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Home My WebLink About2021-674-E-Human Rights-The Marian Cheek Jackson Center for Saving and Making History-Outside Agency FundingOrange County Outside Agency Performance Agreement Revised 10/2021 Page 1 of 10 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2021, (“Effective Date”) by and between the County of Orange, a political subdivision of the State of North Carolina, Post Office Box 8181, Hillsborough, North Carolina, 27278, ("County") and The Marian Cheek Jackson Center for Saving and Making History, a not-for-profit corporation, located at 512 W. Rosemary St., , 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 Provider agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2021 to June 30, 2022. 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 $21,319. 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 $5,329.75. 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. 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. DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Orange County Outside Agency Performance Agreement Page 2 of 10 Rev.10/21 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. Termination for Cause. In the event of any of the circumstances set forth below (hereinafter referred to as “default”), the County may immediately terminate this Agreement, in whole or in part, and from time to time. Notice of termination must be in writing, state the reason or reasons for the termination, and specify the effective date of the termination: i. In the event that Provider shall cease to exist as an organization or shall enter bankruptcy proceedings, be declared insolvent, or liquidate all or substantially all of its assets, or significantly reduce its services or accessibility to Orange County residents during the term of this Agreement; or ii. In the event that Provider shall fail to render a satisfactory accounting as provided section 4 above, the County may terminate this Agreement and Provider shall return all payments already made to it by the County for services which have not been provided or for which no satisfactory accounting has been rendered; or iii. In the event of any fraudulent representation by the Provider in an invoice or other verification required to obtain payment under this Agreement or other dishonesty on a material matter relating to the performance of services under this Agreement. iv. Nonperformance, incomplete service or performance, or failure to satisfactorily perform any part of the work identified in the Scope of Services or to comply with any provision of this Agreement, as determined by the County in its sole discretion. v. Failure to adhere to the terms of applicable county, state or federal laws, regulations, or stated public policy. b. In the event of default by the Provider, the county may elect to terminate this Agreement, in whole or in part and/or require the Provider to repay the funds within ten (10) business days from written notice of default. The County may (but shall not be required to) grant the Provider an opportunity to cure the default without termination of this Agreement. This clause shall not be interpreted to limit the County’s remedies in law or in equity. 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 DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Orange County Outside Agency Performance Agreement Page 3 of 10 Rev.10/21 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. e. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. 6. Responsibilities of the County. Cooperation and Coordination. The County has designated (VACANT) to act as the County's representative with respect to the Project who shall have the authority to render decisions within guidelines established by the County Manager or the County Board of Commissioners and who shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. 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. v. Sexual Misconduct. Sexual Abuse/Molestation Insurance is required when Provider works directly one-on-one with children, elderly or other at-risk populations. 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 DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Orange County Outside Agency Performance Agreement Page 4 of 10 Rev.10/21  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  Sexual Misconduct $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. For more information see the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements, (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Evidence of such insurance and all correspondence shall be sent to: Orange County Risk Manager Post Office Box 8181 Hillsborough, NC 27278 d. Nothing in this section is intended to affect or abrogate the County’s sovereign immunity defenses. 8. General Provisions. 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 identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. b. 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, which is incorporated herein by reference and can be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php. The County may enforce this provision by an 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. c. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Orange County Outside Agency Performance Agreement Page 5 of 10 Rev.10/21 Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. d. 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 Orange County Living Wage Policy, which is incorporated herein by reference, can be viewed at: http://www.orangecountync.gov/departments/purchasing_division/contracts.php. 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. e. 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. f. 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. g. 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. h. 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. i. 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. j. 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. k. 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. DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Orange County Outside Agency Performance Agreement Page 6 of 10 Rev.10/21 l. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. m. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Provider’s Name The Marian Cheek Jackson Center for Saving and Making History Attention: Bonnie Hammersley Attention: George Barrett P.O. Box 8181 Address: 512 W. Rosemary St., Hillsborough, NC 27278 Chapel Hill, NC 27516 Email:bhammersley@orangecountync.gov Email: george@jacksoncenter.info n. 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 _____________________________ _______________________ George Barrett, Executive Director Date For and on behalf of Orange County Government _______________________________ ________________________ Bonnie Hammersley, County Manager Date DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 12/1/2021 12/2/2021 Orange County Outside Agency Performance Agreement Page 7 of 10 Rev.10/21 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: The Marian Cheek Jackson Center for Saving and Making History Party/Vendor Contact Person: George Barrett Contact Phone: 919-960-1670 Party/Vendor Address: 512 W. Rosemary St., City Chapel Hill State: NC Zip: 27516 Department: Human Rights and Relations Amount: $21,319 Purpose: Outside Agency Funding Budget Code(s): 10495050-719065 Vendor # 62588 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 07/01/21 Approved by Board Yes No Agenda Date: 06/15/21 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:_________ DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 12/1/2021 12/2/2021 12/2/2021 12/2/2021 Orange County Outside Agency Performance Agreement Page 10 of 10 Rev.10/21 ATTACHMENT “A” Orange County Certifications – FY 20 - Outside Agency Performance Agreement Chief Contact, Administrators, Chief Executive Officer and Chief Financial Officer I certify that I have provided a list of the chief contact, administrators, chief executive officer and chief financial officer for my agency with this Agreement and that I will keep it current to the County of Orange. The list should be in writing with the name, title, residential address; phone and email address and if possible, fax number. Officers and Board of Directors I certify that I have provided a current list of the Officers and Board of Directors with this Agreement and that we will continue to update the list as changes occur. The list should be in writing, with the name, physical address, mailing address and if possible, phone, fax and email address. Budget Submission I certify that I have provided a budget for the period to be covered by funding Orange County, and that any substantive changes made to this budget have been in advance authorized in writing by Orange County. Annual Financial Review I certify that I have provided a copy of the latest annual Financial Review for our agency and the budget adopted by the agency for the fiscal years encompassing this Agreement. If not, please explain on a separate sheet of paper. Alignment with Organization’s Mission I certify that the programs and services for which this funding is requested align with the mission of the organization. Intended Purpose I certify that the funds provided to the agency under the terms of this Agreement will be used for a public purpose and shall only be used for the purposes intended and any money not used for those purposes will be promptly returned to Orange County. Certified by: _______________________ Title: __________________________ Date: ___________ (Provider’s Signature) DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Executive Director 12/1/2021 COVER PAGE Applicant Contact Information Applicant Organization’s Legal Name: The Marian Cheek Jackson Center for Saving and Making History Applicant Organization’s Physical Address: 512 W. Rosemary St., Chapel Hill, NC 27516 Applicant Organization’s Mailing Address: 512 W. Rosemary St., Chapel Hill, NC 27516 Applicant Organization’s Web Address: www.jacksoncenter.info Executive Director: George Barrett Telephone Number: 919-960-1670 E-Mail: george@jacksoncenter.info Tax ID Number: 46-1988511 Funding Request Please list all Fiscal Year 2022 Human Services (HS) funding requested for all programs and the proposed use of funds (please list program name only) Program Carrboro - HS Chapel Hill - HS Orange County-HS Total Ex. Youth Afterschool Program Operations or Personnel $10,000 Operations $15,000 Personnel $5,000 Operations $30,000 Learning Across Generations: Local Civil Rights & Oral History Education $9,000 Personnel $9,000 Personnel $17,500 Personnel $35,500 Keeping Your House a Home: Long term neighbor retention and advocacy (other sources) (other sources) $10,000 $10,00 Totals $9,000 $9,000 $27,500 $45,500 Exhibit A- Provider’s Outside Agency Application DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Briefly explain your proposed use of funds: Funding will provide critical capacity to grow our team of teachers to facilitate local civil rights workshops for thousands of k-12 students in the classroom, online, and at home, reactivate our team of civil rights veterans who share their histories directly to student learners, and for our Community Advocacy Specialist to connect over 110 low-income community elders with critical home repairs, retention tools, and land-loss prevention programs. 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: 1/14/2021 Executive Director Date Signature: 1/14/2021 Board Chairperson Date 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. ☐ ☒ a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ☐ ☒ 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? ☐ ☒ c) Current beneficiaries of the program for which funds are being requested? DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 ☐ ☒ 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: 1/14/2021 Executive Director Date Signature: 1/14/2021 Board Chairperson Date DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): March 2012 2. Agency’s Purpose/Mission (no more than a few sentences): The Marian Cheek Jackson Center’s mission is to honor, renew, and build community in the historic Northside, Pine Knolls, Tin Top, and Lloyd/Broad communities of Chapel Hill and Carrboro. We were established in 2008 to respond to rapid demographic changes in historically Black, low-wealth communities in Orange County, NC. As a place-based and oral history-driven organization, we preserve the future of neighborhoods in transition and pursue MLK’s vision of beloved community through education & youth leadership, organizing and advocacy, and community events. 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). We utilized a team of professional staff and trained community mentors who successfully implemented this program for 7 years. Each year, we increased capacity while keeping to our budget. Before COVID-19 we were able to reach 3,000 jK-12 students within the Chapel Hill/Carrboro school district. Students of color and low-income families are overrepresented in our audiences; responses consistently show our workshops are empowering and impactful. For this reason, we anticipate employing more workshop leaders to meet projected demand. **Note: In FY 2019-2020, due to the pandemic, we shifted our in-person workshops to an online curriculum and at-home enrichment activities. This adaptation aligns with the learning framework utilized by the Chapel Hill / Carrboro School District. These robust adaptations are being distributed to over a thousand students across the district. Parents and teachers have applauded these adaptations, testifying that students are engaged in meaningful learning activities around the historical events within Chapel Hill / Carrboro and Orange County. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes / No) If yes, is this agency an Orange County Living Wage Certified Employer? Yes If no, please briefly explain. DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Schedule of Positions: # of FTE – Full-Time Paid Positions: 5 # of FTE – Part-Time Paid Positions: 7 PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 5. Program Name: Learning Across Generations (LAG): Local Civil Rights and Oral History Education Program Primary Contact and Title: Aisha Booze-hall, Education and Eldercare Senior Fellow Telephone Number: 919-960-1670 E-Mail: aisha@jacksoncenter.info 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) Based on the transformative power of storytelling, our LAG program shares the rich local history of Northside and other historically black neighborhoods in Chapel Hill with K-12 students, primarily in Chapel Hill, Carrboro, and Orange County. Our workshops bring oral histories into classrooms through multimedia, experiential and now virtual presentations and hands-on activities often featuring interactions between students and our Community Mentor Team, veterans of the local Civil Rights Movement. The LAG program aligns with the Towns’ Intermediate Result 1.2, in which children demonstrate grade-level skills, and Orange County BOCC Goals related to lifelong learning that champions diversity and education at all levels. DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 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 2019-2020 Actual 2019-20 Projected 2020-21 Projected 2021-22 Gender Men 1462 1674 511 764 Women 1528 1756 515 766 Nonbinary/Genderqueer 78 40 22 31 Self-Describe 2 -- 2 2 Total 3070 3470 1050 1563 Race and Ethnicity Black or African-American 674 880 234 337 American Indian or Alaska Native 8 9 4 4 Asian 260 224 89 139 White 1951 1508 662 993 Native Hawaiian or other Pacific Islander 1 1 1 1 Two or more races 1 Some other race 176 848 60 89 DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Total 3070 3470 1050 1563 Of the above, how many Hispanic/Latino 543 860 157 168 Of the above, how many non-Hispanic/Latino 2527 2610 893 1395 Total 3070 3470 1050 1563 Age 0-5 years 20 -- 20 20 6-18 years 2499 3255 851 1266 19-50 years 354 115 112 177 51+ years 197 100 67 100 Total 3070 3470 1050 1563 Geographic Location Town of Chapel Hill 1512 1973 515 766 Town of Carrboro 989 1405 336 500 Orange County ( Outside of Chapel Hill/Carrboro) 339 92 116 173 Outside of Orange County 230 -- 83 124 Total 3070 3470 1050 1563 DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments 1000 1299 1100 1200 Total 1000 1299 1050 1563 **Note: The FY 2020-21 and FY 2021-22 target population demographics are affected due to the impact of the coronavirus pandemic. As you will see in the performance indicators below, our goals have adapted to the current situation. We will administer the Learning Across Generation workshops via the online curriculum and distribute Family Activity Boxes to elementary aged students. These robust adjustments of the LAG program were developed in the Fall of 2020. We anticipate expanding both the online curriculum and FAB’s in FY 2021-2022, while also being flexible to administer in-person workshops, adapting to the ever-changing landscape of education. 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 2019-20 Projected 2020-21 Projected 2021-22 Total Cost of Program $77,650 $39,150 $71,552 Total # of Individuals 3470 1050 1563 Cost Per Individual $22.38 $37.28** $45.78 **Note: When the pandemic began in March 2020, the Jackson Center’s access to classrooms was halted. Due to this pause, the need to develop the digital curriculum was heightened. The fall of 2020 was spent developing that curriculum and piloting the Family Activity Boxes (FAB) to 150 students in the Chapel Hill/Carrboro and Orange County. The Spring of 2021 will see increased distribution of FAB’s to elementary aged students and the roll out of the online digital curriculum. DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 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: Learning Across Generations (LAG): Local Civil Rights and Oral History Education Strategic Objective (please choose one from the Results Framework) o Children improve their educational outcomes Intermediate Result (please choose one from the results Framework) IR 1.2 Children demonstrate new grade-level appropriate skills RESULTS Actual 2019-20 Projected 2020-21 Projected 2021-22 DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 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). 1. % and # of students in the Learning Across Generations activities and workshops who report increased confidence in leadership and pro-social abilities, including the ability to affect positive change in their communities 2. % and # of students who received Family Activity Bags increase confidence in their ability to be successful in school, especially in social studies and language arts 3. % and # of students in CHCCS and Orange County oral history workshops who engage in and learn critical local history and report gaining oral history interviewing proficiency as well as understanding of importance of knowing local history 1. 80 % or 1620 2. Note: This metric is new and was unable to be measured before 2020- 2021 3. 90 % or 1822 1. 80% or 840 2. 80% or 240/300 3. 90 % or 945 1. 80 % or 1250 2. 80 % or 400 /500 3. 90 % or 1407 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. Youth Services DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 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 Improve student's confidence in their leadership including their ability to affect positive change in their communities Performance Measure (How will you accomplish your goal?) More than 90% of teachers reported increased student confidence in leadership via post-workshop surveys Actual Results (Outcome) Ending FY19-20 100% (37/37) of teachers who reported that workshops were effective or very effective in communicating the idea that every child can be “powerful and make a difference” Projected Results (Outcome) Ending FY2021 100% (25/25) of teachers Projected Results (Outcome) Ending FY2022 100% (35/35) of teachers DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Program Goal # 2 Improve cross-generational learning by involving 15 community mentors / elders in improving virtual workshops Performance Measure** (How will you accomplish your goal?) # and % of existing Oral/Civil Rights History Story Books (Northside Chronicles) updated by veteran community activists and educators. Actual Results (Outcome) Ending FY19-20 N/A Projected Results (Outcome) Ending FY2021 8/10, 80% Projected Results (Outcome) Ending FY2022 9/10, 90% **Note: Program Goal #2 is a new performance measure and does not have data for FY 2019/2020. Veteran community activists and educators are the members of the Community Mentor Team (CMT). Program Goal # 3 Increase number of county K-12 students who acquire local history skills in oral and local history workshops by 10 % Performance Measure (How will you accomplish your goal?) # of students who acquire local history skills, as reported by post- workshop teacher surveys DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Actual Results (Outcome) Ending FY19-20 1924 (95%) Projected Results (Outcome) Ending FY2021 998 (95%) Projected Results (Outcome) Ending FY2022 1485 (95%) PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 5. Program Name: Keeping Your House a Home: long-term neighbor retention and advocacy Program Primary Contact and Title: George Barrett, Executive Director Telephone Number: 919-960-1670 E-Mail: george@jacksoncenter.info 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) Our program helps safely retain low-income elders in their homes through home repair support and advocacy, improving the county’s community network and providing a higher quality of life for elders. We facilitate “preservation toolkit” workshops that connect residents with the resources that help preserve affordable housing. Finally, we organize a network of attorneys to provide free estate planning to elders throughout the County to protect the wellbeing and diversity of generations to come. This supports the County priorities: “ensuring a community network of basic human services” and “ensuring a high quality of life and lifelong learning that champions diversity.” 7. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Program Target Population Demographics Projected 2019- 2020 Actual 2019- 20 Projected 2020-21 Projected 2021-22 Gender Men 38 26 43 33 Women 78 54 83 77 Nonbinary/Genderqueer -- -- -- -- Self-Describe -- -- -- -- Total 116 80 126 110 Race and Ethnicity Black or African-American 108 71 112 104 American Indian or Alaska Native -- -- -- -- Asian 5 5 8 4 White 3 4 5 2 Native Hawaiian or other Pacific Islander -- -- -- -- Two or more races -- 1 Some other race -- -- Total 116 80 126 110 DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Of the above, how many Hispanic/Latino 4 4 6 4 Of the above, how many non-Hispanic/Latino 112 76 120 106 Total 116 80 126 110 Age 0-5 years -- -- -- -- 6-18 years 3 2 4 4 19-50 years 11 5 12 11 51+ years 102 73 110 95 Total 116 80 126 110 Geographic Location Town of Chapel Hill 67 39 65 62 Town of Carrboro 33 33 35 32 Orange County (Outside of Chapel Hill/Carrboro) 16 8 26 16 Outside of Orange County -- -- -- -- Total 116 80 126 110 Income DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Low-income (80% of the Area Median Income and Below) Please see income table in the attachments 116 80 126 110 Total 116 80 126 110 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 2019-20 Projected 2020-21 Projected 2021-22 Total Cost of Program $63,572 $89,400 $81,691 Total # of Individuals 80 126 110 Cost Per Individual $794.65 $709.52 $742.65 9. Performance Indicators 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. Housing 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: DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 · If you use percentages, please put the actual number equivalence. · Please ensure your performance measures are outcome based and not outputs. Program Goal # 1 Ensure that 65 elderly or low-income residents have home preservation plans that help retain them in their home. Performance Measure (How will you accomplish your goal?) # of low-income residents who complete “home preservation toolkit” workshop, preservation plan, and evaluation that shows increase in retention Actual Results (Outcome) Ending FY19-20 55 Projected Results (Outcome) Ending FY2021 75 Projected Results (Outcome) Ending FY2022 65 Program Goal # 2 Provide 18 elderly household with attested wills that help prevent land loss Performance Measure # of low-income residents who complete wills and end-of-life documents through the Jackson Center network of pro-bono attorneys DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 (How will you accomplish your goal?) Actual Results (Outcome) Ending FY19-20 5 Projected Results (Outcome) Ending FY2021 18 Projected Results (Outcome) Ending FY2022 14 **Note: The FY 19-20 results were significantly affected by the COVID-19 pandemic. Program Goal # 3 Ensure at least 20 households receive coordinated, comprehensive, quality home repairs that help retain them in their homes Performance Measure (How will you accomplish your goal?) # of households that receive coordinated response through the Jackson Center, confirm that all repairs are complete, and report “high quality” on satisfaction surveys Actual Results (Outcome) Ending FY19-20 17 DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Projected Results (Outcome) Ending FY2021 15 Projected Results (Outcome) Ending FY2022 20 DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 Exhibit B- Scope of Services DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102 DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102