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HomeMy WebLinkAbout2021-131-E Arts Commission-Hillsborough Arts Council performance agreement DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 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 Hillsborough Arts Council a not-for-profit corporation, located at 102 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 Hillsborough Arts Council 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$12,225. 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$3056.25. The first payment is contingent upon receipt of the agency's performance agreement; the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. d. The County's obligation to make the quarterly payments is contingent upon receipt of Progress Reports, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services. Hillsborough Arts Council Orange County Outside Agency Performance Agreement Revised 712018 Page I of 9 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 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 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. Orange County Outside Agency Performance Agreement Page 2 of 9 Rev. 1121 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 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. Orange County Outside Agency Performance Agreement Page 3 of 9 Rev. 1121 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 7. Relationship of the Parties. Provider is an independent contractor of the County. Provider represents that they have or will secure, at his own expense, all personnel required in performing the services under this Agreement. Such personnel shall not be employees or have any contractual relationship with the County. All personnel engaged in work under this Agreement shall be fully qualified and shall be authorized and permitted under federal, state and local law to perform such services. 8. Compliance with all Laws. The Provider, at its sole expense, shall comply with all laws, ordinances, orders and regulations of the federal, state or local governments, as well as their respective departments, commissions, boards, and officers, which are in effect at the time of execution of this Agreement or are adopted at any time following execution of this agreement. 9. Subcontract. The County and Provider deem the services provided under this Agreement to be personal in nature and Provider may not subcontract any rights or duties under this Agreement to any other party without prior written consent from the County. 10. Assignment. The Provider shall not assign this Agreement,including the rights to payment,to any other party without the prior written consent of the County. 11. Indemnification. Provider agrees to defend,indemnify,and hold harmless the County,for all loss, liability, claims or expense (including reasonable attorney's fees) arising from bodily injury, including death or property damage, to any person or persons caused in whole or in part by the negligence or willful misconduct of the Provider, except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this section to require Provider to indemnify the County to the extent permitted under North Carolina law. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. 12. Non-Appropriation. This Agreement is subject to the availability of funds to purchase the specified services and may be terminated at any time if such funds become unavailable. 13. Non-Discrimination. Provider agrees as part of consideration of the granting of funds by Orange County the parties hereto for themselves,their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender,national origin, age, handicap, religion,sexual orientation,familial status or veterans status with reference to any activities carried out by the grantee,no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Non-discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. 