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HomeMy WebLinkAbout2020-884-E Social Svc - Big Brothers Big Sisters of the Triangle ouside agency agreement DocuSign Envelope ID:6D53F1FA-CAAF-4BF0-A183-95EF4836E57C 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 Big Brothers Big Sisters of the Triangle, Inc., a not- for-profit corporation, located at 808 Aviation Parkway, Suite 900,Morrisville ,NC 27560 ("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, TBEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth,the County and Big Brothers Big Sisters of the Triangle,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 A, Scope of Services and more particularly described in the Revised Program Budget, the maximum sum of$7,680.00. 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$1,920.00. 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. Big Brothers Big Sisters of the Triangle,Inc. Orange County Outside Agency Performance Agreement Revised 712018 Page I of 9 DocuSign Envelope ID:6D53F1FA-CAAF-413F0-A183-95EF4836E57C - e. Once Provider has satisfied its obligations as provided in (d) payment will be made 21 days after receipt of the Progress Report and Request for Reimbursement or 21 days after due date of Progress Report whichever is later. £ The County is not obligated to provide any other support to Provider in this or in succeeding fiscal years. 4. Agency Reporting. a. Provider will provide Orange County a Progress Report that includes a fiscal report and updates on performance measures as outlined in the Scope of Services. Progress Report dates are: July 1 —December 31; January 1 —March 31 and April 1 -June 30. Reports are due on January 11,April 12, and July 12 of the program fiscal year. b. Provider agrees to allow the County to inspect its financial books and records, which document costs of those services,upon reasonable notice during normal working hours. 5. Termination. a. In the event of any of the circumstances set forth below (hereinafter referred to as "default"),the County may immediately terminate this Agreement, in whole or in part, and from time to time. Notice of termination must be in writing, state the reason or reasons for the termination, and specify the effective date of the termination: i. In the event that Provider shall cease to exist as an organization or shall enter bankruptcy proceedings, be declared insolvent, or liquidate all or substantially all of its assets, or significantly reduce its services or accessibility to Orange County residents during the term of this Agreement; or ii. In the event that Provider shall fail to render a satisfactory accounting as provided section 4 above, the County may terminate this Agreement and Provider shall return all payments already made to it by the County for services which have not been provided or for which no satisfactory accounting has been rendered; or iii. In the event of any fraudulent representation by the Provider in an invoice or other verification required to obtain payment under this Agreement or other dishonesty on a material matter relating to the performance of services under this Agreement. iv. Nonperformance,incomplete service or performance, or failure to satisfactorily perform any part of the work identified in the Scope of Services or to comply with any provision of this Agreement, as determined by the County in its sole discretion. v. Failure to adhere to the terms of applicable county, state or federal laws, regulations, or stated public policy. b. In the event of default by the Provider,the county may elect to terminate this Agreement, in whole or in part and/or require the Provider to repay the funds within ten(10)business days from written notice of default. The County may (but shall not be required to) grant the Provider an opportunity to cure the default without termination of this Agreement. This clause shall not be interpreted to limit the County's remedies in law or in equity. Big Brothers Big Sisters of the Triangle, Inc. Orange County Outside Agency Performance Agreement Page 2 of 9 Rev. 7118 DocuSign Envelope ID:6D53F1FA-CAAF-4BF0-A183-95EF4836E57C c. Notwithstanding the foregoing, either parry 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 a 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 0 Commercial General $1,000,000 Each Occurrence Liability $2,000,000 Aggregate 0 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 parry 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. Big Brothers Big Sisters of the Triangle, Inc. Orange County Outside Agency Performance Agreement Page 3 of 9 Rev. 7118 DocuSign Envelope ID:6D53F1FA-CAAF-4BF0-A183-95EF4836E57C 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 Big Brothers Big Sisters of the Triangle,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: Big Brothers Big Sisters of the Triangle, Inc. Orange County Outside Agency Performance Agreement Page 4 of 9 Rev. 7118 -DocuSign Envelope ID:6D53F1FA-CAAF-4BF0-A183-95EF4836E57C County: Finance&Administrative Services Provider: Big Brothers Big Sisters of the Orange County Triangle,Inc. Post Office Box 8181 808 Aviation Parkway, Suite 900 Hillsborough,NC 27278 Morrisville,NC 27560 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 1 lA 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. amiambbeha6(of the Provider b 11/6/2020 E9E344584rs9-E4 �� Date ,mb0ehalf of Orange County Government f jbl w*t, (� MKAwsb-� 11/6/2020 Bonne Hammersley, County Manager Date i Big Brothers Big Sisters of the Triangle,Inc. Orange County Outside Agency Performance Agreement Page S of 9 Rev. 7118 - DocuSign Envelope ID:6D53F1FA-CAAF-4131F0-A183-95EF4836E57C ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Big Brothers Big Sisters of the Triangle, Inc.. Party/Vendor Contact Person: Erin J. Callahan Contact Phone: 919-850-9772 Party/Vendor Address: 808 Aviation Parkway, Suite 900 City Morrisville State: NC Zip: 27560 Department: Finance & Administrative Services Amount: $7,680 Purpose: FY 2020-2021 Outside Agencyd uman Services Performance Ageeein Budget Code(s): 10695050-719039 Vendor # 800044 (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 @a4�f�"end content: l 11/6/2020 Department Director's Signature N� r,6S161a Date: Information Technologies (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 sufficienc q ''__g,5taandards,specifications, and requirements: 9US& (hvt& 6 10/31/2020 Office of the Risk Management Officer ..e Date: Financial Services This instrument has been pre-audited ' > i ltquired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date:11/6/2020 Legal Services This agreement is approved as t i<ovmdud sufficiency: Office of the County Attorney ` Date: 11/6/2020 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin erg soll@orang_ecountync,gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Cleric to the Board Date: Big Brothers Big Sisters of the Triangle, Inc. Orange County Outside Agency Performance Agreement Page 6 of 9 Rev. 7118 DocuSign Envelope ID:6D53F1FA-CAAF-4131F0-A183-95EF4836E57C Exhibit A Provider's Outside Agency Application Big Brothers Big Sisters of the Triangle, Inc. Orange County Outside Agency Performance Agreement Page 7 of 9 Rev. 7118 — DocuSign Envelope ID:6D53F1FA-CAAF-413F0-A183-95EF4836E57C z Applicant Contact Information Applicant Organization's Legal Name: Big Brothers Big Sisters of the Trianale, Inc. Applicant Organization's Physical Address:808 Aviation Parkway, Suite 900, Morrisville, NC 27560 Applicant Organization's Mailing Address:808 Aviation Parkway, Suite 900, Morrisville, NC 27560 Applicant Organization's Web Address:www.bigstri.org Executive Director:Erin Callahan Telephone Number: (919) 850-9772 E-Mail:ecallahanObbbstri.org Tax ID Number:56-2109717 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 nvme only) Proeram Carrboro-HS Chapel Hill- Orange Total HS County-HS ComTtiunity ;Slfe=�9se iVJer�#o�i �!P}i< $5,000 $5,000 $10,000 $20,000 d ,crattons gr-PepriltJr ',xa"`,Ewe}i ` Personnel Personnel Personnel Totals $5,000 $5,000 $10,000 1 $20,000 Briefly explain your proposed use of funds: Funds will be used to cover cost of enrollment, match and support program staff. 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: - i //S 12-C Executive irector Date Signature: Board Chairperson Date - DocuSign Envelope ID:6D53F1FA-CAAF-4131F0-A183-95EF4836E57C 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 orveterans 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. i nature, t I Sg U Exec a ctor Date Signature: Board Chairperson Date DocuSign Envelope ID:6D53F1FA-CAAF-4BF0-A183-95EF4836E57C ZI AGIVIC�f 1111FC1IRIAiIA��NI Please provide the following information about your agency: 1. Date of Incorporation(Month/Year): 10/1998 2. Agency's Purpose/Mission (no more than a few sentences): Big Brothers Big Sisters of the Triangle's mission is to create and support one-to-one mentoring relationships that ignite the power and promise of youth. Our vision is that all youth achieve their full potential. We partner with parents and guardians, volunteers, and community members to give these youth higher aspirations,greater confidence, better relationships and educational success, and tools to avoid risky behaviors. 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). For over 100 years, our national organization has remained true to its founders' vision of bringing caring role models into the lives of children. We are the oldest and most respected mentoring agency in the country. As a local affiliate for the past 20 years, BBBST has consistently met goals—whether it be programmatic, strategic, stewardship, and/or marketing - and stayed on schedule while doing so. We work hard to fundraise in various ways and to diversify our funding each year. This has enabled us to stay on budget and put over 75% of our income into programming. 4. Living Wage: Does this agency pay permanent employees a minimum living wage?(Yes/No) Y If yes,is this agency an Orange County Living Wage Certified Employer? NO If no,please briefly explain. Currently working with an HR consulting project to do a compensation review to adjust and evaluate our salaries through market data review and analysis. Once completed we will apply to become an Orange county Living Wage Certified Employer. Schedule of Positions: #of FTE—Full-Time Paid Positons: 13 #of FTE—Part-Time Paid Positions:2 � � ;API.eases, r�ay�,�'at��e�c6pr`ogtar�tt,�a���3'+��,, r��urldf�ap�� �vr��h�r�o�e��ragtorn� S. Program Name: Community and Site-Based Mentoring Program Primary Contact and Title:Andie Thomas-Young, VP of Proqrams Telephone Number: (919) 850-9772 E-Mail:ayoung(a7bbbstri.orq 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) -DocuSign Envelope ID:6D53F1 FA-CAAF-4BF0-A1 83-95EF4836E57C We serve children throughout Orange County, Chapel Hill, and Carrboro who need a positive adult role model. Our volunteers provide 1-2 hours each week of one-on-one time with their "Littles." More than 90% of our kids are minorities, and more than 80% are on free/reduced lunch. We align with Strategic Objective 1, Intermediate Result 1.2 because our Littles show improvement in their scholastic competency, truancy, and educational expectations after participating in our program. We align with the BOCC goals because we enhance our Littles' quality of life, aid in supporting their education, and embrace the diversity of our client population. 7.Target Population: Please complete the table below with numbers(not percentages)of individuals served and projected to be served. i�.��...�i�',las��j's15�,�'!�. ,.x-1.ubY:Vi. ,,.... .....xq!F,,,_r.,. s.ALrtStc.., r. n_ .• r.,s;�•`,,*�,a��i���,'1 is r ��>h<N a z;'i�>„�`9x�\:�'��_, M�aki���:�rr�s. Projected Actual` Projected Projected 2018-19 2018-19 2019-20 2020-21 �,�,�ft�•�F!�ai,>,t�`4<;t j�A;ti�,.ni.�` ; i � ''u} U41�h���w�":. ''. ., '� ...,n,ti Men 570 451 475 450 Women 571 391 425 450 Nonbinary/Genderqueer Self-Describe Total 1141 842 900 900 ttacapd Ethnicity.. j Black or African-American 822 557 600 600 American Indian or Alaska Native 1 4 2 2 Asian 11 5 5 8 White 101 80 80 80 Native Hawaiian or other Pacific Islander 0 Two or more races Some other race 206 188 213 210 Total 1141 842 900 900 Of the above, how many Hispanic/Latino 57 26 40 Of the above, how many non-Hispanic/Latino 1084 874 860 Total 1141 842 900 900 A� f i.� k1.At ' ; t Ii-•,tif -..Y3. f t .t'� tr.i 1l tF� .fTbe. . ...el,.,,a.inn.�.,?..1,„ �''••,?�, 3,z`•.:'�•�� r,,... .. .... ...,�?a.2.�;,. .•, . 0-5 years 6-18 years 1141 842 900 900 19-50 years 51+years Total 1141 842 900 900 �e.,ggsaphlc 1,plca>Klan.' Town of Chapel Hill 1191 99 1 1251 125 Town of Carrboro 24 25 35 40 —DocuSign Envelope ID:6D53F1FA-CAAF-413F0-A183-95EF4836E57C Orange County(Outside of Chapel HillfCarrboro) 16 14 15 20 Outside of Orange County 982 704 725 715 Total 1141 842 900 900 '�' 1.. Low-Income(80%of the Area Medlan Income and Below) Please see income table in the attachments Total 0 0 0 0 * This information is collected at enrollment but participants are not required to answer. We do not have enough information to accurately account for this. 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. y� jn Total Cost of Program 679895 771620 837220 Total#of Individuals 842 900 900 Cost Per Individual $808 $857 $930 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:Community and Site Based Mentoring Strategic ✓ Children improve their educational outcomes Objective ❑ Residents Increase their livelihood security ❑ Residents improve their health outcomes Intermediate Children demonstrate new grade-level-appropriate skills Result #'lWJe�'tRl� t € ircied - Performance % and # of program 62%,543 62%, 558 64%, 576 Indicators participants that express greater confidence in their ablity to be successful at school �������������^��� —oocuSign Envelope ID:aD53F1 � ORANGE COUNTY � 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. 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: * |f you use percentages, please put the actual number equivalence. * Please ensure your performance measures are outcome based and not outputs. IEN WIN MI-1,N111M 301 WWI ER ZMEZ 1 MA Ila] ---------- DocuSign Envelope ID:6D53F1 FA-CAAF-4BF0-A1 83-95EF4836E57C ORANGE COUNTY NOWri-I CAROLINA Outside Agencies/Human Services MM M-M Ri R ME 90�1,1' ML co "Al 2 ......... .......... Uteo ndi r prog improvement'in Youth served iii bui fam Posifive affect (*Positive Affect has been linkedx to.arange of favorable effects such,as finding;meaning in land�being Program,Goal, 3 , resilient to.effects of stressful events. Stud01 have associated positive affect with red!uc i rof and: n �of clinica[ psychologicW problems.includingp I V depression and improved)health outcomes.). All chiltitenr enrolled in our program,matched with.a mentor are surveyedIll rough pre:and post tests each year to determine the impact of our mentoring, �.erformanee Measure relationship,on the child'. This Youth!Outcomes walyou,accompfiskyorur,goal?) S urvey, developed.by Big:Brothers,Big Sisters.of Amencai is,constantly reviewed and,updated to ensure, that,it captures the best jhfbffllnation to record measureableoutcomes. New category of YQS, started measuring 11112020 Actual Results (outcome), Endi, g FV9-19 Projected,Results 60% show improvement in positive affect Ending IM 020 Projected Results 62%show improvement in positive affect (Outcome) EndMgFY20.11 DocuSign Envelope ID:6D53F1FA-CAAF-4BF0-A183-95EF4836E57C Agency Budget Operating Budget for Agency AGENCY NAME: Big Brothers Big Sisters of the Triangle, Inc. Actual Estimated Projected: 2020 Percent AGENCY REVENUE 2018-19 2019-20 21 Change Private Donations $ 302,000 $ 305,000 $ 353,000 16% Program Generated Revenue $ - $ - $ - 0 Local Government Grants: Human Services-Town of Carrboro $ 4,000 $ 3,600 $ 5,000 39% Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ 4,000 $ 3,000 $ 5,000 67% Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ 6,430 $ 7,680 $ 10,000 30% Other-Orange County $ - $ - $ - 0 Other-Town of Hillsborough $ - $ - $ - 0 Other Government Grants Triangle United Way $ - $ 25,000.00 $ 25,000.00 $ - State Government $ - $ - $ - 0 Federal Government(CDBG/HOME/etc.) $ 115,000.00 $ 150,000.00 $ 92,000.00 $ 0.39 Private Foundation Grants $ 180,700.00 $250,000.00 $ 295,000.00 $ 0.18 Other Revenue $ 220,098 $ 200,000 $ 236,000 $ 0.18 Total Agency Revenue $ 832,228 $ 944,280 1 $ 1,021,000 8% AGENCY EXPENSES Compensation $ 602,452 $ 680,000 $ 715,000 5% Rent&Utilities $ 93,695 $ 96,000 $ 105,000 9% Supplies&Equipment $ 8,852 $ 10,000 $ 25,000 150% Travel&Training $ 14,292 $ 15,000 $ 25,000 67% Other Expenses: $ 109,850 $ 140,000 $ 151,000 8% Total Agency Expenses $ 829,141 $ 941',000 $ 1,021,000 9% SURPLUS/(DEFICIT) FOR PERIOD: $' 3,087 $ 3,280 $ - -100% Please