . :: R Subtotal State E nd. E S FLOCEAL E XPENDITURES: LXP gOp O $ TOTAL EXPENDITURES — equal to Total Receipts $81 246 LOCAL FUNDS: R Appropriation TAPPROP 101 E TXIX /SSBG Fees Other Recei ?C1X _G 102 75 105 C is OTHR R 103 E Subtotal Local Funds STA7E/FEDERAL /SPECIAL FUNDS: $76 005 I P T. T S 5 241 Subtotal State/Federal /S - $ 5 241 TOTAL RECEIPTS — equal to Total Expenditures $ $1,246 Local Authorized Official Signature Date e—A Division /Section Signature Date IRMW Finance Officer Signature Date Aacma,,, Fiscal Management Signature D eat DEHNR 2948 (Revised 2/90) General Services Division (Review 2193) N.C. Department of Environment, Health, and Natural Resources Division of General Services SxY 0 / Effective Date LOCAL HEALTH DEPARTMENT BUDGET 06 / 92 Termination Date Division of Adult Health 33 Revision Number — P. O. Number 9 2 5 5 0 5 0 6 8 Contract Number Contractor: Activity: Health Promotion Project Director: Pei1jlPt_._.. Total Budget: $ — 52, 5 55 _ ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT R Subtotal State Expend. $17,869 E LOCAL EXPENDITURES: FLOCAL EXP 9000 $ I TOTAL EXPENDITURES — equal to Total Receipts $ 52,555 LOCAL FUNDS: R Appropriation E STATE EXPENDITURES: E TXIX /SSBG Fees OTHR REC 103 Salaries & Fringe Benefits C SA/FR 1000 17,$99 X Operating Expenses OP EXP _ _ -__ 2000 _ _ 0 µ! P Purchase of Equipment I EQUIP 5000 _ _ 1 E General Contracted or T 17,869 Purchased Services GENERAL 100 N School Health ' 'SCH HLTH D Clinician � C�:N Laboratory >. >LAB':;.:::,.;,........ .6862. T Pharmacy Services >< >:.:SER U Transfer TXIXSC4`' :' :. ;» ::::::::',;:;:::;::';:::': '::;:;.':::.':': r. R Subtotal State Expend. $17,869 E LOCAL EXPENDITURES: FLOCAL EXP 9000 $ I TOTAL EXPENDITURES — equal to Total Receipts $ 52,555 Local Authorized Official Signature Finance Officer Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) Date Date Beech Head Wnel Division /Section Signature A«uetmt Fiscal Management Signature bufw Date Date LOCAL FUNDS: R Appropriation APPROP 101 31,686_ T XIX /SSBG 102 0 E TXIX /SSBG Fees OTHR REC 103 Other Receipts C Subtotal Local Funds $ 34,686 E STATE /FEDERAL /SPECIAL FUNDS: I P T 17,869 S Subtotal State/Federal /S 'al $ TOTAL RECEIPT'S — equal to Total Expenditures $ 52,555 Local Authorized Official Signature Finance Officer Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) Date Date Beech Head Wnel Division /Section Signature A«uetmt Fiscal Management Signature bufw Date Date ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 SUBJECT: Arts Commission Grassroots Awards DEPARTMENT: Recreation & Parks ATTACHMENT(S): Listing of Arts Commission Recommendations for 1990 -91 Orange County Grassroots Arts Grants PURPOSE: Action Agenda Item No. v -_BL PUBLIC HEARING: Yes X No INFORMATION CONTACT: Wilma K. Tinny, Recreation & Parks TELEPHONE NUMBER: Hillsborough - 732 -8181 Chapel Hill - 968 -4501 Mebane - 227 -2031 Durham - 688 --7331 Seek BOCC approval of Orange County Arts Commission recommendations for distribution of Grassroots Arts Awards. BACKGROUND: The Orange County Arts Commission was created by a resolution from the Board of County Commissioners on February 4, 1985, and in fiscal year 1986 -87 became the Local Distributing Agent for Grassroots Arts funds from the N. C. Arts Council. Grassroots Arts funds are appropriated by the N. C. State Legislature according to county population, and channeled through the N. C. Arts Council to Local Distributing Agents in each county. The full board of the Arts Commission then reviews each application for funds and submits the grant recommendations to the Board of County Commissioners for approval. RECOMMENDATION(S): Approve as presented. IPA Orange County Grassroots Grants -- 1991 -92 Amount Granted ----- Project------- - - - - -- Apple Chill Cloggers $100.00 Performance, Workshop, Community Dance Botanical Garden Fdn. $500.00 Sculpture show support CH Ballet Company $2,000.00 Production Support for School Shows CH -C PTA Cultural $4,398.00 Sukay & Aoki for Multi - Enrichment Committee Cultural Programs CH -C Community $1,700.00 Concert Support Chorus CHHS Humanities $500.00 Festival CH Preservation Society $500.00 Children's Ballet $500.00 Co. of Hills. Community Youth $1,418.00 Theatre Hillsborough Arts $1,500.00 Council NC Writers Network $750.00 Orange County Historical $200.00 Museum Gallery Orange County 4 -H $1,500.00 Orange County $400.00 Schools TOUCH Mime Theatre $1,000.00 Theater or,Dance Performance Free Concerts with Art Shows Lecture /Demo at a school Production Support 2nd "Celebration of the Arts" Public Reading, Black Writers Workshop Art Show Support Production Support -Great Expectations Youth Theatre Shakespeare Residency Artistic development of '91 -92 Season GRANT TOTALS: $16,966.00 OCAC Administrative $1,000.00 PROJECTED TOTAL AVAILABLE: $17,966.00* * This amount may be adjusted by the North Carolina Legislature. •.r ORANGE C O U N T Y BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: APRIL 16, 1991 SUBJECT: JAIL INSPECTION REPORT DEPARTMENT: COUNTY MANAGER ATTACHMENT(S): JAIL INSPECTION REPORT Action Agenda Item # V- PUBLIC HEARING: Yes _X —NQ INFORMATION CONTACT: MANAGER'S OFFICE, EXTENSION 2300 TELEPHONE NUMBERS: Hillsborough - 732 -8181 Durham - 688 -7331 Mebane - 227 -2031 Chapel Hill - 967- 9251/968 -4501 PURPOSE: To receive the jail inspection reports from the North Carolina Department of Human Resources. BACKGROUND: The General Statutes require the Board of County Commissioners to receive and take necessary corrective action to the semi - annual jail inspection reports submitted by the North Carolina Department of Human Resources. The statute further states that the governing body shall promptly initiate any action necessary to bring jail facilities into conformity to standards. The report for March 15, 1991, is enclosed for review, and indicates our compliance with standards. RECOMMENDATION: The Board of Commissioners should receive the report. No corrective action is required. I 0o °�' North Carolina Department of Human Resources Division of Facility Services 701 Barbour Drive • Raleigh, N. C. 27603 -2008 Courier Number 56 -20 -05 James G. Martin, Governor David T. Flaherty, Secretary March 21, 1991 Mr. Lindy Pendergrass, Sheriff Orange County Sheriff's Department 125 Court Street Hillsborough, NC 27278 Dear Sheriff Pendergrass: JUR 2s IM John M. Syria, Director TeJ!}TY733 -4550 On March 15, 1991, 1, Robert G. Lewis, Area Jail Consultant from the North Carolina Department of Human Resources, inspected the Orange County Jail. A copy of the inspection is enclosed for your attention. 1.4 we can be of assistance to you in this matter, please contact us at (919)733 -4550. S "ncerely, obert G. Lewis Area Consultant RGL:ss Enclosure cc: Mr. Thomas A. Ritter, Head, Jail and Detention Branch Mr. Moses Carey, Chairman,, Orange County Board of , Commissioners Ir. 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I 16 x r t ■ -d� a m n • M � � w o+ o r. 0 � n � � w K Ds C7 IC I+ O c � a • r+ �s m m r� x A q Q m h D n w w w 4 b A •1 m w w rl O O G r n w a n -- y r �n 17 1 ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item NO V -D ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 SUBJECT: Budget Ordinance Amendment #9 DEPARTMENT Budget PUBLIC HEARING YES NO _X_ ATTACHMENT(S) INFORMATION CONTACT Proposed Budget Amendments Budget Office, ext 2450 TELEPHONE NUMBER Hillsborough 732 -8181 Chapel Hill 968-4501 Mebane 227 -2031 ----------------- --- -------- ----..--........-------- Durham ------------------------ 688 -7331 PURPOSE: To approve proposed budget ordinance amendments. BACKGROUND: (1) On March 4, 1991, the Board of Commissioners approved a funding request from Planned Parenthood in the amount of $5,000. This special allocation will be used to support the Minority Involvement Project which Planned Parenthood coordinates. This amendment will transfer the approved allocation from the Contingency account. (2) At the December 18, 1990 meeting, the Board of Commissioners approved a the Health Department's application for State Maternal Care Coordination funds. At this meeting, a Maternal Care Coordination position was approved. The continuation of this position is contingent upon the County's receipt of Medicaid revenue sufficient to cover the cost of the position. The application has been approved by the State; therefore, the establishment of this program and the associated position need to be approved by the Commissioners. No County funds are required for this program. (3) The Orange County Department of Social Services has received notification of a reallocation of state Child Day Care funds. This reallocation, received in March, totals $8,838. No additional County match is required for the receipt of these funds. (4) The Orange County Department of Social Services has been awarded a Special Adult and Children Empowered Support (ACES) Program grant from the State. This grant will provide all JOBS 2 participants and their children with support and education. The goal of the project is to assist the parent in achieving self - sufficiency through improving decision making, strengthening family relationships and increasing self esteem. Teenage parents are the major focus of this project. This grant totals $23,906 and no County funds are required. (5) Due to the increase in the number of General Assistance applications, the Department of Social Services has exhausted these funds. The number of applicants have increased by 15% from last year at this time and are anticipated to increase even more by June 30. During the 1990 -91 budget process, $23,750 in County funds were allocated to the AFDC Emergency Assistance program. The Emergency Assistance program has been frozen at the State level leaving $5,000 in County funds unexpended. This amendment will reduce the anticipated State EA revenue by $15,000 thereby allowing the transfer of the County funds to the General Assistance program. RECOMMENDATION(S): To adopt the proposed budget ordinance amendments, approve the establishment of a permanent full -time Social Worker I position, and authorize Chair to sign the Maternal Care Coordination contract. 3 ORANGE COUNTY PROPOSED 1990 -91 BUDGET AMENDMENTS The 1990 -91 Orange County Budget Ordinance, as amended, is hereby amended as follows: BEFORE AFTER MENDMENT AMENDMENT AMENDMENT 1) GENERAL FUND source Miscellaneous $ 633,012 $ (5,000) $ 628,012 Appropriation Contributions to Outside Agencies $1,964,074 $ 5,000 $1,969,074 To budget for additional allocation to Planned Parenthood. 2) GENERAL FOND Source Intergovernmental $6,387,102 $ 8,750 $6,395,852 Charges for Services 1,543,235 1,380 1,544,615 Appropriation Human services $10,680,972 $ 10,130 $10,691,102 To budget Maternal Care Coordination program for the Health Department. 3) GENERAL FUND Source Intergovernmental $6,395,852 $ 8,838 $6,404,690 Appropriation Human Services $10,691,102 $ 8,838 $10,699,940 To transfer additional state funds for the DSS Child Day Care program. F 4 1- 14910ni+4*1YT0 *iP)4i*01, VjTY0.1:4 Xwl� BEFORE AFTER AMENDMENT AMENDMENT AMENDMENT 4) GENERAL FUND source Intergovernmental $6,404,690 $ 23,906 $6,428,596 Appropriation Human Services $10,699,940. $ 23,906 $10,723,846 To budget for ACES project. S) GENERAL FUND Source Intergovernmental $6,428,596 $(15,000) $6,413,596 Appropriation Human Services $10,723,846 $(15,000) $10,708,846 To budget reduction of State AFDC Emergency Assistance funds. 1- 14910ni+4*1YT0 *iP)4i*01, VjTY0.1:4 Xwl� AMENDMENT NUMBER 02, to CONSOLIDATED CONTRACT between THE STATE and THE ORANZ COUNTY /DISTRICT HEALTH DEPARTMENT This Contract covering the period from 02 01 91 to (Month) (Day) (Year) (Month) (Day) (Year) is hereby amended to add the following activities: ACTIVITIES MATERNITY C COORD N (MCC) All provisions and clauses set -forth in the Contract are hereby incorporated in this Amendment and constitute the terms and conditions applicable for the above activities involving State funding. CONTRACTOR SIGNATURES �f /1701 Health Director Date 7 Y 17 Finance Officer Date Y/7 /5 � Chairman of County Commissioners NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES William W. Cobey, Jr., Secretary &,a Ck -gZ Department Head's Signature sp4 or Authorized Agent DEHNR 2946A (Revised 10 /89) ......_�, cm.vii -am 'Division (Review 10/90) LOCAL HEALTH DEPARTMEW BUDGET N.C. Department of Environment, Health, and Natural Resources Division of General Services Revision Number SFY Division of Maternal and Child Health 02 / 91 06 / 91 P. O. Number Effective Date Termination Date 5 -Q— -6— $ Contract Number Project Director: Total Budget: $ LOCAL FUNDS: R Appropriation E TXDC /SSBG Fees Other Recei is C E Subtotal Local Funds STATE/FEDERAL /SPECIAL FUNDS: r P T, MCC (mt S Subtotal State/Feei rral /C.,.,-:..1 APPROP 101 TXDC /SS$G 102 1380.00 OTI i�t REC 103 TOTAL RECELPT'S — equal to Total Expenditures Authorized Finance Officer Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/91) $8,750.00 $ 8,750.00 $ 10,130.00 1117 S1 L z /� Date aftn& hmd Division/Section Signature Date Date w Fiscal Management Signature ace N.C. Department of Environment, Health, and Natural Resources Page 1 of 1 Division of General Services CONTRACT ADDENDUM FY 91 Maternal Health Branch 915435068 Office, Section, or Branch Contract Number Heal h Depart ent Maternity Care Coordinatior. Contractor Activity The number of Medicaid recipients who will receive maternity care coordination services in FY 1991 -92 will be more than the number who were served in FY 1989 -90. DEHNR 3300 (Revised 2/90) General Services Division (Review 1/95) Reviewed by Initials Date I& r I ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. \E ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 SUBJECT: Request For Change in Records Schedule DEPARTMENT: Register of Deeds PUBLIC HEARING YES: NO: X ATTACHMENT(S): r - INFORMATION CONTACT: Betty June Hayes Resolution Request For Change in Records Sched. TELEPHONE NUMBER - Hillsborough - 732 -8181 Chapel Hill - 968 -4501 Mebane - 227 -2031 Durham - 688 -7331 PURPOSE: To- approve - disposition of offical records in Register of Deeds Office. BACKGROUND: The attached resolution and Request For Change in Record Schedule form provides for the Register of Deeds to dispose of records which have no further value for official business or research. RECOMMENDATION(S): Adopt resolution authorizing Register of Deeds to dispose of certain original records and authorize the Chair to sign resolution. K RESOLUTION AUTHORIZING DISPOSAL OF CERTAIN ORIGINAL REGISTER OF DEEDS RECORDS WHEREAS, G.S. 121-•5 provides that the Board of County Commissioners may authorize the destruction or disposal of any official county records when (1) the custodian of such records certifies to the North Carolina Department of Cultural Resources ( "Department ") that they have no further value for .official business and (2) the Department certifies that such records appear to have no further use or value for research or reference; and WHEREAS, the Register of Deeds of Orange County, as a custodian of large numbers of such records, has a need to seek their destruction or disposal on a frequent basis after the records have been microfilmed and converted to the optical disk imaging system; and WHEREAS, the Orange County Board of Commissioners wishes to allow the destruction and /or disposal of such records in the most efficient manner consistent with applicable laws. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of orange County that records of the orange County Register of Deeds office identified in Exhibit A to this Resolution, which exhibit is entitled "REQUEST FOR CHANGE IN RECORDS SCHEDULE," may be destroyed or otherwise disposed of on a continuing basis upon the certification from the Register of Deeds and "Department" provided above. This resolution shall be duly entered in the minutes of this Board. ADOPTED this S E A L day of , 1991. Moses Carey, Jr., Chair Approval for the above received from the Department on Monday, March 25, 1991,,in a telephone call from Al Hargrave. See attached request that was forwarded to the Department. Said request identifies those records that will be removed from the public registry. FORM -RC -3C NORTH CAROLINA DEPARTMENT OF CULTURAL RESOURCES DIVISION OF ARCHIVES AND HISTORY, RECORDS SERVICES REQUEST FOR CHANGE IN RECORDS SCHEDULE INSTRUCTIONS: Use this form to request a change In the records retention and disposition schedule governing the records of your agency. Reproduce locally as needed, and each change desired. Send signed original to Records Services Branch, Diviislone of Archives eand History, for 109 E. Jones Street, Raleigh, NC 27611. and submitted to the Director of the Division of Archives and fHist A primed aof your will de prepares supervising state n If �, the head of your agency, the agency appropriate, or the Chairmen of the Board of County Commissioners for approval. On approval their signed Copies of the amendment will be furnished to all parties for insertion In their copy of the schedule. CHMSE REQUESTED (Check one) Add new item X Delete existing item Change retention 9 period NAW OF COUNTY AND AGENCY Orange County Register of Deeds Office TITLE OF RECORDS SERIES IN SCHEDULE OR PROPOSED TITLE Births (1968 - Current) (1968 Vol. 51 - 1991 - Vol. 70 plus all day-forward certificates) SCHEDULE REFERENCE ( I f any) Begin witH current births and work ac and converting to optical imaging Page Item number 55 volumes currently None INCLUSIVE DATES OF RE03RDS VOLUTE OF RECORDS IN LINEAR INCHES 1968 - day forward from 1/1/91 55 volumes 4 DESCRIPTION OF RECORDS Currently these records are filed in flat file cabinets in file folders of fifty (50) documents per folder. PROP05ED RETENTION PERIOD — paper recor s None after the records are converted to optical disk and secured by a microfilm COPY. REASON FOR CHANGE Orange County needs to conserve floor space and is implementing an optical imaging system for all of its records. The project began with LTCC filings, vital statistics (births) will be the next documents converted. The county plans to convert death and marriage records at some future date. FBetey/TJune I GNAT RE OF REQUESTER TELEPFIONE NUU6ER DATE Haye 919 -732 -8181 ext. 2676 3/15/91 3 OCR- OAH- ARS -RS FORM-RC-3C NORTH CAROLINA DEPARTMENT OF CULTURAL RESOURCES DIVISION OF ARCHIVES AND HISTORY, RECORDS SERVICES REQUEST FOR CHANGE IN RECORDS SCHEDULE INSTRUCTIONS_ Use this form to request a change In the records retention and disposition schedule governing the records of your agency. Reproduce locally as needed, and prepare in duplicate, for each change desired. Send signed original to Records Services Branch, Division of Archives and History, 109 E. Jones Street, Raleigh, NC 27611. Keep copy for your file. A proposed amendment will be prepared and submitted to the Director of the Division of Archives and History, the head of your agency, the supervising state agency If appropriate, or the Chairmen of the Board of County Co I ssloners for approval. On approval their signed copies of the amendment will be furnished to all parties for insertion In their copy of the schedule. CHAi6E REQUESTED (Check one) Add new item X Delete existing item Change retention period NNE OF COl111TY AiD AGENCY Register of Deeds, Orange County, NC TITLE OF RECD SERIES IN SCHMLE OR PROPOSED TITLE Uniform Commercial Code (G.S. 25- 9- 491ff) SCIM)ULE REFERENCE ( I f any) Page Item number None INCLUSIVE DATES OF RECORDS VOLUME OF RECORDS IN LINEAR INCHES Filed in a Diebold Super Elevator File 1984 -1991 - daily forward 511 X 8. inches - approx. 20,000 DESCR I PT I Oil OF RECORDS UCC Filings for the period of 1984 - forward PROPOSED RETENTION PER 1 OD Documents will be retained on a daily-basis for.the period specified by the General Statutes. The originals will be destroyed after microfilming and conversion to the optical imaging system. 4 REASON FOR CHANGE UCC filings are being microfilmed for security plus they are also being placed on an optical disk imaging system for public retrieval. Orange County needs to dispose of the filings for the period of 1984 - forward in order to gain the floor space now being utilized by a Diebold Super Elevator File'. TELEPHONE NUMBER DATE .y �S17 OF REQ UESTGR -747 et Register of Deeds, Orange County, NC 919 -732 -8282 ext. 2676 3/11/91 ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No._ ACTION AGENDA ITEM ABSTRACT Meeting Date: APRIL 15, 1991 SUBJECT: RULES OF PROCEDURE - ORDER OF BUSINESS DEPARTMENT: COUNTY COMMISSIONERS PUBLIC HEARING YES: NO: X ATTACHMENT(S): NONE INFORMATION CONTACT: MOSES CAREY,JR. TELEPHONE NUMBER Hillsborough - 732-8181 Chapel Hill - 968 -5401 Durham - 688 -7331 Mebane - 227 -2031 PURPOSE: To approve a change in the Commissioners' "Order of Business ". BACKGROUND: The County Commissioners conduct their meetings using "Rules of Procedure" dated 1990. The Board approved these rules December 3, 1990. This proposed change is to Rule #11 "Order of Business ". The revision would move the first two items to items 12. The Order of Business is shown below: I. Additions or Changes to the Agenda II. Audience Comments III. Items for Decision - Consent Agenda IV. Resolutions /Proclamations V. Special Presentations VI. Public Hearings VII. Reports VIII. Items for Decision - Regular Agenda IX. Board Comments X. County Manager's Report XI. Appointments XII. Minutes XIII. Executive Session XIV. Adjournment the on 11 and RECOMMENDATION(S): Approve the changes as indicated above in the "Rules of Procedure" for the order of Business. I ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 SUBJECT: RESOLUTION REQUESTING CONSTITUTIONAL AMENDMENTS TO PROHIBIT FEDERALLY MANDATED LOCAL PROGRAMS DEPARTMENT COUNTY MANAGER ------------------------------..- ATTACHMENT(S) Resolution Invoice for Mandated Services Action Agenda Item NO V� -A PUBLIC HEARING YES NO x INFORMATION CONTACT MANAGER'S OFFICE EXT 2300 TELEPHONE NUMBER Hillsborough 732 -8181 Chapel Hill 968 -4501 Mebane 227 -2031 Durham 688 -7331 1 PURPOSE: To consider a resolution requesting constitutional amendments to prohibit federal legislation that mandates local funding of programs or services. 144TO; 2 ORANGE COUNTY BOARD OF COMMISSIONERS RESOLUTION WHEREAS, Congress has increased local taxes by mandating programs without providing funding for such mandated programs, and thus has avoided political responsibility for said tax increases; and, WHEREAS, state and local governments have been required to respond to federal funding cuts by either increasing taxes or reducing services to citizens; and WHEREAS, mandated programs now account for approximately one third of local government expenditures or 41 cents of the 76.5 cents of the property tax rate; and WHEREAS, funding of mandated programs through local tax dollars limits the ability of the County to provide needed services, infrastructure and capital needs; and WHEREAS, the Orange County Board of Commissioners believes that it is in the best interests of the citizens of Orange County to prohibit legislation which mandates local services without providing adequate funding for said services. NOW, THEREFORE, BE IT RESOLVED by the Orange County Board of Commissioners that the Board respectively requests the North Carolina General Assembly and the United States Congress to consider constitutional amendments to prohibit federal legislation that mandates local funding of programs or services without providing funding for said programs and services. BE IT FURTHER RESOLVED that the County forward to the Governor an invoice for mandated services provided by the County for the period July 1, 1989, through June 30, 1990. AND BE IT FURTHER RESOLVED that this Resolution be forward to'the following: - To each of the 99 other County Boards of Commissioners in North Carolina; - To the local North Carolina Legislative delegation; and, - To the National Association of Counties and the North Carolina Association of County Commissioners. This is the 16th day of April, 1991. P commissioner moved the passage of the foregoing resolution and Commissioner seconded the motion, and the resolution was passed by the following vote: AYES: NORTH CAROLINA ORANGE COUNTY I, Beverly Blythe, Clerk to the Board of Commissioners for the County of Orange, North Carolina, DO HEREBY CERTIFY that the foregoing is a true and complete copy of so much of the proceedings of the Board of Commissioners for said County at a meeting held , as relates in any way to mandated programs hereinabove set forth, and that the said proceedings are recorded in Minute Book of the minutes of said Board for said date. WITNESS my hand and the common seal of said County, this the day of , 19_. [SEAL] Beverly Blythe, Clerk to the Orange County Board of Commissioners 3 ORANGE COUNTY COMMISSIONERS 4 P.O. Box 8181 HILLSBOROUGH, N.C. 27278 Moses Carey, Jr. Alice M. Gordon Stephen H. Ha&iotis C. In Don INVOICE Don Willhoit For mandated services rendered from July 1, 1989, through June 30, 1990. County Welfare System (administration, block grant & Chore) AFDC AFDC Emergency Assistance Medicaid Caregivers Medical Transportation Adoptions and Foster Care Protectives Services Children & Adults Special Assistance Child Day Care Child Health Maternal Health Family Planning & Sexually Transmitted Disease Control Dental Public Health Home Health (contracted) Adult Health Environmental Health (including, Water supply, sewage disposal food, lodging & institutional sanitation) Other Communicable Disease.Control Vital Records and Management Animal Control Public Schools Law Enforcement and the Courts Emergency Management Register of Deeds Child Support Enforcement Elections Medical Examiner Mental Health TOTAL DUE ORANGE COUNTY FOR FY 1989 -90 MANDATED SERVICES $923,025 $571,165 $71,399 $703,538 $7,468 $73,580 $787,836 $281,140 $148,718 $320,946 $178,082 $308,067 $170,780 $25,500 $77,331 $332,347 $96,888 $244,934 $399,797 $5,626,752 $2,804,014 $116,681 $121,855 $65,173 $178,547 $10,000 $660,024 $15,305,587 732 -8181 968 -4501 688 -7331 227 -2031 644 -3004 (Fax) This amount equals 41 cents of the 76.5 cents of the property tax rate. YOU COUNT IN ORANGE COUNTY ! (D z 0 �Q �CD �(D CO ZT O C co "I 0 CD 0 0 �C: C)") .N CD v O CD CD n 0 c z m x m z 0 --i c m �CT o CD CO o 0 W O CD CD n 0 c z m x m z 0 --i c m Moses Carey, Jr. Alice M. Gordon Stephen H. Halkiotis Verla I. Insko Don Willhoit ORANGE COUNTY COMMISSIONERS P.O. Box 8181 HILLSBOROUGH, N.C. 27278 ORANGE COUNTY RESOLUTION REQUESTING ADEQUATE FUNDING FOR lY0 �j0 XV OAIB _i)il�i`liii` � 732 -8181 968 -4501 688 -7331 227 -2031 644 -3004 (Fax) WHEREAS, the Orange County Board of Commissioners recognizes and supports the responsibility of the federal and state governments to provide leadership to identify issues affecting the larger society and to establish these issues as national priorities, and WHEREAS, the:US Congress and the North Carolina General Assembly have exercised. their leadership role by mandating certain programs and services, but have, at the same time, failed to provide adequate funding, and WHEREAS, the US Congress and the North Carolina General Assembly, through these actions, have effected an increase in property taxes, while avoiding the political responsibility for such increases, and WHEREAS, these actions by the US Congress and the North Carolina General Assembly raise the issue of fairness based on the regressive nature of property taxes, the primary tax available to counties, as compared to the progressive income taxes available to Congress and the North Carolina General Assembly, and WHEREAS, the federal and state governments have further compounded the problem by requiring excessive and burdensome paperwork requirements, and WHEREAS, mandated programs now account for approximately one - third of all local government expenditures, which in Orange County accounts for 41 cents of the 76.5 cent property tax rate, and WHEREAS, these issues are of such pressing urgency that they cannot adequately be addressed through the current method of federal and state mandates and local funding. YOU COUNT IN ORANGE COUNTY 1 0 NOW, THEREFORE BE IT RESOLVED that the Orange County Board of Commissioners calls for the Congress of the United States and the North Carolina General Assembly - as they identify and establish national priorities - to; 1) increase the financial support for the mandated programs through direct funding or incentive grants in amounts adequate to create and implement successful solution, and 2) recognize and reduce the irrelevant paperwork and other unnecessary administrative burden, associated with mandated programs, and BE IT FURTHER RESOLVED that the County forward to the Governor an invoice for mandated services provided by the County for the period July 1, 1989 through June 30, 1990, and BE IT FURTHER RESOLVED that this resolution be forwarded to 1) each of the 99 other County Boards of Commissioners in North Carolina, 2) the local North Carolina legislative delegation, 3) the National Association of Counties and the North Carolina Association of County Commissioners, and 4) US Senator Terry Sanford, US Senator Jesse Helms, and Congressman David Price. This the 21st day of April, 1991. Moses Carey, Jr., Chair Orange County Board of Comm' ioners . mm W v, 01 - CJdrk a ORANGE COUN'T'Y COMMISSIONERS P.O. Box 8181 HILLSBOROUGH, N.C. 27278 0 Moses Carey, Jr. 732 -8181 Alice M. Cordon 968 -4501 Stephen H. Halldotis 688 -7331 Verla G. I INVOICE Don 227 -20 Willhoit oit 644 -3004 04 (Fax) For mandated services rendered from July 1, 1989, through June 30, 1990. County Welfare System (administration, block grant & Chore) $923,025 AFDC $571,165 AFDC Emergency Assistance $71,399 Medicaid $703,538 Caregivers Medical Transportation $7,468 Adoptions and Foster Care $73,580 Protectives Services Children & Adults $787,836 Special Assistance $281,140 Child Day Care $148,718 Child Health $320,946 Maternal Health $178,082 Family Planning & Sexually Transmitted Disease Control $308,067 Dental Public Health $170,780 Home Health (contracted) $25,500 Adult Health $77,331 Environmental Health (including, Water supply, sewage disposal food, lodging & institutional sanitation) $332,347 Other Communicable Disease Control $96,888 Vital Records and Management $244,934 Animal Control $399,797 Public Schools $5,626,752 Law Enforcement and the Courts $2,804,014 Emergency Management $116,681 Register of Deeds $121,855 Child Support Enforcement $65,173 Elections $178,547 Medical Examiner $10,000 Mental Health $660,024 TOTAL DUE ORANGE COUNTY FOR FY 1989 -90 MANDATED SERVICES $15,305,587 This amount equals 41 cents of the 76.5 cents of the property tax rate. YOU COUNT IN ORANGE COUNTY ! • • Commissioner moved the passage of the foregoing resolution and Commissioner seconded the motion, and the resolution was passed by the following vote: AYES: NOES: NORTH CAROLINA ORANGE COUNTY I, Beverly Blythe, Clerk to the Board of Commissioners for the County of Orange, North Carolina, DO HEREBY CERTIFY that the foregoing is a true and complete copy of so much of the proceedings of the Board of Commissioners for said County at a meeting held , as relates in any way to mandated programs hereinabove set forth, and that the said proceedings are recorded in Minute Book of the minutes of said Board for said date. WITNESS my hand and the common seal of said County, this the day of , 19_ [SEAL] Beverly Blythe, Clerk to the Orange County Board of Commissioners ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. - I ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 SUBJECT: RESOLUTIONS OF APPRECIATION FOR SERVING ON THE PLANNING BOARD DEPARTMENT: PLANNING ATTACHMENTS) : -NO - AVAILABLE AT PUBLIC HEARING YES: NO: X - INFORMATION CONTACT: MARVIN COLLINS THE MEETING TELEPHONE NUMBER - Hillsborough - 732 -8181 Chapel Hill - 968 -5401 Durham - 688 -7331 Mebane - 227 -2031 - PURPOSE: TO RECOGNIZE THE SERVICE OF TWO FORMER PLANNING BOARD MEMBERS. BACKGROUND: CHRIS BEST AND BARRY JACOBS HAVE BOTH SERVED ON THE PLANNING BOARD FOR SIX YEARS. DURING THIS TIME THEY SERVED ON MANY SUBCOMMITTEES AND LUTION AREEBEING THEIR PRESENTED TO SHOW TIME APPRECIATION FOR THIS THEIIRRDWILLINGNESS RESOLE TO SERVE ORANGE COUNTY IN THIS WAY- RECOMMENDATION(S): APPROVE THE RESOLUTIONS AND PRESENT TO EACH RECIPIENT. 1Y 01�AP.1°P CIA 7YON 1�E U II) for, BARRYJACOBS WHEREAS, Barry J ac tively acobs act served on the Orange County August 20, 1985 to February planning Board from Aug 1991, and Barr it �ved the Quality of decisions ,�g86 � WHEREAS, y as Chair from January his lead P January 16, January lip 1990• and vice -Chair from J 1990 to -uary 1, 1991; and tart of his skill and talent to benefit all merits 'Of e W] grange County in judging :itfz not and development; and hrough his hard work and dedication, earned WHEREAS, Barry, appreciation of government officials, the „ Oct and his peers, and the citizens of Orange County; THEREFORE - .- IT RESOLVED that the orange a County NOW, expresses Board of Commissioners egp ears of appreciation and gratitude for Barry's many y service and contributions to Orange County. ADOPTED this 6t1ft day of May, 1991. Moses Carey, Chair Orange County Board of County Commissioners ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. -v ACTION AGENDA ITEM ABSTRACT Meeting Date: APRIL 16, 1991 SUBJECT: PROCLAMATION FOR TRANSPORTATION ALTERNATIVES WEEK ---- _ ---- --------- ------- _.._----- --------- --- ------------ ----- ----- DEPARTMENT: COUNTY COMMISSIONERS PUBLIC HEARING YES: NO: X ATTACHMENT(S): YES INFORMATION CONTACT: MOSES CAREY,JR. TELEPHONE NUMBER - Hillsborough - 732 -8181 Chapel Hill - 968 -5401 Durham - 688 -7331 Mebane - 227 -2031 ------------------------------------- _---- ..____----- --- --- - PURPOSE: To proclaim April 21st - 27th as Transportation Alternatives Week. BACKGROUND: Activities for this event include the following: 1. Posters will be printed highlighting alternative transportation modes such as car -van pooling, busing, biking or walking. These "Kick the Driving Habit" posters will be distributed throughout the Triangle area. 2. The Triangle Network for Transportation will be collecting and distributing informational and education facts to the area media and encouraging P.S.A.'s and stories by reporters. 3. The Transportation Alternatives week activities will start in Carrboro on April 20th and in Durham on April 21st. This proclamation will be displayed. They will ask people to pledge to use an alternative to the single- occupancy automobile at least once during the week. RECOMMENDATION(S): Approve the Proclamation proclaiming April 21st - -April 27th as Transportation Alternatives Week. 2 PROCLAMATION TRANSPORTATION ALTERNATIVES WEEK WHEREAS, transportation by single occupied vehicle creates traffic congestion and negative environmental impacts, and WHEREAS, considerable public funds are required to support the infrastructure of the single occupied vehicle, and WHEREAS, public transportation systems reduce congestion on our roads and lessen the negative impacts on our environments, and WHEREAS, a comprehensive public transportation system allows access to jobs and independent living for citizens without automobiles or for those unable to drive, and WHEREAS, government has a responsibility to educate its citizens about the benefits of public transportation systems, and WHEREAS, Because April 21, 1991 is Earth Day, the Orange County Board of Commissioners proclaims April 21, 1991 through April 27, 1991 as TRANSPORTATION ALTERNATIVES WEEK BE IT RESOLVED THAT the'Board encourages an understanding of the benefits which public transportation offers its citizens and the cost associated with the dependence on the single occupied vehicle, and BE IT FURTHER RESOLVED that the Board of Commissioners encourage and support the use of public transportation services and alternative transportation modes such as carpools, bicycles, vanpools and pedestrian travel. This the Ibth day of April, 1991. Moses Carey, Jr., Chair S E A L I ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No tk-A ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 SUBJECT: Report ou Budget Document and Budget Schedule - -- --------------------------- ------- ------------------------ - - -- -____ PUBLIC HEARING YES NO x— DEPARTMENT County Manager ---- ATTACHMENT(S) ------ - INFORMATION CONTACT COUNTY MANAGER EXT. 2300 Sample page from budget document TELEPHONE NUMBER Hillsborough 732 -8181 Chapel Hill 968 -001 Mebane 227 -2031 Durham 688 -7331 PURPOSE: To report back to Board toinformation dates plan for the -9 operating budget document operating budget Board review. BACKGROUND: BUDGET DOCUMENT We are planning to present the same basic information in the operating budget which has been included in past documents. on The budget includes the budget message followed by summary funds. These summaries include financial information as well as a position detail by program. Department information organized by ee attached example). The appendix includes functional area follows (s by departments but not recommended. a listing of positions requested As you know, our budget document has just received the Government Finance Officers Association Distinguished Budget Presentation Award. To receive this award the budget document must meet program criteria as a policy document, as an operations guide, as a financial plan, and as a communications device. A panel of independent reviewers comprised of budget officers across the United States critiques budget submittals on behalf of the GFOA. We are planning to incorporate their suggestions for improvement into our document. These are: 1. Strengthen the relationship between the Capital Improvement Program and the operating budget. In the highlights section under each appropriate department the impact on operations of new facilities will be shown. 2 , 2. Condense information when feasible by using graphics. Certain historical summary financial information would best be illustrated by graphics. We also plan to include organization charts in the document. In addition, we plan to make other changes based on comments and concerns expressed by the Board. We plan to expand the highlights section for each department to include discussion regarding mandated programs. We would also include in this section a discussion regarding revenues associated with each department. BUDGET SCHEDULE We would like to hold a special meeting of the Board to present my recommended budget to you on May 3o, 1991. During the week of June 10 through 14, we would like to hold work sessions on the recommended budget. T am requesting that we set these dates now, in order to allow adequate time for Board review. f apartment rogram Account o e 3 .� un 10 -4 GENERAL Commissioners CATEGORY n Ana sUmate ctua g t J me 0 Re nested anager Recommends A roved Ex enditures Bud Personnel Services 112,623 127,287 130,366 134,017 133,810 136,936 operations 91,270 104,591 98,335 110,376 109.215 109.2'.5 Capital Outlay 10,823 1,560 1,560 2,040 975 975 Total 214.716 233,438 230,261 246,433 244,000 247,126 Offsetting Revenues Authorized Positions 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 PROGRAM DESCRIPTION The Board of Commissioners is responsible for making policy, legislating and appropriating money as stipulated in North Carolina General Statutes (GS) Chapter 153A. The office of the Clerk supports the Board of Commissioners in this work. The Clerk's office serves the citizens directly sBanrd of Administrative Service Department maintaining the Commissioners office, serving the Board of Commissioners, county personnel, and the citizens of Orange County. The Clerk shall keep full and accurate minutes of the proceedings of the Board of Commissioners, and an ordinance Book, which shall be available for public inspection. 1989 -90 MAJOR ACCOMPLISHMENTS - Complete Boards and Commissions Brochure. Complete indexing of minutes for 1976-1980. Continue provision of services outlined in G.S. 153 -111. 4 1990 -91 MAJOR OBJECTIVES - Index minutes for years 1969 -1975. - Maintain quality and integrity of mandated services. BUDGET HIGHLIGHTS This budget maintains the current level of services. _t 1 ORANGE COUNTY BOARD OF COMMISSIONERS Action Agend�a� � Item No. _:r ..B ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 SUBJECT: CHAPEL HILL SATELLITE SENIOR CENTER DEPARTMENT: PURCHASING & CENTRAL SRVS. PUBLIC BEARING YES: NO :XX- ATTACHMENT(S): INFORMATION CONTACT: PAM JONES EXT 2650 FLOOR PLAN Telephone Number - Hillsborough - 732 -8181 Chapel Hill - 967 -9251 Mebane - 227 -2031 Durham -688 -7331 PURPOSE: To consider leasing space at the Galleria, with the intent to establish a satellite Senior Center. BACKGROUND: Based on recommendations from the Task Force on Southern Orange Senior Center Space, the County has investigated property in Chapel Hill which would be appropriate for the Senior Center function. The most appropriate space identified is located at The Galleria, 400 South Elliott Road, Chapel Hill. The space is currently an open area consisting of 9,040 square feet on the main floor and 2,200 square feet on a mezzanine area. A floor plan of the area is attached. While the mezzanine area could provide good administrative space, its utilization as programming space is somewhat limited due to the access. The Task Force Report indicates that a minimum of 6,000 square feet of programming space is needed. With that in mind, the County has negotiated with the Landlord on that basis. The Landlord has agreed to sub- divide the space along the "pole line" (see floor plan for definition), which would yield 6,102 square feet on the main floor. The mezzanine area would add another 1,485 square feet. Due to the configuration of the interior space, it appears impractical to separate the mezzanine space from the main floor space. I K If the Board approves a lease under this option, the cost would be as follows: Ground Floor (6,102 @ $8.00 /s.f.) Mezzanine (1,485 @ $3.00 /s /f.) Total Annual Lease $48,816 4,455 $53,271 Although the Landlord has offered to provide the space rent free through June 30, 1991, if the lease is approved, the $53,271 would be considered an expansion item within the Department on Aging budget for fiscal year 1991 -92. The Senior Center Task Force has expressed a desire to lease the balance of the facility. The Funding Committee for the Task Force has likewise endorsed raising the funds necessary to lease the additional approximately 3000 square feet. If the Board approves this type of arrangement, the costs would be as follows: Base square footage leased by County (6,102 @ $8.00 /s.f.) $48,816 Square footage supported by Private funds (2,938 @ 8.00 /s.f.) 23,504 Total Annual Lease $72,320 NOTE: IF THE COUNTY LEASES THE WHOLE SPACE, THE LANDLORD WILL CHARGE NO RENT FOR THE MEZZANINE AREA. It is our understanding from information provided by the Task Force and the Department on Aging that the Town of Chapel Hill will be asked to provide programming staff support as well as operating funds. We have further been advised that the Task Force will provide upfit and furnishings for the facility, in addition to providing the funds required to lease 9,040 square, feet rather than 6,102 square feet. Further conditions negotiated with the Landlord that may be of interest to the Board are as follows: The Landlord has committed to allowing the County to take possession of the space as quickly as a lease is approved, with lease payments to begin July 1. Many leases add to the base rent cost of taxes, insurance and maintenance to common areas and bill these at the end of each year. For comparison purposes, it should be noted that the Landlord has included all of these costs in the $8.00 /square foot amount. The lease would include scheduled increases as follows: Years 1 through 3 no increase Year 4 15$ increase Year 5 5% increase 93 3 RECOMMENDATION: If the Board of Commissioners wish to pursue a lease, we understand from the leasing agent that the Board has until May 6 to make their decision. Since the study calls for a minimum of 6,000 square feet, the Manager recommends that the Board of Commissioners commit to no more than 6,102 square feet, which is the closest to 6,000 square feet that the Landlord will subdivide the space, unless another source of funding commitment is identified prior to finalizing a lease which would include the entire facility; or the Board may choose to execute a lease for the full 9,040 square feet with the intent to include future potential subleases. II W FLOOR PLA'N"MEZZANINE LEVEL �at�'��; ;;s•r;�„ I D�ruSt�6 W�44 td • i •,F 'I r� 1 i r • •'I 6102 se: rr .. ra" cx� � w :is wN ernurr, R t M s` rp. -. _. _.. ..... _ . - • jL b 1�It�tssa� y t� 'Spec 1'S Sorb of j e vid d. 1 O R A N G E C O U N T Y BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 Action Agenda Item # XA SUBJECT: Board of Equalization and Review DEPARTMENT: Assessor's Office PUBLIC HEARING: Yes X No ATTACHMENT(S): INFORMATION CONTACT: Kermit Lloyd, ext 2100 TELEPHONE NUMBERS: Hillsborough - 732 -8181 Durham - 688 -7331 Mebane - 227 -2031 Chapel Hill - 967- 9251/968 -4501 PURPOSE: The Board of Equalization and Review needs to.go into session, take the oaths, and establish a schedule for hearing appeals to be advertised in local newspapers. BACKGROUND: Reference General Statute 105- 322(e) Each year the Board of Equalization and Review shall hold its first meeting not earlier than the first Monday in April and not later than the first Monday in May. The Board shall complete its duties on or before the third Monday following its first meeting unless, in its opinion, a longer period of time is necessary or expedient to a proper execution of its responsibilities. A notice of the date, hours, place, and purpose of the first meeting of the Board of Equalization and Review shall be Published at least three times in some newspaper having general circulation in the county, the first publication to be at least 10 days prior to the first meeting. RECOMMENDATION: 1). The Board convene the first Monday in May (May 6, 1991), a few minutes just before the County Commissiiones meeting, for the purpose of taking the oaths and establishing a schedule to hear appeals. 2) It is estimated that approximately two (2) hours will be needed to hear requested appeals. Possibly, it would be conveninet to meet two hours just prior to a scheduled commissioners meeting, either the 3rd Tuesday in May (May 21st) or the 1st Monday in June (Jun 3rd). ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 SUBJECT: Request by Chapel Hill - Carrboro City Schools to Reallocate Bond Proceeds and Allocate $95,585 in Discretionary Funds DEPARTMENT BUDGET OFFICE ATTACHMENTS) Letter from Dr. House Proposed Capital Project Ordinances Financial Summary of Request I Action Agenda Item No X-11 PUBLIC HEARING YES NO x_ INFORMATION CONTACT BUDGET OFFICE, EXT 2151 TELEPHONE NUMBER Hillsborough 732 -8181 Chapel Hill 968 -4501 Mebane 227 -2031 Durham 688 -7331 PURPOSE: To consider the request by the Chapel Hill - Carrboro City Schools to reallocate bond proceed funds and appropriate $95,585 from discretionary funds. BACKGROUND: The Chapel Hill- Carrboro City Schools received a total of $13,000,000 from bond proceeds which were appropriated for the Seawell, Carrboro, Phillips, CHHS, and Culbreth projects. The System is requesting that a portion of the $13,000,000 be reallocated between these bond funded projects. This request is being made now due to better project costs estimates which the System did not have at the time the CIP request was submitted. The scope of each of the projects has not changed. The School system is also requesting that $95,585 be appropriated from discretionary funds. Discretionary funds are appropriated by the Board of Commissioners to each of the School systems each year as a contingency to pay for emergencies which could.occur during the fiscal year. The Chapel Hill - Carrboro City Schools have a balance of $465,640 in discretionary pay -as- you -go capital funds during 1990 -91. A summary of this request is attached. This request is being made due to unanticipated costs for clean dirt fill to replace unstable soil which was removed from the Carrboro, Frank Porter Graham and Chapel Hill High School sites and for waterline improvements associated with these projects. RECOMMENDATION(S): Approve the attached capital project ordinances. Chapel Hill - Carrboro City Schools Lincoln Center, Merritt Mill Road Chapel Hill, North Carolina 27516 Telephone: (919) 967 -8211 Ext. 226 Fax: 933 -4560 Gerry H. House, Superintendent Mr. John Link Orange County Manager P.O. Box 8181 Hillsborough, NC 27278 Dear John: Neil G. Pedersen, Assistant Superintendent of Support Services Jan E. Calhoun, Assistant Superintendent of Instructional Services March 21, 1991 - As a follow -up to our conversation on March 20, 1991, I am reflecting in writing the specifics of our request for discretionary funds from the Capital Improvement Budget. As we have p: oceeded with our capital improvement projects, we have had to revise the original budget by transferring funds among the projects. The original revised budgets are reflected below: With these transfers, we anticipate a $95,585 shortfall. The shortfall is reflected in the high school's budget because that project is the last one to be completed. The shortfall is caused by an unanticipated cost for clean dirt fill to replace unstable soil which had to be removed from the Carrboro, FPG and Chapel Hill High School sites. The total cost for this soil removal and replacement work is $178,188; however, we are able to cover a portion of the cost from the original budgets. For the remaining $95,585, the Chapel Hill- Carrboro Board of Education is requesting that the Orange County Commissioners appropriate the amount from the CIP discretionary fund. We appreciate your consideration of this request. Sincerely, 4401- . Gerry I-FOuse Superintendent GWjaw ORIGINAL BUDGET PST $OIyD_ PAY AS PROJECTED PROJECTED REVISED ' YOU GO EXPENDI;T'JMES V H i E Seawell 2,515,050 2,313,670 201,380 2,313,670 Carrboro 1,524,037 1,609,258 (85,221) 1,609,258 Phillips 2,058,787 2,137,586 (78,799) 2,137,586 CHHS 6,466,162 6,447,639 18,523 6,352,054 Culbreth 435,964 492,951 (56,987) 492,951 FPG. 1,826,200 1 92 :581 a4-.,4_8 1 920,681 Total 11000.000 1 8 11221,785 9 585 14.826.200 With these transfers, we anticipate a $95,585 shortfall. The shortfall is reflected in the high school's budget because that project is the last one to be completed. The shortfall is caused by an unanticipated cost for clean dirt fill to replace unstable soil which had to be removed from the Carrboro, FPG and Chapel Hill High School sites. The total cost for this soil removal and replacement work is $178,188; however, we are able to cover a portion of the cost from the original budgets. For the remaining $95,585, the Chapel Hill- Carrboro Board of Education is requesting that the Orange County Commissioners appropriate the amount from the CIP discretionary fund. We appreciate your consideration of this request. Sincerely, 4401- . Gerry I-FOuse Superintendent GWjaw r r , Summary of Chapel Hill - Carrboro City Schools Request BOND PAY -AS -GO TOTAL CURRENT Seawell $2,515,050 Carrboro $1,524,037 Phillips $2,058,787 CHHS $6,466,162 Cuibreth $435,964 FPG TOTAL $13,000,000 REQUESTED Seawell Carrboro Phillips CHHS Culbreth FPG TOTAL $2,313,670 $1,609,258 $2,137,586 $6,446,535 $492,951 $13,000,000 $1,826,200 $1,826,200 $1,104 $1,920,681 $1,921,785 $2,515,050 $1,524,037 $2,058,787 $6,466,162 $435,964 $1,826,200 $14,826,200 $2,313,670 $1,609,258 $2,137,586 $6,447,639 $492,951 $1,920,681 $14,921,785 r i� • a SEAWELL ELEMENTARY SCHOOL CHAPEL HILL— CARRBORO CITY SCHOOLS CAPITAL PROJECT ORDINANCE Be it ordained by the Board of Commissioners that pursuant to Section 13.2 of Chapter 159 of the General Statutes of North Carolina, the following capital project is hereby adopted. Section 1. The project authorized is for construction of classrooms and support areas at Seawell Elementary School. The project will be financed by bond proceeds. Section 2. The officers of the County are hereby directed to proceed with the project within the budget contained herein. Section 3. Section 4. Section S. Section 6. The following revenue is anticipated to complete this project: Bond Proceeds $2,313,670 The following amount is appropriated for this project: Seawell Junior High School $2,313,670 Project This ordinance supersedes all previous Seawell Elementary School Capital Project Ordinances. This ordinance shall be in effect from the date of adoption until June 30, 1991. Adopted this 16 day of April, 1991. V i CARRBORO ELEMENTARY SCHOOL CHAPEL SILL- CARRBORO CITY SCHOOLS CAPITAL PROJECT ORDINANCE Be it ordained by the Board of Commissioners that pursuant to Section 13.2 of Chapter 159 of the General Statutes of North Carolina, the following capital project is hereby adopted. Section I. The project authorized is for construction of classrooms at Carrboro Elementary School. The project will be financed by bond proceeds. Section 2. The officers of the County are hereby directed to proceed with the project within the budget contained herein. Section 3. Section 4. Section 5. Section 6. The following revenue is anticipated to complete this project: Bond Proceeds $1,609,258 The following amount is appropriated for this project: Carrboro Elementary School $1,609,258 This ordinance supersedes all previous Carrboro Elementary Capital Project Ordinances. This ordinance shall be in effect from the date of adoption until June 30, 1991. Adopted this 16 day of April, 1991. 5 r- T PHILLIPS JUNIOR HIGH SCHOOL CHAPEL HILL- CARRSORO CITY SCHOOLS CAPITAL PROJECT ORDINANCE Be it ordained by the Board of Commissioners that pursuant to Section 13.2 of Chapter 159 of the General Statutes of North Carolina, the following capital project is hereby adopted. Section 1. The project authorized is for construction of classrooms and support areas at Phillips Junior High School. The project will be financed by bond proceeds. Section 2. The officers of the County are hereby directed to proceed with the project within the budget contained herein. Section 3. Section 4. Section S. Section 6. The following revenue is anticipated to complete this project: Bond Proceeds $2,137,586 The following amount is appropriated for this project: Phillips Junior High School $2,137,586 Project This ordinance supersedes all previous Phillips Junior High School Capital Project Ordinances. This ordinance shall be in effect from the date of adoption until June 30, 1992. Adopted this 16 day of April, 1991. 9 a CHAPEL HILL HIGH SCHOOL PHASE I CHAPEL SILL- CARRBORO CITY SCHOOLS CAPITAL PROJECT ORDINANCE Be it ordained by the Board of Commissioners that pursuant to Section 13.2 of Chapter 159 of the General Statutes of North Carolina, the following capital project is hereby adopted. Section 1. The project authorized is for the initial phase of construction of classrooms and support areas at Chapel Hill High School. The project will be financed by bond proceeds. Section 2. The officers of the County are hereby directed to proceed with the project within the budget contained herein. Section 3. The following revenue is anticipated to complete this project: Bond Proceeds Future Projects Reserve $6,446,535 $ 1,104 Section 4. The following amount is appropriated for this project: Chapel Hill High School Project - Phase I $6,447,639 Section S. This ordinance supersedes all previous Chapel Hill High School Phase I Capital Project Ordinances. Section 6. This ordinance shall be in effect from the date of adoption until June 30, 1992. Adopted this 16 day of April, 1991. 7 g � FRANK PORTER GRAHAM ELEMENTARY SCHOOL PROJECT CHAPEL HILL- CARRBORO CITY SCHOOLS CAPITAL PROJECT ORDINANCE Be it ordained by the Board of Commissioners that pursuant to Section 13.2 of Chapter 159 of the General Statutes of North Carolina, the following capital project is hereby adopted. section 1. The project authorized provides for construction of classrooms and support areas at Frank Porter Graham Elementary School. The project will be financed by an appropriation from the School Capital Reserve Fund. Section 2. The officers of the County are hereby directed to proceed with the project within the budget contained herein. Section 3. The following revenue is anticipated to complete this project: Transfer from School Capital $1,826,200 Reserve Fund Future Projects Reserve $ 94,481 Section 4. The following amount is appropriated for this project: Frank Porter Graham Elementary $1,920,681 School Project Section S. This ordinance supersedes all previous Frank Porter Graham Elementary School Capital Project ordinances. Section 6. This ordinance shall be in effect from the date of adoption until June 30, 1991. Adopted this 16 day of April, 1991. r� 1 ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. x :� ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16,1991 SUBJECT: GOVERNMENT SERVICES BUILDING; CONSIDERATION OF HISTORIC DISTRICT COMMISSION RESERVATIONS ------------------------------------------------------ DEPARTMENT: PURCHASING & CENTRAL SRVS. PUBLIC HEARING YES: NO :XX ---------------------------------- ATTACHMENT(S): INFORMATION - CONTACT:- - - - -- Standard of Evaluation; Hillsborough TelephoneRNumber -CE EXT 2300 Historic District Commission Hillsborough - 732 -8181 Chapel Hill -967 -9251 Mebane -227 -2031 ----------------------------------- - - - - -- Durham _ ----- - - - - -- 688 7331 - - -- PURPOSE: To consider modifications to the Government Services Building which will address reservations expressed by the Hillsborough Historic District Commission members. BACKGROUND: The Hillsborough Historic District Commission, during their third review meeting regarding this project, raised a number of Points that related to their Standards of Evaluation for reviewing projects (see attached). At the conclusion of the meeting a number of the points had been addressed and the Commission approved the building design with further response to be provided on the following twelve items: 1. Width of cornice; 2. Color of trim, cornice and doors; 3. Height comparison to Old Courthouse; 4. Dumpster location; 5. Location of the air conditioning units; 6. Height of wall and screening around the air conditioning units; 7. Pierced brick screen wall; 8. Modifications to the exterior fire escape; 9. Modifications to the exterior railing system; 10. Front and back doors to be more traditional; 11. Brick coursing; possible use of Flemish bond pattern; 12. Increased wall projections; L w, �bb': F We have been advised by the Architects that items one through four can be addressed with negligible cost implications. Study is on -going to determine the feasibility of each request. Study is likewise still on- going to determine the feasibility of relocating the air conditioning units (item 5). The remaining items would add to the project cost as follows: 1. Entrance doors with individual glass panes for a more traditional appearance $ 4,000 2. Modifications to exterior fire stair 5,000 3. Modifications to exterior screen walls at mechanical equipment units (two locations) 8,000 4. Change brick bond from Running Bond to Flemish Bond $11,255 5. Increase wall projections from 16" to 32" at six locations in building; adds 400 s.f. to building. This change affects about 24 sheets of design drawings. 28,500 This is the most significant design change requested by the Historic District Commission. The intent of the change is to break the facade so the building will be more in keeping with the existing Courthouse and other buildings in the vicinity, while still maintaining the design integrity of the new structure. TOTAL $56,785 It is suggested that any added items be funded one of two ways: 1. Use of the contingency set up within the project budget; or 2. Increase the overall project budget by appropriating funds from the County's Capital Reserve Fund. As a point of information, the project contingency is approximately $125,000, but does cover both the new construction and the renovation of the existing Tax and Records Building. q As an additional note, the Hillsborough Board of Adjustment met on April 10 and voted to continue the Public Hearing until 6:30 p.m., Tuesday, April 16, to receive further information regarding the following issues: 1. Lighting for the existing parking lot between the Courthouse and the Sheriff's Department; 2. A railing along Margaret Lane over the Stillhouse Creek culvert; and 3. Providing a safer bridge over Stillhouse Creek for pedestrian traffic from the parking area to the back entrance of the new facility. We are optimistic that the project will be approved by the Board of Adjustment at the April 16 meeting. RECOMMENDATION: The Historic District Commission did raise some valid points. In response to these points, the Manager recommends the following: 1. Modifications to the fire stair and the exterior screen walls around the mechanical equipment should be included as part of the base bid package; 2. Based on comments by the Historic District Commission and since the facade modification would allow the building to be more in keeping with existing buildings in the area, the Manager recommends that the design be modified to include the extended wall projections; and 3. The change from Running Bond to Flemish Bond should be included as a alternate to the base bid package. If funds allow, this modification would be considered by the Board when the bids are awarded and a decision made at that time. 4 12.6.2 Public Notification of Historic District Commission Meeting The Commission shall cause notice of its meetings to be given in accordance with Section 12.2.6. In cases where the Commission or the Board of Commissioners deem it necessary, a public hearing shall be held concerning any application. 12.6.3 The Commission, in deliberating upon an application, shall consider, among other things, the general design, arrangement, texture, material and color of the building or other structure in question and the relation of such factors to similar features of buildings in the immediate vicinity. The Commission shall not consider the interior arrangement, nor shall it make any requirements except for the purpose of preventing developments which are obviously incongruous to the historic character of the District. Standards of Evaluation To provide reasonable standards to assist the Commission in its review of design and to guide and limit the discretion of the Commission, the following shall be considered in reviewing applications for a Certificate of Appropriateness: a) The height of the building in relation to the average height of the nearest adjacent and opposite buildings. b) The setback of the building in relation to the average setback of the nearest adjacent building. c) Exterior construction of a material used predominately in the immediate vicinity. d) Texture of extezior const�juction predominant in the vicinity such as siding, brick joints, and other con- struction details. e) Landscaping by use of ground cover predominant in the .vicinity in addition to the planting of trees of a species predominant in the District along the street on which the building faces, and using substantially similar rhythm and spacing along said street for such planting as that used along adjacent and opposite lots. f) Architectural details predominant in the vicinity such as lintels, cornices, brick bond, and foundation materials. g) Roof shape and proportion in relation to the facade which is predominant in the vicinity. h) Roofing material which is predominant in the vicinity. 137 i) Exterior color predominant in brick, paint, or other color. j) Proportion of width to height windows and doors within the 91 the vicinity such as of openings such as facade which is predominant in the vicinity. k) General form and proportions of buildin s and structures and the relationship of any additio in ns to the ma structure. 1) Orientation of the building to the street. m) Scale, determined by the size of the units of construc- tion and architectural details and also by the of the buildin mass to adjoining open and nearby buildings and structures. n) Proportion of width to height of the total building facade. o) Appurtenant fixtures and other features such as lighting. p) Structural condition and soundness. q) Walls - physical ingredients, such as brick, stone or wood walls, wrought iron fences, evergreen landscape masses, buildin facades, or combinations of these. r) Ground cover or paving. ian scale and orientation as well s) Maintenance of pedestr as provision for safe pedestrian movement. 12.6.4 Comments by North Carolina Office of Archives & History The North Carolina Office of Archives and History, acting through any agent or employee designated by its Administrator, or the North Carolina Advisory Council on Historic Preservation, may either upon the request of the Office or at the initiative of the Commission, be given an opportunity to review, comment and make recommendations upon the substance and effect of any 5uch application for a Certificate of Appropriateness. comments may be provided in writing to the Commission or made orally at any public hearing held in connection with the application. 12.6.5 Historic District Commission Action The Commission shall review the record of the meeting or hearing and the application and make their determination of the case based on the standards of evaluation listed in Section 12.6.3. Action on the application shall be one of the following: a) Approval b) Approval subject to conditions c) Denial 138 I �Ip J _. 1 O R A N G E C O U N T Y BOARD OF COMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: APRIL 16, 1991 Action Agenda Item # -_n — SUBJECT: EFLAND AREA STUDY AND CP -2 -91 ( EFLAND NODE ADJUSTMENT) DEPARTMENT: PLANNING PUBLIC HEARING: YES _x -NO ATTACHMENT(S): INFORMATION CONTACT: (Please see 2/25 agenda Dave Stancil, Extension 2590 for previous attachments) TELEPHONE NUMBERS: Memorandum /data on CP -2 -91 Hillsborough - 732 -8181 3/18 Planning Board Minutes Chapel Hill - 967 -9251 Durham - 688 -7331 Mebane - 227 -2031 PURPOSE: To consider the findings and recommendations of the Efland Area Study. One of the recommendations is CP- -2 -91, a Comprehensive Plan amendment to the Efland Center Node. BACKGROUND: The Efland Area Study was commissioned by the Planning Board in 1988 to address community character concerns /land use issues in Efland. After delays on behalf of the EDC's Target Advisory Group, the area study began in July 1990. The process has been community - oriented, utilizing a community survey and a series of seven community meetings to formulate community goals, objectives and issues. A steering committee was appointed by 38 Efland residents in November 1990 to jointly assist staff in producing the community land use plan recommendations, and to recommend a course of action for village incorporation. The Efland Area Study, complete with map and recommendations, was presented to 32 Efland residents on February 12, 1991 with general agreement on the recommendations. In brief, the Efland Area Study_ recommends a series of actions and strategies designed to enhance the community character of the village from the standpoint of housing, community services, transportation, open space, and land use planning. This document recognizes 2 •: Efland's strategic importance in the Triangle, and also recognizes that the village is unique among areas under County jurisdiction because of its village core and its level of urban services (both existing and proposed). The study proposes using "neotraditional" planning techniques to encourage pedestrian - scale services and recreation facilities built around the village's traditional core. This approach will allow Efland to evolve without compromising the "small --town feel" that residents feel is vital. The study would also provide a strong backbone for a town plan, if the village opts to incorporate in the future. In order to accomplish this goal, an Efland Village Overlay District is proposed. This Efland- specific zoning district would apply special standards and mixed uses to enhance the core of the village, keeping the community viable and well- planned as development pressures along I -85/40 increase. Before such an overlay district can be adopted, the existing "Efland Center" Commercial Activity Node - should be adjusted to add 41 lots to the node that are within the community focus. In this manner, all of the properties within the community focus can be treated consistently in the Comprehensive Plan. This is the rationale for CP -2 -91, which is the action item for the Board's decision. This study and proposed amendment were presented for citizen comment on February 25. Four persons spoke in regard to this proposal. Issues raised included a need for further information on the proposed node adjustment, landowner flexibility, the need for sewer, and preserving small -town feel. In response to a concern voiced by one commissioner, further information is provided on the proposed plan amendment CP -2 -91. The Orange County Planning Board considered this item on March 18, 1991. The Board received the Efland Area Study and unanimously recommended approval of CP-2 -91. RECOMMENDATION: Administration recommends that the Efland Area Study be received and that CP -2 -91 be adopted - per the Planning Board recommendation. 3 ORANGE COUNTY PLANNING DEPARTMENT MEMORANDUM To: Marvin Collins, AICnP� From: Dave Stancil, AICP V2 Date: March G, 1991 Subject: Additional information on CP -2 -91, Efland Node Adjustment At the public hearing on February 25, a request for additional or enhanced information on Comprehensive Plan amendment CP -2 -91 (Efland Center Commercial Node adjustment) was made. This memo and the fact sheet that follows serve to elaborate on the proposed amendment. Please find attached the fact sheet, maps of the area in question, and a listing of all property owners within the area. This amendment results from the Efland Area Study, completed on February 12, 1991. The Efland Area Study is a community- oriented set of actions and strategies designed to enhance the community character of this village of 700 persons. The study proposes using "neotraditional" planning techniques to encourage pedestrian -scale services and recreation facilities to be located in the community core. The identification of the Efland community core can be defined as an area which is historically and theoretically consistent with neotraditional concepts of the "community focus ". The "community focus" is an area 1/4 -mile from the center of the village where community services facilities are traditionally located. One-- quarter mile is also recognized as the "service area" that village residents will comfortably walk to services rather than drive. In this sense, the community focus is the area where services, facilities and dwellings can be coordinated in a small - town atmosphere reminiscent of traditional communities across the United States. This is the heart of neotraditional planning - to refocus on the core of the village and discourage outside vehicle trips for services that can be accommodated in the village without negative impacts. Efland, as an unincorporated village, is fortunate in that the core of the community was developed on a traditional grid pattern - with community services originally within the center of the village. In this sense, Efland is an ideal village to "retrofit" with pedestrian -scale services. In order to preserve and enhance this pattern, however, it was determined that an Efland - specific zoning district with special standards and mixed use capability would be needed. Such a village core zoning district would need to be applied throughout the community's focus, in order to allow for flexibility 4 for property owners, flexibility for the market forces, and standards based on the intensity of the land use and not the land use itself. In identifying Efland "s "community focus ", not one but three strategic intersections were selected as the three - pronged focus of the village. These are US 70 /Efland -Cedar Grove Road, Mount Willing Road /Forrest Drive, and the Mount Willing Road /I -85/40 interchange. Areas one - quarter mile from these locations are thus within the "community focus ". Efland, as a semi - urban, semi -rural village, has long been designated a Commercial Node on the County Land Use Element. Approximately 85 percent of the areas within the "Community Focus" are already located within the Efland Center Commercial Node - meaning that these areas can be assigned an Efland village overlay District which would incorporate community -scale services. However, a few areas within the "Community Focus ".are not inside the existing node. A total of 41 properties (most less than 60,000 square feet in size) lie within the Community Focus but not the node. The thrust of CP -2 -91 is to include these 41 properties in the Efland Center Commercial Node with their neighbors. By so doing, the entire core can be zoned consistently. It 1 should be noted that the inclusion of properties into a node does not automatically, qualify them for commercial or non- residential uses. In fact, most of the properties in both the proposed amendment and the existing node are of a residential nature - and will likely continue in that use. The adjustment to the node will simply allow for consistent treatment for those properties where small -scale services to serve the community are feasible. The standards of this district would be drafted by staff and community representatives over the next several months. In conclusion, the consistent treatment of all properties in the Efland village that are within walking distance of the community center will allow Efland a means to evolve without compromising their small -town feel and village character. Without this node adjustment or village overlay, Efland's zoning will encourage only linear, sprawled, and uncoordinated development along US 70 - and the community character of the village will be in much more danger than it would be in not making adjustments at this time. Im r 9 1 b CP -2 -91 EFLAND NODE AD3USTMENT FACT SHEET NUMBER OF PROPERTIES: CURRENT PLAN: PROPOSED PLAN: # LOTS CURRENTLY IN NODE: AREA WITHIN EXISTING NODE: AREA PROPOSED TO BE ADDED: LOT SIZES: TAX MAP /LOTS: ROAD FRONTAGE: LAND USES: 41 RESIDENTIAL TRANSITION, RURAL RESIDENTIAL EFLAND CENTER ACTIVITY NODE 152 APPROX. 305 ACRES 58.5 ACRES RANGING FROM 20,000 SQ FT TO 16 ACRES. SEE ATTACHED US 70, OAK STREET, BROOKHOLLOW ROAD, EFLAND- -CEDAR GROVE ROAD. UNDEVELOPED, RESIDENTIAL, INDUSTRIAL E I.�,...•..� . 3 ;_ ©- I, - I AJD Of Of fig 4. j w � _ I El ri x } R oni .. + 1 1 « - poi Ln // \ .. —� i e ❑ __ .— �.u.�., .rye ~ Lm lie'; � _ �� ©. ��.� ._x.� o w sub CD 4. *4 7-1 W� mar", WON 0 rL O z r) 0 O CL C. ID O CD va (D EFLAND AREA STUDY Lots within Node Ac�LA!5+ rent PARCEL —ID NAME 3.31.A.26 Donald C. & Cornelia W. Efland 3.31.A.28 Simpson Efland 3.31.A.30 Robert Fleming & Jane C. Efland 3.31.A.30A Robert Fleming & Jane C. Efland 3.31.A.30B Cecil L. & Debra E. Stout 3.31.A.30C Robert Fleming & Jane C. Efland 3.31.A.31 Herman L. Efland 3.31.A.32 Efland Presbyterian Church 3.31.A.33 Marilyn Efland Liner 3.31.A.33A Marilyn Efland & W. David Liner 3.31.A.34 Franklin Efland ADDRESS P.O. Box 97 Efland, NC 27243 P.O. Box 66 NC Efland, NC 27243 NC Rt. 1 Efland, NC 27243 Rd. Rt. 1 Efland, NC 27243 1465 NC 54 Swepsonville Road Graham, NC 27253 Rt. 1 Efland, NC 27243 P.O. Box 154 Efland, NC 27243 Efland, NC 27243 P.O. Box 231 Cedar Grove Rd. Efland. NC 27243 P.Q. Box 231 Cedar Grove Rd. Efland, NC 27243 210 Efland St. Efland, NC 27243 78� i e PARCEL -ID NAME ADDRESS 3.31.A.35 Mark Fleming & Amy V. Efland 210 Efland St. Efland, NC 27243 3.31.A.35A Erwin Van & Lynn E. Anderson 11 Warbler Lane Durham, NC 27712 3.34..2A Efland Volunteer Fire Company Inc. P.O. Box 39 Efland, NC 27243 3.34..4 Efland Volunteer Fire Company Inc. P.O. Box 39 Efland, NC 27243 3.34..5 Wilson Efland P.O. Box 207 Efland, NC 27243 3.34..6 Wilson Efland P.O. Box 207 Efland, NC 27243 3.34..7 Georgia T. Lewis Rt. 7 Box 84 Hillsborough, NC 27278 3.34..8 Wilson Efland P.O. Box 207 Eft and, NC 27243 3.34..9 C.M. Wilson & Mildred Efland P.O. Box 207 Efland, NC 27243 3.34..12 Simpson L. Efland P.O. Box 66 Efland, NC 27243 3.34..13 Byron A. & Suellyn Dalton P.O. Box 187 Efland, NC 27243 3.34..15 J.M. Dunn Box 33 Forrest Avenue Efland, NC 27243 K Z , PARCEL-ID NAME ADDRESS 3.34..16 John M. Dunn Box 33 Forrest Avenue Efland, NC 27243 3.34..17 Lula M. & Clarence Loftin Turner 822 Jerome Rd. Durham, NC 27713 3.34..18 Daniel A. Mebane P.O. Box 237 Efland, NC 27243 3.34..19 Daniel A. & Snodie Mebane P.Q. Box •237 Eft and, NC 27243 3.34..20 James H. Browning 403 S. Eighth Street Mebane, NC 27302 3.38.A.5 Gary & Patricia B. Lloyd P.O. Box 149 Efland, NC 27243 3.38.A.7 Marion T. & Lois Westbrook P.O. Box 245 Efland, NC 27243 3.38.A.8 Edward F. Byrd 922 Dogwood Lane Graham, NC 27253 3.38.A.10 Turner J. & Frances Forrest P.O. Box 10 Efland, NC 27243 3.38.A.11 Lillian A. Johnson 1 3 2 4 Brookhollow Road P.O. Box 164 Efland, NC 27243 3 A PARCEL -ID NAME ADDRESS 3.38.A.11A Lillian A. Johnson 1 3 2 4 Brookhollow Road P.Q. Box 164 Efland, NC 27243 3.38.B.3 Ann Moss Joyner & Rt. 5 Box 31 Allan M. Parnell Mebane, NC 27302 3.38.8.4 Dalton Roberts Jr. & 3303 US 70 Peggy H. Riley Efland, NC 27243 3.38.8.48 Mark A. & Vicky L. Evans P.O. Box 285 Efland, NC 27243 3.40.A.9 Thomas D. Efland 304 Tamassee Drive Clemson, NC 29631 3.40.A.11A Linda K.E. Richardson 103 Grey Bridge Road Cary, PA 27513 3.40.A.13 Herman L. Efland P.O. Box 154 Efland, NC 27243 n NINI DRAFT 3 -18 -91 PLANNING BOARD MINUTES Design standards were mentioned. Stancil responded that it is a possibility that one of the recommendations from one of the work groups will be for design standards for some node in the future. Eidenier noted that the Target Advisory Committee of the Economic Development Commissions has asked that all of the interchanges be reconsidered. MOTION: Burklin moved to accept the Planning Staff recommendation. Seconded by Cantrell. VOTE: 5 in favor. 1 opposed (Waddell) 2 abstained (new members) (2) CP -2 -91 Efland Area Study Presentation by David Stancil. This item was presented at the February 25, 1991 Public hearing. Four citizens spoke to the item at the public hearing. One issue was a request for more information. A copy of the abstract information and memorandum, with attachments, of additional information requested at the'public hearing are attachments to these minutes on pages Stancil reviewed the information included in these attachments. The Planning Staff recommends that the Efland Area Study be received by the Planning Board, and that the Efland node adjustment, plan amendment CP -2 -91, be adopted. Jobsis asked if the residents in the proposed node were notified of the proposed amendment. Stancil responded that a sign had been posted and special letters were sent to the residents but no responses were received and none of those residents spoke at the public hearing. Stancil noted that it seemed that there was some confusion about the meaning of neotraditional planning, the end product. He noted that he did not anticipate a great deal of change in the Efland area. There would probably be mixed uses with recommended standards. Eidenier asked about the Habitat for Humanity project was explained. Stancil responded that MiAl 13 one of the recommendations of the Area Study is that local and civic groups check into the possibility of establishing a local Habitat chapter. Stancil continued that at the February 12 meeting some were concerned that this recommendation would encourage development of low- income housing in the community. The majority seemed to view this recommendation as something to "look into" rather than a recommendation to create low income housing. MOTION: Burklin moved to adopt the recommendation of the Planning Staff. Seconded by Eddleman. VOTE: Unanimous. b. Zoning Ordinance Text Amendments (1) Golf Driving Ranges (a) Article 4.3 Permitted Uses (b) Article 8.8 Special Uses, (c) Article 22 Definitions A presentation was not required. A copy of the abstract and proposed amendment are attachments to these minutes on pages Eidenier stated that one of the commissioners asked that the Planning Board reconsider this item very carefully. The concern was that placing a commercial /recreational facility in an agricultural /residential area might set a bad precedent. Eddleman expressed concern with the lighting and the effect on surrounding residences. Burklin stated he had seen driving ranges which were simply an extension of a golf course and those that eventually became almost an amusement park with video games and batting cages which created a deal of noise and problems for the surrounding area. He continued that he felt this was a use which would require some standards. Kirk stated that in this case a batting cage could not be built. it is a recreational use for profit. Golf driving and practice ranges under this definition does not allow for putt --putt courses or gamerooms. Waddell addressed the requirements from other jurisdictions asking if lighting had been questioned. Kirk responded that to address I ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 SUBJECT: Extended Area Service Filing -------------------------- - - - - -- DEPARTMENT COUNTY MANAGER -------------------------------- ATTACHMENT(S) Extended Area Telephone Service Filing to the North Carolina Utilities Commission PURPOSE: Action Agenda Item No X ---------------------------- PUBLIC HEARING YES NO x INFORMATION CONTACT COUNTY MANAGER EXT 2300 TELEPHONE NUMBER Hillsborough 732 -8181 chapel Hill 968 -4501 Mebane 227 -2031 Durham 688 -7331 To consider the attached filing to the North Carolina Utilities Commission for extended area telephone service for Orange County. BACKGROUND." On April 1, 1991, Southern Bell filed a request with the North Carolina Utilities Commission for a 50% rate reduction plan for the Triangle area with seven digit dialing. This plan would include Orange County. The attached filing requests that the North Carolina Utilities Commission approved an intra- county plan for flat rate service. This request includes all exchanges in Orange County with the exception of Prospect Hill, Timberlake and the area on the Durham County line which is currently served by GTE. Public staff to the Utilities Commission has indicated that they would support our request. RECOMMENDATION(S): Approve the attached filing for extended area telephone service for Orange County and authorize the Chairman to sign the filing on behalf of the Board of Commissioners. It is further recommended that the Board authorize the County Manager to file this request with the North Carolina Utilities Commission on behalf of the Board of Commissioners. 2• BEFORE THE NORTH CAROLINA UTILITIES COMMISSION Request of the orange County ) Board of Commissioners for ) Countywide Extended Area Service (EAS) ) INTRODUCTION Since the mid- 1960's, Orange County has attempted to. unite its geographic community by obtaining approval from the Commission to have toll -free telephone service within the county boundaries. In 1971 the Utilities Commission concluded that EAS should be available between Hillsborough, Chapel Hill and Durham, and issued an order to that effect. However because the Chapel Hill Telephone Company was privately owned by the University, the Court ruled that the University system was not under the Utilities Commission's jurisdiction and therefore could not require them to offer EAS. The Commission has denied subsequent requests. THE PROBLEM Orange County contains 400 square miles with 94,000 people. It is a community divided by its telephone service. The County has six telephone toll areas, served by four different telephone companies. Within the town limits of 3 Chapel Hill there are two toll areas. The County seat, Hillsborough, is a long distance call for a majority of the County residents. The community problems caused by this fragmented local service are numerous. The Schools, because of the prohibitive rates, are unable to make routine calls to verify a child's absence from school. Churches and civic groups, which have limited resources, are unable to make frequent telephone calls to its members because of the tolls. Businesses suffer because the telephone barriers which are totally out of align with community development, deter would - be customers. A 1989 survey of telephone usage showed that residents served by the Hillsborough exchange, make an average of 26.3 calls per month to other Triangle exchanges. The average monthly toll bill was $14.71 for these calls. Residents in Chapel Hill and Mebane made just over 16 calls per month, to other Triangle exchanges. It is clear that when telephone service is organized into districts smaller than our unit of local government, the community suffers from excessively high toll rates with many exchanges with too small a calling area. 4 a PROPOSAL To unite our community and remove financial hardship for many of our citizens, the Orange County Board of Commissioners requests that the North Carolina Utilities Commission approve county -wide local calling within Orange County. This request includes all exchanges in Orange County except Prospect Hill, Timberlake and the area close to the Durham County line which is served by GTE. Furthermore, the County participated in and fully supports the current request before the Commission from the Triangle J Council of Government's for a regional discounted toll plan. This plan along with a favorable ruling on our request for a County -wide EAS, would offer much needed toll relief for the citizens of this area. However, Orange County is still convinced that flat -rate EAS should be within reach and is the proper solution to the Triangle's communication problems. Until the Triangle is made whole and uniform from.a telecommunications perspective, our citizens will suffer from high costs; our social, cultural and economic function will continue to be divided and disrupted; and, we will be less able to attract business that must have the best telecommunications services with the entire Triangle as its market. This request respectively submitted , April, 1991. Moses Carey, Chairman Orange County Board of Commissioners O R A N G E C O U N T Y BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 Action Agenda Item ,#-X=E,— SUBJECT: Standards for Civil Penalties Decision - making DEPARTMENT: PLANNING AND PUBLIC HEARING: Yes xx No INSPECTIONS ATTACHMENTS (S) : Standards for Postponing and Rescinding Making Demand for Payment of Civil Penalties for Continuing Zoning Violations INFORMATION CONTACT: Jim Hinkley Extension 2584 TELEPHONE NUMBERS: Hillsborough 732 -8181 Durham 688 -7331 Mebane 227 -2031 Chapel Hill 968-4501 PURPOSE: To establish standards for demanding pay- ment of civil penalties for zoning viola- tions. BACKGROUND: Over the past year, an increasing number of zoning cases has reached the civil pen- alties stages of enforcement. The Board of County Commissioners faces sometimes difficult decisions in making and delaying demand for payment when violations are not corrected and in rescinding demand for payment when violations are corrected. The Board has asked the Administration to prepare standards to assist it in making fair and consistent decisions when delay- ing and rescinding demand for payment of civil penalties. RECOMMENDATIONS: The Administration recommends that the Board of County Commissioners adopt stan- dards to assist in decision- making in the following areas. 1. Delaying making demands for payment of civil penalties. 2. Rescinding demands for payment of civil penalties. 1 4 2.. STANDARDS FOR POSTPONING AND RESCINDING MAKING DEMAND FOR PAYMENT OF CIVIL PENALTIES FOR CONTINUING ZONING VIOLATIONS Introduction To be noted when assessing and making demand for payment of civil penalties is a stated premiss of Chairperson Moses Carey which has been echoed by others on the Board of County Commissioners. 'our purpose in assessing and making demand for payment of civil penalties for zoning violations is not to generate revenue for the county; it is to prompt property owners to correct those violations.' For the purposes of presenting recommended standards, a brief explanation of the four general stages of zoning enforcement fol- lows. Please note that the responsibilities assigned by the zoning ordinance to the Board lie mainly in stage Three. Stage one. Complaints of alleged violations are received by the Planning and Inspections Department. Premises are inspected, and owners whose properties are not in compliance with zoning provisions are contacted by telephone and certified letters. If after 2 -3 weeks violations remain uncorrected, second certi- fied letters are sent. Stage Two. If violations continue after 2 -3 more weeks, third letters containing explanations of civil penalties are sent with deadlines to correct violations usu- ally ranging from 2 -4 weeks hence. If corrections are not made on or before set deadlines, owners are assessed $100 per day until corrections are made. Stage Three. If violations continue as owners are being as- sessed $100 per day, the Administration recommends to the Board of County Commissioners (normally after 5- 7'weeks) that it make demands for payments of civil penalties. If the Board makes demands, payments are due within 30 days. If the Board de- lays making demands, it can provide extensions if it wishes (typically in 30 -day increments) based on standards given on the following page. Stage Four. If payments of cavil penalties are not received within 30 days after demands are made by the Board, cases are assigned to the County Attorney to take civil action in the courts. r 3 Civil Penalties Decision - making Standards Because of the predicaments individual property owners may get into as they do, or do not, attempt to correct zoning violations, the following decision- making standards are recommended for the Board of county Commissioners' use. Standards for Delaying Making Demand for Payment A number of unforeseen reasons can crop -up for not being able to correct zoning violations within time frames established by the Zoning Officer. Barring imminent danger to the health, safety and general welfare of the people and the environment, the following conditions should apply for postponing making demands for payments of civil penalties or reaching equitable settlements. i. Progress. If property owners (a) appear before the Board, (b) indicate that efforts are being made to correct viola- tions, (c) show substantial progress towards compliance, and (d) state that conscientious endeavors will continue, the Board should consider granting extensions. 2. Weather. Unseasonably wet or cold weather can hamper and delay cleaning -up properties where violations relate par- ticularly to outside storage and junked motor vehicles. The Board should take these factors into consideration. 3. Illness or Disability. Unpredictable illnesses and long- term or permanent physical and mental disabilities are mitigating situations. These can prove to be legitimate reasons for delaying demands for payment. Medical docu- mentation of illness and disability should be required. In addition to those with illness or disability, there may be circumstances where the ages of persons may require special consideration. Standards for Rescinding Demand for Payment of Civil Penalties sometimes violations are corrected after demands for payment of civil penalties are made. In these cases the Board may wish to withdraw its demands for payment. Moreover, where there is hard- ship, the Board may wish to modify its demands or attempt to reach other equitable settlements. 1. Violation Correction. The Board may wish to rescind demand for payment if a violation is corrected. Applicable admin- istrative costs, however, should be collected. 2. Hardship. The Board may wish to rescind demand for pay- ment for circumstances listed in standard 03 in the section above. O R A N G E C O U N T Y BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 Action Agenda Item # - (' SUBJECT: CORNWALLIS HILLS - REVISED PHASING PLAN DEPARTMENT: PLANNING PUBLIC HEARING Yes —x —No ATTACHMENTS) INFORMATION CONTACT: Mary Scearbo Extension 2583 Map of Phases of Cornwallis Hills TELEPHONE NUMBERS: 2/14/91 Letter from Applicant Hillsborough - 732 -8181 2/25/91 Letter from Applicant Durham - 688 -7331 3/18/91 Planning Board Minutes Mebane - 227 -2031 (Draft) Chapel Hill - 967 -9251 Excerpt from Subdivision Regulations PURPOSE: To consider an extension of time to submit a final plat for the final phase of Cornwallis Hills Subdivision. BACKGROUND: Cornwallis Hills is located on the west side of NC 86, about 1/2 mile south of I -85. Four Phases, with a total of 136 lots, have been approved. The first three phases have already been developed. Phase I received Preliminary Plat approval on February 2, 1981, and Final Plat approval on August 17, 1981. Phases II, III, and IV received Preliminary Plat approval on November 4, 1985. The Final Plat for Phase II was approved on June 16, 1986. Final Plats for Phase III were approved were approved August 15, 1988. Phase IV, containing the remaining 28 lots, has not yet been developed due in part to slow lot sales during the past two years. The original request of the applicant was to extend the deadline for Final Plat approval from the existing deadline of April 4, 1991 to December 31, 1991, provided that any letter of credit or other security used to guarantee completion of improvements would 1 2 ` I I expire no later than April 4, 1992. This time - -frame was recommended for two reasons. Extension of the Final Plat approval date to December 31, 1991 would give the applicant an opportunity to sell existing lots during the 1991 selling season. - Expiration of any security agreement by April 4, 1991 would meet the criterion of Section III - D-2-e-7 of the Subdivision Regulations which sets forth conditions under which a phasing plan may be amended. on March 18, 1991, the Planning Board recommended approval of the proposed phasing plan. On April 4, 1991, the applicant submitted a Final Plat for 6 lots. RECOMMENDATION: The Administration recommends approval of the proposed phasing plan revision for Cornwallis Hills. 3 forwarded to the Commissioners. After receiving the Planning Department's report and y the Planning Board's recommendations, the Board of Commissioners shall consider the application and take action on the proposal. All interested persons shall be given the opportunity to speak and ask questions regarding the application. The Board of Commissioners may place reasonable and fair limitations on comments, arguments and questions to avoid undue delay. The Board of Commissioners shall base its action on its findings as to conformity with all applicable regulations and shall: (1) Approve the application; (2) Approve the application subject to conditions; or (3) Deny the application. The Board of Commissioners shall take action on the proposal within forty -five (45) days of the close of the County Commissioners meeting at which the Planning Board's recommendation is submitted to it or within such further time consented to in writing by the applicant. If the Board of Commissioners fails to take action within the specified time period, or extensions thereof, the Board of Commissioners may be deemed to approve the application without conditions. If the Board of Commissioners approves the application subject to conditions, such conditions shall be reasonable and shall seek to insure compliance with applicable regulations and the provision of utilities and /or other facilities needed to serve the proposed development. If the Board of Commissioners approves the application with conditions or denies the application, the reasons for such decision shall be stated in writing to the applicant and entered into the minutes of the meeting at which such action was taken. III- D -2 -o. ACURA Bubsequaat tc ARnroval Amended Upon approval of the Preliminary Plat by the Board of 1/8/90 Commissioners, the subdivider may proceed with the 2/19/91 preparation of the Final Plat, and the installation of or arrangement for required improvements in accordance with the approved Preliminary Plat and the requirements of this Ordinance. If the application is approved or approved with conditions, the Planning Department may issue applicable development permits required to construct, install and use improvements approved as part of the Preliminary Plat approval. Except for the above -19- F1, improvements, no building permits shall be issued to develop any lot or parcel shown on the approved Preliminary Plat until a Final Plat showing such lot or parcel is approved and recorded under this Section.0 Except as provided in Section III- D -2 -c, the applicant shall submit an amended application for review as an original application if he /she proposes to substantially amend or modify his /her application after the Board of Commissioners have approved the Preliminary Plat. The approval of a Preliminary Plat shall be effective for a period of one (1) year from the date of approval by the Board of Commissioners. By the end of that time period, approval of the Final Plat must have been obtained from the Planning Department, although the plat need not have been recorded in the office of the Register of Deeds. Any plat or portion thereof not receiving final approval within the time period set forth herein shall be null and void except under the following conditions: (1) The subdivision is and a phasing plan Preliminary Plat; (2) The period between Preliminary Plat a: Final Plat for the one (1) year; and built in sections or phases, was approved as part of the the approval date of the ad the approval date of the first phase does not exceed (3) The period between the approval date of the Final Plat of the first phase and the approval date(s) of the Final Plat(s) of any subsequent phase(s) does not exceed the time limits specified in the phasing plan of the Preliminary Plat. If no phasing plan is indicated, then the period between Final Plat approvals shall not exceed six (6) months. Where a phasing plan for construction of the subdivision is approved, and construction may not begin until required utilities and /or other facilities are available to serve the development, the expiration date of the Preliminary Plat shall be governed by the time period(s) approved as part of the phasing plan. where a time period has elapsed, the developer shall be required to resubmit a new Preliminary Plat for the tract or portion thereof for which approval has expired. The new plat shall be subject to all applicable regulations in existence at the time of resubmittal. Provided, however, the development phasing plan approved as part of the Preliminary Plat, (hereafter "the phasing plan ") may be amended by the �. Board of Commissioners upon application by the -20- 5 subdivider. In determining whether to approve an amended phasing plan, the Board of Commissioners shall consider: ti (1) whether or not approval of other diligently pursued regulatory requirements can be obtained before the expiration of the time periods established in the phasing plan; and (2) the quality of and length of time of the experience of the subdivider in managing development projects; and (3) whether factors other than market conditions and beyond the control of the subdivider caused a delay in meeting the phasing plan; and (4) whether the development project, if completed consistent with the approved Preliminary Plat, Will tend to aid or meet an important public Policy goal established by the Board of County Commissioners; and (5) whether the application for an amended phasing plan was submitted before the previously approved time limit(s) has lapsed; and (6) the possibility of and practicality of the subdivider and developer completing the development project consistent with Orange County regulations applicable if the phasing plan amendment is not granted; and (7) whether the time by which improvements must be completed or installed would not be extended by the revised phasing plan. After consideration of the evidence submitted by the applicant concerning each of the factors listed above, the Board may, in its discretion and for good cause shown, grant the amendment to the phasing plan unless it concludes that to do so would not maintain or promote, in some specific manner, the general health, safety and welfare. If the Board approves an amendment to the phasing plan, it may require reasonable additional conditions of approval of the unapproved final plat(s). III -D -3. Tina Pat ova I=I-D-3 -a. A iieatiou R LLX§Ken ta Prior to approval of a Final Plat, the subdivider shall have installed the improvements specified in this Ordinance or guaranteed their installation as provided in Section VI. No Final Plat will be accepted for review by the Planning Department unless -21- SEE: \ C MAP 44 J r \ \ E LEIS HILLS PHASES \ - `~ - Applicant. -Z ALLENTON R \ App Zone: LUP - Ip year TransltiOn 4 \ � SCALE: 1 = 400 . M[T 4w r �= ••Ci�.cordGd� y`� . P14." (rec _ P AS F, . C) Ate. .7.147 _ Y :- - 7 415 Clayton Rd. Chapel Hill,N.C. February 11,1991 Mr. Marvin Collins Orange County Planning Director Hillsborough,N.C. 27278 Re: Cornwallis Hills Dear Marvin: I would appreciate your assistance in approaching the Orange County Planning Board for an- amendment to the Phasing Schedule for the Cornwallis Hills development. As you,and they,know,Cornwallis Hills has been in development for several years. Phases I,II,IIIA and IIIB have been finished and over 60 homes have been built and occupied in the development. In our last Phase(IIIB) we sold 9 of the 24 lots immediately after completing the improvements. During this past year,.due to the very bad economic situation,we sold only one lot.Therefore,together with some unsold lots in Phases II and IIIA,we have a total of 21unsold lots. Our present Phasing Schedule calls for us to proceed with another Phase by April 4th(if I am correct)and I am reluctant to develop any morE lots until we sell a few more of our unsold lots.Hopefully themarket will improve during this coming selling season and we will be able to justify developing our next Phase. Will you please ask the Planning Board to grant us an extension of one year to enable us to sell some of our already improved lots before developing any additional ones.If you will advise me when this matter will come before the Planning Board, I will arrange to be there toanswer any questions-Thank you for your assistance in t 's matter. Sinc rye L Melvin F. Rashkis,General Partner Old 86 Limited Partnership ,%iEL R.ASHKI5 RFA i _"j OT 8 February 25,1991• Ms. Mary Scarborough. orange County Planning Department Hillsborough, N.C. 27278 RE: Cornwallis Hills .Dear Ms, Scarborough: Thank you.for responding to my letter to Planning Director,Marvin Collins. I appreciate the time and trouble you took to research the regulations pertaining to my request for an extention to the phasing schedule for Cornwallis Hills -You advised me•that,under the present regulations; this is not possible. In view of that decision, I would like to request that.the date for 'submitting'the• final plat for - our• „next phase'. .( #10 be extended to.- 'December _1.991'.in, order to enable .us to determine ;whether,:'.or not the market justifies.,, our proceeding'with'developinentof another,.gr,oup.'of lots. Tf.` the =.market opens up- and :we sell several:•of: ou'r. present ly: unsold:.'; 'raved 1 ots then we` wi 11 submi.t'l our plans . earl:i er:- .than- .December: 21; :imp If;hawever; the market doesn't, improve: +and .we don't`se „1'1 enough :fats to.;:= _ justify':additioval development•.this year,then'- weamay'•not.submit:' _ Your ad1vi ce : is `very '.hel pfu•1 and I will appreci_ ate your:;keepi ng me . `informed.. ^ ' .of any.developments'that:might affect the way .we'handle this problem. Please advise ,me of -any hearings. that you think I should. attend. :Thanks,- again' for• „your assistance.- - -. :. , .. - •:- • _ - .. _ .•$i Weer y' •- _ - _ - ... • .. - - l vin :f : ' :Rashki s, General. Partner = Me - Ol -d 8611im tee :Partnership =. :. .. •,i• .. tea, .�. _ ..� _ _ -�.'• :: •4 4i5 Clayton Road . , Chapel Hill, North Carolina .27514: (919 968 -85 . MOTION: VOTE: 4 Cantrell moved approval as recommended by the Planning Staff. Seconded by Boland. Unanimous. b. Time Extensions (36 Lots) y (1) Cornwallis Hills - Phase IIIA & IIIB (36 Lots - Hillsborough Township) Presentation by Mary Scearbo. The property in question is located off Old NC 86 (SR 1009) at the end of Lafayette Drive in Cornwallis Hills Subdivision. Cornwallis Hills has been developed in several phases. Phase I received final plat approval on August 17, 1981. Phases II, III and IV (111 lots total) received preliminary approval on November 4, 1985. The most recent approval was on August 15, 1988 for final plat approval of Phases IIIA and IIIB involving 36 lots. There are 28 lots remaining that have not received final plat approval. The Subdivision Regulations were amended on February 19, 1991 to include phasing plans as a component of Preliminary Plat approval. A phasing plan can be amended upon approval of the Board of Commissioners. A listing of the factors found in Section III -D -2 -e used to evaluate a request for a phasing plan revision are as follows: (1) whether or not approval of other diligently pursued regulatory requirements can be obtained before the expiration of the time periods established in the phasing plan; and (2) the quality of and length of time of the experience of the subdivider in managing development projects; and (3) whether factors other than market conditions and beyond the control of the subdivider caused a delay in meeting the phasing plan; and (4) whether the development project, if completed consistent with the approved Preliminary Plat, will tend to aid or meet an important public policy goal established by the Board of County Commissioners; and (5) whether the application for an amended 10 phasing plan was submitted before the previously approved time limit(s) has lapsed; and (6) the possibility of practicality of the subdivider and developer completing the development project consistent with Orange County regulations applicable if the phasing plan amendment is not granted; and (7) whether the time by which improvements must be completed or installed would not be extended by the revised phasing plan. These phasing plan provisions were not in effect when the Preliminary Plan for Phases II, III, and IV of Cornwallis Hills was approved. At that time, a preliminary plat could remain valid as long as progress on completing improvements continued and the period between completion of phases did not exceed one year. The letter of credit for Phases IIIA and IIIB was released on April 4, 1990. Under the prior provisions, the applicant has until April 4, 1991 to receive approval of the Final Plat for Phase IV. In order to obtain Final Plat approval, the improvements would have to be completed, or secured through a letter of credit or other acceptable means. The letter of credit could remain valid for 1 year, and would have to expire no later than April 4, 1992. Due to slow lot sales during the past year, the applicant has not proceeded with development of Phase IV. The applicant has requested additional time to record the last Final Plat. The preliminary plat complies with current regulations and standards. Factor (7) allows for time extensions which do not extend the date by which improvements are completed. The effect of a time extension approved under this provision would be to provide flexibility in the plat approval date, but would provide for no change in the deadline for completion of improvements. It is recommended that the deadline for Final Plat approval be extended to December 31, 1991, as requested by the applicant. The deadline for completion of improvements (or expiration date of letter of credit or other security) would not 11 If lot sales increase during the 1991 selling season, the Final Plat could be submitted for approval. Otherwise, a new Preliminary Plat will have to be approved before the final phase of Cornwallis Hills can be recorded. The Planning Staff recommends that the deadline for approval of the Final Plat for Phase IV be extended to December 31, 1991, with the condition that if a letter of credit or other means is used to secure the construction of improvements, it will be set to expire no later than April 4, 1992. Eidenier noted that if the deadline is allowed to expire, the applicant must go through the entire process again which would be very costly. Scearbo agreed, noting that staff had reviewed the plan and that there are no standards that are different. She felt that this plan would easily be approved again today. This would create flexibility for the applicant without extreme costs which would produce the same results. MOTION: Eddleman moved approval as recommended by the Planning Staff. Seconded by Burklin. VOTE: Unanimous. AGENDA ITEM #9: MATTERS HEARD AT PUBLIC BEARING (8/30/90) a. Comprehensive Plan Amendments (1) LUP -4 -90 JPA Land Use Plan & Agreement (Conceptual Guidelines - Rural Buffer) Presentation by David Stancil. A copy of the abstract information is an attachment to these minutes on pages Rather than proceed with a complete presentation of information already presented, Stancil reviewed a memorandum dated March 5, 1991 which outlines the actions of the Towns of Carrboro and Chapel HILL regarding LUP -4 -90 (Rural Buffer Plan Amendments). A copy of this memorandum is an attachment to these minutes on pages A copy of the Resolution adopted by the Chapel Hill Town Council is also an attachment to these minutes on pages Stancil noted that he has not been informed of any discussion of the Board of Commissioners regarding the proposed joint work group. ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. ACTION AGENDA ITEM ABSTRACT Meeting Date: April 16, 1991 SUBJECT: APPOINTMENTS DEPARTMENT: COMMISSIONERS PUBLIC HEARING YES: NO: XX ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT: Beverly Blythe Ext. 2130 TELEPHONE NUMBER- Hillsborough - 732 -8181 Chapel Hill - 968 -4501 Mebane - 227 -2031 Durham - 688 -7331 ------------------------------------- PURPOSE: The following recommendations are presented for the Board's :onsideration. BACKGROUND: LIBRARY BOARD of TRUSTEES: Consider the recommendation of the Library Board of trustees in filling the vacancy created by the resignation of Mrs. Helen Heriford. This unexpired term will end June 30, 1991 and the zandidate would be eligible for reappointment to a six -year term. The zandidate is Mr. E. G. "Jerry" Eidenier. r.K.L V, TB INDUSTRY COUNC 2urrie and James E. Gibson to thi are for two years and the By -Laws 30. These appointments will bring these initial appointments were do :.he Board for reappointed on Septe All expire on September 30, 1992. I (PIC : Consider s council. Terms of call for all terms t this administrative ne in 1988 and shoul d mber 30, 1990. The c There is no limit o :hey are eligible to serve. RECOMMENDATION(S): As the Board decides. the reappoints of Cleon appointment to the PIC o expire on September matter up -to -date as have been brought to urrent appointments n the number of terms ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT SUBJECT: MINUTES Meeting Date: APRIL 16, 1991 DEPARTMENT: COUNTY COMMISSIONERS ATTACHMENT(S): UNDER SEPARATE -COVER Action Agenda Item No. X Ir PUBLIC HEARING YES: - - - -NO: X -- INFORMATION CONTACT: BEVERLY BLYTHE TELEPHONE NUMBER - Hillsborough - 732 -8181 Chapel Hill - 968 -5401 Durham - 688 -7331 Mebane - 227 -2031 PURPOSE: To correct - and /or approve -the minutes as submitted -for - - -- consideration: March 20, 1991 - Regular Meeting BACKGROUND: In accordance with 153A -42 of the General Statutes, the governing Board has the legal duty to approve all minutes that are entered into the official journal of the Board's proceedings. RECOMMENDATION(S): As the Board decides. r ORANGE COUNTY IiIL.L,siioi,zoL'(; k1 :\O.Ii'I'II C-IMCIIANA j- zwye- MEMORANDUM TO: Sally Kost, Budget Director FROM: John Link, Orange County Manager DATE: March 25, 1991 RE: Attached Request from Gerry House c�ta��.ecr 776.2 Please review the attached request from Gerry House and let's discuss it at our earliest mutual convenience. Thank you. JML /asd Attachment FN: DSK7KOST.DOC �; C x Chapel Hill - Carrboro City Schools Lincoln Center, Merritt Mill Road Chapel Hill, North Carolina 27516 Telephone: (919) 967 -8211 Ext. 226 Fax: 933 -4560 Gerry H. House, Superintendent Mr. John Link Orange County Manager P.O. Box 8181 Hillsborough, NC 27278 Dear John: Neil G. Pedersen, Assistant Superintendent of Support Services Jan E. Calhoun, Assistant Superintendent of Instructional Services March 21, 1991 As a follow -up to our conversation on March 20, 1991, I am reflecting in writing the specifics of our request for discretionary funds from the Capital Improvement Budget. As we have proceeded with our capital improvement projects, we have had to revise the original budget by transferring funds among the projects. The original revised budgets are reflected below: MAR ) -, 199, With these transfers, we anticipate a $95,585 shortfall. The shortfall is reflected in the high school's budget because that project is the last one to be completed. The shortfall is caused by an unanticipated cost for clean dirt fill to replace unstable soil which had to be removed from the Carrboro, FPG and Chapel Hill High School sites. The total cost for this soil removal and replacement work is $178,188; however, we are able to cover a portion of the cost from the original budgets. For the remaining $95,585, the Chapel Hill- Carrboro Board of Education is requesting that the Orange County Commissioners appropriate the amount from the CIP discretionary fund. We appreciate your consideration of this request. Sincerely, Ger V 0 use Superintendent GH/jaw QRIGINAL BUDGET PROJECT B= PAY AS PROJECTED PROJECTED REVISED YOU GD EXPENDIIQ E i OVER (SHQRI) BUDGET Seawell 2,515,050 2,313,670 201,380 2,313,670 Carrboro 1,524,037 1,609,258 (85,221) 1,609,258 L Phillips 2,058,787 2,137,586 (78,799) 2,137,586 CHHS 6,466,162 6,447,639 18,523 6,352,054 Culbreth 435,964 N- 492,951 (56,987) 492,951 FPG 1.826.200 1 920.681 9( 4.481) 1,920,681 Total 13.000.000 1.826.200 14.M-785 (95,585) 14.826.200 MAR ) -, 199, With these transfers, we anticipate a $95,585 shortfall. The shortfall is reflected in the high school's budget because that project is the last one to be completed. The shortfall is caused by an unanticipated cost for clean dirt fill to replace unstable soil which had to be removed from the Carrboro, FPG and Chapel Hill High School sites. The total cost for this soil removal and replacement work is $178,188; however, we are able to cover a portion of the cost from the original budgets. For the remaining $95,585, the Chapel Hill- Carrboro Board of Education is requesting that the Orange County Commissioners appropriate the amount from the CIP discretionary fund. We appreciate your consideration of this request. Sincerely, Ger V 0 use Superintendent GH/jaw PROCLAMATION TRANSPORTATION ALTERNATIVES WEEK WHEREAS, transportation by single occupied vehicle creates traffic congestion and negative environmental impacts, and WHEREAS, considerable public funds are required to support the infrastructure of the single occupied vehicle, and WHEREAS, public transportation systems reduce congestion on our roads and lessen the negative impacts on our environments, and WHEREAS, a comprehensive public transportation system allows access to jobs and independent living for citizens without automobiles or for those unable to drive, and WHEREAS, government has a responsibility to educate its citizens about the benefits of public transportation systems, and WHEREAS, Because April 21, 1991 is Earth Day, the Orange County Board of Commissioners proclaims April 21, 1991 through April 27, 1991 as TRANSPORTATION ALTERNATIVES WEEK BE IT RESOLVED THAT the Board encourages an understanding of the benefits which public transportation offers its citizens and the cost associated with the dependence on the single occupied vehicle, and BE IT FURTHER RESOLVED that the Board of Commissioners encourage and support the use of public transportation services and alternative transportation modes such as carpools, bicycles, vanpools and pedestrian travel. This the 15th day of April, 1991. Moses Carey, Jr.., S E A L RESOLUTION AUTHORIZING DISPOSAL OF CERTAIN ORIGINAL REGISTER OF DEEDS RECORDS WHEREAS, G.S. 121 -5 provides that the Board of County Commissioners may authorize the destruction or disposal of any official county records when (1) the custodian of such records certifies to the North Carolina Department of Cultural Resources ( "Department ") that they have no further value for official business and (2) the Department certifies that such records appear to have no further use or value for research or reference; and WHEREAS, the Register of Deeds of Orange County, as a custodian of large numbers of such records, has a need to seek their destruction or disposal on a frequent basis after the records have been microfilmed and converted to the optical disk imaging system; and WHEREAS, the Orange County Board of Commissioners wishes to allow the destruction and /or disposal of such records in the most efficient manner consistent with applicable laws. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Orange County that records of the Orange County Register of Deeds office identified in Exhibit A to this Resolution, which exhibit is entitled "REQUEST FOR CHANGE IN RECORDS SCHEDULE," may be destroyed or otherwise disposed of on a continuing basis upon the certification from the Register of Deeds and "Department" provided above. This resolution shall be duly entered in the minutes of this Board. ADOPTED this AI, day of _ �� _ , 1991. S E A L Approval for the above received from the Department on Monday, March 25, 1991, in a telephone call from Al Hargrave. See attached request that was forwarded to the Department. Said request identifies those records that will.be removed from the public registry. r RAFMOL 11"UV OFARPRFCI.4 "0W ZOO" CHRIS.BT~ WHEREAS, Chris Best actively served on the Orange County Planning Board from March 6, 19$5 to February 1, 1991; and WHEREAS, Chris improved the quality of decisions through his leadership as Chair of the Transportation Advisory Subcommittee and as a member of the Ordinance Review Committee; and WHEREAS. Chris gave of his skill and talent to benefit the citizens of Little River Township as their representative in judging the merits of potential land development and transportation facilities; and WHEREAS, Chris, through his hard work and dedication, earned the respect and appreciation of government officials, his peers, and the citizens of Orange County; NOW, THEREFORE BE IT RESOLVED that the Orange County Board of Commissioners expresses its sincere appreciation and gratitude for Chris's many years of service and contributions to Orange County. ADOPTED this 6th day of May, 1991 Moses Carey, Cha A Orange County Boarg of Commissioners ,� -/6, -y/ :i7o 7t for 1sARRY, jAcoBs WHEREAS, Barry Jacobs actively served on the Orange County Planning Board from August 20, 1985 to February 1, 1991; and WHEREAS, Barry improved the quality of decisions through his leadership as Chair from January 27, 1986 to January 15, 1990, and Vice -Chair from January 16, 1990 to February I, 1991; and WHEREAS, Barry gape of his skill and talent to benefit- all the citizens of Orange County in judging the merits of potential land development; and WHEREAS, Barry, through his hard work and dedication, earned the respect and appreciation of government officials, his peers, and the citizens of Orange County; NOW, THEREFORE BE IT RESOLVED that the Orange County Board of Commissioners expresses its sincere appreciation and gratitude for Barry's many years of service and contributions to Orange County. ADOPTED this 6th day of May, 1991. Moses Carey, Ch r Orange County Board f County Commissioners fig _ y� BEFORE THE NORTH CAROLINA UTILITIES COMMISSION Request of the Orange County ) Board of Commissioners for ) Some In- County Extended ) Area Service (EAS) ) INTRODUCTION Since the mid- 1960's, Orange County has attempted to unite its geographic community by obtaining approval from the Commission to have toll -free telephone service within the county boundaries. In 1971 the Utilities Commission concluded that EAS should be available between Hillsborough, Chapel Hill and Durham, and issued an order to that effect. However, because the Chapel Hill Telephone Company was privately owned by the University, the Court ruled that the University system was not under the Utilities Commission's jurisdiction, and that therefore, the Commission could not require it to offer EAS. The Commission has denied subsequent requests. THE PROBLEM Orange County contains 400 square males with 94,000 People. It is a community divided by its telephone service. The County has six telephone toll areas, served by four different telephone companies. Within the town limits of Chapel Hill there are two toll areas. The County seat, Hillsborough, is a long distance call for a majority of the County residents. The community problems caused by this fragmented local service are numerous. The Schools, because of the prohibitive rates, are unable to make routine calls to inquire to the reason for a child's absence from school. Churches and civic groups, which have limited resources, are unable to make frequent telephone calls to their members because of the tolls. Businesses suffer because the telephone barriers which are totally out of alignment with community development, deter would -be customers. A 1989 survey of telephone usage showed that residents served by the Hillsborough exchange make an average of 26.3 calls per month to other Triangle exchanges. The average monthly toll bill was $14.71 for these calls. Residents in Chapel Hill and Mebane made just over 16 calls per month to other Triangle exchanges. it is clear that when telephone service is organized l into districts smaller than our unit of local government, the community suffers from excessively high toll rates with many exchanges with too small a calling area. PROPOSAL To unite our community and remove financial hardship for many of our citizens, the Orange County Board of Commissioners requests that the North Carolina Utilities Commission approve intra- County calling between three of the six exchanges serving Orange Citizens (Chapel Hill, Hillsborough, and the orange County portion of Mebane). We are aware of today's difficulty in splitting an exchange, and thus, with the recommendation of the Public staff, we exclude the Orange portions of the Durham, of the Prospect Hill and of the Timberlake exchanges at this time. The Orange County Commissioners do strongly believe that all the people in a given county ought to be able to call each other toll -free and at a reasonable extended area flat rate based on cost of service. Moreover where our largest city, Chapel Hill, has extended its city limits into Durham County, those citizens should also have toll -free service with Orange County while not losing their home county. Just as tolls within a county disrupt life, so do tolls within a city, especially one that crosses a county boundary. The County participated in and fully supports the current request before the Commission from the Triangle J Council of Government's for a regional discounted toll plan. This plan along with a favorable ruling on our request for intra- county EAS between three of our six exchanges, would offer much needed toll relief for the citizens of this area. However, Orange County is still convinced that flat --rate EAS should be within reach and is the proper solution to the Triangle's communication problems. Until the Triangle is made whole and uniform from a telecommunications perspective, our citizens will suffer from high costs; our social, cultural and economic functions will continue to be divided and disrupted; and, we will be less able to attract business that must have the best telecommunications services with the entire Triangle as its market. This request respectively submitted , April, 1991. Moses Carey, Chairman Orange County Board q Commissioners �� Oz:A_ GE COL - Ty 1i1L1...SBOROUGII \ORT11 &rralLXeW /7S_9 April 17, 1991 Mr. Gene Clemmons Public Staff, NC Utilities Commission 430 North Salisbury Street Raleigh, NC 29520 Dear Mr. Clemmons: Enclosed please find Orange County's request for flat rate intra-- county telephone calling between three of the six exchanges serving Orange County citizens. We are aware of today's difficulty in splitting an exchange, and thus, as recommended by you, have excluded the Orange County portions of the Durham exchange, the Prospect Hill and Timberlake exchanges. The Orange County Board of Commissioners do however, strongly believe that all the people in a given county ought to be able to call each other toll --free and at a reasonable extended area flat rate based on cost'of service. We appreciate your help in our efforts to achieve improved telephone service for the citizens of this County. We look forward to hearing from you as this request is prepared to go before the Commission. S elY, t John Link County Manager F Page 1 of 12 1991 - 1992 CONSOLIDATED CONTRACT BETWEEN THE STATE OF NORTH CAROLINA AS REPRESENTED BY THE DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES (Hereinafter called the "State ") i ZA ORANGE COUNTY HEALTH DEPARTMENT (Name of Local Health Department) (Hereinafter called -the "Department") FOR THE PURPOSE OF MAINTAINING AND STIMULATING THE ADVANCEMENT OF HEALTH IN NORTH CAROLINA This Contract Shall Cover a Period From July 01, 1991 to June 30, 1992 NOW, THEREFORE, the State and the Department agree that the provisions and clauses herein set forth shall be incorporated in and constitute the terms and conditions applicable for the following activities involving State funding. (State funding or funds means state, federal, and /or special funding or funds throughout this contract.) ACTIVITY ACTIVITY General Child Health Tuberculosis DEHNR 2946 (Revised 02/91) Division of General Services (Review 02/92) Maternal Health Family Planning,, CSHS Orthopedic Adult Health Health Promotion Page 2 of 12 A. WORK TO BE PERFORMED 1. The Department shall perform activities in compliance with applicable program rules contained in the North Carolina Administrative Code as well as all applicable Federal and State laws and regulations. 2. The Department shall submit for approval the required Program Contract Addenda for State funded budgets. 3. The Department shall submit completed reports as required by budgeted funding criteria and as specified in Listing_ of Required Fiscal and Statistical Reports (Addenda 1). 4. The Department shall administer and enforce all rules which have been adopted by the Commission for Health Services or approved by the State and adopted by the Local Board of Health. 5. The Department shall provide to the State copies of rules adopted by the Local Board of Health pursuant to G.S. 130A -39 and Public Health Ordinances adopted by the County Commissioners. Copies of existing rules and ordinances shall be submitted to the State Health Director within 45 days. Thereafter, copies of rules adopted shall be submitted within 30 days of adoption. 6. The Department shall provide to the State a Community Diagnosis Prioritization of Needs every biennium. The Department shall also provide a Community Diagnosis narrative, if completed. B. FUNDING STIPULATIONS 1. Funding for this contract is subject to the availability of State, Federal, and special funds for the purpose set forth in this Contract. 2. During the period of this Contract, the Department shall not use State funds received under this Contract to reduce locally appropriated funds as reflected in the Local Health Department Budgets. 3. The Department shall not use personal health program funds to support environmental health personnel nor use environmental health program funds to support personal health programs. 4. The Department shall comply with Standards for Mandated Public Health Services, 10 NCAC 12, Section .0200; and Administrative Procedures Manual for Federal Block Grant Funds, 1 NCAC 33, Sections .0100 - .1502. 5. The Department shall maintain employee time records for the contract period documenting the portion of time that each employee attributes to each activity when State funds are budgeted for the support of employee salaries and fringe benefits. The percentage of time each employee spends in each activity shall be converted to dollars based upon the employees' salary and benefits. These records will serve to document salary and benefit expenditures reported on DEHNR Form 2949, DEHNR Form 2950, and compliance with Chapter 479, Section 99 of the 1985 Session Laws. Page 3 of 12 6. The Department participating in Medicaid Reimbursement shall: a. Comply with the terms of the Memorandum of Understanding between the Division of Medical Assistance and the Division of Health Services and the Local Participation Agreement dated July 1, 1984. b. Make every reasonable effort to collect its cost in providing services, for which Medicaid reimbursement is sought, through public or private third party payors except where prohibited by Federal regulations or State law. No one shall be refused services solely because of an inability to pay. All payments from persons, public or private third party payors, shall be utilized for the activity that earned it and shall not reduce or replace locally appropriated funds during the period of this Contract. Use of program income generated by the expenditure of Federal categorical funds will be governed by applicable Federal regulations, including but not limited to, 45 CFR 74. 7- The Department agrees to match the expenditure of Adolescent Pregnancy Prevention Project grant funds with local (i.e., non - federal, non- state) resources in the form of cash or in -kind match. Payment from the State shall be in accordance with Chapter 500, Section 91 of the 1989 Session Laws. 8. Funds budgeted for Adolescent Health Activities shall not be expended for dues or out -of -state travel unless prior approval is received from the Pram. 9. Subject to the approval of the appropriate Division, a local health department may seek reimbursement for services covered by a program operating under 10 NCAC 4C rules when those services are not supported by other state or federal funds. All payment program rules and procedures as specified in the Purchase of Care manual must be followed. 10. Subject to the availability of funds and approval of the Office of Public Health Nursing, a local health department may request reimbursement for: a. Nursing service personnel participating in the Introduction to Public Health and Public Health Nursing course and the Supervisors Training Course. Reimbursement is limited to no more than $200.00 per week per participant upon successful completion of the course. b. Nursing service personnel attending Continuing Education offerings which are identified by letter from the Office of Public Health Nursing as being eligible under the nurse training funds. Reimbursement is limited to $25.00 per participant per event. 11. The Department shall have an annual audit performed in accordance with The Single Audit Act of 1984 as implemented by OMB Circular A -110. Audit findings and resolution of said findings shall be handled by the Division of Fiscal Management, Special Accounting Section. Page 4 of 12 12. Equipment is a type of fixed asset consisting of specific items of property that: (1) are tangible in nature; (2) have a life longer than one year; and (3) have a significant value. a. For Budgeting and Reporting Purposes 1. Equipment purchases meeting the above definition and having an acquisition cost of $500 or more must be budgeted and reported in Line Item 5000. 2. Women, Infants and Children Program All medical equipment and all other equipment with an acquisition cost of $500.00 or more must be budgeted and reported in Line Item 5000. b. For Inventory Purposes 1. Equipment must be accounted for in accordance with Local Government Accounting System Procedure No. 15. 2. Women, Infants and Children Program All medical equipment and all other equipment with an acquisition cost of $500.00 or more must be inventoried with the Division of Maternal and Child Health. Cameras and accessories, calculators, projectors, tape recorders, dictating equipment, video equipment and accessories, computers and accessories and computer software with a cost of $100.00 or more, and all books and films regardless of cost must be recorded on the Fixed Asset System. c. For Prior Approval Purposes 1. Equipment purchased or equipment leased where there is an option to purchase with State /Federal funds must receive prior written approval from the appropriate Division, Section, or Branch when the acquisition cost exceeds $500.00. 2. Women, Infants and Children Program All medical equipment and all other equipment with an acquisition cost of $500.00 or more must receive prior approval from the program office. 3. Equipment purchased with program income generated by the expenditure of Title X Family Planning Funds with an acquisition cost of $500.00 or more must receive prior written approval from the program. C. FISCAL CONTROL 1. The Department shall comply with Control Act, North Carolina General Page 5 of 12 the Local Government Budget and Fiscal Statute Chapter 159, Article 3. a. The Department shall maintain a purchasing and procurement system in accordance with generally accepted accounting practices and procedures set forth by the Local Government Commission. b. The Department shall execute written agreements with all parties who invoice the Department for payment for the provision of services to patients. c. The Department shall receive prior approval from the State when subcontracting for services in the Women, Infants and Children Program. d. When subcontracting, the following conditions must be met: 1. The Department is not relieved of any of the duties and responsibilities provided in this contract. 2. The subcontractor agrees to abide by the standards contained herein or to provide such information as to allow the Department to comply with these standards. 3. The Department will make available to the State upon request a copy of subcontracts supported with State /Federal funds. e. The Department shall retain all budgets, budget revisions, contracts, contract addenda, and financial records in accordance with the current Records Disposition Schedule for County and District Health Departments issued by the Division of Archives and History, Department of Cultural Resources. 2. The Department shall prepare and maintain a budget for each activity covered by this contract in a manner consistent with instructions provided with DEHNR Form 3370 (Rev. 2/90) and DEHNR Form 2948 (Rev. 2/90). a. The Department shall prepare budget revisions for prior approval of the State when those revisions are in the School Health Program (Line Item 6200). b. The Department shall prepare budget revisions for prior approval of the State when State funds will be increased or decreased. c. The Department shall prepare an informational copy for the State of all other budget revisions when proposed expenditures exceed the line amount budgeted. Page 6 of 12 d. The Department shall submit all revisions prior to the end of the term specified in this Contract. Budget revisions received by the State after the end of the contract period will be returned without action. 3. The Department shall observe the following conditions when budgeting and reporting earned income revenues (escrow): a. All earned income must be budgeted in the program where earned, except that income earned by a program which has no activity budget can be budgeted in a program approved by the State. b. Line Item 9000 in the program budget shall be used to budget TXIX fees. c. Line Item 102 in the program budget shall be used to report TXIX fees received which are used to support TXIX expenditures shown in Line Item 9000. d. Line Item 6864 in Activity 3109, Transfer of Escrow Funds, only shall be used to show anticipated TXIX earnings. e. A local account shall be maintained for unbudgeted /unreported TXIX fees transferred to the Department. Accounts shall be maintained in sufficient detail to identify the program source generating the fees. f. No more than one year's transfer of escrow funds (or $10,000.00) whichever is greater) for any activity can be carried forward from one year to the following year. 4. The Department shall submit a quarterly report of actual receipts and expenditures of the Department according to instructions provided with Expenditure Reports, DEHNR Form 2949 (Rev. 9/89) and DEHNR Form 2950 (Rev. 9/89). a. The Department shall submit uKter1y expenditure reps to the State within 45 days _frim -th end of the_ reporting quarter._ b. The Department shall submit the final Expenditure Report to the State within 45 days after the end of the contras period. ~ ^' C. The Department shall submit amended or corrected expenditure reports within six (6) months after the end of the contract period. Amended or corrected expenditure reports received after December 31 will be returned without action. d. The Department shall refund to the State all State funds not supported by expenditures within 10 days after notification of overpayment. e. The Department shall follow Women, Infants and Children Program and other Federal program reporting requirements when they differ from those stated above. f. The Department shall submit WIC expenditure reports to the State no later than the 8th of the month. M Page 7 of 12 g. Reimbursement of WIC approved expenditures for July, August, and September cannot exceed one - fourth of the total budget for the contract period. h. The Department shall submit expenditure reports for Mosquito Control activity in accordance with 15 A NCAC 18 B, Sections .0104 and .0107. i. The Department shall submit request for payment for services provided under 10 NCAC 4 C rules to the Claims Processing Unit, DEHNR Division of Fiscal Management. j. The Department shall submit request for reimbursement for nurse training to the Office of Public Health Nursing. 5. The Department shall submit on an annual basis Staff Time Activity Report, DEHNR Form 3389. The report shall accompany the final expenditure report and must be received by the State within 45 days after the end of the contract period. 6. For Adolescent Health Activity, the Department agrees to (1) have responsibility for the immediate direction and supervision of the activities supported through the contract, which will be conducted in accordance with the amended plan /update submitted by the Department; (2) submit any media material in writing to the Division of Maternal and Child Health for approval prior to release to the public; (3) submit a mid -year report on progress in meeting project objectives by January 31, 1992; (4) submit an evaluation report demonstrating achievement of stated goals no later than August 15, 1992. D. PERSONNEL POLICIES The Department shall adhere to and fully comply with State personnel policies as found in North Carolina General Statute, Chapter 126, and 1 NCAC 8. Such policies include, but are not limited to, the following: 1. Equal employment opportunity; 2. Affirmative action; 3. Policies for local government employment subject to the State Personnel Act; 4. "Local Classification and Salary Range "; 5. "Compensation Policy for Local Competitive Services Employees "; and 6. "Recruitment and Selection Policy and Procedures "; 7. Environmental Health Specialists employed by the Department shall be delegated authority by the State to administer and enforce State environmental health rules and laws as directed by the State pursuant to G.S. 130A -4(b). This delegation shall be done according to 10 NCAC 10A .2300. Page 8 of 12 a. Local health departments are responsible for sending their newly - employed environmental health specialists (interns) to 20 days of initial field training /orientation at one of the designated training centers within 90 days from date of employment. b. The employing health department shall reimburse the training center(s) $25 per day for providing initial field training /orientation for the newly - employed environmental health specialists. c. Initial field training /orientation centers shall be paid within 90 days by the employing health department for services rendered. d. Arrangements for initial field training /orientation including designation of the training center for newly -- employed environmental health specialists will be handled by the Environmental Health Services Section, Division of Environmental Health. E. CONFIDENTIALITY All information as to personal facts and circumstances obtained by Department personnel in connection with the provision of services or other activity under this Contract shall be privileged communication, shall be held confidential, and shall not be divulged without the responsible person's written consent except as may be otherwise required by applicable law or regulation. Such information may be disclosed in summary, statistical, or other form which does not directly or indirectly identify particular individuals. F. CIVIL RIGHTS The Department shall assure that no person, on the grounds of race, color, age, religion, sex, marital status, or national origin (unless otherwise medically indicated) or otherwise qualified handicapped individual solely by reason of his /her handicap be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity covered by this Contract. The Department shall complete HEW Form 441, Assurance of Compliance with the Department of Health and Welfare regulations, under Title VI of the Civil Rights Act of 1964; for the Womens, Infants and Children Program, FNS -64, Assurance of Compliance with the Department of Agriculture Food and Nutrition Service, under Title VI of the civil Rights Act of 1964; and HEW Form 641, Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973. G. RESPONSIBILITIES OF THE STATE 1. The State shall provide to the Department upon request technical assistance in the preparation of the Consolidated Contract /Activity Budgets and Contract Addenda. Page 9 of 12 2. The State shall specify those administrative forms /reports and their respective revision dates that are required by particular activities Pertaining to the Department's budget with the State in Listing of Re fired Fiscal and Statistical Reports (Addendum 1) for the contract period. New forms /reports not listed in Required Fiscal and Statistical Reports shall be implemented during a contract period only with the approval of the State Health Director. 3. The State shall provide to the Department within thirty (30) days after receiving an activity budget from the Department an approved signed copy of the budget. 4. The State shall provide funds to the Department upon approval of the Contract Addenda, activity budgets, and signing of this contract. 5. The State shall assist the Department to comply with all applicable laws, regulations, and standards relating to the activities covered in this contract. 6. The State reserves the right to conduct reviews to determine compliance with the terms of this contract. 7. The State shall be assured that the Department maintains expenditure of locally appropriated funds for maternal health, child health, and family Planning activities equal to or greater than that reported on the Staff Time Activity Report for the period beginning July 1, 1984, and ending June 30, 1985. This maintenance of effort shall be measured by salary equivalencies which are to be maintained in accordance with Section B. 5. of this contract. H. DISBURSEMENT OF FUNDS The State shall disburse funds to the Department as follows: 1. For departments selecting monthly payments through the GMTS option -- Provided the Consolidated Contract is properly executed and all quarterly expenditure reports are filed within the established time frames, payments equal to 1/12 of the total program approved budget shall be made on the 15th of each month as follows: July October February August November April September January May Based on expenditures reported for the first, second, and third quarters, payments shall be adjusted either upward or downward, in payments made on the 15th of the following months: December March June 0 Page 10 of 12 2. For Departments selecting monthly payments through the check option Provided the Consolidated Contract is properly executed and all quarterly expenditure reports are filed within the established time frames, Payments equal to 1/12 of the total program approved budget shall be made by the 25th of each month as follows: July October March August December April September January June Based on expenditures reported for the first, second, and third quarters, payments shall be adjusted either upward or downward, in payments made on the 25th of the following months: November February May 3. For departments selecting quarterly reimbursement option, payments shall be made by the 25th of the month in which the quarterly expenditure report is received. 4. For departments receiving Rural Obstetrical Care Incentive funds, payment of such funds shall be made in one lump sum the month following receipt and approval of the activity budget. 5. Quarterly payment for reported expenditures in Line Item 1000 shall be limited to one- fourth of the budgeted amount in that line item. 6. Increased or decreased payments necessitated by changes in the total budgeted amount will be reflected in the monthly payments subsequent to approval of the budget revision. 7. Payments shall be suspended when expenditure reports are not received by the time specified. Payments will resume on the specified dates in the months subsequent to receipt of the expenditure reports. 8. Payment is limited to the total amount of the budget by line item. 9. Final payments will be made based on the 4th quarter expenditure report. Final payments will be equal to the difference between approved reported expenditures and the sum of previous payments. Final payments should be made not later than September 15th. 10. Transfer of TXIX Fees a. Upon receipt of Title XIX fees, transfer of such funds will be made to departments participating in GMTS on the 15th of the month and to departments not participating in GMTS on the 25th of the month. I Page 11 of 12 b. When fees received exceed the amount shown by program in Activity 3109 an internal adjustment will be made to increase the amount shown. I. AMENDMENT OF CONTRACT Amendments, modifications, or waivers of this contract may be made at any time by mutual agreement of all parties. Amendments shall be in writing and signed by appropriate authorities. J. PROVISION OF TERMINATION This contract may be terminated for reasons other than non - compliance upon sixty (60) days written notice by either party. If termination should occur, the Department shall receive payment only for allowable expenditures. The State may withhold payment to the Department until the State can determine whether the Department is entitled to further payment or whether the State is entitled to a refund. K. COMPLIANCE I. The State shall assure compliance with all terms of this contract. a. Upon determination of non - compliance, the State shall give the Department sixty (60) days written notice to come into compliance. If the deficiency is corrected, the Department shall submit a written report to the State which sets forth the corrective action taken. b. If the above deficiencies should not be corrected to the satisfaction of the State after the sixty (60) day period, disbursement of funds for the particular activity may be temporarily suspended pending negotiation of a plan of corrective action. C. If the deficiency is still not corrected within the next thirty (30) days following temporary suspension of funding, program funds may be permanently suspended until the Department can provide evidence that the deficiencies have been corrected. d. In the event of the Department's non - compliance with clauses of this contract, the State may cancel, terminate, or suspend this contract in whole or in part and the Department may be declared ineligible for further State contracts or agreements. Such terminations for non - compliance shall not occur until: (1) the provisions of Section K -1 (a -c) have been followed, documented, and have failed to provide a resolution, (2) all other reasonable administrative remedies have been exhausted. 2. If the Department or the State should be determined out of compliance with the provisions of the contract, either party may file a formal appeal with the Office of Administrative Hearings. Page 12 of 12 IN WITNESS WHEREOF, the Department and the State have executed this agreement in duplicate originals, one of which is retained by each of the parties. LOCAL SIGNATURES DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES William W. Cobey, Jr., Secretary Health Director Da e Finance Officer Date Chairman of County ate Commissioners CuJ U C) t �iq Department Head's Signature or Authorized Agent DEHNR P & C 2 2 1"J, LOCAL HEALTH DEPARTMENT BUDGET N.C. Department of Environment, Health, and Natural Resources Revision Number — Division of General Services 5- � SFY Division of General Services _ p 0 p O. Number 07 / 91 / �� 9 2 0 6� Effective Date Termination Date Cantracc Number Activity: Project Director: Total Budget: $ General AOAIA (e* r 17q/ LocA hr�s - AjIt Official Signature Date H=a Division /Section Signature Date Finance Officer Signature D1HNR 2948 (Revised 2/90) General Services Division (Review 2/93) 4 —i7 -yr Date 06 -/3- f - �� Fiscal Management Signature Date DEHNR P & C APR 2 2 1991 N.C7 Department of Environment, Health, and Natural Resources Division of General Services SFY LOCAL HEALTH DEPARTMENT BUDGET Division of Maternal and Child Health 07 / 91 06 / 92 Effective Date Termination Date Contractor: _ CIIRA= CC(%= da'P'AT T14 DEMMEM Revision Number — .- _,9.Z 5�6 O S/ P. O. Number 9 2 0 6 8 Contract Number Activity: Child Health Project Director: —D=4-el- R Re;mer -- Total Budget: $ _ 471,991 (7/� / f Au orized Official Signature Date bmrwj� H=d Division/SectioM Signatu`�' rLo Date wo.t Finance Officer Signature Date Viscal Mana cnt Signa a Da e DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E X P E N D Y ,, U STATE EXPENDITURES: Salaries & Fringe Benefits Operating Expenses Purchase of Equipment General Contracted or Purchased Services School Health Clinician Laboratory Pharmacy Services f Transfer TXIX SA/FR 1000 34, 7 OP EXP 2000 10,907 _ EQUIP 5000 Subtotal Local Funds $ GENERAL 6100 12,469 SCH HLTH 6200 RP994 _ CLN ....... 6863.... .. 0 ............................ . P LAS 6862 T RX SERV 6865 .. ... . ........... .. ........ ... 68ft+ '.> :`: <' >= >;>::. ::>> ::''` .. R Subtotal State E nd. TOTAL RECEIPTS — equal to Total Expenditures $ 471,991 $ 65 572 E LOCAL EXPENDITURES: LOCAL EXP 9000 406.419 S I TOTAL EXPENDITURES — equal to Total Receipts $ 471,991 (7/� / f Au orized Official Signature Date bmrwj� H=d Division/SectioM Signatu`�' rLo Date wo.t Finance Officer Signature Date Viscal Mana cnt Signa a Da e DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) LOCAL FUNDS: R Appropriation APPROP 101 - - __3.58842 .. _. TXIX /SSBG 102 -- - -- 4.7.577 -- -- . E TXLX /SSBG Fees Other Receipts OTHR REC 103 C Subtotal Local Funds $ E STATE /FEDERAL /SPECIAL FUNDS: Y P T 53,s/ - tXX)' 65,572 S Subtotal State/Federal/§ $ 65,572 TOTAL RECEIPTS — equal to Total Expenditures $ 471,991 (7/� / f Au orized Official Signature Date bmrwj� H=d Division/SectioM Signatu`�' rLo Date wo.t Finance Officer Signature Date Viscal Mana cnt Signa a Da e DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) DEHNR P & C JUN 1 0 iocl DEHNR P & C APR 2 2 1991 N.C. Department of )environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Children and Youth Office, Section, or Branch orawe LbffiZr Health De4artrnent Contractor Page 1 of 4 F+ 1992 53s/ 92- 54K-06g Cor,rract Number Child Health Acnv►ry 1 • An estimated 600 (number) child health screenings (i.e. well -child assessments) will be provided by Health Department staff to children less then 5 years of age. HSIS Report: CHILD HEALTH ACTIVITY SUMMARY (Item IV -A.). 2. An estimated_2.50 (number) child health screenings (i.e. well -child assessments) will be provided by Health Department staff to children 5 years of age or older. HSIS Report: CHILD HEALTH ACTIVITY SUMMARY (Item IV.A.) 39 An estimated 90 X of those infants less than 12 months of age that are served in child health clinic will receive WIC Program services. 4. An estimated 60 X of those children one to five years of age that are served in child health clinic will receive WIC Program services. DEHNR 3300 (Revised 2/94) General Services Division (Review 1/95) Reviewed by c_ Initials - - 7/ Date Children and Youth Office, Section, or Branch N.C. Department of Environment. Health, and Natural Resources Page 2 of Division of General Services CONTRACT ADDENDUM Fy 1992 33x1 9234-21-068 Contract Number QoMe_ k= Health Departuent Conrractor Child Health Activiry 5. Persons enrolled in the Health Department's Child Health Program will be provided the following services each time they receive a screening assessment as documented in the medical records: (a) An estimated 95 % will receive a health history (initial or interim) which consists of at least 4 of the following 6 components: medical; family; developmental /social; interim including review of systems; immunizations, and present illness detail. (b) An estimated 95 % will receive a physical examination which consists of at least 14 of the following 16 components: blood pressure (4 years of age); eyes (Red Reflex /Pupils); acuity; eye muscle balance; ears (canals /drums); hearing; mouth; teeth /gums; heart; lungs; abdomen; genitalia; extremities /hips; back /spine; skin, and lymph nodes. (c) An estimated 98 X will receive an age appropriate developmental evaluation recommended in the attached SCHEDULE OF HEALTH SERVICES FOR CHILDREN. (d) An estimated 98 % of children will have weight for age, length /height for age and weight for length /height plotted on an age and sex specific growth chart. (Note: It is only appropriate to plot weight for length /height for children less than 11 years of age.) (e) An estimated 95 X will have a dietary recall or food frequency. (f) An estimated 95 x will receive age appropriate laboratory services as recommended in the attached SCHEDULE OF HEALTH SERVICES FOR CHILDREN. (g) An estimated 90 X of those children that are high risk as defined on page D--42 of the Child health Manual will be screened for lead toxicity. (h) An estimated 100 % of those children with suspected /identified problems will be referred or receive consultation from an appropriate source. (i) An estimated 100 2 will receive appropriate counseling /anticipatory guidance which consists of at least 3 of the following 7 components: nutrition; dental; safety; emergency care; hygiene; signs and symptoms of illness and behavior /developmental. Reviewed by DEHNR 3300 (Revised 2/90) elri L General Sarvicea Division (Review 1/95) Initials Date N.C. Department of Environment. Health, and Natural Resources Division of General Services Children and Youth Office, Section, or Branch e County Health Department Contractor CONTRACT ADDENDUM School Health Program Page 3 of 4 Fy 1992 X35/ 92-542t-068 Conrract Number Child Health Activity The Health Department will have a written agreement* with the local school district(s) it serves, which reflects joint planning and includes the following: 1) program goals and objectives 2) roles and responsibilities defined for each agency including the provision for nursing supervision 3) a description of the process for developing written policies /procedures 4) provision for annual review /revision of the agreement *A copy of the current agreement, signed annually by both agencies, shall be submitted to the MCC regional nursing consultant by October 1, each year. A written agreement is called for even if health department activities are limited to communicable disease control activities and administration of the School Health Fund. Reviewed by DEHNR 3300 (Revised 2/90). General Services Division (Review 1/95) tials Dace N N C•, x x D h •L7 70 ' o n 07 B c m w � N a�- 1 C. co m n V d es7 ^ �n 1 ..1 v .m+ n 7r 4 a •e V v A a .w e ry O pq ■h ry m A A a •1 ^ •b1 •7 ■ 7 a r ry 7 V w v A ry v w A %4 W A • a ry W O •w G d0 ro %.n to H r• W w �^ D �e 19 w m -n r r D ry a ac 7D M C d CD 4'r fy «� a � r 0. pq w O• n d ry R w A w CL pr a h A w w • •1 A M 1 A a a A a ^ `•C LABORATORY DEV'7—' OP- a n �f co a A ro C R r A n m K n ry 7 [H A ~` «r O b m , a I fA m n Ob �. m e D A a .r s ov a A 7>4! N x O N a M O A w • 1 Hm r A W • N r A ^ a i w %A 1 ac v cc b� ce Nf m H "4 N I 1 m �* 1 at x ^ w w a1 H w r H 7 a w K 1 a a �" n A C6 . 1 1 W 07 W 10 m a a A A � a a ^ ^ a a ... >a •Hi a IN 1 Q 1 A n a ^ •! LA ro ry 1 r+ W V 1 •� cm 1 9 1 N N O � r ry ca ro � � 1 s � s ry x m o a D y -1 O o O+ CIS A � � o "A r ry A G �q m C c] c4 ry H A •q m ro � e x � r A p W 77 x 7e A n I ?� I 1 0 0° a >r ^ ^ ^ r+ s 5• w w W W a w A A w •w O ^ Q.- O 9 A d r, P9 ry A e O C W e w A N.C. Department of Environment, Health, and Natural Resources page 4 of 4 Division of General Services CONTRACT ADDENDUM FY 1991 -1992 Children and Youth S35I Office, Section, or Branch 92-5%2i-0 Contract Number 0 e �tv Hea th Departnent Child Health Contractor Activity Child Service Coordination 1. An estimated 130 of eligible children birth through age 5 will receive child service coordination through the local health department. 2. An estimated 98 % of enrolled children receiving child service coordination from the health department will have assured parental involvement through signed parent agreements, release of information forms, and signed child service coordination plans in the child's record. 3. An estimated 100 % of enrolled children receiving child service coordination from the health department will have a child service coordination plan based on family needs assessment, child needs assessment and assessment of parent -child interaction. 4. An estimated 90 % of enrolled children receiving child service coordination from the health department will have documentation of communications to and from referral sources and other providers. 5. An estimated 85 % of enrolled children receiving child service coordination from the health department will receive follow up, which includes follow up of missed appointments, summary information sent to relevant persons, and monitoring of treatment and referral recommendations. 6. An estimated 90 % of children receiving child service coordination from the health department will have program identification and status report forms completed and submitted at appropriate times. 7. An estimated 30 % of enrolled children receiving child service coordination from the health department will receive intermediate assessments at appropriate times. 8. The health department will maintain agreements with 4 agencies enrolled as child service coordination providers for children in the county. 9. The health department will enter data from other agencies that provide service coordination to children within the county. List Child Service Coordinator or contact person: Rebekah HeLuan (9 Name 132 8181, ext., 2400 Phone Reviewed by DEHNR 3300 (Revised 2/90) �y rPner�,! q- ruicec Division (Review 1/95) Initials Date °! - 7 / N.C. Department of Environment, Health, and Natural Resources Division of General Services SFY LOCAL HEALTH DEPARTMENT BUDGET Division of Maternal and Child Health 07 / 91 _ 06 x__92 Effective Date Termination Date Contractor: CRANAS 01JNIY 'i I- / �l Revision Number — — P. O. Number 9 2 -=-4— .!t n Contract Number Activity: Maternal Health Project Director: _ Daniel B. Reimer_ _ _ _ _ _ _, _ Total Budget: $ v q11 71q orized Official Signatur Date a� Had Division/ on Signature Date Finance Officer Signature Date Fiscal agement attire ate DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E X P E N D I T U STATE EXPENDITURES: Salaries & Fringe Benefits Operating Expenses Purchase of Equipment General Contracted or Purchased Services School Health Clinician Laboratory Pharmacy Services Transfer TXIX SA/FR 1000 54 653 OP EXP 2000 OTHR REC 103 0 EQUIP _ 5000 n GENERAL 6100 Subtotal Local Funds $ 2 STATE /FEDERAL /SPECIAL FUNDS: CLN 6863 0 - LAB 6862 0 RX SERV 6865 Q - R Subtotal State Ennd. wC. 'C. — 5101— Y"e-"e X. 76,976 S $ 76,976 E LOCAL EXPENDITURES: LOCAL EXP 9000 278,584 S TOTAL EXPENDITURES — equal to Total Receipts $355,560 v q11 71q orized Official Signatur Date a� Had Division/ on Signature Date Finance Officer Signature Date Fiscal agement attire ate DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) LOCAL FUNDS: R A Appropriation A APPROP 101 224 E T TXIX /SSBG Fees T TXIX /SSBG 102 53,875 Other Receipts O OTHR REC 103 0 C O E S Subtotal Local Funds $ 2 STATE /FEDERAL /SPECIAL FUNDS: X P wC. 'C. — 5101— Y"e-"e X. 76,976 S Subtotal State/Federal/Special $ TOTAL RECEIPTS -- equal to Total Expenditures $ q11 71q orized Official Signatur Date a� Had Division/ on Signature Date Finance Officer Signature Date Fiscal agement attire ate DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) b 1991 DEHNPP &C DEH.NR -R & C 3� APR 2 2 19" N.C. Department of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Maternal Health Branch Office, Section, or Branch - ` Orange Corm tv Health tmeat Contractor Page 1 of 5 WA 1991 -92 5lbI 92- 5422 -068 Contract Number Maternal Health Activity 1. An estimated 180 (m zber) new patients will be admitted to the Health Department Maternity Program. HSIS Report: M&TERNAL HERLTH AC IVri[y S (Item I.A.). 2. An estimated 1,620 (number) patient visits (i.e. ccoplete service) will be made to the Health. Department maternity clinics. HSIS Report: MMML EMAIM ACTIVI'T'Y S[lr!►PM (Item V.A.1. - 1110 'AL" column) . 3. An estimated 50 % of those persons served by the Health Department Maternity Pmgram will initiate prenatal care in the first trimester (0 -14 weeks) of pregnant'. HSIS Report: M7ERN ,L HEALM pROG7AM INEgC =W (Item I.A. - "ALL FMS SERVED" column). 4. The health department has written policies in place for facilitating early entry into prenatal care which include the following: (a) Follow -up of positive pregnancy tests within two weeks to assure patient has access to a health care provider. (b) In the presence of a three weeks or greater waiting list, triage of those warren who request prenatal services from the health d )artsmeart for purposes of determining their scheduling priority for their first clinic visit. (c) Referral to WIC upon making contact with a pregnant women. (d) Referral for medicaid eligibility determination and maternity care coordination upon making contact with a pregnant women. 5. An estimated 85 $ of those pins served by the Health Department Maternity Program will receive WIC Program services. HSIS Report: MMUML HEM= CCOSM& S�iRy (Item X.A. "'TOTAL" column) or HSIS - WIC MA'T(N Fit WcM. 6. An estimated 60 $ of those persons served by the Health Department Maternity Program will receive care coordination services. HSIS Report: M33R4AL HKkLTH PMGRAM IN IC AMWS (Item III.A. "OUNI'Y" column) . Reviewed by DEHNR 3300 (Revised 2/90) ,� ;5'- qr General Services Division (Review 1/95) Initials Date ®EHNR P & JUN 0 6 1991 N.C. Department of Environment, Health, and Natural Resources Page 1 of Division of General Services " CONTRACT ADDENDUM FY 1991 -92 Maternal Health Branch Office, Section, or Branch Corm Health tment Contractor 92- 5422 -068 Contract Number Maternal Health Activity I. An estimated 180 (number) new De�3r�ent Maternity Program. HSIS patients will be admitted to the Health �' (Item I -A.) . Report: �'`� A'I'IC7Z'1'y 2' An estimated 1--- 6z 20 (fix') patient visits (i.e. ccnplete service) will be made to the Health Department maternity clinics. HSIS Report: 1A7ERRhL HMLTH ACr1VITY -%P*W�y (Item V.A.l. - IM)TAL" column) . 3. An estimated 50 Maternity Program will of initiate prenatal carte in the first trimester (p -14 weeks) of Pregrsanc -Y- H;SIS Report: , �,LM � IlOMUC3RS (Item I.A. - "ALL pFRS= SERVER" column). 4. 7"e health department has written policies in place for facilitating early entry into prenatal care wh ch include the following: See Note * (a) Follow -up of positive pregnancy tests wit}iin two weeks to assure patient has access to a health care provide:. (b) In the preser� of a three weeks or greater waiting list; triage of those women who request prenatal services from the health department for purposes of determining their scheduling priori t_ for their first clinic visit. r (c) Referral to WIC upon nakixxg contact with a pregnant women. (d) Referral for medicaid eligibility determination and maternity care coordination upon malting contact with a pregnant w nen- 5. An estimated 85 �$ of those persons served by the Health Depart Maternity Progr= will receive WIC Program services. HSIS Report: M20�ML HMIZH CLOSMM M"'AW (Item X.A. "TFTAL" column) or HSIS -- wIC MATM FM WC1►-IEN. 6. An estimated 60 % of those peens served by the Health Depart ,t Maternity PrO;;r= will receive care coordination services. HSIS Report: MAMMNA.L RMLTH PROMRAM IMIC4' MS (Item III.A. "CXZTjy" column) . **Staffing levels are insufficient to enable us to carry out this foll appropriate referral information be � - Our current policies require that provided to the client at the time the preg a my test is done. Reviewed by DEHNR 3300 (Revised 2/90) .general Services Division (Review 1/95) Initials ; DEHNR P & C JUN 0 6 1991 N.C. Department of Environment, Health, and Natural Resources page 2 of 5 Division of General Services CONTRACT ADDENDUM gy 1991 -92 a real Health Branch 92- s*23-06$ Office, Section, or Branch Contract Number Orange Conn tv Health De Went Contractor i✓ K1r ;aternal Health Activity L 7. An estimated AY % of those persons served the Health Maternity Program will receive a �' g examtrreit 8 weeks after deliv or family planning exam within cry. HSIS Report: Imo, Hgu= CLOSM S�1rI�RY (•item XI.A. '"DOTAL" column) - 8. Public Health Nurses who are the hictX?st level of medical provider for subsequent prenatal visits will have cmPleted the Maternal Health "'W-1—sment TrainiM Program at Gulford County or an equivalent maternal assessment course. 9. The health dot has written policies in place that appropriately address the following: (a) Follow -up of missed prenatal. appointments. (b) Postpartum follow -up of wcren who received no prenatal care based upon information received fram. birth certificates or other appropriate sources. (c) Follow -up of pregriant umven who express interest in pernianent sterilization or contraception. (d) Hick risk conditions indicating referral to a high risk maternity clinic or obstetrician. lo. Persons enrolled in the Health Department Maternity following services as o will be provide_ �`:e in their medical records: (a) An estimated loo $ will receive an initial maternal health histo consists of at least 7 of the following ' wt`l "� surgical; 1 � n,?' zatian (TD, Rubella); � � � kcal ; family. ive; obstetrical; and m � /medication; menstrual; social. (b) An estimated 100 % will receive an initial icy consists of at least 6 of the following 8 thyroid; ilu which breast; heart; :thyroid; lungs; and blood and extremities; pelvic (uterine size or ft dal height) Fes• Reviewed by DEHNR 3300 (Revised 2/90) General Services Division (Review 1/95) Initials Dare IDERNR JUN D 6 mi N.C. Department of Environment, Health, and Natural Resources page 3 of 5 Division of General Services CONTRACT ADDENDUM FY 1991 -92 Maternal Health Branch 5101 Office, Section, or Branch 92068 Contract Number tmen Contractor _Maternal Health Activity (c) An estimated 100 will receive routine labors of at least 13 of the follw ng �: Y services Wioh cmist (1) ( ) �� Q��ini tial visit Determination- initia., (10) Urine Dipstick - (glUome visit (11) amd Ketnr� each rated visit) (3) Antibody screen -- ( initial (u) indicated visit and repeat as for bate for asYmpt.cmatic (4) indicated) Antibody Titer-(Jr (13) Quantitative Urine Culture -if Positive antibody � en and repeat as indicated ) (14) dated Blood GluoWe -(g0q• gltrtse load/ (5) (6) l�bella Iam,a�e Status Gonorri�ea (1"5) �`r if indicated) �/�'t� adz trimester wltut+e`initi� visit (16) H gb Electrophoresis-( ( if indicated and (7) C.C�ea ailtllre- repeat (17) Qu sc ti n,_tial vis i t (8) pap Smear initial visit* (18) Ch1a�a repeat- LZ if previ,i,, positive (y) y� fit_. initial visit (19) AFP Screening (d) STS cn the initial visit and a repeat STS in the [3). (e) Screening for hepatitis B on the initial visit, unless }mown to be infected, and follow-up of an infant born to an infected mother to assure he /she receives prophylactic treatment (f) An estimated 100 % will receive at least 4 of the following 6 an all svbsegLAnt rcutine added visits that take place after 14 ae_ ` gestation: interim hLstory /mum � 3 9� ns tia; weight; blood FrwAm "; ft=lal height; fetal heart tones, and presentation. (g) An estimated 95 % will receive a dietary recall or food fregiaency on the initial visit and once eadz remaining ng trimes'ter. *unless last do=nented gap Smear was done within last six months, documented in the patient's record and judged within normal limits by the maternity clinician. Reviewed by DEHNR 3300 (Revised 2/90) General Services Division (Review 1/95) Initials Dare DEHNR R & C JUN 0 6 1991 N.C. Department of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Maternal Health ranch Office, Section, or Branch Page 4 of 5 FY 1991 -92 SIDI 92 -5421 g Contract Number e Cottin T4..1 4mk merit Contractor Maternal Health Activity (h) An estimated - 95 '% will have their weights plotted on a weight gain grid for all routine visits. (i) An estimated loo % of those with any of the foll csring hi gh risk om'x itions will receive counseling from a nutritionist that addressers the specific audition or aorditions: (1) Maternal age S 15 years- (2) Chronic hypertension (3) Diabetes mellitus (4) Sickle cell disease (5) Alcohol abuse (6) History of previous LBW infant (7) M ltiple fetuses (8) errwight k 15% for standard body (9) Weight lass 2 2 lb. /month in LZI and (10) Weight gain S 8 lbs. by 26 weeks (11) Intrauterine growth retardation (12) H9b c 9 ar Hot. g 30* (7) An containing estimated 100 % will be provided with a prenatal supplement folic acid and iron. (k) An estimated go % of those patients with abnormal clinical firdirys Will be appropriately followed. (1) An estimated 95 % of those with a high risk condition will reveive consultation from or be referred to an obstetrician or high risk maternity clinic. (m) An estimated 95 !k will have =Wleted a risk for prete= labor if admitted prig to 35 weeks of pregnancy. (n) An estimated 90 8 will receive individual and/or group education which consists of at least ten of the followin prenatal ents : (1) Clinic routines (10) Labor and delivery (2) Medication/drugs (3) Anatomy /physiology (11) (12) RelaxaticrVbreathing techniques Cervical dilation and pushing (4) Danger signs of pregnar y (13) Cesarean Delivery (5) NutritiaVweight gain (6) Prenatal /postrnatal (14) Roaming in at hospital exorcises (15) lust or bottle feeding (7) SO=lity during pregnancy (16) (17) Postpartum Period Early parent=Vbaby cage (8) Signs of labor (9) Preterm labor (18) Car seat instruction (19) Contraception (d) An estimated 100 % of thane with a condition specific educatiorVcoun_seling. risk corx1ition will rive DEHNR 3300 (Revised 2/90) General Services Division ( Review 1/95) Initials Date 1DEHNR P & C JUti 0 6 X1'1 r N.C. Department of Environment, Health, and Natural Resources 5 Page 5 of Division of General Services 5 CONTRACT ADDENDUM Maternal Health Branch 510) Office, Section, or Branch 92 -pig r Conrracr tiumber Me AlatV Health DAngrnnont Contractor Acriviry Sudden Infant Death Syndrome The follawirq JQW person(s) has attended the Division of Maternal Health sponsored they S� � pug� and will and Child and information to bereaved families in the �; S� fief Nwe Shelbia Whitted, RN Orange Orange County Health Department *11Iocal person" is defined as an individual who resides or works in the county, and who is not a Regional or Oent office l ' averaged eM that one SIDS death employee. Mies that grief counselor from a neighboring � for the fast fair yM may designate a for if a letter of agreement aaunty or the D�Il� Regiona]. Office grief counties have a � � obtained. It is reaa,d that all backup grief oounselor for their primary selor. Reviewed by DEHNR 3300 (Revised 2/90) C � p General Services Division (Review 1/95) -Z - Initials _� —� Dare ®EHNR P & C JUN 0 6 +491. LOCAL HEALTH DEPARTMENT BUDGET N.C. Department of Environment, 1, 11AC1 Health, and Natural Resources Division of General Services Revision Number SFY Avision of Maternal and Child Health Z2—.O- Number P,. O. Number 07 / 91 / 9 2 //_ 0_68 Effective Date Termination Date Contract Number Contractor: ;E Q= HEAM DEpa Activity: Family Planning Project Director: Total Budget: $ 499 - 712 LOCAL FUNDS: R Appropriation E Txix /SSBG Fees C Other Receipts E Subtotal Local Funds I STATE /FEDERAL /SPECIAL FUNDS: P T D C_" lZ 1-5 G l c o— 51 51 S Subtotal Stare/F�ri�rsl /c.,w:.t APPROP 101 323,198 Txix /SSBG 102 OTHR REC 103 0 „^ — X x x X TOTAL RECEIPTS — equal to Total Expenditures $ 338,198 X87 51 $ 87,51 $ 425,712 1 thortxed Official Signature Date BrLrwh Hmd Division /S coon Signature Date �3 Finance Officer Signature � y Date �� iscal Ma gement Signa a Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) DEHNR P & C JUN 1 0 1991 DEHNR P & C APR 2 2 1991 N. C. Dept. of Environment, Health, and Natural Resources Division of Maternal and Child Health CONTRACT ADDENDUM WH/Women's Prev. Health Office, Section, or Branch Orange County Health Depament Contractor � FY91 -92 OBJECTIVES 1. NEED TO BE MET A. 17 Z OF THE SEXUALLY - ACTIVE TEENS (AGED 15 TO 19) WILL BE SERVED. B. 12 1 OF THE LOW -INCOME WOMEN AT OR BELOW 1502 OF FEDERAL POV- ERTY GUIDELINES (AGED 20 TO 44) IN NEED OF SUBSIDIZED FAMILY PLANNING SERVICES WILL BE SERVED. 2. NEW PERSONS TO BE SERVED A. 400 NEW FAMILY PLANNING PERSONS WILL BE SERVED. B. 180 NEW FAMILY PLANNING TEENS WILL BE SERVED. 3. TOTAL PERSONS TO BE SERVED A. 450 PERSONS AGED 19 AND UNDER WILL BE SERVED IN FAMILY PLANNING. Page 1 of 2 FY 1991 -92 5151 ' 92 -�r38 --06_8 Contract Number Family Planning Activity FY91 -92 ASSESSMENTS* NEED MET I OF THE SEXUALLY - ACTIVE TEENS (AGED 15 TO 19) WERE SERVED. X OF THE LOW -INCOME WOMEN AT OR BELOW 1502 OF FEDERAL POVERTY GUIDE- LINES (AGED 20 -44) WERE SERVED. SOURCE: FY92 EVALUATION REPORT HBS 084, ITEMS I.A. AND I.B. NEW PERSONS SERVED NEW FAMILY PLANNING PERSONS WERE SERVED. SOURCE: FY92 ACTIVITY SUMMARY HBS 081, NEW PATIENT COUNT. NEW FAMILY PLANNING TEENS WERE SERVED. SOURCE: FY92 EVALUATION REPORT HBS 084, ITEM IV. A. TOTAL PERSONS SERVED PERSONS AGED 19 AND UNDER WERE SERVED IN FAMILY PLANNING. SOURCE: FY92 CHARACTERISTICS REPORT HBS 085, SUM OF TOTALS, COLUMNS 1 -3 Regional Review DEHNR 3300 (02 -91) Genet General Services (Review 02 -92) PC Initial Date N. C. Dept. .of Environment, Health, and Natural Resources Division of Maternal and Child Health CONTRACT ADDENDUM WH /Women's Prev. Health Office, Section, or Branch Orange Oounty Health Deparfixnt Contractor Page 2 of 2 FY 1991 -92 SISI 92 -439 -068 .Contract Number Family Planning Activity PY91 -92 OBJECTIVES FY91 -92 ASSESSMENTS* 3. TOTAL PERSONS TO BE SERVED (CON.) TOTAL PERSONS SERVED (CON.) B. 900 PERSONS AGED 20 AND ABOVE PERSONS AGED 20 AND-ABOVE WILL BE SERVED IN FAMILY PLANNING. WERE SERVED IN FAMILY PLANNING. 4. QUALITY_ASS_URANCE A. 95 Y OF PERSONS SERVED WILL RE- CEIVE MEDICAL FAMILY PLANNING SER- VICES IN ACCORDANCE WITH THE GUIDE- LINES FOR MEDICAL SERVICES. B. AN ANNUAL SELF - ASSESSMENT WILL BE CONDUCTED USING THE FAMILY PLANNING QUALITY ASSURANCE TOOL. ** SOURCE: FY92 CHARACTERISTICS REPORT HBS 085, SUM OF TOTALS, COLUMNS 4 -9. QUALITY ASSURANCE A REPRESENTATIVE SAMPLE OF RECORDS WERE REVIEWED USING PART II OF THE FAMILY PLANNING QUALITY ASSURANCE TOOL. YES NO A SELF - ASSESSMENT WAS CONDUCTED USING PART I OF THE FAMILY PLANNING QUALITY ASSURANCE TOOL. YES NO * ASSESSMENTS TO BE CONDUCTED BY DEHNR REGIONAL OFFICE STAFF WHEN FY91 -92 HSIS REPORTS ARE AVAILABLE, ON OR ABOUT AUGUST 17, 1992. . ** LOCAL HEALTH DEPARTMENTS THAT DO NOT CURRENTLY RECEIVE TITLE X'GRANT FUNDS (REFER TO FY92 FAMILY PLANNING BUDGETARY GUIDANCE) SHOULD CONTACT REGIONAL PRO- GRAM STAFF WITH ANY QUESTIONS REGARDING THE APPLICABILITY OF ASSESSMENT ITEMS. DEHNR 3300 (02 -91) General Services (Review 02 -92) Regional Review . N m.6) 1 Initial Date DEHNR P & C APR 2 21991 LOCAL HEALTH DEPARTMENT BUDGET N.C. Department of Environment, Health and Nara al R r es %,es Revision Number Division of General Services SFY -2 / o/Division of Maternal and Child Health��� G/ P. O. Number 07 / 91 06 / 923 2_ ? 0 6 8 Effective Date Termination Date Contract Number Contractor: CRANZ 1UI1IY HF&M DEPARI= Activity: CSHS Urthopedic Project Director: Total Budget $ _6w _ R E C E I P T S LOCAL FUNDS: Appropriation TM /SSBG Fees Other Receints Subtotal Local Funds STATE /FEDERAL /SPECIAL FUNDS- Subtotal APPROP 101 TXIX /SSBG 102 OTHR REC 103 15-'3 B — 1 � /6 0 — x"3 6/— >s,,,- Xy 0 TOTAL RECEIPTS — equal to Total Expenditures $ 601 Authorized Official Signature Date &%mh rifts Divis' n /Section Signature Date Finance Officer DEHNR 2948 (Revised 2/90) Central Services Division (Review 2/93) Li-17-11 &//-A d % Date V Fiscal nagement Agnarure I to DEHNRP &C JUN 1 o 1991 DEHNR P & C APR 2 2 1991 N.C. Department of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Children and Youth Section Office, Section, or Branch Oran e Courity Health Deparwmt Contractor Page l of 3 FY 1991 -1992 5,323 9268 Contract Number Children's Special Health Activity Services 0)ur contract addend.u- for Children's Special Health Ser\ices includes infoirtation pertainin.g to the annual scoliosis clinic. Ve are unable to complete the tore: in its entirety due to the uniqueness of our one - tirne per dear clinic and have ,iade notations When necessary. Please call us if you have any questions on our submitted addendum. 1 >FFiNR 33001 (Revised 2/90) General Services Division (Review 1/95) Reviewed by ,:Iiw/ _,q -a Initials Date N.C. Deparanent of Environment, Health, and Natural Resources Page 2 of 3 Division of General Services CONTRACT ADDENDUM 1Y 1991 -92 Children and Youth Section 5323 Office, Section, or Branch 9268 Orange County Orthopedic (Scoliosis) Clinic Contract Number Contractor Children's Special Health *See attached narrative on Activity Services contract addendum page, — ADMINISTRATIVE SECT ION 1. An estimated 45 (number) new clients will be admitted to this clinic.* 2. An estimated 50 (number) client visits will be made to this clinic. (This is a one -time only clinic.) 3. An estimated 50 (number) of CSHS- eligible clients will receive assessments manual for definition). (see HSIS 4. An estimated N/A (number) of CSHS -- eligible clients will receive treatment manual for definition). (All patients referred for treatment,) (see HSIS 5. An estimated N/A (number) of CSHS - eligible clients will receive therapy. (All patients referred for therapy.) 6. What counties are served by this clinic? 1. Orange 3. 5. 2. 4. 6. 7. List laboratory and diagnostic services funded by this contract. 1. X:` s . 3. - 5. 2. 4 • 6. 8. List other services funded by this clinic, e.g., casting, therapy, etc. 1. N/A 3. 5. 2. 4. 6. 9. Please attach current eligibility criteria and fee schedule used in this clinic. CSHS criteria. 10. Describe on a separate sheet methods for billing for third -party payers, e.g., insurance, Medicaid, etc. Medicaid billing is processed by the HSIS system. 11. Who is the clinic coordinator or contact person? Name: Leigh McFalls, RN Phone: (919) 732--8181, ext. 2400 12. List on a separate sheet subcontractors for services by name, address, and discipline. Dr. Stephen Grubb, 101 Cornier Drive, Suite 200, Chapel Hill, NC 27514 *Refer to HSIS Output Reports: Children's Special Health Services for service objectives 461 -4. DEHNR 3300 (Revised 2190) General Services Division (Review 1/95) Reviewed by Inid _f T Date N.C. Department of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Children and Youth S ctinn Office, Section, or Branch Orange County Orthopedic (Scoliosis) Clinic Contractor CLINICAL SECTION Page 3 of 3 FY 1991 -92 5323 92- 545*-060 Contract Number Children's S ecial Health Activity Services Persons enrolled in a CSHS Clinic will be provided the following services as documented in their medical records: 1. An estimated * Z will receive a health history which includes the following components: present problem, past medical history, developmental history, caregiving history /status, nutrition history and family history. 2. An estimated * % will receive at each visit a review of systems which includes the following components: head, skin, eyes, ears, mouth, throat /neck, respiratory, cardiovascular, gastrointestinal, skeletal and neuromuscular. 3. An estimated * % will receive 3 out of S of the following other health - -related assessments: behaviors, medications, immunizations, nutrition /growth and equipment. 4. An estimated 100 Z will receive at each visit a physical examination which includes: pertinent examination and blood pressure. One -time per year scoliosis clinic, 1C0% of patients will receive a pertinent examination but no blood pressure taken. S. An estimated IQQ�Z will have a written diagnosis and plan of care. 6. An estimated NIA X of eligible clients will receive diagnostic tests as indicated in the plan of care. All patients referred for diagnostic tests. 7. An estimated N/A Z of eligible clients will receive treatment services as indicated in the plan of care. All patients referred for treatment. 8. An estimated 100 % will receive follow -up which includes the following components: follow -up of missed appointments, sending summary clinic notes, monitoring treatment and referral recommendations, completing and submitting eligibility and /or authorization forms. All eligibility forms will be completed by physicians who renders treatment. Our one -time per year clinic will not complete forms. 9. An estimated will have documentation of communications to and from referral sources and other providers. 10. An estimated _WA Z will have a signed release of information. *N /A, one time per year scoliosis clinic. DEHNR 3300 (Revised 2/90) General Services Division (Review 1/95) Reviewed by Initials <1 4. -q1. Date • LOCAL HEALTH DEPARTMENT ]BUDGET hN-19- Department of Environment, B Health, and Natural Resources Division of General Services Revision Number SFY Division of Adult Health 07 / 91 06/ 92 P. O. Number Effective Date Termination Date / 8 2 5 5 0 6 8 Contract Number Contractor: ORAL MINN IFATTV nrPART%n'KTT kcnvity: Adult Health Project Director: Ikaniel B. Reirrnr ITEM DESCRIP" TION TESTATE EXPENDITURES: Salaries & Fringe Benefits es Operating Expens Purchase of Equipment E General Contracted or N Purchased Services School Health D Clinician I T Laboratory Pharmacy Services U Transfer TXIX R Subtotal State E nd. E LOCAL EXPENDITURES: S Total Budget: $ CLASSIFICATION ITEM SA/FR 1000 OP. EXP 2000 GENERAL 6100 CLN 6863 LAB 686 RX SERV 6865 LOCAL EXP 9000 TOTAL EXPENDITURES — equal to Total Receipts LOCAL FUNDS: R Appropriation E TXIX /SSBG Fees Other Receipts C E Subtotal Local Funds STATE/FEDERAL /SPECIAL FUNDS: I P T S Subtotal State/FearrauCr.. -. -i AMOUNT $81 46 APPROP 101 75 105 TX1X /SSBG 102 OTHR REC 103 TOTAL RECEIP'T'S — equal to Total Expenditures Official Signature Dat Lf 7 -T Finance Officer Signature Date ~DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) $ 81 B""u "°d �"' Divn /Section Signature °`� Date � claw ", ..a ZFisca?`N` anagementSignarure Date I)EHNR P & C 3Um 1 6 1991 nEHNR P & C APR 2 2 "i N.C. Department of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Adult Health Office, Section, or Branch Orange County Health Department Contractor A. BACKGROUND, NEEDS AND TARGET POPULATION I. Orange County Population Data Age % Population Race /Sex % Population 0 - 19 26% white male 38.8% 20 -64 65.14% non -white male 8.6% 65+ 8.86% white female 42.5% non -white female 10.0% Leading Adult Health Problem in Orange Count Cardiovascular disease (heart disease, cerebrovascular disease, atherosclerosis) is the leading cause of death. Page 1 of 4 Fy 91--92 2 92- 550,@' -68 Contract Number Adult Health Activity 1984 - 88 Race - Sex - Specific Age- Adjusted rates for Orange County white male white female non -white male non -white female total 218.8 117 268.6 188 172.8 The year 2000 outcome objective for the state is to reduce the North Carolina age- adjusted rate for cardiovascular disease from 235.5 to less than 155.9 per 100,000. Orange County rates for males and non- whites require work to reach the projected rates. There is also a greater rate of disease in non - whites compared to whites of both sexes. Community Opinion Survey A community opinion survey completed by 115 Orange County residents (51% of residents were non - white, 69% of residents were female) identified these services which they felt the health department should provide: blood pressure checks 86 %, blood sugar checks 73 %, cholesterol tests 70 %, health education classes 53 %, nutrition counseling 53 %. Reasons identified for not taking care of health problems: costs 51 %, individual does not recognize the problem 43 %, lack of transportation 41 %, individual chooses not to seek help 34 %, individual doesn't know about services 33 %. Sixty percent reported utilizing health department services. 2. Selected Problem The Adult Health Program will focus its preventive efforts to reducing risks r fqr cardiovascular disease, primarily among black residents within the courity, 11FHNR 3300 (Revised 2/90) General Services Division (Review 1/95) Reviewed by Initials Date ��tA� P & C D ,v� 1 b 1991 N.C. Department of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Adult Health Office, Section, or Branch Orange County Health Department Contractor 3. Target Population Page 2 of 4 F, 91 -92 92 -550 68 Contract Number Adult Health Activity Death from cardiovascular disease is higher among non - whites than whites in Orange County indicating the need to target black residents in the county. Employment statistics for North Carolina as a whole show that black persons are more likely to suffer unemployment, chronic illness and premature death. Education level is generally high in Orange County with 78% completing high school, 13% of blacks attend college compared to 47% for whites. Northern Orange County is more rural. The population tends to be older, less affluent, have less access to health care resources and less awareness of health care issues. Selected activities to reach the targeted population will include inhouse clinics and community outreach services. lnhouse clinics include a walk -in adult screening clinic (i.e. BP screening) two days a week and a more indepth appointment clinic for health risk identification, counseling, referral and follow -up service one day per month (serve 168 individuals with 30% being non - whites). lnhouse clinics are open to Orange County residents. Health educators and the Health Promotion Coordinator will provide information about services to black community groups and churches to increase utilization by target group. Community outreach services include group education and individual screening, education, counseling, referral and follow -up for identified risk factors for cardiovascular disease. Selected community screening sites will target black community and church groups (five to ten sites serving 100-200 persons) primarily in Northern Orange County. 4. community Organization Involvement Organizations involved in health department initiatives will include the Department on Aging, American Heart Association and the Agricultural Extension Agency. B. GOAL To reduce cardiovascular risk factors in black adults in Orange County by June, 1994. Reviewed by I OFF {NR 3300 (Revised 2/90) General Services Division (Review 1/95) Initials Date 'DEW4R P & C 30 % b %99% N.C. Department of Environment, Health, and Natural Resources Page 3 of 4 Division of General Services CONTRACT ADDENDUM Adult Health Office, Section, or Branch Orange County Health Department Contractor t} C. OBJECTIVES F. 91 - 92 92- 5508' -68 Contract Number Adult Health Activity la. By June, 1992, screen 75% of black clients seen in inhouse clinics and community screening activities for high blood pressure of 140/90 mm Hg or greater. lb. By June, 1992, provide education (hypertensive disease risks, modifiable risk factors), counseling, referral and follow -up to 60% of these clients with blood pressure of 140 /90 mm Hg or greater. 2a. By June, 1992, screen 25% of black clients in inhouse appointment adult clinics and community screening activities for total high cholesterol (level of 200 mg /dL and greater with definite CHD or two other CHD risk factors; level of 240 mg /dL and greater). 2b. By June, 1992, provide education (risks, modifiable risk factors), counseling, referral and follow -up to 50% of these clients with high total cholesterol level. 3. By June, 1992, develop a tracking system to verify referral outcome of 50% of these clients referred for high blood pressure and high total cholesterol levels. 4. By June, 1992, provide two educational programs about cardiovascular disease and its risk factors to black community groups. 5. By June, 1992, provide a high blood pressure campaign event during High Blood Pressure Month targeting the black community. 6. By June, 1992, assess interest in and potential for development of a natural helpers program for reduction of cardiovascular risks within a selected black community. D. QUALITY ASSURANCE A Quality Assurance Plan for the Personal Health Services Division is on file. A Quality Assurance Committee for the Orange County Health Department has been established with meetings occurring at least quarterly for quality assurance activities for the agency. Quality assurance findings and corrective actions will be documented in written reports. A quality assurance plan is on file. Information collected for program reviews by the Adult Health Section Supervisor will occur at quarterly or six month inter- vals. Information collected for review will include, but not be limited to include clinical and community screening record audits; community program and screening, promotion, implementation, participation and barriers; outcome data for meeting program objectives; client, demographic and testing, data entered into local data entry system and reviewed in six month and annual reports. l )EHNR 33001 (Revised 2/90) General Services Division (Review 1/95) Reviewed by Initials Date DEHNR P & C SUN 151991 N.C. Department of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Adult Health Office, Section, or Branch Orange County Health Department Contractor Page 4 of FY 91 - .92 2- 92- 55W --68 Contract Number Adult Health Activity A policy and procedure manual for adult health screening services will include screening, education, referral and follow -up for hypertension, cholesterol, blood sugar, hematocrit, hemocult, Td immunization, height/ weight, risk appraisal, and nutrition assessment and is reviewed and updated annually. E. Health Professionals Involved in the Adult Health Program Jerry Ann Gregory, RN, BSN, Health Promotion Program Coordinator, with 22 years experience in public health nursing. Ona M. Pickens, RNC, BSN, Adult Health Section Supervisor, with 12 years experience in public health nursing. Laurel Bond, RD, MS, Nutrition Program Coordinator, with 12 years of experience providing nutrition services. Belinda Jones, MPH, Health Education Section Supervisor with 10 years experience in public health education. Eileen Kugler, MSN,MPH,RN, Personal Health Services Division Director, with 12 years experience in public health. Marcia Angle, MD, MPH, Medical Director since 1987, Board certified in Family Medicine and Preventive Medicine. I ►F.HNR 3300 (Revised 219o) (jeneral Services hivision (Review 1/95) Reviewed by inmais Uate 0 DEHNRP &C OUR k 1 5 1991 " - N. LOCAL HEALTH DEPARTMENT BUDGET C. Department of Environment, Healrh, and Natural Resources Division of General Services SFY Revision Number Division of Adult Health 22-A 12—' 07 / g 06 / 92 / . O. Number Effective Dare y / Termination Date 9? 5 5 0 0 6 8 Contractor: Contract Number Project Director: y �� ITEM DESCRIPTION E STATE EXPENDITURES: x Salaries Bc Fringe Benefits Operating Expenses P Purchase of Equipment E General Contracted or N Purchased Services School Health D Clinician T Laboratory T Pharmacy Services U Transfer TXIX R Subtotal State E nd. E LOCAL EXPENDITURES: S Activity: H� Promotion Total Budget: $ 52, CLASSIFICATIO IN SA/FR 1000 OP EXP r 1pni Irn 2� !1 GENERAL 6100 R Appropriation E TXIX /SSBG Fees tX 101 LOCAL EXp TOTAL EXPENDITURES — equal to Total Receipts � 1 II 17 $ 52,555 AMOUNT LOCAL FUNDS: R Appropriation E TXIX /SSBG Fees APPROP 101 Ocher Recei rs C 7XIX /SSBG 102 31 686 C REC 103 0 E Subtotal Local Funds STATE /FEDERAL /SPECIAL I FUNDS: $ 34 P T S Subtotal State/Federal /S cial 17$69 TOTAL RECEIPTS equal ro Total Expenditures $ � 52 555 I uthorized Official Signature 71Ql (may Date b,.ncn ►+ua b„wl 6 ��y�y/ Division /Section Signature Date Finance Officer Signature Date 4.— DEHNR 2938 (Revised 2/90) General Services Division Sinai —�� fiscal Management Signature Date (Review 2/93) DEyNFt P & G jo 1 a 1991 Adult Health Office, Section, or Branch Orange County Contractor N.C. Department of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Health Department A. BACKGROUND, NEEDS AND TARGET POPULATION 1. Adult Health Problems in Orange County Page 1 of 4 FY 91 -92 3 92-5500-068 Contract Number Health. Promotion Activity a. Cardiovascular disease (heart disease, cerebrovascular disease and atherosclerosis) is the leading cause of death in Orange County. 1984- 1988 Race -Sex- Specific Age- Adjusted Rates for Orange County white male white female non -white male non -white female total 218.8 117 268.6 188 172.8 The year 2000 objective for the state is to reduce the North Carolina age - adjusted rate from 235.5 to less than 155.9 per 100,000. Orange County rates for all males and for non -white females are above this rate. b. Cancer is the second leading cause of death in Orange County. 1984 -1988 Race - Sex - Specific Age- Adjusted Rates for Orange County white male white female 156.1 91.3 The year 2000 objective for age - adjusted mortality rate Again, rates for all males rate. 2. Selected Problem non -white male non -white female total 207.4 119.5 126.5 the state is to reduce the North Carolina from 130.9 to less than 97.6 per 100,000. ind for non -white females are above this The Health Promotion Program of the Orange County Health Department is a worksite wellness program. It focuses on the reduction of disability and premature death from cardiovascular disease through activities and interventions aimed at reduction of risk factors implicated in cardiovascular disease. An increased focus on all male and black females is indicated by Orange County mortality data. The agency will begin collecting data on cancer and current prevention activities within the county to assess need for inclusion of cancer prevention► activities in future contract addenda. I ►FHNR 33X (R,,I.,,J 2/90) ( %encral Services Division (Review 1/95) Reviewed by Initials Date :r DEHNR P & C JUN 1 8 1991 N.C. Deparrmenr of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Adult Health Office, Section, or Branch Orange County Health Department Contractor 3. Target Po elation Page 2 of 4 FY 91 -92 3 92- 550,8' -068 Contract Number Health Promotion Activity The Health Yourself Wellness Program was initially conceived to be a worksite wellness program which primarily serves Orange County Government employees, a population of over 460 adults up to age 64. Also included in the initial proposal was a plan to expand to other worksites in the county. 4. Occupational Grou s nj Race and Sex (March, 1991) Occupations Black Female White Female Black Male White Male Executives /Admin. 3 Professionals 13 8 2 8 Technicians 6 54 7 21 Protective Sere. Workers 4 33 3 27 Paraprofessional 18 5 10 55 Office /Clerical 36 32 6 9 Skilled Craft 65 1 7 Service Maintenance 7 4 6 2 13 9 Past screening for this population data indicate that cardiovascular disease are at significant levels: 37 % precursors 14% elevated blood pressure, 71% weight elevated totalecholesterol and dietary in cardiovascular fitness. problems, 46% below average Other worksite populations which have requested health department services are the county and city school systems. The Chapel Hill - Carrboro City Schools employ 913 adults. Twenty -five percent are males. Su 2 other and 231 white employees. Professional pport personnel include 185 black, personnel include 101 black and pressure 394 white employees. Past blood participants revealed 43% with elevated total cholesterol ande12 %nwithtelevated blood pressure. For the Orange County School System, 232 participated in blood pressure /cholesterol screening (26% black, 74% white; 15% male, 85% female; 11% - .reported smoking more than 10 cigarettes a day; 23% reported being 30% over- weight; 9% had elevated blood pressures; 47% had elevated total cholesterol levels). 5. See 3 and 4 above. 6. Community/Organization Involvement Agricultural Extension Agency, Parks and Recreation Department, American Heart. Association, OCHD School Health Program, Orange County Personnel Department. Reviewed by I iFfiNR 3300 (Revised 2,190) i;eneral Scrvices Division (Review 1/95) — -- Initials Date pENNR & C 301 6 1991 N.C. Department of Environment, Health, and Natural Resources page 3 of 4 Division of General Services CONTRACT ADDENDUM FY 91-92 Adult Health 3 Office, Section, or Branch 92-55 0 -068 Orange County Health Department Contract Number Contractor Health Promotion Activity B. GOAL To reduce the risk for cardiovascular disease in the work force of Orange County by June, 1994. C. OBJECTIVES la. By June, 1992, screen 40% of employees for high blood pressure (140 /90 men Hg or greater). lb. By June, 1992, provide education (on hypertensive disease, risks, modifiable risk factors), counseling, referral and follow -up to 75% of employees with blood pressure of 140 /90 mm Hg or greater. 2a. By June, 1992, two smoking cessation group programs (Fresh Start) will be offered to employees who smoke. 2b• BY June, 1992, 10 employees will complete the smoking cessation group Program. 3a. By June, 1992, screen 45% of employees for high total cholesterol level (200 mg /dL or greater with definite CHD or two other %HD risk factors, 240 mg /dL or greater). 3b, By June, 1992, provide education (risks, modifiable risk factors), counseling, referral and follow -up to 750 of employees with high total cholesterol level. 4a. By June, 1992, provide 4 newsletters and 6 programs to promote knowled6e and awareness of cardiovascular disease, risks factors and behavior changes, for reducing cardiovascular diseases to Orange County Government employees (lunch bag seminars, Well Worth It). 5a. By June, 1992, measure heights and weights of 25% of Orange County Government employees to determine those at risk due to obesity of greater desired weight. 120., or 5b. By June, 1992, assess dietary intake for 75% of those employees who are at risk due.to obesity. 5c. By June, 1992, provide education (reduction diets, low fat foods), counseling and follow -up for 50% of these employees who are identified as at risk due to obesity. 5d. By June, 1992, 50% of these employees will participate in a behavior change program to loose weight. 6a. By June, 1992, 10% of non - exercisers among participating Orange County government employees will engage in occasional exercise (1 or 2 20 minute sessions per week. 6b. By June, 1992, 8% of occasional exercisers among participating Orange County government emplovees will engage in regular exercise (3 or more 20 minute sessions per week). I ►FHNR 3300 (Revised 2/90) (jencral Services Division (Review 1/95) Reviewed by Initials Date DEHNRP&C JAN 1 a 1991 4 N.C. Department of Environment, Health, and Narurai Resources Division of General Services CONTRACT ADDENDUM Adult Health Officr, Secrion, or Branch Orange County Health Department Contractor Page 4 of 4 91 -92 FY 3 92- 550,5' -068 Contract Number Health Promotion Activity 7. By June, 1992, 1 fitness facility (local spa) will provide membership discount for new members from the employee population. 8. By June, 1992, develop and implement a tracking system to verify referral outcomes of 75% of Orange County government employees referred for high blood pressure and cholesterol. 9. By June, 1992, 2 staff members participating in health promotion activities will receive continuing education in a health promotion.or related training program. D. QUALITY ASSURANCE A Quality Assurance Plan for the Personal Health Services Division is on file. A Quality Assurance Committee for the health department has been established and meets at least quarterly for quality assurance activities. Program and record review by Adult Health Section Supervisor will occur at quarterly or six month intervals. All quality assurance findings and corrective action will be documented in written reports. Information. collected will include, but not limited to, client assessment and test results; record adults; worksite promotion, implementation, participation and barrier data; participant evaluations; outcome analysis for meeting program objectives for local six month and annual reports and state performance report. A policy and procedure manual includes all services provided by the program and is reviewed and updated yearly. Health Professionals involved in the Health Promotion Program: Jerry Ann Gregory RN, BSN, Health Promotion Program Coordinator, with 22 years of public health nursing experience. Belinda Jones, MPH, Health Education Section Supervisor, with 10 years experience in public health education, Ona M. Pickens, RNC, BSN, Adult Health Section Supervisor, with 12 years experience in public health nursing. Laurel Bond, RD., MS., Nutrition Program Coordinator, with 12 years or experience providing nutrition services. Eileen Kugler, MSN. MPH, RN, Personal Health Services Division Director with 12 years experience in public health. Marcia An91e, I'D, MPH, Medical Director since 1987, Boards certified in Family Medicine and Preventive Medicine, I )FHNR 3300 (Rewsrd 2 190) General Services [division ( Review 1/95) Reviewed by InInals Date DEHNR P & C ,IUN 1 8 1991 LOCAL HEALTH DEPARTMENT BUDGET N.C.-Department of Environment, Health, and Natural Resources Revision Number ,.� Division of General Services (r-. SFY Division of Epidemiology i� * O Number 5"Al -9- -2- it Effective Date Termination Date Contract Number Contractor: MA= cb NN HW.TH DEMBIMMM Activity: Tuberculosis Project Director: Total Budger. $ !.9M- W.I Finance Officer Signature DEHNR 2948 (Revised 2/90) Genera] Services Division (Review 2/93) J q11 71ql ure Date s a d i ' ion /Section Si rare Date �► - y 7 -11 110 A? Date rscal anageme S' a Date ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: TXIX /SSBG 102 OTHR REC 103 0 C Salaries & Fringe Benefits E SA/FR 1000 12,608 X Operating Expenses P OP EXP 2000 0 P Purchase of Equipment EQUIP 5000 S E General Contracted or 23245� T TAL RECEIPTS — equal to Total Expenditures $ 1 N Purchased Services � � GENERAL 6100 0 School Health � p,4, TH D Clinician LN 6863 0 X .� T Laboratory bsbz Pharmacy Services Transfer TXIX CU RX SERV 6865 0 .... R Subtotal State Expend. ` $ E LOCAL EXPENDITURES: LOCAL EXP 9000 144 752 S TOTAL EXPENDITURES -- equal to Total Receipts $ !.9M- W.I Finance Officer Signature DEHNR 2948 (Revised 2/90) Genera] Services Division (Review 2/93) J q11 71ql ure Date s a d i ' ion /Section Si rare Date �► - y 7 -11 110 A? Date rscal anageme S' a Date LOCAL FUNDS: R Appropriation APPROP 101 ll�l,Z- E TXIX /SSBG Fees Other Receipts TXIX /SSBG 102 OTHR REC 103 0 C Subtotal Loral Funds $ 144,752 E STATE /FEDERAL /SPECIAL FUNDS: I P T S Subtotal State/Federal/Special $ 12 608 T TAL RECEIPTS — equal to Total Expenditures $ 1 !.9M- W.I Finance Officer Signature DEHNR 2948 (Revised 2/90) Genera] Services Division (Review 2/93) J q11 71ql ure Date s a d i ' ion /Section Si rare Date �► - y 7 -11 110 A? Date rscal anageme S' a Date DEHNR P & C APR 2 2 1991 N.C. Department of Environment, Health, and Natural Resources , Division of General Services CONTRACT ADDENDUM TUBERCULOSIS CONTROL Office, Section, or Branch Grange County Health Department Contractor Page 1 of 1 F YGi qz 45s1 92 -323& -068 Contract Number TUBERCULOSIS Activity Local Health Department Tuberculosis Control objectives 1. By June 30, 1992, 85 % of newly positive TB cases on treatment will convert their sputum to negative within three months. (Statewide objective 850) 2. By June 30, 1992, 95 e of newly reported sputum positive TB cases on treatment will convert their sputum to negative within six months. (Statewide objective 95 %) 3. By June 30, 1992, 95 % of cases started on drugs will complete the prescribed course of drug therapy. (Statewide objective 950) 4. By June 30, 1992, 90s of close contacts will be examined within 14 days after health department was notified. (Statewide objective 98 %) 5. By June 30, 1992, 90% of PPD negative, close contacts will receive two or more PPD's at least three months apart. (Statewide objective 90 %) 6. By June 30, 1992, 80% of persons started on preventive therapy will complete the prescribed course of treatment. (Statewide objective 80s) 7. By June 30, 1992, 25% of cases started on drugs will be placed on directly observed therapy. (Published studies estimate that therapeutic noncompliance occurs in approximately 25 to 50% of TB outpatients) Reviewed by DEHNR 3300 (Revised 2/90) � 1 rl General Services Division (Review 1/95) Initials Da ORANGE SEVE State of North Carolina Department of Environment, Health, and Natural Resources Division of General Services 512 North Salisbury Street 0 Raleigh, North Carolina 27611 James G. Martin, Governor William W. Cobey, Jr., Secretary July 31, 1991 M E M O R A N D U M TO: Local Health Directors w G. o - FROM; Laird A. Davison, rector` Division of General Services SUBJECT: Activity Budgets FY92 Laird ,k Davison Director Enclosed please find your copies of the approved activity budget(s) listed below. They are to be included as a part of your original consolidated contract. This notification not only serves as a transmittal for the activity budget(s), but as an amendment to the consolidated contract as well. Please note that all provisions and clauses set forth in the consolidated contract apply to these activities. If you have questions please call Johnsie N. Robinson at 733 -3131. LAD /n1 Amwxhmt X61 Activities Environmental Healt Transfer of Escrow Aids (Federal) Testing MCH Block Grant Nutrition HCFA- Influenza P.O. Box 27587, Raleigh, Worth Carolina 27611 -7657 Telephone 919 -733 -7375 An Egual ODDOrtuNty Afliimiative Acdon Em 1 r S � � ���- p�� l '� 1991 N.C. Department of Environment, Health, and Natural Resources Division of General Services SFY LOCAL HEALTH DEPARTMENT BUDGET Division of Environmental Health 07 / 91 06 / 92 Effective Date Termination Date Contractor: 0RM QOUNrY HEALTH IWARUM Revision Number �sd�s O Number y / / 9 2 1 0 6 8 f l Contract Number �Activity: Environmental Health Total Budget: $ Project Director: R. Re--- — LOCAL FUNDS: R Appropriation E TX1X /SSBG Fees Other Receipts C Subtotal Local Funds E STATE /FE.DERAL /SPECIAL FUNDS: I P T S Subtotal State/Federal /Specie APPROP 101 320,926 TXIX /SSBG 102 0 OTHR REC 103 125.2N TOTAL RECEIPTS -- equal to Total Expenditures Official Finance Officer Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) '4117 A) Dat Date Bn=h Hew wtr M- 1 $ 452,176 Signature fiscal Ma ement Si re w CL -T1 ate Date AUG 0 b ®EHNR-P -& C APR 2 2 1991 N.C. Department of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM Environmental Office, Section, or Branch orange County Health Department Contractor The contractor agress to perform the following activities: Page 1-of Ey�1- 92 92.5301068 Contract Number Environmental health Activity 1. Expand sewage or system monitoring and maintenance assurance to an additonal 250 inspections. 2. Increase Day Care inspections. 3. Provide additional educational opportunities to new and existing staff. 4. Purchase some equipment, education and technical, for sewage system monitoring and maintenance (projector, copier, file cabinets, sludge judge, sample testing equipment, etc.) l )FHNR 3300 (Revised 2/90) General Services Division (Review 1/95) Revievied by lnitia s Date. N.C. Department of Environment, Idealth, and Natural Resources Division of General Services SFY 07 / 91 Effective Date LOCAL HEALTH. DEPARTMENT BUDGET Division of General Services 06 / 92 Termination Date Contractor: Activity: Revision Number /c° � . Numb- .0 er 9 2 0 6 8 Contract Number Transfer of Escrow Project Director: ipI R. RP ;"'°r Total Budget. S 121,070 LOCAL FUNDS: R Appropriation E TXIX /SSBG Fees Other Receipts C E Subtotal La .rat Funds STATE/FEDERAL/SPECIAL FUNDS: I P TWS1! ER xrx T S Subtotal State/Federal /Specia APPROP 101 TXIX /SSBG 102 OTHR REC 103 121,070 $ 121 TOTAL RECEIPTS --- equal to Total Expenditures $ 121,070 4A) D-W / Loca Authorized Official 5ignarure at Divis' /Section Sign re Date. k_ r7 -7► � /- Finance Officer Signature Date n � � Fiscal Management Signature Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/91) DEHNR P & C Jut, 1 3 1991 DEHNR P & C APR 2 2 1991 N.C. Department of Environment, Health, and Natural Resources Page 1 of 1 Division of General Services FY 91_92 CONTRACT ADDENDUM Office, Section, or Branch Contract Number Orange County Health Department Contractor TrnnAfpr of Escrow Funds Activity 4125 TB CONTROL 2,978 4143 PAP SMEAR 4126 VD CONTROL 4173 GONORRHEA' 4168 HYPERTENSION 4174 AUDIOMETRY 4128 BLOOD PRESSURE 4175 BLOOD CHEM SMA -6 4169 DIABETES 4176 BLOOD CHEM SMA -12 4170 GLAUCOMA 4144 MAT CARE INITIAL 9 079 AP- 4129 CANCER DETECTION 4145 HAT CARE SUBSEQ 34 796 4131 HEART /RH FV 4146 CHILDBIRTH CLASS 4132 NEUROLOGY 4147 MAT HOME VISIT 4133 CLI -SPCH /HEAR 4148 PARENTING CLASS 4134 ORTHOPEDIC 4149 VAG DELIV ONLY 4135 SPCH THERAPY 4157 FAMILY PLANNING 6,640 4136 CLI -PHYS THER 4158 EPSDT 3,6_ 4137 CHILD HLTH TREAT 6 504 4159 IMMU UPDATE 4138 MAT HLTH TREAT 10 000 4150 TOT OBSTET VAG 4139 INTRA PARTUM CARE 4151 NEUROMUSCULAR 4140 DENTAL 4152 ULTRASOUND 4171 EYE CARE 4177 ARTHRITIS ASSES 4127 ADULT HEALTH 4153 OBSTETRIC CARE 4141 NON STRESS 4154 CESAREAN DELIV 4142 REFUGEE HEALTH 4155 HYSTERECTOMY 4172 ADULT SCREENING 4156 CHLD SERV COORD '179 "4y TOTAL Reviewed by DEHNR 3300 (Revised 2/90) Initials Date General Services Division (Review 1/95) ;- LOCAL HEALTH DEPARTMENT BUDGET N.C. Department of Environment, Health, and Natural Resources Revision Number — Division of General Services SFY Division of E idemiol .Number 07 / 91 00 / 92 9 2 Effective Date Termination Date ^ Contract Number 7// i : Aids (federal) Contractor: —.CR v'�' ^'vmmv T�'sT ..iE,.AF=I � Activity. _ _. Project Director: Daniel B' Reimer Total Budget: $ 30,525 D ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: TXIX /SSBG Fees Other Receipts rI Laboratory C Salaries & Fringe Benefits SA/FR 1000 2$ pp a X Operating Expenses Transfer TXIX ._.OP...EXP 2000 PtPurchase of Equipment p ::::<:» <:::» "$ ....... > »' <i' > > » >;< ;;''` >;;' > >«' E General Contracted or S 28,000 S Purchase Services Subtotal State/Federal/S $ 28,000 :.rI�RA,L.. t# N h 1 Health D Clinician 1. < »' > >> I APPROP 101 2,525 E TXIX /SSBG Fees Other Receipts rI Laboratory C ............. Pharmacy Services E STATE/FEDERAL /SPECIAL FUNDS: U Transfer TXIX R Subtotal State EgEnd. E LOCAL EXPENDITURES: LOCAL EXP S 28,000 S TOTAL EXPENDITURES -- equal to Total Receipts nm K -3 Authorized Official Signatur ww Date � Finance Officer Si a /cure Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) -7-T- 9 L�iviion /Section SignatVre Date agement Signature / Date LOCAL FUNDS: R Appropriation APPROP 101 2,525 E TXIX /SSBG Fees Other Receipts TXIX /SSBG 102 0 OTHR REC 103 0 C Subtotal Local Funds $ E STATE/FEDERAL /SPECIAL FUNDS: x P T 28,000 S Subtotal State/Federal/S $ 28,000 TOTAL RECEIPTS — equal to Total Expendi es $ 30,525 Authorized Official Signatur ww Date � Finance Officer Si a /cure Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) -7-T- 9 L�iviion /Section SignatVre Date agement Signature / Date DEHNR P & C APR 2 2 1991 k 1yyz North Carolina Department of Environment, Health and Natural Resources Division of Epidemiology CONTRACT ADDENDUM HIV /STD Control 92 -5222 -068 _ Office, Section or Branch Contract Number Orange County Health Department HIV Control Contractor Activity Local Health Department HIV Control Objectives 1. By June 30, 1992, 100 % of the staff hired with HIV /STD Control Branch, FY 91 -92 AIDS aid -to- count- funds for HIV antibody counseling and. testing will have received training provided by the HIV /STD Control Branch or by others trained by the Branch. (Statewide objective = 95 b) 2. June 30, 1992, 100 % of persons receiving confidential HIV antibody testing will have signed an informed consent form. 3. June 30, 1992, 95 % of the HIV serology forms designated by the Division of Epider:.-ology will have all items answered completely and accurately. (Statewide objective = 95 %) 4. By June 30, 1992, the initial return rate for post -test counseling for persons receiving confidential HIV antibody testing will be 50 %. (Statewide objective = 50 %) In health departments offering anonymous testing, the return rate for post -test counseling for persons receiving anonymous HIV antibody testing will be 80 %. (Statewide objective 80 %) 5. By June 30, 1992, 100% of all patients testing positive on the HIV antibody test will be referred to the HIV /STD Control Branch HIV counselor. 6. By June 30, 1992, 90 % of patients seen in Family Planning, Maternity, and TB clinics will receive basic information about HIV. (Statewide objective = 85 %) 7. By June 30, 1992, 95 % of patients seen in family planning and TB clinics who receive basic information about HIV and whose behaviors place them at risk for HIV will be offered HIV counseling and testing. (Statewide objective = 95 %) 8. By June 30, 1992, confidential HIV counseling and testing will be recommended to 95 % of all patients seen in STD clinic. (Statewide objective = 9. By June 30, 1992, 90 % of the staff involved in HIV education activities.will have received specific training on HIV information and education issues. (Statewide objective = 90 %) Page 2 of 5 FY 92 10. By June, 1991, 80 1 of HIv education efforts will target communities /individuals at risk or potentially at risk for HIV disease (e.g., minorities, gay /bisexual men, drug users, women of childbearing age and adolescents). This can include direct educational services to the targeted population and /or consultation /collaboration with other agencies serving these populations. (Statewide objective = 80 10 DHS 3300 (02 -85) Regional Review Contracts Admin. (Review 02 -90) Ini\tiiaal Date V-' N.C. Deparmnent of Environment, Health, and Natural Resources Division of General Services CONTRACT ADDENDUM HIV /SID Control Office, Section, or Branch Orange Comty Health Dg2Mmmt Contractor iilV COUNSELING AND TESTING PROGRAM PLAN ORANGE COUNTY HEALTH DEPARTMENT Page 3 of 5 FY 1991 -1992 92- 5222-068 Contract Number HIV Control Activity A. All staff with primary responsibility for HIV antibody counseling and testing will receive training and continuing education by the HINiSTD Control Branch or by local staff who were trained by Branch staff. i.F. All pi-e-- arid. post --test counseling will be conducted per the i,eco:;_r:endations issued by the HIV /STD Control Branch. This, Counseling will include i_adividual i.zed counseling sessions, personalized risk assess_Ient and risk reduction guidelines, advantages and disadvantages of testing, accuracy and limits of testing, interpretation of test results. Individuals who are HIV positive will be advised of HIV control measures and notification of set; and needle -- sharing partners. Referrals to HIV,/STD Control Branch partner notification and appropriate medical and psychosocial services will be =rude. Infor!l;ed. consent will be obtained prior to testing. Po.�itive confidential tests will be reported on the con-i:nunicable disease report Card within , days. Positive anonymous tests will be reported throuGh the State Laboratory of Public Health. I.C. HIV antibody test results will be opened only by trained HIV counselors, nurse practitioners and, public health nurses. Written release of information i4 required before confidential HIV test results will be released except as required by law. All HIV test records and patient records will be stored in locked facilities. I.D. Flan of Operation 1:) Iilforrning clients of availability of service: posters; Ijv.11etin boards, brochures—, individual risk assessment during STDJFP /`tatei-nal Health/TB/Pregnancy determination interviews (especially worsen of childbearing age, adolescents, :r;lnoritle_s, drug users and gay/bisexual ell . D HNR 3300 (Revised 2/90) General Services Division (Review 1/95) Reviewed by Initials Date N.C. Department of Environment, Health, and Natural Resources Page 4 of 5 Division of General Services CONTRACT ADDENDUM HIV /SID Control Office, Section, or Branch Orange Cotmty Health Department Contractor Fy 1991 -1992 92- 5222-068 Contract Number HIV Control Activity In order to ad.ver[ise the availability of service, public service announcements will be distributed periodically. Daily inforr,ation will be printed in "The Chapel Hill Herald" and "Chapel Hill Newspaper," Contact will be developed and rr,aintairled with local AIDS services organizations, drug treat -rent centers and other local abe:;.cies serving Populations which tend to be at increased risk. Contact is also ,riaintained with student and universiLv organizat.iolls at ?'N(, —Ch .pet Hill. The Health Depart „rnt wi.11 participate in and cooperate with the Orange Count -t T.DS Task Fe ce. Contacts will be maintained witl; religious organizations (including "inority chUrches and clerg,, - -!. ?1 Anonymous HIV counseling and 'Testing Hours: AppointMents are available with walk —ins seen as time allows: Carr Mill Site: `f, f., Th 3:00 — 12:00 1. :00 — 4:00 Friday 8:00 — 12:00 Hillsborough Site: Tuesday 8:00 — 12:00 1:00 — 4 :00 Confidential testing will be available during prenatal, far,ily planning, STD and IS clinical hours. 3' Providers of services are appropriately trained HIV Counselor, public health nurses, nurse practitioners and health educator;. 4) HIV counselinL, and testing policies, procedures and inforn-ation is located in a procedures :r:anual in each site. quarterly report will be submitted on DEHNR 3 ?0S by the 15th of the month following the end of the quarter. .3• We will cor-:ply with efforts of the HIV /STD Control Branch to develop and imple-ent a qua17_ty assurance system. Reviewed by DFHNR 3300 (Revised 2/90) General Services Division (Review 1/95) Initials a Date N.C. DepaL Ur ent of Environment, Health, and Natural Resources Page 5 of 5 — Division of General Services CONTRACT ADDENDUM HIV/SID Control Office, Section, or Branch FY 1991-1992 92-5222--068 Contract Number __ Orange County Health DeparWent HIV Control Contractor Activity Blood s.a-r.Jes fol- KV serol',)�y will be sub-ititted 1110 the State abO.ratory on pfoperl,,: completed DHS Form 3652. 5. A PC)lj_Cy J-eCj,Uij'j_ng that patients w1jo receive STD/FF'/'111aternal/'TB services will receive basic HIV n f 0 rma t i o n has been -i L D' n effect since 19S P_:. tients whose behavior; place they,. at increased -fJsk for HTV infection will 1, N -1 -e ad, o _ ed of anony.,rous and confidential 11fV testin.- options and offered corif idei tial testing Referr.=ls �ill be made to lilv coun'.''lor for confidential oi- anony,.':�ous testing based .n client's decision reg�L,Ydin.- will be obtained with L clients vho receive testing will be encouraged to e 11.YI7 for -heir test results and Post-test counseling. b. T ndividual counseling will be provided. T 'idividual counseling will be provided. A strong; e-.!Phasis is placed upon prrj vise on of HIV STD education and testing to clients at . risk for 1IIVJ'STDS. 9. P-Liblic health funds will not be used to provide HIV counseling and testin_­ services for Persons needing test results for employment, insurance, admission to drug treatnlient pro.-ran,.s, camp or other programs which require HIV testing, or citizenship. 10. Funds will be used solely for HIV/AIDS education, coi - inselitiz, and testing. Disburse,­ient and accounting of funds , ill follow applicable state and fedei-al, :Cost accoLinting -orocedures. State approved educatic)nal ,Tiaterialc will be used. All .:.'Iterials develope,,t in-house will bt• submitted to the State -,'.IDS Community Review Panel for approval. DFHNR 3300 (Revised 2/90) General Services Division (Review 1/95) Reviewed by Initials Date LOCAL HEALTH DEPARTMENT BUfR&f, - � T N.C. Department of Environment, Health, and Natural Resources JUL 3 0 199�evision Number Division of General Services J�/Division SFy of Maternal and Child Health P. O. Number 07 / 91 06 / 92 9 2 5 4 0 r O b 8 Effective Date Termination Date Contract Number MCH Block Grant Nutrition Contractor: Orange County Health Dept. Activity;. titrtrition Y-K Project Director: Daniel B. Reimer Total Budget: $ 1, 820 Date Branch Had Health Director Initial Date ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: X Salaries & Fringe Benefits SA/FR 1000 Operating Expenses OP EXP 2000 1 $20 P Purchase of Equipment E UIP 5000 E General l Con G traded or N Purchased d Servi ces 1r School Health S;H D Clinician 15$63 Y Delivery Services DEL SERA: Laboratory 717.7. ..:..: Pharmacy Services ERA . U Transfer fer T TX1X :: ......:::::.:1.'.8.2.0......... R Subtotal State E nd. $ E LOCAL EXPENDITURES: LOCAL EXP 9000 -0 S TOTAL EXPENDITURES -- equal to Total Receipts $ 1,820 Authorized Official S G Finance Officer Signature DEHNR 2948 (Revised 2/90) General Services Division (Review 2/91) Division /Section Signature' T' Date G yFisc�alMan ement Si re ate Date Branch Had Initial Date Acccwn=t Initial Division /Section Signature' T' Date G yFisc�alMan ement Si re ate LOCAL HEALTH DEPARTMENT BUDGET N.C. Department of Environment, Health, and Natural Resources Revision Number Division of General Services��� SFy Division of Epidemiolozy Z P. O. Number oZ/ 91 OFi,/ 9? ����,_ 0 6 $ Effective Date Termination Date - �� Contract Number Ink WMIDUINkMh Activity: HCFA- Influenza Project Director: Total Budget: $ y �7 /q/ Local Authorized Official Signature Date Finance Officer Signature Date DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) Di - i n /Section Si ' e Date � rr Ara -um ^' a ent Signature D to DEHNR P & C APR 2 2 1991 AMENDMENT NUMBER 02 to CONSOLIDATED CONTRACT between THE STATE and THE _ ORANGE COUNTY /DISTRICT HEALTH DEPARTMENT^ This Contract covering the period from 07 01 91 to 06 qq (Month) (Day) (Year) (Month) (Day) (Year) is hereby amended to add the following activities: ACTIVITIES AIDS (Federal) Minority GHSP -ED And Records Projects CDC-- Community Base Injury All provisions and clauses set forth in the Contract are hereby incorporated in this Amendment and constitute the terms and conditions applicable for the above activities involving State funding. CONTRACTOR SIGNATURES Health Director Date I ram-o� Finance Officer _ Da e W ffmr-All airman of County commissioners Date NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES ,,6 William W. Cobey, Jr., Secretary J,. Dlrecft�r Y rfV�ar Div, of Ceieml Ser;icas Department ead's Signature qlp or Authorized Agent DEHNR 2946A (Revised 10/89) General Services Division (Review 10/90) LOCAL HEALTH DEPARTMENT BUDGET N.C. Department of Environment, Health, and Natural Resources Division of General Services SFY _-92 IXvi.sion of E 'demiol / 91 __ 6/30 / 92 �J Effective Date Termination Date Revision Number — — s O. Number Contract Number Contractor: Qrange Cpunty�Health Department Activity: AIDS fodera! Minori .Project Director: Total Budget: $ E x P E N D I TIT f R' E S R E C E I P T ITEM DFSCRIMON STATE EXPENDY11JRPS: Salaries & Fringe Benefits Operating Expenses Purchase of Equipment General Contracted or Purchased Services School Health Clinician Delivery Services Laboratory Pharina.cv Services Transfer '!Y -ff,, –_ Subtotal State LOCAL EXTZNDI i URES: CLASSIFICATION ITEM SA/FR 1000 OP EXP 2000 LOCAL EXP 9000 TOTAL EXPENDITURES -- equal to Total Receipts LOCAL, lr(.JNDS: Appropriation TXIX /SSBG Fees Other Receints Subtotal L ca; Funds STATE/FEDERAL/SPECIAL FUNDS: Subtotal. TOTAL RFC: IPTS -- equal to Total APPROP 101 TX1X /SSBG 102 OTHR RFC 103 AMOUNT 976.00 i� ro $32,676.00 n-- y -9 Local Authorized Ufiiciai Signa e Date ��� d Di ' ton /Section�Si .,azure Date _ _ fr- z 7 -5/ Finance Offiger' S4 , arure~ Date F'sca! M g t S' Zature Date. DEHNR 2948 (Revised 2/90) General Servi.ccs Division (Rcview 2/91) N.C. Department of Environment, Health, and Natural Resources Division of General Services SFY 07 / 91 Effective Date LOCAL HEALTH DEPARTMENT BUDGET I tCEIVED . AUG 7 1991 Revision Numbe Division of E idemiol i5ral I N HFmi P O. Number 06 / 92 r ER 9 2 --.7 i O b 8 Termination Date `Contract Number Contractor: Orange County Health Department " � Activity: GHSP -ED and Records Projects Project Director. Daniel B. Reimer Tots] Budget: $ 5,117 - Health Director - -- ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT E STATE EXPENDITURES: X Salaries & Fringe Benefits SA/FR 1000 Operating Expenses OP EXP 2000 P Purchase of Equipment E UIp - -" $5 117 5000 -0- E General Contracted or N Purchased Services GENERAL 6100 - `�- 5L1~I> D Clinician Laboratory Pharmacy Services U Transfer T'XIX` R Subtotal State E nd. E LOCAL EXPENDITURES:. LOCAL EX S TOTAL EXPENDITURES — equal to Total Receipts LOCAL FUNDS: R Appropriation APPROP E TXIX /SSBG Fees TXIX /SSBG C Other ReceitIts OTHR REC E Subtotal Local Funds -- T' STATE /FEDERAL /SPECIAL FUNDS: DEE]NR kinds P X6100- 520–A4qlr T '140 IHS/ .31114/ S Subtotal State/Federal/Special TOTAL RECEIPTS --- equal to Total Expenditures -�_ -... •6. «444 - ! DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) $ $5,117 9000 101 102 103 H $ –0– $5,117 $ 5 117 $ 5,117 Date tw pi ' ' n "on Signature Dat 6 –z6 °ql 7- Date Date ement Signature Date School Health ` LOCAL FUNDS: R Appropriation APPROP E TXIX /SSBG Fees TXIX /SSBG C Other ReceitIts OTHR REC E Subtotal Local Funds -- T' STATE /FEDERAL /SPECIAL FUNDS: DEE]NR kinds P X6100- 520–A4qlr T '140 IHS/ .31114/ S Subtotal State/Federal/Special TOTAL RECEIPTS --- equal to Total Expenditures -�_ -... •6. «444 - ! DEHNR 2948 (Revised 2/90) General Services Division (Review 2/93) $ $5,117 9000 101 102 103 H $ –0– $5,117 $ 5 117 $ 5,117 Date tw pi ' ' n "on Signature Dat 6 –z6 °ql 7- Date Date ement Signature Date FOCAL HEALTH DEPARTMENT N.C. Department of Environment, A Health, and Natural Resources A (f r Division of General Services 1� ' 1 Revisio Number 1 y �f F. l SP]' Division of Epidertuolo�` 3 a 07 / 91 05 / 92 H `i P. O. Number Effective Date (� 1 9 2 2 0 6 8 Termination Date , l Contract Number J 1 Contractor: Orange �tY�► Department I Activity: CDC-Community Base In ur Project Director: Daniel B. Reimer Total Budget: $ 3,861 Hen l tb m ran t•nr LOCAL FUNDS: R Appropriation APPROP 101 E Txlx /SSBG Fees Txix /SSBG 102 C Other Recei is OTHR RE C 103 _ E Subtotal Local Funds $ I STATE/FEDERAL /SPECIAL FUNDS: p D» Funds 7.�- zo�loo- 528s -�3�1 T I`'%Yv yy3j �i]rl S $3,851 Subtotal State/Federal /S al $ $3,861 TOTAL RECEIPTS —equal to Total Expenditures $ 3,861 Official S Finance Officer Signature DEI NR 2948 (Revised 2/90) General Services Division (Review 2/93) 6 .9 6 4j Fw Date er.r+Ga Mda Division/ on Signature Date I -- 26_ClI L -`I/ Date m, fiscal ement Signature Date µpia 66,k `� oyc ITEMS FOR FOLLOWtip BOARD MEETING DATE: ITEM # TITLE TYPE OF FOLLOWUP t NOTES: y r i f f Mm _I FAI OLLOWUP COM�TED C, O 9/