14. Living Wage. Orange County is committed to providing its employees with a living wage and encourages agencies if funds to pursue the same goal. The County's living wage is $ 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 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: Hillsborough Arts Council Orange County Outside Agency Performance Agreement Page 4 of 9 Rev. 1121 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 Orange County 102 N. Churton St., Post Office Box 8181 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 DocuSigned by: 2/15/2021 IVIl�l. I l/AIAnC MoW;� s.,Hillsborough Arts Council Date For and on behalf of Orange County Government DocuSigned by: �jbindML � I, 2/24/2021 4KY?mmersley, County Manager Date Orange County Outside Agency Performance Agreement Page S of 9 Rev. 1121 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C86lC28D8998 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Hillsborough Arts Council Party/Vendor Contact Person Merle Williams Contact Phone: 919/525-9343 Party/Vendor Address: 102 N Churton St. City Hillsborough State:NC Zip:27278 Department: Cn Manager Amount: $12,225 Purpose: 20-21 Outside Agencies Grant Budget Code(s): 10695050 720272 Vendor# 19946 (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: DocuSigned by: Department Director's Signature �r_r S run, Date: 2/15/2021 Agreements for emergency services� &tMfVftWsubject 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 sufficiency of insurance standards,specifications,and requirements: DocuSigned""by. '' Office of the Risk Management Officer USA. (hmk i11ii b Date: 2/22/2021 7FDCF9176800498... Financial Services This instrument has been pre-audited in thegj@41 iS brpuired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officerr_r;-_M Date: 2/22/2021 7D4E5181ACC1409... Legal Services This agreement is approved as to 1 BJfATJaa4d sufficiency: Office of the County Attorney mu_ Date: 2/24/2021 4035CB8304CA4A9... 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:05AC53B6-D6A8-4C58-AE61-C861C28D8998 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:FAW4)- WIww Title: Treasurer Date: 2/15/2021 'ro"RNef s'Signature) Orange County Outside Agency Performance Agreement Page 9 of 9 Rev. 1121 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C86lC28D8998 r,xiuDIL,ft COVER PAGE Applicant Contact Information Applicant Organization's Legal Name: Hillsborough Arts Council Applicant Organization's Physical Address: 102 North Churton Street,Hillsborough—N.C.2 178 Applicant Organization's Mailing Address: 102 North Churton Street, Hillsborough, NC 2727R Applicant Organization's Web Address:www.hillsboroughartscouncil.org Executive Director:Torey Mishoe Telephone Number:919-643-2500 E-Mail:director@hillsboroughartscouncil.org Tax ID Number:56-2163979 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 Oran a Total HS Hill-HS CounttV-HS Ex. Youth Afterschool Program $10,000 $15,000 $5,000 $30,000 Operations or Personnel Operations Personnel Operations Organizational Development for Community Outreach $20,000 $20,000 and Sustainability I Personnel Totals Briefly explain your proposed use of funds: Funds will be used to support the cost of the Executive Director for the Hillsborough Arts Council (HAC).This role supports all arts programs and events,and is critical in creating outreach and educational opportunities for 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: Executive Director Date Signature: , /�3/Zd Zct oar airpe s n Date Cover Page P a g t, 6 o f 2 1 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON DISCRIMINATION CLAUSE Are any of the Board Members or employees of the ngency which will be carrying out this program or members of their Immedlate fdmllles,or their business as%oclntns, YU N_Q ❑ N a)Employees of or closely related to employees of the Town of Carrboro,the Town of Chapel Hill, or Orange County? ❑ El 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? ❑ M c)Current beneficiaries of the program for which funds are being requested? ❑ El 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 can#Ilct may result In the termination of any grant awarded. Signature: _ 1 /131 20 9 0 Cu"v Irector DBtQ Signature: - ` =A$io Board Chairpers Date i 2 1 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year):02 1987 2. Agency's Purpose/Mission (no more than a few sentences): The mission of the Hillsborough Arts Council is to enrich our community through the arts. • Engaging diverse audiences in arts events and educational programs • Fostering recognition and appreciation of the arts • Providing avenues to artists, arts organizations and audiences to connect with one another 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). The Hillsborough Arts Council (HAC) has been successful in promoting the arts through programs and events that serve a growing community. Each year, HAC produces and manages thirteen programs in Hillsborough and Northern Orange County that attract over 30,000 participants. Recent growth has encouraged the HAC board of directors to expand staff needs and hire a full-time executive director to oversee the organization. HAC successfully managed funds provided by local government grants, municipal support, and local agency support.This support has allowed HAC to grow and work towards sustainability. External funding supports partnerships with artists and other organizations and helps HAC provide arts-related events for all ages and diverse community members. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes/No) Yes If yes, is this agency an Orange County Living Wage Certified Employer?Yes If no, please briefly explain. Schedule of Positions: #of FTE—Full-Time Paid Positons: 1 #of FTE—Part-Time Paid Positions: 1 PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 5. Program Name: Organizational Development for Community Outreach and Sustainability Program Primary Contact and Title:Torey Mishoe, Executive Director Telephone Number: 919-643-2500 E-Mail: director@hiIlsboroughartscounciI.org Program information P a g e 8 o f 2 1 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 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) This application supports the full-time Executive Director (ED) position and ensures continuation of the ED's important role in maintaining a high level of educational arts programming and outreach opportunities for the Hillsborough community.The role of the ED is to plan, coordinate, develop, promote, and evaluate HAC's thirteen arts-related programs.These programs create free educational and creative opportunities for the community, encourage widespread participation, and promote access and inclusivity.The ED also ensures HAC's sustainability through fundraising initiatives, organizational and board development, and implementation of the strategic plan.All HAC programs align with BOCC's priority of championing diversity and education. HAC offers accessible visual, literary and performing arts events and programs for all. 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 12,000 12,805 13,200 14,000 Women 18,000 19,208 19,800 21,000 Non-binary/Genderqueer N/A N/A N/A N/A Self-Describe N/A N/A N/A N/A Total 30,000 32,013 33,000 35,000 Race and Ethnicity Black or African-American 7,500 8,004 8,250 8,750 American Indian or Alaska Native 360 384 400 425 Asian 600 641 660 700 White 21,540 22,984 23,690 25,125 Native Hawaiian or other Pacific Islander Two or more races Some other race Total 30,000 32,013 33,000 35,000 Of the above, how many Hispanic/Latino 3,300 3,521 4,950 5,250 Of the above, how many non-Hispanic/Latino 26,700 28,492 28,050 29,750 Total 30,000 32,013 33,000 35,000 Ag� 0-5 years 2,805 2,994 2,000 2,121 6-18 years 4,210 4,492 6,000 6,363 19-50 years 16,835 17,965 22,000 23,335 51+years 6,150 6,562 3,000 3,181 Program information P a g e 9 o f 2 1 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 Total 30,000 32,013 33,000 35,000 Geographic Location Town of Chapel Hill 5,500 5,870 6,000 6,365 Town of Carrboro 1,230 1,312 1,100 1,165 Orange County(Outside of Chapel Hill/Carrboro) 15,950 17,020 16,000 16,970 Outside of Orange County 7,320 7,811 9,900 10,500 Total 30,000 32,013 33,000 35,000 Income Low-income(80%of the Area Median Income and Below) Please see income table in the attachments Total 0 0 0 0 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 43,928 60,820 60,949 Total # of Individuals 32,013 33,000 35,000 Cost Per Individual 1.37 1.84 1.74 9. Performance Indicators For Chapel Hill and Carrboro applicants: Please complete the following chart with information about the Strategic Objective, Intermediate Result, and the Agency Performance Indicator for each program for which you are applying for funding. Please see the Results Framework in the Attachments section as a reference. Program Name: Strategic ❑ Children improve their educational outcomes Objective (please choose onefrom ❑ Residents Increase their livelihood security the Results Framework) ❑ Residents improve their health outcomes Intermediate Insert Intermediate Result here. Result (please choose one from the Results Framework) Pr�siaiii iiiiuiiiiaLiu, DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 RESULTS Actual Projected Projected 2018-19 2019-20 2020-21 Performance Insert Performance Indicator here. Indicators (Please choose at least one performance indicator to report on from the Results Framework,and add additional performance indicators that you would like to report to the Towns. Please insert additional rows as needed,listing one per row). Program information P a g e 11 o f 2 1 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 ORANGE COUNTY �71 I I r ' %11"i r N A 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 Expansion of Community Outreach Programs Performance Measure Student participation in educational arts outreach (How will you accomplish your goal?) programming Actual Results (Outcome) 50 students Ending FY18-19 Projected Results (Outcome) 300 students Ending FY2020 Projected Results (Outcome) 1,000 students Ending FY2021 Program Goal# 2 Program Evaluation Percent of programs (13) evaluated for greater Performance Measure community impact based on educational outreach, (How will you accomplish your goal?) participation, audience size, and accessibility to all members of the community. Actual Results (Outcome) 0 Ending FY18-19 Projected Results 30% (4) __An 19 Program information P a g e 12 o f 2 1 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 ORANGE CCUNTY Nf71'II I t 'AIV)! !NA Outside Agencies/Human Services (Outcome) Ending FY2020 (Projected Results (Outcome) 69% (9) Ending FY2021 Program Goal#3 Professional Development and volunteer training Executive Director will attend an increased number of workshops, classes, or seminars to strengthen HAC's Performance Measure(How will you accomplish your goal?) sustainability and growth. This includes but is not limited to: outreach, inclusion,volunteer training and retention, board development, marketing. Actual Results (Outcome) 1 Ending FY18-19 Projected Results (Outcome) 3 Ending FY2020 Projected Results (Outcome) 5 Ending FY2021 Program information P a g e 13 o f 2 1 DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 Agency Budget Operating Budget for Entire Agency AGENCY NAME: AGENCY REVENUE Actual Estimated Projected Percent Private Donations $ 61,890 $ 78,292 $ 65,000 -17% Agency Generated Revenue (fees) $ 49,336 $ 36,400 $ 43,500 20% Local Government Grants: Human Services-Town of Carrboro $ - $ - $ - 0 Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ - $ - $ - 0 Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ 10,763 $ 12,263 $ 20,000 63% Other-Orange County $ 13,269 $ 9,076 $ 10,000 1 10% Other-Town of Hillsborough $ 50,000 $ 50,000 $ 50,000 0% Other Government Grants Triangle United Way $ - $ - $ - 0 State Government $ - $ - $ - 0 Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ 5,000.00 $ 15,000.00 $ (1.00) Other Revenue $ - $ - $ - 0 Total Agency Revenue $ 190,258 $ 201,031 $ 188,500 -6% AGENCY EXPENSES Compensation $ 43,928 $ 60,820 $ 60,949 0% Rent& Utilities $ 15,419 $ 16,712 $ 21,000 26% Supplies & Equipment $ 13,970 $ 20,601 $ 15,500 -25% Travel &Training $ - $ 581 $ 500 -14% Other Expenses: $ 83,356 $ 116,425 $ 83,500 -28% ME Total Agency Expenses $ 156,673 $ 215,139 1 $ 181,449 -16% SURPLUS/(DEFICIT) FOR PERIOD: , , , o Other-Orange County: This reflects totals from the Orange County Arts Please explain Other Grants Commission. Other-Town of Hillsborough: This reflects Town of Hillsborough, Hillsborough Tourism Board, and Tourism Develoment Authority. Private Foundation Grants: This reflects program specific grants designated for specific projects/events. Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit. Surples reflect HAC's net income for fiscal year's shown. From FY 18-19 to FY 19-20 HAC went from a part-time staff and volunteer run organization to having a full-time staff member. These greater increases in percentages reflect the changes in growth and expense related to the employment of a full-time Executive Director and expansion of HAC. FY 19-20 deficit is related to growth of programs and non-repeating unexpected costs that were incurred under the financial oversight of the executive committee. FY 2018-19 Agency Budget DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 Program Budget Operating Budget for Program PROGRAM NAME PROGRAM REVENUE Actual Estimated Projected Percent Private Donations $ 8,000 $ 22,700 $ 22,200 -2% Program Generated Revenue $ 8,506 $ 11,445 $ 13,149 15% Local Government Grants: Human Services-Town of Carrboro $ - $ - $ - 0 Other-Town of Carrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ - $ - $ - 0 Other-Town of Chapel Hill $ - $ - $ - 0 Human Services-Orange County $ 11,510 $ 10,763 $ 20,000 86% Other-Orange County $ 3,912 $ 3,912 $ 4,000 2% Other-Town of Hillsborough $ 12,000 $ 12,000 $ 1,600 -87% Other Government Grants Triangle United Way $ - $ - $ - 0 State Government $ - $ - $ - 0 Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ - $ - $ - 0 Other Revenue $ - $ - $ - 0 Total Program Revenue $ 43,928 $ 60,820 $ 60,949 0% PROGRAM EXPENSES Compensation $ 43,928 $ 60,820 $ 60,949 0% Rent& Utilities $ - $ - $ - 0 Supplies& Equipment $ - $ - $ - 0 Travel &Training $ - $ - $ - 0 Other Expenses: $ - $ - $ - 0 Total Program Expenses $ 43,928 $ 60,820 $ 60,949 0% SURPLUS/(DEFICIT) FOR PERIOD: - - - Other-Orange County: This reflects general/administrative funds received Please explain Other Grants from the Orange County Arts Commission. Other- Town of Hillsborough: This reflects general funds from the Town of Hillsborough. 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:05AC53B6-D6A8-4C58-AE61-C86lC28D8998 EXHIBIT `B" Scope of Services—FY 2020-21 Outside Agency Performance Agreement Agency Name: Hillsborough Arts Council Program Name: Organizational Development for Community Outreach and Sustain Funding Award: 12,225 Outline how the agency will spend Orange County's funding award. Expense Description Amount Personnel/Salary support 12,225 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2021. • Sustain current programming Survey audiences, monitor analytics, and track and compile data from a variety of sources • Attend on-line and in-person courses and host volunteer trainings 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 yercentaees,you must also provide the total number of participants within that measure's description or for an earlier performance measure. Performance Measures Anticipated Results 1000 Expansion of Community Outreach Programs to reach additional students students 9 programs Program evaluation - creation and implementation of evaluation system for evaluated ongoing programs 5 Professional developmet and volunteer training - number of workshops attended DocuSigne �lt 4L /IdII by: 1 WI�AWS Treasurer 2/15/2021 LCertified by. � Title: Date: (Provider's Electronic Signature) "You will sign this document electronically with your performance agreement. DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 .4c' Ro v� CERTIFICATE 4F LIABILITY INSURANCE F3/2 "2/ M/pDIYYYY) 020 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. II SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain Policies may require an endorsement. A statement on ttris certificate does not carfer rights to the certificate hostler in lieu of such endmarrient(s). !PROULCERCOVrACT j BALLARD AGENCY INC t"E: J. David Ballard PHONE 919 732-2158 PO Box 1559 AlcNo (919)732-9636 j Hillsborough, NC 2727$ ADDRESS balIard@ba11arda enc inc.com 1NSUPER(S) AFFORDING COVERAGE NAMI INSURER A,GREAT AMERICAN INSURANCE CO.A IVSUHED HILLSBOROUGH ARTS COUNCIL INSURER B PO SOX 625 INSURER C HILLSBOROUGH, NC 27278 INSURER0 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 COND17ION 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. INaR G LTR TYPE OF INSURANCE I DOS VrVD POLJCY NUMBER MM1oDM'YY M bfVYYv LIMITS COMMERCIAL GENERAL LIAerLlll' EACH OCCURRENCE t CLAIMS-MADE OCCUR PREMISES Me occurrencB S �GENERAL I]EXP(Any one person)RSONAL&ADV INJUPY $ GEN'L AGGREGATE LIMIT APPLIES PER�IPRO- AGGREGATE g POLICY U JECT LOC PRODUCTS-COMPJOP A(3G 5 OTHER AUTOMOBILE UASILITY Ee accidonl $ ANVAUTO j BODILY INJURY(Per person) s ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Peracadent) & HIRED AU'r45 NON-OWNED AUTOS PROPERTY Per accident) $ UMBRELLA UAB OCCURS EACH OCCURRENCE $ EXCESS L1AB CLAIMS-MADE AGGREGATE $ DIEDRETENTION$ WORKERS COMPENSATION $ AND EMPLCYERS'LIABILITY v;u STATUTE ER ANv "P0PRETOR/PARTNER1EXECIITIVE $ OFFICERWEMBER FXrLU1DE07 NIA E.L EACHACCIDEN7 (Uendldory In NH) ❑ IryyeOS5 describe under E,L DISEASE-EA EMPLOYE 5 OESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s $1,000,000 OCC WRONGFULL A DIRECTOR & OFFICERS EPP4917790 1/16/201/16/21ACTS $1 ,000,000 OCC LIABILITY EMPLOYMENT PRACTICES DESCRIPTION OF OPERATIONS 1 LOCATIONS i VEHICLES (ACORD 101.Additional Rerrft Schedule,maybe attwhed N-ore space Is required) $1,000,000 AGGREGATE LIMIT CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HILLSBOROUGH, NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORI D REPRESENTATIVE .' OO 1988-2014 ACORD CORPORATION, All rights reserved. ACORD25(2414101) The ACORD name and logo are regi r d marks of ACORD DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C86lC28D8998 141 Erie CERTIFICATE OF INSURANCEI nsurancE� —THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY— Hane Office - 100 Erie insurance Place • Erie,Pennsylvania I E53o • 814.870,2000 Tail free 1.800.458.0811 - Fax 614,870,3126 - www.eriehvslrrance,com NAME AND ADDRESS OF AGEWY THE BALI.ARI)AGENCY AGENT'S NO 105 W KING ST J31010 HILLSBOROUGH,NC 27278-2543 Go..E E �SURANC&ICHANGE o pp c e r e In emnl ttorn -in-Fact in My (919)732-2158 This certificate is issued for information purposes on and confers NAME ANDADDR I no rights on the certificate holder. It does net affirmatively or negatively amend,extend,or otherwise altar the terms,eYciusions HILISBOROUGH ART'S COUNCIL and conditions of insurance coverage contained In the policypes) 102 N.CHURTON ST. indicated below.The terms and conditions of the policy(les)govern the Insurance coverage as applied to any given situation.Limits HM SBOROUGH,NC 27278 shown may have been reduced by claims paid,This certificate of insurance does not constitute a contract between the Issuing insprer(s), authorized representative or producer 141 tAe certlflcate holder. This is to cen that policies,as Indleated the Polq Number below,are In force for the coed Insured at the time that the Certificate is beina issued. TYPE OF INSURANCE P UCY BEj LIMITS E ®GENERAL LIABILITY EAGH OCCURRENCE 1000 U00 ®COMMERCIAL GENERALLIABILfTY 032 1000580 1 8/10/19 8/10i20 ❑CLNMS MADE ®OCg1 FIRE DAMAGE Ai Ono FIre 1,000,00() MED EAP Cie Prison 5,000 ❑ PERSONAL 8 ADV.INJURY 1000 000 ❑ GENERALAGGREGATE 2,000, 000 GEN'LAGGREGATE UMfTAPPUEs PER PRODUCTS-COMP/01RAGG 2 OW 000 IER POUCr ❑PROJECT ❑LAC AUTOMOBILE LIABILITY BODILYINJURY ❑"ANYAUTO"(NON OWNlED)° (EACHPfRSON) 5 ❑OWNED BODILYCICNJJllURRY S ❑HIRED PROPERTYDAMAGE Is ❑NON-OWNED BCDILYINJURVAND ❑GARAGE PROPERTYOAAMGE f s COMBINED EXCESS LIABILITY EACHOGCURAENCE S El OCCURRENCE .AGGREGATE Is ❑RETENTION S s s i - E WORKERS COMPENSATION& EMPLOYERS LIABILITY Q85 1800607 1/18/20 1/18/21 BODILY] ACCIDENT S 5OC,O00 EACH ACCIDENT INJURY! DISEASE $ 500,000 PoUCYUNiT OTHER BY ' DISEASE $ 500,000 FACH EMPLOYEE i i I DESCRIPTION OF OPERATIONSILDCATIONS/VERICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CANCELLATIDIII: 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 germs and conditions of the policy,certain policies may require an endorsement A statement on this certificate dDes not confer rights to the certificate holder in lieu of such endorsement(s), NAME AND ADDRESS OF CERTIFICATE HOLDER ORANGE COUNTY AUTHOAM REPRESUMTNE PO BOX 8181 HILLSBOROUGH,NC 27278 EIG6230 Bill Page i of t DocuSign Envelope ID:05AC53B6-D6A8-4C58-AE61-C861C28D8998 �18 Erie CERTIFICATE OF INSURANCE DATE ISSUED(MM/DD/YY) 1 nsuranaf —THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY— 2/13/21 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. �' " " 105 W KING ST 3J 1010 I I A P N HILLSBOROUGH,NC 27278-2545 Co.:E EPIE INSURANC e Indemnity EXCHANGE, (NotApplicable n o. Attorne -In-Fact`` inNI (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 HILLSBOROUGH ARTS COUNCIL and conditions of insurance coverage contained in the policy(ies) 102 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 certify 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. c0 dd'I TYptOFINSURANCE 2,V141. POLICYNUMBER tw LIMITS' y E ®GENERAL LIABILITY1,000,000 Q32 1000580 8/10/20 8/10/21 EACH OCCURRENCE 1 000 000 %q ❑X COMMERCIAL GENERAL LIABILITY FIREDAMAGE(Ary One fire 1,000,000 ❑ ©OCCUR5,000 \\ /CLAIMS MADE MEDfXP An One Person Ac2®r, ❑ PERSONAL&A01 "INJURY 1,000 000 ❑ GENERALAG GATE 2,000 000 ' GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OPAGG 2,000,000 ` ®POLICY ❑PROJECT ❑LOC ❑ AUTOMOBILE LIABILITY 7ESOD(LYINJURY "ANYAUTO" (OWNED HIRED, (EACH PERSON) $ ,V. ❑ NON-OWNED) ;B DILYINJURY �' ❑OWNED EACHACCIDEN $ ". . ❑HIRED "PRU DAMAGE-, '$ ❑ NON-OWNED BODILY-INJURYAND ;, ❑GARAGE PROPERTY DAMAGEZ� nCOMBINED $ ❑EXCESS LIABILITY EACH OCCURRENCE $ � r ❑OCCURRENCE AGGREGATE $ $ 0111 ❑ RETENTION $ %k" '$ ' E WORKERS COMPENSATION& EMPLOYERS LIABILITY Q85 1800607 1/18/21 1/18/22 BODILY ACCIDENT $ 500,000 EACH ACCIDENT *" INJURY DISEASE $ 500,000 POLICY LIMIT BY DISEASE $ 500,000 EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 AUTHO ED REPRESENTATIVE PO Box 8181 Hillborough,NC 27278 EIG6230 8/11 Page 1 of 1