Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2019-221-E Finance - Kidzu Children's Museum outside agency agreement
DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A 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 Kidzu Children's Museum, a not-for-profit corporation, located at 201 South Estes Drive Suite A9, Chapel Hill,NC 27514 ("Provider"). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need, as identified by the Board of Commissioners. NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth,the County and Kidzu Children's Museum 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$12,992. 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 $3,248. 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. (Kidzu Children's Museum) Orange County Outside Agency Performance Agreement Revised 712018 Page 1 of 9 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A e. Once Provider has satisfied its obligations as provided in (d) payment will be made 21 days after receipt of the Progress Report and Request for Reimbursement or 21 days after due date of Progress Report whichever is later. f. The County is not obligated to provide any other support to Provider in this or in succeeding fiscal years. 4. Agency Reporting. a. Provider will provide Orange County a Progress Report that includes a fiscal report and updates on performance measures as outlined in the Scope of Services. Progress Report dates are: July 1 —December 31; January 1 —March 31 and April 1 -June 30. Reports are due on January 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. (Kidzu Children's Museum) Orange County Outside Agency Performance Agreement Page 2 of 9 Rev. 7118 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A c. Notwithstanding the foregoing, either party may terminate the agreement at any time without penalty; provided that written notice of such termination is furnished to the other party at least 30 days prior to termination. In the event of such termination, any payment due shall be prorated to the date of termination and any unused funds shall be returned to the County within 10 days of termination. d. Any termination of this Agreement for default under this section that is later deemed to be unjustified shall be deemed a termination for convenience. 6. Insurance. a. General Requirements. The Provider shall purchase and maintain, during the period of performance of this Agreement, insurance: i. Worker's Compensation. For protection from claims under workers'or workmen's compensation acts; ii. Comprehensive General Liability Insurance covering claims arising out of or relating to bodily injury, including bodily injury, sickness, disease or death of any of the Consultant's employees or any other person and to real and personal property including loss of use resulting thereof, iii. Comprehensive Automobile Liability Insurance, including hired and non-owned vehicles, if any, covering personal injury or death, and property damage; and iv. Professional Liability Insurance, covering personal injury,bodily injury and property damage and claims arising out of or related to the performance under this Agreement by the Consultant or his agents,consultants and employees. b. Limits of Coverage: Minimum limits of insurance coverage shall be as follows: INSURANCE DESCRIPTION MINIMUM REQUIRED COVERAGE • Worker's Compensation Limits for Coverage A- Statutory State NC&Coverage B -Employers Liability $500,000 each accident, disease policy limit and disease each employee • Commercial General $1,000,000 Each Occurrence Liability $2,000,000 Aggregate • Automobile Liability $500,000 Combined Single Limit • Professional Liability $1,000,000 Each Occurrence $2,000,000 Aggregate c. All insurance policies(with the exception of Worker's Compensation and Professional Liability)required under this Agreement shall name the County as an additional insured party and as a certificate holder. Evidence of such insurance and all correspondence shall be sent to: Orange County Risk Manager Post Office Box 8181 Hillsborough,NC 27278 d. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. (Kidzu Children's Museum) Orange County Outside Agency Performance Agreement Page 3 of 9 Rev. 7118 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A 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 Kidzu Children's Museum 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: (Kidzu Children's Museum) Orange County Outside Agency Performance Agreement Page 4 of 9 Rev. 7118 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A County: Finance&Administrative Services Provider: Kidzu Children's Museum Orange County 201 South Estes Drive Suite A9 Post Office Box 8181 Chapel Hill,NC 27514 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 I IA 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 a OacuSigned dy: wider Sa Vat vt*a-w 3/28/2019 Li sa$VanCS6475- eman Executive Director Date For an' ceu5igned by: ;r--- L-'--"-` ^-un Government I6f� O637994B755E477 6l ,&k, YSCt t 4/9/2019 .. Bonnie tiammerstey, county ivianager Date (Kidzu Children's Museum) Orange County Outside Agency Performance Agreement Page S of 9 Rev. 7118 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 1. COVER PAGE Applicant Contact Information Applicant Organization's Legal Name: Chapel Hill/Carrboro Children's Museum Applicant Organization's Physical Address: 201 S. Estes Drive, St A-9, Chapel Hill, NC 27514 Applicant Organization's Mailing Address: as above Applicant Organization's Web Address: www.kidzuchildrensmuseum.org Executive Director: Lisa Van Deman Telephone Number: 919.933.1455 E-Mail: vandeman(a)kidzuchildrensmuseum.org Tax ID Number: 20-2058235 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 HIII -HS Count -HS Ex. Youth Afterschool Program $10,000 $15,000 $5,000 $30,000 Afterschool Program Coordinator salary and materials for youth activities and projects Out of school time educational support for $1,980 $14,015 $27,339 underserved communities throughout Orange County. -STEM Lead/Outreach Coordinator partial salary/ program staff)program materials/outreach marketing Totals c) To the best of my knowledge and belief all information and data in this application is true and current. The document has been duly authorized by the governing board of the applicant. Signature: V Exe utive Dlre or Date 1/22/18 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT : PRO ,? 'S OU SIDE AGENCY APPLICATION Signature: Board Chairperson Date 1/22/18 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A 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 ❑ o a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ❑ o 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? ❑ o c) Current beneficiaries of the program for which funds are being requested? ❑ o d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below. NON-DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, gender identity/expression, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Anti-discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. To the best of my knowledge and belief all of the above information is true and Current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the program ineligible for funding, but the existence of an undisclosed conflict may result in the termination of any„grant awarded. Signature: Executive Directto�rJ� �_ Date 1/22/18 g Si nature: Board Chairperson Date 1/22/18 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A 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): 11 years. 10 months Agency's Purpose/Mission (no more than a few sentences):With a focus on STEM education, the arts, child health and emerging literacy, Kidzu Children's Museum inspires children and the adults in their lives to learn through creative, purposeful play. b) Types of Services the Agency Provides (bullet format): • Kidzu Children's Museum, located in University Place, includes 9 hands-on interactive exhibit areas, including the only dedicated makerspace in the Carolinas designed specifically for young children, and a recently opened outdoor learning garden focused on native plants and pollinators. Kidzu hosts focused learning field trips for school groups and special programs for children and adults. • The museum's expert education staff facilitate a rich year-round calendar of programming focused on the arts, S.T.E.M (science, technology, engineering and math), emerging literacy and child health and wellness. The programming takes place in the museum and throughout the community through our "museum in a box" initiatives. • Kidzu works with many outside individuals and organizations to provide supplemental enrichment activities for community events and out-of-school time programs. Kidzu has a roster of over 100 community partners representing academic, scientific, artistic and civic facets of our community. • Kidzu provides multiple programs targeted towards supporting underserved communities. Programs include: once monthly "open access" day at the museum (free admission to all), STEM and arts based enrichment activities during community celebrations such as Hargraves Family Fun Day, STEM and arts based programming for out-of-school time programs, scholarship opportunities for museum based programs and free family memberships and visitor passes. c) Agency's History with Providing These Services: Since 2006 Kidzu has been the leading and primary early learning cultural institution in Chapel Hill. Since re-locating to University Place in April, 2015 Kidzu has consistently served over 90,000 visitors per year in the museum and reached over 5,000 children and families through outreach programming in the community. Since 2015, Kidzu has facilitated museum in a box STEM programs for multiple out of school time programs and supported children and families extending their "learning day" through innovative educational activities in community centers and the museum. Since 2017 we have received Human Services funds supporting the out of school time work in underserved areas of our community. d) 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?) DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION In September 2017, Kidzu hired a new STEM lead educator and Makery Manager; Jarrett Grimm. Jarrett joins Kidzu after completing a master's degree in Educational Innovation, Technology, and Entrepreneurship from UNC-Chapel Hill. She worked as a research and teaching assistant at Kenan Science Library's Makerspace while completing her degree, and previously worked at Morehead Planetarium and Science Center for six years as a Community Education Specialist. Over the last year Jarrett has strengthened the "museum in a box" programs and developed new content, aligned all aspects of the activities with the NC common core standards and partnered with CHCCSI OCS to align the program with classroom goals for the district's elementary grades. She is a dedicated educator who believes learning is best through doing and playing and can inspire children, specifically girls, to gain an interest in STEM. She brings this enthusiasm to the out of school time programs she visits. Alongside the mobile aspects of Kidzu's STEM work, Jarrett has also strengthened the STEM curriculum implemented in the museum. This curriculum is geared towards our community's early learners and forms the building blocks to an interest in STEM and literacy for our younger visitors. She has also developed the content for the in-house and mobile STEM Nights. These family engagement evenings focus on fun and learning whilst scaffolding classroom activities. e) 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: 13 #of FTE - Paid Part-Time Positions: 14 #of Volunteers: 118 # of FTE - Volunteers:2.5 f) 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? If no, please explain. Many of our employees are undergraduate students and our base pay matches that of work study students ($10.10) which is already the second highest tier of WS pay rates. DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION g) Agency Budget i. Is your agency currently receiving and/or requesting other (non-Human Services) local (Town of Carrboro, Town of Chapel Hill, Orange County) government funding? (Yes/No) No 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 FY18-19 Source Award Req nest Ex: Affordable Rental 0 $20,000 Carrboro -Affordable Housing Rehabilitation Ex: Agency Administration $15,000 $15,000 Carrboro— Other Ex. Total $15,000 $35,000 Carrboro Total Funding *Add rows or attach additional page, if needed. ii. Submit your agency's budget. You may complete the provided template (separate xis file) or you may submit your own budget file (as long as it contains the same information, and in a similar format, as requested in the provided template). Agency Budgets are required to define budget amounts for the previous program year, current program year, and next program year for the following categories: • Revenues o Private Donations o Program Generated Revenue o Local Government Grants • Carrboro Human Services ■ Carrboro Other DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION ■ 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) a Other Government Grants • Triangle United Way ■ State Government ■ Federal Government (CDBGIHOMEIetc.) • Private Foundation Grants o Other Revenue • Expenditures o Compensation o Rent& Utilities o Supplies & Equipment o Travel & Training o Other Expenses iiii. Does your agency budget show a Surplus or Deficit? Yes Is there a significant change? Yes/No No Please provide a brief explanation for Surplus or Deficit, and significant changes. A small deficit in the 2018 operating budget represents a slight increase in staffing to manage the successful development and implementation of all STEM activities across museum programs. This deficit will be addressed through cash-forward surplus in 2017. iv. What is your agency's fiscal year? January 1 2018 - December 31 2018 (Example: July 1, 2016 through June 30, 2017) DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Agency Budget Operating Budget for Entire Agency AGENCY NAME: Kidzu Children's Museum Actual Estimated Projected Percent AGENCY REVENUE 2016-17 2017-18 2018-19 Change Private Donations $ 76,685 $ 74,115 $ 104,980 42% Agency Generated Revenue (fees) $ 329,195 $ 400,484 $ 458,568 15% Local Government Grants: Human Services -Town of Carrboro $ - $ 1,000 $ 1,908 91% Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ 10,000 $ 5,000 $ 14,015 180% Other-Town of Chapel Hill $ - $ 10,000 $ - -100% Human Services - Orange County $ - $ 10,460 $ 27,339 161% Other- Orange County $ - $ - $ - 0 Other-Town of Hillsborough $ - 1 $ - 1 $ - 1 0 Other Government Grants Triangle United Way $ - $ - $ - 0 State Government $ 51,912.92 $ 30,511.00 $ 30,511.00 $ - Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ 362,200.00 $ 333,500.00 $225,311.00 $ 0.32 Other Revenue $ - $ - $ - 0 Total Agency Revenue $ 829,993 $ 865,070 $ 862,632 0% AGENCY EXPENSES Compensation $ 702,336 $ 693,896 $ 676,404 -3% Rent& Utilities $ 35,184 $ 62,310 $ 61,664 -1% Supplies & Equipment $ 52,841 $ 50,545 $ 51,268 1% Travel &Training $ 6,525 $ 7,297 $ 9,092 25% Other Expenses: $ 67,579 1 $ 82,062 1 $ 87,268 1 6% Total Agency Expenses $ 864,466 1 $ 896,111 1 $ 885,696 -1 SURPLUS/(DEFICIT) FOR PERIOD: 1 $ (34,472) $ (31,042) $ (23,064) 267/6 Y 2018-19 Agency Budget DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) Program Name: `Continuing Connections` Program Primary Contact and Title: Rose Bequet Telephone Number: 919.933.1455 E-Mail: bequet(@kidzuchildrensmuseum.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 Elderl Disabled Public Housing y Neighborhoods/Residents Affordable Housing Affordable Healthcare Education x x Family Resources x x Jobs/Jobs Training Food Transportation Other: Please specify 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. Since its inception in 2006, Kidzu has collaborated with hundreds of community partners including local title one schools, social service agencies, non-profits, community groups and individuals working together to best serve the children and families in Orange County. Continuing the work developed and implemented for the 2017/18 Human Services application, Kidzu is partnering with the following organizations to provide out of school time education support, STEM activities and resources for families living in underserved areas of Orange County: • Cedar Grove Community Center • Efland Cheeks Community Center • New Hope Elementary School (after school program) • Fairview Child and Family Center DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION • Orange County Partnership for Young Children • Family Success Alliance Details of each program per partner agency: Cedar Grove Community Center Programs Implemented When/What Kidzu began partnering with Cedar Grove STEM Box (2) Summer (June Community Center in 2017. During the Spring 2019). Once per and Summer 2018 Kidzu will conduct two week, 1.5 hour mobile STEM Box visits for the center's FUN STEM program. Day program and Summer camp program. This partnership introduces Kidzu and Kidzu's STEM Night (1) School year mobile educational programming to a rural (September population living in the most northern part of the 2018-May 2019) county. Many of the children and families are Early evening STEM unaware of Kidzu. Through this partnership education event for Kidzu can provide educational support for the children and children and support classroom learning in a families. Serve 150 fun, safe environment. participants. Learning focused field Kidzu will provide trips (4) learning focused field trips to CG's FUN Day and summer camp participants. Field trips take place at Kidzu and focus on subject areas relevant to grade level curriculum. Visitor passes Kidzu will provide 48 visitor passes to Kidzu Children's Museum for families utilizing services at the Cedar Grove Community Center DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Kidzu based program Kidzu will provide scholarships scholarship opportunities for its school's out camps and summer camps for 2-4 youth from Cedar Grove Efland Cheeks Community Center Kidzu formed a new partnership with the Efland STEM Box (2) Kidzu will visit the Cheeks Community Center to provide multiple Efland Cheeks CC 4 out of school time support services in the times throughout the 2018-19 human services fiscal year. Kidzu's school year and programming will provide STEM support during summer camp school's out days and the center's summer program to provide camp. All the children attending the center's STEM hands on programming attend the neighboring Title 1 activities. Elementary school and need academic support to stay on grade level. STEM Night (1) School year (September 2018-May 2019) Early evening STEM education event for children and families. Serve 150 participants. Event located at the Efland Cheeks CC. Learning focused field Kidzu will provide trips (4) learning focused field trips for Efland Cheeks CC's summer camp participants. Field trips take place at Kidzu and focus on subject areas relevant to grade level curriculum. DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Visitor passes Kidzu will provide 48 visitor passes to Kidzu Children's Museum for families utilizing services at the Efland Cheeks Community Center Kidzu based program Kidzu will provide scholarships scholarship opportunities for its school's out camps and summer camps for 2-4 youth from Efland Cheeks New Hope Elementary/ Family Success Alliance Kidzu has partnered with New Hope Elementary STEM Box (2) Kidzu will provide and Family Success Alliance since 2017. Kidzu STEM activities to supports the school with out of school time New Hope's after programming and family engagement STEM school program. Nights. STEM Night (2) Kidzu will build on the successes of the 2017/18 program and provide 2 STEM Nights at New Hope. The family engagement event provides an opportunity for shared learning experiences. Visitor passes Kidzu will provide 48 visitor passes for children and families from New Hope Elementary Fairview Child and Family -- OCPYC DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Kidzu has partnered with OCPYC since opening STEM Box (2) Kidzu will continue in 2006. We are thrilled the partnership is its relationship with supported by Human Services funding. OCPYC's preschools and provide 2 STEM Box sessions for children and caregivers to enjoy together during pre school hours. All partners Open Access Sunday (2) All partner agencies attend free days at the museum. Free days occur on the first Sunday of the month. Dates TBD. 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? Kidzu's proposed program 'Continuing Connections' builds on the successes of last year's `Community Connections' program and continues to provide enriching out-of-school-time services for children and families living in under resourced communities throughout Orange County. The program is, once again, designed to provide a continuum of educational services for children and families. The programs are as follows: • STEM Box - Kidzu educators facilitate STEM activities during out-of-school-time community center based programs • STEM Night - Kidzu educators facilitate 6-8 STEM stations for children and families to enjoy. STEM Nights take place off site at community centers or schools or at the museum. STEM Nights are designed to be early evening family engagement events, giving families the opportunity to learn and have fun together. • Learning Focused Field Trips - located at Kidzu, museum educators facilitate learning focused field trip for summer camp or out of school time groups. Each topic supports classroom activities. • Scholarships to Kidzu based summer camps and school's out camps - for partner agencies, Kidzu's provides 8 scholarships to Kidzu based school's out programs. • Visitor passes available to children and families of partner agencies - enjoy a free day at the museum courtesy of a Kidzu visitor pass. • Open Access Sundays -- free access to Kidzu Children's Museum for children and families from partner agencies. DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION The program spans a full academic year, focuses on developing a love of learning through engaging STEM (science, technology, engineering and math) activities and building relationships with the children and families who do not have regular access to Kidzu because of limited financial resources or transportation. The program directly addresses the need to provide supplemental educational services to children and families living in under resourced communities. 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. Addressing Orange County's need to provide "sufficient low-cost/ free activities that positively engage children and youth, especially those from at-risk and low-income households", Kidzu plans to continue to extend its existing enriching out-of-school time services, targeting specific neighborhoods in Orange County and investing in relationship-building with families living in these neighborhoods to help them better access the kinds of unique and valuable learning opportunities that a children's museum inherently provides. 13.4% of children live in poverty in Orange County (Census, 2010) and, at Kidzu, we are well aware our location does not cultivate a sense of belonging for all children and families throughout our region. Financial resources determines access to quality education for children living in poverty (Child Care Services Association (2005). North Carolina Early Childhood Systems Study.), therefore, Kidzu emphasizes program design that meets childrens and families in their community and establishes a relationship between the staff: and the children and families. Kidzu facilitates engaging STEM activities that inspires a sense of wonder and inquisitiveness, and connects to classroom activities adhering to state standards. This out-of-school time educational support works to fill the achievement gap that grows exponentially for students in at-risk and low-income households, specifically time spent out of school. As Kidzu says, it's more of an "opportunity gap" and with the right resources and support we can provide transformative educational opportunities for children and families stuck in the poverty cycle. For the 2018-19 Human Services funding, Kidzu plans to continue working with the Cedar Grove community, the families at pre-schools run by Orange County Partnership for Young Children, the families at New Hope Elementary, and to build on a new relationship in Efland Cheeks. Experience, community collaboration and data informs these choices. f) Who is your target population of individuals to benefit from this program and how will they be identified and connected with the program? The target population is children aged 0-12 years and their caregivers living in underserved communities, specifically students enrolled at New Hope Elementary and families participating in programs at the Cedar Grove Community Center, Fairview Child and Family Center and Efland Cheeks Community Center. We estimate over 1,000 children will have access to Kidzu's programs at the community centers and over 400 parents and caregivers will benefit from Kidzu's Open Access Sundays and STEM Nights. DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION The STEM Box programs will operate as "push-in" to the academic activities in the existing after school programs and summer camps at each location. Participants will already be identified and registered in the program. If the Kidzu "push-in" programs create interest with young people not registered in the programs Kidzu will work with the families to register each child in the appropriate program. The STEM Night events will be coordinated by community center staff or school personnel. Each STEM Night is open to children and families participating in programs at the designated site, as well as to other families associated with the particular center or school. g) Describe the credentials of the program manager and other key staff. (Ex. Identify Program Manager and credentials, describe training provided to volunteers, etc.) Kidzu Children's Museum senior staff have decades of experience in creating effective collaborative partnerships and in designing and presenting programs and activities that engage a range of learning styles and developmental levels. Specific staff have nationally recognized experience in working directly with underserved families to involve their children in the life of the museum and understand that relationship-building is the key to having long-term impact. Rose Bequet - Community Programs Manager Kidzu's full-time Community Programs Manager, Rose Bequet, has been working in the museum field for over 5 years, holding a Master's Degree in Museum Education and a Bachelor's Degree in Art History. Bequet has been with Kidzu for 2 1/ years and has planned and facilitated over 250 programs with children and community partners during this time. In 2017, Ms. Bequet's outreach efforts reached over 4,000 families in the Chapel Hill/Carrboro area and grew the museum's partnerships with community artists, scientists, and makers by 40%. In 2017, Bequet was responsible for co-leading a statewide summit on accessibility and inclusiveness within children's museums, attended by representatives of over 12 institutions. Kidzu's Community Program Manager manages and staffs all outreach programs for Kidzu, as well as selects appropriate and innovative STEM and Arts programming for each outreach event. Bequet serves as administrator for STEM Box/STEM Night engagements, working with community partners (including managing the Ella Baker Women's Center mentorship program) to communicate specific needs of their institutionslprograms children and schedule STEM Box/STEM Night site visits. Jarrett Grimm - STEM Lead and Makery Manager Kidzu's full-time Makery Manager, Jarrett Grimm joins Kidzu after completing a master's degree in Educational Innovation, Technology, and Entrepreneurship from UNC-Chapel Hill. Grimm worked as a research and teaching assistant at Kenan Science Library Makerspace while completing her degree, and previously worked at Morehead Planetarium and Science Center for six years as a Community Education Specialist. She also holds a BA in Advertising, with minors in Environmental Studies and Entrepreneurship. DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Kidzu's Makery Manager is the lead of STEM Box curriculum development and on-site STEM Box/STEM Night facilitation. Ms. Grimm is also responsible for managing staffing for STEM Box engagements, and training staff for off-site STEM engagements. Danae Soler- Bilingual Community Outreach Assistant Kidzu's part-time Bilingual Community Outreach Assistant, Danae Soler, reports to the Community Programs Manager and Makery Manager. Ms. Soler works to build new multicultural partnerships and strengthen existing community partners. The Bilingual Community Outreach Assistant is responsible for the translation of outreach/program materials, guides, as well as being the lead translator at onsite community-wide programs including STEM Boxes, STEM Nights, Open Access Sundays, and Adaptive Play evenings. Volunteer Training Before assisting in community outreach efforts, Kidzu's Community Outreach Volunteers are required to undergo a 2-hour training session with the Community Program Manager, as well as a background check from Kidzu. Community Outreach Volunteers will leave the training session with strategies on how to manage behavior, how to engage children at off-site programs, how to share their enthusiasm for Kidzu and STEM education, and how to lead programs in a variety of outreach settings. Volunteers all receive on-going mentoring and feedback from Kidzu education staff during and after each outreach. h) Describe the specific period over which the activities will be carried out and include an implementation timeline. The 'Continuing Connections' program will operate from July 2018 through June 2019. The programs run during out-of-school time in the summer and school year. Access to Kidzu via day visitor passes will be year-round from July 1, 2018 to June 30, 2019. See below for implementation timeline: Implementation Timeline: June, 2018: Summer enrichment and after school program curriculum plans finalized/ begin planning schedules with partner agencies/ orientation/training sessions for STEM Box volunteers. July, 2018: Human Services contract executed/ summer enrichment programs begin at Cedar Grove Community center and Efland Cheeks Community Center/press release distributed/ Fall activity lesson plans and outlines complete. August, 2018: Promote STEM nights and Open Access Sunday with partners/ finalize schedules and activity plans for out-of-school time programs September - December, 2018: STEM "museum in a box" programs launched/ promote and register students for school's out camps. DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION October, 2018: Conduct first STEM night at New Hope Elementary. December, 2018: Review programs with partners — discuss successes and challenges and plan for necessary changes for Spring series. January — May, 2018: STEM programs continue/ promote Spring STEM Nights at Cedar Grove, Efland Cheeks, and New Hope Elementary/ promote Open Access Sundays with partner agency children and families/ promote and register students for school's out camps. March, 2018: Conduct second STEM Night at New Hope Elementary April - May, 2018: Conduct STEM Nights at Cedar Grove and Efland Cheeks/ Begin planning summer enrichment activities/conduct Open Access Sunday/ promote and register students for Camp Kidzu June, 2018: Conduct summer enrichment programs at Cedar Grove and Efland Cheeks/ review and evaluate all programs — plan improvements for 2019/20/ one-week summer camp programs begin 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) Supporting the education of children and families in underserved neighborhoods is our primary goal. Children living in the more rural areas of Orange County lack out of school time educational support. Funding this program will address three critical needs: i. Parents and other primary caregivers need greater access to educational resources and community services to help support their children's healthy development 2. All children in our community need access to complementary learning experiences to supplement the educational offerings of local child care centers, preschools, community centers and public elementary schools 3. All young children in our community from underserved neighborhoods are particularly in need of enriched, engaging educational experiences to help prepare them for success in school and in life. Children are in need of role models that can inspire them to see themselves reaching goals beyond what they may believe they are capable of. Additionally, the "Continuing Connections" programs will place a focus on STEM education, providing necessary 215Y century skills needed for tomorrow's leaders. Early exposure to STEM-based learning supports a child's academic growth, develops early critical thinking and problem-solving skills and nurtures later interest in STEM study and careers. STEM learning is a natural organizer to the way very young children approach the world: "Young children are avid STEM investigators, eager to explore and invent...as their own natural curiosity leads them towards STEM inquiry."(Successful STEM Education/Nurturing STEM Skills in Young Learners, 2014). j) Describe what would happen if requested funding is not awarded at all or if a reduced DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION allocation is recommended. Kidzu is committed to providing the program to all agency partners in 2018-19. In this application, we have presented a menu of program offerings designed to nurture long-term relationships with individual neighborhoods and individual families with the goal of creating and supporting educational growth for all children and families in Orange County and meaningful engagement with the museum regardless of an individual's ability to pay for services. Whilst we passionately believe in the continuum of services as described, we recognize the funding source is limited and there are many non-profits in our community providing valuable services. If the full award cannot be granted, we will divide the services equally between the program partners prioritizing the academic out of school time support and possibly combine program elements at central locations to reduce cost. k) What percentage of your target population is low-moderate income? 100% 1) What efforts do you make to seek feedback about your program from your target population (e.g. survey, evaluations, etc.?) Kidzu is dedicated to a cycle of evaluation and feedback, and intentionally creates open channels of communication with all stakeholders with an eye on constantly improving programs and museum visitor experiences. We know that ongoing feedback strengthens our programs and positively impacts relationships with all our participants and visitors. We distribute post surveys to all children who participated in our STEM Box activities and to all children and families who attended a STEM Night. We invite all teachers, caregivers and chaperones who attend our on-site field trips to complete a post survey and for all summer camp and school's out camp participants to complete a post survey on their last day. We also survey parents and caregivers via survey monkey at the end of each camp session. m) Include any other pertinent information. DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A 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 Actual Estimated 2016-17 (all 2017-18 (OC Kidzu services Human Projected for Services 2018-19 underserved funded families) pprograms) Gender Male 1293 210 756 Female 1939 400 1136 Total 3232 610 1892 Ethnicity African-American 1,145 285 1,437 American Indian or Alaska Native 5 5 0 Asian 723 100 100 Caucasian 831 96 60 Native Hawaiian or other Pacific Islander Other: specify Hispanic 526 124 295 Total 3232 610 1892 Of the above, how many Hispanic/Latino 526 124 295 Of the above, how many non-Hispanic/Latino 2706 486 1597 Total 3232 610 1892 Age 0-5 years 1293 345 1000 6-18 years 1454 150 250 19-50 years 323 80 400 51+ years 162 35 242 Total 3232 610 1892 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) DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Orange County (Outside Municipalities) 1610 1892 Total 0 610 1892 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 (Specific, 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 measurable 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 Kidzu Children's Museum 1. Program Activity Name STEM Box activities ("museum in a box") Program Goal Provide 8 hour long STEM activities to youth aged 1-12 in four sites (Cedar Grove Community Ctr SUMMER ONLY, New Hope Elementary, Fairview Child and Family Ctr and Efland Cheeks Community Ctr). Serve upwards of 200 children between four sites throughout the contract period. Promote STEM education and design thinking process. Performance Measures Program attendance, tracking ages, ethnicity and residence; post program quantitative survey data measuring understanding and educational value of key STEM learning concepts. Serve 50 children at Cedar Grove, 50 children at New Hope Elementary, 25 children at Fairview Child and Family Ctr and 40 children at Efland Cheeks. Previous Year Program Results The programming for Cedar Grove will take place June 2018 and throughout the Spring for New Hope Elementary. Current Year Estimated Results We estimate serving 100 children through our 2017/18 STEM Box programming. We estimate over 65% of participants will experience an increase in understanding STEM learning DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION concepts. Next Year Projected Results We estimate serving 200 children through our 2018/19 STEM Box programming. We estimate over 75% of participants will experience an increase in understanding key STEM learning concepts. 2. Program Activity Name STEM Nights (4) Program Goal Our goal is to welcome over 400 children and adults to a museum or site based STEM Night, 75% of attendees reporting knowledge of at least one new STEM topic and 90% of caregivers reporting they are "somewhat, very, or extremely likely" to access programs at Kidzu CM through scholarship opportunities. Performance Measures Program attendance and visitor evaluations measuring understanding of key STEM learning principles and value of this programming. Previous Year Program Results Kidzu ran a STEM Night for children and families from OCPYC agencies. We welcomed 55 children and 35 adults. Attendees attested to the value of this programming and, on average, participants indicated it was "extremely true" that the program was educationally valuable to both children and caregivers. Current Year Estimated Results Kidzu is planning the mobile STEM Night for New Hope Elementary. It is proposed for February 2018. 150 children and parents/ caregivers are expected. We estimate over 65% of participants will report knowledge of one new STEM topic. Next Year Projected Results We project increasing the number of STEM Nights available to children and families in Orange County and serving an additional 250 children and families. We project over 65% of attendees will report knowledge of one new STEM topic. 3. Program Activity Name Summer Enrichment Camp Program Goal 90% of participants report they "learned something new every day" during camp and report they feel "somewhat, very, or extremely confident" in applying the information to their school work. Performance Measures Program attendance and post camp evaluations measuring value of summer enrichment at Kidzu Previous Year Program Results nla Due to a 50% funding award (against request) in 2017/18 we were unable to include summer camp scholarships in the program. Current Year Estimated Results nla DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Next Year Projected Results We estimate providing 4 summer camp scholarships. Each child reporting they "learned something new every day and they feel "somewhat, very, or extremely confident" in applying the information to their school work. 4. Program Activity Name School's Out Camp Program Goal 90% of participants report "learned something new every day" during camp and report they feel "somewhat, very, or extremely confident" in applying the information to their school work. Performance Measures Program attendance and post camp evaluations measuring value of camp experience. Previous Year Program Results nla. We did not include the option in the 17118 Human Services application. Current Year Estimated Results nla. We did not include the option in the 17118 Human Services application. Next Year Projected Results We estimate providing 4 school's out camp scholarships. Each child reporting they "learned something new every day and they feel "somewhat, very, or extremely confident" in applying the information to their school work. 5. Program Activity Name Learning-focused Field Trips Program Goal 90% of participants report "learned something new" during the field trip and report they feel "somewhat, very, or extremely confident" in applying the information to their school work. Performance Measures Program attendance, post field trip evaluations measuring value of camp experience and qualitative surveys from chaperones. Previous Year Program Results n/a, We did not include the option in the 17118 Human Services application. Current Year Estimated Results nla. We did not include the option in the 17118 Human Services application. Next Year Projected Results We estimate providing 6 learning focused field-trips for two partner agencies (Cedar Grove and Efland Cheeks) . Each child participant reporting they "learned something new every day and they feel "somewhat, very, or extremely confident" in applying the information to their school work. Each adult chaperone reporting "they learned something new" and indicated it was "extremely true" that the program was educationally valuable to both children and caregivers. 6. Program Activity !Name Kidzu Day Visitor passes Program Goal Welcome 268 visitors from partner agencies and over 65% of said attendees reporting they learned something new through DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION the exhibits and special programs. Performance Measures Voluntary visitor evaluations measuring value of learning experiences at Kidzu. Previous Year Program Results nla. We did not include the option in the 17118 Human Services program. Current Year Estimated Results nla. We did not include the option in the 17118 Human Services program. Next Year Projected Results We estimate providing access to Kidzu to over 250 children and family members. We estimate collecting around 45% of attendee voluntary visitor surveys with over 75% visitors reporting they "learned something new" from the exhibits and learning environment. 7. Program Activity Name Open Access Sunday (2) Program Goal Welcome over 500 visitors from partner agencies and over 65% of said attendees reporting they learned something new through the exhibits and special programs. Performance Measures Visitor surveys measuring the educational value of Open Access Sundays. Previous Year Program Results In 2017 we consistently served an average of 250 visitors during each Open Access Sundays, Current Year Estimated Results nla, The Open Access Sunday for partner agency children and families is scheduled for May 6, 2018. Next Year Projected Results We estimate providing 2 Open Access Sundays for partner agencies children and families. We anticipate visitor surveys reflecting each child reporting they "learned something new" during their visit to the museum. DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION p) Program Budget 1. Submit your program budget. You may complete the provided template (separate As rile) 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 ■ Chapel Hill Other (DO NOT include CDBG funding here) • Orange County Human Services • Orange County Other (DO NOT Include HOME funding here) o Other Government Grants • Triangle United Way • State Government ■ Federal Government (CDBG/HOME/etc.) ■ Private Foundation Grants o Other Revenue • Expenditures o Compensation o Rent & Utilities o Supplies & Equipment o Travel & Training o Other Expenses 2. Program Budget Detail -- Provide description of"other" budget items, not defined. Included in the "other" budget item is as follows: • Administrative costs • Outreach marketing, PR • Curriculum development • Museum exhibit maintenance • Food 3. This program budget represents what percent of the agency budget? 3% 4. COST PER INDIVIDUAL This Cost per Individual must reflect the total program budget divided by the total number of program individuals in this application. Actual 2016-17 1 Estimated 2017-18 1 Projected 2018719 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Total Cost of Program nla 10,460 27,339 Total #of Individuals nla 610 1,892 Cost Per Individual nla $17.14 $14.44 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A EXHIBIT `B" Scope of Services—FY 2018-19 Outside Agency Performance Agreement Agency Name: Kidzu Children's Museum Program Name: Community Connections Funding Award: $12,992 Outline how the agency will spend Orange County's funding award. Expense Description Amount Compensation(STEM Educators,Outreach Coord.,museum educators,museum visitor services) $9,031.5 Rent and utilities $452 Supplies and equipment(program supplies and office supplies) $1,626 Travel and training(mileage reimbursed at.55c per mile,monthly professional dev sessions for $661 educators) Other(marketing and communications) $1,221.5 Total $12,992 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2019. • Implement 7 STEM Box sessions. Sessions take place at Cedar Grove Comm Ctr, Efland Cheeks Comm Ctr, OCPYC pre-school and New Hope Elementary School. Each STEM box provides interactive, rigorous and FUN STEM programming during partner agency's out of school time initiatives. • Provide one Open Access Sunday. Free access to Kidzu Children's Museum for all children in OC. • Provide one STEM Night at New Hope Elementary. Invite all partners to attend. Family engagement evening encouraging STEM learning. 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 STEM Box session attendance. 7 sessions throughout year. 210 Open Access Sunday attendance 350 STEM Night attendance 250 Significantly increase participants understanding of STEM learning concepts 90% D"u'5ig'ned by: bSa, VOU' Vt*CJA' Executive Director 3/28/2019 9668EH277C5A475. Certified by: _ Title: Executive Director Date: 7/27/18 (Provider's Signature) DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A 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. DOGUSig'ned by:: � SX Vim' Vt*CJA, Executive Director 3/28/2019 Certified by: 98MEB277CM475_ _ Title: Date: (Provider's Signature) (Kidzu Children's Museum) Orange County Outside Agency Performance Agreement Page 9 of 9 Rev. 7118 DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A OP ID: LP —1 AC�Lt� DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 02/19/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT High&Rubish Insurance Agency PHONE FAX P.O. Box 3040 A/C No Ext: A/C,No): 6015 Farrington Rd.Ste 101 E-MAIL Chapel Hill,INC 27517 PRODUCER Jeffrey A. Rubish CUSTOMER ID#:KIDZU-1 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Kidzu Children's Museum INSURER A:Philadelphia Insurance Co 201 S Estes Dr, Ste A9 INSURER B:Hartford Insurance Company 29424 Chapel Hill, NC 27514 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDTYPE OF INSURANCE L SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY PHPK1751189 02/20/2019 02/20/2020 PREMISES Ea occurrence $ 1,000,00 CLAIMS-MADE � OCCUR MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY 7 PROEC� 7 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PHPK1751189 02/20/2019 02/20/2020 PROPERTY DAMAGE $ A X HIRED AUTOS (PER ACCIDENT) A X NON-OWNED AUTOS $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,00 A PHUB610859 02/20/2019 02/20/2020 DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVEY/N �(22WECNY6264 04/10/2018 04/10/2019 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED' N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A PHPK1751189 SEXUAL ABUSE AND MOLESTAT 31/2018 08/31/2019 Occurence 1,000,000 08/ Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101 Additional Remarks Schedule,if more space is required) Childrens Museum/located at University Place, 201 Estes Drive Suite A9 Chapel Hill, N C 27514 CERTIFICATE HOLDER CANCELLATION ORANG-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count Human Services THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. Program C/O Allen Coleman P.O. Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 P, 3p ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD DocuSi n Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A KIDZU-1 PAGE 2 NOTEPAD INSURED'S NAME Kidzu Children's Museum OP ID: LP Date 02/19/2019