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HomeMy WebLinkAbout2021-117-E Arts Commission-Historical Foundation of Hillsborough outside agency agreement DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the twelfth day February of 2021, ("Effective Date") by and between the County of Orange, a political subdivision of the State of North Carolina,Post Office Box 8181, Hillsborough, North Carolina, 27278, ("County") and Historical Foundation of Hillsborough and Orange County, a not-for-profit corporation, located at 201 N. Churton St., Hillsborough, North Carolina 27278 ("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 Historical Foundation of Hillsborough and Orange County 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$9,606. 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$2,401.50. 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. Historical Foundation of Hillsborough and Orange County Orange County Outside Agency Performance Agreement Revised 712018 Page I of 9 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 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. 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 10,April 10, and July 10 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 Orange County Outside Agency Performance Agreement Page 2 of 9 Rev. 1121 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 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. 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 Orange County Outside Agency Performance Agreement Page 3 of 9 Rev. 1121 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 d. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. 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 parry 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 $ 15.40 per hour. To the extent possible, Orange County recommends that Provider 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 Orange County Outside Agency Performance Agreement Page 4 of 9 Rev. 1121 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 required and/or made pursuant to this Agreement to be given to the County and the Provider shall be in writing and mailed to the party addressed as follows: County: Finance&Administrative Services Provider: Historical Foundation of Orange County Hillsborough and Orange County Post Office Box 8181 201 N. Churton St., Hillsborough,NC 27278 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 on behalf'of the Provider Docu Signed by: Board Chair 2/15/2021 d0d, p ite Manager Date For and on behalf of Orange County Government 164%tmiersley, Signed by: 2/21/2021 County Manager Date Orange County Outside Agency Performance Agreement Page 5 of 9 Rev. 1121 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Historical Foundation of Hillsborough and Orange County Party/Vendor Contact Person Tanya Day Contact Phone:919/732-2201 Party/Vendor Address:201 N Churton St. City Hillsborough State:NC Zip:27278 Department: Cnty Manager Amount: $9606 Purpose: 20-21 Outside Agencies Grant Budget Code(s): 10695050 710007 Vendor#59229 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: EIAKMU ocusigned by: Department Director's Signatureraws lit- m& Dater/15/2021 66364 .. Agreements for emergency services or repair are noB .subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: 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 sufficiencnce grggpgPystandards, specifications,and requirements: Office of the Risk Management Offir Date: 2/16/2021 F6C (tItSUU14 ... Financial Services This instrument has been pre-audited i mama mequired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer l'q� Date: 2/16/2021 Legal Services This agreement is approved as to �2� ;%d sufficiency: Office of the County Attorney Date: 2/21/2021 Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.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: Orange County Outside Agency Performance Agreement Page 6 of 9 Rev. 1121 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 ATTACHMENT "A" Orange County Certifications—FY 2019-20 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:r" appa Title: Board chair Date: 2/15/2021 rovi�(TerAsSSignature) Orange County Outside Agency Performance Agreement Page 9 of 9 Rev. 1121 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 EXHIBIT A COVER PAGE Applicant Contact Information Applicant Organization's Legal Name: The Historical Foundation of Hillsborough &Orange County Applicant Organization's Physical Address: 201 North Churton St., Hillsborough, NC 27278 Applicant Organization's Mailing Address: 201 North Churton St., Hillsborough, NC 27278 Applicant Organization's Web Address: orangenchistory.org Executive Director: Currently Vacant; contact: Sherry(Sharon C) Appel, Board Chair Telephone Number: 202-441-3160 E-Mail: sherryappel@gmail.com Tax ID Number: 560797289 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 Ex. Youth Afterschool Program $10,000 $15,000 $5,000 $30,000 Operations or Personnel Operations Personnel Operations Orange County Historical Museum: $10,000 $10,000 Education through Exhibits Totals $10,000 $10,000 Briefly explain your proposed use of funds: With a new and energized Board of Directors, we will fund expanded and focused programs for students in county schools; build an additional exhibit; and inventory the collection to ensure its preservation and protection while using items to enhance our exhibits. The Board will complete its strategic plan in February and will have specific goals in mind to enhance the museum and its place in the community. 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: January 14, 2020 Board Chair Date DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON DISCRIMINATION CLAUSE Cover Page ' a g e 6 o f 2 1 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 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 ❑ X❑ a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ❑ X❑ 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? ❑ X❑ c) Current beneficiaries of the program for which funds are being requested? ❑ X❑ 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: January 14, 2020 Board Chairperson Date Cover Page DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): Orange County Historical Museum was incorporated in 1983. The Historical Foundation of Hillsborough and Orange County (HFHOC), incorporated in 2007, has operated OCHM for ten years. 2. Agency's Purpose/Mission (no more than a few sentences): The mission of the HFHOC is to enlighten and engage our community and visitors from around the world by preserving and interpreting the history of Orange County. 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). Last year the Museum was proud to have two excellent exhibits that drew wide audiences. The Permanent Exhibit highlights 300 years of history with artifacts from the Occaneechi, the colonial and Civil War eras, and African-American businesses in Orange County. "Let's Play" displayed toys and games from the late 1800s to present day. A "paint-by-numbers" mural of historic Hillsborough engaged more than 50 members of the community who painted individual parts to complete a magnificent mural displayed at the Museum. Several lectures were held throughout the year and the Museum hosted numerous school events and an active Facebook page. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes/No) No If yes, is this agency an Orange County Living Wage Certified Employer? If no, please briefly explain. The Museum has no permanent employees. It is operated by HFHOC to fulfill its mission to enlighten and engage the community and visitors from around the world by preserving and interpreting Hillsborough and OC history. Income sources are primarily endowment grants and proceeds from fundraising activities. Wage structure reflects our financial status and is quite similar to other museums in the area. Although lower than current OC living wage targets, OCHM staff wages have steadily increased since 2014. Employment in small museums such as OCHM provides staff with the opportunity to engage with museum practices and obtain skills that fosters learning, curiosity and connection with a community of stakeholders who are passionate about the goals and mission of our museum. In balancing the competing needs for wages, operations and program, HFHOC can afford to make small steps toward making living wage salaries for all museum staff a reality. This is a better use of limited resources than offering unpaid internships and reducing paid staff. The HFHOC board has been tasked with the responsibility of making living wage salaries a priority for the museum and is actively seeking funding that would allow this goal to be met within the next several years. Schedule of Positions: #of FTE—Full-Time Paid Positons: 0 #of FTE—Part-Time Paid Positions: 3* In December 2019, the Museum was forced to lay off its three staffers due to a prolonged closure of the Museum caused by faulty repairs. It is envisioned that the Museum should be reopened by early April, at which time, a site manager will be hired. Currently the Museum's Board is undergoing a full strategic planning exercise as well as discussions with the Program informatio P a g e 8 o f 2 1 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 Alliance for Historic Hillborough regarding the adoption of a Master Services Agreement which may change the range and scope of the staff. PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 5. Program Name: Education through Exhibits Program Primary Contact and Title: Sherry Appel, Board chair Telephone Number: 202-441-3160 E-mail: sherryappel@gmail.com 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) In 2020-2021, the Museum will increase its engagement and coordination with other nonprofits, including the Alliance for Historic Hillsborough, Burwell School, Hillsborough Garden Club, and Orange County schools to develop an integrated and coordinated program of events that are designed to promote diversity, environmental stewardship, and life-long learning. In addition to continuing the current exhibits, lectures are scheduled to focus on civil rights, the She Changed the World centennial of the 19t" amendment, and mountain-to-sea trail. We plan to place specific emphasis on stronger engagement with the schools. We will continue to highlight moments of Orange County history through our Facebook page and website. 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 Gender Men 2250 NA 2050 2500 Women 2250 2050 2500 Nonbinary/Genderqueer Self-Describe Total 4500 0 4100 5000* Race and Ethnicity Black or African-American American Indian or Alaska Native Asian White Native Hawaiian or other Pacific Islander Two or more races Some other race Total 0 0 0 0 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 Of the above, how many Hispanic/Latino Of the above, how many non-Hispanic/Latino Total 0 0 0 0 Age 0-5 years 6-18 years 19-50 years 51+years Total 0 0 0 0 Geographic Location Town of Chapel Hill Town of Carrboro Orange County(Outside of Chapel Hill/Carrboro) Outside of Orange County Total 0 0 0 0 Income Low-income(80%of the Area Median Income and Below) Please see income table in the attachments Total 0 0 0 0 Note: Historical Foundation of Hillsborough and Orange County (OCHM) does not capture statistics on gender, ethnicity, or age from museum visitors. In Calendar Year 2019, the Museum hosted 3,643 adults and 505 children despite the Museum being closed from mid-November through December due to building repairs. 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 $9,606 $9,606 $10,000 Total # of Individuals 4,500 (approx.) 4,148 (approx.) 5,000 Cost Per Individual $2.13 $2.32 $2.00 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 Program information P a g e 10 o f 2 1 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 f - ORANGE CT 71IFICARO�! !NA 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. Arts and Culture 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 Design and open two free exhibits, focusing on the OC community objectives and Museum collection Engage 100 people in helping to focus the exhibits through two listening sessions and an online survey. Performance Measure(How will you accomplish your goal?) Monitor number of people coming to the Museum and their comments. Complete collections inventory and then publicize the resources available. One new exhibit was opened (Let's Play) and the permanent collection was actively promoted; bringing Actual Results 4,000+ people into the Museum; several lectures were (Outcome) held; a mural was created; Facebook posts generated Ending FY18-w 1,100 "likes". The website averaged 4,000 "hits" a month. Projected Results Improved fundraising and attendance; increasing the (Outcome) number of people coming to the museum by 500 Ending FY2020 Projected Results Increased participation at lectures, exhibits, and (Outcome) volunteers by 10% from FY2020 Ending FY2021 Participate in the town/countywide effort to coordinate Program Goal# 2 programming across all nonprofits to promote life-long learning and diversity Ensure that Museum activities are coordinated and are Performance Measure synergistic with those of the rest of the nonprofits; (How will you accomplish your goal?) actively participate in meetings; design programs to fit Program information P a g e 12 o f 2 1 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 f - ORANGE CT .\-QX1'I I CARL)LI]' A Outside Agencies/Human Services the overall themes. Actual Results Several lectures were held with broad attendance. (Outcome) Ending FY18-19 Promote three to five lectures; host four (at least) Projected Results school groups; promote She Changed the World (Outcome) events and plan programs around them. (Civil Rights EndingFY2020 and the 1929 Gastonia Mill Strike are already scheduled. Projected Results Build on the coordination and themes outlined by the (Outcome) town/County; focus on bringing more diversity to the Ending FY2021 museum Become more visible in the community as a place where residents and visitors can engage in Program Goal #3 conversations that break down mistrust, misinformation, and ignorance. This gives the museum a unique power to strengthen citizenship values, build community pride, and improve quality of life. Design and hold "listening sessions" at two locations; Performance Measure(How will you accomplish your goal?) use Facebook to prompt conversations about what residents want to see in their Museum. Several lectures, exhibits, and online exhibits in 2019 increased awareness of gender, African American, and Native American history. The Women of Orange temporary exhibit highlighted important women in Actual Results Orange County's history. Online exhibit topics included (Outcome) a video on Occaneechi tribal culture, Robert Fitzgerald, EndingFY18-19 and Wilson Swain Caldwell. By highlighting the historical context of diverse groups within our community, we have engendered increased communications and sense of community. Projected Results Stronger engagement by education community in the (Outcome) museum, with teachers and students seeing and using EndingFY2020 the Museum as a resource. Projected Results Higher visibility— more attendance but also more (Outcome) people seeking out the resources available through the Ending FY2021 museum. Program information P a g e 13 o f 2 1 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 EXHIBIT `B" Scope of Services—FY 2020-21 Outside Agency Performance Agreement Agency Name: Historical Foundation Program Name: Orange County Historical Museum Funding Award: $9,606 Outline how the agency will spend Orange County's funding award. Expense Description Amount Staffing $6,000 Collections Inventory $2,606 Supplies, brochure and signage development $1,000 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2021. Goal 1:Design and open two free exhibits focusing on Orange County community objectives and the museum collection in addition to enhancing the permanent exhibit.Due to Covid-19,exhibitions will be supplemented with online openings if needed. e Goal 2:Participate in the town/countywide effort to coordinate programming across all nonprofits to promote life- long learning and diversity Goal 3:Become more visible in the community as a place where residents and visitors can engage in conversations that break down mistrust,misinformation,and ignorance,putting the museum in a unique position to strength citizenship values,build community pride,and improve quality of life. Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange County,only(all Towns and municipalities). If you use Percentages,you must also provide the total number of participants within that measure's description or for an earlier performance measure. Performance Measures Anticipated Results Goal 1: --Increased --Host 6 Zoom listening sessions with community members over the coming year. participation at --Monitor people coming to the museum,as well as monitoring online activity with the public through the use of lectures and exhibits website and Facebook analytics and interactions. by 10%from --Begin collections inventory and publicize results and resources available. FY2020 --Increased volunteer hours by Goal 2:--Work alongside Alliance for Historic Hillsborough staff to coordinate events,as well as participate in a --Build on bi-annual county wide planning meeting--Host/promote 6 lectures,4 of which will relate to the temporary exhibit coordination and "Yesah:Journeys of the Occaneechi",with the other 2 relating to the temporary exhibit about the music of themes outlined by Hillsborough--Due to Covid-19,the physical hosting of school groups may not occur;however Zoom listening the town and sessions with educators will determine the best program of education activities to design--Promoted Burwell's county 'She Changed the World'lecture on museum Facebook page.Due to Covid,no further projects relating to this --Focus on bringing program are planned. Goal 3:--Host 6 Zoom community listening sessions,the first 3 of which will focus on the business, --Higher visibility rural/agricultural,and educator communities,with the final 3 targeted groups inspired by the outcomes of the and increased previous 3 talks,but likely consisting of members form the political,arts,historian,academic,and youth attendance,whether communities.--Continue using Facebook to interact with the community and potential visitors,engaging them in in person or through website programming and exhibition wise.--Plan,create,and promote 2 new exhibits based on information gathered from and Facebook visits the aforementioned sources as also connects with Goal 1.--Conduct collection inventory and publicize items, --Increased use of online and th ark. Byipes such as the News of Orange,in the collection to engage resources and the museum resources general publ c in r�sing the museum's resources. by the public Certified by S �""I appl'(' Title: Board chair Date: 2/15/2021 ( rovl er's lectronic Signature) "You will sign this document electronically with your performance agreement. DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 �1Erie CERTIFICATE OF INSURANCE DATE ISSUED(MM/DD/YY) .3 1 nsuranaf —THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY— 2/11/21 Home Office • 100 Erie Insurance Place - Erie,Pennsylvania 16530 • 814,870.2000 Toll free 1.800.458,0811 • Fax 814,870.3126 • www.erieinsurance.com NAME AND ADDRESS OF AGENCY THE BALLARD AGENCY AGENT'S NO. NY 105 W KING ST M1010 N E A HILLSBOROUGH NC 27278-2545 Co.:E �RIE INSURANC %RANGE. lNotApplicable Hie Indemnl o. ttorne -In-Fact\\ in NY (919)732-2158 This certificate is issued for information purposes only and confers NAME AND ADDRESS OF NAMED INSURED no rights on the certificate holder. It does not affirmatively or negatively amend,extend,or otherwise alter the terms,exclusions The Historical Foundation of and conditions of insurance coverage contained in the policy(ies) 201 N.Churton St. indicated below.The terms and conditions of the policy(ies)govern the insurance coverage as applied to any given situation.Limits Hillsborough,NC 27278 shown may have been reduced by claims paid.This certificate of insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer and the certificate holder. This is to certiN that policies,as indicated by the Policy Number below,are in force for the Named Insured at the time that the Certificate is being issued. LTR co d'i TYPE OF INSURANCE i0 _' PONY NUMBER ` LIMITSAM Inald E ®GENERAL LIABILITY CH OCCURRENC 1,000,000 Q44 2250193 8/22/20 8/22/21 " ❑X COMMERCIAL GENERAL LIABILITY FIREDAMAGE_(AnyOrire 1 000000 ❑CLAIMS MADE ©OCCUR EXP(Any One Pelsons 5,000 ❑ PERSONAL&ADV.INJURY 1,000,000 � ❑ GENERAL AGGREGATE S 2,000,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG 2,000,000 ®POLICY ❑PROJECT ❑LOG ❑ AUTOMOBILE LIABILITY RODILYINJURY i ❑ "ANYAUTO°(NON HIRED {EACH PER $ 1 80DILYINJURY ^/ ❑OWNED ,,E CHACCI EU, $ � ❑ HIRED 00 PROPERTY DAMAGE = $ ; ❑NON-OWNED '\"BODfLYINJURYAND PROPERTY DAMAGE ❑GARAGE COMBINED $ EXCESS LIABILITY 1 ❑ � EACH�OCCURRENC _.�$Ir � ❑OCCURRENCE PWAGGREGATE W$ $ ❑RETENTION $ $ a A WORKERS COMPENSATION& - � .. L% C\ EMPLOYERS LIABILITY BODILY ACCIDENT $ EACH ACCIDENT INJURY, DISEASE $ POLICY LIMIT BY DISEASE $ EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIV- ERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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). NAME AND ADDRESS OF CERTIFICATE HOLDER Orange County AUTH IZED REPRESENTATIVE PO BOX 8181 Hillsborough,NC 27278 EIG6230 8/11 Page 1 of 2 DocuSign Envelope ID: D44FBOEB-DA34-4A73-A73D-3D95E1AE8OA2 LONG NAME INSURED: The Historical Foundation of Hillsborough and Orange County,Inc. EIG6230 8/11 Page 2 of 2