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HomeMy WebLinkAbout2020-872-E Social Svc - PORCH Chapel Hill-Carrboro outside agency agreement DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864E0B 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, 200 South Cameron Street, Hillsborough, North Carolina, 27278, ("County") and PORCH Chapel Hill-Carrboro, a not-for-profit corporation, located at 218 Lake Manor Road, Chapel Hill,NC 27516("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 PORCH Chapel Hill-Carrboro 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 A, Scope of Services and more particularly described in the Revised Program Budget, the maximum sum of$3,780.00. b. All funds appropriated shall be used for purposes described in Exhibit A. Any funds not used for the purposes stated shall be returned to the County. Any changes in the use of funds must be authorized in writing by the County prior to any expenditure of the funds by the Provider. If the funds are expended not in accordance with the Scope of Services, at the discretion of the County the Provider may be required to repay the funds to the County. c. The Provider shall be paid in four equal installments in the amount of$945.00. 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. PORCH Chapel Hill-Carrboro Orange County Outside Agency Performance Agreement Revised 712018 Page I of 9 DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB 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 22,April 16, and July 16 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. PORCH Chapel Hill-Carrboro Orange County Outside Agency Performance Agreement Page 2 of 9 Rev. 7118 —DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB 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. PORCH Chapel Hill-Carrboro Orange County Outside Agency Performance Agreement Page 3 of 9 Rev. 7118 —DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB 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 parry 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 PORCH Chapel Hill-Carrboro 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: PORCH Chapel Hill-Carrboro Orange County Outside Agency Performance Agreement Page 4 of 9 Rev. 7118 DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB County: Social Services Provider: PORCH Chapel Hill- Orange County Carrboro Post Office Box 8181 218 Lake Manor Road Hillsborough,NC 27278 Chapel Hill,NC 27516 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. ayAa&Aeha#'of the Provider La44 � 10/27/2020 Deb ie orwitz,Executive Director Date aMdOUbbehalf of Orange County Government f jbvu"'t. hmvt A V'sb-, 11/5/2020 Bonnie Hammersley, County Manager Date PORCH Chapel Hill-Carrboro Orange County Outside Agency Performance Agreement Page 5 of 9 Rev. 7118 DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: PORCH Chapel Hill-Carrboro Party/Vendor Contact Person: Debbie Horwitz Contact Phone: 919-971-1749 Party/Vendor Address:218 Lake Manor Road City: Chapel Hill State:NC Zip: 27516 Department: Social Services Amount: $3,780 Purpose:FY 2020-2021 Outside Agency/Human Services Performance Agreeement Budget Code(s): 10495050-720277 Vendor#803776(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 7/l/2020 Approved by Board Yes®No❑ Agenda Date: 6/16/2020 This agreement is approved as to to eaidwm snd content: Department Director's Signature NOUn Gl1 l 6w Date: 10/28/2020 Information Technolozies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency maser§aQ%.susx rbVl�t,f. 6 tandards,specifications, and requirements: Q Office of the Risk Management Officer F Date:10/14/2020 Financial Services This instrument has been pre-audited' mom#required by the Local Government Budget and Fiscal Control Act: (� 11/3/2020 Office of the Chief Financial Officer Date: Legal Services This agreement is approved as t 94cf6bwond sufficiency: p�Office of the County Attorney "\ Date: 11/5/2020 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion @ singersoll@orangecog=nc.gov ,nc.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: PORCH Chapel Hill-Carrboro Orange County Outside Agency Performance Agreement Page 6 of 9 Rev. 7118 DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB Exhibit A Provider's Outside Agency Application PORCH Chapel Hill-Carrboro Orange County Outside Agency Performance Agreement Page 7 of 9 Rev. 7118 —DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB COVE1t GAGE Applicant Contact Information Applicant Organization's Legal Name: PORCH Chapel Hill-Carrboro Applicant Organization's Physical Address: 218 Lake Manor Road, Chapel Hill, NC 27516 Applicant Organization's Mailing Address: 218 Lake Manor Road, Chapel Hill, NC 27516 Applicant organization's Web Address: https://chapelhill.porchcommunities.org Executive Director: Debbie Horwitz Telephone Number: (919) 971-1749 E-Mail:debbie @porchcommunities.org Tax ID Number:27-2759081 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 Hill Orange Total HS - HS County-HS Food For Families Program $5,600 $13,225 $15,720 $34,545 Operations Operations Operations Totals $5,600 $13,225 $15,720 $34,545 Briefly explain your'proposed use of funds: Funds will be used to support the purchase and transport of fresh food for 50 food- insecure families in Chapel Hill-Carrboro (20 supported by OC, 20 by CH and 10 by C) and to 10 families in Hillsborough (supported by OC) enrolled in PORCH's Food for Families program. We are also requesting funding to cover shares of traditional Asian produce from TTCF for 25 FFF families from Burma (CH). 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. r Signature: Ex utive Dir y Date Signature: L ect !I `�'` ''i`� t i' Board Chairperson Dat Cover Page Via:�, 6 r 2 1 .........._.............................. ..-.......-............................. . .............................. . .................. ........... ............. . ......... _ ............................ ............ ___.. — DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB 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 ❑ Z a) Employees of or closely related to employees of the Town of Carrboro,the Town of Chapel Hill, or Orange County? Z ❑bj Members of or closely related to members of the governing bodies of the Town of Carrboro,the Town of,Chapel Hill, or Orange County? ❑ Z cj 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, Susan Romaine is a Founder and Director of PORCH Chapel Hill-Carrboro and Chair of the Board of Directors. She was recently elected to the Town Council of Carrboro. Susan does not directly administer the program for which we are seeking funding. 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,`i 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: cutive Direct Date >�Signature: / Board Chairperson Date' --DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year):05/2010 2. Agency's Purpose/Mission (no more than a few sentences): The mission of PORCH Chapel Hill-Carrboro is to alleviate hunger and promote better nutrition in the community through monthly food drives supporting many initiatives, including: • ensuring our local food pantries are well-stocked with non-perishable food; • distributing fresh food directly into the hands of families with children in the public schools identified as food insecure; • creating and stocking pantries with healthy snacks in each of the 20 public schools and the community's after-school programs; and • creating more public awareness about the severity of hunger in the community, and the benefits of fresh food consumption. 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). Over 10 years, PORCH's Food for Families has grown from serving 12 to now over 440 families living in poverty in our community. FFF has received Outside Agency funding for the past four years and has met all its performance measures each year, successfully delivering fresh food to our target number of enrolled families according to budget. To encourage healthy food consumption, we have provided cooking and nutrition information, and 85% of respondents to our most recent survey report that they consume all the fresh food. We have achieved this using an army of dedicated volunteers and community partners. 4. Living Wage: Does this agency pay permanent employees a minimum living wage?(Yes/No) NA If yes, is this agency an Orange County Living Wage Certified Employer? NA If no, please briefly explain. PORCH is an all-volunteer run organization and we do not have any employees. Schedule of Positions: #of FTE—Full-Time Paid Positons: —0— #of FTE—Part-Time Paid Positions:—0_ POi'OH Food for Farriilie P a F; e `a o f 11 0 - DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB PROGRAM INFORMATION *Please submit far each grogram if applying for fund ngiar nTcre than ane prc gram. 5. Program Name: Food for Families Program Primary Contact and Title: Debbie Horwitz, Founder/Director Telephone Number: (919) 971-1749 E-Mail: debbie(d)porchcommunities.org 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) PORCH's Food for Families is a unique program that increases livelihood security for over 440 families (with 1129 children), identified by school social workers as struggling to afford sufficient food. FFF provides fresh foods to low-income families with children each month (including many refugees), with a quantity and variety of highly nutritious fresh food that is not provided by any other local pantries or hunger relief organizations. FFF currently provides fresh food (e.g., potatoes, green beans, apples, broccoli, zucchini, sweet potatoes, onions, peppers, chicken, eggs, milk, and more) each month, lasting an average of 10 days. 7.Target Population: Please complete the table below with numbers(not percentages) of individuals served and projected to be served. Program Target Population Demographics Projected Actual Projected Projected 2018-19 2018-19 2019-20 2020-21 Men 841 841 863 896 Women 981 981 1047 1095 Non binary/Genderqueer Self-Describe Total 1822 1822 1910 1991 Race and Etlinis� Black or African-American 357 357 336 360 American Indian or Alaska Native Asian 570 570 555 570 White 128 128 158 164 Native Hawaiian or other Pacific Islander Two or more races Some other race 767 767 861 897 Total 1822 1822 1910 1991 PORCH Food for Families P a g e 6 0 f 1 0 DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB 895 Of the above,how many Hispanic/Latino 765 765 859 Of the above,how many non-Hispanic/Latino 1057 1057 1051 1096 Total 1822 1822 1910 1991 Age 0-5 years 246 246 236 248 6-18 years 796 796 862 896 19-50 years 730 730 772 806 51+years 50 50 40 41 Total 1822 1822 1910 1 1991 Geographic Location Town of Chapel Hill 1208 1208 1269 1304 Town of Carrboro 602 602 620 652 Orange County(Outside of Chapel Hill/Carrboro) 12 12 21 35 Outside of Orange County Total 1822 1822 1910 1991 Low-income(80%of the Area Median Income and Below) Please see 1910 1991 income table in the attachments 1822 1822 Total 1822 1822 1910 1991 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. ActL 20 t l 14 P� 2Ei f c Total Cost of Program $307,181 $343,430 $358,380 Total # of Individuals 1822 1910 1991 Cost Per Individual $168.60 $179.80 $180.00 PORCH Food for Families P a g e 7 o f 1 0 DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB Outside Agencies/Human Services Please use the drop down menu below to select which function area best aligns with your agency and program(s) in which you are requesting funding. Please select only one from the drop down menu below. Food and Nutritional 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 Goal# 1 Hunger relief and healthy food consumption # (%) of program participants who receive monthly Performance Measure fresh food distribution (How will you accomplish your goal?) Substantial program efforts to ensure food is received 1730 participants (95%) Actual Results % � . (Outcome) Ending FY18-19 " � Projected Results 1815 participants (95%) (Outcome) a-,."' " ,,. ,`". °� .- `�'' -` �`?- � a^s�' ,xZ' '`,. -•� Y'„, a t. Ending FY2020 ' Projected Results � y�- �� � -� 1791 (>90%) (Outcome) Ending FY202, Program Goal#2 Hunger relief and healthy food consumption #of program participants fed from funds raised Performance Measure (At least$35/family raised to support target#of (How will you accomplish your goal?) individuals each month Actual Results 1822 participants supported (100% of funds needed were raised) (Outcome) , Ending FYI 8-19 Projected Results 1910 participants supported Outcome PORCH Food for Families �s c� � 0 —DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB INTY Outside Agencies/Human Services Ending FY2020 Projected Results 1991 participants supported (Outcome) Ending FY2021 Program Goal#3 Hunger relief and healthy food consumption #of participants (>75%) consume all the healthy, fresh Performance Measure food provided. (How will you accomplish yourgoul7) Measured by client survey) Actual Results 1658 (91%) consumed all the fresh food (Outcome) Ending FYI S-19 Projected Results 1624 (85%) consumed all the fresh food (Outcome) Ending FY2020 Projected Results 1493 (>75%) will consume all the fresh food (Outcome) Ending FY2021 PORCH Food for Families Page 9 of 10 --DocuSign Envelope ID:8173BBCF-1 050-411 0-B8C4-4622BA864E0B Agency Budget Operating Budget for Entire Agency AGENCY NAME: PORCH Chapel Hill -Carrboro Actual Estimated Projected Percent AGENCY REVENUE 2018-19 2019-20 2020.11 Change Private Donations $ 196,880 $ 228,189 $ 225,000 Agency Generated Revenue(fees) $ - $ - $ - 0 Local Government Grants: Human Services-Town of Carrboro $ 5,000 $ 4,500 $ 5,600 24% Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ 9,500 $ 10,000 $ 11,200 12% Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ - $ 3,780 0 Other-Orange County $ - $ - $ - 0 Other-Town of Hillsborough $ - $ - $ - 0 Other Government Grants Triangle United Way $ - $ - $ - 0 State Government $ - $ - $ - 0 Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ 72,700.00 $ 63,510.00 $ 25,000.00 $ 0.61 Other Revenue $ 242,702 $ 244,433 $ 245,000 $ 0.00 Total Agency Revenue $ 526,782 $ 550,632 $ 5'15,580 -6% AGENCY EXPENSES Compensation $ - $ - $ 70,000 0 . Rent&Utilities $ 2,070 $ 8,280 300% Supplies&Equipment $ 7,576 $ 12,000 $ 20,000 67% Travel&Training $ - $ - $ - 0 Other Expenses: $ 480,521 $ 486,562 $ 495,000 2% Total Agency Expenses $ 488,097 $ 500,632 $ 593,280 19% SURPLUS/(DEFICIT) FOR PERIOD: $ 38,685 1 $ 50,000 $ (77,700) -255% Private Foundation Grants have included the Oak Foundation, as well as corporate grants like Duke Doing Good and Joy in Childhood, and grants from local PTAs. The surpluses for 2018 and 2019 reflect unexpected grants received late in the year. In 2019, we budgeted for a full time staff person who did not work out. We anticipate increases in needs regarding staff and space in 2020,which will use up the surplus funds from 2018 and 2019. FY 2018-19 Agency Budget DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB Program Budget Operating Budget for Program PROGRAM NAME: Food for Families Actual Estimated Projected Percent PROGRAM REVENUE 2018-19 2019-20 2020.21 Change Private Donations $ 127,211 $ 154,500 $ 150,000 -3% Program Generated Revenue $ - $ - $ - 0 Local Government Grants: Human Services-Town of Carrboro $ 5,000 $ 4,500 $ 5,600 1 24% Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ 9,500 $ 10,000 $ 11,200 12°/0 Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ - $ - $ 3,780 0 Other-Orange County $ - $ - $ - 0 Other-Town of Hillsborough $ - $ 0 Other Government Grants Triangle United Way $ - $ - $ 0 State Government $ - $ - $ - 0 Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ 16,200.00 $ 5,860.00 $ 10,000.00 $ 0.71 Other Revenue $ 149,270 $ 168,570 $ 170,000 $ 0.01 Total Program Revenue $ 307181 $ 343430 $ 350580 2% PROGRAM EXPENSES Compensation $ - $ - 0 Rent&Utilities $ - $ 2,070 $ 8,280 300% Supplies&Equipment $ 4,631 $ 8,500 $ 9,500 12% Travel&Training $ - $ - $ - 0 Other Expenses: $ 302,550 $ 332,860 $ 340,600 2% Total Program Expenses $ 307,181 $ 343,430 ,$ 358,380 4% SURPLUS/(DEFICIT) FOR PERIOD: 1 $ - 1 $ J $ (7,800)1 0 FY 2018-19 Program Budget DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB Exhibit B Provider's Revised Scope of Services and Program Budget PORCH Chapel Hill-Carrboro Orange County Outside Agency Performance Agreement Page 8 of 9 Rev. 7118 —DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB EXHIBIT"B" Scope of Services—FY 2020-21 Outside Agency Performance Agreement Agency Name: PORCH Program Name: Food for Families (FFF) Funding Award: $3780 Outline how the agency will spend Orange County's funding award. Expense Description Amount Monthly fresh food purchases for 9 families(36 individuals)in our FFF program for a year $3780 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2021. Implement effective methods to ensure fresh food is procured, delivered to,and received by FFFclients. Secure sufficient funds and donations to provide at least$35 worth of food per family per month. • Provide desirable food and nutrition/cooking information to ensure families consume all the food. Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Oran e County,only(all Towns and municipalities). If you use percentages,you must also provide the total number of participants within that measure's description or for an earlier performance measure. Performance Measures Anticipated Results 32 persons >90% of program participants receive monthly fresh food distribution receive (9 families - 32 of the over 2100 total individual clients to be covered by food Orange County funding) monthly 36 persons Program participants are fed from funds raised (At least $35/family raised service to support target 36 individuals each month) supported 27 persons >75% of clients consume all the healthy, fresh food provided (measured consume all in surveys) the food DocuSigned by: Certified by. b Title: Director Date: 10/27/2020 (Provider's Electronic Signature) "You will sign this document electronically with your performance agreement. DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864E0B ATTACHMENT "A" Orange County Certifications—FY 2020-2021 Outside Agency Performance Agreement Chief Contact,Administrators,Chief Executive Officer and Chief Financial Officer I certify that I have provided a list of the chief contact,administrators, chief executive officer and chief financial officer for my agency with this Agreement and that I will keep it current to the County of Orange. The list should be in writing with the name,title,residential address;phone and email address and if possible,fax number. Officers and Board of Directors I certify that I have provided a current list of the Officers and Board of Directors with this Agreement and that we will continue to update the list as changes occur. The list should be in writing,with the name, physical address,mailing address and if possible,phone,fax and email address. Budget Submission I certify that I have provided a budget for the period to be covered by funding Orange County, and that any substantive changes made to this budget have been in advance authorized in writing by Orange County. Annual Financial Review I certify that I have provided a copy of the latest annual Financial Review for our agency and the budget adopted by the agency for the fiscal years encompassing this Agreement. If not,please explain on a separate sheet of paper. Alignment with Organization's Mission I certify that the programs and services for which this funding is requested align with the mission of the organization. Intended Purpose I certify that the funds provided to the agency under the terms of this Agreement will be used for a public purpose and shall only be used for the purposes intended and any money not used for those purposes will be promptly returned to Orange County. DocuSigned by: Certified by: �� 6 Title: Director Date: 10/27/2020 (Provider's Signature) PORCH Chapel Hill-Carrboro Orange County Outside Agency Performance Agreement Page 9 of 9 Rev. 7118 DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB PORCCHAP-1 MUMMERS ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDIYYYI)8/1 712 0 2 0 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). CONTACT PRODUCER NAME: Summers Insurance Group PHONE 919 968-4472 FAX 919 942-4221 2113 Cameron Street (A/C,No,Ext):( ) (AIc,No):( ) Suite 219 ADDARES_S_:info@STLinsure.com Raleigh,NC 27605-1370 INSURERS AFFORDING COVERAGE NAIL# INSURER A:Alliance for Nan-ProFlts for Insurance Risk Retention Group 10023 INSURED INSURER B: PORCH Chapel Hill-Carrboro INSURER C: Christine Cotton,Founder 218 Lake Manor Road INSURER D: Chapel Hill,NC 27516 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVO MIDD/YYYY MMIDD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 2020-43783 6/4/2020 6/4/2021 DAMAGE TO Eaacaurrance $ 500,000 MED EXP An one erson $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑jECT LOC _ PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY (Ea accodeDtSINGLE LIMIT $ 1�000�QQQ ANY AUTO 2020-43783 6/4/2020 6/4/2021 BODILY INJURY Per erson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ SONL P. .del AMAGEU XO ., $ATOS ONLY NON -OWNED A X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 2020-43783-UMB 6/4/2020 6/4/2021 AGGREGATE $ DIED X RETENTION$ 10,000 Prod/Cops 1,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MFIMBER EXCLUDED? (Mandatary n NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Addltlonal Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 tY ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Risk Manager P.O.Box 8181 Hillsborough,INC 27278 AUTHORIZED REPRESENTATIVE lion^ry�' Swnma.5 ACORD 25(2016/03) L ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD