HomeMy WebLinkAbout2020-776-E Housing-NC DHHS CARES Act funding for homelessnessNCDHHS ACT2007 (Amendment Template) (Rev. 11.01.15)
AMENDMENT
This Agreement amends the contract bearing the effective date of 3/1/2020 between the North Carolina
Department of Health and Human Services, Division of Aging and Adult Services, hereinafter referred to
as the "Division" and Orange County, hereinafter referred to as the "Contractor." This Amendment is
hereby effective on 11/1/2020.
As provided for under the terms of this contract, the Division and the Contractor agree to amend the
following contract provisions:
1.Reference “Effective Period”: The termination date of 12/30/2020 has not changed
2.Reference “Contractor’s Duties”: The Contractor shall provide the amended services as
described in the scope of work.
3.Reference “Division’s Duties”: The total amount paid by the Division to the Contractor is being
increased by $100,000 from $195,000 to $295,000. This amended amount consists of $0 in
State funds, $0 in Local funds, $0 in Other funds and $100,000 in Federal funds.
The Contractor’s matching requirement for this amendment is $0. The total contractor's matching amount
is $0.
The total amendment amount is $100,000.
The total contract amount is $295,000.
All other terms and conditions as set forth in the original contract document shall remain in effect for the
duration of this Agreement.
Signatures follow on next page
Contract Number 00041659, Amendment Number 1 / Page 1 of 16
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NCDHHS ACT2007 (Amendment Template) (Rev. 11.01.15)
In Witness Whereof, the Contractor and the Division have executed this contract in duplicate originals,
with one original being retained by each party.
Orange County
Signature Date
Bonnie B. Hammersley County Manager
Printed Name Title
WITNESS
Signature Date
Printed Name Title
Division of Aging and Adult Services, North Carolina Department of Health and Human Services
Signature Date
Joyce Massey-Smith Director
Printed Name Title
Contract Number 00041659, Amendment Number 1 / Page 2 of 16
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11/11/2020
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11/12/2020
Interim Clerk to the Board of CommissionersGregory A. Wilder
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Scope of Work (Rev. 06/11)
SCOPE OF WORK
PURPOSE
Additional funds in Homelessness Prevention for Coronavirus Relief Funds (CRF) to use on
necessary expenses incurred due to the public health emergency with respect to the
Coronavirus Disease 2019 (COVID-19). Expenses incurred beginning March 1, 2020
directly related to coronavirus are eligible for reimbursement.
Contract Number 00041659, Amendment Number 1 / Page 3 of 16
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Performance Measures (Rev. 4//12)
PERFORMANCE MEASURES CHART
The Department of Health and Human Services uses performance measures rubrics as a tool to
determine the success of a project and how well services and products are being delivered.
Together they enable the Department to gauge efficiency, determine progress toward desired
results and assess whether the Department is on track with meeting its goals. The contractor
shall adhere to all of the performance requirements/standards in the scope of work, including
performance measures in the performance measures chart below.
Measure
Type
Output Reporting
Frequency
Monthly
Measure All subrecipients must submit 1 requisition per month for reimbursement or must
submit requisition documentation that outlines the activities and amounts spent
toward their advance
Budget Year 1 Trend Maintain
Baseline
Value
amount of funds awarded or advanced
Target Value 100% of the allocation by the end of the contract period
Data Source fiscal data monitoring and requests for reimbursement
Collection
Process and
Calculation
reimbursement submission
Collection
Frequency
monthly
Measure
Type
Outcome Reporting
Frequency
Monthly
Measure Subrecipient will use CRF award to meet CARES Act and Department goals, as
described and approved in Subrecipient CRF request, to serve individuals
experiencing homelessness stay safe from COVID-19 within CRF timeframe.
Budget Year 1 Trend Maintain
Baseline
Value
eligibility verification
Target Value 100%
Data Source electronic submission and file submission
Contract Number 00041659, Amendment Number 1 / Page 4 of 16
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Performance Measures (Rev. 4//12)
Collection
Process and
Calculation
onsite, virtual and/or desk monitoring
Collection
Frequency
monthly and quarterly
Contract Number 00041659, Amendment Number 1 / Page 5 of 16
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Line Item Budget Detail (08/11)
LINE ITEM BUDGET
This begins the line item budget for year 1
Budget Detail - Year 1
Category Item Narrative Original Amount Change Amount Final Amount
Salary\Wages $0.00 $0.00 $0.00
Fringe Benefits $0.00 $0.00 $0.00
Other $0.00 $0.00 $0.00
Repair and Maintenance $0.00 $0.00 $0.00
Staff Development $0.00 $0.00 $0.00
Dues and Subscriptions $0.00 $0.00 $0.00
Operational Other Not
Otherwise
Classified
$140,663.00 $0.00 $140,663.00
Operational Other Not
Otherwise
Classified
Homelessness Prevention $0.00 $100,000.00 $100,000.00
Operational Other Not
Otherwise
$5,000.00 $0.00 $5,000.00
Contract Number 00041659, Amendment Number 1 / Page 6 of 16
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Line Item Budget Detail (08/11)
Budget Detail - Year 1
Category Item Narrative Original Amount Change Amount Final Amount
Classified
Operational Other Not
Otherwise
Classified
$49,337.00 $0.00 $49,337.00
Subcontracts and Grants $0.00 $0.00 $0.00
Match $0.00 $0.00 $0.00
Cost Per Service $0.00 $0.00 $0.00
Sub Total $195,000.00 $100,000.00 $295,000.00
Indirect Cost $0.00 $0.00 $0.00
Total Budget $195,000.00 $100,000.00 $295,000.00
Subcontracting and Grants Budget Detail - Year 1
Category Item Narrative Original Amount Change Amount Final Amount
$0.00 $0.00 $0.00
Sub Total $0.00 $0.00 $0.00
Contract Number 00041659, Amendment Number 1 / Page 7 of 16
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Line Item Budget Detail (08/11)
Salaries - Year 1
Persons Position or Title Annual Salary Hourly
Rate
Months Work %Fringe
Amount Total
Fringe
Percent Total
Total
0 $0.00 0.0000 0 0%$0.00 $0.00 $0.00
Contract Number 00041659, Amendment Number 1 / Page 8 of 16
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Contract Number 00041659, Amendment Number 1 / Page 9 of 16
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Contract Number 00041659, Amendment Number 1 / Page 10 of 16
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Contract Number 00041659, Amendment Number 1 / Page 11 of 16
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Contract Number 00041659, Amendment Number 1 / Page 12 of 16
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Contract Number 00041659, Amendment Number 1 / Page 13 of 16
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Contract Number 00041659, Amendment Number 1 / Page 14 of 16
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Contract Number 00041659, Amendment Number 1 / Page 15 of 16
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Contract Number 00041659, Amendment Number 1 / Page 16 of 16
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Revised 07/20
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Party/Vendor Name: OCHCD Party/Vendor Contact Person: E Sutton Contact Phone: 919-245-2490 Party/Vendor Address:
300 W Tryon St City Hillsborough State: NC Zip: 27278 Department: 4800 Amount: $195,000 Purpose: CARES (CRF)-
NCDHHS Budget Code(s): 32470620-782630-95051 Street Outreach $5000.00; 32470620-782631-95051 Essential Move-In
$57,163; 32470620-782632-95051 Homelessness Prevention $30,000.00; 32470620-782633-95051 Unit Upfits $15,000.00;
32470620-782634-95051 Hotel Assistance $14,000.00; 32470620-630315-95051 Landlord Incentives $50,000.00; 32470620 -
633300-95051 $4,500.00; 32470610-510000-95040 Permanent Salaries (RRH Case Manager) $19,337. Vendor # N/A (N/A
if new vendor) Vendor is a BOCC consultant? Yes X No Contract Type: (Check one) New Renewal Amendment
X Effective Date 10/01/20 Approved by Board Yes X No Agenda Date: 10/01/20
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:
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:_________
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11/11/2020
11/11/2020
11/11/2020
11/11/2020
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