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2022-406-E-DEAPR-Historical Foundation of Hillsborough and Orange County-Outside Agency Funding
Orange County Outside Agency Performance Agreement Revised 06/22 Page 1 of 10 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2022, (“Effective Date”) by and between the County of Orange, a political subdivision of the State of North Carolina, Post Office Box 8181, Hillsborough, North Carolina, 27278, ("County") and Historical Foundation of Hillsborough and Orange County, a not-for-profit corporation, located at 201 N. Churton Street, Hillsborough, North Carolina 27278 (“Provider”). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need, as identified by the Board of Commissioners. NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth, the County and Provider agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2022 to June 30, 2023. 2. Scope of Services. a. Provider will provide services, as outlined in the attached Outside Agency Funding Application and any amendments or revision thereto which is attached as Exhibit “A” and incorporated by reference, to the residents of Orange County. The Scope of Services and the Program Budget may be different from the original application based on County appropriation; however, any revisions or amendments to this Agreement must be approved in writing by the County and attached to this Agreement as Exhibit B. b. The Provider shall be solely responsible for the means, methods, techniques, sequence, safety program and procedures necessary to properly and fully complete the work set forth in the Scope of Services. 3. Funding. a. The County agrees to appropriate for the provision of services described in Exhibit A, Scope of Services and more particularly described in the Revised Program Budget, the maximum sum of $18,750. b. All funds appropriated shall be used for purposes described in Exhibit A. Any funds not used for the purposes stated shall be returned to the County. Any changes in the use of funds must be authorized in writing by the County prior to any expenditure of the funds by the Provider. If the funds are expended not in accordance with the Scope of Services, at the discretion of the County the Provider may be required to repay the funds to the County. c. The Provider shall be paid in four equal installments in the amount of $4,687.50. The first payment is contingent upon receipt of the agency’s performance agreement; the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. d. The County’s obligation to make the quarterly payments is contingent upon receipt of Progress Reports, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services. DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Orange County Outside Agency Performance Agreement Page 2 of 10 Rev.06/22 e. Once Provider has satisfied its obligations as provided in (d) payment will be made 21 days after receipt of the Progress Report and Request for Reimbursement or 21 days after due date of Progress Report whichever is later. f. The County is not obligated to provide any other support to Provider in this or in succeeding fiscal years. 4. Agency Reporting. a. Provider will provide Orange County a Progress Report that includes a fiscal report and updates on performance measures as outlined in the Scope of Services. Progress Report dates are: July 1 – December 31; January 1 – March 31 and April 1 - June 30. Reports are due on January 9, April 10, and July 10 of the program fiscal year. b. Provider agrees to allow the County to inspect its financial books and records, which document costs of those services, upon reasonable notice during normal working hours. 5. Termination. a. Termination for Cause. In the event of any of the circumstances set forth below (hereinafter referred to as “default”), the County may immediately terminate this Agreement, in whole or in part, and from time to time. Notice of termination must be in writing, state the reason or reasons for the termination, and specify the effective date of the termination: i. In the event that Provider shall cease to exist as an organization or shall enter bankruptcy proceedings, be declared insolvent, or liquidate all or substantially all of its assets, or significantly reduce its services or accessibility to Orange County residents during the term of this Agreement; or ii. In the event that Provider shall fail to render a satisfactory accounting as provided section 4 above, the County may terminate this Agreement and Provider shall return all payments already made to it by the County for services which have not been provided or for which no satisfactory accounting has been rendered; or iii. In the event of any fraudulent representation by the Provider in an invoice or other verification required to obtain payment under this Agreement or other dishonesty on a material matter relating to the performance of services under this Agreement. iv. Nonperformance, incomplete service or performance, or failure to satisfactorily perform any part of the work identified in the Scope of Services or to comply with any provision of this Agreement, as determined by the County in its sole discretion. v. Failure to adhere to the terms of applicable county, state or federal laws, regulations, or stated public policy. b. In the event of default by the Provider, the county may elect to terminate this Agreement, in whole or in part and/or require the Provider to repay the funds within ten (10) business days from written notice of default. The County may (but shall not be required to) grant the Provider an opportunity to cure the default without termination of this Agreement. This clause shall not be interpreted to limit the County’s remedies in law or in equity. c. Notwithstanding the foregoing, either party may terminate the agreement at any time without penalty; provided that written notice of such termination is furnished to the other party at DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Orange County Outside Agency Performance Agreement Page 3 of 10 Rev.06/22 least 30 days prior to termination. In the event of such termination, any payment due shall be prorated to the date of termination and any unused funds shall be returned to the County within 10 days of termination. d. Any termination of this Agreement for default under this section that is later deemed to be unjustified shall be deemed a termination for convenience. e. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. 6. Responsibilities of the County. Cooperation and Coordination. The County has designated (Ardra Webster) to act as the County's representative with respect to the Project who shall have the authority to render decisions within guidelines established by the County Manager or the County Board of Commissioners and who shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance. a. General Requirements. The Provider shall purchase and maintain, during the period of performance of this Agreement, insurance: i. Worker’s Compensation. For protection from claims under workers' or workmen's compensation acts; ii. Cyber Liability. For protection from claims resulting from data breach, virus, and cyberattack; iii. Comprehensive General Liability Insurance covering claims arising out of or relating to bodily injury, including bodily injury, sickness, disease or death of any of the Consultant's employees or any other person and to real and personal property including loss of use resulting thereof; iv. Comprehensive Automobile Liability Insurance, including hired and non-owned vehicles, if any, covering personal injury or death, and property damage; and v. Professional Liability Insurance, covering personal injury, bodily injury and property damage and claims arising out of or related to the performance under this Agreement by the Consultant or his agents, consultants and employees. vi. Sexual Misconduct. Sexual Abuse/Molestation Insurance is required when Provider works directly one-on-one with children, elderly or other at-risk populations. b. Limits of Coverage: Minimum limits of insurance coverage shall be as follows: INSURANCE DESCRIPTION MINIMUM REQUIRED COVERAGE Worker's Compensation Limits for Coverage A - Statutory State DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Orange County Outside Agency Performance Agreement Page 4 of 10 Rev.06/22 NC & Coverage B - Employers Liability $500,000 each accident, disease policy limit and disease each employee Cyber Liability $1,000,000 Each Occurrence; $2,000,000 Aggregate Commercial General $1,000,000 Each Occurrence Liability $2,000,000 Aggregate Automobile Liability $1,000,000 Combined Single Limit Professional Liability $1,000,000 Each Occurrence $2,000,000 Aggregate Sexual Misconduct $1,000,000 Each Occurrence $2,000,000 Aggregate c. All insurance policies (with the exception of Worker's Compensation and Professional Liability) required under this Agreement shall name the County as an additional insured party and as a certificate holder. For more information see the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements, (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php .) Evidence of such insurance and all correspondence shall be sent to: Orange County Risk Manager Post Office Box 8181 Hillsborough, NC 27278 d. Nothing in this section is intended to affect or abrogate the County’s sovereign immunity defenses. 8. General Provisions. a. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. b. Non-Discrimination. Provider agrees as part of consideration of the granting of funds by Orange County the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Non-discrimination Policy, which is incorporated herein by reference and can be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php . The County may enforce this provision by an action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Orange County Outside Agency Performance Agreement Page 5 of 10 Rev.06/22 c. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. d. Living Wage. Orange County is committed to providing its employees with a living wage and encourages agencies if funds to pursue the same goal. The Orange County Living Wage Policy, which is incorporated herein by reference, can be viewed at: http://www.orangecountync.gov/departments/purchasing_division/contracts.php . The County’s living wage is $15.85 per hour. To the extent possible, Orange County recommends that Provider provide a living wage to its employees. e. Relationship of the Parties. Provider is an independent contractor of the County. Provider represents that they have or will secure, at his own expense, all personnel required in performing the services under this Agreement. Such personnel shall not be employees or have any contractual relationship with the County. All personnel engaged in work under this Agreement shall be fully qualified and shall be authorized and permitted under federal, state and local law to perform such services. f. Compliance with all Laws. The Provider, at its sole expense, shall comply with all laws, ordinances, orders and regulations of the federal, state or local governments, as well as their respective departments, commissions, boards, and officers, which are in effect at the time of execution of this Agreement or are adopted at any time following execution of this agreement. g. Subcontract. The County and Provider deem the services provided under this Agreement to be personal in nature and Provider may not subcontract any rights or duties under this Agreement to any other party without prior written consent from the County. h. Assignment. The Provider shall not assign this Agreement, including the rights to payment, to any other party without the prior written consent of the County. i. Indemnification. Provider agrees to defend, indemnify, and hold harmless the County, for all loss, liability, claims or expense (including reasonable attorney's fees) arising from bodily injury, including death or property damage, to any person or persons caused in whole or in part by the negligence or willful misconduct of the Provider, except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this section to require Provider to indemnify the County to the extent permitted under North Carolina law. Nothing in this section is intended to affect or abrogate the County’s sovereign immunity defenses. j. Non-Appropriation. This Agreement is subject to the availability of funds to purchase the specified services and may be terminated at any time if such funds become unavailable. k. Severability. All clauses found herein shall act independently of each other. If a clause is found to be illegal or unenforceable, it shall have no effect on the other provisions of this Agreement. It is understood by the parties hereto that if any part, term or provision of this Agreement is by the Courts held to be illegal or in conflict with any laws of the State of North Carolina or the United States, the validity of the remaining portions or provisions shall not DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Orange County Outside Agency Performance Agreement Page 6 of 10 Rev.06/22 be affected, and the rights and obligations of the parties shall be construed and enforced as if the Agreement did not contain the particular part, term or provision held to be invalid. l. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. m. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Provider’s Name Historical Foundation of Hillsborough Attention: Ardra Webster Attention: Catie Atkinson P.O. Box 8181 Address: 201 N. Churton Street Hillsborough, NC 27278 Hillsborough, NC 27278 Email:awebster@orangecountync.gov Email: manager@orangehistorync.gov n. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. IN WITNESS WHEREOF, the Orange County and the Provider have signed this Agreement, effective on the last date this Agreement is signed by both parties as indicated by the dates set forth under signatures below. For and on behalf of the Provider _____________________________ _______________________ Catie Atkinson, Site Manager Date For and on behalf of Orange County Government _______________________________ ________________________ Bonnie Hammersley, County Manager Date DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 8/24/2022 8/30/2022 Orange County Outside Agency Performance Agreement Page 7 of 10 Rev.06/22 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Historical Foundation of Hillsborough and Orange County Party/Vendor Contact Person: Catie Atkinson Contact Phone: 919-732-2201 Party/Vendor Address: 201 N. Churton Street City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: $18,750 Purpose: Outside Agency Funding Budget Code(s): 10290050 710005 Vendor # 59229 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 7-1-2022 Approved by Board Yes No Agenda Date: 6-21-2022 This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director’s Signature ________________________________________ Date: ________ Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technologies (Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 8/25/2022 8/25/2022 8/29/2022 8/30/2022 Cover Page Page 8 of 30 COVER PAGE Applicant Contact Information Applicant Organization’s Legal Name: Historical Foundation of Hillsborough and Orange County Applicant Organization’s Physical Address: 201 N. Churton Street, Hillsborough, NC 27278 Applicant Organization’s Mailing Address: 201 N. Churton Street, Hillsborough, NC 27278 Applicant Organization’s Web Address: www.orangehistorync.org Executive Director: N/A—Site Manager, Tanya Day Telephone Number: 919‐732‐2201 E‐Mail: manager@orangehistorync.org Tax ID Number: 56‐0797289 Funding Request Please list all Fiscal Year 2023 Human Services (HS) funding requested for all programs and the proposed use of funds (please list program name only) Program Carrboro ‐ HS Chapel Hill ‐ HS Orange County‐HS Total Ex. Youth Afterschool Program Operations or Personnel $10,000 Operations $15,000 Personnel $5,000 Operations $30,000 Orange County Historical Museum: Education through Exhibits $25,000 $25,000 Totals $25,000 $25,000 Briefly explain your proposed use of funds: The Museum will use funds to educate the public about Orange County’s history with the development, design, and presentation of permanent galleries and special exhibits, as well as through free programs, activities, and tours for both informal and formal learning groups, and by collecting, preserving, and making publically available artifacts and research files about family and local history. The Museum also plans to develop and offer a new family gallery in this coming calendar year of 2022 and FY of 22-23. In doing so, the Museum will create the only free family and child friendly gallery environment in the county, influencing positive education outcomes and offering young children unique and engaging learning opportunities. In the last two years, the Museum has been growing its reputation through quality exhibits and programs. We are now the only history museum in Orange County (as opposed to the many historic sites). This is a responsibility we take seriously, and in order to bring the community the quality we think it deserves, we would like to transition from three part-time employees to two full-time employees and one part-time employee. This growth in staff will make a tremendous difference in the amount of services we can offer the community, enabling us to increase our reach to include all of Orange County, which is one of our strategic objectives. DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Cover Page Page 9 of 30 To the best of my knowledge and belief all information and data in this application is true and current. The document has been duly authorized by the governing board of the applicant. Tanya Day Signature: 1/12/2022 Executive Director Site Manager Date Tonya Brami Signature: 1/12/2022 Board Chairperson Date DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Cover Page Page 10 of 30 DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON‐DISCRIMINATION CLAUSE Are any of the Board Members or employees of the agency which will be carrying out this program or members of their immediate families, or their business associates. YES NO (for some reason check boxes are not working for me, so I just wrote in NO) ☐☐ NO a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ☐ ☐ NO b) Members of or closely related to members of the governing bodies of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ☐ ☐ NO c) Current beneficiaries of the program for which funds are being requested? ☐ ☐ NO d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below. NON‐DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, gender identity/expression, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Anti‐discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. To the best of my knowledge and belief all of the above information is true and current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the program ineligible for funding, but the existence of an undisclosed conflict may result in the termination of any grant awarded. DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Cover Page Page 11 of 30 Signature: Tanya Day 1/12/2022 Executive Director Site Manager Date Signature: Tonya Brami 1/12/2022 Board Chairperson Date DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Program informationPage 12 of 30 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): Orange County Historical Museum was incorporated in 1983. The Historical Foundation of Hillsborough and Orange County (HFHOC), incorporated in 2007, has operated OCHM since then. 2. Agency’s Purpose/Mission (no more than a few sentences): The mission of the Historical Foundation of Hillsborough and Orange County and the Orange County Historical Museum is to enlighten and engage our community and visitors from around the world by preserving and interpreting the history of Orange County. 3. Please provide a brief description of your organization’s past achievements in carrying out similar projects and evidence of successful record of meeting proposed budgets and timetables (no more than 100 words). Since the fall of 2020, In spite of COVID limitations, the Museum has completely revitalized the permanent gallery, designed and presented two temporary special museum exhibits, offered more than 15 free programs, and conducted multiple tours for both school age and adult learning groups. Interactive elements and kids activities have continuously been created and offered through the calendar year of 2021. During the FY of 2020‐2021, the Museum exceeded its projected number of guests served through these free educational offerings by 800 individuals. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes / No) If yes, is this agency an Orange County Living Wage Certified Employer? YES If no, please briefly explain. Schedule of Positions: # of FTE – Full‐Time Paid Positions: ___ # of FTE – Part‐Time Paid Positions: 3 NEW THIS YEAR Consistent with our commitment to equity and inclusion, the Towns of Chapel Hill and Carrboro and Orange County Government are taking steps together to center racial equity in the Human Services Funding Program. Over the course of the next year, the Towns and County will conduct a comprehensive racial‐equity analysis of the program and we are requesting basic information about your organization’s racial equity work. a. Please describe how you have involved the intended beneficiaries of the proposed project in the planning and design process (in 100 words or less). Decisions regarding the selection of exhibit topics and content are made in consultation with civic groups, elected officials, public and homeschool educators, local families, and organizations representing minority groups, such as the Occaneechi Band of the Saponi Nation Tribal Council and Free Spirit Freedom. Continuous feedback is solicited from guests after viewing the exhibits and/or participating in programs. Additionally, pre‐visit consultations are always conducted with any special tour group, including with educators. DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Program informationPage 13 of 30 b. How has your organization incorporated racial equity goals into your organizational goals? It is a strategic objective of the Museum to increase the diversity of our visiting public. We strive to serve guests of multiple races and ethnicities, and are working towards making a space that welcomes people of color, assisting them with feeling more comfortable with visiting the museum, and taking ownership of the displays exhibited. We are doing this through creating special exhibits that mirror the community and actively showcasing items, stories, and art by people of color, and in the permanent exhibit by noting historical experiences of multiple races. Additionally, our programming doesn’t just include people of color presenting, but also allows us to gauge what certain demographics may want to see and engage with through feedback. Written into our five year plan is the goal of serving and representing ALL members of Orange County. c. Please fill in the below questions and provide any additional context on the racial composition of the organization and board leadership: i. % of staff that are Black, Indigenous, or People of Color (BIPOC) : 0 ii. % of board that are BIPOC: 29% iii. % of staff that have attended racial equity training: 0 d. Please describe any additional activities your organization is doing to address racial equity. PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 6. Program Name: Education through Exhibits Program Primary Contact and Title: Tanya Day, Site Manager Telephone Number: 919‐732‐2201 E‐Mail: manager@orangehistorync.org 7. Please briefly describe the proposed program, including an explanation of how it aligns with the Town of Chapel Hill and Carrboro’s Results Framework, and Orange County BOCC Goals and Priorities, and the target population to benefit from the program. (250 words or less) The Museum will design and present free exhibits to engage and educate the public about the dynamic history of Orange County. Programs, events, tours, and a variety of educational offerings will provide further learning opportunities for the public, through which the museum will strive to promote diversity and life‐long learning. The Museum will also continue to collaborate with other nonprofits and County entities, including the Alliance for Historic Hillsborough, Burwell School, Hillsborough Garden Club, the Hillsborough Arts Council, the Chapel Hill Historical Society, and Orange County schools to integrate and coordinate programs and events and provide meaningful learning experiences. Starting in 2022, the Museum will be developing and installing a family and child‐centered gallery space which will create additional learning opportunities targeted to serve Pre‐K through upper elementary school aged children in order to better foster positive educational outcomes and engage young audiences with Orange County history. DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Program informationPage 14 of 30 8. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. Program Target Population Demographics* Projected 2020‐2021 Actual 2020‐ 2021 Projected 2021‐2022 Projected 2022‐2023 Gender Men 500 911 625 1,005 Women 500 911 625 1,005 Nonbinary/Genderqueer 2 Self‐Describe 20 30 Total 1,020 1,828 1,280 2,010 Race and Ethnicity Black or African‐American 100 55 125 290 American Indian or Alaska Native 100 4 150 30 Asian Indian 25 0 25 30 White 675 465 860 1,500 Native Hawaiian or other Pacific Islander 0 0 10 Chinese **15 20 Japanese Vietnamese Filipino Korean Some other race 120 49 120 130 Total 1,020 ***1,828 1,280 2,010 Of the above, how many Hispanic, Latino or Spanish origin 100 8 120 130 Of the above, how many non‐Hispanic, Latino or Spanish origin 920 1,820 1,160 1,880 Total 1,020 ***1,828 1,280 2,010 Age 0‐5 years 20 10 25 100 6‐18 years 300 300 355 410 19‐50 years 300 351 500 900 51+ years 400 186 400 600 Total 1,020 ***1,828 1,280 2,010 Geographic Location Town of Chapel Hill 250 68 300 200 Town of Carrboro 250 9 250 200 Orange County ( Outside of Chapel Hill/Carrboro) 395 207 555 700 Outside of Orange County 125 443 175 910 Total 1,020 ***1,828 1,280 *****2010 Income **** DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Program informationPage 15 of 30 Low‐income (80% of the Area Median Income and Below) Please see income table in the attachments Total 200 ****0 300 0 PLEASE NOTE * The Museum does not require all on‐site guests to fill out self‐described demographics surveys. ** The Museum does not collect data regarding gender identity or specific Asian identities *** Some data missing due to demographics not being collected through virtual programs ****The Museum does not collect economic status of visitors ***** This projection does not include the greater number of guests we would be targeting with two full time staff 9. Cost Per Individual This cost per individual must reflect the total program budget divided by the total number of program individuals in this application. Actual 2020‐2021 Projected 2021‐2022 Projected 2022‐2023 Total Cost of Program $9,606 $9,606 $25,000 Total # of Individuals 1,828 1,280 2,010 Cost Per Individual $5.25 $7.50 $12.44***** ***** This projection does not include the greater number of guests we would be targeting with two full time staff 10. Performance Indicators For Chapel Hill and Carrboro applicants: Please complete the following chart with information about the Strategic Objective, Intermediate Result, and the Agency Performance Indicator for each program for which you are applying for funding. Please see the Results Framework in the Attachments section as a reference. Program Name: Strategic Objective (please choose one from the Results Framework) □ Children improve their educational outcomes □ Residents Increase their livelihood security □ Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) Insert Intermediate Result here. RESULTS Actual Projected Projected DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Program informationPage 16 of 30 2020‐2021 2021‐2022 2022‐2023 Performance Indicators (Please choose at least one performance indicator to report on from the Results Framework, and add additional performance indicators that you would like to report to the Towns. Please insert additional rows as needed, listing one per row). Insert Performance Indicator here. DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Outside Agencies/Human Services Program informationPage 17 of 30 Please use the drop down menu below to select which function area best aligns with your agency and program(s) in which you are requesting funding. Please select only one from the drop‐down menu below. Arts and Culture Services Choose an item. This drop down menu isn’t working for me anymore If you selected other, please tell us what function area best aligns with your organization: Please indicate three program goals/performance measures below. A few notes: ● If you use percentages, please put the actual number equivalence. ● Please ensure your performance measures are outcome based and not outputs. Program Goal # 1 Provide free educational history and heritage opportunities to the public. Performance Measure (How will you accomplish your goal?) Goals to provide free educational history and heritage opportunities will be accomplished by: presenting two special exhibits during the FY, designed to enhance the historical scope of the permanent gallery and represent the County community; Hosting and/or presenting at least 6 free programs; Developing a family‐centered gallery to bolster opportunities for children, especially ages Pre‐K and K, to improve their education outcomes and have access to early childhood learning experiences (making the Museum the only location in Orange County to offer permanent history themed learning opportunities for children); Providing gallery space for the Chapel Hill Historical Society to display their items as a new permanent Museum exhibit. Tracking of the amount of gallery and programs offerings, physical and virtual visitor numbers, demographics, and other analytics will measure how well we perform in providing these free educational opportunities. Actual Results (Outcome) Ending FY2021 Two exhibits were displayed, ‘Yésah: Journeys of the Occaneechi’, and ‘Date Night: Orange County Fashion, Food Music, & Fun’, both featuring community involvement. DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Outside Agencies/Human Services Program informationPage 18 of 30 Programs offered during FY20‐21 included those associated with the special and permanent exhibits, with some holiday themed programs as well‐‐‐in total 13 free programs were offered during FY 20‐21. During FY20‐21, in spite of COVID, and with COVID protocols in place, 752 guests visited the exhibits in person, 296 viewed the exhibits through virtual tours, and 778 attended virtual programs. In total, 1,826 individuals engaged with the museum, which exceeds the original projection of 1,020 guests by 79%. Projected Results (Outcome) Ending FY2022 By the end of FY 21‐22, the permanent gallery will be fully refreshed and expanded to include a 20th century case. Two free special exhibits will have been made available to the public, ‘Date Night: Orange County Fashion, Food, Music & Fun’, and ‘What’s Your Flavor?!’. In the fall of 2021, a free program featuring a non‐staff member was presented to the public related to ‘Date Night’ (‘Date Night’ had 2 other programs which occurred in FY 20‐21). Additional programs include Trading Path talks held in late 2021, and various others planned for early 2022 related to the permanent exhibit. A family‐centered gallery will be created in early 2022, and will offer educational displays, handling artifacts, and themed activities (to be further developed during early FY22‐23 and beyond, making the Museum the only location in Orange County to offer permanent history themed learning opportunities for children). The Chapel Hill Historical Society will install their first pieces in early 2022. Per last years application, the projections for engagement for FY 21‐22 are: on‐site attendance of 500 + ; virtual/in‐person tours and program attendance of 300+, for a total of at least 1,280 people served. By December of FY 21‐22, we have already exceeded our on‐site attendance projection, and are halfway to meeting our program attendance and tour projection. Projected Results (Outcome) Ending FY2023 Increased community education and engagement about the history of Orange County measured by individual served by a 10% increase from the number of individuals actually served during FY 20‐21 (1,828) to 2,010 individuals served during FY 22‐23. In particular, with the development of a family centered space, we will focus on increasing the number of 0‐18 year DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Outside Agencies/Human Services Program informationPage 19 of 30 olds served from the actual results of FY20‐21 of 310, to 510 for FY 22‐23. Program Goal # 2 Participate in town/countywide efforts to coordinate programming across all nonprofits, promoting life‐long learning and diversity Performance Measure (How will you accomplish your goal?) Ensure that Museum activities are coordinated and synergistic with those of the rest of the nonprofits; Actively participating in tourism and heritage events throughout the town and county, including during the planning process; Collaborate on, or participate in, at least 4 town or county‐ wide events, including but not limited to Rev War Living History Day, holiday festivities or other local festivals, and/or interagency loans/exhibits/programs; Provide space for the Chapel Hill Historical Society to present their collections at our site. Actual Results (Outcome) Ending FY2021 The Museum took part in 6 town‐wide events to support overall tourism offerings, including: Halloween weekend programs in 2020, the virtual Holiday parade of December 2020, Last Friday Art Walks in 2021, Revolutionary War Living History Day in May 2021, and 2 summer Lunch and Learn programs with The Alliance for Historic Hillsborough. A Management Services Agreement was in effect between the Museum and the Alliance for Historic Hillsborough – to ensure continuity of purpose and shared objectives and events. Projected Results (Outcome) Ending FY2022 By the end of FY 21‐22, the Museum will have participated in more than 6 collaborative events, including: Last Friday Art Walks, OCPL Storybook walk summer of 2021, collaboration on a walking tour with The Alliance connected to our ‘Date Night’ exhibit, merchant Trick or Treating, participation in the holiday parade and wreath walk, providing crafts for the Solstice Lantern Walk of 2021, Rev War Living History Day in early 2022, and the Historical Hillsborough Weekend planned for June of 2022. The Chapel Hill Historical Society will have installed their first items in the gallery by early 2022. The Management Services Agreement will be continued as appropriate. Projected Results (Outcome) Ending FY2023 The Museum will coordinate programming with Town and County agencies/programs and the Chapel Hill Historical Society to further educate and enlighten visitors in a cohesive manner and provide a more holistic history of DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Outside Agencies/Human Services Program informationPage 20 of 30 Orange County. Program Goal # 3 Develop and provide educational tours and activities/lessons for both formal and informal learning groups. Performance Measure (How will you accomplish your goal?) Create and share educational activities and/or lesson plans appropriate for various ages and interests, to be delivered/interacted with on‐site or off‐site or used independently; Track analytics regarding individual schools/groups that were provided tours, the number of tours given, and how many people attended each tour (a tour is defined as a pre‐booked group of people organized by a representative on their behalf as opposed to casual visitors who receive regular gallery walkthroughs; the tour is usually thematically targeted). Actual Results (Outcome) Ending FY2021 In all, 9 lesson plans connected to the special exhibits ‘Yésah’ and ‘Date Night’ were created and provided for free. In particular, the ‘Yesah’ activities were shared widely with Orange County and homeschool contacts. 8 tours were conducted, including 3 school groups. 286 individuals were served through these tours. On‐site, a scavenger hunt was created for ‘Yésah’, and three interactive elements were continuously offered in the ‘Date Night’ exhibit. Additionally, two children’s activity booklets were made, and Saturday morning crafts associated with the galleries and historical concepts were offered. These increased opportunities for children to improve their educational outcomes. Projected Results (Outcome) Ending FY2022 Children’s activity books and interactive aspects for ‘Date Night’ were offered through the fall of 2021. Interactive elements will be offered continually for the special exhibit ‘What’s Your Flavor?!’. Two new lesson plans were created, and made further available to Orange County schools through the current K‐ 12 Social Studies Coordinator, with whom the Museum has developed a relationship. DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Outside Agencies/Human Services Program informationPage 21 of 30 Weekly Saturday crafts will have been offered, and a new gallery quiz designed for guests ages 10+ was designed. A historical fiction children’s picture book was authored and published by a staff member to better teach young children about the history of Orange County. Tours for both school age and special interest groups (including the National Guard, the Rotary Club, and the Nash Chapter of the SAR), will have taken place, for a total of at least 5 tours, reaching at least 75 individuals. Projected Results (Outcome) Ending FY2023 At least 10 educational opportunities, including but not limited to interactive elements, crafts and activities and lesson plans, will be developed and delivered on‐ and/or off‐site, contributing to positive educational growth for children. Tours will be provided to at least 8 school age groups and special interest groups, serving a projected 150 people. DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Certified by: _______________________ Title: __________________________ Date: ____________ (Provider’s Signature) EXHIBIT “B” Scope of Services – FY 2022-2023 Outside Agency Performance Agreement Agency Name: Historical Foundation of Hillsborough and Orange County Program Name: Orange County Historical Museum, Education Through Exhibits Funding Award: $18,750 Outline how the agency will spend Orange County’s funding award. Program Services Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2023. • Provide free educational history and heritage opportunities to the public. • Participate in town/countywide efforts to coordinate programming across all nonprofits, promoting life-long learning and diversity • Develop and provide educational tours and activities/lessons for both formal and informal learning groups. Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange County, only (all Towns and municipalities). If you use percentages, you must also provide the total number of participants within that measure’s description or for an earlier performance measure. Performance Measures Anticipated Results Using analytics, monitor and report on the number of people who engage with the museum on- site and at programs/events to track community engagement Increase of 25% in number of people who engage with the museum from FY21- 22 (2,851) to 3,564 in FY 22-23 Expense Description Amount Personnel $12,000 Exhibit Costs, including printing and promotional materials including advertisements $5,000 Supplies $1,750 Site Manager 8/16/22 DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Certified by: _______________________ Title: __________________________ Date: ____________ (Provider’s Signature) Performance Measures Anticipated Results Track instances of participation in town and county wide efforts through number of programs the Museum was a part of planning or engaging in, such as Last Fridays, Rev War days, or other arts/culture/heritage efforts (note, multiple Last Fridays still counts as one program). Particpate in at least 8 town and county events Monitor and report number of educational tours conducted and individuals reached through these tours. Increase virtual/on- site tour participants by 10% from FY 21-22 (253) to 278 in FY 22-23 Report on number of educational activities offered throughout the FY, in the form of actual activities or activity plans offered on or off-site and/or virtually. Provide 15 educational opportunities in FY 22-23 Site Manager 8/16/22 DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 Orange County Outside Agency Performance Agreement Page 10 of 10 Rev.06/22 ATTACHMENT “A” Orange County Certifications – FY 2022-23 Outside Agency Performance Agreement Chief Contact, Administrators, Chief Executive Officer and Chief Financial Officer I certify that I have provided a list of the chief contact, administrators, chief executive officer and chief financial officer for my agency with this Agreement and that I will keep it current to the County of Orange. The list should be in writing with the name, title, residential address; phone and email address and if possible, fax number. Officers and Board of Directors I certify that I have provided a current list of the Officers and Board of Directors with this Agreement and that we will continue to update the list as changes occur. The list should be in writing, with the name, physical address, mailing address and if possible, phone, fax and email address. Budget Submission I certify that I have provided a budget for the period to be covered by funding Orange County, and that any substantive changes made to this budget have been in advance authorized in writing by Orange County. Annual Financial Review I certify that I have provided a copy of the latest annual Financial Review for our agency and the budget adopted by the agency for the fiscal years encompassing this Agreement. If not, please explain on a separate sheet of paper. Alignment with Organization’s Mission I certify that the programs and services for which this funding is requested align with the mission of the organization. Intended Purpose I certify that the funds provided to the agency under the terms of this Agreement will be used for a public purpose and shall only be used for the purposes intended and any money not used for those purposes will be promptly returned to Orange County. Certified by: _______________________ Title: __________________________ Date: ___________ (Provider’s Signature) DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579 8/24/2022Museum Site Manager SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSR THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS AUTOSAUTOSNON-OWNEDHIRED AUTOS SCHEDULEDALL OWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-TORY LIMITSWC STATU- LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD 08/08/2022 The Ballard Agency 105 W King St. NC 27278 Lee Hammond 919-732-2158 lee@ballardagency.com The Historical Foundation Of Hillsborough & Orange County, Inc. 201 N Churton St. Hillsborough NC 27278-2535 Erie Insurance Exchange Philadelphia Indemnity Insurance Company A Y Q442250193 08/22/22 08/22/23 1,000,000 1,000,000 5,000 1,000,000 2,000,000 2,000,000 B Directors & Officers Liability PHSD1727447 08/31/22 08/31/23 $1,000,000 D&O $1,000,000 Employment Practices Orange County Government is an additional insured as respects general liability, per CG2012 4/13. Orange County Government PO Box 8181 Hillsborough NC 27278 DocuSign Envelope ID: 5AAC61C4-23A4-4ADC-A331-E65EC6A2C579