HomeMy WebLinkAbout2022-268-E-Emergency Svc-Carl L. Potter, III-First reponder behavioral health program-ARPAARPA Sourced 01/22
[Departmental Use Only]
TITLE Behavioral Health ES
FY 22-23
NORTH CAROLINA
SERVICES AGREEMENT
ORANGE COUNTY
This Services Agreement (hereinafter “Agreement”), made and entered into this 8th day of July,
2022, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of
the State of North Carolina (hereinafter, “Orange County” or the "County") and Carl L. Potter, III,
LCSW, (hereinafter, the "Provider").
WITNESSETH:
That the County and Provider, for the consideration herein named, do hereby agree as follows:
1. Services
a. Scope of Work.
i) This Agreement is for services to be rendered by Provider to County with respect to
(insert type of project): Behavioral Health Program for Orange County Emergency
Services
ii) By executing this Agreement, the Provider represents and agrees that Provider is
qualified to perform and fully capable of performing and providing the services
required or necessary under this Agreement in a fully competent, professional and
timely manner.
iii) Time is of the essence with respect to this Agreement.
iv) The services to be performed under this Agreement consist of Basic Services, as
described and designated in Section 3 hereof. Compensation to the Provider for Basic
Services under this Agreement shall be as set forth herein.
v) This Agreement involves the use or expenditure of federal sourced funds. Addendum
1 is made part of this Agreement and is fully incorporated herein.
2. Responsibilities of the Provider
a. Services to be provided. The Provider shall provide the County with all services required in
Section 3 to satisfactorily complete the Project within the time limitations set forth herein and
in accordance with the highest professional standards.
b. Standard of Care.
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
i) The Provider shall exercise reasonable care and diligence in performing services under
this Agreement in accordance with the highest generally accepted standards of this type
of Provider practice throughout the United States and in accordance with applicable
federal, state and local laws and regulations applicable to the performance of these
services. Provider is solely responsible for the professional quality, accuracy and
timely completion and submission of all work related to the Basic Services.
ii) Provider shall be responsible for all errors or omissions of its agents, contractors,
employees, or assigns in the performance of the Agreement. Provider shall correct any
and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no
additional cost to the County.
iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract
the performance of any work under this Agreement without prior written permission of
the County. No permission for subcontracting shall create, between the County and the
subcontractor, any contract or any other relationship.
iv) Provider is an independent contractor of County. Any and all employees of the
Provider engaged by the Provider in the performance of any work or services required
of the Provider under this Agreement, shall be considered employees or agents of the
Provider only and not of the County, and any and all claims that may or might arise
under any workers compensation or other law or contract on behalf of said employees
while so engaged shall be the sole obligation and responsibility of the Provider.
v) If activities related to the performance of this Agreement require specific licenses,
certifications, or related credentials Provider represents that it or its employees, agents
and subcontractors engaged in such activities possess such licenses, certifications, or
credentials and that such licenses certifications, or credentials are current, active, and
not in a state of suspension or revocation.
vi) In determining the Basic Services to be provided, should any documents be referenced
in this Agreement, the terms of this Agreement shall have priority in any conflict
between the terms of referenced documents and the terms of this Agreement except
that in any such conflict involving Addendum 1, Addendum 1 shall control.
vii) Should this Agreement involve project designs, the construction or creation of which is
to be bid out or fulfilled by other contractors, and bidding or negotiation with
contractors produce prices which, when added to the other elements of the approved
total project cost, produce a cost that is in excess of the approved total project cost, the
Provider shall participate with the County in negotiation and design adjustments to the
extent such are necessary to obtain prices within the approved total project cost. All
activity of the Provider with respect to these matters shall constitute Basic Services and
shall be performed by the Provider without additional compensation. If negotiation
and design adjustments fail to bring costs within the total project cost the County may
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
reject all bids and Provider will redesign or reduce portions of the project in an effort to
reduce the bid prices to within the total project cost and rebid the project. One such
redesign is included within Basic Services. If this second letting for bids does not
produce bids that are within the approved total project cost initially or after
negotiations with the contractor the cost is not reduced to an amount within the total
project cost, the Provider is not obligated to engage in further redesign.
3. Basic Services
a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully
describe services to be provided): Provider will provide behavioral health services for Orange
County Emergency Services personnel and their associated public safety partners within
Orange County. In this capacity, Provider will serve as a “behavioral health officer” and
provide mental health services through a Licensed Clinical Mental Health Counselor licensed
to practice in North Carolina. These services will include, but will not be limited to,
individual behavioral health counseling sessions for emergency services personnel,
consultations with administration, classroom facilitation and professional development,
critical incident defusing and debriefing facilitation, and wellness visits with Orange County
Emergency Services personnel.
4. Duration of Services
a. Term. The term of this Agreement shall be from July 8, 2022 to June 30, 2023.
b. Scheduling of Services.
i) The Provider shall schedule and perform its activities in a timely manner.
ii) Should the County determine that the Provider is behind schedule, it may require the
Provider to expedite and accelerate its efforts, including providing additional resources
and working overtime, as necessary, to perform its services in accordance with the
approved project schedule at no additional cost to the County.
iii) The Commencement Date for the Provider's Basic Services shall be July 8, 2022.
5. Compensation
a. Compensation for Basic Services. Compensation for Basic Services shall include all
compensation due the Provider from the County for all services satisfactorily (as determined
by the County) performed pursuant to this Agreement. The maximum amount payable for
Basic Services shall not exceed forty-five thousand Dollars ($45,000). Payment for
satisfactorily performed Basic Services shall become due and payable within thirty (30) days
of Provider properly invoicing County. Payment shall be subject to provisions of Section
5(b).
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
b. These services will be compensated at a fixed fee (not to exceed the total amount identified in
Section 5.a above). The fixed fee for services will be: Individual Behavioral Health
Counseling Sessions up to six sessions per employee ($85 hr/session + travel/mileage),
Consultation with Administraton ($85 hr/session + travel/mileage), Classroom
Facilitation/Professional Development ($150 hr/session + travel/mileage, Critical Incident
Defusing/Debriefings ($150 hr/session + travel/mileage), and Wellness Visits ($50 hr +
travel/mileage).
c. Disputes. In the event the amount stated on an invoice is disputed by the County, the County
may withhold payment of all or a portion of the amount stated on an invoice until the parties
resolve the dispute. Should Provider fail to perform its duties under the terms of this
Agreement, County may, without fault or penalty, withhold any payment associated with the
work to be performed until such time as said work is completed.
d. Additional Services. County shall not be responsible for costs related to any services in
addition to the Basic Services performed by Provider unless County requests such additional
services in writing and such additional services are evidenced by a written amendment to this
Agreement.
6. Responsibilities of the County
a. Cooperation and Coordination. The County has designated (Kirby Saunders, Emergency
Services Director) 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. Provider shall obtain, at its sole expense, Commercial General
Liability Insurance, Automobile Insurance, Workers’ Compensation Insurance, and any
additional insurance as may be required by County’s Risk Manager as such insurance
requirements are described in 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). If County’s
Risk Manager determines additional insurance coverage is required such additional insurance
shall consist of N/A (if no additional insurance required mark N/A as being not applicable).
Provider shall not commence work until such insurance is in effect and certification thereof
has been received by the County's Risk Manager.
8. Indemnity
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
a. Indemnity. To the extent authorized by North Carolina law the Provider agrees, without
limitation, to defend, indemnify and hold harmless the County from all loss, liability, claims
or expense, including attorney's fees, arising out of or related to the Project and arising from
property damage or bodily injury including death to any person or persons caused in whole or
in part by the negligence or 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 provision to
require the Provider to indemnify the County to the fullest extent permitted under North
Carolina law.
9. Amendments to the Agreement
a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional
compensation or a change in duration of this Agreement shall be made by a written
Amendment to this Agreement executed by the County and the Provider. The Provider shall
proceed to perform the Services required by the Amendment only after receiving a fully
executed Amendment from the County.
10. Termination
a. Termination for Convenience of the County. This Agreement may be terminated without
cause by the County and for its convenience upon seven (7) days’ prior written notice to the
Provider.
b. Other Termination. The Provider may terminate this Agreement based upon the County's
material breach of this Agreement; provided, the County has not taken all reasonable actions
to remedy the breach. The Provider shall give the County seven (7) days' prior written notice
of its intent to terminate this Agreement for cause. Either party may terminate this Agreement
upon notice to the other party that obligations pursuant to this Agreement are made
impractical due to declarations of emergency by Orange County or by North Carolina due to
events directly impacting Orange County. Both parties shall remain responsible for all
payment and performance due up to the receipt of such notice, but shall have no further
obligation or responsibility beyond that date provided the terminating party has taken all
reasonable steps to complete the performance of its obligations.
c. Compensation After Termination.
i) In the event of termination, the Provider shall be paid that portion of the fees and
expenses that it has earned to the date of termination, less any costs or expenses
incurred or anticipated to be incurred by the County due to errors or omissions of the
Provider. Upon request of the County, the Provider shall submit to County all relevant
documentation, including but not limited to, job cost records, to support its claims for
final compensation.
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
ii) Should this Agreement be terminated, the Provider shall deliver to the County within
seven (7) days, at no additional cost, all deliverables including any electronic data or
files relating to the Project.
d. 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.
e. Suspension. County may suspend the Basic Services and this Agreement at any time for
County’s convenience and without penalty to County upon three (3) days’ notice to Provider.
Upon any suspension by County, Provider shall discontinue work on the Basic Services and
shall not resume the Basic Services until notified to proceed by County.
11. Additional Provisions
a. Limitation and Assignment. The County and the Provider each bind themselves, their
successors, assigns and legal representatives to the terms of this Agreement. Neither the
County nor the Provider shall assign or transfer its interest in this Agreement without the
written consent of the other.
b. 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.
c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable
local, state, and federal laws, rules, and regulations including but not limited to all state and
federal non-discrimination laws, policies, rules, and regulations and the Orange County Non-
Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated
herein by reference and may be viewed at
http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Any
violation of the Orange County Non-Discrimination Policy is a breach of this Agreement and
County may immediately terminate this Agreement without further obligation on the part of
the County. This paragraph is not intended to limit and does not limit the definition of breach
to discrimination.
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
d. 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
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.
e. 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.
f. Severability. If any provision of this Agreement is held as a matter of law to be
unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties.
g. Ownership of Work Product. Should Provider’s performance of this Agreement generate
documents, items or things that are specific to this Project such documents, items or things
shall become the property of the County and may be used on any other project without
additional compensation to the Provider. The use of the documents, items or things by the
County or by any person or entity for any purpose other than the Project as set forth in this
Agreement shall be at the full risk of the County.
h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the
validity of this Agreement is based upon the availability of public funding under the authority
of its statutory mandate.
In the event that public funds are unavailable or not appropriated for the performance of
County’s obligations under this Agreement, then this Agreement shall automatically expire
without penalty to County immediately upon written notice to Provider of the unavailability
or non-appropriation of public funds. It is expressly agreed that County shall not activate this
non-appropriation provision for its convenience or to circumvent the requirements of this
Agreement.
In the event of a change in the County’s statutory authority, mandate or mandated functions,
by state or federal legislative or regulatory action, which adversely affects County’s authority
to continue its obligations under this Agreement, then this Agreement shall automatically
terminate without penalty to County upon written notice to Provider of such limitation or
change in County’s legal authority.
i. Signatures. This Agreement together with any amendments or modifications may be
executed electronically. All electronic signatures affixed hereto evidence the consent of the
Parties to utilize electronic signatures and the intent of the Parties to comply with Article 11A
and Article 40 of North Carolina General Statute Chapter 66.
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
j. 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
Attention:Kirby Saunders Carl L. Potter, III, LCSW
P.O. Box 8181 5003 Southpark Dr.
Hillsborough, NC 27278 Suite 100
Durham, NC 27713
[SIGNATURE PAGE TO FOLLOW]
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have
hereunder set their hands and seal, all as of the day and year first above written.
ORANGE COUNTY: PROVIDER:
By: _________________________________
Bonnie Hammersley, County Manager
By: __________________________________
Carl L. Potter, III, LCSW
Printed Name and Title
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Party/Vendor Name: Carl L. Potter, III Party/Vendor Contact Person: Carl L. Potter, III Contact Phone: (919) 619-1498
Party/Vendor Address: 5003 Southpark Dr, Suite 100 City Durham State: NC Zip: 27713 Department: Emergency
Services Amount: $45,000 Purpose: First Reponder Behavioral Health Program (ARPA) Budget Code(s): 28750020-
63000-96111 Vendor # (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type:
(Check one) New Renewal Amendment Effective Date Approved by Board Yes No Agenda
Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes No
This agreement is approved as to technical form and content and I as Depar tment 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: 525A8B6B-84A9-4382-81AD-B52736EB0728
7/11/2022
7/11/2022
7/11/2022
7/12/2022
ARPA Sourced 01/22
ADDENDUM 1
UNIFORM GUIDANCE (2 C.F.R. PART 200, APPENDIX II, PROVISIONS ADDENDUM
This Addendum is attached to and made part of the Agreement between Orange County (“County” or
“Orange County”) and Carl L. Potter, III, LCSW (“Provider” or “Contractor”) dated July 8, 2022.
For contracts involving the expenditure of federal funds, the Provider is obligated to comply with the
following federal laws, rules, and orders:
A. Equal Employment Opportunity. For Agreements that meet the definition of “federally assisted
construction contract” in 41 C.F.R. § 60-1.3, during the performance of the Agreement the
Provider agrees as follows:
1. The Provider will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, sexual orientation, gender identity, or national
origin. The Provider will take affirmative action to ensure that applicants are
employed, and that employees are treated during employment without regard to their
race, color, religion, sex, sexual orientation, gender identity, or national origin. Such
action shall include but not be limited to the following:
Employment, upgrading, demotion, or transfer; recruitment or recruitment advertising;
layoff or termination; rates of pay or other forms of compensation; and selection for
training, including apprenticeship. The Provider agrees to post in conspicuous places,
available to employees and applicants for employment, notices to be provided setting
forth the provisions of this nondiscrimination clause.
2. The Provider will, in all solicitations or advertisements for employees placed by or on
behalf of Provider, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, sexual orientation, gender
identity, or national origin.
3. The Provider will not discharge or in any other manner discriminate against any
employee or applicant for employment because such employee or applicant has
inquired about, discussed, or disclosed the compensation of the employee or applicant
or another employee or applicant. This provision shall not apply to instances in which
an employee who has access to the compensation information of other employees or
applicants as part of such employee’s essential job functions discloses the
compensation of such other employees or applicants to individuals who do not
otherwise have access to such information, unless such disclosure is in response to a
formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or
action, including an investigation conducted by the employer, or is consistent with the
Provider’s legal duty to furnish information.
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
4. The Provider will send to each labor union or representative of workers with which it
has a collective bargaining agreement or other contract or understanding, a notice to be
provided advising the said labor union or workers’ representatives of the contractor’s
commitments under this section, and shall post copies of the notice in conspicuous
places available to employees and applicants for employment.
5. The Provider will comply with all provisions of Executive Order 11246 of September
24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
6. The Provider will furnish all information and reports required by Executive Order
11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of
Labor, or pursuant thereto, and will permit access to its books, records, and accounts
by the administering agency and the Secretary of Labor for purposes of investigation
to ascertain compliance with such rules, regulations, and orders.
7. In the event of the Provider’s noncompliance with the nondiscrimination clauses of the
Agreement and this Addendum or with any of the said rules, regulations, or orders, the
Agreement may be cancelled, terminated, or suspended in whole or in part and the
Provider may be declared ineligible for further Government contracts or federally
assisted construction contracts in accordance with procedures authorized in Executive
Order 11246 of September 24, 1965, and such other sanctions may be imposed and
remedies invoked as provided in Executive Order 1126 of September 24, 1965, or by
rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law.
8. The Provider will include the portion of the sentence immediately preceding
Paragraph (A)(1) and the provisions of Paragraphs (A)(1) – (8) in every subcontract or
purchase order unless exempted by rules, regulations, or orders of the Secretary of
Labor issued pursuant to Section 204 of Executive Order 11246 of September 24,
1965, so that such provisions will be binding upon each subcontractor or vendor. The
Provider will take such action with respect to any subcontractor or purchase order as
the administering agency may direct as a means of enforcing such provisions,
including sanctions for noncompliance:
Provided, however, that in the event Provider becomes involved in, or is threatened
with, litigation with a subcontractor or vendor as a result of such direction by the
administering agency, the Provider may request the United States enter into such
litigation to protect the United States.
Orange County further agrees that it will be bound by the above equal opportunity
clause with respect to its own employment practices when it participates in federally
assisted construction work: Provided, that Orange County is a local government,
therefore the above equal opportunity clause is not applicable to any agency,
instrumentality, or subdivision of Orange County which does not participate in work
on or under the contract.
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
Orange County agrees that it will assist and cooperate actively with the administering
agency and the Secretary of Labor in obtaining the compliance of contractors and
subcontractors with the equal opportunity clause and the rules, regulations, and
relevant orders of the Secretary of Labor, that it will furnish the administering agency
and the Secretary of Labor such information as they may require for the supervision of
such compliance, and that it will otherwise assist the administering agency in the
discharge of the agency’s primary responsibility for ensuring compliance.
Orange County further agrees that it will refrain from entering into any contract or
contract modification subject to Executive Order 11246 of September 24, 1965, with a
contractor debarred from, or who has not demonstrated eligibility for, Government
contracts and federally assisted construction contracts pursuant to the Executive Order
and will carry out such sanctions and penalties for violation of the equal opportunity
clause as may be imposed upon contractors and subcontractors by the administering
agency or the Secretary of Labor pursuant to Part II, Subpart D of the Executive
Order. In addition, the Orange County that if it fails or refuses to comply with these
undertakings, the administering agency may take any or all of the following actions:
Cancel, termination, or suspend in whole or in part this grant (contract, loan,
insurance, guarantee); refrain from extending any further assistance to Orange County
under the program with respect to which the failure or refund occurred until
satisfactory assurances of future compliance has been received from such applicant;
and refer the case to the Department of Justice for appropriate legal proceedings.
B. Davis-Bacon Act, as amended (40 U.S.C. 3141-3144 and 3146-3148). Except as otherwise
noted herein, when required by Federal program legislation for prime construction contracts
over $2,000, all transactions regarding this Agreement shall be done in compliance with the
Davis-Bacon Act (40 U.S.C. 3141-3144 and 3146-3148) and the requirements of 29 C.F.R. pt.
5 as may be applicable. The Provider shall comply with 40 U.S.C. 3141-3144 and 3146-3148
and the requirements of 29 C.F.R. pt. 5 as applicable. In accordance with the statute,
contractors are required to pay wages to laborers and mechanics at a rate not less than the
prevailing wages specified in a wage determination made by the Secretary of Labor. In
addition, contractors are required to pay wages not less than once a week. The Provider shall
pay its laborers and mechanics the higher of the wages specified in the referenced
determination by the Secretary of Labor or the Living Wage as determined in the Orange
County Living Wage Policy and the Orange County Operating Budget for the fiscal year in
which the Agreement is entered.
C. Copeland Anti-Kickback Act. For construction or repair work over $2,000 where the Davis-
Bacon Act also applies, the Provider shall comply with 18 U.S.C. § 874, 40 U.S.C. § 3145,
and the requirements of 29 C.F.R. pt. 3 as may be applicable, which are incorporated by
reference into this Addendum. The Provider or subcontractor shall insert in any subcontracts
the preceding sentence and other such clauses as appropriate agency instructions require, and
also a clause requiring the subcontractor to include these clauses in any lower-tier
subcontracts. The prime contractor shall be responsible for compliance by any subcontractor or
lower tier subcontractor with these contract clauses. A breach of the requirements of this
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
provision may be grounds for termination of the contract, and for debarment as a contractor
and subcontractor as provided in 29 C.F.R. § 5.12.
D. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). Should this
Agreement involve federal funds in excess of $100,000 and the employment of mechanics or
laborers, including watchmen and guards, Provider shall comply with 40 U.S.C. 3702 and
3704, as supplemented by Department of Labor regulations (29 CFR Part 5), as follows:
1. Overtime requirements. No Provider or sub-Provider contracting for any part of the
contract work which may require or involve the employment of laborers or mechanics shall
require or permit any such laborer or mechanic in any workweek in which he or she is
employed on such work to work in excess of forty hours in such workweek unless such
laborer or mechanic receives compensation at a rate not less than one and one-half times
the basic rate of pay for all hours worked in excess of forty hours in such workweek.
2. Violation; liability for unpaid wages; liquidated damages. In the event of any violation of
the clause set forth in paragraph (b)(1) of 29 C.F.R.§5.5 the Provider and any sub-Provider
responsible therefor shall be liable for the unpaid wages. In addition, such Provider and
sub-Provider shall be liable to the United States (in the case of work done under contract
for the District of Columbia or a territory, to such District or to such territory), for
liquidated damages. Such liquidated damages shall be computed with respect to each
individual laborer or mechanic, including watchmen and guards, employed in violation of
the clause set forth in paragraph (b)(1) of 29 C.F.R. §5.5, in the sum of $26 for each
calendar day on which such individual was required or permitted to work in excess of the
standard workweek of forty hours without payment of the overtime wages required by the
clause set forth in paragraph (b)(1) of 29 C.F.R. §5.5.
3. Withholding for unpaid wages and liquidated damages. Orange County shall upon its own
action or upon written request of an authorized representative of the Department of Labor
withhold or cause to be withheld, from any moneys payable on account of work performed
by the Provider or sub-Provider under any such contract or any other Federal contract with
the same prime Provider, or any other federally-assisted contract subject to the Contract
Work Hours and Safety Standards Act, which is held by the same prime Provider, such
sums as may be determined to be necessary to satisfy any liabilities of such Provider or
sub-Provider for unpaid wages and liquidated damages as provided in the clause set forth
in paragraph (b)(2) of 29 C.F.R. §5.5.
4. Subcontracts. The Provider or sub-Provider shall insert in any subcontracts the clauses set
forth in paragraph (b)(1) through (4) of 29 C.F.R. §5.5 and also a clause requiring the sub-
Providers to include these clauses in any lower tier subcontracts. The prime Provider shall
be responsible for compliance by any sub- Provider or lower tier sub-Provider with the
clauses set forth in paragraphs (b)(1) through (4) of 29 C.F.R. §5.5.
E. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33
U.S.C. 1251-1387), as amended – Should this purchase involve federal funds in excess of
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
$150,000 Provider shall comply with all applicable standards, orders or regulations issued
pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control
Act as amended (33 U.S.C. 1251-1387):
1. Clean Air Act.
a. The Provider agrees to comply with all applicable standards, orders, or regulations
issued pursuant to the Clean Air Act, as amended, 42 U.S.C. § 7401 et seq.
b. The Provider agrees to report each violation to Orange County and understands and
agrees that Orange County will, in turn, report each violation as required to assure
notification to the Federal Emergency Management Agency, and the appropriate
Environmental Protection Agency Regional Office.
c. The Provider agrees to include these requirements in each subcontract exceeding
$150,000 financed in whole or in part with federal assistance.
2. Federal Water Pollution Act.
a. The Provider agrees to comply with all applicable standards, orders, or regulations
issued pursuant to the Federal Water Pollution Control Act, as amended, 33 U.S.C.
1251 et seq.
b. The Provider agrees to report each violation to Orange County and understands and
agrees that Orange County will, in turn, report each violation as required to assure
notification to the Federal Emergency Management Agency, and the appropriate
Environmental Protection Agency Regional Office.
c. The Provider agrees to includes these requirements in each subcontract exceeding
$150,000 financed in whole or in part by federal funds.
F. Debarment and Suspension. For Agreements meeting the definition of a “covered transaction”
for purposes of 2 C.F.R. pt. 180 and 2 C.F.R. pt. 3000, the Provider agrees as follows:
1. The Provider is required to verify that none of the Provider’s principals (defined at 2
C.F.R. § 180.995) or its affiliates (defined at 2 C.F.R. § 180.905) are excluded (defined
at 2 C.F.R. § 180.940) or disqualified (defined at 2 C.F.R. § 180.935).
2. The Provider must comply with 2 C.F.R. pt. 180, subpart C and 2 C.F.R. pt. 3000,
subpart C, and must include a requirement to comply with these regulations in any
lower tier covered transaction it enters into.
3. This certification is a material representation of fact relied on by Orange County. If it is
later determined that the Provider did not comply with 2 C.F.R. pt. 180, subpart C and
2 C.F.R. pt. 3000, subpart C, in addition to remedies made available to Orange County,
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
the Federal Government may pursue available remedies, including but not limited to
suspension and/or debarment.
4. The bidder or proposer agrees to comply with the requirements of 2 C.F.R. pt. 180,
subpart C and 2 C.F.R. pt. 3000, subpart C while this offer is valid and throughout the
period of any contract that may arise from this offer. The bidder or proposer further
agrees to include a provision requiring such compliance in its lower tier covered
transactions.
G. Byrd Anti-Lobbying Amendment (31 U.S.C. § 1352), as amended. Providers who apply or bid
for an award of $100,000 or more shall file the required certification. Each tier certifies to the
tier above that it will not and has not used Federal appropriated funds to pay any person or
organization for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, officer or employee of Congress, or an employee of a Member of
Congress in connection with obtaining any Federal contract, grant, or any other award covered
by 31 U.S.C. § 1352. Each tier shall also disclose any lobbying with non-Federal funds that
takes place in connection with obtaining any Federal award. Such disclosures are forwarded
from tier to tier up to the recipient who in turn will forward the certification(s) to the awarding
agency.
H. Procurement of Recovered Materials (section 6002 of the Solid Waste Disposal Act, as
amended by the Resource Conservation and Recovery Act).
a. In the performance of this Agreement, Provider shall make maximum use of products
containing recovered materials that are EPA-designated items unless the product
cannot be acquired:
i. Competitively within a timeframe providing for compliance with the Agreement
performance schedule;
ii. Meeting with the Agreement performance requirements; or
iii. At a reasonable price
b. Information about this requirement, along with the list of EPA-designated items, is
available at EPA’s Comprehensive Procurement Guidelines web site:
https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg-program.
c. The Provider also agrees to comply with all other applicable requirements of Section
6002 of the Solid Waste Disposal Act.
I. Prohibition On Contracting For Covered Telecommunications Equipment Or Services
a. Definitions. As used in this clause, the terms backhaul; covered foreign country;
covered telecommunications equipment or services; interconnection arrangements;
roaming; substantial or essential component; and telecommunications equipment or
services have the meaning as defined in FEMA Policy, #405-143-1 Prohibitions on
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
Expending FEMA Award Funds for Covered Telecommunications Equipment or
Services As used in this clause—
b. Prohibitions.
i. Section 889(b) of the John S. McCain National Defense Authorization Act for
Fiscal Year 2019, Pub. L. No. 115-232, and 2 C.F.R. § 200.216 prohibit the
head of an executive agency on or after Aug.13, 2020, from obligating or
expending grant, cooperative agreement, loan, or loan guarantee funds on
certain telecommunications products or from certain entities for national
security reasons.
ii. Unless an exception in paragraph (c) of this clause applies, the Provider and its
subcontractors may not use grant, cooperative agreement, loan, or loan
guarantee federal funds to:
1. Procure or obtain any equipment, system, or service that uses covered
telecommunications equipment or services as a substantial or essential
component of any system, or as critical technology of any system;
2. Enter into, extend, or renew a contract to procure or obtain any
equipment, system, or service that uses covered telecommunications
equipment or services as a substantial or essential component of any
system, or as critical technology of any system;
3. Enter into, extend, or renew contracts with entities that use covered
telecommunications equipment or services as a substantial or essential
component of any system, or as critical technology as part of any
system; or
4. Provide, as part of its performance of this contract, subcontract, or other
contractual instrument, any equipment, system, or service that uses
covered telecommunications equipment or services as a substantial or
essential component of any system, or as critical technology as part of
any system.
c. Exceptions.
i. This clause does not prohibit Providers from providing—
1. A service that connects to the facilities of a third-party, such as
backhaul, roaming, or interconnection arrangements; or
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
2. Telecommunications equipment that cannot route or redirect user data
traffic or permit visibility into any user data or packets that such
equipment transmits or otherwise handles.
ii. By necessary implication and regulation, the prohibitions also do not appl y to:
1. Covered telecommunications equipment or services that:
a. Are not used as a substantial or essential component of any
system; and
b. Are not used as critical technology of any system.
2. Other telecommunications equipment or services that are not considered
covered telecommunications equipment or services.
d. Reporting requirement.
i. In the event the Provider identifies covered telecommunications equipment or
services used as a substantial or essential component of any system, or as
critical technology as part of any system, during Agreement performance, or the
Provider is notified of such by a subcontractor at any tier or by any other
source, the Provider shall report the information in paragraph (d)(ii) of this
clause to Orange County, unless elsewhere in this Addendum and Agreement
are established procedures for reporting the information.
ii. The Provider shall report the following information pursuant to paragraph (d)(i)
of this clause:
1. Within one business day from the date of such identification or
notification: The contract number; the order number(s), if applicable;
supplier name; supplier unique entity identifier (if known); supplier
Commercial and Government Entity (CAGE) code (if known); brand;
model number (original equipment manufacturer number, manufacturer
part number, or wholesaler number); item description; and any readily
available information about mitigation actions undertaken or
recommended.
2. Within 10 business days of submitting the information in paragraph
(d)(ii)(1) of this clause: Any further available information about
mitigation actions undertaken or recommended. In addition, the
contractor shall describe the efforts it undertook to prevent use or
submission of covered telecommunications equipment or services, and
any additional efforts that will be incorporated to prevent future use or
submission of covered telecommunications equipment or services.
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
e. Subcontracts. The Provider shall insert the substance of this clause, including this
paragraph (e), in all subcontracts and other contractual instruments.
J. Domestic Preference. In accordance with 2 CFR 200.322, as appropriate and to the extent
consistent with law, the Provider should, to the greatest extent practicable under this
Agreement, provide a preference for the purchase, acquisition, or use of goods, products, or
materials produced in the United States (including but not limited to iron, aluminum, steel,
cement, and other manufactured products). The requirements of this paragraph must be
included in all subawards and in all contracts and purchase orders for work or products under
this Agreement.
K. Right to Inventions Made Under a Contract or Agreement (37 C.F.R. pt. 401). If
this Agreement meets the definition of “funding agreement” under 37 CFR § 401.2 (a) and
regards the substitution of parties, assignment, or performance of experimental,
developmental, or research work, the Federal Government and Orange County have rights in
any resulting invention in accordance with 37 CFR part 401, "Rights to Inventions Made by
Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and
Cooperative Agreements," and any implementing regulations issued by the applicable federal
agency.
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
ARPA Sourced 01/22
APPENDIX A, 44 C.F.R. PART 18 – CERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to
any person for influencing or attempting to influence an officer or employee of an agency, a Member
of Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with the awarding of any Federal contract, the making of any Federal grant, the making of
any Federal loan, the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress,
an officer or employee of Congress, or an employee of a Member of Congress in connection with this
Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit
Standard Form- LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants,
loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction
was made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each
such failure.
The Provider, Carl L. Potter, III, certifies or affirms the truthfulness and accuracy of each statement of its
certification and disclosure, if any. In addition, the Provider understands and agrees that the provisions of 31
U.S.C. Chap. 38, Administrative Remedies for False Claims and Statements, apply to this certification and
disclosure, if any.
_________________________________________
Signature of Provider’s Authorized Official
Carl L. Potter, III, LCSW
Printed Name and Title of Provider’s Authorized Official
Date
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
7/11/2022
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728
DocuSign Envelope ID: 525A8B6B-84A9-4382-81AD-B52736EB0728