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HomeMy WebLinkAbout2018-451-E Finance - The Arts Center outside agency agreementDocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA 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 The ArtsCenter, a not - for - profit corporation, located at 300 -G East Main Street, Carrboro, NC 27510 ( "Provider "). 1.T /M1101=4soI I I 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 The ArtsCenter 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 $13,250. 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. c. The Provider shall be paid in four equal installments in the amount of $3,312.50. 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. (The ArtsCenter) Orange County Outside Agency Performance Agreement Revised 712018 Page 1 of 9 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA 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. (The ArtsCenter) Orange County Outside Agency Performance Agreement Page 2 of 9 Rev. 7118 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA 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. (The ArtsCenter) Orange County Outside Agency Performance Agreement Page 3 of 9 Rev. 7118 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA 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 The ArtsCenter 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: (The ArtsCenter) Orange County Outside Agency Performance Agreement Page 4 of 9 Rev. 7118 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA County: Finance & Administrative Services Provider: The ArtsCenter Orange County 300 -G East Main Street Post Office Box 8181 Carrboro, NC 27510 Hillsborough, NC 27278 16. Entire Agreement. This Agreement, including any referenced attachments, constitutes the entire Agreement between the parties and shall supersede, replace or nullify any and all prior Agreements of understandings; written or oral, relating to the matters set forth herein, and any such prior Agreements or understandings shall have no force or affect whatsoever on this Agreement. The County and Provider have read this Agreement and agree to be bound by all of its terms, and further agree that this Agreement constitutes the complete and exclusive statement of the Agreement between the County and Provider. 17. Severability. All clauses found herein shall act independently of each other. If a clause is found to be illegal or unenforceable, it shall have no effect on the other provisions of this Agreement. It is understood by the parties hereto that if any part, term or provision of this Agreement is by the Courts held to be illegal or in conflict with any laws of the State of North Carolina or the United States, the validity of the remaining portions or provisions shall not be affected, and the rights and obligations of the parties shall be construed and enforced as if the Agreement did not contain the particular part, term or provision held to be invalid. 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 UocuSigned'by:'r '!e Provider W 5,7CA3S291AB142B... Fo,V -M-' -M A- L-1r„ 'r n -, --- Government J' County by: ` 1fbltiln.11. Bonnie riammersiey, i,ounty Manager (The ArtsCenter) Orange County Outside Agency Performance Agreement Rev. 7118 8/16/2018 Date 8/17/2018 Date Page S of 9 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 1. COVER PAGE a) Applicant Contact Information Applicant Organization's Legal Name: The ArtsCenter Applicant Organization's Physical Address: 300 -G East Main Street, Carrboro, NC 27510 Applicant Organization's Mailing Address: 300 -G East Main Street, Carrboro, NC 27510 Applicant Organization's Web Address: www.artscenterlive.org Executive Director: Daniel Y. Mayer Telephone Number: 919 - 929 -2787 x 217 Tax ID Number: 51- 0198497 E -Mail: dmayer(Dartscenterlive.org 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 Hill - HS Orange County-HS Total - HS Ex. Youth Afterschool Program Afterschool Program Coordinator salary and materials for youth activities and projects $10,000 $15,000 $5,000 $30,000 General Support for Arts Programs $20,000 $20,000 $40,000 ArtsCenter Youth Education Department $15,000 $15,000 Totals $45,000 c) To the best of my knowledge and belief all information and data in this application is true and current. The document has been duly authorized by the governing board of the applicant. Signatur : x ecuti a Ire or Signature: ��a. ��...�.. Board Chairperson /,_:� 11 & Date Date l 12,3 12.4 / T AGENCY INFORMATION 1/23/2018 1:53:53 PM Page 7 of 22 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION d) DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON DISCRIMINATION CLAUSE Are any of the Board Members or employees of the agency which will be carrying out this program or members of their immediate families, or their business associates... YES NO ❑ ® a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ® ❑ b) Members of or closely related to members of the governing bodies of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ❑ ® c) Current beneficiaries of the program for which funds are being requested? ❑ ® d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below. Michael Parker, our Board Chair, is on the Chapel Hill Town Council. NON - DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, gender identity /expression, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Anti - discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. To the best of my knowledge and belief all of the above information is true and current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the program ineligible for funding, but the existence of an undisclosed conflict may result in the termination of any arant awarded. Signatu x a Dire#r Signature: � "�f. �. ^,- Board Chairperson jz� Date Date 12,3 12.4 / y AGENCY INFORMATION 1/22/2018 4:56:17 PM Page 8 of 23 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA 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): April 1975 b) Agency's Purpose /Mission (no more than a few sentences): The ArtsCenter exists in order to educate and inspire artistic creativity and to enrich the lives of people of all ages. c) Types of Services the Agency Provides (bullet format): The ArtsCenter is organized into five departments: • ArtSchool. ArtSchool at The ArtsCenter is Orange County's most comprehensive non - profit resource for continuing education in the arts on a non - degree, community basis. The ArtSchool now offers more than 350 classes in all artistic disciplines for all experience levels and ages, awards more than 15 scholarships annually, and offers work -study opportunities. Youth Programs. The ArtsCenter has provided artistically excellent, age- appropriate and accessible arts experiences to Triangle families for more than 30 years. Currently, The ArtsCenter offers the 54 -event School Show Series, ArtsCamp in the summer, AfterSchool Arts Immersion and Arts In Education during the school day to area youth and families. Youth Arts Classes (YAC) include fine art classes for youth and workshops and camps year round in acting, drawing, painting, writing, photography, ceramics, dance, acting for the camera, improvisation and more. Concerts. The ArtsCenter presents at least 60 concerts and jams for adults each year, representing the spectrum of musical genres by touring artists including folk, blues, Celtic, rock, singer- songwriter, old -time, and bluegrass. Gallery. The Nicholson Gallery features the work of local and regional artists on a rotating basis. The Gallery exhibitions highlight the work of more than 100 local and regional artists in 12 exhibitions a year. The Emerging Artist Corridor exhibits 12 visual artists over one year who are at the beginning of their professional careers. • Theatre. International theatre at its most local, ArtsCenter Stage showcases the work of emerging and established artists hailing from next door to around the world. ArtsCenter Stage features newer works, while its second -stage series includes improvisation and storytelling, musicals and operas, stand -up comedy and film screenings, new works in development and theatre for younger and older audiences. d) Agency's History with Providing These Services: The ArtsCenter began as one painting class, in a walk -up studio on East Main Street in Carrboro, in 1974. From that modest first step and the extraordinary creative vitality of Carrboro, Chapel Hill, and Orange County as a whole, an amazing community arts and education organization was born. Agency Information 1/23/2018 1:53:53 PM Page 9 of 22 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Our core services are The ArtSchool (serving 15 -105 year olds) and our youth programs (serving pre -K through high schoolers through Afterschool Arts Immersion, Arts -In Education, ArtsCamp, School Shows, and Youth Art Classes). Additionally, we serve audiences via theater performances, live concerts, and gallery exhibitions. Many of these activities are coordinated collaboratively with other community organizations, area businesses, area schools, and local governmental agencies. The ArtsCenter has decades of experience in providing quality arts programming for our community, in providing educational youth programs in the arts, and continues to develop new programs and initiatives to serve Orange County's diverse residents. The ArtsCenter's growth is due to ever increasing community demand and demonstrates the high need for our programs. 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 ?) In 2017 the ArtsCenter completed its new Strategic Plan. The staff met in the fall of 2017 to create work plans based on initiatives within the new plan. The Board of Directors is aligning its work plan with the new Strategic Plan as well. All of this will coalesce to help us better understand the capital feasibility plan to assess capacity to build a new facility. This capital feasibility study will be finished within the next month and steps undertaken to apply this information to our work in 2018 and beyond. f) Schedule of Positions (For Entire Agency) • Full Time Equivalent (FTE) staff will be noted as 1.00; half time as .50; quarter time as .25, etc. • Calculate a Full Time Equivalent for all recorded volunteer hours using the following: Total Volunteer Hours = Volunteer FTE 2,080 # of FTE - Full -Time Paid Positions: 8 # of FTE - Paid Part -Time Positions: 6 # of Volunteers: 174 # of FTE - Volunteers: 2 g) Living Wage Does this agency pay permanent employees a minimum living wage? (Yes / No) No If yes, is this agency an Orange County Living Wage Certified Employer? No If no, please explain. Agency Information 1/23/2018 1:53:53 PM ° -- ,. e , � � o DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION h) Agency Budget Is your agency currently receiving and /or requesting other (non -Human Services) local (Town of Carrboro, Town of Chapel Hill, Orange County) government funding? (Yes /No) Yes If yes, please list below: Include all programs that have funding requests /awards /totals from Carrboro, Chapel Hill, and Orange County governments (other than Human Services). DO NOT include federal funding sources, such as CDBG and HOME. Program FY17 -18 Award FY18 -19 Request Source Ex: Affordable Rental Rehabilitation 0 $20,000 Carrboro - Affordable Housing Ex: Agency Administration $15,000 $15,000 Carrboro — Other Ex. Total $15,000 $35,000 Carrboro Total Funding Presented Season Promotion $5,000 $5,000 Carrboro Tourism Development Auth. Elf Fair $1,000 $1,000 Carrboro Tourism Development Auth. Total other Carrboro Funding $5,000 $6,000 Artist in Residence — Title 1 Schools $5,000 $5,000 Orange County Schools Grady — Brown Artist in Residence Title 1 School Addition 17 -18 $5,000 $5,000 Orange County Schools ArtSparks Family Programing $5000 $5000 Orange County Arts Commission Total Other Orange County $15,000 $15,000 *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 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) Agency Information 1/23/2018 1:53:53 PM Page 11 of DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION • Orange County Human Services • Orange County Other (DO NOT Include HOME funding here) • Other Government Grants • Triangle United Way • State Government • Federal Government (CDBG /HOME /etc.) • Private Foundation Grants • Other Revenue • Expenditures o Compensation o Rent & Utilities • Supplies & Equipment • Travel & Training • Other Expenses iii. Does your agency budget show a Surplus or Deficit? Surplus Is there a significant change? Yes /No No Please provide a brief explanation for Surplus or Deficit, and significant changes. iv. What is your agency's fiscal year? January 1, 2018 — December 31, 2018 (Example: July 1, 2016 through June 30, 2017) Agency Information 1/23/2018 1:53:53 PM ° - ,: e 1 2 c, o DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Agency Budget Operating Budget for Entire Agency AGENCY NAME: AGENCY REVENUE Private Donations Agency Generated Revenue (fees) Local Government Grants: Human Services - Town of Carrboro Other - Town of Carrboro Human Services - Town of Chapel Hill Other - Town of Chapel Hill Human Services - Orange County Other - Orange County Other - Town of Hillsborough Other Government Grants OCAC NCAC Federal Government (CDBG /HOME /etc.) Private Foundation Grants Other Revenue Total Agency Revenue AGENCY EXPENSES Compensation Rent & Utilities Supplies & Equipment Travel & Training Other Expenses: Total Agency Expenses Actual 2016- 17 Estimated 2017- 18 Projected 2018- 19 Percent Change $ 61,870 $ 64,964 $ 68,212 5% $ 854,474 $ 888,653 $ 924,199 4% $ 15,000 $ 20,000 $ 20,000 0% $ - $ - $ - 0 $ 12,500 $ 15,000 $ 15,000 0% $ - $ - $ - 0 $ - $ - $ - 0 $ 26,916 $ 25,166 $ 26,166 4% $ - I $ - I $ - 1 0 $ 0 7,000.00 $ 5,000.00 $ 5,000.00 $ - $ 51,000.00 $ 47,750.00 $ 47,750.00 $ - $ - $ - $ - 0 $ 182,367.00 $ 174,098.00 $ 182,803.00 $ 0.05 $ 165,808 $ 174,098 $ 182,803 $ 0.05 $ $ 1,376,935 980,859 $ $ 1,414,729 1,010,285 $ $ 1,471,933 1,040,593 4% 3% $ 175,579 $ 182,602 $ 189,906 4% $ 102,206 $ 105,272 $ 108,430 3% $ 17,865 $ 18,222 $ 18,587 2% $ 142,964 $ 145,823 $ 148,740 2% $ 1,419,473 $ 1,462,204 $ 1,506,256 3% SURPLUS /(DEFICIT) FOR PERIOD: 1 $ (42,538) $ (47,475) $ (34,323) 28% FY 2018 -19 Agency Budget DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Program Budget Operating Budget for Program PROGRAM NAME PROGRAM REVENUE Private Donations Program Generated Revenue Local Government Grants: Human Services - Town of Carrboro Other - Town of Carrboro Human Services - Town of Chapel Hill Other - Town of Chapel Hill Human Services - Orange County Other - Orange County Other - Town of Hillsborough Other Government Grants Triangle United Way State Government Federal Government (CDBG /HOME /etc.) Private Foundation Grants Other Revenue Total Program Revenue PROGRAM EXPENSES Compensation Rent & Utilities Supplies & Equipment Travel & Training Other Expenses: Total Program Expenses SURPLUS /(DEFICIT) FOR PERIOD: $ 42,945 $ 52,626 1 $ 49,967 1 -5% FY 2018 -19 Program Budget Actual 2016 -17 Estimated 2017 -18 Projected 2018 -19 Percent Change $ - $ - $ - 0 $ 392,036 $ 407,717 $ 424,026 4% $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ 10,000 $ 12,500 $ 15,000 20% $ 30,666 $ 25,166 1 $ 25,166 1 0% 6$ $ - $ - 0 $ =0l- - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ 153,226.00 $ 166,653.00 $ 162,128.00 $ (0.03) $ - $ - $ - 0 $ $ 585,928 392,671 $ $ 612,036 404,451 $ $ 626,320 416,585 2% 3% $ 63,860 $ 66,414 $ 69,071 4% $ 36,696 $ 37,794 $ 38,931 3% $ - $ - $ - 0 $ 49,756 $ 50,751 $ 51,766 2% $ 542,983 $ 559,410 $ 576,353 3% SURPLUS /(DEFICIT) FOR PERIOD: $ 42,945 $ 52,626 1 $ 49,967 1 -5% FY 2018 -19 Program Budget DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) Program Name: The ArtsCenter — Youth Education Programs Program Primary Contact and Title: Fleming Samuels, Development Director Telephone Number: 919 - 929 -2787 x 213 E -Mail: fsamuels(,@-artscenterlive.org a) Indicate the type of Human Service Needs Priority, if program applicable: ❑ Priority Area #1: safety -net services for disadvantaged residents ® Priority Area #2: education, mentorship, and afterschool programming for youth facing a variety of challenges ❑ Priority Area #3: programs aimed at improving health and nutrition of needy residents b) Indicate the type of program for which you are requesting funding (Check all that apply to this program) Program Category Youth Adult Elderly Disabled Public Housing Neighborhoods /Residents Affordable Housing Affordable Healthcare Education x x x x x Family Resources Jobs /Jobs Training x Food Transportation Other: Please specify _Arts Exhibits & Performances 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. • Chapel Hill Carrboro City Schools (Youth programs planning and participants) • Orange Co. Schools (Youth programs planning and participants) • Orange Co Human Services (Youth programs planning and funder) • Chapel Hill - Carrboro PTA (Youth programs planning and funder) • OCAC (Youth programs and theater funder) • NC Botanical Garden (ArtSchool collaboration) • Triangle Weavers (Elf Fair Collaboration) • Town of Carrboro ( Carrboro Music Festival, Carrboro Film Festival, Recs and Parks) • Town of Chapel Hill (Overall funder) • Second Family Works (Youth job training) • Apple Intern, UNC Chapel Hill (ArtsCamps) PROGRAM INFORMATION 1/23/2018 1:53:53 PM �.i _- 0 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Program Description (3 pages OR LESS) Please provide the following information about the proposed program: d) Summarize the program services proposed and how the program will address a Town /County priority /goal? The ArtsCenter will provide one year of youth educational and arts activities that reach approximately 30,000 children primarily from Orange County. The ArtsCenter provides high quality education to Orange County students through School Shows, where we bring world class artists to perform at little or no cost to the school. We also provide artist residencies to Title 1 schools, summer ArtsCamps and an Afterschool Arts Immersion Program taught by professional Teaching Artists. By seeking funding for scholarships in our afterschool program and the Artist Residencies in Orange County Schools we are helping to fulfill Board of Orange County Commissioners Goal #6. "Ensure a high quality of life and lifelong learning that champions diversity, education at all levels ..." The ArtsCenter is also fostering the priority within Goal #6 to "increase support to expand pre- kindergarten services" by collaborating with the Ready for K programs for low- income families that take place at Carrboro Elementary. e) Describe the community need or problem to be addressed in relation to the Chapel Hill Human Services Needs Assessment, Orange County BOCC Goals and Priorities, Town of Chapel Hill Council Goals, Carrboro 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. Support for the Youth Education Program at The ArtsCenter will foster Goal #1' s success by "promoting the well -being of county residents." Our education programs provide much needed support to bring arts education to five Title 1 schools in Orange County. The Artist in Residence programs provide arts experiences to all children in these schools focusing intensive learning experiences with 24 classrooms within these schools through a five -day residency with a professional Teaching Artist. These classrooms experience exceptional curriculum based arts programing and will continue to do so with your support. With your support as well as that of our other funding sources we provided over $20,000 in youth experiences and scholarships. f) Who is your target population of individuals to benefit from this program and how will they be identified and connected with the program? ArtsCenter youth department demographics closely reflect the demographics of our Orange County Schools because we bring field trips to The ArtsCenter to see School Shows (Central Elementary, New Hope Elementary and Efland Cheeks Elementary, and Grady Brown Elementary) and serve over 1,800 children. We also bring touring artists directly into local schools for performances for the entire student body, and bring teaching artists into 4 PROGRAM INFORMATION 1/23/2018 1:53:53 PM Page 14 of 22 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Title 1 Orange County Schools (Central Elementary, New Hope Elementary, and Efland Check Elementary and Grady -Brown Elementary schools) for 5 day in- school residencies for every class at every grade level. The demographics of our largest youth group, School Shows and the ArtsSparks Series of Performances, mirror the populations of Orange County Schools and Chapel Hill /Carrboro City Schools and serve more than 26,000 youth annually. Artists in Residence (AIR) residencies reach every class in four Title 1 elementary schools in the Orange County School system. Afterschool Arts Immersion serves elementary schoolers, Youth Art Classes serve 1 st — 6th graders, and summer ArtsCamps serve rising Kindergartners — 12th graders. Participants are reached through printed material sent directly through schools to parents, school social workers, teachers, and counselors often help identify students needing scholarship and help guide parents to our services. g) Describe the credentials of the program manager and other key staff. (Ex. Identify Program Manager and credentials, describe training provided to volunteers, etc.) Dan Mayer, The ArtsCenter's Executive Director since August 2015, has decades of non- profit arts management experience leading dance companies, art schools, theater companies, and visual art spaces. Mayer's has BA in Political Science and Art History from Claremont McKenna College, a JD from Case Western Reserve University, and an Arts Administration Fellowship from the National Endowment for the Arts (NEA). Jack Hartley is a local musician who has worked with The ArtsCenter since 2014 as the ArtSchool Assistant; He was promoted to ArtSchool Manager as of 2016. Hartley has a BA in English Literature — Creative Writing from USC — Columbia. Jesse Hollars, who joined us in 2014, is our Youth Education Coordinator for Afterschool Arts Immersion, ArtCamps, Artist in Residence, School Shows, and Youth Art Classes. Jessie Hollars UNC -CH in 2012. Jesse's role also extends to training and recruiting our high school volunteers who are a valuable asset within our summer ArtsCamp program. Virginia Danford, Artist in Residence Coordinator, has a Bachelors in Fine Arts form West Virginia University and an MFA in Acting from Pennsylvania State University. She works closely with Mayer and Hollars as well as on -site with our AIR partners. h) Describe the specific period over which the activities will be carried out and include an implementation timeline. The ArtsCenter provides programs to its visitors year- round, and our fiscal year operates on a January - December calendar. The ArtSchool offers Fall, Winter, Spring, and Summer semesters. Afterschool Arts Immersion, Youth Arts Classes, and Artist in Residence will be scheduled to follow the local school systems calendars from August through June. ArtsCamps run 10 -12 weeks (depending on the local school calendars) in June, July, and August. Music and theater programs are offered multiple times every month. The Gallery exhibits change monthly, with a public opening reception to meet the artists set the second Friday of every month. Budgetary planning now occurs in the summer and fall. Program planning, implementation, and evaluation is ongoing. PROGRAM INFORMATION 1/23/2018 1:53:53 PM DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION i) Why is funding this program a good investment for the community? How does funding this program add value to the community? (250 words OR LESS) Investment in our cultural institutions is quantifiable. Research by Americans for the Arts has proven year after year that cultural institutions within a community drive the economy of that area to growth. The ArtsCenter has proven its value to the community that sustains it for over 40 years. Our theater provides a space for independent theater to open a dialog of cultural exchange, or on a different night generations can come together and enjoy a performance. Our galleries host emerging artists who challenge convention and find their start. Our schools provide safe places to think and learn and encourage civic engagement through volunteerism. Our outreach programs seek to engage children with little to no arts experience and we bring programs that enhance school attendance, team - building and engagement in other project oriented STEM activities. j) Describe what would happen if requested funding is not awarded at all or if a reduced allocation is recommended. The ArtsCenter has served the residents of Carrboro, Chapel Hill, Orange County, and surrounding area residents for more than 40 years with quality arts programming and arts education opportunities. If this request is not funded in full or at all, then services will be reduced and adjusted accordingly. k) What percentage of your target population is low- moderate income? The ArtsCenter is free and open to the public seven days a week. We do not require visitors to declare income status when using our facility. What is more important is that your support allows us to rent our performance spaces and classrooms at levels that would be cost prohibitive otherwise. Five Title 1 schools come to our ArtSparks series free of charge, and we also distribute free tickets through community outreach to these shows on the weekend. On average 10% of the attendees are here from that effort. We do track income levels of our scholarship students throughout the summer and in our Afterschool Arts Immersion Program and that equates to about $20,000 in classes offered to low - income students at no cost to the families. 1) What efforts do you make to seek feedback about your program from your target population (e.g. survey, evaluations, etc. ?) The ArtsCenter regularly conducts surveys after each session of ArtsCamp for parents to provide feedback about their experience, as well as a final day where parents view art with students and discuss their studies. The Artist in Residence program at the Orange County Schools, Teaching Artists fill out evaluations of the program and its efficacy. Testing is also performed to quantify retained knowledge. Email surveys are sent to concert -goers and staff is present at many shows where patrons are free to discuss their experience. m) Include any other pertinent information. PROGRAM INFORMATION 1/23/2018 1:53:53 PM r DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 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, Program Target Population Demographics Gender Male Female Total Ethnicity African - American American Indian or Alaska Native Asian Caucasian Native Hawaiian or other Pacific Islander Other: specify Latinx Total Of the above, how many Hispanic /Latino Of the above, how many non - Hispanic /Latino Total Age 0 -5 years 6 -18 years 19 -50 years 51 + years Total Geographic Location 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) Actual Estimated Projected 2016 -17 2017 -18 2018 -19 16,171 16,737 17,323 15,537 16,081 16,664 31,708 32,818 33,967 7,927 8,205 8,492 63 66 68 2,537 2,625 2,717 16,742 17,328 17,935 31,708 32,818 33,967 4,439 4,595 4,755 311708 32,818 33,967 1,459 1,510 4,755 4,439 4,595 32,405 337 328 29,212 27,269 28,223 340 31,708 32,818 33,967 1,459 1,510 1,562 30,249 31,308 32,405 337 328 340 337 320 340 0 0 0 506 492 510 506 492 510 337 328 340 337 320 340 Unknown Unknown Unknown 18,391 19,034 19,701 4,439 4,595 4,755 1,902 1,969 2,038 159 164 170 2,220 2,297 2,378 Total 1 31,708 32,818 33,967 PROGRAM INFORMATION 1/23/2018 1:53:53 PM Page 17 of 22 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Work Statement 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 1 Program Activity, which should be SMART (,2pecific, Measurable, Achievable, Relevant, and _Time-bound. Click on SMART Goals to learn more. • Program Activities should outline major activities the agency implements to accomplish its program goals. (i.e. Deliver meals to elderly /disabled residents.) • Program Goal should explain what the program is trying to achieve /accomplish. Goals are statements about what the program should accomplish. (i.e. Deliver 100 meals per day, Monday- Friday.) • Performance Measures describe how you will evaluate the degree in which you achieved the stated goals. (i.e. Will track the number of meals delivered each day.) • Actual Program Results use program results to indicate the actual measureable achievement of goals. If goals were not met, please explain. (i.e. Delivered an average of 105 meals per day.) Work Statement Chart for Program Youth Education Department Support 1. Program Activity Name ArtsCamp Program Goal Offer 11 Weeks of camps and teen workshops Performance Measures ArtsCamp Catalog and Schedule Previous Year Program Results Offered 11 weeks of camp and teen workshops totaling 1672 class units Current Year Estimated Results Offer 11 weeks of camp and teen workshops totaling 1650 class units Next Year Projected Results Offer 11 weeks of camp and teen workshops through 1650 class units 2. Program Activity Name AfterSchool Arts Immersion Program Goal Serve 65 youth monthly through AAI and Youth ArtSchool Classes Performance Measures AAI and ArtSchool Registration Previous Year Program Results Served 65 youth monthly through AAI and Youth ArtSchool Classes Current Year Estimated Results Serve 70 Youth Monthly through AAI and Youth ArtSchool Classes Next Year Projected Results Serve 70 Youth Monthly through AAI and Youth ArtSchool Classes 3. Program Activity Name School Shows Program Goal Present 55 School Shows at the ArtsCenter and in area schools that enhance NC curricula Performance Measures School show contracts, schedule and teacher guides Previous Year Program Results Presented 55 school shows and received 85% positive rating Current Year Estimated Results Present 58 school shows and received an 87% positive rating Next Year Projected Results Present 60 school shows and receive 85% or better positive ratings 4. Program Activity Name Artist in Residence Program Goal Offer 24 residencies to 1800 students in four Title 1 Schools Performance Measures Artist contracts, class records and content tests Previous Year Program Results Offer 16 residencies to over 1275 students Current Year Estimated Results Offer 24 residencies for 1800 students Next Year Projected Results Offer 24 residencies to 1800 students PROGRAM INFORMATION 1/23/2018 1:53:53 PM Page 18 of 22 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 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 • 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) • Other Government Grants • Triangle United Way • State Government • Federal Government (CDBG /HOME /etc.) • Private Foundation Grants • Other Revenue Expenditures • Compensation • Rent & Utilities • Supplies & Equipment • Travel & Training • Other Expenses 2. Program Budget Detail — Provide description of "other" budget items, not defined. Youth Programs -- Other Expenses • Performance Expense -- $643.81 • Afterschool Arts immersion Transportation -- $2,8160.00 • Office Supplies $104.93 • Depreciation -- $11, 504.45 • Bank charges -- $9,343.26 Agency Budget — Other Expenses • Bank charges and fees -- $25,252 • Depreciation -- $31,094 • Bar supplies -- $16,722 • Gala -- $28,535 • Taxes -- $1,900 • Program expenses -- $31,018 PROGRAM INFORMATION 1/23/2018 1:53:53 PM IT' 9 g _-rr= 1 9 of 2 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 3. This program budget represents what percent of the agency budget? 38.2% 4. COST PER INDIVIDUAL This Cost per Individual must reflect the total program budget divided by the total number of program individuals in this application. 4. ATTACHMENTS Description of Required Attachments a) Financial Audit A recent financial audit that should cover CY 2016, for calendar year agencies, and FY 2016- 17, for fiscal year agencies. For agencies with prior year revenues totaling $500,000 or more a financial audit, prepared by a certified public accountant is required. Agencies with prior year revenues of less than $500,000 may submit a completed Schedule of Receipts and Expenditures form (see application materials), in lieu of an audit /report. Agencies with a certified audit /report should not complete the form. b) IRS Federal Form 990 A copy of the agency's 2016 Form 990 is required. The specific form depends upon the agency's financial activity. Review the IRS' table guide, for more details. For Form 990 -N (e- postcard) filers, include a copy of the postcard, with the agency's application materials. c) NC Solicitation License A copy of the agency's current solicitation license is required. Organizations that solicit contributions in North Carolina, directly or through a third party, must renew their licenses annually. For more details, refer to the NC Secretary of State's licensing website and its Frequently Asked Questions Guide (PDF), about exemptions. If exempt per N.C.G.S. § 131 F- 3, include a copy of the exemption letter with the agency's application materials. d) IRS Federal Tax - Exemption Letter A copy of the agency's IRS tax - exempt letter that confirms its nonprofit status is required. An agency can request a copy of its letter from the IRS' Customer Account Services. e) Certificate of Liability Insurance A copy of the agency's current certificate, from the agency's insurance carrier. Table 1 below outlines insurance types and minimums required, for each jurisdiction. If exempt from Worker's Compensation compliance, include a statement explaining why, with the agency's application materials. *Note: If Approved for Funding: Approved agencies must provide an PROGRAM INFORMATION 1/23/2018 1:53:53 PM Page 20 of 22 Actual 2016 -17 Estimated 2017 -18 Projected 2018 -19 Total Cost of Program $542,983 $559,410 $576,353 Total # of Individuals 31,708 32,818 33,967 Cost Per Individual $17.12 $17.04 $16.96 4. ATTACHMENTS Description of Required Attachments a) Financial Audit A recent financial audit that should cover CY 2016, for calendar year agencies, and FY 2016- 17, for fiscal year agencies. For agencies with prior year revenues totaling $500,000 or more a financial audit, prepared by a certified public accountant is required. Agencies with prior year revenues of less than $500,000 may submit a completed Schedule of Receipts and Expenditures form (see application materials), in lieu of an audit /report. Agencies with a certified audit /report should not complete the form. b) IRS Federal Form 990 A copy of the agency's 2016 Form 990 is required. The specific form depends upon the agency's financial activity. Review the IRS' table guide, for more details. For Form 990 -N (e- postcard) filers, include a copy of the postcard, with the agency's application materials. c) NC Solicitation License A copy of the agency's current solicitation license is required. Organizations that solicit contributions in North Carolina, directly or through a third party, must renew their licenses annually. For more details, refer to the NC Secretary of State's licensing website and its Frequently Asked Questions Guide (PDF), about exemptions. If exempt per N.C.G.S. § 131 F- 3, include a copy of the exemption letter with the agency's application materials. d) IRS Federal Tax - Exemption Letter A copy of the agency's IRS tax - exempt letter that confirms its nonprofit status is required. An agency can request a copy of its letter from the IRS' Customer Account Services. e) Certificate of Liability Insurance A copy of the agency's current certificate, from the agency's insurance carrier. Table 1 below outlines insurance types and minimums required, for each jurisdiction. If exempt from Worker's Compensation compliance, include a statement explaining why, with the agency's application materials. *Note: If Approved for Funding: Approved agencies must provide an PROGRAM INFORMATION 1/23/2018 1:53:53 PM Page 20 of 22 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA EXHIBIT `B" Scope of Services — FY 2018 -19 Outside Agency Performance Agreement Agency Name: The ArtsCenter Program Name: Youth Education Funding Award: $13,250 Outline how the agency will spend Orange County's funding award. Expense Description Amount Program Expense — Artist In Residence 4 Title 1 Schools $7,500 Program Expense — AfterSchool Arts Immersion Scholarships $5,750 Present School Shows (at The ArtsCenter and in schools) 55 School Shows Serve AfterSchool Arts Immersion students monthly 55 students Program Services Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2019. • AfterSchool Arts Immerson Scholarships • Art in Education Residencies — Provide artist residencies to all classrooms in four Title 1 Schools. Grady - Brown, New Hope Elementary, Central Elementary, Efland- Cheeks Elementary • School Shows Series — Performances from visiting artists throughout the year as part of our ArtSparks Series. • Employ teaching artists — providing employment to professional artists in Orange County Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons /units served within Orange County, only (all Towns and municipalities). If you use percentages, you must also provide the total number of participants within that measure's description or for an earlier performance measure. Performance Measures Anticipated Results Serve students of four Title 1 schools in Orange County 1280 students Provide employment hours to teaching artists 135 hours Present School Shows (at The ArtsCenter and in schools) 55 School Shows Serve AfterSchool Arts Immersion students monthly 55 students Docu5igned by: +� uwuw • • w��.r SOCA36291AB142B... Certified by: Title: (Pro is ature) Executive Director Development Director 8/16/2018 Date: 7/27/2018 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA 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. Certified by: DocuSigned by: paint "tr Executive Director 50CA36291AB142B... Title: Date: 8/162018 (Provider's Signature) (The ArtsCenter) Orange County Outside Agency Performance Agreement Page 9 of 9 Rev. 7118 DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA ARTSCEN -01 DMASON AC ©�� CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 07/25/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (919) 968 -4472 (A/C, No): (919) 942 -4221 Summers Thompson Lowry, Inc. 100 Europa Drive Suite 571 ADDRESS: info @STLinsure.com Chapel Hill, NC 27517 -2393 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Great American Ins Co of NY INSURED INSURER 13: Great American Alliance Ins Co 26832 INSURER C: FFVA Mutual Insurance Co The Arts Center Inc. INSURER D: 07/01/2018 300 G East Main Street Carrboro, NC 27510 INSURER E DAMAGETORENTED PREMISES Ea occurrence INSURER F: MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM DD YYYY POLICY EXP MM DD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR PAC4296967 07/01/2018 07/01/2019 DAMAGETORENTED PREMISES Ea occurrence 1,000,000 $ MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ JECT PRO 1:1 LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Per person) $ ANY AUTO PAC4296967 07/01/2018 07101/2019 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE UMB4296968 07/01/2018 07/01/2019 DED X RETENTION$ 10,000 Aggregate $ 1,000,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR /PARTNER/EXE CUTIVE ❑ OFFICER /MEMBER EXCLUDED? (Mandatory in NH) N / A WC8400032267 01/01/2017 01/01/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 500,000 $ • General Liability PAC4296967 07/01/2018 07/01/2019 Each Abuse 1,000,000 • General Liability PAC4296967 07/01/2018 07/01/2019 Each Act 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) For Information Purposes CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count Government 9 Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough, INC 27278 AUTHORIZED REPRESENTATIVE l.I F� S , 5 ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD