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HomeMy WebLinkAbout2021-390-E-Health-Transplanting Traditions Community Farm, Inc.-Outside agency agreement Transplanting Traditions Orange County Outside Agency Performance Agreement Revised 7/2018 Page 1 of 9 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2020, (“Effective Date”) by and between the County of Orange, a political subdivision of the State of North Carolina, Post Office Box 8181, Hillsborough, North Carolina, 27278, ("County") and Transplanting Traditions Community Farm, Inc., a not-for-profit corporation, located at 2912 B Jones Ferry Road, Chapel Hill, North Carolina 27516 (“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 «Agencys_Name» 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 $375.00. b. All funds appropriated shall be used for purposes described in Exhibit A. Any funds not used for the purposes stated shall be returned to the County. Any changes in the use of funds must be authorized in writing by the County prior to any expenditure of the funds by the Provider. If the funds are expended not in accordance with the Scope of Services, at the discretion of the County the Provider may be required to repay the funds to the County. c. The Provider shall be paid in four equal installments in the amount of $93.75. 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. DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Orange County Outside Agency Performance Agreement Page 2 of 9 Rev. 1/21 d. The County’s obligation to make the quarterly payments is contingent upon receipt of Progress Reports, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services. e. Once Provider has satisfied its obligations as provided in (d) payment will be made 21 days after receipt of the Progress Report and Request for Reimbursement or 21 days after due date of Progress Report whichever is later. f. The County is not obligated to provide any other support to Provider in this or in succeeding fiscal years. 4. Agency Reporting. a. Provider will provide Orange County a Progress Report that includes a fiscal report and updates on performance measures as outlined in the Scope of Services. Progress Report dates are: July 1 – December 31; January 1 – March 31 and April 1 - June 30. Reports are due on January 10, April 10, and July 10 of the program fiscal year. b. Provider agrees to allow the County to inspect its financial books and records, which document costs of those services, upon reasonable notice during normal working hours. 5. Termination. a. In the event of any of the circumstances set forth below (hereinafter referred to as “default”), the County may immediately terminate this Agreement, in whole or in part, and from time to time. Notice of termination must be in writing, state the reason or reasons for the termination, and specify the effective date of the termination: i. In the event that Provider shall cease to exist as an organization or shall enter bankruptcy proceedings, be declared insolvent, or liquidate all or substantially all of its assets, or significantly reduce its services or accessibility to Orange County residents during the term of this Agreement; or ii. In the event that Provider shall fail to render a satisfactory accounting as provided section 4 above, the County may terminate this Agreement and Provider shall return all payments already made to it by the County for services which have not been provided or for which no satisfactory accounting has been rendered; or iii. In the event of any fraudulent representation by the Provider in an invoice or other verification required to obtain payment under this Agreement or other dishonesty on a material matter relating to the performance of services under this Agreement. iv. Nonperformance, incomplete service or performance, or failure to satisfactorily perform any part of the work identified in the Scope of Services or to comply with any provision of this Agreement, as determined by the County in its sole discretion. v. Failure to adhere to the terms of applicable county, state or federal laws, regulations, or stated public policy. b. In the event of default by the Provider, the county may elect to terminate this Agreement, in whole or in part and/or require the Provider to repay the funds within ten (10) business days from written notice of default. The County may (but shall not be required to) grant the DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Orange County Outside Agency Performance Agreement Page 3 of 9 Rev. 1/21 Provider an opportunity to cure the default without termination of this Agreement. This clause shall not be interpreted to limit the County’s remedies in law or in equity. c. Notwithstanding the foregoing, either party may terminate the agreement at any time without penalty; provided that written notice of such termination is furnished to the other party at least 30 days prior to termination. In the event of such termination, any payment due shall be prorated to the date of termination and any unused funds shall be returned to the County within 10 days of termination. d. Any termination of this Agreement for default under this section that is later deemed to be unjustified shall be deemed a termination for convenience. 6. Insurance. a. General Requirements. The Provider shall purchase and maintain, during the period of performance of this Agreement, insurance: i. Worker’s Compensation. For protection from claims under workers' or workmen's compensation acts; ii. Comprehensive General Liability Insurance covering claims arising out of or relating to bodily injury, including bodily injury, sickness, disease or death of any of the Consultant's employees or any other person and to real and personal property including loss of use resulting thereof; iii. Comprehensive Automobile Liability Insurance, including hired and non-owned vehicles, if any, covering personal injury or death, and property damage; and iv. Professional Liability Insurance, covering personal injury, bodily injury and property damage and claims arising out of or related to the performance under this Agreement by the Consultant or his agents, consultants and employees. b. Limits of Coverage: Minimum limits of insurance coverage shall be as follows: INSURANCE DESCRIPTION MINIMUM REQUIRED COVERAGE • Worker's Compensation Limits for Coverage A - Statutory State NC & Coverage B - Employers Liability $500,000 each accident, disease policy limit and disease each employee • Commercial General $1,000,000 Each Occurrence Liability $2,000,000 Aggregate • Automobile Liability $500,000 Combined Single Limit • Professional Liability $1,000,000 Each Occurrence $2,000,000 Aggregate c. All insurance policies (with the exception of Worker's Compensation and Professional Liability) required under this Agreement shall name the County as an additional insured party and as a certificate holder. Evidence of such insurance and all correspondence shall be sent to: Orange County Risk Manager Post Office Box 8181 Hillsborough, NC 27278 DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Orange County Outside Agency Performance Agreement Page 4 of 9 Rev. 1/21 d. Nothing in this section is intended to affect or abrogate the County’s sovereign immunity defenses. 7. Relationship of the Parties. Provider is an independent contractor of the County. Provider represents that they have or will secure, at his own expense, all personnel required in performing the services under this Agreement. Such personnel shall not be employees or have any contractual relationship with the County. All personnel engaged in work under this Agreement shall be fully qualified and shall be authorized and permitted under federal, state and local law to perform such services. 8. Compliance with all Laws. The Provider, at its sole expense, shall comply with all laws, ordinances, orders and regulations of the federal, state or local governments, as well as their respective departments, commissions, boards, and officers, which are in effect at the time of execution of this Agreement or are adopted at any time following execution of this agreement. 9. Subcontract. The County and Provider deem the services provided under this Agreement to be personal in nature and Provider may not subcontract any rights or duties under this Agreement to any other 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 $ 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 DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Orange County Outside Agency Performance Agreement Page 5 of 9 Rev. 1/21 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: 16. E n t i re 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 _____________________________ _______________________ Kelly Owensby, Executive Director Date For and on behalf of Orange County Government _______________________________ ________________________ Bonnie Hammersley, County Manager Date County: Finance & Administrative Services Orange County Post Office Box 8181 Hillsborough, NC 27278 Provider: Transplanting Traditions Community Farm, Inc. 2912 B Jones Ferry Road Chapel Hill, NC 27516 DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E 7/13/2021 7/16/2021 Orange County Outside Agency Performance Agreement Page 6 of 9 Rev. 1/21 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Transplanting Traditions Community Farm, Inc. Party/Vendor Contact Person: Kelly Owensby Contact Phone: 984-212-4621 Party/Vendor Address: 4912 B Jones Ferry Rd. City Chapel Hill State: NC Zip: 27516 Department: Health Amount: $375 Purpose: Outside Agency Agreement Budget Code(s): 10495050-720278 Vendor # 65780 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 7-1-20 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: Department Director’s Signature ________________________________________ Date: ________ 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: Turnover in original department generating contract. 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: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: 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:_________ DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E 7/13/2021 7/14/2021 7/14/2021 7/15/2021 EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Outside Agencies/Human Services Cover Page Page 8 of 24 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): February, 2018 2. Agency’s Purpose/Mission (no more than a few sentences): Transplanting Traditions Community Farm (TTCF) works with refugees from Burma to foster a healthier community and maintain agricultural traditions as they build new lives in North Carolina. The heart of TTCF is an eight-acre farm in Orange County where refugee families grow food, build farm businesses, celebrate culture, and create a sense of home. The farm is at the core of TTCF’s Youth Leadership program, providing space for refugee teens to explore identity, leadership, culture, and community, and also supports TTCF’s hunger reduction programs including “Share a Share”, an innovative model that provides food insecure refugee families a share of the culturally appropriate traditional produce grown by TTCF farmers. Founded in 2009 as a project of the Orange County Partnership for Young Children, TTCF became an independent 501(c)(3) in August 2018 to focus more deeply on serving refugees through the lens of food, agriculture, and social justice. TTCF provides resources and support for refugee families to come together to foster a healthier community, gaining income while maintaining valuable agricultural traditions as they build new lives in the Piedmont of North Carolina. 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). Since TTCF began providing business training for refugee farmers in 2011, farmers have directly earned over $620,777 in farm income. Over 93,000 lbs. of food were grown on the farm in 2019. According to TTCF data on numbers of refugees from Burma receiving food grown at TTCF, 82% of refugees from Burma living in Orange County received food from TTCF in 2019. Since 2010, TTCF staff has provided weekly educational workshops including agricultural business and marketing topics. TTCF has partnered with PORCH for 4 years and through the Share a Share program has brought in a cumulative total of $34,091 in income to farmers and donated 9,745 lbs. of traditional produce to refugee families in need. In 2019, TTCF provided 3,242 pounds of culturally appropriate food to refugee families served through PORCH bringing in $12,393 in income to TTCF farmers almost doubling 2018 farmer income. TTCF began its refugee teen leadership program in 2013 and since then has overseen the growth and national recognition. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? Yes If yes, is this agency an Orange County Living Wage Certified Employer? No If no, please briefly explain. EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Outside Agencies/Human Services Cover Page Page 9 of 24 Transplanting Traditions has not gone through the certification process but pays a minimum living wage to all employees and independent contractors Schedule of Positions: # of FTE – Full-Time Paid Positions: 4 # of FTE – Part-Time Paid Positions: 1 PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 5. Program Name: TTCF Healthy Food Access Program, TTCF Farmer Vocational Training Program, TTCF Teen Leadership Development Program Program Primary Contact and Title: Kelly Owensby, Executive Director Telephone Number: (984) 212-4621 E-Mail kowensby@transplantingtraditions.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) Programming will support food access, vocational training, and teen leadership development for refugees from Burma, ensuring refugee families increased access to fruits and vegetable, refugee farmers receive vocation training to improve English language, and small business skills, and refugee teens have mentorship and support to build confidence, leadership, and speaking skills, leading to improved academic performance and enrollment in higher education. These programs embody the goals and values of Chapel Hill, Carrboro, and Orange County by providing resources to promote economic wellbeing, youth education, and health and wellness for low-income, diverse individuals through outcomes-based, sustainable, community driven efforts. 7. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Outside Agencies/Human Services Cover Page Page 10 of 24 Program Target Population Demographics Projected 2018-19 Actual 2018-19 Projected 2019-20 Projected 2020-21 Gender Men 506 495 418 418 Women 559 553 478 478 Nonbinary/Genderqueer Self-Describe Total 1065 1048 896 896 Race and Ethnicity Black or African-American American Indian or Alaska Native Asian 1065 1048 896 896 White Native Hawaiian or other Pacific Islander Two or more races Some other race Total 1065 1048 896 896 Of the above, how many Hispanic/Latino Of the above, how many non-Hispanic/Latino 1065 1048 896 896 Total 1065 1048 896 896 Age 0-5 years 134 132 85 85 6-18 years 362 357 333 333 19-50 years 480 472 401 401 51+ years 89 87 77 77 Total 1065 1048 896 896 Geographic Location Town of Chapel Hill 676 649 533 533 Town of Carrboro 265 271 268 268 Orange County ( Outside of Chapel Hill/Carrboro) 83 77 66 66 Outside of Orange County 41 51 29 29 Total 1065 1048 896 896 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments 100% 100% 100% 100% Total 1065 1048 896 896 EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Outside Agencies/Human Services Cover Page Page 11 of 24 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 $205,001 $296,225 $303,316 Total # of Individuals 1065 896 896 Cost Per Individual $192.48 $330.60 $338.52 9. Performance Indicators For Chapel Hill and Carrboro applicants: Please complete the following chart with information about the Strategic Objective, Intermediate Result, and the Agency Performance Indicator for each program for which you are applying for funding. Please see the Results Framework in the Attachments section as a reference. Program Name: TTCF Teen Leadership Development Program Strategic Objective (please choose one from the Results Framework) Ö Children improve their educational outcomes Residents Increase their livelihood security Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) 1.2: Children demonstrate new grade-level-appropriate skills RESULTS Actual 2018-19 Projected 2019-20 Projected 2020-21 Performance Indicators (Please choose at least one performance indicator to report on from the Results Framework, and add additional performance indicators that you would like to report to the Towns. Please insert additional rows as needed, listing one per row). % and # of program participants that are promoted to the next grade level 100% of 9 program participants are promoted to the next grade level 100% of 9 program participants are promoted to the next grade level 100% of 10 program participants are promoted to the next grade level EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Outside Agencies/Human Services Cover Page Page 12 of 24 % and # of program participants that express greater confidence in their ability to be successful at school 100% of 9 program participants express greater confidence in their ability to be successful at school 100% of 9 program participants express greater confidence in their ability to be successful at school 100% of 10 program participants express greater confidence in their ability to be successful at school % and # of program participants that express greater confidence in their leadership and pro-social abilities 100% of 9 program participants express greater confidence in their leadership and pro-social abilities 100% of 9 program participants express greater confidence in their leadership and pro-social abilities 100% of 10 program participants express greater confidence in their leadership and pro-social abilities % and # of program participants who plan on attending post-secondary education 88% of 9 program participants plan on attending post- secondary education 100% of 9 program participants plan on attending post-secondary education 100% of 10 program participants plan on attending post-secondary education % and # of program participants who complete the 50-hour annual requirement for successful completion of the TTCF Teen Leadership Program, including participating in TTCF Board Meetings, representing TTCF on panels and at conferences, and giving farm tours. 100% of 9 program participants complete the 50-hour requirement for the TTCF teen leadership program. 100% of 9 program participants complete the 50- hour requirement for the TTCF teen leadership program. 91% of 9 program participants complete the 50- hour requirement for the TTCF teen leadership program. Program Name: TTCF Farmer Vocational Training Program Strategic Objective (please choose one from the Results Framework) Children improve their educational outcomes Ö Residents Increase their livelihood security Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) 2.2 Residents increase job skills appropriate for the local economy RESULTS Actual 2018-19 Projected 2019-20 Projected 2020-21 EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Outside Agencies/Human Services Cover Page Page 13 of 24 % and # of program participants who report that services enabled employment, education or training 100% of 27 program participants who report that services enabled employment, education or training. 100% of 27 program participants who report that services enabled employment, education or training. 100% of 27 program participants who report that services enabled employment, education or training. % and # of participants who increase incomes (wages, disability, public benefits, or other income) 100% of 27 participants who increase incomes 100% of 27 participants who increase incomes 100% of 27 participants who increase incomes % and # of participants who maintain incomes (wages, disability, public benefits, or other income) 100% of 27 participants who maintain incomes 100% of 27 participants who maintain incomes 100% of 27 participants who maintain incomes % and # of participants who improve their small business, small farming, and marketing skills, resulting in improved business operations and increased income through farm sales 100% of 21 participants who improve their small business, farming, and marketing skills, resulting in improved business operations and increased income through farm sales 100% of 21 participants who improve their small business, farming, and marketing skills, resulting in improved business operations and increased income through farm sales 100% of 21 participants who improve their small business, farming, and marketing skills, resulting in improved business operations and increased income through farm sales % and # of participants who make progress towards a long- term savings goal as a result of increased on-farm income. 90% of 21 participants who make progress towards a long- term savings goal as a result of increased on- farm income. 90% of 21 participants who make progress towards a long- term savings goal as a result of increased on- farm income. 90% of 21 participants who make progress towards a long- term savings goal as a result of increased on- farm income. Program Name: TTCF Healthy Food Access Program Strategic Objective (please choose one from the Results Framework) Children improve their educational outcomes Residents Increase their livelihood security Ö Residents improve their health outcomes EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Outside Agencies/Human Services Cover Page Page 14 of 24 Intermediate Result (please choose one from the Results Framework) 3.2: Residents demonstrate new healthy lifestyle behaviors RESULTS Actual 2018-19 Estimated 2019-20 Projected 2020-21 Performance Indicators (Please choose at least one performance indicator to report on from the Results Framework, and add additional performance indicators that you would like to report to the Towns. Please insert additional rows as needed, listing one per row). # of people reporting healthier functionality and lifestyle behaviors (improved nutrition, conflict resolution skills, stress reduction practices, exercise at least 30min 3x a week, annual check-ups, etc.) 95% of 25 heads of household reporting on behalf of 112 total household participants, report that all household member, or 112 people total, improve their nutrition, physical activity and stress reduction practices 100% of 18 heads of household reporting on behalf of 79 total household participants, report that all household member, or 79 people total, improve their nutrition, physical activity and stress reduction practices 100% of 18 heads of household reporting on behalf of 79 total household participants, report that all household member, or 79 people total, improve their nutrition, physical activity and stress reduction practices % and # of program participants who report new, improved, or restored social connections 100% of 25 heads of household reporting on behalf of 112 total household participants, report that all household member, or 112 people total, improved or restored social connections 100% of 18 heads of household reporting on behalf of 79 total household participants, report that all household member, or 79 people total, improved or restored social connections 100% of 18 heads of household reporting on behalf of 79 total household participants, report that all household member, or 79 people total, improved or restored social connections % and # of program participants that consume fresh food 100% of 1,045 participants consume fresh food 100% of 896 participants consume fresh food 100% of 896 participants consume fresh food % and # of program participants who access culturally appropriate fresh fruits and vegetables 100% of 1,045 participants access culturally appropriate fresh fruits and vegetables 100% of 896 participants access culturally appropriate fresh fruits and vegetables 100% of 896 participants access culturally appropriate fresh fruits and vegetables EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Outside Agencies/Human Services Cover Page Page 15 of 24 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. Food and Nutritional 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 Name: TTCF Teen Leadership Development Program Program Goal # 1 Program participants are promoted to the next grade level, express greater confidence in their ability to be successful at school and plan on attending post-secondary education. Performance Measure (How will you accomplish your goal?) Youth demonstrate new grade level-appropriate skills through participation in college readiness and leadership development programming. Actual Results (Outcome) Ending FY18-19 100% of 6 program participants are promoted to the next grade, express greater confidence in their ability to be successful at school and plan on attending post-secondary education. Projected Results (Outcome) Ending FY2020 100% of 6 program participants are promoted to the next grade, express greater confidence in their ability to be successful at school and plan on attending post-secondary education. Projected Results (Outcome) Ending FY2021 100% of 9 program participants are promoted to the next grade, express greater confidence in their ability to be successful at school and plan on attending post-secondary education. _________________ EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Outside Agencies/Human Services Cover Page Page 16 of 24 Program Name: TTCF Farmer Vocational Training Program Program Goal # 2 Participants measurably improve their small business, small farming, and marketing skills, resulting in improved business operations and increased income through farm sales Performance Measure (How will you accomplish your goal?) Percentage of participants who attend TTCF’s small business and agricultural trainings and who demonstrate an increase in farm income and business growth Actual Results (Outcome) Ending FY18-19 100% of 27 participants measurably improved their small business, small farming, and marketing skills, resulting in improved business operations and income through farm sales. Overall farm sales increased from $114,457 to $158,378 Projected Results (Outcome) Ending FY2020 100% of 21 participants will measurably improve their small business, small farming, and marketing skills, resulting in improved business operations and income through farm sales. Projected Results (Outcome) Ending FY2021 100% of 21 participants will measurably improve their small business, small farming, and marketing skills, resulting in improved business operations and income through farm sales. Program Name: TTCF Healthy Food Access Program Program Goal # 3 Participants grow 93,000 lbs. which is distributed to 896 refugee families who are able to reduce their food insecurity and consume fresh, culturally appropriate food Performance Measure (How will you accomplish your goal?) Number of food insecure participants accessing and consuming fresh, culturally appropriate food through TTCF’s “Share a Share” hunger relief program. Survey results from participants qualify the success of the program. Actual Results (Outcome) Ending FY18-19 100% of 1,045 food insecure participants access culturally appropriate fresh fruits and vegetables. Projected Results (Outcome) Ending FY2020 100% of 896 food insecure participants access culturally appropriate fresh fruits and vegetables. Projected Results (Outcome) Ending FY2021 100% of 896 food insecure participants access culturally appropriate fresh fruits and vegetables. EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Operating Budget for Program Actual 2018-19 Estimated 2019-20 Projected 2020-21 Percent Change 124,435$ 121,305$ 130,000$ 7% 1,586$ 9,274$ 10,000$ 8% 6,000$ -$ 7,500$ 0 -$ 5,400$ -$ -100% 4,500$ -$ 7,500$ 0 -$ -$ -$ 0 5,613$ 375$ 7,500$ 1900% -$ 9,920$ -$ -100% -$ -$ -$ 0 -$ -$ -$ 0 -$ -$ -$ 0 155,673.00$ 156,090.00$ 132,816.00$ (0.15)$ -$ -$ -$ 0 (1,700)$ 5,001$ 8,000$ 0.60$ 296,107$ 307,365$ 303,316$ -1% 141,383$ 210,620$ 215,417$ 2% 12,930$ 19,673$ 20,749$ 5% 12,945$ 6,912$ 7,500$ 9% 6,354$ 6,984$ 6,834$ -2% 31,389$ 52,036$ 52,816$ 1% 205,001$ 296,225$ 303,316$ 2% 91,106$ 11,140$ -$ -100% Human Services - Town of Carrboro Other - Town of Carrboro Human Services - Town of Chapel Hill Other - Town of Chapel Hill Human Services - Orange County Other - Orange County Other - Town of Hillsborough Triangle United Way State Government Federal Government (CDBG/HOME/etc.) Private Foundation Grants SURPLUS/(DEFICIT) FOR PERIOD: Travel & Training Other Expenses: Total Program Expenses Supplies & Equipment Other Revenue Total Program Revenue PROGRAM EXPENSES Compensation Rent & Utilities Other Government Grants PROGRAM NAME:Transplanting Traditions Community Farm PROGRAM REVENUE Private Donations Program Generated Revenue Local Government Grants: EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Please explain Other Grants $20,000 - Bryson Family Foundation, $25,000 - Triangle Community Foundation, $10,000 - Mead Family Foundation, $13,000 Educational Foundation of America, $12,000 from Tides, $24,357 NIFA - Community Food Project, $56,976 - BFRDP $25000 - Triangle Community Foundation, $7000 - Clif Bar, $4404 - Lovett Foundation, $25,748 NIFA - Community Food Project, $77,130 - BFRDP, $9920 -Orange County Agriculture, $73,135 - NIFA/Food Safety $25,000 Rose and Heineman Family Foundations $26, 527 - NIFA - Community Food Project, $73,135 - NIFA/Food Safety, $33,000 from RBDG $25,000 Rose and Heineman Family Foundation $25,000 Triangle Community Foundation $10,000 Clif Bar Family Foundation Surplus, due to reserve funds that had been raised for transition to being an independent 501c3 Unexpected surplus from special event in Fall N/A Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit. EXHIBIT A: OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Certified by: _____ Title: _Executive Director_____ Date: _June 30, 2021__ EXHIBIT “B” Scope of Services – FY 2020-21 Outside Agency Performance Agreement Agency Name: Transplanting Traditions Community Farm, Inc. Program Name: TTCF Healthy Food Access Program and Farmer Vocational Training Program Funding Award: $375 Outline how the agency will spend Orange County’s funding award. Program Services Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2021. • Agricultural educational programming to support refugee farmers growing food for for donation to food insecure individuals • Food distribution programming and distribution 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 Food insecure individuals receive culturally appropriate fresh fruits and vegetables grown at TTC Farm 100% of 1,768 individuals Expense Description Amount Personnel $375 DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E 7/15/2021 Orange County Outside Agency Performance Agreement Page 9 of 9 Rev. 1/21 ATTACHMENT “A” Orange County Certifications – FY 2020-21 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. Certified by: _______________________ Title: __________________________ Date: ___________ (Provider’s Signature) DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E Executive Director 7/15/2021 07/09/2021 Sentinel Risk Advisors LLC 4700 Six Forks Road Suite 200 Raleigh NC 27609 Dana Wilson (919) 926-4623 (919) 926-4664 dwilson@sentinelra.com Transplanting Traditions Community Farm, Inc. P O Box 835 Hillsborough NC 27278 GuideOne Mutual Insurance Company 15032 CL2111911388 A 01-0007-300 01/21/2021 01/21/2022 1,000,000 300,000 5,000 1,000,000 3,000,000 3,000,000 A 01-0007-302 01/21/2021 01/21/2022 1,000,000 Uninsured/Underinsured Motorist BI 1,000,000 A 2,500 01-0007-303 01/21/2021 01/21/2022 1,000,000 1,000,000 A 01-0007-299 01/21/2021 01/21/2022 1,000,000 1,000,000 1,000,000 A Sexual Abuse & Molestation 01-0007-300 01/21/2021 01/21/2022 Each Claim Limit $1,000,000 Aggregate Limit $3,000,000 Transplanting Traditions Community Farm, Inc. PO Box 835 Hillsborough NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY DocuSign Envelope ID: 66ABF05D-3901-46A1-B9FA-1504EA6C1C2E