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HomeMy WebLinkAbout2022-444-E-Social Svc-PORCH Chapel Hill-Carrboro-outside agency awardOrange 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 PORCH Chapel Hill-Carrboro, a not-for-profit corporation, located at 412 E Winmore Ave, Chapel Hill, North Carolina 27516 (“Provider”). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need, as identified by the Board of Commissioners. NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth, the County and Provider agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 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 $10,000. 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 $2,500. 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: 29366550-6A20-4B30-A362-E40C819AE769 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: 29366550-6A20-4B30-A362-E40C819AE769 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 (Nancy Coston) 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: 29366550-6A20-4B30-A362-E40C819AE769 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: 29366550-6A20-4B30-A362-E40C819AE769 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: 29366550-6A20-4B30-A362-E40C819AE769 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 PORCH Chapel Hill-Carrboro Attention: Nancy Coston Attention: Debbie Horwitz P.O. Box 8181 Address: 412 E Winmore Ave Hillsborough, NC 27278 Chapel Hill, NC 27516 Email:ncoston@orangecountync.gov Email: debbie@porchcommunities.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 _____________________________ _______________________ Debbie Horwitz, Director Date For and on behalf of Orange County Government _______________________________ ________________________ Bonnie Hammersley, County Manager Date DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 9/2/2022 9/8/2022 Orange County Outside Agency Performance Agreement Page 7 of 10 Rev.06/22 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: PORCH Chapel Hill-Carrboro Party/Vendor Contact Person: Debbie Horwitz Contact Phone: 919-971-1749 Party/Vendor Address: 412 E Winmore Ave City Chapel Hill State: NC Zip: 27516 Department: Social Services Amount: 10,000 Purpose: outside agency award Budget Code(s): 10290050-720277 Vendor # 803776 (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: 29366550-6A20-4B30-A362-E40C819AE769 8/16/2022 9/7/2022 9/8/2022 9/8/2022 Orange County Outside Agency Performance Agreement Page 8 of 10 Rev.06/22 Exhibit A Provider’s Outside Agency Application DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Program information Page 5 of 15 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): 05/2010 2. Agency’s Purpose/Mission (no more than a few sentences): PORCH Chapel Hill-Carrboro fights hunger by mobilizing our neighbors to provide non- perishable and fresh food for families, schools, and pantries. Our monthly food drives collect food and funds to support many initiatives, including: • ensuring our local food pantries are well-stocked with non-perishable food; • distributing fresh food and grocery gift cards directly into the hands of families with children in the public schools identified as food insecure; • creating and stocking pantries with healthy snacks in each of the 20 public schools and the community’s after-school programs; • providing emergency food support to community social service agencies during COVID-19, and • creating more public awareness about the severity of hunger in the community, and the benefits of fresh food consumption. 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 2010, PORCH’s Food for Families program has grown, serving over 500 families (2135 individuals) living in poverty in our community at its peak in 2021. FFF has received Outside Agency funding for the past six years and has met all its performance measures each year, successfully delivering fresh food according to budget that is consumed by our enrolled families. FFF expanded enrollment during the pandemic, and we anticipate continued significant need. We have provided essential food support, uninterrupted, including grocery gift cards and fresh food each month. We also supported other community food distribution efforts, providing leadership and volunteers. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes / No) NA If yes, is this agency an Orange County Living Wage Certified Employer? Yes If no, please briefly explain. PORCH is currently an all-volunteer run organization. We are in the process of adding at least one employee in 2022. Schedule of Positions: # of FTE – Full-Time Paid Positions: _1__ # of FTE – Part-Time Paid Positions: _0_ DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Program information Page 6 of 15 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). PORCH intentionally engages participants in evaluations of our programs. Every year we survey our program beneficiaries to gather feedback on the impact of our programs and areas for improvement. Over the past two years we engaged three new people of color and two LGBTQ individuals onto our Board and this year initiated an Advisory Panel comprised of program participants to provide input to the Board. Two of our current Board members have experienced food insecurity themselves, so have lived experience that informs their work with PORCH. We are committed to a diverse organization and to listening to our program participants. b. How has your organization incorporated racial equity goals into your organizational goals? The repercussions of food insecurity are disproportionately felt among communities of color, representing over 92% of PORCH’s program participants. PORCH is striving to address racial equity and inclusion as part of our organizational goals. Our Board participated in training through the Racial Equity Institute’s Groundwater program. We have been diversifying our Board of Directors and the voices represented in decision making within the organization, and actively listening to our participants. Further, we are seeking to add a Board member with DEI experience to help us assess our weaknesses and incorporate additional specific improvement goals into our planning. 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) : NA ii. % of board that are BIPOC: 40% iii. % of staff that have attended racial equity training: NA d. Please describe any additional activities your organization is doing to address racial equity. With an emphasis on understanding and addressing racial equity, and with the addition of new more diverse backgrounds on our Board, we intend to develop goals and actions in our strategic planning for the near and long term to empower people of color in leadership and service of the organization. DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Program information Page 7 of 15 PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 7. Program Name: Food for Families (FFF) Program Primary Contact and Title: Debbie Horwitz, Founder and FFF Program Director Telephone Number: 919-971-1749 E-Mail: debbie@porchcommunities.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) Over 10.8% of adults and 12.2% of children in Orange County are food insecure, meaning that they lack sufficient food for an active, healthy life. Hungry kids perform worse in school, are sick more often, and have more social and behavioral problems. Eighty percent of families enrolled in PORCH’s Food for Families program have incomes that are at or below federal poverty level (100% below 1.5 times poverty level). In a recent survey, 72% of families report having less income due to COVID-19, and 69% worry about getting enough food to eat. PORCH’s FFF is a unique program that increases livelihood security for 485 families (with 1187 children), identified by school social workers as struggling to afford sufficient food. FFF provides fresh foods to low-income families with children each month (including many refugees), with a quantity and variety of highly nutritious fresh food that is not provided by any other local pantries or hunger relief organizations. FFF currently provides fresh food (e.g., wide variety of fresh produce, chicken, eggs, milk, and more) each month (totaling over 33,000 pounds per month), lasting an average of 10 days. Since the beginning of the pandemic, PORCH has also provided grocery gift cards each month to our participating families (totaling $626,000), providing the ability and dignity to make food choices and to purchase important necessary household items. The gift cards have been highly impactful and we will provide them as possible based on availability of funds to support this component of the program. DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Program information Page 8 of 15 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 896 935 942 997 Women 1095 1147 1098 1163 Nonbinary/Genderqueer Self-Describe Total 1991 2082 2040 2160 Race and Ethnicity Black or African-American 360 352 312 330 American Indian or Alaska Native Asian Indian White 164 86 157 166 Native Hawaiian or other Pacific Islander Chinese Japanese Vietnamese Filipino Burmese 570 530 501 515 Some other race 913 1114 1070 1149 Total 1991 2082 2040 2160 Of the above, how many Hispanic, Latino or Spanish origin 895 980 1037 1105 Of the above, how many non-Hispanic, Latino or Spanish origin 1096 1102 1003 1055 Total 1991 2082 2040 2160 Age 0-5 years 248 234 231 244 6-18 years 896 944 919 973 19-50 years 806 854 793 840 51+ years 41 50 97 103 Total 1991 2082 2040 2160 Geographic Location Town of Chapel Hill 1304 1460 1397 1477 Town of Carrboro 652 602 613 650 Orange County ( Outside of Chapel Hill/Carrboro) 35 16 23 30 Outside of Orange County 4 7 3 Total 1991 2082 2040 2160 Income DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Program information Page 9 of 15 Low-income (80% of the Area Median Income and Below) Please see income table in the attachments 1991 2082 2040 2160 Total 1991 2082 2040 2160 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 $416,915* $462,897* $501,200* Total # of Individuals 2035 average 2061 average 2100 average Cost Per Individual $204.87 $224.60 $238.67 *Total cost of program does not include grocery gift cards distributed. 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) o Children improve their educational outcomes X Residents Increase their livelihood security o Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) 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 >90% and corresponding # of enrolled program participants receive food assistance through FFF program 95% (1978) of program participants received food monthly >95% (1938) of program participants will receive food monthly >90% (1944) of program participants will receive food monthly DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Program information Page 10 of 15 needed, listing one per row). Procure sufficient funds and food to feed >485 families (>$35/family/month) 100% funds raised fed 2082 people 100% of funds raised to feed 2040 people 100% of funds raised to feed 2160 Over 75% and corresponding # of families consume all fresh food provided 95% and 1978 people reported consuming all the fresh food provided 93% and 1897 people will consume all the fresh food provided >75% and 1620 people will consume all the fresh food provided DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Outside Agencies/Human Services Program information Page 11 of 15 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. Food and Nutritional Services 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 Hunger Relief and Healthy Food Consumption Performance Measure (How will you accomplish your goal?) # (%) of program participants who receive monthly fresh food distribution (Substantial program efforts to ensure food is received) Actual Results (Outcome) Ending FY2021 1978 (95%) participants received food monthly Projected Results (Outcome) Ending FY2022 1938 (95%) of program participants will receive food monthly Projected Results (Outcome) Ending FY2023 1944 (>90%) of program participants will receive food monthly Program Goal # 2 Hunger Relief and Healthy Food Consumption Performance Measure (How will you accomplish your goal?) # of program participants fed from funds raised (At least $35/family raised to support target # of individuals each month) Actual Results (Outcome) Ending FY2021 2082 participants fed (100% of funds needed were raised) Projected Results 2040 participants fed _________________ DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Outside Agencies/Human Services Program information Page 12 of 15 (Outcome) Ending FY2022 Projected Results (Outcome) Ending FY2023 2160 participants fed Program Goal # 3 Hunger Relief and Healthy Food Consumption Performance Measure (How will you accomplish your goal?) # of participants (>75%) consume all the healthy, fresh food provided (Measured by client survey) Actual Results (Outcome) Ending FY2021 1978 (95%) participants reported that they consumed all of the fresh food Projected Results (Outcome) Ending FY2022 1897 (93%) participants will consume all the fresh food Projected Results (Outcome) Ending FY2023 > 1620 (>75%) participants will consume all the fresh food DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Orange County Outside Agency Performance Agreement Page 9 of 10 Rev.06/22 Exhibit B Provider’s Revised Scope of Services and Program Budget DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Certified by: _______________________ Title: __________________________ Date: ____________ (Provider’s Signature) EXHIBIT “B” Scope of Services – FY 2022-2023 Outside Agency Performance Agreement Agency Name: PORCH Chapel Hill-Carrboro Program Name: Food for Families (FFF) Funding Award: $10,000 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. • PORCH CHC will ensure that families receive the food monthly (with the use of effective communication in first languages of participants, distribution at central drive-through site in the community, deliveries when needed, maintenance of updated contact information, and ongoing relationship building) • PORCH CHC will raise enough funds (at least $35 per month per family) to provide substantial quantities of food to targeted number of individuals enrolled in program through grant writing and fundraising efforts • PORCH CHC will provide food that is desirable based on feedback from program participants, as well as provide recipes and nutrition information, to encourage consumption of healthy, fresh food by program participants 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 Program participants receive food monthly >90% (1944 individuals) Participants fed sufficient quantity and quality of food 100% (2160 individuals) Expense Description Amount Fresh produce for a portion of 500+ families served every month $10,000 DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 Certified by: _______________________ Title: __________________________ Date: ____________ (Provider’s Signature) Performance Measures Anticipated Results Participants will consume all the fresh food provided >75% (1620 individuals) DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769 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: 29366550-6A20-4B30-A362-E40C819AE769 08/02/2022 Summers Insurance Group 2113 Cameron St., Suite 219 Raleigh NC 27605-1370 Megan Summers (919) 968-4472 megan.summers@relationinsurance.com PORCH Chapel Hill-Carrboro P.O. Box 16363 Chapel Hill NC 27516 ANI - Alliance of Nonprofits for Ins CL226198526 A Y 2022-43783 06/04/2022 06/04/2023 1,000,000 500,000 20,000 1,000,000 2,000,000 2,000,000 Declined: SAM cover. A 2022-43783-UMB 06/04/2022 06/04/2023 1,000,000 1,000,000 Certificate holder is included as Additional Insured for General Liability as required by written contract. Orange County Government 113 Mayo St P.O. Box 8181 Hillsborough NC 27278 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 DocuSign Envelope ID: 29366550-6A20-4B30-A362-E40C819AE769