Loading...
HomeMy WebLinkAbout2021-201-E-Human Rights Relations-Refugee Coummunity Partnership-Budget DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT,made and entered into the first day of July, ("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 Refugee Community Partnership, a not-for-profit corporation, located at 117 W.Main St, Carrboro,North Carolina 27510("Provider"). i WITNESSETH: I 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 Refugee Community Partnership 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 j program and procedures necessary to properly and fully complete the work set forth in the j Scope of Services. j I 3. Funding. J 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$12,159. 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 j 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$3,039.75. 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. i 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. Refugee Community Partnership Orange County Outside Agency Performance Agreement Revised 712018 Page I of 9 j I DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A 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 j fiscal years. i 4. Agency Reporting. I 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. I 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 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 j residents during the term of this Agreement; or i i 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 j 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. I i Orange County Outside Agency Performance Agreement Page 2 of 9 Rev. 1121 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A c. Notwithstanding the foregoing,either parry may terminate the agreement at any time without penalty; provided that written notice of such termination is furnished to the other party at least 30 days prior to termination. In the event of such termination, any payment due shall be prorated to the date of termination and any unused funds shall be returned to the County within 10 days of termination. d. Any termination of this Agreement for default under this section that is later deemed to be I unjustified shall be deemed a termination for convenience. i I 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: i INSURANCE DESCRIPTION MINIMUM REQUIRED COVERAGE • Worker's Compensation Limits for Coverage A- Statutory State NC &Coverage B -Employers Liability j $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 j $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 i 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:6F4743BF-4EA0-4961-AF93-D6509976FC9A 7. Relationship of the Parties. Provider is an independent contractor of the County. Provider represents that they have or will secure, at his own expense, all personnel required in performing the services under this Agreement. Such personnel shall not be employees or have any contractual relationship with the County. All personnel engaged in work under this Agreement shall be fully qualified and shall be authorized and permitted under federal, state and local law to perform such services. 8. Compliance with all Laws. The Provider, at its sole expense, shall comply with all laws, ordinances, orders and regulations of the federal, state or local governments, as well as their respective departments, commissions, boards, and officers, which are in effect at the time of execution of this Agreement or are adopted at any time following execution of this agreement. 9. Subcontract. The County and Provider deem the services provided under this Agreement to be personal in nature and Provider may not subcontract any rights or duties under this Agreement to any other party without prior written consent from the County. 10. Assignment. The Provider shall not assign this Agreement,including the rights to payment,to any other parry without the prior written consent of the County. I 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 Provides shall be in writing and mailed to the party addressed as follows: County: Finance&Administrative Services Provider: Refugee Community Partnership Orange County Outside Agency Performance Agreement Page 4 of 9 Rev. 1121 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A Orange County 117 W.Main St, Post Office Box 8181 Carrboro,NC 27510 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. I 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. I 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. Fora mhe&aJfiflf the Provider haksbn, ( y's 4/23/2021 Madison Hayes,Executive Director Date For and16:61VUL/Ut'wJte; aca_,�Orange County Government (1tUMwtt,V'Sbt 4/23/2021 Bonnie 11 mmersley, County Manager Date Orange County Outside Agency Performance Agreement Page 5 of 9 Rev. 1121 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A ORANGE COUNTY—DEPARTMENT USE ONLY P /Vendor Name: Refugee Community Partnership Pa /Vendor Contact Person: Madison Hayes Contact Phone: Party/Vendor �: tv p Party/Vendor 919-740-5795 Party/Vendor Address: 117 W Main St. City: Carrboro State: NC Zip: 27510 Department: Human Rights&Relations Amount: $3,000.00 Purpose: Budget Code(s): Vendor#800679 (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: July 1,2020 to June 30,2021 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: DocuSignepd�by: Department Director's Signature '\ Date: 4/22/2021 Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: j Information Technolosies (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: i Risk Management This agreement is approved for sufficiency of insuranc -6Wspecifications,and requirements: Q�tSa CbV1n t{�b 4/26/2021 Office of the Risk Management Officer 8 Date: Financial Services This instrument has been pre-audited in the manner requ' "8nL%E Government Budget and Fiscal Control Act: el-N '�`�" °'� 4/26/2021 Office of the Chief Financial Officer Date: Legal Services This agreement is approved as to legal form and suffici Docusigned by: 7Q79A4D525GGF4FR ikv- A yif, SCD 4/26/2021 Office of the County Attorney Date: 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:6F4743BF-4EA0-4961-AF93-D6509976FC9A Exhibit A Provider's Outside Agency Application Orange County Outside Agency Performance Agreement Page 7 of 9 Rev. 1121 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A COVER PAGE Applicant Contact Information Applicant Organization's Legal Name: Refugee Community Partnership Applicant Organization's Physical Address: 117 W Main St,Carrboro, NC 27510 Applicant Organization's Mailing Address: 117 W Main St,Carrboro, NC 27510- Applicant Organization's Web Address:www.refugeecommunitVpartnership.org Executive Director: Madison Haves j Telephone Number: 919-740-5795 E-Mail: madison@rcpteam.org i Tax ID Number:26-3608741 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) j Program Carrboro- Chapel Orange Total HS. Hill-HS County-HS Ex. Youth AfterschoolProgram $10,000 $15,000 $5,000 $30,000 Operations or Personnel Operations Personnel Operations Bridge Builders Program staff salaries;operations $9,000 $20,000 $15,000 $49,000 Operations Personnel Personnel j E i Totals $9,000 $20,000 $15,000 $49,000 f I I' Briefly explain your proposed use of funds: Funds will be used to support program staff salaries;office rent; interpreters for client communications;and program supplies I I I To the best of my knowledge and belief all information and data in this application is true and ? current. The document has been duly authorized by the governing board of the applicant. Signature: January 12,2020 Executive Direct Date Signature: January 12,2020 Board Chairperson Date Cover Page Page 6 of 21 I DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON DISCRIMINATION CLAUSE Are any of the Board Members or employees of the agency which will be carrying out this program or members of their immediate families, or their business associates. YES NO ❑ © a) Employees of or closely related to employees of the Town of Carrboro,the Town of Chapel Hill, or Orange County? ❑ bZ 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? ❑ V c)Current beneficiaries of the program for which funds are being requested? ❑ ® d) Paid providers of goods or services to the program or having other financial interest in the program? if you have answered YES to any question, please provide a full explanation below. NON-DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to the parties hereto for themselves,their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race,color,gender, national origin,age, handicap,religion,sexual orientation, gender identity/expression,familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Anti-discrimination Policy. This provision is enforced by action for specific performance, injunctive relief,or other remedy as by law provided;this provision shall be binding on the grantees,the successors and assigns of the parties hereto with reference to the above subject manner. To the best of my knowledge and belief all of the above information is true and current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the program ineligible for funding,but the existence of an undisclosed conflict may result in the termination of any grant awarded. Signature: January 12,2020 Executive Directo Date Signature: _zl� January 12,2020 Board Chairperson Date Cover Page P a g e 7 0 f � 7 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A i I I � AGENCY INFORMATION i Please provide the following information about your agency: i 1. Date of Incorporation (Month/Year):09 2008 f i 2. Agency's Purpose/Mission (no more than a few sentences): The Refugee Community Partnership (RCP) addresses the social and economic factors that drive refugees into cyclical poverty and social isolation upon resettlement to Orange County. Through long term relationship-based support, opportunity development, and language justice, RCP facilitates the following topline priorities: Employment& Income; Housing; Health Care;Access to Community Resources&Services; Social Bonding &Bridging;and Language Access. 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). RCP's Bridge Builders has garnered national attention as a community-driven model for refugee support and integration. Supported by the Towns of Carrboro and Chapel Hill, and Orange County, Bridge Builders was launched in 2011 and has soared from 164 participants to over 500 in just three years. Each year, we have carried out programmatic activities within our budget, and have completed all reporting requirements within the Towns' and County's time frames. i RCP won the Triangle Community Foundation's 2017 Social Innovation Award, and the 2019 GSK IMPACT Award for Bridge Builders, RCP's Executive Director won the Roddenberry Fellowship for the Bridge Builders model. RCP collaborates with 32+ agency partners —from medical clinics to school social workers to public housing -to create tailored and streamlined "referral pathways," eliminating the logistical barriers to accessing services across sectors—like complexity of applications and eligibility rules; inaccess to required support documentation; language barriers; and reverification processes that result in termination. This accompaniment model aims to produce real cost savings for both the j resident and their service providers. In 2019, 220 Bridge Builders provided over 2,000 hours of personal accompaniment to 530 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: 3 #of FTE—Part-Time Paid Positions:—4— Program information Page 8 of 21 ! DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 5. Program Name: Bridge Builders Program Primary Contact and Title: Madison Haves Telephone Number: 919-590-5910 E-Mail: madison@rcpteam.org 6. Please briefly describe the proposed program, including an explanation of how it aligns with the Town of Chapel Hill and Carrboro's Results Framework, and Orange County BOCC Goals and Priorities, and the target population to benefit from the program. (100 words or less) Bridge Builders provides its 600+ members—hailing from Burma, El Salvador, the Congo, and Syria, 98% of whom live under the FPL—with one-on-one support to build personalized pathways out of poverty. Trained volunteers serve. as personal navigators, assisting members to achieve their social mobility goals. Every week, RCP Members and their volunteer work together to find gainful employment, secure affordable housing, access medical care, and connect to community services and opportunities.With language inaccess being the primary threat to refugee and immigrant communities' health and financial security, volunteers serve as language brokers, "cultural consultants", and emergency contacts, accompanying Members to everything from job interviews, medical appointments, and parent-teacher conferences. 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. 2019-20 2020-21 Gender Men 230 250 295 315 Women 210 230 275 295 Nonbinary/Genderqueer Self-Describe Prograrn information P a g e 9 o f 2 1 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A I I i I i Total 440 480 570 610 Race and Ethnicity Black or African-American , 81 87 137 167 I American Indian or Alaska Native Asian 338 368 433 443 White Native Hawaiian or other Pacific Islander Two or more races Some other race 25 25 Total 440 480 570 610 12 Of the above,how many Hispanic/Latino 0 4 8 Of the above,how many non-Hispanic/Latino 440 476 562 598 Total 440 480 570 610 Age 0-5 years 59 64 76 81 6-18 years 180 196 232 248 i i I 19-50 years 196 213 253 270 51+years 5 7 9 11 Total 440 480 570 610 Geographic Location Town of Chapel Hill 262 261 306 326 Town of Carrboro 160 174 211 220 Orange County(Outside of Chapel Hill/Carrboro) 18 20 23 25 Outside of Orange County 0 25 30 39 Total 440 480 570 610 I Income Low-income(80%of the Area Median Income and Below) Please see Income table in the attachments 440 480 Total 440 480 1 570 610 I I 1 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 $94,990 $106,260 $118,230 Total# of Individuals 480 570 610 Cost Per Individual $198 $186 $194 i 9. Performance Indicators Program information P a g e 10 o f 2 1 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A 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: Bridge Builders Strategic ❑ Children improve their educational outcomes Objective (please choose onefrom X Residents Increase their livelihood security the Results Framework) ❑ Residents improve their health outcomes Intermediate Insert Intermediate Result here. Result 2.1 Residents access the most appropriate social safety net services (please choose one from the Results Framework) RESULTS Actual Projected Projected 2018-19 2019-20 2020-21 Performance Insert Performance Indicator here. Indicators 80%of Members completed all of 85%(306 of 95%(465 of 490) 98%(514 of 525) (Please choose at least their referrals 440) one performance indicator to report on fi•oin the Results Framework,and add additional pea fornaance Indicators that you world like to report to the Towns. Please Insert additional rows as needed,listing one per row). Prograrn information P a g e I '? o f 2 1 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A k I i i U . j 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. Human Rights and Community 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 Members are able to access the community services and j resources they need to increase their security Following referrals,Members are provided language j Performance Measure accompaniment to attend and meaningfully participate in (Horn will you accomplish your goal?) appointments with service providers (medical, social { services, school, etc Actual Results Members attend and meaningfully participate in 273 critical (Outcome) appointments Ending FY18-19 Projected Results Members will attend and meaningfully participate in 415 (Outcome) critical appointments Ending FY2020 Projected Results Members will attend and meaningfully participate in 585 (Outcome) critical appointments Ending FY2021 Program Goal#2 Members improve their financial security Members decrease household expenses by accessing eligible I Performance Measure benefits,terminating contracts with fraudulent or predatory (How will you accomplish your goal?) service providers, and identifying and eliminating unnecessary payments Actual Results 120 households reduced their expenses by$63,190 (Outcome) Ending FY18-19 Program in ora)ation P a g e 12 o f 2 1 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A RA COUNTY Outside Agencies/Human Services Projected Results 150 households reduced their expenses by$90,300 (Outcome) Etidhig FY2020 Projected Results 170 households reduce their expenses by$120,400 (Outcome) Etidhig FY2021 Program Goal#3 Members receiving housing support successfully secure, and retain, stable housing that they can afford Performance Measure #New leases started,#of leased renewed (How will you accomplish your goal?) Actual Results 35 families acquired new housing (Outcome) 48 families retained their housing Ending FY18-19 Projected Results 45 families acquire new housing (Outcome) 52 families retain their housing Ending FY2020 Projected Results 55 families acquire new housing (Outcome) = 65 families retain their housing Ending FY2021 Program information P age 13 o f 2 ± DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A i I ii i a s o 0 0 0 o 0 0 0 0 O �t CA In d O N N O CD � y N M 1- 00 C0 O O Ch O C 0 0 O O O O m LO 0 uO o 0 0 C� 0 m m r- Co r` 0 ' 0 ' 0 ' ' ' O c o M o N 0 O o O 0 d LO C1 G u7 N r- - NC) ti L N o c o d N �- 64 64 64 69 64 64 64 64 691 61, 64 64 64 64 69 64 69 t �Y O O O O O N � C OOO ' ' i 6 NN v CO CO � ` t`. O O N 0 M tC) to N CDd �0 a r N '' C — +� W N C bf} 694 64 64 69 64 6% 64 64 64 to Ef} (A 69 69 11 b9 61} C% A E Co c0 O O O i C? O Q) 0) N c V f0 �t C) O O ti O "Zt' M M O i 4) O 00 CA CO 'cY O O rM N N �' O d t1 T- N Q a1 Q ti � i '0) VOA d 6g 64 64 64 64 64 64 64 64 64 6-, 64 64 64 64 69 64 m � o C m n aD a> o o o y m m m U U ° (D d o Q it � 4- U U rn a w m = : 0 L ° c O o m = Q G O 00 3 1 1 ° m � t � c m N F o o y 3 N i i _V -C U ' U_ m Z O .Z O U L fn N C O O j 0 -O E E c E c ca O O 4f fC E (0 = f0 Z) > ° O ++ ti E �. O LL c (D (II O C1 y C G +O O C6 C. U) lL a c N cr C c c 7 O O W R O N N c = W 0 O O > N y r W c y � Z m tm (a m Z CL W O � LLJ E cO a ` ( O W J a O UX 7 N Q W Z O a` c� W O C 0 i DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A N O CO co L ct 00 0 (D LO O LO Lf) C1 O O O �t 00 (0 r M c 4 M N C 0 N v N ro }� L 0 O 1p w LO m L L I- O Iq o N N 3 M Cfl M N L = 0 M d O N O CL O � � N 0) r" m O � N +J � 69 69 69 69ca N LO m In p S M O N N O O 0 a v w (0 00 ti Ln v co 4 CO) N 2 r- �- a ro en o 69 69. 69 64 6% 69 a) 3 G L ro ro N 3 a> c a a) > CL U LO N a CL C O ro ro o (n N O ro d C6 m N .0 U a) +U• U � � N a � � y L Q) L v •a+ Q 00 ` C CL Q L a) 3 p d w .c c P c w cc 0- IL E CD w U) 0 to DC o 0 to u� en d O M 0 CL a a r a' od x x k M � � _0 w w w w x j LU li s E o LU0 ro N N O O O w CD co L C O e- CID N a CL N aCL J 0 c >1 m y U ro H a 0 t7 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A I Program Budget Operating Budget for Program PROGRAM NAME: Bridge Builders Actual Estimated Projected Percent PROGRAM REVENUE 2018-19 2019-20 2020-21 Change Private Donations $ 38,460 $ 32,347 $ 41,840 29% Program Generated Revenue $ - $ - $ - 0 Local Government Grants: Human Services-Town of Carrboro $ 6,000 $ 5,600 $ 10,000 79% Other-Town ofCarrboro $ - $ - $ - 0 Human Services-Town of Chapel Hill $ 4,000 $ 5,400 $ 10,000 85% Other-Town of Chapel Hill $ - $ $ 0 Human Services-Orange County $ 9,762 $ 12,159 $ 20,000 64% 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 $ 59,300.00 $ 88,800.00 $ 84,000.00 $ 0.05 I Other Revenue Corporate Sponsorship $ 3,400 $ - $ - 0 I j I Total Program Revenue $ 220,922 $ 144,306 $ 165,840 15% PROGRAM EXPENSES i Compensation $ 100,924 $ 128,905 $ 140,889 9% I Rent&Utilities $ 3,355 $ 3,355 $ 3,355 0% I I Supplies &Equipment $ 8,743 $ 3,271 $ 4,459 36% Travel&Training $ 600 $ 650 $ 3,450 431% i Other Expenses:Insurance $ 4,000 $ 4,000 $ 4,000 0% Other Expenses:Stipends $ $ $ - 0 Other Expenses:Interpreters $ 3,300 $ 4,125 $ 9,687 135% i Total Program Expenses $ 120,922 $ 144,306 $ 165,840 1 15% L o SURPLUS/(DEFICIT)FOR PERIOD: $ (0) $ (0 $ 04 -100/o Please explain Other Grants i Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit. I I FY 2018-19 Program Budget DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A Exhibit B Provider's Revised Scope of Services and Program Budget Orange County Outside Agency Performance Agreement Page 8 of 9 Rev. 1121 DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A EXHIBIT "B" Scope of Services—FY 2020-21 Outside Agency Performance Agreement Agency Name: Refugee Community Partnership Program Name: Bridge Builders Funding Award: $12,159.00 i Outline how the agency will spend Orange County's funding award. Expense Description Amount Personnel $10,000 Operations-rent,insurance,phone $2,159 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2021. • Establish and achieve each Members' health,housing, and financial goals • Provide one-on-one employment support, finding new work, resolve communications with employer, increase wages • Provide language accompaniment to Members can attend and participate in appointments with critical service providers(medical,housing, social services, school, etc) 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 Following referrals,Members are provided language accompaniment to attend and participate in 550 Members appointments with service providers(medical,social services,school,housing,etc) participate in 585 70 households Members decrease household expenses by accessing eligible benefits,terminating contracts with decrease fraudulent or predatory service providers,and identifying and eliminating unnecessary payments expenses by $120,400 55 families #of new housing leases started,#new housing leases renewed acquire new housing, 65 families retain their housing gned by: Certified by: 54-Wu A t,S Title: Executive Di rectcl5ate: 4/23/2021 (Prove ergs N1WiWffe) DocuSign Envelope ID:6F4743BF-4EA0-4961-AF93-D6509976FC9A ATTACHMENT "A" Orange County Certifications—FY 2019-20 Outside Agency Performance Agreement i 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. i 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. I, I 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: IVIA�ISbI�I (� LIS 4/23/2021 Certified by: � Title: Executive Di reg���: (Provider's Signature) Orange County Outside Agency Performance Agreement Page 9 of 9 Rev. 1121 DocuSign Envelope ID:6F4743BF-4EAO-4961-AF93-D6509976FC9A DATE(MM/DDIYYYY) ACaRf> CERTIFICATE OF LIABILITY INSURANCE 09/02/2020 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 endorsements . PRODUCER CONTACT Victoria DeCamp,CISR NAME:TITAN Rlsk Consultants LLC PHONE 919 636 3252 x 2 FAX No): (888)615 4260 107 Conner Drive,Suite 225 E-MAIL-ADDRESS: -MAILADDRESS: v.decamp@titanriskconsultants.com titanriskconsultants.com INSURERS AFFORDING COVERAGE NAIC# Chapel Hill NC 27514 INSURER A: Alliance of Nonprofits for Insurance 10023 INSURED INSURER B: Refugee Community Partnership, Inc. INSURERC: 117 W. Main Street INSURER D: INSURER E: Carrboro NC 27510 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 \/ CLAIMS-MADE OCCUR PREMDAMAGEISESTO ERENTEDa occurrence $ 500,000 MED EXP(Any one person) $ 20,000 A X 2020-53764 02/01/2020 02/01/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO ❑ PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COEaMBINED accidentS INGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED 2020-53764 02/01/2020 02/01/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional E&O Occurrence $1,000,000 A 2020-53764 02/01/2020 02/01/2021 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certficate holder is added as Additional Insured as respects General Liability as required by written contract. 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. Attn: Risk Manager P.O. 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:6F4743BF-4EA0-4961-AF93-D6509976FC9A REFUCOM-01 VDECAMP ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) 4/23/2021 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 Victoria DeCamp NAME: Titan Risk Consultants LLC PHONE FAX 107 Conner Drive,Suite 225 (A/C,No,Et):(919)636-3252 2 (A/C,No): Chapel Hill,NC 27514 ADDD AIL v-decamp@titanriskconsultants.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Alliance for Non-Profits INSURED INSURER B: Refugee Community Partnership,Inc. INSURERC: P.O.Box 461 INSURER D: Carrboro,NC 27510 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR IN SD WVD MM DD MM DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 2021-53764 2/1/2021 2/1/2022 DAMAGE TO RENTED 500,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO-JECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO 2021-53764 2/1/2021 2/1/2022 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED Per OPERTnDAMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ OED CESS LIAB CLAIMS-MADE AGGREGATE $ RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-Fes,EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A General Liability 2021-53764 2/1/2021 2/1/2022 Sexual Abuse Agg 2,000,000 A General Liability 2021-53764 2/1/2021 2/1/2022 PE&O Agg 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is added as Additional Insured as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count Government THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Risk Manager P.O. Box 8181 Hillsborough,NC 2727E AUTHORIZED REPRESENTATIVE . ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD