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HomeMy WebLinkAbout2021-132-E-County Manager-Historic Hillsborough Commission outside agency grant DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 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 Historic Hillsborough Commission, a not-for-profit corporation, located at 319 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 Historic Hillsborough Commission 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$9,054. 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$2263.50. 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. 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. Historic Hillsborough Commission Orange County Outside Agency Performance Agreement Revised 712018 Page I of 9 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 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:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 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:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 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: Orange County Outside Agency Performance Agreement Page 4 of 9 Rev. 1121 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 County: Finance&Administrative Services Provider: Historic Hillsborough Orange County Commission Post Office Box 8181 319 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 rssDocuSigned by: ar I pamS 2/15/2021 1€lp*ffl4BAlliance for Historic Hillsborough Date Fo&of4pdgybehalf of Orange County Government 2/24/2021 onnie Rammersley, County Manager Date Orange County Outside Agency Performance Agreement Page S of 9 Rev. 1121 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Historic Hillsborough Commission Party/Vendor Contact Person: Sarah Parris Contact Phone: 919/732-7451 Party/Vendor Address: 319 N Churton St. City Hillsborough State:NC Zip:27278 Department: Cn Manager Amount: 9054 Purpose: 20-21 Outside Agencies Grant Budget Code(s): 10695050 710005Vendor#33006 (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:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 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. Docu Signed by: Certified by: sarAL pamS Title: Executive Director Date: 2/15/2021 roviee4s'Signature) Orange County Outside Agency Performance Agreement Page 9 of 9 Rev. 1121 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 EXHIBIT A COVER PAGE Applicant Contact Information Applicant Organization's Legal Name:Alliance for Historic Hillsborough Applicant Organization's Physical Address: 150 E. King St., Hillsborough, NC 27278 Applicant Organization's Mailing Address: 150 E. King St, Hillsborough, NC 27278 Applicant Organization's Web Address:www.historicHillsborough.org Executive Director: Sarah Parris Telephone Number:919.732.7741 E-Mail:sarah@historichilisboroughl.org Tax ID Number: 56-1818934 Funding Request: $9,200 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 Visitor Services,Burwell School Historic Site 9,200 9,200 Totals 9,200 9,200 Briefly explain your proposed use of funds: Funds will support visitor services at the Burwell School Historic Site, administered through the Alliance for Historic Hillsborough. Funding will support the provision of tours, programs and services to 4000+schoolchildren and adults from all areas of the county and the state at the 200-year-old historic house museum,the only such site in Orange County that is open to the public free of charge year-round. 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: �� ��wc o / Z JV 1-2-0 Executive Director Date Signature: ( 1 )4 /2,0 and Chairperson Date Cover Page P a g e 6 o f 2 3 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 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 ❑ 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: e 41L. / ,/ I�/ �2a Executive Director Date Signature: / ,01"43ard Chairperson Date Cover Page P a g e 8 o f 2 3 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): Alliance for Historic Hillsborough: November 1993 Historic Hillsborough Commission: 1963 2. Agency's Purpose/Mission (no more than a few sentences): Alliance for Historic Hillsborough: "To inspire visitors and residents to experience authentic Hillsborough." Historic Hillsborough Commission: "To maintain and preserve the Burwell School Historic Site; to interpret the history of 19th century Hillsborough for the enrichment of the public; and to celebrate and promote the culture and heritage of Hillsborough and 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). For the past fifty years the Burwell School has offered a myriad of visitor services. We average between 4000 and 5000 visitors annually and have enhanced our site interpretation to incorporate the story of Elizabeth Keckly and other persons of color. A self- guided tour is available so that visitors can appreciate the significance of the site. We host public events each month covering a range of topics. The HHC has received financial support from both Orange County Human Services and the Hillsborough Tourism Board annually and has carried out timely and complete reporting and implementation of all program requirements. 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. Alliance for Historic Hillsborough: 3 Full-Time Paid Positions (37.5 hours per week) Executive Director Program Coordinator Communications and Visitor Services Coordinator Historic Hillsborough Commission: Schedule of Positions: 0 Full-Time Paid Positions; five part time paid positions, TOTAL .95 FTE staff Site Manager 0 .5 FTE (20 hours per week); Historical Coordinator 0.25 FTE (20 hours per week) Program information P a g e 9 o f 2 3 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 Three weekend docent guides, (one on site each weekend day/( 8 hours per week) = total 0.2 FTE PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 5. Program Name: Management of Visitor Services at the Burwell School Historic Site administered by the Alliance for Historic Hillsborough Program Primary Contact and Title:Sarah Parris, Executive Director Telephone Number: 919.732.7741 E-Mail: sarah@historichillsborough.org 3. 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 Grange County BOCC Goals and Priorities, and the target population to benefit from the program. (100 words or less). In order to make the best use of time and resources, the Alliance for Historic Hillsborough and the Historic Hillsborough Commission have established a managerial relationship for the purpose of improving efficiency and effectiveness of visitor services at the Burwell School Historic Site. The employees at the Burwell School will be supervised and employed through the Alliance which will also oversee other aspects of operations, with full input at from the Historic Hillsborough Commission regarding program content and planning. This aligns in particular with the following BOCC goal: "Ensure a high quality of life and lifelong learning that champions diversity, education at all levels, libraries, parks, recreation, and animal welfare." The Burwell School has been an instrumental part of Hillsborough and Orange County's historic built landscape since the 1970's. We welcome visitors of all ages annually and encourage them to learn about the early girls' academy here, the story of Burwell enslaved servant Elizabeth Keckly, the refuge of the Collins family during the Civil War, and life in the 19t" century. The target populations for the visitor services are adults and children of all ages and backgrounds, for whom tours, lessons and experiences are carefully researched and offered. The goal of the program is to manage and provide free and inspiring visitor services at the Burwell School Historic Site for all ages and groups. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. Program Target Population Demographics: Burwell School Historic Site Program information o s 2 3 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 Projected Actual Projected Projected 2018-19 2018-19 2019-20 2020-21 Gender Men 2000 2000 2000 Women 2000 2000 2200 Nonbinary/Genderqueer Not known Self-Describe Not known Total 4000 4200 4000 4200 Race and Ethnicity: Not possible to determine or predict in advance the ethnicity of visitors. 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 Not Not known Of the above, how many Hispanic/Latino Not known known Not known Of the above, how many non-Hispanic/Latino Total 0 0 4000 4200 Age NOTE: Not possible to predict or control—numbers are ESTIMATES 0-5 years 50 50 50 50 6-18 years 450 450 450 450 19-50 years 1500 1500 1500 1500 51+years 2000 2000 2000 2000 Total 4000 4000 4000 1 4200 Geographic Location(based on previous visitor entries in visitor log on site) Town of Chapel Hill 150 150 150 Town of Carrboro 150 150 150 Orange County(Outside of Chapel Hill/Carrboro) 2000 2000 2000 Outside of Orange County 700 700 1000 Total 4000 4000 4000 4200 Income Not possible to determine Low-income(80%of the Area Median Income and Below) Please see income table in the attachments Not Total 1 Not known known Not known Not known NOTE: The Burwell School is a destination of choice for visitors from across Orange County and beyond. These visitors may voluntarily provide information regarding their home location on a Program information P a g e 1 1 o f 2 3 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 ORANGE COUNTY -N014k 11 (L +(-) 1. 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. Arts and Culture Maintain the Burwell School Historic Site for the benefit Program Goal# 1 of visiting Orange County residents and others. Performance Measure Site interiors and grounds maintained for safe access, (How will you accomplish your goal?) comfort and security for all visitors. Burwell School site will be maintained and operated to be Actual Results available to visitors five days a week, for a total of 23 (Outcome) hours per week,with additional hours provided to school Ending FY18-19 groups (public, private, homeschool) and Girl Scouts troops. App. 4,200 visitors of all ages safely and comfortably Projected Results participate in engaging tours and programs, educational (Outcome)Ending FY2020 programs, and cultural events at the Burwell School Historic Site. Projected Results App. 4,200 visitors of all ages participate in engaging (Outcome) tours and programs, educational programs, and cultural Ending FY2021 events at the Burwell School Historic Site. Provide free self-guided and docent-led historical tours of Arts and Culture the Burwell School Historic site's three buildings,with Program Goal#2 attention paid to relevant aspects of women's education and history and the lives of all residents during the 19 century, including enslaved and free persons of color. Performance Measure Maintain and update tour content based on research, (How will you accomplish your goal?) train docents and greeters, maintain visitor logs, and Program information Page J 'i o f 23 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 ORANGE COUNTY "k0l{:111 C--�R )LlN-X Outside Agencies/Human Services design customized tours for school children, college students, Girl Scouts and senior groups. 4000 visitors, including school students and Girl Scouts Actual Results from Orange County and beyond participate in guided (Outcome)Ending FY18-19 tours, educational/cultural programs and community events. App. 4000 +visitors of all ages safely and comfortably Projected Results participate in engaging tours and programs, educational (Outcome)Ending FY2020 programs, and cultural events at the Burwell School Historic Site with positive responses on visitor logs. Projected Results App. 4200 + visitors of all ages safely and comfortably (Outcome) participate in special events honoring the site Ending FY2021 bicentennial. Arts and Culture Conduct and make available ongoing research into the Program Goal#3 lives of all individuals associated with the site's 19th century history,including persons of color. Research information validated and entered into the Performance Measure Burwell School's online, free database, the People of'the (How will you accomplish your goal?) Burwell School Community-wide Task Force prepared for the presentation of a series of programs and exhibits honoring the bicentennial of Elizabeth Hobbs Keckly, formerly an enslaved servant at the School (1835—42), Actual Results later a businesswoman, activist, dressmaker, confidant to (Outcome) Mary Lincoln and author. Community task force Ending FY18-19 researched and produced a report,in Febuary 2019, on the people of color associated with the operation of the Burwell School, 1835—1837. Presented in a community forum February, 2019. Research results regarding Orange County/Hillsborough Projected Results people of color—enslaved and free- associated with the (Outcome) Burwell School will be ongoing, and entered into the Ending FY2020 publicly available online database via www.burwellschool.or Research results regarding Orange County/Hillsborough Projected Results people of color associated with the Burwell School (Outcome)Ending FY2021 property will be reviewed and entered into the online database via www.burwellschool.or . Program information P a g e 1 5 o f _ 3 DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 Agency Budget Operating Budget for Entire Agency AGENCY NAME: The Alliance for Historic Hillsborough-Tourism and Visitor Services Budget Actual Estimated Projected Percent AGENCY REVENUE 2018-19 2019-20 2020-21 Change Private Donations $ 1,183 $ 1,300 $ 1,000 -23% Agency Generated Revenue (fees) $ 3,704 $ 4,300 $ - -100% 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 $ - $ - $ - 0 Other- Orange County $ - $ - $ - 0 Other- Town of Hillsborough $ - $ - $ - 0 Other Government Grants Triangle United Way $ - $ - $ - 0 State Government $ - $ - $ - 0 Federal Government (CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ - $ - $ - 0 Other Revenue $ 226,552 $ 210,000 $ 200,000 $ (0.05) Total Agency Revenue $ 231,439 $ 215,600 $ 201,000 019% AGENCY EXPENSES Compensation $ 133,545 $ 142,227 $ 144,000 Rent& Utilities $ 9,140 $ 9,120 $ 9,150 0% Supplies & Equipment $ 2,714 $ 2,000 $ 2,500 25% Travel &Training $ 1,023 $ 2,000 $ 2,000 0% Other Expenses: programs, overhead, capital E $ 67,370 $ 61,603 $ 62,000 1 Total Agency Expenses $ 213,792 $ 216,950 1 $ 219,650 1 1 SURPLUS/(DEFICIT) FOR PERIOD: $ 17,647 1 $ (1,350) $ (18,650) -1281% FY 2018-19 Agency Budget DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 Agency Budget Operating Budget for Entire Agency AGENCY NAME: The Alliance for Historic Hillsborough-Friends of the Alliance Budget Actual Estimated Projected Percent AGENCY REVENUE 2018-19 2019-20 2020-21 Change Private Donations $ 422 $ 650 $ 300 -54% Agency Generated Revenue (fees) $ - $ - $ 4,500 0 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 $ - $ - $ - 0 Other- Orange County $ - $ - $ - 0 Other- Town of Hillsborough $ - $ 10,000 $ 10,000 0% Other Government Grants Oln Triangle United Way $ - $ - $ - 0 State Government $ 2,000.00 $ 2,000.00 $ 2,000.00 $ - Federal Government (CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ - $ - $ - 0 Other Revenue $ - $ - $ - 0 Total Agency Revenue $ 2,422 $ 12,650 $ 16,800 33% AGENCY EXPENSES Compensation $ - $ - $ - 0 Rent& Utilities $ - $ - $ - 0 Supplies & Equipment $ - $ - $ - 0 Travel &Training $ - $ 1,000 $ 1,000 0% Other Expenses: board, dues, insurance, mark $ 3,380 $ - $ 4,071 0 Total Agency Expenses I $ 3,380 $ 1,000 1 $ 5,071 1 407% SURPLUS/(DEFICIT) FOR PERIOD: 1 $ (958)1 $ 11,650 1 $ 11,729 1 1% FY 2018-19 Agency Budget DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 PROGRAM OPERATING BUDGET PROGRAM NAME: Burwell School Historic Site Visitor Services Actual Estimated Projected Percent PROGRAM REVENUE 2018-19 2019-20 2020-21 Change Private Donations $ 11,700 $ 30,000 $ 30,000 0% Program Generated Revenue $ 22,000 $ 7,000 $ 7,000 0% 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. $ - $ - $ - 0 Other- Orange County $ 9,026 $ 9,054 $ 9,200 2% Other-Town of Hillsborough $ 25,000 $ 26,139 $ 26,139 0% Other Government Grants Triangle United Way $ - $ - $ - 0 State Government (NC Humanities Co.) $ 3,500.00 $ - $ - 0 Federal Government (CDBG/HOME/etc.) $ - $ - $ - 0 Private Foundation Grants $ 5,200.00 $ - $ - 0 Other Revenue $ - $ - $ - 0 Total Program Revenue $ 76,426 $ 72,193 $ 72,339 0% PROGRAM EXPENSES Compensation $ 29,288 $ 35,000 $ 36,250 4% Rent& Utilities $ 8,000 $ 8,000 $ 8,000 0%/- Supplies & Equipment $ 3,000 $ 5,000 $ 5,000 0% Travel &Training $ - $ - $ - 0 Other Expenses: site safety and access, ground $ 22,000 $ 22,000 $ 22,000 0% Total Program Expenses $ 62,288 $ 70,000 $ 71,250 1 2% SURPLUS/(DEFICIT) FOR PERIOD: $ 14,138 $ 2,193 $ 1,089 -5001/ Please explain Other Grants Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit. DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 THE ALLIANCE FOR HISTORIC HILLSBOROUGH Sarah Parris The Alliance for Historic Hillsborough 150 E. King Street Hillsborough, NC 27278 (919)732-7741 sarah@historichillsborough.org January 14, 2020 To Whom It May Concern: The Alliance for Historic Hillsborough is applying for an Orange County Outside Agencies Grant on behalf of the Burwell School Historic Site for FY21. On January 1, 2020 the Alliance entered into a Management Services Agreement with the Burwell School in order to handle administrative affairs for the site. As such, we are serving as the fiscal agent and applicant for this year's grant. Any grant funds awarded should be paid directly to the Alliance for Historic Hillsborough. Should you have any questions or concerns, please do not hesitate to contact Sarah Parris, executive director, at 919-732- 7741 or sarah@historichillsborough.org. Thank you for your consideration, Sarah Parris ;Historic rooks Gra2orough Executive Director Hillmmission, Chair DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 EXHIBIT `B" Scope of Services—FY 2020-21 Outside Agency Performance Agreement Agency Name: Historic Hillsborough Commission Program Name: Visitor Services Funding Award: 9054 Outline how the agency will spend Orange County's funding award. Expense Description Amount Overhead-Utilities(electric,gas,water, phone&internet) 3200 Overhead-Other(Safety&Security,Bank Charges&PO Box,Property fee, Insurance,License) 250 Buildings&Grounds(incl.Groundskeeping, Pest Control, Maintenance) 5604 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2021. • 1. Maintain the Burwell School Historic Site • 2.Provide offerings to the public about women's education,history and all of Burwell's residents during the 19th century.We will provide in-person tours once COVID-19 rules allow us to open,and we will provide a wealth of online offerings while we remain under mandate to be closed. • 3.Conduct&make available ongoing research into lives of all individuals associated with the site's 19th century history,including persons of color. 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 *Expected 1. Site interiors & Grounds maintained for safe access, comfort and security for -4000 the site, staff, volunteers and all visitors. people. 2.When allowed to open again:Maintain&update tour content based on research,train docents&greeters,maintain *Expected visitor logs&design custom tours for students,Girl Scouts,senior groups and more.While closed:To maintain and add p to our online offerings to entertain and educate the public.Our online offerings include an active social media presence, ^-4000 virtual programs,an online exhibit,a video series about the history of the site and the people who lived there,and more. people. 3. Research information validated and entered into the Burwell School's online, free *N/A database (People of the Past) on our website. Research will also be evidenced in videos and exhibits. DocuSigned by: Certified by saraL DAMS Title: Executive Director Date:2/15/2021 ( rovt er s Tectronic Signature) **You will sign this document electronically with your performance agreement. DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 708/20/2020 E(MM/DD/YYYY) AC®R®® CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Carla Moore Colonial Insurance Agency Hillsborough AICNN EXt: (919)732-2191 A/C No): (919)732-2192 103 Millstone Dr. Suite E-MAIL ADDRESS: Cara colonial-a en ADDRESS: C� g cY.com Po Box 490 INSURER(S)AFFORDING COVERAGE NAIC# Hillsborough NC 27278 INSURER ; Auto Owners Ins Cc 18988 INSURED INSURER B ALLIANCE FOR HISTORIC HILLSBOROUGH INSURER C: 150 E King St INSURER D INSURER E Hillsborough NC 27278 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER MM/DDIYYYY Y MM/DD/Y Y LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 �/ DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 50000 MED EXP(Any one person) $ 5000 A Y N 35097265 11/03/2019 11/03/2020 PERSONAL&ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 X POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2000000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Peraccident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY A OFFICER,MMEMBOER XCLUD DXECUTIVE Y❑ N/A N 35097281 11/03/2019 11/03/2020 E.LFJtCHACCIDENT $ 100000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Orange County is listed as additional insured with reference to General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS. Risk Manager PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:8C3F60DE-6E3D-42CA-B364-FB7D449BBC74 701/06/2021 E(MM/DD/YYYY) AC®R®® CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Carla Moore Colonial Insurance Agency Hillsborough AICNN EXt: (919)732-2191 A/C No): (919)732-2192 103 Millstone Dr. Suite E-MAIL ADDRESS: Cara colonial-a en ADDRESS: C� g cY.com Po Box 490 INSURER(S)AFFORDING COVERAGE NAIC# Hillsborough NC 27278 INSURER ; Auto Owners Ins Cc 18988 INSURED INSURER B ALLIANCE FOR HISTORIC HILLSBOROUGH INSURER C: 150 E King St INSURER D INSURER E Hillsborough NC 27278 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER MM/DDIYYYY Y MM/DD/Y Y LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 �/ DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 50000 MED EXP(Any one person) $ 5000 A Y N 35097265 11/03/2020 11/03/2021 PERSONAL&ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 X POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2000000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Peraccident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YTATUTE ER A OFF,ANY CER,MMEMBOEREXRCLUDwDALCUTIVE ❑ N/A N 35097281 11/03/2020 11/03/2021 E.L.E.L.EACHAccIDENT $ 100000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Orange County is listed as additional insured with reference to General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS. Risk Manager PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD