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HomeMy WebLinkAbout2022-010-E-Housing-State ESG office-ESG FY21NCDHHS GCT1007 (Contract) (General) (Rev. 11.01.15) GENERAL CONTRACT COVER This contract is hereby entered into by and between the North Carolina Department of Health and Human Services, Division of Aging and Adult Services (the "Division") and Orange County Dept. of Housing & Community Develop (the "Contractor") (referred to collectively as the “Parties”). 1.Contract Documents: This contract consists of the following documents, which are incorporated herein by reference: (a)This contract cover (b)The General Terms and Conditions (c)Scope of Work (d)Performance Measures Chart (e)The Line Item Budget (f)Federal Certifications (g)State Certification Incorporated By Reference The following documents are reference materials and are available by going to the following website, Open Window (https://openwindow.dhhs.state.nc.us/index.aspx?pid=doc_ReferenceDocuments ). (a)Travel: Policies Governing Travel Related Expenses for Contractors (b)General Statutes G.S.143C6 NonState Entities Receiving State Funds (c)Subchapter 03M Uniform Administration of State Grants These documents constitute the entire agreement between the Parties and supersede all prior oral or written statements or agreements. 2.Precedence Among Contract Documents: In the event of a conflict between or among the terms of the Contract Documents, the terms in the Contract Document with the highest relative precedence shall prevail. The order of precedence shall be the order of documents as listed in the contract document section, with the first-listed document having the highest precedence and the last-listed document having the lowest precedence. If there are multiple contract amendments, the most recent amendment shall have the highest precedence and the oldest amendment shall have the lowest precedence. 3.Effective Period: This contract shall be effective on 1/1/2022 and shall terminate on 12/31/2022, with the option to extend, if mutually agreed upon, through a written amendment as provided for in the General Terms and Conditions. 4.Contractor’s Duties: The Contractor shall provide the services as described in the scope of work and in accordance with the approved budget. 5.Division’s Duties: The Division shall pay the Contractor in the manner and in the amounts specified in the contract documents. The total amount paid by the Division to the Contractor under this contract shall not exceed $43,565. This amount consists of $0 in State funds, $0 in Local funds, $0 in Other funds and $43,565 in Federal funds. The total contract amount is $43,565. Contract Number 00043639 / Page 1 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A NCDHHS GCT1007 (Contract) (General) (Rev. 11.01.15) 6.Conflict of Interest Policy: The Division has determined that this contract is a financial assistance contract. The Contractor shall file with the Division, a copy of the Contractor’s policy addressing conflicts of interest that may arise involving the Contractor’s management employees and the members of its board of directors or other governing body. The policy shall address situations in which any of these individuals may directly or indirectly benefit, except as the Contractor’s employees or members of its board or other governing body, from the Contractor’s disbursing of state funds and shall include actions to be taken by the Contractor or the individual, or both to avoid conflicts of interest and the appearance of impropriety. The policy shall be filed before the Division may disburse the grant funds. (N.C.G.S. 143C-6-23(b)(2007)) 7.Statement of No Overdue Tax Debts: Contractor’s sworn written statement pursuant to N.C.G.S. 143C-6-23(c), stating that the Contractor does not have any overdue tax debts, as defined by G.S. 105-243.1, at the federal, state, or local level. The Contractor acknowledges that the written statement must be filed before Division may disburse the grant funds. 8.Reversion of Unexpended Funds: Any unexpended grant funds shall revert to the Division upon termination of this contract. 9.Grants: The Contractor/Grantee has the responsibility to ensure that all sub-grantees, if any, provide all information necessary to permit the Contractor/Grantee to comply with the standards set forth in this contract. 10.Reporting Requirements: The Division has determined that this is a contract for financial assistance, and therefore is subject to the reporting requirements in Uniform Administration of State Awards of Financial Assistance at 09 NCAC 03M.0205 11.Payment Provisions: Upon execution of this contract, the Contractor shall submit to the Division Contract Administrator, a monthly reimbursement request for services rendered the previous month by the 10th of each month and, upon approval by the Division, receive payment within 30 days. Monthly payment shall be made based on actual expenditures made in accordance with the approved budget on file with both parties and reported on the monthly expenditure report submitted by the Contractor. If this contract is terminated, the Contractor shall complete a final accounting report and return any unearned funds to the Division within 30 days of the contract termination date. The Division shall have no obligation for payments based on expenditure reports submitted later than 30 days after termination or expiration of the contract period. All payments are contingent upon fund availability. 12.Contract Administrators: All notices permitted or required to be given by one Party to the other and all questions about the contract from one Party to the other shall be addressed and delivered to the other Party’s contract administrator. The name, post office address, street address, telephone number, fax number, and email address of the Parties’ respective initial contract administrators are set out below. Either Party may change the name, post office address, street address, telephone number, fax number, or email address of its contract administrator by giving timely written notice to the other Party. Contract Number 00043639 / Page 2 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A NCDHHS GCT1007 (Contract) (General) (Rev. 11.01.15) For the Division: IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS Lisa Worth, Homeless Programs Coordinator Lisa Worth, Homeless Programs Coordinator Division of Aging and Adult Services Division of Aging and Adult Services 918 Tate Drive 918 Tate Drive Raleigh, NC 27699 Raleigh, NC 27699 Telephone : (919)-855-4993 Fax: ()-- Email: lisa.worth@dhhs.nc.gov For the Contractor: IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS Kat Weis, Coordinator Kat Weis, Coordinator Orange County Dept. of Housing & Community Develop Orange County Dept. of Housing & Community Develop PO Box 8181 PO Box 8181 Hillsborough, NC 27278 Hillsborough, NC 27278 Telephone: (919)-245-2496 Fax: ()-- Email: sweis@orangecountync.gov 13.Supplementation of Expenditure of Public Funds: The Contractor assures that funds received pursuant to this contract shall be used only to supplement, not to supplant, the total amount of federal, state and local public funds that the Contractor otherwise expends for contract services and related programs. Funds received under this contract shall be used to provide additional public funding for such services; the funds shall not be used to reduce the Contractor’s total expenditure of other public funds for such services. 14.Disbursements: As a condition of this contract, the Contractor acknowledges and agrees to make disbursements in accordance with the following requirements: (a)Implement adequate internal controls over disbursements; (b)Pre-audit all vouchers presented for payment to determine: Validity and accuracy of payment Payment due date Adequacy of documentation supporting payment Legality of disbursement (c)Assure adequate control of signature stamps/plates; (d)Assure adequate control of negotiable instruments; and (e)Implement procedures to insure that account balance is solvent and reconcile the account monthly. 15.Outsourcing to Other Countries: The Contractor certifies that it has identified to the Division all jobs related to the contract that have been outsourced to other countries, if any. The Contractor further agrees that it will not outsource any such jobs during the term of this contract without providing notice to the Division. 16.Federal Certifications: Contract Number 00043639 / Page 3 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A NCDHHS GCT1007 (Contract) (General) (Rev. 11.01.15) Individuals and Organizations receiving federal funds must ensure compliance with certain certifications required by federal laws and regulations. The contractor is hereby complying with Certifications regarding Nondiscrimination, Drug-Free Workplace Requirements, Environmental Tobacco Smoke, Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions, and Lobbying. These assurances and certifications are accompanied by a signature page and can be found in the Contractor’s Managed Documents section of DHHS Open Window. The signature page is to be signed by the contractor’s authorized representative. 17.Other Requirements: The Emergency Solutions Grant program or ESG is a HUD funded program that the department has supported and administered for several years. ESG-CV funding is the result of funds made available to HUD and passed to the states for distribution to qualified sub-recipient organizations. Funds are reimbursed to the sub-recipient monthly upon receipt of a request for reimbursement and supporting documents describing how funds were used. Each contract is monitored by both on-site visit (20% of caseload each year) and by desk review (100% of the caseload each quarter) Sub-recipient - Orange County DUNS Number - 091575191 Federal Award – E20DW37001 Award Date – 11/1/2021 Performance Period – January 1, 2022 – December 31,2022 Total Amount Obligated – $43,565 Sub-recipient Total – $43,565 Total Federal Award - $5,319,950 Project Description – HUD Emergency Solutions Grant Funding Agency - US Department of Housing and Urban Development CFDA# 14.231 CFDA Emergency Solutions Grant R&D - No Federal Award Indirect Cost Rate - 0% 18.Signature Warranty: The undersigned represent and warrant that they are authorized to bind their principals to the terms of this agreement. Signatures follow on next page Contract Number 00043639 / Page 4 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A NCDHHS GCT1007 (Contract) (General) (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 Dept. of Housing & Community Develop Signature Date Bonnie 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 00043639 / Page 5 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 1/9/2022 Laura Jensen Clerk to the Board 1/10/2022 NCDHHS TC1010 (General Terms and Conditions) (Local Government) (Rev. 11.01.15) GENERAL TERMS AND CONDITIONS Relationships of the Parties Independent Contractor: The Contractor is and shall be deemed to be an independent contractor in the performance of this contract and as such shall be wholly responsible for the work to be performed and for the supervision of its employees. The Contractor represents that it has, or shall secure at its own expense, all personnel required in performing the services under this agreement. Such employees shall not be employees of, or have any individual contractual relationship with, the Division. Subcontracting: The Contractor shall not subcontract any of the work contemplated under this contract without prior written approval from the Division. Any approved subcontract shall be subject to all conditions of this contract. Only the subcontractors specified in the contract documents are to be considered approved upon award of the contract. The Division shall not be obligated to pay for any work performed by any unapproved subcontractor. The Contractor shall be responsible for the performance of all of its subcontractors. Assignment: No assignment of the Contractor's obligations or the Contractor's right to receive payment hereunder shall be permitted. However, upon written request approved by the issuing purchasing authority, the State may: (a) Forward the Contractor's payment check directly to any person or entity designated by the Contractor, or (b) Include any person or entity designated by Contractor as a joint payee on the Contractor's payment check. In no event shall such approval and action obligate the State to anyone other than the Contractor and the Contractor shall remain responsible for fulfillment of all contract obligations. Beneficiaries: Except as herein specifically provided otherwise, this contract shall inure to the benefit of and be binding upon the parties hereto and their respective successors. It is expressly understood and agreed that the enforcement of the terms and conditions of this contract, and all rights of action relating to such enforcement, shall be strictly reserved to the Division and the named Contractor. Nothing contained in this document shall give or allow any claim or right of action whatsoever by any other third person. It is the express intention of the Division and Contractor that any such person or entity, other than the Division or the Contractor, receiving services or benefits under this contract shall be deemed an incidental beneficiary only. Indemnity and Insurance Indemnification: The Contractor agrees to indemnify and hold harmless the Division, the State of North Carolina, and any of their officers, agents and employees, from any claims of third parties arising out of any act or omission of the Contractor in connection with the performance of this contract to the extent permitted by law. Default and Termination Termination Without Cause: The Division may terminate this contract without cause by giving 30 days written notice to the Contractor. Termination for Cause: If, through any cause, the Contractor shall fail to fulfill its obligations under this contract in a timely and proper manner, the Division shall have the right to terminate this contract by giving written notice to the Contractor and specifying the effective date thereof. In that event, all finished or unfinished deliverable items prepared by the Contractor under this contract shall, at the option of the Division, become its property and the Contractor shall be entitled to receive just and equitable compensation for any satisfactory work completed on such materials, minus any payment or compensation previously made. Notwithstanding the foregoing provision, the Contractor shall not be relieved of liability to the Division for damages sustained by the Division by virtue of the Contractor’s breach of this agreement, and the Division may withhold any payment due the Contractor for the purpose of setoff until such time as the exact amount of damages due the Division from such breach can be determined. In case of default by the Contractor, without limiting any other remedies for breach available to it, the Division may procure the contract services from other sources and hold the Contractor responsible for any excess cost occasioned thereby. The filing of a petition for bankruptcy by the Contractor shall be an act of default under this contract. Waiver of Default: Waiver by the Division of any default or breach in compliance with the terms of this contract by the Contractor shall not be deemed a waiver of any subsequent default or breach and shall not be construed to be modification of the terms of this contract unless stated to be such in writing, signed by an authorized representative of the Department and the Contractor and attached to the contract. Availability of Funds: The parties to this contract agree and understand that the payment of the sums specified in this contract is dependent and contingent upon and subject to the appropriation, allocation, and availability of funds for this purpose to the Division. Force Majeure: Neither party shall be deemed to be in default of its obligations hereunder if and so long as it is prevented from performing such obligations by any act of war, hostile foreign action, nuclear explosion, riot, strikes, civil insurrection, earthquake, hurricane, tornado, or other catastrophic natural event or act of God. Survival of Promises: All promises, requirements, terms, conditions, provisions, representations, Contract Number 00043639 / Page 6 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A NCDHHS TC1010 (General Terms and Conditions) (Local Government) (Rev. 11.01.15) guarantees, and warranties contained herein shall survive the contract expiration or termination date unless specifically provided otherwise herein, or unless superseded by applicable Federal or State statutes of limitation. Intellectual Property Rights Copyrights and Ownership of Deliverables: All deliverable items produced pursuant to this contract are the exclusive property of the Division. The Contractor shall not assert a claim of copyright or other property interest in such deliverables. Compliance with Applicable Laws Compliance with Laws: The Contractor shall comply with all laws, ordinances, codes, rules, regulations, and licensing requirements that are applicable to the conduct of its business, including those of federal, state, and local agencies having jurisdiction and/or authority. Equal Employment Opportunity: The Contractor shall comply with all federal and State laws relating to equal employment opportunity. Health Insurance Portability and Accountability Act (HIPAA): The Contractor agrees that, if the Division determines that some or all of the activities within the scope of this contract are subject to the Health Insurance Portability and Accountability Act of 1996, P.L. 104-91, as amended (“HIPAA”), or its implementing regulations, it will comply with the HIPAA requirements and will execute such agreements and practices as the Division may require to ensure compliance. Confidentiality Confidentiality: Any information, data, instruments, documents, studies or reports given to or prepared or assembled by the Contractor under this agreement shall be kept as confidential and not divulged or made available to any individual or organization without the prior written approval of the Division. The Contractor acknowledges that in receiving, storing, processing or otherwise dealing with any confidential information it will safeguard and not further disclose the information except as otherwise provided in this contract. Data Security: The Contractor shall adopt and apply data security standards and procedures that comply with all applicable federal, state, and local laws, regulations, and rules. Duty to Report: The Contractor shall report a suspected or confirmed security breach to the Division’s Contract Administrator within twenty-four (24) hours after the breach is first discovered, provided that the Contractor shall report a breach involving Social Security Administration data or Internal Revenue Service data within one (1) hour after the breach is first discovered. During the performance of this contract, the contractor is to notify the Division contract administrator of any contact by the federal Office for Civil Rights (OCR) received by the contractor. Cost Borne by Contractor: If any applicable federal, state, or local law, regulation, or rule requires the Division or the Contractor to give affected persons written notice of a security breach arising out of the Contractor’s performance under this contract, the Contractor shall bear the cost of the notice. Oversight Access to Persons and Records: The State Auditor shall have access to persons and records as a result of all contracts or grants entered into by State agencies or political subdivisions in accordance with General Statute 147-64.7. Additionally, as the State funding authority, the Department of Health and Human Services shall have access to persons and records as a result of all contracts or grants entered into by State agencies or political subdivisions. Record Retention: Records shall not be destroyed, purged or disposed of without the express written consent of the Division. State basic records retention policy requires all grant records to be retained for a minimum of five years or until all audit exceptions have been resolved, whichever is longer. If the contract is subject to Federal policy and regulations, record retention may be longer than five years. Records must be retained for a period of three years following submission of the final Federal Financial Status Report, if applicable, or three years following the submission of a revised final Federal Financial Status Report. Also, if any litigation, claim, negotiation, audit, disallowance action, or other action involving this Contract has been started before expiration of the five-year retention period described above, the records must be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular five-year period described above, whichever is later. The record retention period for Temporary Assistance for Needy Families (TANF) and MEDICAID and Medical Assistance grants and programs must be retained for a minimum of ten years. Contract Number 00043639 / Page 7 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A NCDHHS TC1010 (General Terms and Conditions) (Local Government) (Rev. 11.01.15) Miscellaneous Choice of Law: The validity of this contract and any of its terms or provisions, as well as the rights and duties of the parties to this contract, are governed by the laws of North Carolina. The Contractor, by signing this contract, agrees and submits, solely for matters concerning this Contract, to the exclusive jurisdiction of the courts of North Carolina and agrees, solely for such purpose, that the exclusive venue for any legal proceedings shall be Wake County, North Carolina. The place of this contract and all transactions and agreements relating to it, and their situs and forum, shall be Wake County, North Carolina, where all matters, whether sounding in contract or tort, relating to the validity, construction, interpretation, and enforcement shall be determined. Amendment: This contract may not be amended orally or by performance. Any amendment must be made in written form and executed by duly authorized representatives of the Division and the Contractor. The Purchase and Contract Divisions of the NC Department of Administration and the NC Department of Health and Human Services shall give prior approval to any amendment to a contract awarded through those offices. Severability: In the event that a court of competent jurisdiction holds that a provision or requirement of this contract violates any applicable law, each such provision or requirement shall continue to be enforced to the extent it is not in violation of law or is not otherwise unenforceable and all other provisions and requirements of this contract shall remain in full force and effect. Headings: The Section and Paragraph headings in these General Terms and Conditions are not material parts of the agreement and should not be used to construe the meaning thereof. Gender and Number: Masculine pronouns shall be read to include feminine pronouns and the singular of any word or phrase shall be read to include the plural and vice versa. Time of the Essence: Time is of the essence in the performance of this contract. Key Personnel: The Contractor shall not replace any of the key personnel assigned to the performance of this contract without the prior written approval of the Division. The term “key personnel” includes any and all persons identified as such in the contract documents and any other persons subsequently identified as key personnel by the written agreement of the parties. Care of Property: The Contractor agrees that it shall be responsible for the proper custody and care of any property furnished to it for use in connection with the performance of this contract and will reimburse the Division for loss of, or damage to, such property. At the termination of this contract, the Contractor shall contact the Division for instructions as to the disposition of such property and shall comply with these instructions. Travel Expenses: Reimbursement to the Contractor for travel mileage, meals, lodging and other travel expenses incurred in the performance of this contract shall not exceed the rates published in the applicable State rules or approved local government travel policy. International travel shall not be reimbursed under this contract. Sales/Use Tax Refunds: If eligible, the Contractor and all subcontractors shall: (a) ask the North Carolina Department of Revenue for a refund of all sales and use taxes paid by them in the performance of this contract, pursuant to G.S. 105-164.14; and (b) exclude all refundable sales and use taxes from all reportable expenditures before the expenses are entered in their reimbursement reports. Advertising: The Contractor shall not use the award of this contract as a part of any news release or commercial advertising. Contract Number 00043639 / Page 8 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 1 NC ESG FY 2021-22 Scope of Work Scope of Work The SOW is being replaced in its entirety with the SOW from this amendment. NC ESG FY 2021-2022 BACKGROUND The North Carolina Emergency Solutions Grant (NC ESG) program is a reimbursable grant program established by the McKinney-Vento Homeless Assistance Act (Public Law 100-77, Public Law 100-628) as amended by the Homeless Emergency Assistance and Rapid Transition to Housing Act of 2009 (HEARTH Act). The HEARTH Act authorized the Emergency Solutions Grant (ESG) Program for providing assistance to persons and families who are homeless or at risk of homelessness. The North Carolina Department of Health and Human Services (DHHS), Division of Aging and Adult Services (DAAS) is responsible for administering North Carolina’s Statewide annual allocation of funds from the Department of Housing and Urban Development (HUD) Emergency Solutions Grant (ESG) Program funds granted to the State of North Carolina, herein referred to NC ESG. These programs and services are carried out by community organizations that apply for, and are awarded, NC ESG funds on an annual basis. These funds are a formula grant appropriated by Congress to the United States Department of Housing and Urban Development with the intention to: (1) engage homeless individuals and families living on the street; (2) improve the number and quality of emergency shelters for homeless individuals and families; (3) help operate these shelters; (4) provide essential services to shelter residents; (5) rapidly re-house homeless individuals and families; and (6) prevent families and individuals from becoming homeless. NC ESG funds are intended to be used as part of a crisis response system using a low barrier, housing- focused approach to ensure that homelessness is rare, brief, and non-recurring. The NC ESG program is further broken down into two primary functions: (1) Emergency Response Activities, including emergency shelter operations and services as well as street outreach and (2) Housing Stability Activities including homelessness prevention and rapid re-housing. NC ESG funds can also be used for Homeless Management Information System (HMIS) participation and administration / or comparable Domestic Violence database participation and administration. PURPOSE NC ESG funds are intended to be used as part of a crisis response system using a low barrier, housing-focused approach to ensure that homelessness is rare, brief, and one time. Activities can include: •Engaging homeless individuals and families living on the street; •Improving the number and quality of emergency shelters for homeless individuals and families; •Helping operate emergency shelters; •Providing essential services to emergency shelter residents; •Rapidly re-house homeless individuals and families; and •Preventing families and individuals from becoming homeless. The activities to be performed under this contract are as follows: Rapid Rehousing Financial Assistance and Rapid Rehousing Services. PERFORMANCE Federal and State NC ESG Requirements All subrecipients are expected to use NC ESG funds in accordance with Department of Housing and Urban Development (HUD) and State of North Carolina guidelines (including 24 CFR 576, 24 CFR 578, 2 CFR Part 200, 24 CFR 84 & 85, OMB Circular A- 133, NCAC 19OPQ Rules, 09 NCAC 03M .0201). For additional detail regarding information provided in the scope of work, please refer to NC ESG documentation including the Desk Guide and Expense Guide, as well as webinars and trainings at: https://www.ncdhhs.gov/nc-emergency-solutionsgrant. It is the responsibility of each applicant applying for NC ESG funding to become familiar with the HUD ESG regulations (Federal register Vol. 76, No. 233, Dated Monday, December 5, 2011). These regulations can be found on the HUD Exchange website: https://www.hudexchange.info/resource/1927/hearth-esg-program- and-consolidated-plan-conforming-amendments/. In addition to Federal regulations, applicants must familiarize themselves with the State NC ESG guidelines including Core Practices and Performance Standards, RFA and application materials, which can be found at https://www.ncdhhs.gov/ncemergency-solutions-grant Contract Number 00043639 / Page 9 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 2 NC ESG FY 2021-22 Scope of Work Grant Year Begins: January 01, 2022 Quarter 1 (Q1): January 01, 2022 – March 31, 2022 Quarter 1 Reports Deadline: April 30, 2022, 12:00pm Quarter 2 (Q2): April 01, 2022 – June 30, 2022 Quarter 2 Reports Deadline: July 31, 2022, 12:00pm Quarter 3 (Q3): July 01, 2022 – Sept. 30, 2022 Quarter 3 Reports Deadline: October 30, 2022, 12:00pm Quarter 4 (Q4): October 1, 2022 – Dec. 31, 2022 Last Day to Expend Funds: December 31, 2022 Quarter 4 Report Deadline: January 29, 2023, 12:00pm Final Payment Request Deadline: February 15, 2023, 12:00pm (noon) 2022 CAPER submission by NC ESG Subrecipients via SAGE February 15, 2023, 12:00pm (noon) 2022 NC ESG CAPER Submission Deadline: March 31, 2023 Agencies participating in the NC ESG program and/or receiving NC ESG funds, are eligible to perform activities under the areas provided below. Each component must serve eligible participants as defined under 25 CFR 576.2 and the NC ESG 2022 Desk Guide. Rapid Rehousing Move homeless individuals and families quickly into permanent housing through rental assistance, housing relocation and stabilization services. Subrecipients providing rapid rehousing activities will be responsible for recertification of any household that receives more than 12 months of assistance. Housing Relocation and Stabilization Services include: •Housing stability case management •Housing search and placement •Mediation •Legal services •Credit repair Financial Assistance includes: •Rent application fees •Security and utility deposits •Last month’s rent •Utility payments •Moving costs •Short-term & Medium-term Rental Assistance •Arrears Documenting Homeless Status / Client File documentation Client files must be created, and forms completed, at entry and maintained throughout the duration, using the most up to date forms from the DHHS_DAAS_NC ESG website. Deviations from the minimum required documentation standards must be approved by the NC ESG Office prior to use. ADMINISTRATION / PERFORMANCE MONITORING / COMPLIANCE The Subrecipient must have policies and procedures regarding maintaining records including client files and all other backup source documentation. The documentation must, at a minimum, follow the requirements of 24 CFR 576.500. Allowable expenses must be incurred and paid prior to reimbursement. Documentation is required to demonstrate expense reimbursement Contract Number 00043639 / Page 10 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 3 NC ESG FY 2021-22 Scope of Work requests have been both incurred and paid. The Subrecipient is also required to use the forms provided by the NC ESG Office. Any deviations from the minimum documentation standards or the NC ESG provided forms, must be approved by the NC ESG Office prior to use. Ineligible Activities If the Subrecipient provides emergency response and/or housing stability activities to ineligible participants using NC ESG funds or NC ESG matching funds, the Subrecipient will reimburse the State for those funds from a non-ESG funding source. NOTE •A submission of ineligible expenses renders the entire requisition ineligible Performance Monitoring and Assurance Plan Monitoring is an integral management control technique and a Government Accountability Office (GAO) standard. It is the activity that the NC ESG Office establishes and operates to assess the quality of performance over time and promptly resolve the findings of audits and other reviews. Monitoring provides information about program participants that is critical for making informed judgments about program effectiveness and management efficiency. It also helps in identifying instances of fraud, waste and abuse. It is the principal means by which the NC ESG Office: A.ensures that NC ESG funded programs and technical areas are carried out efficiently, effectively, and in compliance with applicable laws and regulations; B.assists program participants in improving their performance, developing or increasing capacity, and augmenting their management and technical skills. Subrecipients are expected to make available all participant level, financial, and program records for periodic review. Significant deficiencies in file content or quality will result in required Plans of Corrective Action, with possible loss of allocated funds upon discovery of continuing deficiencies. While it is the practice of the NC ESG office to request randomly selected files prior to a monitoring visit, files must be available on demand and produced within a reasonable amount of time after on-site arrival. NC ESG Office will regularly monitor HMIS/comparable database reporting to verify consistent data entry for applicable program activities. NC ESG Office reserves the right to request additional reports as necessary to support the NC ESG program. All Subrecipients are required to: •Provide aggregate data (CAPER) to the NC ESG Office for reporting purposes. •Participate in the annual Statewide Point-in-Time (PIT) / Housing Inventory (HIC) count. PERFORMANCE STANDARDS FEDERAL / STATE REQUIREMENTS Accessibility of Spaces, Services and Activities Subrecipient shall operate each existing program or activity receiving federal financial assistance so that the program or activity, when viewed in its entirety, is equally accessible to and usable by individuals with disabilities as by persons without disabilities. Affirmatively Furthering Fair Housing Under section 808(e) (5) of the Fair Housing Act, HUD has a statutory duty to affirmatively further fair housing. HUD requires the same of its funding recipients. Subrecipients will have a duty to affirmatively further fair housing opportunities for classes protected under the Fair Housing Act. Protected classes include race, color, national origin, religion, sex, disability, and familial status. Examples of affirmatively furthering fair housing include: (1) marketing the program to all eligible persons, including persons with disabilities and persons with limited English proficiency; (2) making buildings and communications that facilitate applications and service delivery accessible to persons with disabilities (see, for example, HUD’s rule on effective communications at 24 CFR 8.6); (3) providing fair housing counseling services or referrals to fair housing agencies; (4) informing participants of how to file a housing discrimination complaint, including providing the toll-free number for the Housing Discrimination Hotline: 1-800- 669-9777; and (5) recruiting landlords and service providers in areas that expand housing choice to program participants. CoC and Con Plan Participation •Subrecipients are expected to attend no less than 75% of their CoC’s meetings. •Subrecipients must participate in the CoC’s Point-in-Time and Housing Inventory Count •Subrecipients must participate in the NC Consolidated Plan (2020 – 2025) Contract Number 00043639 / Page 11 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 4 NC ESG FY 2021-22 Scope of Work •Subrecipients are encouraged to identify additional areas of coordination between the CoC and ESG programs. Coordinated Entry The U.S. Department of Housing and Urban Development (HUD) requires that Continuums of Care (CoC) establish and operate a coordinated entry (CE) process—and that recipients of CoC Program and Emergency Solutions Grants (ESG) program funding within the CoC’s area must use that CE process. Established in the 2012 CoC Program interim rule (24 CFR 578) and the 2011 Emergency Solutions Grants (ESG) interim rule (24 CFR 576). All homeless service referrals received by the ESG funded organization, must come from the CoC Coordinated Entry process – regardless of what funding source the organization chooses to utilize – ESG, CoC, private funds, etc. An organization who has elected to receive HUD funding (ESG and CoC) funding, must accept housing referrals only through the CoC Coordinated Entry process. By accepting referrals from any other source, the organization falls out of contract compliance and in violation of HUD (ESG and CoC) regulations. Coordinated Entry Evaluation Participating project and project participants at least annually are required to evaluate intake, assessment, and referral processes associated with CoC Coordinated Entry System. [CPD 17-01 Section II.B.15] Conflicts of Interest Requirements (24 CFR 576.404) (2 CFR Part 200.112) (24 CFR 578.95 (b)) The provision of any type or amount of ESG assistance may not be conditioned on an individual's or family's acceptance or occupancy of emergency shelter or housing owned by the subrecipient, or a parent or subsidiary of the subrecipient. No subrecipient may, with respect to individuals or families occupying housing owned by the subrecipient, or any parent or subsidiary of the subrecipient, carry out the initial evaluation required under 24 CFR 576.401 or administer homelessness prevention assistance under 24 CFR 576.103. For additional detail of Conflict of Interest requirements, refer to the NC ESG 2022 Desk Guide. •The subrecipient must maintain written standards of conduct covering conflicts of interest and governing the actions of its employees engaged in the selection, award and administration of contracts. •If the subrecipient has a parent, affiliate, or subsidiary organization that is not a state, local government, or Indian tribe, the subrecipient must maintain written standards of conduct covering organizational conflicts of interest. • Persons Covered The conflict of interest provision applies to any person who is an employee, agent, volunteer, consultant, officer, elected official or appointed official of: •the State and/or, •a unit of general local government and/or, •any designated public agencies representative and/or •subrecipients receiving ESG funds. Coordination with Other Targeted Homeless Services Subrecipients should coordinate and integrate NC ESG activities with mainstream housing, health, social services, employment, education, and youth programs, as well as programs targeted to homeless people in its service area to provide a strategic, community-wide system to prevent and end homelessness. refer to the ESG regulations 24 CFR 576.400(b)(c), for a full list of these programs. Data Collection Grantees will use the Homeless Management Information System (HMIS), to ensure that all data needed for program evaluation and required reports is available to integrate into the statewide HMIS system in a timely manner. Failure to do so may result in suspension of funding or payback of NC ESG funds. Agencies that are exempt from the HMIS participation requirement (i.e. Domestic Violence / Victim Service Provider agencies) must meet the same reporting requirements using a comparable HMIS database that produces electronic reports including, but not limited to, the Consolidated Annual Performance Evaluation Report (CAPER), as well as other data request for all State and Federal reporting and evaluations. Environmental Reviews Per 24 CFR 576.407(d), HUD-assisted projects are required to comply with the National Environmental Policy Act (NEPA) by conducting an environmental review to determine the potential environmental impacts of a project or, if applicable, by documenting its categorical exclusion or exemption from this requirement. The NC ESG Office will provide each Subrecipient with an Environmental Review form prior to awarding funds. The Contract Number 00043639 / Page 12 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 5 NC ESG FY 2021-22 Scope of Work Subrecipient must complete and return the form to the NC ESG Office before the contract can be executed and funds can be awarded. This is the only action the Subrecipient is required to take in order to be in compliance with the Environmental Review requirement. Faith-based activities The Subrecipient agrees that funds provided under this Agreement will not be utilized for inherently religious activities prohibited by 24 CFR §576.406. Financial Internal Controls The subrecipient must: •Establish and maintain effective internal control over federal funds that provides reasonable assurance that the subrecipient is managing federal funds in compliance with Federal statutes, regulations, and the terms and conditions of the federal funding. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States. •Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings. •Take reasonable measures to safeguard protected personally identifiable information and other information that the NC ESG Office or HUD designates as sensitive or the subrecipient considers sensitive consistent with applicable Federal, state, local, and tribal laws regarding privacy and obligations of confidentiality. •Procurement - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards set forth in 2 CFR 200 establishes standards and guidelines for the procurement of supplies, equipment, construction, and services to ensure that they are obtained as economically as possible through an open and competitive process, and that contracts are managed with good administrative practices and sound business judgment. •Ensure costs are considered ‘reasonable’ that do not exceed what a prudent person would incur under similar circumstances. All costs must pass the ‘rational person’ test by meeting all of the following criteria (2 CFR 200.400): o The cost would be recognized as ordinary and necessary for the operation of the organization and/or project. o The cost is in accordance with market prices for comparable goods or services as evidenced by cost estimates and documentation. o The individuals responsible for incurring the cost acted with prudence and for the benefit of the organization and its activities. o The cost has been incurred after following the established practices of the organization, in accordance with the terms and conditions of the award. Habitability Standards Subrecipients are required to conduct a minimum habitability standards inspection on any unit that a participant will be receiving any NC ESG financial assistance such as any rental assistance, security deposit, last month’s deposit, utility deposit, moving costs. Subrecipients must certify that the unit has passed habitability standards before any NC ESG funds may be released. In addition, an annual habitability standards inspection must be conducted for any unit in which NC ESG funds are being used. Shelter staff must conduct quarterly on-site inspections to ensure compliance with minimum habitability standards. Involuntary Family Separation The provisions listed under 24 CFR 576.102 4(b). Prohibition against involuntary family separation. The age, of a child under age 18 must not be used as a basis for denying any family's admission to an emergency shelter that uses ESG funding or services and provides shelter to families with children under age 18. Lead-Based Paint Requirements “Lead-based paint hazards” have been defined in the Residential Lead-Based Paint Hazard Reduction Act of 1992, commonly referred to as “Title X,” as any of six conditions which can present lead exposures sufficient to cause adverse health effects. The only NC ESG-assisted housing covered under the lead-based paint requirements is longer-term housing in an apartment with one or more bedrooms and which has family residents who are part of a program requiring continual residence of more than 100 days. The EPA Lead brochures must be distributed to all households receiving long-term rental assistance. Documentation of this brochure must be maintained in each client file. If there will be a child under the age of 6 residing in the unit receiving NC ESG long-term housing, the award subrecipient must conduct a visual assessment for the presence of lead-based paint. Award subrecipients cannot provide long-term rental assistance to any unit with lead-based paint present. Contract Number 00043639 / Page 13 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 6 NC ESG FY 2021-22 Scope of Work Match Requirements: (Not applicable for FY 2021-2022) NC ESG Operations Manual (Policies and Procedures) Subrecipients are required to maintain a separate NC ESG Operation Manual that details how the NC ESG program operates and, outlines the NC ESG program specific rules and policies provided to program participants. Note: this operations manual is not the organization’s personnel manual or employee handbook. These operations are activity specific, although there is a possibility of overlap. For detail of Operations Manual see NC ESG 2022 Desk Guide. Nondiscrimination and Equal Opportunity Requirements Subrecipients must comply with all applicable fair housing and civil rights requirements in 24 CFR 5.105(a). In addition, subrecipients must make known that NC ESG rental assistance and services are available to all on a nondiscriminatory basis and ensure that all citizens have equal access to information about NC ESG and equal access to the financial assistance and services provided under this program. Persons who, as a result of national origin, do not speak English as their primary language and who have limited ability to speak, read, write, or understand English (“limited English proficient persons” or “LEP”) may be entitled to language assistance under Title VI in order to receive a particular service, benefit, or encounter. In accordance with Title VI of the Civil Rights Act of 1964 (Title VI) and its implementing regulations, the subrecipient agrees to take reasonable steps to ensure meaningful access to activities for LEP persons. Any of the following actions could constitute “reasonable steps”, depending on the circumstances: acquiring translators to translate vital documents, advertisements, or notices, acquiring interpreters for face to face interviews with LEP persons, placing advertisements and notices in newspapers that serve LEP persons, partnering with other organizations that serve LEP populations to provide interpretation, translation, or dissemination of information regarding the project, hiring bilingual employees or volunteers for outreach and intake activities, contracting with a telephone line interpreter service, etc. In addition, all notices and communications shall be provided in a manner that is effective for persons with hearing, visual, and other communication related disabilities consistent with section 504 of the Rehabilitation Act of 1973 and implementing regulations at 24 CFR 8.6. If the procedures that the subrecipient intends to use to make known the availability of the rental assistance and services are unlikely to reach persons of any particular race, color, religion, sex, age, national origin, familial status, or disability who may qualify for such rental assistance and services, the subrecipient must establish additional procedures that will ensure that such persons are made aware of the rental assistance and services. Serving Youth Who Lack 3rd. Party Documentation or Live in Unsafe Situations Notwithstanding any contrary requirements under the McKinney-Vento Homeless Assistance Act or 24 CFR part 576, youth aged 24 and under who seek assistance (including shelter, services or rental assistance) shall not be required to provide third-party documentation that they meet the homeless definition in 24 CFR 578.3 as a condition for receiving assistance; and unaccompanied youth aged 24 and under (or families headed by youth aged 24 and under) who have an unsafe primary nighttime residence and no safe alternative to that residence shall be considered homeless for purposes of assistance provided by any private nonprofit organization whose primary mission is to provide services to youth aged 24 and under and families headed by youth aged 24 and under. Training NC ESG subrecipient project staff, including housing stability managers, case management supervisors, grant managers, emergency services case managers, HMIS data entry, and financial processors are required to attend all relevant NC ESG trainings, tutorials and webinars provided during the program year. Trainings will be conducted via webinar and/or conference call when feasible. Some trainings may require face to face participation. Violence Against Women Reauthorization Act of 2013 (“VAWA”): This final rule prohibits an applicant for assistance or tenant assisted with ESG from being denied assistance under, denied admission to, terminated from participation in, or evicted from housing on the basis or as a direct result of the fact that the applicant or tenant is or has been a victim of domestic violence, dating violence, sexual assault or stalking, so long as the applicant otherwise qualifies for admission, assistance, participation or occupation (24 CFR 5.2005 (b)(1)). In addition, the VAWA Final Rule requires that each housing provider produce a detailed emergency transfer plan, which ensures that a tenant receiving rental assistance through or residing in a unit subsidized under an ESG housing program who is a victim of domestic violence, dating violence, sexual assault, or stalking qualifies for an emergency transfer within the criteria stated in 24 CFR 5.2005 (e)(2). All NC ESG housing providers must maintain records on emergency transfers requested under 24 CFR 5.2005(e). Data must include the outcomes of each request and must be provided to the NC ESG Office upon request. Contract Number 00043639 / Page 14 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 7 NC ESG FY 2021-22 Scope of Work Investigation of Noncompliant Activities The Grantor (State of North Carolina, NC DHHS, NC DAAS, NC ESG Office or other designee) may investigate any matter covered under this Contract and may withhold any payments until the results of the investigation have been revealed. Reimbursement to the Subrecipient will be determined upon resolution of the investigation by the Grantor. 24 CFR 576.501 Remedial actions, sanctions, and / or termination for a failure to meet an ESG program requirement will be designed to prevent a continuation of the deficiency; mitigate, to the extent possible, its adverse effects or consequences; and prevent its recurrence. HUD, DHHS, DAAS, and the NC ESG Office may instruct the recipient / subrecipient to submit and comply with proposals for action to correct, mitigate, and prevent noncompliance with ESG requirements Written Standards The U.S. Department of Housing and Urban Development requires subrecipients to adhere to the Written Standards, developed and approved by the CoC, for programs provided through the Emergency Solutions Grant Program. Standards for emergency shelter programs will be different than Standards for rapid re-housing and homeless prevention. Subrecipients must ensure that the Standards are appropriate for the programs offered. For detail of Written Standards see 24 CFR 576.500 (b) and NC ESG 2022 Desk Guide. ADDITIONAL REQUIREMENTS State reserves the right to impose any additional requirements upon Subrecipient, which the State shall deem reasonable or necessary for the purpose of verifying the legality and propriety of any payment requested by the Subrecipient. Should the Subrecipient need to change the physical location of the shelter associated with this contract the new facility must be approved by the state NC ESG staff before NC ESG or NC ESG matching funds can be accessed. The use of other ESG funding sources (i.e. City ESG Entitlement Funds, County ESG Entitlement Funds) cannot be combined with State NC ESG funds. NC ESG subrecipients should work together to design projects that use funds from one ESG funding source (State, City, County, etc.) to support 100 percent of the costs for each household. OTHER APPLICABLE LAWS: CERTIFICATIONS AND COMPLIANCE REQUIREMENTS __X__ 24 CFR Part 84 Uniform Administrative Requirements for Grants and Cooperative Agreements to Hospitals, Institutes of Higher Education and Non-profit Organizations, which sets forth rules for administering all federal grant funds. _X__ Title VI of the Civil Rights Act of 1964 (PL88-352) and regulations issued pursuant thereto (24 CFR Part 1) on nondiscrimination in federally assisted programs. _X__ Section 109 of the Housing and Community Development Act of 1974 and regulations issued pursuant thereto (24 CFR Part 570.602 et seq., known as subpart K), which requires that no person in the United States shall, on the grounds of age, race, color, national origin, religion, disability or sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance _X__ Executive Order 11246 and the regulations issued pursuant thereto (41 CFR Chapter 60) on nondiscrimination in employment. _X__ Lead Based Paint Poisoning Prohibition (Public Law 91-695), which requires that hazards posed by the presence of lead be addressed and made safe. _X__ Hatch Act (5 U.S.C. 1501-1508) prohibiting federal, state and local government employees from benefiting from federal grants. _X__ Executive Order 11063 which addresses equal opportunity in housing and non-discrimination. _X__ Section 306 of the Clean Air Act (42 U.S.C. 1857(h)) which sets forth monitoring and reporting procedures for any program that affects air quality. _X__ Age Discrimination Act of 1967, as amended. _X__ The Rehabilitation Act of 1973, as amended, Sections 503 and 504, which prohibit discrimination against the handicapped. Contract Number 00043639 / Page 15 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 8 NC ESG FY 2021-22 Scope of Work _X__ 24 CFR Part 84: Cost Principles for Non-Profit Organizations, which sets forth parameters for expenditures made with federal grant money. _X__ N. C. Fair Housing Law, which prohibits discrimination against any person for reasons of age, race, color, national origin, religion, disability or sex in all transactions relating to buying, selling, or renting housing units. _X__ 24 CFR Part 84 or 85, as applicable: Audits of States, Local Governments and Nonprofit Organizations, which sets forth requirements and methodologies for auditing programs funded in whole or in part with federal grant money. REIMBURSEMENT Subrecipients must submit an NC ESG Requisition on a monthly basis, regardless of drawdown of funds, until the contracted amount is expended on or before December 31, 2022. Additionally, subrecipients must have at least one requisition leading to a disbursement of NC ESG funds per quarter. Fund reimbursement disbursements will take place within 30 business days. For detail of NC ESG Requisition Submission Process, see NC ESG 2022 Desk Guide. The Subrecipient must request a minimum of one disbursement of funds per quarter. Requisitions that result in a discard do not fulfill the quarterly disbursement requirements. Requisitions must be received no later than 45-days after the last day of the billing month. Page 2, Bullet 11, Payment Provisions: “Upon execution of this contract, the Contractor shall submit to the Division Contract Administrator, a monthly reimbursement request for services rendered the previous month by the 10th of each month and, upon approval by the Division, receive payment within 30 days. Monthly payment shall be made based on actual expenditures made in accordance with the approved budget on file with both parties and reported on the monthly expenditure report submitted by the Contractor. If this contract is terminated, the Contractor shall complete a final accounting report and return any unearned funds to the Division within 30 days of the contract termination date. The Division shall have no obligation for payments based on expenditure reports submitted later than 30 days after termination or expiration of the contract period. All payments are contingent upon fund availability.” is being replaced in its entirety with “Payment shall be made in accordance with the contract documents as described in the scope of work.” Subrecipients must request reimbursement for no less than the percentage detailed in the chart below, per quarter. Subrecipients will be monitored based on their disbursement percentage each quarter. This monitoring will be used to determine performance and future funding opportunities. Quarter Percentage Deadline 1st Quarter 20% April 15, 2022 2nd Quarter 40% July 1, 2022 3rd Quarter 65% November 15, 2022 4th Quarter 100% February 15, 2023 Subrecipients are required to exhaust the entire grant award on or before the end of the fourth quarter (December 31, 2022). The NC ESG Office has the discretion to recapture a portion or all remaining NC ESG funds as of this deadline. Contract Number 00043639 / Page 16 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 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 Input Reporting Frequency Quarterly Measure All subrecipients must submit 1 requisition per month within the 45-day submission period with a minimum of 1 requisition leading to a disbursement of funds. Budget Year 1 Trend Maintain Baseline Value $43,565 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 Output Reporting Frequency Monthly Measure 80% of requisitions submitted were correctly submitted Budget Year 1 Trend Maintain Baseline Value 0 Target Value 80% of submissions Data Source fiscal data monitoring Collection Process and Calculation reimbursement submission Contract Number 00043639 / Page 17 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A Performance Measures (Rev. 4//12) Collection Frequency monthly Measure Type Outcome Reporting Frequency Annual Measure Program Compliance- On-site or virtual desk monitoring by the ESG office yields 10% or less findings/concerns in cumulative records reviewed. Budget Year 1 Trend Increase Baseline Value 0 Target Value 100% Data Source electronic submission and file submission Collection Process and Calculation onsite, virtual and/or desk monitoring Collection Frequency Monthly and quarterly Contract Number 00043639 / Page 18 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 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 Amount Salary\Wages $0.00 Fringe Benefits $0.00 Other $0.00 Repair and Maintenance $0.00 Staff Development $0.00 Dues and Subscriptions $0.00 Operational Other Not Otherwise Classified RRH Services: Rapid Re-housing services include housing search and placement, housing stability case management, landlord- tenant mediation, tenant legal services, credit repair $40,526.00 Operational Other Not Otherwise Classified Administration: Eligible costs include general management, oversight, and coordination; reporting on the program; the costs of providing training on ESG requirements and attending HUD- sponsored ESG trainings; the costs of preparing and amending the ESG and homelessness-related sections of the Consolidated Plan, Annual Action Plan, and CAPER; and the costs of carrying $3,039.00 Contract Number 00043639 / Page 19 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A Line Item Budget Detail (08/11) Budget Detail - Year 1 Category Item Narrative Amount out environmental review responsibilities. Subcontracts and Grants $0.00 Match $0.00 Cost Per Service $0.00 Sub Total $43,565.00 Indirect Cost $0.00 Total Budget $43,565.00 Subcontracting and Grants Budget Detail - Year 1 Category Item Narrative Amount $0.00 Sub Total $0.00 Salaries - Year 1 Persons Position or Title Annual Salary Hourly Rate Months Work %Fringe Amount Total Fringe Percent Total Total Contract Number 00043639 / Page 20 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A 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 00043639 / Page 21 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A Contract Number 00043639 / Page 22 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A Contract Number 00043639 / Page 23 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A Contract Number 00043639 / Page 24 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A Contract Number 00043639 / Page 25 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A Contract Number 00043639 / Page 26 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A Contract Number 00043639 / Page 27 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A Contract Number 00043639 / Page 28 of 28 DocuSign Envelope ID: F449611A-DCEC-4513-BEA0-00A72FB9421A Revised 07/20 9 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: State ESG office Party/Vendor Contact Person: Lisa Worth Contact Phone: 919-855-4993 Party/Vendor Address: 2101 Mail Service Center City Raleigh State: NC Zip: 27699 Department: OCHCD Amount: $43,565 Purpose: ESG FY21 Budget Code(s): 32470605-442235-71084_ Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 12/20/21 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: N/A 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: F449611A-DCEC-4513-BEA0-00A72FB9421A 1/4/2022 1/5/2022 1/7/2022 1/9/2022