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HomeMy WebLinkAbout2021-001-E CJRD - Volunteers for Youth -Outside Agency performance agreement DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2020, ("Effective Date")by and between the County of Orange, a political subdivision of the State of North Carolina, P.O. Box 8181, Hillsborough, North Carolina, 27278, ("County") and Volunteers for Youth, Inc., a not-for-profit corporation located at 205 Lloyd Street, Suite 103,Carrboro,NC 27510("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 Volunteers for Youth, Inc. agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2020 to June 30, 2021. 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 B, Scope of Services,the maximum sum of$9,289.00. b. All funds appropriated shall be used for purposes described in Exhibit B. 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$2,322.25. 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. DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B 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. DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B 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. DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B 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 Volunteers for Youth, Inc. 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: DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B County: Finance&Administrative Services Provider: Volunteers for Youth, Inc. Orange County 205 Lloyd Street, Suite 103 Post Office Box 8181 Carrboro,NC 27510 Hillsborough,NC 27278 16. Entire Agreement. This Agreement, including any referenced attachments, constitutes the entire Agreement between the parties and shall supersede, replace or nullify any and all prior Agreements of understandings; written or oral, relating to the matters set forth herein, and any such prior Agreements or understandings shall have no force or affect whatsoever on this Agreement. The County and Provider have read this Agreement and agree to be bound by all of its terms, and further agree that this Agreement constitutes the complete and exclusive statement of the Agreement between the County and Provider. 17. Severability. All clauses found herein shall act independently of each other. If a clause is found to be illegal or unenforceable, it shall have no effect on the other provisions of this Agreement. It is understood by the parties hereto that if any part, term or provision of this Agreement is by the Courts held to be illegal or in conflict with any laws of the State of North Carolina or the United States, the validity of the remaining portions or provisions shall not be affected, and the rights and obligations of the parties shall be construed and enforced as if the Agreement did not contain the particular part,term or provision held to be invalid. a. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor, on the list created by the State Treasurer pursuant to G.S. 147-86.58. 18. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. IN WITNESS WHEREOF,the Orange County and the Provider have signed this Agreement, effective on the last date this Agreement is signed by both parties as indicated by the dates set forth under signatures below. For and a ' UocuSigned by: '?r 1/8/2021 43B&6356CBFF4E6... — Susan Worley,Executive Director Date For and on' 'L)"S-gnedby: jovernment I6f 6WAX 1/11/2021 a63799'B755E477... Bonnie Hammersley, County Manager Date DocuSign Envelope ID:B3D8E8FB-78D9-4B50-80E2-1077055FA40B Exhibit A Provider's Outside Agency Application DocuSign Envelope ID:B3D8E8FB-78D9-4B50-80E2-1077055FA40B Exhibit B Provider's Revised Scope of Services and Program Budget DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B ATTACHMENT "A" Orange County Certifications—FY 2020-21 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. Uocu Sig ned by: Executive Director 1/8/2021 Certified by: 43686356CBFF4E6. _ Title' Date' (Provider's Signature) r DocuSign Envelope ID:B3D8E8FB-78D9-4B50-80E2-1077055FA40B DATE(MM/DDIYYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 79/15/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Anita M.Chick,CIC,CISR,CIIP Marsh &McLennan Agency LLC PHONE Fax 1400 Eastchester Drive, St 200 AIC No Ext: 336-899-2402 A/C No):212-607-6550 High Point NC 27265 ADDRESS: Anita.Chick@marshmma.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Alliance of Nonprofits forinsurance RRG 10023 INSURED VOLUN-3 INSURERB:Accident Fund General Ins.Co. 12304 Volunteers for Youth, Inc. Susan Worley INSURER C: 205 Lloyd St. Suite 103 INSURER D: Carrboro NC 27510 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1898722117 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY Y 202020727 10/1/2020 10/1/2021 EACH OCCURRENCE $1,000,000 TED CLAIMS-MADE � OCCUR PREMISES(Ea o DAMAGE TO ccurrence) $500,000 MED EXP(Any one person) $20,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑ PRO- � JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 202020727 10/1/2020 10/1/2021 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCV6116809 10/1/2020 10/1/2021 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 A Improper Sexual Conduct 202020727 10/1/2020 10/1/2021 Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is recognized as additional insured in respects to General Liability when required by written contract with the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: Risk Manager PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 65�� &dz/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B EXHIBIT `B" Scope of Services—PY 2020-21 Outside Agency Performance Agreement Agency Name: Volunteers for Youth Program Name: Volunteers for Youth Funding Award: $9,289 Outline how the agency will spend Orange County's funding award. Expense Description Amount 5%of executive director's salary $2,910 50%of audit fee($2,500)and 50%of technical support($985) $3,485 10%of office rent($2,894) $2,894 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by Junc 30,2021. • Mentoring Program: Year-long program providing mentors to high risk youth • •Community service:3 to 12 month program overseeing community service hours of court-referred youth • Teen Court:3 to 6 month program providing aftemative court experience to first time youth offenders Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Q. rance 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 j Results i 167 of 204 I Number of youth with no new charges while in program i 30 of 38 i Number of youth completing their mentoring commitment 98 of 140 Number of youth completing court-ordered community service hours i I i Certified by: � +i �/� Title: %_:�Xe-QQjVE kjjW Date: 9116126 i (Provider's Electronic ignature) **You will sign this document electronically with your performance agreement. DocuSign Envelope ID:B3D8E8FB-78D9-4B50-80E2-1077055FA40B COVER PAGE Applicant Contact information Applicant Organization's Legal Name: Volunteers for Youth, Inc. Applicant Organization's Physical Address: 205 Lloyd Street, Suite 103, Carrboro,_NC 27510 Applicant Organization's Mailing Address: 205 Lloyd Street Suite 103 Carrboro NC 27510 Applicant Organization's Web Address: www.volunteersforyouth.org Executive Director: Susan Worley Telephone Number: 919-967-4511 E-Mail: susan@volunteersforyouth.org Tax ID Number: 58-1457945 Funding Request Please list all Fiscal Year 2021 Human Services(HS)funding requested for all programs and the proposed use of funds(please list program name only) Program Carrboro- Chapel Orange Total HS Hill-HS County-HS Mentoring, community service, &teen court $3,250 $12,000 $11,000 $26,250 programs Totals $3,250 $12,000 $11,000 $26,250 Briefly explain your proposed use of funds: Portion of program coordinators' salaries, youth activities, and general operating expenses 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: 1-/0 ?(9 Executive Director LI Date Signature: L4t 10 202V, Board C ' erson Date Cover Page P a g e 6 a f 2 1 DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON DISCRIMINATION CLAUSE Are any of the Board Members or employees of the agency which will be carrying out this program or members of their immediate families,or their business associates. YES NO ❑ ® a) Employees of or closely related to employees of the Town of Carrboro,the Town of Chapel Hill, or Orange County? ❑ ® b) Members of or closely related to members of the governing bodies of the Town of Carrboro, the Town of Chapel Hill,or Orange County? ❑ ® c)Current beneficiaries of the program for which funds are being requested? ❑ ® d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below. 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: _ l"l0 ^20 xecutive Director Date I Signature: 1 ZoZo Board &ai4erson Date Cover Page Page 7 of 21 DocuSign Envelope ID:B3D8E8FB-78D9-4B50-80E2-1077055FA40B AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): 1981 2. Agency's Purpose/Mission (no more than a few sentences): Volunteers for Youth has a straightforward mission: to provide services to Orange County, North Carolina youth to help them become contributing members of the community. We achieve this by cultivating strengths, encouraging positive relationships, and helping youth develop the ability to make responsible choices. Through mentoring, community service, and teen court programs, Volunteers for Youth seeks to close the opportunity gap for Orange County youth by strengthening their social ties. 3. Please provide a brief description of your organization's past achievements in carrying out similar projects and evidence of successful record of meeting proposed budgets and timetables (no more than 100 words). Volunteers for Youth's 37-year-old mentoring program is the longest running mentoring program in Orange County. VFY began Orange County's juvenile community service program in 1992 and the teen court program has been a part of VFY since 2004. Thousands of local children and teens have reaped the benefits of participating in these programs. Throughout the course of VFY's history, the organization has successfully adhered to budgets, timetables, and guidelines necessary to carry out these programs. 2. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes/No) Yes If yes, is this agency an Orange County Living Wage Certified Employer?Yes If no, please briefly explain. Schedule of Positions: #of FTE—Full-Time Paid Positons: 4 #of FTE—Part-Time Paid Positions:0 PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. S. Program Name:Volunteers for Youth, Inc. Program Primary Contact and Title: Susan Worley, Executive Director Telephone Number: 919-967-4511 E-Mail: susanCcD_volunteersforyouth.o[g 6. Please briefly describe the proposed program, including an explanation of how it aligns with the Town of Chapel Hill and Carrboro's Results Framework, and Orange County BOCC Goals and Priorities, and the target population to benefit from the program. (100 words or less) To contribute to the goal of a community that maintains, promotes, and protects the Program information P a g e 8 o f 2 1 DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B economic and social well-being of residents while giving them opportunities to thrive, VFY offers community service, teen court, and mentoring services to youth who are at risk of being failed by our community and its institutions. Providing these youth with constructive activities while engaging them with caring adults is a means of closing the opportunity gap. In 2020-21, VFY will add a new, part-time staff position to address the needs of youth 16 and over who are newly eligible for our services due to Raise the Age legislation. 7. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. Program Target Population Demograp.h�cs Projected Actual Projected Projected 2018-19 2018-19 2019-20 2020-21 Gender Men 112 110 124 130 Women 138 96 106 110 Nonbinary/Genderqueer Self-Describe Total 2501 206 1 230 240 Race and Ethnicity Black or African-American 99 99 97 104 American Indian or Alaska Native Asian 16 8 21 18 White 129 92 99 110 Native Hawaiian or other Pacific Islander Two or more races 6 7 13 8 Some other race Total 250 206 230 240 Of the above, how many Hispanic/Latino 63 58 85 90 Of the above, how many non-Hispanic/Latino 187 148 145 50 Total 250 206 230 240 Age 0-5 years 6-18 years 250 206 230 240 19-50 years 51+years Total 250 206 230 240 Geographic Location Town of Chapel Hill 98 75 84 89 Town of Carrboro 21 24 23 27 Orange County(outside of Chapel Hill/Carrboro) 129 106 193 124 Program information P a g e 9 o f 2 1 DocuSign Envelope ID:B3D8E8FB-78D9-4B50-80E2-1077055FA40B Outside of Orange County 2 1 Total 250 206 230 240 Income Low-income(80%of the Area Median Income and Below) Please see income table in the attachments 175 130 150 152 Total 175 1301 1501 152 8. 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 2018-19 Projected 2019-20 Projected 2020-21 Total Cost of Program $272,126 $274,752 $300, 310 Total # of Individuals 206 230 240 Cost Per Individual $1,321 $1,195 $1,251 9. Performance Indicators For Chapel Hill and Carrboro applicants: Please complete the following chart with information about the Strategic Objective, Intermediate Result, and the Agency Performance Indicator for each program for which you are applying for funding. Please see the Results Framework in the Attachments section as a reference. Program Name: Strategic ❑ Children improve their educational outcomes Objective (please choose onefrom 5a Residents Increase their livelihood security the Results Framework) ❑ Residents improve their health outcomes Intermediate Insert Intermediate Result here. Result Intermediate Result 2.1: Residents access the most appropriate (please choose one from the Results Framework) social safety net services. RESULTS Actual Projected Projected 2018-19 2019-20 2020-21 Performance % and # of 194 (94%) 195 (85%) of 196 (82%) of Indicators participants who do of participants participants (Please choose atleast not become court participants will not will not oneperformance involved during the did not become become indicator to report on program become court court from the Results Program information P a g e 10 0 `1 2 1 DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B Framework,and add Court involved Involved addidonalperfornmace involved while in the while in the Indicators that you would like to report to during the program program the Towns. Please program insert additional rows as needed,listing one per row. Program information P a g e 11 o f 2 1 DocuSign Envelope ID:B3D8E8FB-78D9-4B50-80E2-1077055FA40B CV V NTY Outside Agencies/Human Services Please use the drop down menu below to select which function area best aligns with your agency and programs) in which you are requesting funding. Please select only one from the drop down menu below. Youth Services If you selected other, please tell us what function area best aligns with your organization: Please indicate three program goals/performance measures below. A few notes: • If you use percentages, please put the actual number equivalence. • Please ensure your performance measures are outcome based and not outputs. Program information P a g e 1 2 o f 2 1 DocuSign Envelope ID:B3D8E8FB-78D9-4B50-80E2-1077055FA40B ![?PI_ I I C 1 Um 11 t1 i Outside Agencies/Human Services Program Goal # 1 At least 80% of youth will have no new charges while in the program. Performance Measure Track client progress through contact with youth, court (How will you accomplish your goal?) counselors. Actual Results 194 of 206 (94%) clients had no new charges while in (Outcome) the program. EnWing FY18-19 Projected Results 195 of 230 (85%) clients will have no new charges (Outcome) while in the program. Ending FY2020 Projected Results 196 of 240 (82%) clients will have no new charges (Outcome) while in the program. Ending FY2021 Program Goal #2 At least 80% of youth matched with mentors will complete their mentoring commitment. Performance Measure Track client progress through contact with mentors and (How will you accomplish your goal?) clients. Actual Results 40 of 43 (93%) of youth matched with mentors (Outcome) completed their mentoring commitments. Ending FY18-19 Projected Results 38 0f 42 (90%) of youth matched with mentors will (Outcome) complete their mentoring commitment. Ending FY2020 Projected Results 40 of 45 (89%) of youth matched with mentors will (Outcome) complete their mentoring commitment. Ending FY2021 Program Goal #3 At least 70% of youth participating in community service projects will successfully complete their hours. Performance Measure Track client progress through contact with youth, court (How will you accomplish your goal?) counselors, and work site coordinators. Actual Results 122 of 136 (90%) of youth participating in community (Outcome) service projects successfully completed their hours. Ending FYI8-19 Projected Results 145 of 158 (92%) of youth participating in community (Outcome) service projects successfully completed their hours. Ending FY2020 Projected Results 146 of 170 (86%) of youth participating in community (Outcome) service projects successfully completed their hours. Ending FY202I Program information P a g e 13 o f 2 1 DocuSign Envelope ID:B3D8E8FB-78D9-4B50-80E2-1077055FA40B Program Budget Operating Budget for Program PROGRAM NAME: Volunteers for Youth, Inc. Actual Estimated Projected Percent PROGRAM REVENUE 2018-19 2019-20 2020-21 Change Private Donations $ 55,156 $ 56,000 $ 57,000 2% Program Generated Revenue $ - $ - $ - 0 Local Government Grants: Human Services-Town of Carrboro $ 3,000 $ 2,750 $ 3,250 18% Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ 10,000 $ 10,500 $ 12,000 14% Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ 8,994 $ 9,289 $ 11,000 18% Other-Orange County $ 39,356 $ 39,360 $ 43,860 11% Other-Town of Hillsborough $ - $ - $ - 0 Other Government Grants Triangle United Way $ 12,375.00 $ 7,000.00 $ 7,000.00 $ - State Government $ 132,494.00 $ 131,200.00 $ 146,200.00 $ 0.11 Federal Government(CDBGIHOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ 30,42D.DD $ 20,000.00 $ 20,000.00 $ - Other Revenue $ - $ - $ - 0 Total Program Revenue $ 291,795 $ 276,099 $ 300,310 9% PROGRAM EXPENSES Compensation $ 198,342 $ 199,908 $ 220,840 10% Rent&Utilities $ 28,644 $ 28,644 $ 28,944 1% Supplies&Equipment $ 6,024 $ 5,800 $ 5,500 -5% Travel&Training $ 2,658 $ 3,400 $ 3,800 12% Other Expenses: $ 36,458 $ 37,000 $ 41,226 11% Total Program Expenses $ 272,126 $ 274,752 $ 300,310 9% SURPLUS/(DEFICIT) FOR PERIOD: 1 $ 19,669 $ 1,347 $ - -100% Please explain Other Grants Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit. In 2018-19, Volunteers for Youth showed a significant surplus due to a successful annual fundraiser and an increase in private foundation grants.After several years of deficits, this surplus has helped VFY return to a more secure financial footing. FY 2018-19 Program Budget DocuSign Envelope ID:B3D8E8FB-78D9-4B50-80E2-1077055FA40B Agency Budget Operating Budget for Program PROGRAM NAME: Volunteers for Youth, Inc. Actual Estimated Projected Percent PROGRAM REVENUE 2018-19 2019-20 2020-21 Change Private Donations $ 55,156 $ 56,000 $ 57,000 2% Program Generated Revenue $ - $ - $ - 0 Local Government Grants: Human Services -Town of Carrboro $ 3,000 $ 2,750 $ 3,250 18% Other-Town of Carrboro $ - $ - $ - 0 Human Services -Town of Chapel Hill $ 10,000 $ 10,500 $ 12,000 14% Other-Town of Chapel Hill $ - $ - $ - 0 Human Services - Orange County $ 8,994 $ 9,289 $ 11,000 18% Other- Orange County $ 39,356 $ 39,360 $ 43,860 11% Other-Town of Hillsborough $ - $ - $ - 0 Other Government Grants Triangle United Way $ 12,375.00 $ 7,000.00 $ 7,000.00 $ - $ 132,494.00 $ 131,200.00 $ 146,200.00 $ 0.11 Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ 30,420.00 $ 20,000.00 $ 20,000.00 $ - Other Revenue $ - $ - $ - 0 Total Program Revenue $ 291,795 $ 276,099 $ 300,310 9% PROGRAM EXPENSES Compensation $ 198.342 $ 199,908 $ 220,840 10% Rent& Utilities $ 28,644 $ 28,644 $ 28,944 1% Supplies & Equipment $ 6,024 $ 5,800 $ 5,500 -5% Travel &Training $ 2,658 $ 3,400 $ 3,800 12% Other Expenses: $ 36,458 1 $ 37,000 1 $ 41,226 1 11% Total Program Expenses 1 $ 272,126 $ 274,752 $ 300,310 1 9% SURPLUS/(DEFICIT) FOR PERIOD: $ 19,669 1 $ 1,347 $ - -100% Please explain Other Grants Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit. In 2018-19, Volunteers for Youth showed a significant surplus due to a successful annual fundraiser and an increase in private foundation grants. After several years of deficits, this surplus has helped VFY return to a more secure financial footing.