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HomeMy WebLinkAbout2022-407-E-Health-OC Rape Crisis Center-Outside AgencyOrange 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 Orange County Rape Crisis Center, a not-for-profit corporation, located at 1506 East Franklin Street, Suite 200, Chapel Hill, North Carolina 27514 (“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 $62,000. 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 $15,500. 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: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 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: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 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 (Quintana Stewart) 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: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 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: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 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: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 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 Attention: Kimberlee Quatrone P.O. Box 8181 Hillsborough, NC 27278 Provider’s Name: OC Rape Crisis Center Attention: O. Laing Address: PO Box 4722 Chapel Hill, NC 27515 Email:kquatrone@orangecountync.gov Email: laing@ocrcc.org 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 _____________________________ _______________________ O. Laing, Interim Executive Director Date For and on behalf of Orange County Government _______________________________ ________________________ Bonnie Hammersley, County Manager Date DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 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: OC Rape Crisis Center Party/Vendor Contact Person: O. Laing Contact Phone: 919-636-7793 Party/Vendor Address: 1506 E. Franklin St., Ste. 200 City Chapel Hill State: NC Zip: 27514 Department: Health Amount: $62,000 Purpose: Outside Agency Budget Code(s): 10290050-710009 Vendor # 800015 (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: June 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: Waiting on exhibit and COI from agency. 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: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 8/25/2022 8/26/2022 8/29/2022 8/30/2022 Cover Page Page 6 of 32 COVER PAGE Applicant Contact Information Applicant Organization’s Legal Name: Orange County Rape Crisis Center Applicant Organization’s Physical Address: 1229 E Franklin Street Chapel Hill, NC 20514 Applicant Organization’s Mailing Address: PO Boc 4722, Chapel Hill, NC 27514 Applicant Organization’s Web Address: ocrcc.org Executive Director: Rachel Valentine Telephone Number: 919-968-4647 E-Mail: rvalentine@ocrcc.org Tax ID Number: 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 Rape Crisis Victim’s Services 10,000 20,500 26,000 56,500 Community Engagement for Safe Kids 7,000 13,000 22,000 42,000 Therapy Access for Underserved Communities 1,000 10,000 14,000 25,000 Totals 18,000 43,500 62,000 123,000 Briefly explain your proposed use of funds: 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. We propose to use these funds in support of comprehensive mental and behavioral health supports for survivors of sexual violence throughout Orange County. Services include maintenance of three bilingual 24-hour crisis lines, 24-hour crisis intervention and medical accompaniment, case management and court advocacy as well as training to provide culturally competent services to underserved communities; outreach, training, and education activities engaging tens of thousands of residents to create a safer community free of child sexual abuse, sexual assault and human trafficking. Finally, this year the OCRCC seeks to fund the Therapy Access for Underserved Communities program to connect BIPOC and transgender low income residents with free and sliding scale therapy services. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Cover Page Page 7 of 32 Signature: Executive Director Date Signature: Board Chairperson Date     EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Cover Page Page 8 of 32 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 a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? b) Members of or closely related to members of the governing bodies of the Town of Carrboro, the Town of Chapel Hill, or Orange County? c) Current beneficiaries of the program for which funds are being requested? d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below. NON-DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, gender identity/expression, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Anti-discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. To the best of my knowledge and belief all of the above information is true and current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the program ineligible for funding, but the existence of an undisclosed conflict may result in the termination of any grant awarded. Signature: Executive Director Date Signature: Board Chairperson Date     EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 9 of 32 AGENCY INFORMATION Please provide the following information about your agency: 1.Date of Incorporation (Month/Year): 12/1978 2.Agency’s Purpose/Mission (no more than a few sentences): Our mission is to stop sexual violence and its impact through support, education, and advocacy. We envision a world free from sexual violence and all other forms of oppression. 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). The OCRCC has provided crisis intervention for survivors of sexual violence since 1974. Both qualitative and quantitative data show the high success level of our client services. Launched in 1982, our Community Education program is one of the longest-standing in the country, and we have enjoyed a close relationship with local school districts. The OCRCC has been in receipt of Human Services funding since 2004 and has maintained a stellar record of service delivery within provided timeframes and budgets. The agency devotes administrative staff time to maintaining compliance with all budgetary and programmatic regulations related to our grants. 4.Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes / No) Yes 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: 15 # of FTE – Part-Time Paid Positions: 9 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). All staff of the agency identify as survivors or secondary survivors of sexual violence; as such, our planning, program development, and implementation efforts are entirely survivor-led and imagined. In addition to our commitment to supporting staff survivors, the agency regularly solicits feedback from program stakeholders through satisfaction surveys and during programs. Since 2020 the agency has engaged expert advice from underserved communities through the Centering Our Peace listening project (focused on hearing from Black survivors), and our new Trans Access Project, which engages an advisory council of 14 trans survivors to guide the agency’s efforts to improve services. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 10 of 32 b.How has your organization incorporated racial equity goals into your organizational goals? Since 2014 the agency has maintained a Racial Equity Strategic Plan addressing racial equity goals along all functions and operations of the agency, including HR, administration, programming, partnerships, built environment, culture and climate. We have made significant progress toward internal goals related to staffing, policy improvement, partnership development, and culture and climate. Our current priorities are two-fold: 1) define and generate a culture of equity with support from BIWA/Emergent Equity trainers; and elevating culturally specific programming to meet the needs of survivors groups that are historically excluded from rape crisis services, specifically Black, Latine, and trans survivors. These priorities both reflect specific requests from BIPOC staff and community members. 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) : 46% ii.% of board that are BIPOC: 18% iii.% of staff that have attended racial equity training: 100% d.Please describe any additional activities your organization is doing to address racial equity. x All agency staff are required to attend racial equity training (REI 2-day + History of Anti-Rape Movement from a Racial Equity Lens) x Agency maintains a racial Equity Task Force, a staff/board/community collaborative tasked with ongoing monitoring and support to the agency’s advancement of racial equity standards. x All agency staff are required to incorporate x 6 staff positions (1 Director, 2 coordinators, 3 advocates) are dedicated to underserved communities x All agency workplans incorporate racial equity goals to which staff are accountable during performance review. x In the new year, we are pursuing a new prevention strategy that focuses on shared risk and protective factors for sexual and systemic racism in partnership with the RENA Center, SUSO-NC, Families and Communities Rising, the Housing Authority, and the Chapel Hill Policing Advisory Committee. PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 6. Program Name: Rape Crisis Victim’s Services Program Primary Contact and Title: Hollie Wasilewski, Client Services Director Telephone Number: 91991684647 E-Mail: hollie@ocrcc.org EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 11 of 32 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 OCRCC supports sexual violence survivors through our 24-Hour Help Lines (phone, text, chat- all bilingual in English and Spanish), accompaniment, support groups, and therapy. We provide ongoing advocacy to survivors with basic needs, self-sufficiency, legal, or other ongoing concerns resulting from their sexual trauma. We provide site-based outreach and advocacy at 3 community sites serving primarily BIPOC residents: El Centro Hispano, Housing Authority, and OC HeadStart/Early HeadStart. These services are an integral part of a robust human services infrastructure supporting the well-being of all residents’ We help clients access the most appropriate social safety net services1, behavioral health services2, and support resident in developing new healthy lifestyle behaviors3. 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 45 43 55 55 Women 375 220 395 395 Nonbinary/Genderqueer 25 5 35 35 Self-Describe 0 0 0 0 Unkown 250 261 210 215 Total 695 529 695 700 Race and Ethnicity Black or African-American 35 24 60 65 American Indian or Alaska Native 0 0 0 0 Asian Indian 5 0 0 0 White 190 52 255 255 Native Hawaiian or other Pacific Islander 0 0 0 0 Chinese 75 49 130 130 Japanese Vietnamese Filipino Korean Some other race Unknown 390 404 250 250 0 695 529 695 700 Of the above, how many Hispanic, Latino or Spanish origin 90 35 90 95 Of the above, how many non-Hispanic, Latino or Spanish origin 605 494 605 605 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 12 of 32 Total 695 529 695 700 Age 0-5 years 0 0 0 0 6-18 years 15 6 15 15 19-50 years 250 87 370 375 51+ years 50 11 60 60 Unknown 380 425 250 250 Total 695 529 695 700 Geographic Location Town of Chapel Hill 150 68 175 175 Town of Carrboro 45 2 40 45 Orange County ( Outside of Chapel Hill/Carrboro) 150 57 185 185 Outside of Orange County 75 5 45 45 Unknown 275 397 250 250 Total 695 529 695 700 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments n/a n/a n/a n/a Total 0 0 0 0 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 738,229 679,101 675000 Total # of Individuals 529 695 700 Cost Per Individual 1395 977 964 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: Rape Crisis Victim’s Services Strategic Objective (please choose one from the Results Framework) † Children improve their educational outcomes X Residents Increase their livelihood security † Residents improve their health outcomes EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 13 of 32 Intermediate Result (please choose one from the Results Framework) Insert Intermediate Result here. Intermediate Result 2.1: Residents access the most appropriate social safety net services RESULTS Actual 2020-2021 Projected 2021-2022 Projected 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). % and # of individuals that receive abuse and neglect prevention and response services 529 (100%) of residents that contact the agency will receive abuse response services 1 695 (100%) of residents that contact the agency will receive abuse response services 1. 700 (100%) of residents that contact the agency will receive abuse response services Strategic Objective (please choose one from the Results Framework) † Children improve their educational outcomes Residents Increase their livelihood security X Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) Insert Intermediate Result here. Intermediate Result 3.1: Residents access basic health care services (primary, behavioral, dental) RESULTS Actual 2020-2021 Projected 2021-2022 Projected 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). 1. % and # of program participants who report new, improved, or restored social connections 8 (88.88 %) of support group participants will report decreased feelings of isolation 63 (85%) of support group participants will report decreased feelings of isolation 70 (85%) of support group participants will report decreased feelings of isolation EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 14 of 32 2. % and # of program participants who meet one wellness goal 80 (83%) of case management and therapy clients have met at least one self- identified wellness goal 102 (85%) of case management and therapy clients will meet at least one self- identified wellness goal. 102 (85%) of case management and therapy clients will meet at least one self- identified wellness goal. PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 6.Program Name: Community Engagement for Safer Kids Program Primary Contact and Title: Tracey Miller, Director of Outreach and Community Engagement Telephone Number: 91991684647 E-Mail: tracey@ocrcc.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 OCRCC will provide safety education programs to youth and adults. Our programs address Adverse Childhood Experiences (ACEs) and assists local schools with identifying, reporting and supporting families experiencing sexual abuse. Most programs take place within local schools to educate youth and adults across all demographics in OC. We focus on services to underserved populations, including low-income families, children with disabilities, and students facing challenges in school. Our prevention and support services form a part of the community network of basic human services that promote the wellbeing of all residents and help students improve their health outcomes. 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 7020 7920 6020 5000 Women 7613 10073 6650 5000 Nonbinary/Genderqueer 767 Nt 480 NT Self-Describe 0 Nt 0 NT Unknown 0 6630 0 3200 Total 15400 24587 13150 13,200 Race and Ethnicity EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 15 of 32 Black or African-American 1817 1951 1220 1220 American Indian or Alaska Native 92 97 65 65 Asian Indian 1278 1313 1050 1050 White 11796 12566 10650 10650 Native Hawaiian or other Pacific Islander 15 16 15 15 Chinese 400 150 200 Japanese Vietnamese Filipino Korean Some other race Unknown 0 8644 0 15400 24587 13150 13200 Of the above, how many Hispanic, Latino or Spanish origin 1324 3048 1800 1850 Of the above, how many non-Hispanic, Latino or Spanish origin 14076 21539 11350 11350 Total 15400 24587 13150 13200 Age 0-5 years 2000 68 250 1000 6-18 years 11000 5590 7050 7050 19-50 years 2400 18041 3050 3050 51+ years 0 0 150 150 Unknown 888 2650 1950 Total 15400 24587 13150 13200 Geographic Location Town of Chapel Hill 7300 7970 6300 6300 Town of Carrboro 1800 975 1300 1300 Orange County ( Outside of Chapel Hill/Carrboro) 4450 511 3000 3000 Outside of Orange County 1600 3307 1300 1300 Unknown 250 11824 1250 1300 Total 15400 24587 13150 13200 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments n/a n/a n/a n/a Total 0 0 0 0 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 270300 228085 235000 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 16 of 32 Total # of Individuals 24587 13150 13200 Cost Per Individual $10.99 $17.34 17.80 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: Rape Crisis Victim’s Services Strategic Objective (please choose one from the Results Framework) † Children improve their educational outcomes X Residents Increase their livelihood security † Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) Insert Intermediate Result here. Intermediate Result 2.1: Residents access the most appropriate social safety net services RESULTS Actual 2020-2021 Projected 2021-2022 Projected 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). % and # of individuals that receive abuse and neglect prevention and response services 25,587 (100%) of participants in education programs will receive abuse and neglect prevention services. 13,150 (100%) of participants in education programs will receive abuse and neglect prevention services. 13,200 (100%) of participants in education programs will receive abuse and neglect prevention services. Strategic Objective (please choose one from the Results Framework) † Children improve their educational outcomes Residents Increase their livelihood security X Residents improve their health outcomes EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 17 of 32 Intermediate Result (please choose one from the Results Framework) Intermediate Result 3.2: Residents demonstrate new healthy lifestyle behaviors RESULTS Actual 2020-2021 Projected 2021-2022 Projected 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). % and # of program participants who demonstrate new, improved, or restored social skills 100% (89/89) of teachers and counselors that receive OCRCC SafeTouch programs reported an increase in student awareness of personal safety and protection 90 % (61) of teachers and counselors that receive OCRCC SafeTouch programs reported an increase in student awareness of personal safety and protection against sexual violence 90 % (61) of teachers and counselors that receive OCRCC SafeTouch programs reported an increase in student awareness of personal safety and protection against sexual violence PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 6. Program Name: Therapy Access for Underserved Communities Program Primary Contact and Title: AP Pankey, TAUC Coordinator Telephone Number: 91991684647 E-Mail: ap@ocrcc.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) In 2021 the OCRCC disbanded its in-house therapy program in favor of a broader approach designed to increase access to therapy for BIPOC and LGBTQIA+ low income residents, and to increase the overall capacity of the community of care to provide trauma-informed therapy to survivors. This program is a partnership with the Pro Bono Counseling Network, which disbanded in 2019 and will renew under this program in 2022. The PBCN provides high-quality counseling services free of charge to underinsured residents and arranges personalized referrals to low-cost, sliding scale, or subsidized services for all those seeking assistance, filling service gaps in the human services infrastructure6. The target population is low- income and underinsured residents, and the objective is to ensure all residents have access to behavioral care7 regardless of income or insurance status. The program’s focus is on culturally competent, trauma- informed care specific to the needs and interests of BIPOC, Latine and LGBTQIA+ residents. Clients will receive 8-16 sessions of therapy free of charge. Providers will receive advanced training in cultural competency and trauma informed care. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 18 of 32 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 N/A N/A N/A 10 Women 40 Nonbinary/Genderqueer 10 Self-Describe 0 Unknown 0 Total 60 Race and Ethnicity Black or African-American 25 American Indian or Alaska Native 0 Asian Indian 0 White 15 Native Hawaiian or other Pacific Islander 0 Chinese Japanese Vietnamese Filipino Korean Some other race 10 Unknown 15 0 60 Of the above, how many Hispanic, Latino or Spanish origin 15 Of the above, how many non-Hispanic, Latino or Spanish origin 45 Total 60 Age 0-5 years 0 6-18 years 0 19-50 years 50 51+ years 10 Unknown Total 60 Geographic Location Town of Chapel Hill 20 Town of Carrboro 10 Orange County ( Outside of Chapel Hill/Carrboro) 20 Outside of Orange County 10 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 19 of 32 Unknown Total 60 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments 60 Total 0 0 0 60 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 75000 Total # of Individuals 60 Cost Per Individual 1250 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: Rape Crisis Victim’s Services Strategic Objective (please choose one from the Results Framework) † Children improve their educational outcomes Residents Increase their livelihood security X Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) Insert Intermediate Result here. Intermediate Result 2.1: Residents access the most appropriate social safety net services RESULTS Actual 2020-2021 Projected 2021-2022 Projected 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 % and # of program participants that report they have access to behavioral care n/a n/a 60 (85% of those who contact the agency for services) will gain access to high quality mental health care free of charge through EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Program information P a g e 20 of 32 would like to report to the Towns. Please insert additional rows as needed, listing one per row). the TAUC program. . EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 OOutside Agencies/Human Services Program information P a g e 21 of 32 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. Behavior Health 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: x If you use percentages, please put the actual number equivalence. x Please ensure your performance measures are outcome based and not outputs. Program Goal # 1 Supportive services from OCRCC will enhance the safety and wellbeing of survivors of sexual violence Performance Measure (How will you accomplish your goal?) Survivors will be supported in learning new coping skills to assist them in dealing with trauma symptoms through support groups and individualized client advocacy. Actual Results (Outcome) Ending FY2021 80 (83%) of case management and therapy clients have met at least one self-identified wellness goal Projected Results (Outcome) Ending FY2022 102 (85%) of case management and therapy clients will meet at least one self-identified wellness goal. Projected Results (Outcome) Ending FY2023 102 (85%) of case management and therapy clients will meet at least one self-identified wellness goal. Program Goal # 2 Students participating in SafeTouch programs at local elementary schools will increase their awareness of safety and privacy rights as a result of our program. Performance Measure (How will you accomplish your goal?) Counselors and teachers will report an increase in student awareness of personal safety and protection against sexual violence in post-program surveys. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 OOutside Agencies/Human Services Program information P a g e 22 of 32 Actual Results (Outcome) Ending FY2021 100% (89/89) of teachers and counselors that receive OCRCC SafeTouch programs reported an increase in student awareness of personal safety and protection Projected Results (Outcome) Ending FY2022 90 % (61) of teachers and counselors that receive OCRCC SafeTouch programs reported an increase in student awareness of personal safety and protection against sexual violence Projected Results (Outcome) Ending FY2023 90 % (61) of teachers and counselors that receive OCRCC SafeTouch programs reported an increase in student awareness of personal safety and protection against sexual violence Program Goal # 3 Low-Income and Underinsured Residents will gain access to free counseling services. Performance Measure (How will you accomplish your goal?) BIPOC, Latine, and LGBTQIA+ Residents seeking counseling services will be provided with personalized referrals and warm introductions to providers in the PBCN or other eligible services, and will receive up to 16 free therapy sessions. Actual Results (Outcome) Ending FY2021 n/a Projected Results (Outcome) Ending FY2022 n/a Projected Results (Outcome) Ending FY2023 85% (60/70) residents who seek pro bono counseling services will be connected with an appropriate referral. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 Orange County Outside Agency Performance Agreement Page 10 of 10 Rev.06/22 ATTACHMENT “A” Orange County Certifications – FY 2022-2023 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: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6 8/24/2022Interim Executive Director 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 have ADDITIONAL INSURED provisions or 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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 ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED 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-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 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) 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 8/18/2022 High &Rubish Insurance PO Box 3040 Chapel Hill NC 27515-3040 Laura Pope 919-913-1144 919-913-1155 Laura@highandrubish.com License#:1000008811 Philadelphia Insurance Co ORANCTY-01 Hartford Insurance Company of 37478OrangeCountyRapeCrisisCenter P O Box 4722 Chapel Hill NC 27515-4722 Hartford Bonds 1212222360 A X 1,000,000 X 100,000 5,000 1,000,000 2,000,000 X Y Y PHPK2333306 10/10/2021 10/10/2022 2,000,000 A 1,000,000 X X PHPK2333306 10/10/2021 10/10/2022 B Y 22WBCNY9475 4/24/2022 4/24/2023 500,000 500,000 500,000 A C PHSD1555522 22BDDHK0780 6/30/2022 6/3/2022 6/30/2023 6/3/2023 Directors &Officers Dishonesty Bond 1,000,000 300,000 Additional Insured:Orange County (Professional Liability limits are $1,000,000 occurrence /2,000,000 aggregate) ORANGE COUNTY Government 200 South Cameron Street P O Box 8181 Hillsborough NC 27278 USA DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6