explain Other Grants Other Expenses: Includes marketing,fundraising event expenses, agency insurance policies, payroll&banking services, audit fee, IT support, background checks for volunteers, BBBSA affiliation dues and program database license and usage fees Other Revenue: Includes fundraising event revenue(Bowl For Kids'Sake and Big Night Ball gala),and funding from other served municipalities Does your agency budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit. DocuSign Envelope ID:6D53F1FA-CAAF-4BF0-A183-95EF4836E57C Program Budget Operating Budget for Program PROGRAM NAME: Community&Site-Based Mentoring Actual Projected Percent PROGRAM REVENUE 2018-19 Estimated 2019-20 2020-21 Chan e Private Donations $ 227,000 $ 232,000 $ 280,000 21% Program Generated Revenue $ - $ - $ - 0 Local Government Grants: Human Services-Town of Carrboro $ 4,000 $ 3,600 $ 5,000 39% Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ 4,000 $ 3,000 $ 5,000 67% Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ 6,430 $ 7,680 $ 10,000 30% Other-Orange County $ - $ - $ - 0 Other-Town of Hillsborough $ - $ - $ 0 Other Government Grants Triangle United Way $ - $ 25,000.00 $ 25,000.00 $ - State Government $ - $ - $ - 0 Federal Government(CDBG/HOME/etc.) $ 115,000.00 $ 150,000.00 $ 92,000.00 $ 0.39 Private Foundation Grants $ 180,700.00 $ 250,000.00 $ 295,000.00 $ 0.18 Other Revenue $ 142,765 $ 100,340 $ 125,220 $ 0.25 Total Program Revenue $ 679,895 $ 771,620 $ 837,220 9% PROGRAM EXPENSES Compensation $ 494,010 $ 557,600 $ 586,300 5% Rent&Utilities $ 76,830 $ 78,720 $ 86,100 9% Supplies&Equipment $ 7,258 $ 8,200 $ 20,500 150% Travel&Training $ 11,720 $ 12,300 $ 20,500 67% Other Expenses: $ 90,077 $ 114,800 $ 123,820 8% Total Program Expenses $ 679,895 $ 771,620 1 $ 837,220 1 9% SURPLUS/(DEFICIT) FOR PERIOD: 1 $ - $ - $ - 0 Please explain Other Grants Other Expenses: Includes marketing,agency insurance policies,payroll&banking services,audit fee,IT support,background checks for volunteers, BBBSA affiliation dues and program database license and usage fees Other Revenue: Includes fundraising event revenue(Bowl For Kids'Sake and Big Night Ball gala),and funding from other served municipalities Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit. FY 2018-19 Program Budget — DocuSign Envelope ID:6D53F1FA-CAAF-413F0-A183-95EF4836E57C Exhibit B Provider's Revised Scope of Services and Program Budget i Big Brothers Big Sisters of the Triangle, Inc. Orange County Outside Agency Performance Agreement Page 8 of 9 Rev. 7118 DocuSign Envelope ID:6D53F1FA-CAAF-4BF0-A183-95EF4836E57C EXHIBIT`B" Scope of Services—FY 2020-21 Outside Agency Performance Agreement Agency Name: Big Brothers Big Sisters of the Triangle Program Name: Community and Site Based Mentoring Funding Award: 7,680 Outline how the agency will spend Orange County's funding award. Expense Description Amount Partial wages and FICA costs for Enrollment&Match Specialist 7,680 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2021. community Based Program(CB):Match&support youth in a one-to-one mentoring relatlonship that Ignite the power and promise of youth.Matches • in this program spend a minimum of 6 hours per week for a at least a year participating in activities out in the community. • She Based Program(SB):Match&support youth In a one-to-ors menloring relationship that Ignite the power and promise of youth.Matches in this program spend a minimum of 4 hours par week for a at least a school year spending time together on the child's school or after school site during operating hours of the school or after school program. 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 Von must also provide the total number of participants within that measure's description or for an earlier performance measure. Performance Measures Anticipated Results 100 Number of youth being served in Orange County with a mentor in CB or SB programs(unduplicated persons served) % of youth who show improvement in educational expectations 70% (70) %of youth who show improvement in positive affect(positive affect has been linked to a range of favorable 62% (60) effects such as finding meaning in and being resilient to effects of stressful events.Studies have associated positive affect with reduced behavioral and psychological problems including prevention of clinical depression and improved health outcomes) DocuSigned by: 1, 11/6/2020 Certified by: Title; CEO Date: (Provi ectTonic Signature) "You will sign this document electronically with your performance agreement. DocuSign Envelope ID:6D53F1FA-CAAF-4BF0-A183-95EF4836E57C ATTACHMENT "A" Orange County Certifications—FY 2018-19 Outside Agency Performance Agreement Chief Contact,Administrators, Chief Executive Officer and Chief Financial Officer I certify that I have provided a list of the chief contact, administrators, chief executive officer and chief financial officer for my agency with this Agreement and that I will keep it current to the County of Orange. The list should be in writing with the name,title,residential address; phone and email address and if possible,fax number. Officers and Board of Directors I certify that I have provided a current list of the Officers and Board of Directors with this Agreement and that we will continue to update the list as changes occur. The list should be in writing,with the name, physical address,mailing address and if possible, phone,fax and email address. Budget Submission I certify that I have provided a budget for the period to be covered by funding Orange County, and that any substantive changes made to this budget have been in advance authorized in writing by Orange County. Annual Financial Review I certify that I have provided a copy of the latest annual Financial Review for our agency and the budget adopted by the agency for the fiscal years encompassing this Agreement. If not, please explain on a separate sheet of paper. Alignment with Organization's Mission I certify that the programs and services for which this funding is requested align with the mission of the organization. Intended Purpose I certify that the funds provided to the agency under the terms of this Agreement will be used for a public purpose and shall only be used for the purposes intended and any money not used for those purposes will be promptly returned to Orange County. DocuSigned by: 5 V J C�iAAA�tiA 11/6/2020 Certified by: Title: CEO Date: (Provider's Signature) Big Brothers Big Sisters of the Triangle, Inc. Orange County Outside Agency Performance Agreement Page 9 of 9 Rev. 7118 - DocuSign Envelope ID:6D53F1FA-CAAF-4BF0-A183-95EF4836E57C r ® DATE(MMIODIYYYY) ACORD7 CERTIFICATE OF LIABILITY INSURANCE ��- 1 o/zo/zozo THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Select BUSIneSS Unit AssuredPartners of NC, LLC-Raleigh PHONE FAx 4505 Falls of Neuse Road,Suite 350 A/c No Ext: 844-206-9394 A!c No:919-582-1999 Raleigh NC 27609 ADD RESS: SS: sbu.servicenc assured artners.com INSURER 5 AFFORDING COVERAGE NAIC# INSURER A:Berkshire Hathaway Specialty Insurance Company 22276 INSURED BIGBROT-03 INSURER B:BUsIneSSFlrst Insurance Co 11697 Big Brothers Big Sisters of the Triangle, Inc. 808 Aviation Pkwy Ste 900 INSURER C: Morrisville NC 27560 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1158069950 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. 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INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/POLDCY EFF POLMM/DDY EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY 47SPK25537505 9/28/2020 9/28/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE �OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY❑ PRO ❑ LOG PRODUCTS-COMP/OP AGG $3,000,000 JECT OTHER: A AUTOMOBILE LIABILITY 47RWS25537605 9128/2020 9/28/2021 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED ROPER-(DAMAGE $ AUTOS (perUMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ S WORKERS COMPENSATION 52114739 9/8/2020 9/8/2021 PER OTH- AND EMPLOYERS'LIABILITY STAT YIN UTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A General Liablilty 47SPK25537505 9/28/2020 9/28/2021 Sexual Abuse/Molests 1.000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/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 CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Orange County Government,Attn: Risk Manager PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD