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HomeMy WebLinkAbout2019-427-E DSS - Dispute Settlement Center case dispute resolution DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract#6$-1018 The Dispute Settlement Venter, Inc. Contract#68-1018 Fiscal Year Begins July 1, 2019 Ends June 30, 2020 This contract is hereby entered into by and between the Orange County Departmentof Social Services(the"County")and The Dispute Settlement Center. Inc (the "Contractor") (referred to collectively as the "Parties"). The Contractor's federal tax identification number or Social Security Number is-and the County's DUNS Number is - 1. Contract Documents: This Contract consists of the following documents: (1) This contract (2) The General Terms and Conditions (Attachment A) (3) The Scope of Work, description of services, and rate(Attachment B) (4) Federal Certification Regarding Drug-Free Workplace&Certification Regarding Nondiscrimination (Attachment C) (5) Conflict of Interest(Attachment D) (6) No Overdue Taxes (Attachment E) (7) IRS federal tax exempt letter or 501 (c)(Attachment K) http://www.irs.govlr)ub/irs-fillYk1023.pdf (8) State Certification (Attachment M) (9) Non-Discrimination, Clean Air, Clean Water(Attachment N) (11) Outcomes and Reporting (Attachment 0) These documents constitute the entire agreement between the Parties and supersede all prior oral or written statements or agreements. 2. Precedence among Contract Documents: In the event of a conflict between or among the terms of the Contract Documents, the terms in the Contract Document with the highest relative precedence shall prevail. The order of precedence shall be the order of documents as listed in Paragraph 1, above, with the first-listed document having the highest precedence and the last-listed document having the lowest precedence. If there are multiple Contract Amendments,the most recent amendment shall have the highest precedence and the oldest amendment shall have the lowest precedence. 3. Effective Period: This contract shall be effective on July 1, 2019 and shall terminate on June 30, 2020. This contract must be twelve months or less. 4. Contractor's Duties: The Contractor shall provide the services and in accordance with the approved rate as described in Attachment B, Scope of Work, and shall meet the requirements set for in Attachment 0, Outcomes and Reporting. 5. County's Duties: The County shall pay the Contractor in the manner and in the amounts specified in the Contract Documents. The total amount paid by the County to the Contractor under this contract shall not exceed $ 5,000. This amount consists of$ 5.000 in Federal funds (CFDA# ), $ 0 in State Funds, $0 in County funds ® a. There are no matching requirements from the Contractor. ❑ b. The Contractor's matching requirement is $ , which shall consist of: ❑ In-kind ❑ Cash ❑ Cash and In-kind ❑ Cash and/or In-kind The contributions from the Contractor shall be sourced from non-federal funds. The total contract amount including any Contractor match shall not exceed $5,000 6. Reversion of Funds Any unexpended grant funds shall revert to the County Department of Social Services/Human Services upon termination of this contract. 7. Reporting Requirements: Contractor shall comply with audit requirements as described in N.C.G.S. § 143C-6-22&23 and OMB Circular-CFR Title 2 Grants and Agreements, Part 200, and shall disclose all information required by 42 USC 455.104, or 42 USC 455,105, or 42 USC 455.106. 8. Payment Provisions: Payment shall be made in accordance with the Contract Documents as described in the Scope of Work, Attachment B. Contract-General (06/19) Page 1 of 4 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract468-101 8 The Dispute Settlement Center. Inc. 9. Contract Administrators: All notices permitted or required to be given by one Party to the other and all questions about the contract from one Party to the other shall be addressed and delivered to the other Party's Contract Administrator. The name, post office address, street address, telephone number, fax number, and email address of the Parties' respective initial Contract Administrators are set out below. Either Party may change the name,post office address,street address, telephone number, fax number, or email address of its Contract Administrator by giving timely written notice to the other Party. For the County: IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS Sharron Hinton, Community Services Manager Sharron Hinton, Community Services Manager Orange County Department of Social Services Orange County Department of Social Services PO Box 8181 PO Box 8181 Hillsborough, NC 27278 Hillsborough, NC 27278 919-245-2840 919-245-2840 shinton oran ecount nc. ov I shinton@orangecountync.gov For the Contractor: IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS Frances Henderson, Executive Director Frances Henderson, Executive Director The Dispute Settlement Center, Inc. The Dispute Settlement Center, Inc. 302 West Weaver Street 302 West Weaver Street Carrboro, NC 27510 Carrboro, NC 27510 919-929-8800 919-929-8800 FHenderson dis utesettlement.or FHenderson@disputesettlement.org 10. Supplementation of Expenditure of Public Funds: The Contractor assures that funds received pursuant to this contract shall be used only to supplement, not to supplant, the total amount of federal, state and local public funds that the Contractor otherwise expends for contract services and related programs. Funds received under this contract shall be used to provide additional public funding for such services; the funds shall not be used to reduce the Contractor's total expenditure of other public funds for such services. 11. Disbursements: As a condition of this contract, the Contractor acknowledges and agrees to make disbursements in accordance with the following requirements: (a) Implement adequate internal controls over disbursements; (b) Pre-audit all vouchers presented for payment to determine: • Validity and accuracy of payment ■ Payment due date • Adequacy of documentation supporting payment • Legality of disbursement (c) Assure adequate control of signature stamps/plates; (d) Assure adequate control of negotiable instruments; and (e) Implement procedures to insure that account balance is solvent and reconcile the account monthly. 12. Outsourcing to Other Countries: The Contractor certifies that it has identified to the County all jobs related to the contract that have been outsourced to other countries, if any. The Contractor further agrees that it will not outsource any such jobs during the term of this contract without providing notice to the County. 13. Federal Certifications: Contract-General (06119) Page 2 of 4 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract-968-1018 The Dispute Settlement Center, Inc- Individuals and Organizations receiving federal funds must ensure compliance with certain certifications required by federal laws and regulations. The contractor is hereby complying with Certifications regarding Nondiscrimination, Drug-Free Workplace Requirements, Environmental Tobacco Smoke, Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions, and Lobbying- These assurances and certifications are to be signed by the contractor's authorized representative. 14. Specific Language Not Previously Addressed: ( can be clelted if not needed) 15_ Signature Warranty: The undersigned represent and warrant that they are authorized to bind their principals to the terms of this agreement. The Contractor and the County have executed this contract in duplicate Originals, with one original being retained by each party- OocuSigned by: VGUrtGf.S �t.Lt.�VSbin. 7/10/2019 35Co3aa62C124cs.. Signature Date Frances Henderson Executive Director Printed Name Title Docusigned by: 'I^cwu5 Ak MA, 7/11/2019 OA3ES1B12B364B4 - Signature (must be legally authorizer)to sign contracts for County DSS) Date Travis Myren Deputy County Manager Printed Name Title oocusigned by: Den pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. 0 . 7/10/2019 704E51S1ACC1409- Signature of County Finance Officer Date Contract-General (06/19) Page 3 of 4 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC ATTACHMENT A GENERAL TERMS AND CONDITIONS Orange County Department of Social Services Relationships of the Parties the County or the Contractor,receiving services or benefits under this contract shall be deemed an incidental Independent Contractor: The Contractor is and shall be beneficiary only. deemed to be an independent contractor in the performance of this contract and as such shall be wholly responsible for Indemnity and Insurance the work to be performed and for the supervision of its employees. The Contractor represents that it has,or shall Indemnification: The Contractor agrees to indemnify and secure at its own expense, all personnel required in hold harmless the County and any of their officers,agents performing the services under this agreement. Such and employees,from any claims of third parties arising out employees shall not be employees of, or have any or any act or omission of the Contractor in connection with individual contractual relationship with the County. the performance of this contract. Subcontracting: The Contractor shall not subcontract any Insurance: During the term ofthe contract,the Contractor of the work contemplated under this contract without prior at its sole cost and expense shall provide commercial written approval from the County. Any approved insurance of such type and with such terms and limits as subcontract shall be subject to all conditions of this may be reasonably associated with the contract. As a contract.Only the subcontractors specified in the contract minimum, the Contractor shall provide and maintain the documents are to be considered approved upon award of following coverage and limits: the contract. The County shall not be obligated to pay for (a) Worker's Compensation - The contractor shall any work performed by any unapproved subcontractor. provide and maintain Worker's Compensation The Contractor shall be responsible for the performance of Insurance as required by the laws of North all of its subcontractors. Carolina,as well as employer's liability coverage with minimum limits of$500,000,00,covering all Assignment: No assignment of the Contractor's of Contractor's employees who are engaged in any obligations or the Contractor's right to receive payment work under the contract. If any work is sublet,the hereunder shall be permitted. However, upon written Contractor shall require the subcontractor to request approved by the issuing purchasing authority,the provide the same coverage for any of his County may: employees engaged in any work under the (a) Forward the Contractor's payment check(s) contract. directly to any person or entity designated by the (b) Commercial General Liability - General Contractor, or Liability Coverage on a Comprehensive Broad (b) Include any person or entity designated by Form on an occurrence basis in the minimum Contractor as a joint payee on the Contractor's amount of$1,000,000.00 Combined Single Limit. payment check(s). (Defense cost shall be in excess of the limit of In no event shall such approval and action obligate the liability.) County to anyone other than the Contractor and the (c)Automobile Liability Insurance: The Contractor Contractor shall remain responsible for fulfillment of all shall provide automobile liability insurance with a contract obligations. combined single limit of$500,000.00 for bodily injury and property damage; a limit of Beneficiaries: Except as herein specifically provided $500,000.00 for uninsured/under insured motorist otherwise,this contract shall inure to the benefit of and be coverage; and a limit of$25,000.00 for medical binding upon the parties hereto and their respective payment coverage. The Contractor shall provide successors. It is expressly understood and agreed that the this insurance for all automobiles that are: enforcement of the terms and conditions of this contract, (a) owned by the Contractor and used in the and all rights of action relating to such enforcement,shall performance of this contract; be strictly reserved to the County and the named (b) hired by the Contractor and used in the Contractor.Nothing contained in this document shall give performance of this contract;and or allow any claim or right of action whatsoever by any (c) Owned by Contractor's employees and other third person.It is the express intention of the County used in performance of this contract("non- and Contractor that any such person or entity, other than owned vehicle insurance"). Non-owned General Terms and Conditions-(06/16) Page 1 of 5 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC vehicle insurance protects employers when employees use their personal vehicles for Termination Without Cause: The County may terminate work purposes. Non-owned vehicle this contract without cause by giving 30 days written insurance supplements, but does not notice to the Contractor. replace,the car-owner's liability insurance. Termination for Cause: If, through any cause, the The Contractor is not required to provide and maintain Contractor shall fail to fulfill its obligations under this automobile liability insurance on any vehicle—owned, contract in a timely and proper manner,the County shall hired, or non-owned--unless the vehicle is used in the have the right to terminate this contract by giving written performance of this contract, notice to the Contractor and specifying the effective date (d) The insurance coverage minimums specified in thereof. In that event,all finished or unfinished deliverable subparagraph(a)are exclusive of defense costs. items prepared by the Contractor under this contract shall, (e) The Contractor understands and agrees that the at the option of the County, become its property and the insurance coverage minimums specified in Contractor shall be entitled to receive just and equitable subparagraph (a) are not limits, or caps, on the compensation for any satisfactory work completed on such Contractor's liability or obligations under this contract. materials,minus any payment or compensation previously (f) The Contractor may obtain a waiver of any one or more made. Notwithstanding the foregoing provision, the of the requirements in subparagraph (a) by Contractor shall not be relieved of liability to the County demonstrating that it has insurance that provides for damages sustained by the County by virtue of the protection that is equal to or greater than the coverage Contractor's breach of this agreement,and the County may and limits specified in subparagraph(a). The County withhold any payment due the Contractor for the purpose shall be the sole judge of whether such a waiver of setoff until such time as the exact amount of damages should be granted. due the County from such breach can be determined. In (g) The Contractor may obtain a waiver of any one or more case of default by the Contractor, without limiting any of the requirements in paragraph(a)by demonstrating other remedies for breach available to it,the County may that it is self-insured and that its self-insurance procure the contract services from other sources and hold provides protection that is equal to or greater than the the Contractor responsible for any excess cost occasioned coverage and limits specified in subparagraph(a). The thereby. The filing of a petition for bankruptcy by the County shall be the sole judge of whether such a Contractor shall be an act of default under this contract. waiver should be granted. (h) Providing and maintaining the types and amounts of Waiver of Default: Waiver by the County of any default insurance or self-insurance specified in this paragraph or breach in compliance with the terms of this contract by is a material obligation of the Contractor and is of the the Provider shall not be deemed a waiver of any essence of this contract. subsequent default or breach and shall not be construed to (i) The Contractor shall only obtain insurance from be modification of the terms of this contract unless stated companies that are authorized to provide such to be such in writing, signed by an authorized coverage and that are authorized by the Commissioner representative of the County and the Contractor and of Insurance to do business in the State of North attached to the contract. Carolina.All such insurance shall meet all laws of the State of North Carolina. Availability of Funds: The parties to this contract agree 0) The Contractor shall comply at all times with all lawful and understand that the payment of the sums specified in terms and conditions of its insurance policies and all this contract is dependent and contingent upon and subject lawful requirements of its insurer. to the appropriation, allocation, and availability of funds (k) The Contractor shall require its subcontractors to for this purpose to the County. comply with the requirements of this paragraph. (1) The Contractor shall demonstrate its compliance with Force Majeure: Neither party shall be deemed to be in the requirements of this paragraph by submitting default of its obligations hereunder if and so long as it is certificates of insurance to the County before the prevented from performing such obligations by any act of Contractor begins work under this contract. war,hostile foreign action,nuclear explosion,riot,strikes, civil insurrection,earthquake,hurricane,tornado,or other Transportation of Clients by Contractor:The contractor catastrophic natural event or act of God. will maintain Insurance requirements if required as noted under Article 7 Rule R2-36 of the North Carolina Utilities Survival of Promises: All promises,requirements,terms, Commission. conditions, provisions, representations, guarantees, and warranties contained herein shall survive the contract Default and Termination expiration or termination date unless specifically provided General Terms and Conditions-(06/16) Page 2 of 5 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC otherwise herein, or unless superseded by applicable that comply with all applicable federal, state and Federal or State statutes of limitation. local laws,regulations,and rules. Intellectual Property Rights (b) Duty to Report: The Contractor shall report a suspected or confirmed security breach to the Copyrights and Ownership of Deliverables: All local Department of Social Services Contract deliverable items produced pursuant to this contract are the Administrator within twenty-four(24)hours exclusive property ofthe County. The Contractor shall not after the breach is first discovered, provided that assert a claim of copyright or other property interest in the Contractor shall report a breach involving such deliverables. Social Security Administration data or Internal Revenue Service Data within one(1)hour after Federal Intellectual Property Bankruptcy Protection the breach is first discovered. Act: The Parties agree that the County shall be entitled to all rights and benefits of the Federal Intellectual Property (c) Cost Borne by Contractor: If any applicable Bankruptcy Protection Act,Public Law 100-506,codified federal,state,or local law,regulation or rule at I 1 U.S.C.365 (n)and any amendments thereto. requires the Contractor give written notice of a security breach to affected persons,the Contract Compliance with Applicable Laws shall bear the cost of the notice. Compliance with Laws: The Contractor shall comply Trafficking Victims Protection Act of 2000: with all laws, ordinances, codes, rules, regulations, and The Contractor will comply with the requirements of licensing requirements that are applicable to the conduct of Section 106(g)of the Trafficking Victims Protection Act its business, including those of federal, state, and local of 2000,as amended(22 U.S.C. 7104) agencies having jurisdiction and/or authority. By executing this Agreement Provider certifies that Executive Order#24: It is unlawful for any vendor, Provider has not been identified,and has not utilized contractor, subcontractor or supplier of the state to make the services of any agent or subcontractor, on the list gifts or to give favors to any state employee. For created by the State Treasurer pursuant to G.S. 147- additional information regarding the specific 86.58. requirements and exemptions,contractors are encouraged to review Executive Order 24 and G.S. Sec. Title VI,Civil Rights Compliance: In accordance with 133-32. Federal law and U.S. Department of Agriculture(USDA) and U.S. Department of Health and Human Services Confidentiality (HHS) policy, this institution is prohibited from Confidentiality: Any information, data, instruments, discriminating on the basis of race,color,national origin, documents, studies or reports given to or prepared or sex, age or disability. Under the Food Stamp Act and assembled by the Contractor under this agreement shall be USDA policy, discrimination is prohibited also on the kept as confidential and not divulged or made available to basis of religion or political beliefs. any individual or organization without the prior written Equal Employment Opportunity: The Contractor shall approval of the County.The Contractor acknowledges that in receiving,storing,processing or otherwise dealing with comply with all federal and State laws relating to equal any confidential information it will safeguard and not employment opportunity. further disclose the information except as otherwise Health Insurance Portability and Accountability Act provided in this contract. (MPAA):The Contractor agrees that, if the County Oversight determines that some or all of the activities within the scope of this contract are subject to the Health Insurance Access to Persons and Records:The State Auditor shall Portability and Accountability Act of 1996,P.L. 104-91, have access to persons and records as a result of all as amended("HIPAA"),or its implementing regulations, contracts or grants entered into by State agencies or it will comply with the HIPAA requirements and will political subdivisions in accordance with General Statute execute such agreements and practices as the County 147-64.7. Additionally,as the State funding authority,the may require to ensure compliance. Department of Health and Human Services shall have (a) Data Security: The Contractor shall adopt and access to persons and records as a result of all contracts or apply data security standards and procedures grants entered into by State agencies or political subdivisions. General Teams and Conditions-(06/16) Page 3 of 5 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC subcontractors,complies with the requirements of Article 2 Record Retention: Records shall not be destroyed, of Chapter 64 of the NC General Statutes. purged or disposed of without the express written consent of the Division. State basic records retention policy Miscellaneous requires all grant records to be retained for a minimum of five years or until all audit exceptions have been resolved, Choice of Law: The validity ofthis contract and any of its whichever is longer. If the contract is subject to federal terms or provisions,as well as the rights and duties of the policy and regulations,record retention may be longer than parties to this contract,are governed by the laws of North five years since records must be retained for a period of Carolina.The Contractor,by signing this contract,agrees three years following submission of the final Federal and submits,solely for matters concerning this Contract,to Financial Status Report, if applicable, or three years the exclusive jurisdiction of the courts of North Carolina following the submission of a revised final Federal and agrees, solely for such purpose, that the exclusive Financial Status Report. Also, if any litigation, claim, venue for any legal proceedings shall be Orange County, negotiation, audit, disallowance action, or other action North Carolina. The place of this contract and all involving this Contract has been started before expiration transactions and agreements relating to it, and their situs of the five-year retention period described above, the and forum,shall be Orange County,North Carolina,where records must be retained until completion ofthe action and all matters,whether sounding in contract or tort,relating to resolution of all issues which arise from it,or until the end the validity,construction,interpretation,and enforcement of the regular five-year period described above,whichever shall be determined. is later. The record retention period for Temporary Assistance for Needy Families (TANF) and MEDICAID Amendment: This contract may not be amended orally or and Medical Assistance grants and programs must be by performance. Any amendment must be made in written retained for a minimum of ten years. form and executed by duly authorized representatives of the County and the Contractor. Warranties and Certifications 5everability: In the event that a court of competent Date and Time Warranty: The Contractor warrants that jurisdiction holds that a provision or requirement of this the product(s) and service(s) furnished pursuant to this contract violates any applicable law, each such provision contract("product"includes,without limitation,any piece or requirement shall continue to be enforced to the extent it of equipment,hardware,firmware,middleware,custom or is not in violation of law or is not otherwise unenforceable commercial software,or internal components,subroutines, and all other provisions and requirements of this contract and interfaces therein)that perform any date and/or time shall remain in full farce and effect. data recognition function,calculation, or sequencing will support a four digit year format and will provide accurate Headings. The Section and Paragraph headings in these date/time data and leap year calculations. This warranty General Terms and Conditions are not material parts ofthe shall survive the termination or expiration of this contract. agreement and should not be used to construe the meaning thereof. Certification Regarding Collection of Taxes: G.S. 143- 59.1 bars the Secretary of Administration from entering Time of the Essence: Time is of the essence in the into contracts with vendors that meet one ofthe conditions performance of this contract. of G.S. 105-164.8(b)and yet refuse to collect use taxes on sales of tangible personal property to purchasers in North Key Personnel: The Contractor shall not replace any of Carolina. The conditions include: (a) maintenance of a the key personnel assigned to the performance of this retail establishment or office; (b) presence of contract without the prior written approval of the County. representatives in the State that solicit sales or transact The term "key personnel" includes any and all persons business on behalf of the vendor; and (c) systematic identified as such in the contract documents and any other exploitation of the market by media-assisted, media- persons subsequently identified as key personnel by the facilitated, or media-solicited means. The Contractor written agreement of the parties. certifies that it and all of its affiliates (if any) collect all required taxes. Care of Property: The Contractor agrees that it shall be responsible for the proper custody and care of any property E-Verify furnished to it for use in connection with the performance of this contract and will reimburse the County for loss of, Pursuant to G.S. 143-48.5,the undersigned hereby certifies or damage to, such property. At the termination of this that the Contractor named below, and the Contractor's contract, the Contractor shall contact the County for General Terms and Conditions-(06/16) Page 4 of 5 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC instructions as to the disposition of such property and shall comply with these instructions. Orange County Living Wage: Orange County is committed to providing its employees with a living wage Travel Expenses: Reimbursement, if provided in this and encourages agencies to which it provides funding to Agreement, to the Contractor for travel mileage, meals, pursue the same goal. The County's living wage hourly lodging and other travel expenses incurred in the standard, as adopted by the Orange County Board of performance of this contract shall not exceed the rates County Commissioners annually, can be found in the established in County policy. Orange County Budget Ordinance. To the extent possible, Orange County recommends that the Contractor and all Sales[Use Tax Refunds: If eligible,the Contractor and all subcontractors provide a living wage, as defined in this subcontractors shall: (a) ask the North Carolina section,to their employees. Department of Revenue for a refund of all sales and use taxes paid by them in the performance of this contract, Signatures: This Agreement together with any pursuant to G.S. 105-164.14; and (b) exclude all amendments or modifications may be executed refundable sales and use taxes from all reportable electronically. All electronic signatures affixed hereto expenditures before the expenses are entered in their evidence the intent of the Parties to comply with Article reimbursement reports. 11A and Article 40 of North. Carolina General Statute Chapter 66. Advertising: The Contractor shall not use the award of this contract as a part of any news release or commercial advertising. General Terms and Conditions—(06116) Page 5 of 5 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC ATTACHMENT B SCOPE OF WORK Orange County Department of Social Services Federal Tax Id.or SSN_ Contract# 68-1018 A. CONTRACTOR INFORMATION 1. Contractor Agency Name: The Dispute Settlement Center,Inc. 2. If dierent from Contract Administrator Information in General Contract: Address Telephone Number: Fax Number: Email: 3. Name of Program(s): Conflict Resolution 4. Status: ( )Public (X)Private,Not for Profit { }Private, For Profit 5. Contractor's Financial Reporting Year _ July 1,2019 through June 30,2020 B. Explanation of Services to be provided and to whom(include SIS Service Code):_The Contractor will assist the CounV in meeting oals of family safm and self-sufficiency b providing Job Readiness/Conflict Resolution classes and Team Building workshops to Work First participants SIS Code 547 Communication/Conflict Resolution classes to families involved in Child Welfare Services,and Communication/Conflict Resolution/Team Building training and training curriculum and materials to Department of Social Services staff. The Contractor is required to meet all goals and outcomes listed in Attachment N. C. Rate per unit of Service(define the unit): 1. If Standard Fixed Rate,Maximum Allowable,(See Rates for Services Chart) 2.Negotiated County Rate. $100.001hour D.Number of units to be provided: E. Details of Billing process and Time Frames;The County will reimburse the Contractor for services described in this contract up to the budgetaty limits of the contract allotment. The County will reimburse the Contractor at a rate of$1100.001hour for approved services provided. For reimbursement.the Contractor must submit an original and two copies of an invoice by the fifth of the month for the preceding month's expenditures to the-designated Coun Administrators. The County will reimburse the Contractor monthly upon receipt of a complete and correctly filed re art. F.Area to be served/Delivery site(s): _Orange County Contract-Scope of Work(06/04) Page lof 2 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC DacuSigned by: OocuSigned by: E (b5&btn. Valn�,5 &)AjVS6W DAE1E198A83B455 35CO3Ad@2C124C8.. Nancy C:oston,Social Services Director Frances Henderson,Director 7/10/2019 7/10/2019 (Date Submitted) (Date Submitted) Contract-Scope of Work(06/04) Page 2of 2 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC ATTACHMENT C CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS AND CERTIFICATION REGARDING NONDISCRIMINATION Orange County Department of Social Services I. By execution of this Agreement the Contractor certifies that it will provide a drag-free workplace by: A. Publishing a statement notifying employees that the unlawful manufacture,distribution, dispensing, possession or use of a controlled substance is prohibited in the Contractor's workplace and specifying the actions that will be taken against employees for violation of such prohibition; B. Establishing a drug-free awareness program to inform employees about: (1)The dangers of drug abuse in the workplace; (2)The Contractor's policy of maintaining a drug-free workplace; (3)Any available drug counseling,rehabilitation,and employee assistance programs,and (4)The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; C. Making it a requirement that each employee be engaged in the performance of the agreement be given a copy of the statement required by paragraph(A); D. Notifying the employee in the statement required by paragraph(A)that,as a condition of employment under the agreement,the employee will: (1)Abide by the terms of the statement; and (2)Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction; E. Notifying the County within ten days after receiving notice under subparagraph(D)(2)from an employee or otherwise receiving actual notice of such conviction; F. Taking one of the following actions, within 34 days of receiving notice under subparagraph (D)(2),with respect to any employee who is so convicted: (1)Taking appropriate personnel action against such an employee,up to and including termination; or (2)Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State,or local health, law enforcement,or other appropriate agency; and Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs(A), (13),(C),(D),(E), and(F). Federal Certification-Drug-Free Workplace&Nondiscrimination rev.06-2015 Page I of 2 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC H. The site(s)for the performance of work done in connection with the specific agreement are listed below: 1. (Street address) (City,county, state,zip code) 2. (Street address) (City, county, state,zip code) Contractor will inform the County of any additional sites for performance of work under this agreement. False certification or violation of the certification shall be grounds for suspension of payment, suspension or termination of grants,or government-wide Federal suspension or debarment 45 C.F.R.Section 82.510. Section 4 CFR Part 85,Section 85.615 and 86.620. CERTIFICATION REGARDING NONDISCRIMINATION The Vendor certifies that it will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352)which prohibits discrimination on the basis of race,color or national origin; (b)Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794),which prohibits discrimination on the basis of handicaps; (d)the Age Discrimination Act of 1975, as amended(42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1974 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (h) the Food Stamp Act and USDA policy, which prohibit discrimination on the basis of religion and political beliefs; and (i) the requirements of any other nondiscrimination statutes which may apply to this Agreement. UocuSigned hy: VAInIl.S KAA.W56K, Executive Director 35CO3A4@2C124C8.. Signature Title Dispute settlement Center, Inc. 7/10/2019 Agency/Organization Date (Certification signature should be same as Contract signature.) Federal Certification-Drug-Free Workplace&Nondiscrimination rev.06-2015 Page 2 of 2 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract#- (Contractor) ATTACHMENT D Conflict of Interest Policy The Board of Directors/Trustees or other governing persons, officers, employees or agents are to avoid any conflict of interest, even the appearance of a conflict of interest. The Organization's Board of DirecterstTrustees or other governing body, officers, staff and agents are obligated to always act in the best interest of the organization. This obligation requires that any Board member or other governing person, officer, employee or agent, in the performance of Organization duties, seek only the furtherance of the Organization mission. At all times, Board members or other governing persons, officers, employees or agents, are prohibited from using their job title, the Organization's name or property, for private profit or benefit. A. The Board members or other governing persons, officers, employees, or agents of the Organization should neither solicit nor accept gratuities, favors, or anything of monetary value from current or potential contractors/vendors, persons receiving benefits from the Organization or persons who may benefit from the actions of any Board member or other governing person, officer, employee or agent. This is not intended to preclude bona-fide Organization fund raising-activities. B. A Board or other governing body member may, with the approval of Board or other governing body, receive honoraria for lectures and other such activities while not acting in any official capacity for the Organization. Officers may, with the approval of the Board or other governing body, receive honoraria for lectures and other such activities while on personal days, compensatory time, annual leave, or leave without pay. Employees may, with the prior written approval of their supervisor, receive honoraria for lectures and other such activities while on personal days, compensatory time, annual leave, or leave without pay. If a Board or other governing body member, officer, employee or agent is acting in any official capacity, honoraria received in connection with activities relating to the Organization are to be paid to the Organization. C. No Board member or other governing person, officer, employee, or agent of the Organization shall participate in the selection, award, or administration of a purchase or contract with a vendor where, to his knowledge, any of the following has a financial interest in that purchase or contract: 1. The Board member or other governing person, officer, employee,or agent; 2. Any member of their family by whole or half blood, step or personal relationship or relative-in-law; 3. An organization in which any of the above is an officer, director, or employee; 4. A person or organization with whom any of the above individuals is negotiating or has any arrangement concerning prospective employment or contracts. D. Duty to Disclosure -- Any conflict of interest, potential conflict of interest, or the appearance of a conflict of interest is to be reported to the Board or other governing body or one's supervisor immediately. E. Board Action --When a conflict of interest is relevant to a matter requiring action by the Board of Directors/Trustees or other governing body, the Board member or other governing person, officer, employee, or agent(person(s))must disclose the existence of the conflict of interest and be given the opportunity to disclose all material facts to the Board and members of committees with governing board delegated powers considering the possible conflict of interest.After disclosure of all material facts, and after any discussion with the person, he/she shall leave the governing board or committee meeting white the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. In addition, the persons) shall not participate in the final deliberation or decision regarding the matter under consideration and shall leave the meeting during the dlsoussion of and vote of the Board of Di rectors/Trustees or other governing body. R Violations of the Conflicts of Interest Policy -- If the Berard of Directors/Trustees or other governing body has reasonable cause to believe a member, officer, employee or agent has failed to disclose actual or possible conflicts of interest, it shall inform the person of the basis for such belief and afford the person an opportunity to explain the alleged failure to disclose. If, after hearing the person's response and after making further investigation as warranted by the circumstances, the Board of Directors/Trustees or other Rev. 06-07-20I5 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract# (Contractor) governing body determines the member, officer, employee or agent has failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action, G- Record of Conflict -- The minutes of the governing board and all committees with board delegated powers shall contain: 1, The names of the persons who disclosed or otherwise were found to have an actual or possible conflict of interest, the nature of the conflict of interest, any action taken to determine whether a conflict of interest was present, and the governing board's or committee's decision as to whether a conflict of interest in fact existed. 2. The names of the persons who were present for discussions and votes relating to the transaction or arrangement that presents a possible conflict of interest, the content of the discussion, including any alternatives to the transaction or arrangement, and a record of any votes taken in connection with the proceedings. Approved by: Name a Organic I Signalk.gre of Organi a n icl s (0 Date NOTARIZED CONFLICT OF INTEREST POLICY State of North Carolina County of bLc",( I, 11r � p�j�T son Notary Public for said County and State, certify Tthat T s,e [se, personally appeared before me this day and acknowledged that he/she is �� C-�-1a�� of t U [enter name of entity] and by that authority duly given and as the act of the Organization, affirmed that the foregoing Conflict of Interest Policy w s adopted by the Board of Directors/Trustees or other governing body in a meeting held on the Le day of Sworn to and subscribed before me this day of Cut . Official Sealy My Commission expires_ 45e D4<-�bLr 20 IAN! I C - � ��eEFt „CSC 1,�: + Rev. 06-07-201 S ''•��,,,�oUN�,,,..+ DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Attachment E - No Overdue Tax Debts Date: To: County Department of Social Services/Human Services Certification: We certify that the Dispute Settlement Center, Inc. does not have any overdue tax debts, as defined by N.C.G.S. 105-243.1, at the federal, State, or local level. We further understand that any person who makes a false statement in violation of N.C.G.S. 143C-6-23(c) is guilty of a criminal offense punishable as provided by N--C.G.S.} 143C-10-1b. Sworn Statement. Mavis Gragg, and Frances Henderson being duly sworn, say that we are the Board Chair and Executive Director, respectively, of Dispute Settlement Center, Inc. of Carrboro in the State of North Carolina and that the foregoing certification is true, accurate and complete to the best of our knowledge and was made and subscribed by us. We also acknowledge and understand that any misuse of State funds will be re the appropriate authorities for further action. Board C air Ex cutive Director Sworn io and subscribed before me on the day of the date of said certification. prr ROBE r41y Commission Expires: (Na ry Signature and Beal) ;?��-�4�t+�cs' N Qs •,, TA } • 9Jti.tilBER 18. �, •��~ t�r'rrrrrri i e i u r t tttt G.S. 105-243.1 defines: Overdue tax debt.—Any part of a tax debt that remains unpaid 90 days or more after the notice of final assessment was mailed to the taxpayer.The term does not include a tax debt,however, if the taxpayer entered into an installment agreement for the tax debt under G.S. 105-237 within 90 days after the notice of final assessment was mailed and has not failed to make any payments due under the installment agreement." Page t of 1 Rev-6-7-2016 302 West Weaver Street,Carrboro,N.C.27510 e (919)929-8800 m fax: (919) 942-6931a wwwAsputesettleznent.org DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC ATTACHMENT K 501(c)(3)and TAX EXEMPT STATUS Orange County Department of Social Services What is a Private Non Profit Agency? Answer: A private non profit is an organization that is incorporated under State law and whose purpose is not to make a profit, but rather to further a charitable, civic, religious, scientific, or other lawful purpose. The Secretary of State's office grants corporate status to organizations in North Carolina. What is a 50I(c)(3) designation? Answer:When the agency becomes a state private non profit corporation,it can then apply for 501(c)(3)designation through the IRS. Once the IRS grants 501(c)(3)status, the organization is exempt from certain taxes and any donations to the charitable organization are tax deductible. Many individuals and organizations prefer to make donations to 501(c)(3)private non profits. Who can obtain a 501(c)(3) designation? Answer: Any organization or group can apply for 501(c)(3) status,provided their charter or mission focuses on the non profit's objective. Another option is to apply for a 509(a)(1) status which falls under the 501(c)(3)umbrella. Being a 509(a)(1)designates an organization as a tax-free public charity that receives most of its support from a governmental unit or from the general public. Becoming a 509(a)(1)provides public recognition of tax-exempt status, advance assurance to donors of deductibility of contributions, exemption from certain State and federal taxes, and non profit mailing privileges. Organizations that typically qualify are churches, educational institutions,hospitals, and governmental units. To learn more about non profits,visit www.irs.gov,or call the tax-exempt helpline at 877-829- 4933. How does a Private Non Profit obtain Tax Exempt Status? A private non profit must apply to the IRS for tax exempt status. To qualify, applicants must complete and submit to the IRS Form 1023. Once federal tax exempt status is granted, the private non profit applies for State tax exempt status by completing Form CD-435 and submitting it to the N. C. Department of Revenue. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Please attach proof of 501(c)(3) or IRS tax-exempt status to this page. DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Internal Revenue Service Department of.the Treasury Date: December 13, 2004 P. n. Box 2508 Cincinnati, OH 45201 DISPUTE SETTLEMENT CENTER [NO Person to Contact: 302 W WE-A lER ST Lois Parrott 31-07342 CARRBORO NC 27510-6004 Customer Service Specialist Toll Free Telepihone Number: 8:00 a.m. to.6:30 p.m. EST 877-829-5500 Fax Number: 513-263-3756 Fedo;al Identifica#ion Number: Dear Sir or Madam: This is in response to your request of December'13,.2004, regarding your organization's tax- exempt status. In .tune 1979 we issued a determination letter that recognized your organization as exempt from federal income tax. Our records indicate that your organization is currently exempt under section 501(c)(3) of the Internal Revenue Code. Our records indicate that your organization is also classified as a public charity under sections 509(a)(1) and 170(b)(1)(A)(vi) of the Internal Revenue Code. Our records indicate that contributions to your organization are deductible under section 170 of the Code, and that you are qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Internal Revenue Code. If you have any questions, please call us at the telephone number shown in the heading-of this letter. s s Sincerely, Janna K. Skufca, Director, TEIGE Customer Account Services DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC ATTACHMENT M State and Local Certifications Contractor Certifications Required by North Carolina Law Orange County Department of Social Services Instructions:The person who signs this document should read the text of the statutes and Executive Order listed below and consult with counsel and other knowledgeable persons before signing.The text of each North Carolina General Statutes and of the Executive Order can be found online at: ■ Article 2 of Chapter 64: ho://www.ncga.state.nc.us/EnactedLc&its[atiort/Statutes/PDFIByArticle/Chapter 6_4/Article_2.pdf • G.S. 133-32: htt ://w►yw.nc a.state.nc.usl ascTi ts/statutes/statute[ooku I?statute=133-32 • Executive Order No.24(Perdue,Gov.,Oct. 1,2009): http:llwww.ethiescommission.nc.pov/iibrm pdfs/l.aws/EO24.Vdf • G.S. 105-164.8(b): http:I ivww.ncea.state.nc.uslEnactedLep-islation/Statutes/PDF/BySection/Chapter_105/GS_105-164.8.pdf • G.S. 143-48.5: http:lwwwmcga.state.nc.usJEnactedI-egis[ation/Statutes/l-ITML/ByScction/Chapter_143/GS_143-48.5.html ■ G.S. 143-59.1: http:llwww.ncU.state.nc.usll nactedLegislation/Statutes/PDF/BvSection/ChaRter_143/GS 143-59.1.pdf ■ G.S. 143-59.2: http:llwww.ncga.state.nc.us/EnactedLep-is[ation/Statutes/PDF/BySeelion/ChVier_1431GS_143-59.2.pdf ■ G.S. 143-133.3: htW://www.ncp-a.state.nc.ugl,,nactedi,egistation/Statutes/l-ITML/13ySection/ChaWer_143/GS_143-133.3.html • G.S. 143B-139.6C: hup:Ilwww.ne a.state.nc.u s/F nac ted Leg isIationlStatutes/Pl]FIB y SectionlCha ter 143BIGS 143B-139.E{'. df • The text of Orange County Living Wage Contractor Policy which is attached to this document. Certifications (1) Pursuant to G.S. 133-32 and Executive Order No.24 ❑Neither the Contractor nor any of its affiliates (Perdue, Gov., Oct. 1, 2009), the undersigned hereby has incorporated or reincorporated in a "tax certifies that the Contractor named below is in haven country" as set forth in G.S. 143- compliance with,and has not violated,the provisions of 59.1(c)(2)after December 31,2001;or either said statute or Executive Order. (2) Pursuant to G.S. 143-48.5 and G.S. 143-133.3, the undersigned hereby certifies that the Contractor named ® The Contractor or one of its affiliates has below, and the Contractor's subcontractors, complies incorporated or reincorporated in a "tax haven with the requirements of Article 2 of Chapter 64 of the country" as set forth in G.S. 143-59.1(c)(2) NC General Statutes, including the requirement for after December 31, 2001 but the United States each employer with more than 25 employees in North is not the principal market for the public trading Carolina to verify the work authorization of its of the stack of the corporation incorporated in employees through the federal E-Verify system." E- the tax haven country. Verify System Link: www.uscis.gov (4) Pursuant to G.S. 143-59.2(b), the undersigned hereby certifies that none of the Contractor's officers, Local government is specifically exempt from Article 2 directors, or owners (if the Contractor is an of Chapter 64 of the North Carolina General unincorporated business entity) has been convicted of Statutes. However, local government is subject to and any violation of Chapter 78A of the General Statutes or must comply with North Carolina General Statute the Securities Act of 1933 or the Securities Exchange 153A-99.1, which states in part as follows: Act of 1934 within 10 years immediately prior to the Counties Must Use E-Verify-Each county shall date of the bid solicitation. register and participate in E-Verify to verify the work (5) Pursuant to G.S. 143B-139.6C, the undersigned authorization of new employees hired to work in the hereby certifies that the Contractor will not use a United States. former employee, as defined by G.S. 14313- (3) Pursuant to G.S. 143-59.1(b), the undersigned hereby 139.6C(d)(2), of the North Carolina Department of certifies that the Contractor named below is not an Health and Human Services in the administration of a "ineligible Contractor" as set forth in G.S. 143-59.1(a) . contract with the Department in violation of G.S. because: 143B-139.6C and that a violation of that statute shall void the Agreement. (a) Neither the Contractor nor any of its affiliates has (6) The undersigned hereby certifies further that: refused to collect the use tax levied under Article 5 of Chapter 105 of the General Statutes on its sales (a) He or she is a duly authorized representative of The delivered to North Carolina when the sales met one or more of the conditions of G.S. 105- Contractor named below; 164.8(b); and (b) He or she is authorized to make, and does hereby (b) [check one of the following boxes] make,the foregoing certifications on behalf of the Contractor;and Contractor Certifications Required bvNorth Carolina Law(Rev.8/2016) Page I of 3 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC (c) He or she understands that any person who services under this contract a living wage (in knowingly submits a false certification in response Orange County currently $14.95 per/hr.) Check to the requirements of G.S. 143-59.1and -59.2 here ❑ if contractor pays employees performing shall be guilty of a Class I felony. under this contract a living wage. If Contractor does not pay employees a living wage, what is the (1) Pursuant to the Orange County Living Wage wage that employees performing services under this Contract's Policy, the undersigned certifies that contract paid? the Contractor pays the employees who perform Contractor's Name: Dispute Settlement Center, Inc. DocuSigned by: Contractor's Fra.l LaS L1F..L1jLl•56t& 7/10/2019 Authorized Agent: Signature Date 35CO3ad@2C124C8.. Frances Henderson Executive Director Printed Na DocuSigned by: Title Witness: Signature yv� qow-&. Date 7/10/2019 D17FD8CB324E450. Printed Name 7enifer Yarnelle Title Mediation Coordinator The witness should be present when the Contractor's Authorized Agent signs this certificate and should sign and date the document immediately thereafter. Contractor Certifications Rea uired by North Carolina Law(Rev.8/2016) Page 2 of 3 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Section 1: General Government and Administration Policy 10.0: Living Wage Contractor Policy Reviewed by: County Attorney/County Manager Approved by: County Manager Original Effective Date: April 21,2016 Revisions: Policy Statement It is the policy of Orange County to ensure its employees,and all individuals who provide services for Orange County,are paid a living wage. Purpose To encourage all vendors and contractors to pay a Iiving wage to all employees who perform work pursuant to a contract with Orange County. A_nnlicability Applies to all Orange County contracts and purchases. Policy 10.1 Living Wage 10.1.1 Orange County is committed to providing its employees with a living wage and encourages all contractors and vendors doing business with Orange County to pursue the same goal. Orange County's living wage is$14.95 per hour. To the extent possible,Orange County recommends that contractors and vendors seeking to do business with Orange County provide a living wage to their employees. 10,1.2 Prior to final execution of a contract with Orange County all contractors and vendors seeking to do business with Orange County shall submit to the County's representative a statement indicating whether those employees who will perform work on the Orange County contract are paid at least the living wage amount set out above. If such employees do not make at least the Iiving wage amount set out above the contractor or vendor shall indicate in the statement the actual amount paid to such employees. For bid projects this statement should be submitted as part of the bid packet. This policy may be reviewed annually and updated as needed by the Manager's Office Contractor Certifications Required by Orange County and North Carolina Law Revised 6119 Page 3 of 3 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract#68-1 D 18 Dispute Settlement Center ATTACHMENT N Orange County Department of Social Services/Human Services CERTIFICATION REGARDING NONDISCRIMINATION,CLEAN AIR ACT,CLEAN WATER ACT Certification Regarding Nondiscrimination The Contractor certifies that it will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101- 6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended,relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g)Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale,rental or financing of housing; (h) the Food Stamp Act and USDA policy,which prohibit discrimination on the basis of religion and political beliefs; and (i) the requirements of any other nondiscrimination statutes which may apply to this Agreement. The Contractor must comply with Executive Order 11246, entitled "Equal Employment Opportunity,"as amended by Executive Order 11375, and as supplemented by the Department of Labor Regulations (41 CFR Part 60): The Executive Order prohibits federal contractors and federally-assisted construction contractors and subcontractors who do over $10,000 in Government business in one year from discriminating in employment decisions on the basis of race, color, religion, sex, or national origin. The Executive Order also requires Government contractors to take affirmative action to ensure that equal opportunity is provided in all aspects of their employment. Meaningful Access for LEP Individuals: The Contractor that participate in the SNAP must take reasonable steps to ensure that LEP persons have meaningful access to programs, services, and benefits. This includes the requirement to provide bilingual program information and certification materials and interpretation services to single language minorities in certain project areas. SNAP Contractors that do not provide meaningful access for LEP individuals risk violating prohibitions against discrimination based on National Origin in the Food and Nutrition Act of 2008, as amended, Title VI of the Civil Rights Act of 1964 (Title VI) and SNAP program regulations at 7 CFR 272A(b). They also risk noncompliance with the USDA policy guidance titled, "Guidance to Federal Financial Assistance Recipients Regarding Title VI Prohibition Against National Origin Discrimination Affecting Limited English Proficient Persons", published in 79 FR 70771 -70784(November 28,2014). The Contractor should develop an implementing plan to address the language assistance needs of the LEP population served. This may include contracting for oral interpretation services, hiring bilingual staff, arranging telephone interpreters and/or language lines, coordinating community volunteers, translating vital documents, and providing written notice that language services are available in appropriate languages. Quality and accuracy of the language service is (Federal Certification-Nan-Discrimination, Clean Air, Clean Water) (01/2018)Page 1 of 4 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract#68-1018 Dispute Settlement Center Critical in order to avoid serious consequences to the LEP person and to the recipient. LEP needs should be considered in developing budgets and front line staff should understand how to obtain language assistance services. For additional assistance and information regarding LEP matters, please also visit littp://www.lep.gov. Ensuring Equal Opportunity Access for Persons with Disabilities: The Contractor must also ensure equal opportunity access for persons with disabilities. This includes ensuring that communications with applicants, participants, members of the public, and companions with disabilities are as effective as communications with people without disabilities. Contractors that do not provide persons with disabilities equal opportunity access to programs may risk violating prohibitions against disability discrimination in the Rehabilitation Act of 1978, the American with Disabilities Act(ADA)of 1990, as amended, and SNAP program regulations. DOJ published revised final regulations implementing Title 1I and Title aI of the ADA on September 15, 2010. These regulations are codified at 28 CFR Part 35 "Nondiscrimination on the Basis of Disability in State and Local Government Services" and at 28 CFR Part 36 "Nondiscrimination on the Basis of Disability in Public Accommodations and Commercial Facilities". In accordance with the implementing regulations, Contractors must provide auxiliary aids and services where necessary to ensure effective communication and equal opportunity access to program benefits for individuals with disabilities. The type of auxiliary aids and services required will vary, but a Contractor may not require an individual with a disability to bring another individual to interpret, and may rely on a person accompanying a disabled individual only in limited circumstances. When a Contractor communicates with applicants and beneficiaries by telephone, it must provide text telephone services (ITY) or have access to an equally effective electronic telecommunications system to communicate with individuals who are deaf, hard of hearing, or hearing impaired. Contractors must also ensure that interested persons, including persons with impaired vision or hearing, can obtain information as to the existence and location of accessible services, activities, and facilities. For more information, please visit the ADA website: http://www.ada.gov. IV.The Clean Air Act,Section 306; 42 U.S.C. §7401 et seq.(1970) a. No Federal agency may enter into any contract with any person who is convicted of any offense under section 113(c) for the procurement of goods, materials, and services to perform such contract at any facility at which the violation which gave rise to such conviction occurred if such facility is owned, leased, or supervised by such person. The prohibition in the preceding sentence shall continue until the Administrator certifies that the condition giving rise to such a conviction has been corrected. For convictions arising under section 113(c)(2), the condition giving rise to the conviction also shall be considered to include any substantive violation of this Act associated with the violation of 113(c)(2). The Administrator may extend this prohibition to other facilities owned or operated by the convicted person. b. The Administrator shall establish procedures to provide all Federal agencies with the notification necessary for the purposes of subsection(a). c. In order to implement the purposes and policy of this Act to protect and enhance the quality of the Nation's air, the President shall,not more than 180 days after enactment of the Clean Air Amendments of 1970 cause to be issued an order (1) requiring each Federal agency authorized to enter into contracts and each Federal agency which is empowered to extend Federal assistance by way of grant, loan, or contract to effectuate the purpose and policy of this Act in such contracting or assistance activities, and (2) (Federal Certification-Non-Discrimination, Clean Air, Clean Water)(0112018)Page 2 of 4 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract#68-1018 Dispute Settlement Center setting forth procedures, sanctions, penalties, and such other provisions, as the President determines necessary to carry out such requirement. d. The President may exempt any contract, loan, or grant from all or part of the provisions of this section where he determines such exemption is necessary in the paramount interest of the United States and he shall notify the Congress of such exemption. e. The President shall annually report to the Congress on measures taken toward implementing the purpose and intent of this section, including but not limited to the progress and problems associated with implementation of this section. [42 U.S.C. 7606] V.The Clean Water Act; 33 U.S.C. §1251 et seq. (1972) a. No Federal agency may enter into any contract with any person who has been convicted of any offense under Section 309(c) of this Act for the procurement of goods, materials, and services if such contract is to be performed at any facility at which the violation which gave rise to such conviction occurred, and if such facility is owned, leased, or supervised by such person. The prohibition in preceding sentence shall continue until the Administrator certifies that the condition giving rise to such conviction has been corrected. b. The Administrator shall establish procedures to provide all Federal agencies with the notification necessary for the purposes of subsection(a)of this section. c. In order to implement the purposes and policy of this Act to protect and enhance the quality of the Nation's water, the President shall, not more than 180 days after the enactment of this Act,cause to be issued an order: (i) requiring each Federal agency authorized to enter into contracts and each Federal agency which is empowered to extend Federal assistance by way of grant, loan, or contract to effectuate the purpose and policy of this Act in such contracting or assistance activities, and (ii) setting forth procedures, sanctions, penalties, and such other provisions, as the President determines necessary to carry out such requirement. d. The President may exempt any contract, loan, or grant from all or part of the provisions of this section where he determines such exemption is necessary in the paramount interest of the United States and he shall notify the Congress of such exemption. e. The President shall annually report to the Congress on measures taken in compliance with the purpose and intent of this section, including, but not limited to,the progress and problems associated with such compliance. f. No certification by a contractor, and no contract clause, may be required in the case of a contract for the acquisition of commercial items in order to implement a prohibition or requirement of this section or a prohibition or requirement issued in the implementation of this section. g. In paragraph (1),the term"commercial item"has the meaning given such term in section 4(12)of the Office of Federal Procurement Policy Act(41 U.S.C. 403(12)). (Federal Certification-Non-Discrimination, Clean Air, Clean Water) (0112018)Page 3 of 4 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC Contract#68-1018 Dispute Settlement Center DocuSigned by: VGUnIl.S KAA,kAM, Executive Director 35CO3ad@2C124C8.. Signature Title Dispute settlement Center, Inc. 7/10/2019 Agency/Organization Date (Certification signature should be same as Contract signature.) (Federal Certification-Non-Discrimination, Clean Air, Clean Water) (01/2018)Page 4 of 4 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC ATTACHMENT 0 OUTCOMES AND REPORTING Orange County Department of Social Services By signing and submitting this document,the Contractor certifies that it agrees to the following: 1.The Contractor agrees to participate in program,fiscal and administrative monitoring and/or audits, making records and staff time available to Federal, State and County staff. 2.The Contractor agrees to take necessary steps for corrective action,as negotiated within a corrective action plan,for any items found to be out of compliance with Federal, State,and County laws,regulations, standards and/or terms of the Contract. 3. The Contractor agrees that continuation of and/or renewal of this Contract is contingent on meeting the following requirements. The Contractor agrees to: A. Provide Job Readiness/Conflict Resolution Workshops to Work First clients referred by the County. a. The maximum number of billable hours per class is 33 and includes all prep time. B. Provide Team Building Workshops to Work First clients referred by the County. a. The maximum number of billable hours per class is 6 and includes all prep time. C. Provide Communication/Conflict Resolution classes to families or individuals involved with Child Welfare Services and referred by the County per year. a. The maximum number of billable hours per class is 27 and includes all prep time. D. Submit invoices to the appropriate administrator. a. Work First and staff training invoices to Sharron Hinton b. Child Welfare Services invoices to Crystal Mitchell E. Help to ensure that 80%of Work First clients enrolled in classes obtain employment within 3 months of completion and maintain employment for at least 6 months after the class ends. F. Help to ensure that 80%of clients referred through child welfare will have no instances or no repeat instances of child maltreatment. G. Maintain client records that date and document the service delivered to the individual,a valid authorization for service,program records, and documents and other evidence that reflect program operations. H. Furnish information to the County,as requested,to support provision of services)pursuant to this Contract and the full cost of the service, and submit changes, as needed or required for review and approval by the County. 1. Maintain books,records,documents and other evidence and accounting procedures that reflect all direct and indirect costs expended under this Contract. A current,complete inventory of all equipment purchased under the terms of this Contract must be kept. J. Retain all financial and program records for a period of three years from the date of final payment under this agreement or until all audits continued beyond this period are completed. Federal auditors and any persons authorized by the Division of Social Services or the County UocuSigned hy:' " ' -ight to examine any of these materials. VGUnIl.S KAAjW56K, Executive Director 35CO3A462C124C8.. Signature Title Dispute Settlement Center, Inc. 7/10/2019 Agency/Organization Date (Certification signature should be same as Contract signature.) Outcomes (06/04) Page I of 1 DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC A n® CERTIFICATE OF LIABILITY INSURANCE °ATE`MM 06l11)2019 Y€ 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,EXTENT]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 pallcy(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 an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTA Diane Nadeau NAME: Business Insurers of Carolinas PHONE (g19}968-4611 FAX (919)968-8991 AIC No Ext: AIC No 8GO Eastowne Drive,Suite 208 E-MAILdnadeau@business-insurers.com ADDRESS: PO Box 2536 IN SURERIS)AFFORDING COVERAGE NAIL# Chapel Hill NC 27516-2536 INSURERA: American Liberty Insurance Cc 25186 INSURED INSIJRER13: Employers Mutual Casualty 21415 DISPUTE SETTLEM ENT CENTER INC WSURERC: 302 W WEAVER ST STEA INSURER D: INSURER E: CARRBORO NC 27510-6004 INSURERF: COVERAGES CERTIFICATE:NUMBER: 19-20 REVISION!NUMBER: THIS IS TO CERTIFY THATTHE 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 V41TH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE I NS U RANC E AF FO RD ED 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. ILTR ADDLISUORI POLICY EFF POLICY P LIMITS TYPE OF IN POLICY NUMBER MMIDDIYYYY MMIDDIYYYY X COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1,000,000 D 300,000 CIAIMS-MADE FX-1 OCCUR PREMISE Es ocarrrenca S MED EXP Any one arson S 5,000 A 4W54487 06/17/2019 06/17/2020 PERSONAL&AOV INJURY S GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000.000 X POLICY E PE° LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: Hiredlhcrrowed $ 1,000.000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUYO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Par accident $ UMBRELLA LIAB OCCUR EacH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIAfi1L[iY STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 100,0G0 B OFFICERIMEMBEREXCWOED4 NIA 4H54487 08177l2G19 0611712D20 (Mandatory In NH) E.L DISEASE-EA EMPLOYEE E 100,000 It yes,dascrIba under 600,0130 OESCRIPTION OF OPERATIONS below L E.L.DISEASE-POLICY LIMrr $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELI-ED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BF DELIVERED IN Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS. PO Box B 181 AUTHORIZED REPRESENTATIVE Hiilshorough NC 27278 ��_ C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC a, 7 G� s 5 7590C * RENEWAL CERTIFICATE ** Renewal of Number Direct Bill Policy POLICY United States Liability insurance Company DECLARATIONS Ns 1190 Dean Park Drive,Wayne,Pennsylvania 19087 No. SP 1557590D A Member Company of United States Liability Insurance Group NAMED INSURED AND ADDRESS- Dispute Settlement Center, Inc_ 302 Weaver Street Carrboro, NC 27510 POLICY PERIOD:(MO. DAY YR.) From: 1 0/0 212 0 1 8 To: 10/02/2019 12:01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Mediator/Training Specialist ffi THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. PREMIUM Specified Professions Professional Liability Errors And $756.00 Omissions Coverage Part TOTAL,: $756.00 Coverage Form(s)and Endorsement(s)made a part of this policy at time of issue See Endorsement EOD (1/95) Agent: BIN INSURANCE HOLDINGS,LLC.DBA INSUREON(CHICAGO) issued: 0914412018 3:24 PM (4034) 36 LaSalle St.Ste.2506 . f�� Chicago,[t 566U2-2-2514 �T(y�, By. Authorized Represe ati s THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS,COVERAGE PART DECLARATIONS, L1PC(08-07} COVERAGE PART COVERAGE FORMS]AND FORMS AND ENDOR E SEMENTS,IF ANY,ISSUD TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY.