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HomeMy WebLinkAbout2018-417-E Finance - Orange County Living Wage outside agency agreementDocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2018, ( "Effective Date ") by and between the County of Orange, a political subdivision of the State of North Carolina, 200 South Cameron Street, Hillsborough, North Carolina, 27278, ( "County ") and Orange County Living Wage, a not - for - profit corporation, located at 218 Lake Manor Road, Chapel Hill, NC 0 ( "Provider "). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need, as identified by the Board of Commissioners. NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth, the County and Orange County Living Wage agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2018 to June 30, 2019. 2. Scope of Services. a. Provider will provide services, as outlined in the attached Outside Agency Funding Application and any amendments or revision thereto which is attached as Exhibit "A" and incorporated by reference, to the residents of Orange County. The Scope of Services and the Program Budget may be different from the original application based on County appropriation; however, any revisions or amendments to this Agreement must be approved in writing by the County and attached to this Agreement as Exhibit B. b. The Provider shall be solely responsible for the means, methods, techniques, sequence, safety program and procedures necessary to properly and fully complete the work set forth in the Scope of Services. 3. Funding. a. The County agrees to appropriate for the provision of services described in Exhibit A, Scope of Services and more particularly described in the Revised Program Budget, the maximum sum of $18408. b. All funds appropriated shall be used for purposes described in Exhibit A. Any funds not used for the purposes stated shall be returned to the County. Any changes in the use of funds must be authorized in writing by the County prior to any expenditure of the funds by the Provider. If the funds are expended not in accordance with the Scope of Services, at the discretion of the County the Provider may be required to repay the funds to the County. The Provider shall be paid in four equal installments in the amount of $4,602. The first payment is contingent upon receipt of the agency's performance agreement; the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. d. The County's obligation to make the quarterly payments is contingent upon receipt of Progress Reports, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services. (Orange County Living Wage) Orange County Outside Agency Performance Agreement Revised 712018 Page 1 of 9 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 e. Once Provider has satisfied its obligations as provided in (d) payment will be made 21 days after receipt of the Progress Report and Request for Reimbursement or 21 days after due date of Progress Report whichever is later. £ The County is not obligated to provide any other support to Provider in this or in succeeding fiscal years. 4. Agency Reporting. a. Provider will provide Orange County a Progress Report that includes a fiscal report and updates on performance measures as outlined in the Scope of Services. Progress Report dates are: July 1 — December 31; January 1 — March 31 and April 1 - June 30. Reports are due on January 11, April 12, and July 12 of the program fiscal year. b. Provider agrees to allow the County to inspect its financial books and records, which document costs of those services, upon reasonable notice during normal working hours. 5. Termination. a. In the event of any of the circumstances set forth below (hereinafter referred to as "default "), the County may immediately terminate this Agreement, in whole or in part, and from time to time. Notice of termination must be in writing, state the reason or reasons for the termination, and specify the effective date of the termination: i. In the event that Provider shall cease to exist as an organization or shall enter bankruptcy proceedings, be declared insolvent, or liquidate all or substantially all of its assets, or significantly reduce its services or accessibility to Orange County residents during the term of this Agreement; or ii. In the event that Provider shall fail to render a satisfactory accounting as provided section 4 above, the County may terminate this Agreement and Provider shall return all payments already made to it by the County for services which have not been provided or for which no satisfactory accounting has been rendered; or iii. In the event of any fraudulent representation by the Provider in an invoice or other verification required to obtain payment under this Agreement or other dishonesty on a material matter relating to the performance of services under this Agreement. iv. Nonperformance, incomplete service or performance, or failure to satisfactorily perform any part of the work identified in the Scope of Services or to comply with any provision of this Agreement, as determined by the County in its sole discretion. v. Failure to adhere to the terms of applicable county, state or federal laws, regulations, or stated public policy. b. In the event of default by the Provider, the county may elect to terminate this Agreement, in whole or in part and/or require the Provider to repay the funds within ten (10) business days from written notice of default. The County may (but shall not be required to) grant the Provider an opportunity to cure the default without termination of this Agreement. This clause shall not be interpreted to limit the County's remedies in law or in equity. (Orange County Living Wage) Orange County Outside Agency Performance Agreement Page 2 of 9 Rev. 7118 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 c. Notwithstanding the foregoing, either party may terminate the agreement at any time without penalty; provided that written notice of such termination is furnished to the other party at least 30 days prior to termination. In the event of such termination, any payment due shall be prorated to the date of termination and any unused funds shall be returned to the County within 10 days of termination. d. Any termination of this Agreement for default under this section that is later deemed to be unjustified shall be deemed a termination for convenience. 6. Insurance. a. General Requirements. The Provider shall purchase and maintain, during the period of performance of this Agreement, insurance: i. Worker's Compensation. For protection from claims under workers' or workmen's compensation acts; ii. Comprehensive General Liability Insurance covering claims arising out of or relating to bodily injury, including bodily injury, sickness, disease or death of any of the Consultant's employees or any other person and to real and personal property including loss of use resulting thereof, iii. Comprehensive Automobile Liability Insurance, including hired and non -owned vehicles, if any, covering personal injury or death, and property damage; and iv. Professional Liability Insurance, covering personal injury, bodily injury and property damage and claims arising out of or related to the performance under this Agreement by the Consultant or his agents, consultants and employees. b. Limits of Coverage: Minimum limits of insurance coverage shall be as follows: INSURANCE DESCRIPTION • Worker's Compensation • Commercial General Liability • Automobile Liability • Professional Liability MINIMUM REQUIRED COVERAGE Limits for Coverage A - Statutory State NC & Coverage B - Employers Liability $500,000 each accident, disease policy limit and disease each employee $1,000,000 Each Occurrence $2,000,000 Aggregate $500,000 Combined Single Limit $1,000,000 Each Occurrence $2,000,000 Aggregate c. All insurance policies (with the exception of Worker's Compensation and Professional Liability) required under this Agreement shall name the County as an additional insured party and as a certificate holder. Evidence of such insurance and all correspondence shall be sent to: Orange County Risk Manager Post Office Box 8181 Hillsborough, NC 27278 d. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. (Orange County Living Wage) Orange County Outside Agency Performance Agreement Page 3 of 9 Rev. 7118 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 7. Relationship of the Parties. Provider is an independent contractor of the County. Provider represents that they have or will secure, at his own expense, all personnel required in performing the services under this Agreement. Such personnel shall not be employees or have any contractual relationship with the County. All personnel engaged in work under this Agreement shall be fully qualified and shall be authorized and permitted under federal, state and local law to perform such services. 8. Compliance with all Laws. The Provider, at its sole expense, shall comply with all laws, ordinances, orders and regulations of the federal, state or local governments, as well as their respective departments, commissions, boards, and officers, which are in effect at the time of execution of this Agreement or are adopted at any time following execution of this agreement. 9. Subcontract. The County and Provider deem the services provided under this Agreement to be personal in nature and Provider may not subcontract any rights or duties under this Agreement to any other party without prior written consent from the County. 10. Assignment. The Provider shall not assign this Agreement, including the rights to payment, to any other party without the prior written consent of the County. 11. Indemnification. Provider agrees to defend, indemnify, and hold harmless the County, for all loss, liability, claims or expense (including reasonable attorney's fees) arising from bodily injury, including death or property damage, to any person or persons caused in whole or in part by the negligence or willful misconduct of the Provider, except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this section to require Provider to indemnify the County to the extent permitted under North Carolina law. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. 12. Non - Appropriation. This Agreement is subject to the availability of funds to purchase the specified services and may be terminated at any time if such funds become unavailable. 13. Non - Discrimination. Provider agrees as part of consideration of the granting of funds by Orange County the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Non - discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. 14. Living Wage. Orange County is committed to providing its employees with a living wage and encourages agencies if funds to pursue the same goal. The County's living wage is $ 14.25 per hour. To the extent possible, Orange County recommends that Orange County Living Wage provide a living wage to its employees. 15. Notice. The Parties hereto agree and understand that written notice, mailed or delivered, to the last known address shall constitute sufficient notice to the County and the Provider. All notices required and/or made pursuant to this Agreement to be given to the County and the Provides shall be in writing and mailed to the party addressed as follows: (Orange County Living Wage) Orange County Outside Agency Performance Agreement Page 4 of 9 Rev. 7118 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 County: Finance & Administrative Services Orange County Post Office Box 8181 Hillsborough, NC 27278 Provider: Orange County Living Wage 218 Lake Manor Road Chapel Hill, NC 0 16. Entire Agreement. This Agreement, including any referenced attachments, constitutes the entire Agreement between the parties and shall supersede, replace or nullify any and all prior Agreements of understandings; written or oral, relating to the matters set forth herein, and any such prior Agreements or understandings shall have no force or affect whatsoever on this Agreement. The County and Provider have read this Agreement and agree to be bound by all of its terms, and further agree that this Agreement constitutes the complete and exclusive statement of the Agreement between the County and Provider. 17. Severability. All clauses found herein shall act independently of each other. If a clause is found to be illegal or unenforceable, it shall have no effect on the other provisions of this Agreement. It is understood by the parties hereto that if any part, term or provision of this Agreement is by the Courts held to be illegal or in conflict with any laws of the State of North Carolina or the United States, the validity of the remaining portions or provisions shall not be affected, and the rights and obligations of the parties shall be construed and enforced as if the Agreement did not contain the particular part, term or provision held to be invalid. a. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor, on the list created by the State Treasurer pursuant to G.S. 147 - 86.58. 18. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. IN WITNESS WHEREOF, the Orange County and the Provider have signed this Agreement, effective on the last date this Agreement is signed by both parties as indicated by the dates set forth under signatures below. For oocusigned by: Provider i�A t r w�cuktl 1SMB269B802B02445i) For E6Q cuSigned by: County Government Nwm Y'$� G3799d6755E477... Bonnie Hammersley, County Manager (Orange County Living Wage) Orange County Outside Agency Performance Agreement Rev. 7118 8/14/2018 Date 8/16/2018 Date Page S of 9 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 1. COVER PAGE a) Applicant Contact Information Applicant Organization's Legal Name: Orange County Living Wage Applicant Organization's Physical Address: 218 Lake Manor Road, Chapel Hill NC 27516 Applicant Organization's Mailing Address: PO Box 1502, Carrboro NC 27510 Applicant Organization's Web Address: www.orangecountylivingwage.org Executive Director: Susan Romaine Telephone Number: 919 - 619 -3406 E -Mail: susan @orangecountylivingwage.org Tax ID Number: 47- 4595087 b) Funding Request List all FY18 -19 Human Services (HS) Funding Being Requested — For All Programs) and the Proposed Use of Funds (2 -3 lines or less) Program Carrboro Chapel Orange Total -HS Hill - HS s County-HS Living wage certification program Digital infrastructure support: website hosting fees, $1,500 _ CRM app NationBuilder and email service f Hourly compensation: certification coordinator (60 $2,500 $2,500 $20,000 hrs 1 month); bookkeeping (12 hrs 1 month): technical support for website updates and maintenance along with newsletter and employer "e- blasts" (16 hrs / month) Certification materials: framed certificates and decals $1000 to publicly identify living- wage - certified employers -Marketing and promotional materials: brochures, $6,500 living -wage supporter cards, etc., to expand program reach and engage consumers with living wage employers Accounting: CPA support for financial and tax - related $1000 services Totals $6,000 $9,000 $20,000 $35,000 c) To the best of my knowledge and belief all information and data in this application is true and current. The document has been duty authorized by the governing board of the applicant. Signature Signature: (,t E ecutive Director �1 (- dv - tr Date r -ab-rg Board Chairperson Date AGENCY INFORMATION 1/20/2018 11:16:44 AM Page 1 of 18 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION d) DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NONDISCRIMINATION CLAUSE Are any of the Board Members or employees of the agency which will be carrying out this program or members of their immediate families, or their business associates... YES NO • 0 a} Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? • ❑ b) Members of or closely related to members of the governing bodies of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ❑ ® c) Current beneficiaries of the program for which funds are being requested? ❑ Z d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below. Mark Marcoplos is an Orange County Commissioner and as such is a salaried employee of Orange County. NON - DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, gender identity /expression, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Anti- discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. To the best of my knowledge and belief all of the above information is true and current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the program ineligible for funding, but the existence of an undisclosed conflict may result in the termination of anv grant awarded. Signature: � 8 1 a 0 1'�' .cutive Director _ Date Signature: Board Chairperson AGENCY INFORMATION 1'd0-I`6 Date _..--- .......... .__.._... -- - - - 1120f2018 11:16:44 AM Page 2 of 18 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 2. AGENCY INFORMATION (Be Very Brief and Concise) Please provide the following information about your agency (2 pages OR LESS):. a) Years in Operation, Date of Incorporation (Month /Year): 0712015 Orange County Living Wage met initially on May 2, 2015, and was incorporated on July 30, 2015. We've been operating for just over 2.5 years. b) Agency's Purpose /Mission (no more than a few sentences): Orange County Living Wage (OCLW) is a 501(c)3 nonprofit that promotes a living wage as the minimum wage a worker should earn in Orange County, NC. Through our voluntary employer certification program, we certify Orange County employers that pay all part - and full -time employees a living wage. For 2018 the living wage is defined as $13.70/hour without employer - provided health insurance and $12.20/hour with employer- provided health insurance. Our goals are to raise wages for workers in Orange County by: • Rewarding and recognizing employers who pay their workers a living wage; • Providing employers with incentives to pay a living wage; and • Connecting consumers to living- wage - certified employers and encouraging them to support those businesses and organizations. c) Types of Services the Agency Provides (bullet format): Orange County Living Wage: Raises wages for lower -wage workers, so that more people who work in our county can afford to live here. • Provides a clearly calculated wage that is referenced to US HUD rent data, so that employers and the community have a shared understanding of the minimum income needed to live in Orange County. • Makes the business case for living wages as a benefit to local employers and to the community. • Promotes our employers directly to consumers to increase consumer support of living wage businesses and motivate more employers to certify and raise wages. To accomplish the above, we: • Contact diverse employers to advocate for our program and for the business benefits of paying living wages; • Meet with business owners 1 employers who wish to apply for certification; Agency Information 1/21/2018 12:07:58 PM Page 3 of 17 DocuSign Envelope ID: C0131349A6 -D1E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION • Review potential employers' applications (submitted at no charge to them through our website); + Publicize our certified living wage employers through certification materials (decals and certificates), website, social media, print media, newsletters, WCHL PSAs, and quarterly "boycotts." • Communicate and advocate for our program through print and social media; at meetings with community groups and elected officials; and by speaking and "tabling" at local and regional events. d) Agency's History with Providing These Services: OCLW began certifying living wage employers in the summer of 2015. We certified 48 employers in 2015 and 55 in 2016. In 2017, we certified 42 new employers and re- certifying 41 employers from our 2015 roster. Our employers are for- profit and nonprofit businesses and organizations. Led by Orange County government, all municipalities and other public employers in the County are certified as living wage employers, including the Towns of Carrboro, Chapel Hill, and Hillsborough, both public school systems, OWASA, and Orange County ABC. e) Other Pertinent Agency Information (Ex.. Has the agency experienced any major changes in the past year? is there a new Executive Director? Are there new initiatives ?) As of January 2018, OCLW has certified 141 living wage employers who have cumulatively raised wages by $641,475. In the fall of 2017 we hired a part -time Certification Coordinator to ensure a steady stream of employer contacts and new certifications.. Our Certification Coordinator, Rachel Mehalek, will help launch our Aspiring Employer program, a new effort with six to eight employers who do not yet qualify for certification but want to raise compensation to meet our wage criteria. "Aspiring employers" will partner with OCLW and our living- wage- certified employers to develop wage- raising strategies. 0 Schedule of Positions (For Entire Agency) • Full Time Equivalent (FTE) staff will be noted as 1.00; half time as .50; quarter time as .25, etc. • Calculate a Full Time Equivalent for all recorded volunteer hours using the following: Total Volunteer Hours = Volunteer FTE 2,080 # of FTE - Full -Time Paid Positions: # of FTE - Paid Part -Time Positions: .25* # of Volunteers: 11 # of FTE - Volunteers: 1.75 "Cur Certification Coordinator position is currently working quarter -time, but we look to increase her hours in FY 2017- 2018 Q31Q4, and again in FY 2018-2019. This FTE will ideally move closer to .35 or .40. g) Living Wage Agency Information 1/21/2018 12:07:58 PM Page 4 of 17 DocuSign Envelope ID: C0131349A6 -D1E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Does this agency pay permanent employees a minimum living wage? (Yes I No) yes If yes, is this agency an Grange County Living Wage Certified Employer? yes If no, please explain. h) Agency Budget Is your agency currently receiving and/or requesting other (non -Human Services) local (Town of Carrboro, Town of Chapel Hill, Orange County) government funding? (YeslNo) No If yes, please list below: Include all programs that have funding requestslawardsltotals from Carrboro, Chapel Hill, and Orange County governments (other than ,Human Services). LSO NOT include federal funding sources, such as CDBG and HOME. Program FY17 -18 Award FY18 -19 Request Source Carrbo_­ro - Affordable Housing Ex: Affordable Rental Rehabilitation 0 , $20,000 Ex: Agency Administration _l Ex. Total _ $15,000 $15,000 $1_ 5,000 $35,000 Carrboro — Other Carrboro Total Funding *Add rows or attach additional page, if needed. ii. Submit your agency's budget. You may complete the provided template (separate As file) or you may submit your own budget file (as long as it contains the same information, and in a similar format, as requested in the provided template). Agency Information 1/2112018 12:07:58 PM Page 5 of 17 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION A S C D E i G ! I } K L _ Agency Budget Qperaung Budget for Entire Agency i AGENCY NAME: Orange County Livie9ll: age ._ . AGENCY REVENUE Private Donations �.... Agency Generffied Revenue (fees) 1 Local Government Grants; 1 _ Human Services - Town of Carrborc 12 Other - Town of Carrboro 13 Human Services -Town of Chapel Hill _. —._.__ ma Other -Town of Chapel Hill 15 Hun Services - Orange County 16 Other - Orange County 17 Other -Tpwn of HNlsborough 18 Other Government Grants —`� 19 Triangle United Way 23 ; State Govemment 2 ;Federal Govemment [CDBGIHOMElete.) 22 lPrlvste Foundation Grants._ 23 24 - .....��.._. Other Revenue 25 26 Total Agency Revenue 27 23 AGENCY EYLPENSES 29 ' Compensatlon 30 Rent & Utilities 31 Supplies & Equipment '2 Travel & Training Other Expenses: Total Agency Expenses SURPLUSHDEFICIT) FOR PERIOD: Agency Budgets are required to define budget amounts for the previous program year, current program year, and next program year for the following categories: Revenues Private Donations Program Generated Revenue Local Government Grants ■ Carrboro Human Services • Carrboro Other ■ Chapel Hill Human Services ■ Chapel Hill Other (DO NOT include CDBG funding here) ■ Orange County Human Services • Orange County Other (DO NOT Include HOME funding here) 0 Other Government Grants ■ Triangle United Way • State Government ■ Federal Government (CDBG /HOMEletc.) ■ Private Foundation Grants 0 Other Revenue • Expenditures Agency information 112112018 12:07:58 PM Page 6 of 17 Actual 2016.17 Estimated 2017 -18 Projected 2Di8_18 Pere-ant Change $ 2,023 $ 2,461 $ 3,000 22% S o S 5 $ 6,000 0 S $ $ 0 5 $ $ 9,000 0 $ $ S 0 $ 16,750 $ 17,725 $ 20,000 13% $ $ $ 0 $ $ 0 $ $ $ 0 $ $ $ 0 $ $ $ 0 _ $ 1,000.00 $ 5,000.00 $ 3673 $ 0 $ 22,446 $ 21,106 $ 43,000 103% $ 8,059 $ 12,004 S 24,750 106% $ $ $ D $ 2,853 $ 6,030 $ 7,500 24% $ 1,500 $ $ 0 S 4,982 S 2,894 S 10,500 263% $ 17..394 $ 20,924 $ 42,750 104% Agency Budgets are required to define budget amounts for the previous program year, current program year, and next program year for the following categories: Revenues Private Donations Program Generated Revenue Local Government Grants ■ Carrboro Human Services • Carrboro Other ■ Chapel Hill Human Services ■ Chapel Hill Other (DO NOT include CDBG funding here) ■ Orange County Human Services • Orange County Other (DO NOT Include HOME funding here) 0 Other Government Grants ■ Triangle United Way • State Government ■ Federal Government (CDBG /HOMEletc.) ■ Private Foundation Grants 0 Other Revenue • Expenditures Agency information 112112018 12:07:58 PM Page 6 of 17 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 0 Compensation 0 Rent & Utilities 0 Supplies & Equipment 0 Travel & Training 0 Other Expenses iii_ Does your agency budget show a Surplus or Deficit? Surplus Is there a significant change? Yes/No rtes Please provide a brief explanation for Surplus or Deficit, and significant changes. We show a small surplus for estimated FY 2017 -2018 and projected FY 2018- 2019. Regarding FY 2616- 2017's larger surplus, our Communications Coordinator chose to contribute time as a volunteer, so in 2017 we had funding for a position that no longer required compensation. We determined that a newly created position of Certification Coordinator would best serve our program and make most effective use of County funds. We hired our Certification Coordinator (Rachel Mehalek) in late October of 2017. We'll see the surplus decrease as Rachel's hours accrue. iv. What is your agency's fiscal year? January 1, 2018 through December 31, 2018.* (Example: July 1, 2016 through June 30, 2017) *Please note that certification and financial data presented in this application corresponds to the County's fiscal year (July 1 through June 30). Agency Information 1/21/2018 12:07.58 PM Page 7 of 17 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) Program Name: Living Wage Certification program Program Primary Contact and Title: Susan Romaine, Steering Committee Chair and Executive Director Telephone Number: 919 - 619 -3408 E -Mail: susan@orangecountylivingwage.org a) Indicate the type of Human Service Needs Priority, if program applicable: 0 Priority Area #1: safety -net services for disadvantaged residents ❑ Priority Area #2: education, mentorship, and afterschool programming for youth facing a variety of challenges 0 Priority Area #3: programs aimed at improving health and nutrition of needy residents b) Indicate the type of program for which, you are requesting funding (Check all that apply to this program) Program Category Youth Adult 1 Elderly Disabled Public Housing � Neighborhoods/Residents Affordable Housin Affordable Healthcare _ Education Famiiy Resources Jobs /Jobs Training Food Transportation Other: Please specify x x x x x c) Provide a bulleted list of other agencies, if any, with which your agency coordinates /collaborates to accomplish or enhance the Projected Results in the Program(s) to be funded. For each, briefly describe the coordinated /collaborative efforts. • Our 141 certified living wage employers, who are our primary partners in making living wages work in our community; Just Economics and Durham Living Wage Project, North Carolina's two other living wage certification programs, with whom we work on consumer pledge campaigns, restaurant outreach, and wage- raising strategy; • Raising Wages NC (OCLW is a coalition member) and United for a Fair Economy, two North Carolina -based advocacy groups working to raise wages and empower workers, with whom we partnered on Labor Day 2017 "Week of Action" plans and in forming the Living Wage Network; PROGRAM INFORMATION 1121/2018 12:07:58 PM Page 8 of 17 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION • Living Wage Network, a newly formed national coalition of living wage certification programs, whose website will launch in January 2018, featuring OCLW and other living wage certification programs in the U.S.; • The Hillsborough Chamber of Commerce and Chapel Hill Chamber of Commerce, whom we joined as members in January 2018 (using funds from our 2017 end -of -year direct appeal and not using grant funds) to develop new sources for employer contacts and increased impact; University of North Carolina's Department of Communications, specifically with Associate Professor Sarah Dempsey, who will make living- wage - related projects and internships available to students; • Cooperative Initiatives of the Carolinas Credit Union League, whose director, Jeff Hardin, has volunteered to produce a 2018 series of videos on living - wage- earning employees (the sequel to his 2017 employer- focused videos). Program Description (3 pages OR LESS) Please provide the following information about the proposed program: d) Summarize the program services proposed and how the program will address a Town /County priority /goal? The Town and County goals and priorities we address are to provide more living wage jobs, support community prosperity, and enable affordable housing. Through our voluntary employer certification program, Orange County Living Wage advocates for county -wide wage gains for workers. Our living wage is indexed to the cost of housing in Orange County. We provide a clear reference point for employers who are looking to help their workers live in our county by paying them enough to do so. We provide incentives for employers to certify and raise wages, and we promote our living -wage- certified employers as a model for the future of our County. North Carolina's minimum wage is mired at the federal rate of $7.25. For workers with families, this is a poverty wage. With little prospect of wage action at the state level, North Carolina's counties and towns must advocate for fair pay for lower -wage workers. Our program is one tool within the County's and Towns` mix of strategy and support for building wealth, empowering citizens, and improving outcomes around poverty. Increasing wages will enable more County residents to meet their basic needs and better support their families — and to live where they work. e) Describe the community need or problem to be addressed in relation to the Chapel_ Hili Human Services Needs Assessment, Orange Count BOCC Goals and Priorities, Town of Chapel Hill Council Goals, C_arrboro Board Priorities, or other community priorities (i.e. Council /Board Goals). Reference local data (using the provided links, i.e. Chapel Hill Human Services Needs Assessment) to support the need for this program. PROGRAM INFORMATION 1/2112018 12:07:58 PM Page 9 of 17 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION The Chapel Hill Town Council's Goals for 2016 -2078 aim to "support community prosperity." Chapel Hill's Human Services Needs Assessment states that our area needs more living wage jobs. Certification of our current roster of 141 employers covers 7,799 employees and has led to a cumulative wage increase of $041,175. Workers at the lower end of the wage spectrum tend to spend money close to home on basic needs. Using a conservative formula* to gauge local impact, certification - related wage increases from 2010 and 2017 led to a likely local economic stimulus of more than a million dollars. *Wage gains from 2016 + wage gains from 2017 x 1.21 (with 1.21 as the multiplier) The Town of Carrboro wants to help citizens "develop a human environment that promotes trust, mutual respect acceptance, happiness and wellbeing." In 2018, there is nothing less respectful to a hard - working individual than our federal minimum wage of $7.25. North Carolina has chosen not to raise the state's minimum wage, and has passed laws forbidding municipalities to do so. For a worker with a family, the minimum wage — or even several dollars higher — affords little wellbeing, happiness, or respect. Promoting a fair wage for an hour's work puts more money in workers' pockets; shows respect for their work; recognizes the challenges of making ends meet with lower wages; and puts community values into effective and measurable action. The Town of Carrboro also aims to "develop innovative approaches to support the community. OCLW's work with a wide variety of employers is an innovative approach to supporting community. We partner with businesses who voluntarily choose to pay workers living wages; this collaboration moves beyond labels of "pro- business" or "pro- worker" to implement a program that supports businesses, respects workers, and strengthens community. By partnering with OLCW, businesses and employers publicly endorse our mission and affirm the importance of paying all their employees fairly. However, when businesses can't meet the living wage threshold and decline to certify, we do not pass judgement, engage in negative publicity, or organize boycotts. We respect the ongoing, daily challenges our local business owners face in meeting payroll and paying rent. Orange County's Board of County Commissioners' goals include "increasing the number of living wage jobs" in the county, as they implement planning and development policies" that create a balanced, dynamic local economy and reject inequity." The Towns' and the County's goals, assessments, and priorities consistently emphasize affordable housing. Orange County's living wage calculation connects directly to a worker's ability to afford housing in our area. We use a four -year average of US HUD Fair Market Rent data (from four counties, with our area's data double - weighted) to define and justify our living wage rates. Our living wage calculation assumes that no more than 30% of income is spent on housing. Because rents increase, so does our living wage. Our PROGRAM INFORMATION 1121/2018 12 :07:58 PM Page , 0 of 17 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION annually revised living wage defines the minimum amount required to rent a modest one- bedroom apartment in Orange County. Our work supports community prosperity by raising wages and increasing the number of living wage jobs. The U.S. Federal Reserve (St. Louis Office l GEOFRED Geographical Economic Data) reports that in 2015, 33% of Orange County residents are "rent burdened," paying more than 30% of their income in housing costs. Our county's poverty rates (around 13 %) are lower than the state's (around 15 %), but within Orange County are deep pockets of poverty. And within the lower general poverty rate, poverty rates rise sharply for women, African Americans, Latinos, and children. More workers earning higher wages increases access to housing, helps meet families' basic needs, and targets inequity. f) Who is your target population of individuals to benefit from this program and how will they be identified and connected with the program? Our target population includes workers who are currently making less than the 2018 Orange County living wage of $13.70, or $12.20 with employer- provided health insurance. Our target population also includes every employer who is paying their employees less than living wages. And, once employers have certified, our program continues to serve their employees by working to re- certify those same employers in two years, thus ensuring longevity of living wage jobs. The impact of our certification program is on employees and workers. However, we work mostly with employers to achieve results, with program contacts occurring through business owners and the heads of municipalities or agencies. Our certification team maintains a target list of diverse employers culled from databases and identified through our own community connections. Certification team members present our program to employers through on -site visits, emails, and phone calls. Once a business is certified, we promote them to the community through decals (to place on storefront windows), framed certificates (to place prominently on- site), OCLW's website, print and social media, public service announcements on WCHL, regional events, fundraisers, brochures, and mare. In 2017 we sought specific ways to publicly highlight our living -wage employees, through WCHL PSAs and social media. And, our 2018 video series will feature employees. g) Describe the credentials of the program manager and other key staff. (Ex. Identify Program Manager and credentials, describe training provided to volunteers, etc.) Kimberly Brewer has been a resident of Chapel Hill since 1982. She is an Associate Director at Tetra Tech, an international environmental engineering consulting firm, where she has been a project manager since 1996. For eight years, she served as the Director of Resource Conservation and Project Manager for Triangle J Council of Governments, in addition to its Interim Executive Director. Ms. Brewer has served the community on a number of boards and committees including the Town of Chapel Full Planning Board, Chapel Hill Storm Water Advisory Board, and Comprehensive Plan Steering Committee. PROGRAM INFORMATION 112112018 12:07:58 PM Page 11 of 17 DocuSign Envelope ID: C0131349A6 -D1E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION h) Describe the specific period over which the activities will be carried out and include an implementation timeline. In FY 2018 -2019 we will contact and certify new employers, and we will work with our 2016 -2017 employers to prepare them for re- certification in FY 2018 -2019. Our Aspiring Employers program (described in section 2.e, "Other Pertinent Information ") will begin in spring 2018 and evolve during the year. ij Why is funding this program a good investment for the community? How does funding this program add value to the community? (250 words OR LESS) Employees of living - wage - certified employers have seen cumulative wage raises of $641,175, leading to a likely local economic impact of more than a million dollars. In 2017, employers who originally certified in 2015 were due for re- certification (which occurs every two years). Significantly, 88 % of these employers chose to re- certify. To qualify for re- certification, these employers had to show they met our 2017 wage criteria, with wages $,40 more per hour than in 2015. Investment in our program raises wages for workers, promotes employers who shape a dynamic local economy, creates meaningful local economic stimulus, and builds the equity- oriented community that Orange County residents want to live in. In FY 2018 -2019, in addition to our Aspiring Employers program, OCLW will begin a systematic process of outreach to the County's largest employers who are not currently certified. Some of the County's "Top 10" employers are nationally based and not headquartered in NC. Our goal is to begin conversations with employers such as Walmart to better understand their wages and benefits and to advocate for wages that meet our community's expectations. j) Describe what would happen if requested funding is not awarded at all or if a reduced allocation is recommended. Without funding, our program takes a deep nosedive: new certifications stall; re- certifications decrease; and employers revert to paying what they feel is a "fair enough" wage for an undervalued population (low -wage workers). We'll work to write grants and fundraise in the community, but in 2018, it's a crowded field of agencies desperate for funding. Reduced allocations would affect our ability to pay for accurate, attentive bookkeeping, timely updates to our website's employer roster, and effective promotional materials. The quality of the program would erode. If our program declines, we may lose key large employers such as the school systems and municipalities, who expect quality and consistency from OCLW in exchange for their public partnership. If we lose these larger employers, many workers stand to lose ground in wages. The backslide won't come all at once, but will occur over time. Facing each year's new round of financial challenges, employers will stop setting wages based on OCLW's rent - indexed living wage. Instead, they'll pay what they feel is a "fair enough" wage. Our certification team members often speak with employers who believe they pay a PROGRAM INFORMATION 1/21/2018 12:07:58 PM Page 1 2 of 17 DocuSign Envelope ID: C0131349A6 -D1E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION living wage at $10 or even $11 dollars an hour. By providing a clear standard for a rent - indexed living wage, our certification program defines the minimum amount that qualifies as an actual living wage in Orange County, and makes a clear case for the benefits of paying that wage with employers. k) What percentage of your target population is low- moderate income? Our target "beneficiary" is primarily low - income individuals, yet we contact and certify a variety of businesses to promote living wages as the expectation across Orange Cou nty. 1) What efforts do you make to seek feedback about your program from your target population (e.g. survey, evaluations, etc. ?) In 2017, we organized our first employer event to get feedback on our program. We also surveyed our employers to gauge the impact of living wages on their work. We'll build on those efforts in FY 2018 -2019 with another employer gathering and an updated survey. Our spotlight on employees will also increase through a new series of videos, newsletter stories, WCHL PSAs, and community events. m) include any other pertinent information. Additional Program Information n) Target Population Complete the following tables, with numbers (not percentages) of individuals served and to be served, to the best of your ability. 'our numbers below reference the total number of employees covered by our annual certifications. To keep our online employer certification application concise and simple, we have not requested demographic information beyond numbers of employees covered and receiving raises from year to year. As our program evolves, we welcome the Towns' and County's input on useful demographic data that OCLW might gather. African- American American Indian or Alaska Native Asian Caucasian Native Hawaiian or other Pacific Islander Other: specify Total I 7200 7800 7900 PROGRAM INFORMATION 1121/2018 12:07:58 PM Page 13 of 17 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Of the above, how many HispaniclLatino Of the above, how many non-Hispanic/Latino Total 7200 7800 7900 Age Geographic Location 0 -5 years 6 -18 years 19 -50 years 51+ years Total Alamance County Chatham County Durham County Wake County Orange County Breakdown Chapel Hill Public Housing Town of Chapel Hill (Non- Public Housing) Town of Carrboro Town of Hillsborough City of Mebane (Orange County) Orange County (Outside Municipalities) Work Statement Total 1 7200 7800 1 7900 o) Complete the Work Statement Chart to describe the work to be performed. This chart is used to document program activities, program goals, performance measures, and actual results. (Add more rows as needed) if this is a new program, you will only document the projected information. Every program is required to have AT LEAST 9 Program Activity, which should be SMART (�pecific, Measurable, Achievable, Relevant, and Time - bound. Click on SMART Goals to learn more. • Program Activities should outline major activities the agency implements to accomplish its program goals. (i.e. Deliver meals to elderlyldisabled residents.) • Program Goal should explain what the program is trying to achieve /accomplish. Goals are statements about what the program should accomplish. (i.e. Deliver 900 meals per day, Monday - Friday.) • Performance Measures describe how you will evaluate the degree in which you achieved the stated goals. (i.e. Will track the number of meals delivered each day,) • Actual Program Results use program results to indicate the actual measureable achievement of goals. If goals were not met, please explain. (i.e. Delivered an average of 905 meals per day.) Work Statement Chart for Program: Living Wage Certification Program PROGRAM INFORMATION 1/2112018 12:07:58 PM Page 14 of 17 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 1. Program Activity Name Contact Employers for Living Wages Program Goal Contact employers for potential living wage certification Performance Measures We will contact potential new and all re- certifying employers about certification from July 2018 through June 2019. Previous Year Program Results 285 anticipated { 237 new contacts made (though we did not include re- certifying employer contacts, which added 48 to our FY 2016 -2017 totals, for 284. Current Year Estimated Results 300 Next Year Projected Results 300 2. Program Activity mama Certify employers Program Goal Certify new living wage employers Performance Measures Acid 40 new employers to our roster in FY 2018 -2019 Previous Year Program Results 58 in FY2016 -2017 Current Year Estimated Results 75 in FY2017 -2018 Next Year Projected Results 40 in FY 2018 -2019 3. Program Activity Name Re- certify employers Program Goal Re- certify employers who initially certified in FY2016 -2017 Performance Measures Re- certify 85% due for re- certification in FY 2016 -2017 Previous Year Program Results nla (no employers due for re- certification in previous year) Current Year Estimated Results 54 (85% of 64 employers certified in July 2015 -June 2016) Next Year Projected Results 49 of 58 employers certified in July 2016 to June 2017 4. Program Activity Name Aspiring Employers Program Goal Pilot new Aspiring Employers program Performance Measures Collaborate with 5 -7 employers who aren't yet able to pay living wages but hope to certify in future; better understand their barriers f challenges and provide mentoring support from current living wage employers. Previous Year Program Results n/a Current Year Estimated Results Meet twice with initial Aspiring Employers before June 30, 2018. Next Year Projected Results Expand program to 8 -10 employers; meet quarterly; certify 2 -3 Aspiring Employers by June 30, 2019. p) Program Budget 1. Submit your program budget. You may complete the provided template (separate As file) or you may submit your own budget file (as long as it contains the same information, in the same format, as requested in the provided template). Program Budgets are required to define budget amounts for the previous program year, current program year, and next program year for the following categories: Revenues o Private Donations o Program Generated Revenue o Local Government Grants • Carrboro Human Services • Carrboro Other • Chapel Hill Human Services PROGRAM INFORMATION 1/2112018 12:47:58 PM Page 15 of 17 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION • Chapel Hill Other (DO NOT include CDBG funding here) • Orange County Human Services • Orange County Other (DO NOT Include HOME funding here) • Other Government Grants • Triangle United Way • State Government • Federal Government (CDBGfHOMEletc.) • Private Foundation Grants • Other Revenue • Expenditures • Compensation • Rent & Utilities • Supplies & Equipment • Travel & Training • Other Expenses A 8 C D AGENCY NAME: E I G I I } J ,Agency Budget _0Pemgn9_Budgst for_-Erore Agency AGENCY REVENUE ;Private [zonations 9 _JAeency Generated Revenue (fees) 10 ;Local Government Grants: 11 _ Human Services - Town of Carrbory 12 Other - Town o; Carrboro 13 € .a Human Services - Town of Chapel HIP 4 Other - Town of Chapel Hill 15� Human Services - Orange County 16 _ tither - orange County 17 _ "r- TownofHillsborough 1$ Other Government Grant_s___ 19 Triangle United Way 20 State Govemment 21 Federal Government (C7BG?HOME/etc.) 22 Private Foundation Grants 24 r - Other Revenue P -- . _ ..... 25 .. 26 'Total Agency Revenue 27 28 AGENCY EXPENSES 29 Compensation Rent & Utilities 3' Supplies & Equipment 32 Travel & Training 33 Other Expenses: 34 35 Total Agency Expenses 36 37 38 'SURPLUS/(DEFICIT) FOR PERIOD: 39 40 ws.,b L 2. Program Budget Detail — Provide description of "other" budget items, not defined. PROGRAM INFORMATION 1/2112018 12:07:58 PM cii :_€ x i Actual 2016.17 Estimated 2017 -18 Projected 2018 -19 Percent Change $ 2,023 $ 2,461 $ 3,300 22% $ $ 0 $ $ $ 8,000 0 S $ S 0 $ S 91000 0 $ $ $ - 0 $ 16,750 $ 17,725 $ 20,000 13% $ - $ $ _ _ _ 0 5 S S 0 5 $ S 0 $ S 0 5 1,000 00 S 5,000 00 $ 4.00 3,873 S 0 $ $ 22,446 8.059 $ $ 21,188 12.000 $ S 43,000 24,750 103°% 10B% $ S $ 0 $ 2,853 S 6,030 $ 7;500 24% $ 1,500 5 - $ 0 4 082 2 894 $ 10 500 283% $ 17,394 $ 20,924 $ 42,750 1 104% 2. Program Budget Detail — Provide description of "other" budget items, not defined. PROGRAM INFORMATION 1/2112018 12:07:58 PM cii :_€ x i DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Other budget items include anticipated expenses to pilot our new Aspiring Employers program, accounting fees (for Halliday CPA), "tabling" fees (at community events), and employer networking meeting expenses. 3. This program budget represents what percent of the agency budget? 80 %* *OCLW projects 35K as the certification program budget; however, when we expand our Aspiring Employer pilot program with hoped -for private foundation grant funding and private donations, our total agency budget is 43K. 4. COST PER INDIVIDUAL The "individual" is each certified employer, This Cost per Individual must reflect the total program budget divided by the total number of program individuals in this application. PROGRAM INFORMATION 1/21/2018 12:07:58 PM Page: 17 of 17 Actual 2016 -17 Estimated 2017 -18 Projected 2018 -19 Total Cost of Program $2.2,446 $21,186 _ ! $35,000 Total # of Individuals 123 ^` -- 171 j 211 Cost Per Individual $182 $124 $166 PROGRAM INFORMATION 1/21/2018 12:07:58 PM Page: 17 of 17 DocuSign Envelope ID: COBB49A6- D1E9- 42DE- 8E8D- 7583E683E1E2 I':\IiIBIT "13" Scope of Services - FY 2018-19 Outside Agency Performance Agreement Agency Name: Orange County Living Wage Program Name: Living Wage Employer Certification Program Funning Award: 518,408 Outline how the agency will spend Change County's l'unding award _ Expense Description Amount 1. Certification program, includinapaid certification outreach and bookkeeping 12,000 2. Digital program presence and promotion, including website hosting and maintenance, 3,700 newsletter and online mark- ctint, -- -� — 3. Marketing material (i.e.. brochures and suppnrtcr cards). employer certil ication materials (i.e.. 2,708 certificates and decals) and supplies Program Services Outline the critical services (activities) the agency v ill employ to attain the Anticipated Outcomes Belo%%. by June 10. 2019. • Contact employers in the bLtSilleSS, non- profit, and public sectors to engage them in a discussion about lining wages. including the impact on employees and community, and the benefits to them as living waLc employers • Certify employers; re- certify current employers, promote our roster to the comnitinity and to consumers in region • Raise wages through new certifications and re- certilications • Target key large employers in the County and engage with theta around wages and certification • 'l'hrotwdi our REIACH program, conduct ongoing meetings ►%ith 5 -7 businesses with higher percentages cif low -wage workers and develop strategy to enable them to certify Anticipated Outcomes The Anticipated Results column must include quantifiable results in the li}nn of number of personslunits served within Orange County, only tAl Towns and municipalities). ll'you use perccmaye�. ,ou must also provide the total number 01'participanis within that measure's description or for an earlier performance measure. Performance Measures Certify 37 new employers as living kvage employers Re- certify 85% of previously certified employers due for re- certification 7118 - 6/19 Raise wages by at least 545,000 l7ocu5igned by: - Su.sAJA, awt.t, ' Exe tive erector i 92s9eso2eo2n115o �' PG v Certified by: (: L. _�A ' t , - - - , A- PTitle: rr 1P (Provider's 5iynature) Anticipated Results 37 new employers 37 (out of 44) Wages raised by $45K r oats: - � DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1E2 ATTACHMENT "A" Orange County Certifications — FY 2018 -19 Outside Agency Performance Agreement Chief Contact, Administrators, Chief Executive Officer and Chief Financial Officer I certify that I have provided a list of the chief contact, administrators, chief executive officer and chief financial officer for my agency with this Agreement and that I will keep it current to the County of Orange. The list should be in writing with the name, title, residential address; phone and email address and if possible, fax number. Officers and Board of Directors I certify that I have provided a current list of the Officers and Board of Directors with this Agreement and that we will continue to update the list as changes occur. The list should be in writing, with the name, physical address, mailing address and if possible, phone, fax and email address. Budget Submission I certify that I have provided a budget for the period to be covered by funding Orange County, and that any substantive changes made to this budget have been in advance authorized in writing by Orange County. Annual Financial Review I certify that I have provided a copy of the latest annual Financial Review for our agency and the budget adopted by the agency for the fiscal years encompassing this Agreement. If not, please explain on a separate sheet of paper. Alignment with Organization's Mission I certify that the programs and services for which this funding is requested align with the mission of the organization. Intended Purpose I certify that the funds provided to the agency under the terms of this Agreement will be used for a public purpose and shall only be used for the purposes intended and any money not used for those purposes will be promptly returned to Orange County. DOCUSigned by: IS �.scUn. �w�ai�n.t, Certified by: e26,.,2B024450 (Provider's Signature) Title: Executive Director Date: 8/14/2018 (Orange County Living Wage) Orange County Outside Agency Performance Agreement Page 9 of 9 Rev. 7118 DocuSign Envelope ID: COBB49A6 -D1 E9- 42DE- 8E8D- 7583E683E1 E2 Orange County Living Wage P.O. Box 1502 Carrboro, NC 27510 -1502 Dear Orange County Commissioners, ORANGE COUNTY f AIRNI S5 AC0e.7 A a LIVING WAGE July al, 2018 I believe Orange County Living Wage ( OCI.W) to be exempt from Orange County's insurance reclulrCn1C11ts. OCI.W is a 111111- prol1t operating with limite(] I'Unds mill primarily volunteers. OC:LW has three paid workers all of whom are part -time independent contractors.. and therefore are not eligible for and do not require Worker's Compensation insw_Irance. As for general liability insurance. UCLW hereby assumes all risk and liability in-v llvc'd w itll the swipe of work presented in this Iitnding application and releases the county for said liability. Sincerely, Annie Sullivan Law Firm of Annie L. Sullivan