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2022-459-E-Health-Transplanting Traditions-Outside agency agreement
Orange County Outside Agency Performance Agreement Revised 06/22 Page 1 of 10 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2022, (“Effective Date”) by and between the County of Orange, a political subdivision of the State of North Carolina, Post Office Box 8181, Hillsborough, North Carolina, 27278, ("County") and Transplanting Traditions Community Farm, Inc., a not- for-profit corporation, located at 2912 B Jones Ferry Rd., 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 $5,000. 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 $1,250. 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: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 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: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 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: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 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: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 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: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 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 Transplanting Traditions Attention: Hsar Ree Ree Wei Address: 2912 B Jones Ferry Rd. Chapel Hill, NC 27516 Email: HRWei@TransplantingTraditions.org Email:kquatrone@orangecountync.gov n. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. IN WITNESS WHEREOF, the Orange County and the Provider have signed this Agreement, effective on the last date this Agreement is signed by both parties as indicated by the dates set forth under signatures below. For and on behalf of the Provider _____________________________ _______________________ Hsar Ree Ree Wei, Executive Director Date For and on behalf of Orange County Government _______________________________ ________________________ Bonnie Hammersley, County Manager Date DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 9/8/2022 9/12/2022 Orange County Outside Agency Performance Agreement Page 7 of 10 Rev.06/22 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Transplanting Traditions Party/Vendor Contact Person: Hsar Ree Ree Wei Contact Phone: 984- 212-4621 Party/Vendor Address: 2912 B Jones Ferry Rd. City Chapel Hill State: NC Zip: 27516 Department: Health Amount: $5,000 Purpose: Outside Agency Agreement Budget Code(s): 10290050-720278 Vendor # 65780 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 7-1-22 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 required documentation 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: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 9/8/2022 9/8/2022 9/12/2022 9/12/2022 Cover Page Page 6 of 33 COVER PAGE Applicant Contact Information Applicant Organization’s Legal Name: Transplanting Traditions Community Farm, Inc. Applicant Organization’s Physical Address: 2912 B Jones Ferry Rd, Chapel Hill, NC 27516 Applicant Organization’s Mailing Address: PO Box 394, Carrboro, NC 27510 Applicant Organization’s Web Address: TransplantingTraditions.org Executive Director: Hsar Ree Ree Wei (Outgoing Executive Director Kelly Owensby) Telephone Number: (984) 212-4621 E-Mail: HRWei@TransplantingTraditions.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 Business Development Program $5,000 $5,000 $5,000 $15,000 Food Access Program $3,000 $3,000 $3,000 $9,000 Youth and Children’s Program $2,000 $2,000 $2,000 $6,000 Totals $10,000 $10,000 $10,000 $30,000 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. Funds will be used to support 1) business development and educational trainings for farmers 2) coordination and distribution of food to food insecure refugee families 3) tutoring and leadership programing for youth from Burma. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Cover Page Page 7 of 33 Signature: January 13, 2022 Executive Director Date Signature: January 13, 2022 Board Chairperson Date EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Cover Page Page 8 of 33 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. Transplanting Traditions hires refugee program participants as staff in order to provide economic and job skills development opportunities within the refugee community and to ensure community and cultural relevance of programs. In addition, one TTCF participant serves on the TTCF board of directors. Participants work on staff to help deliver programming. All participant staff are overseen by a staff member who is NOT a current beneficiary of the program for which funds are being requested. 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: January 13, 2022 Executive Director Date EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Cover Page Page 9 of 33 Signature: January 13, 2022 Board Chairperson Date EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 10 of 33 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): February 2018 2. Agency’s Purpose/Mission (no more than a few sentences): Transplanting Traditions Community Farm (TTCF) works with refugees from Burma to foster a healthier community and maintain agricultural traditions as they build new lives in North Carolina. The heart of TTCF is an eight-acre farm in Orange County where refugee families grow food, build farm businesses, celebrate culture, and create a sense of home. The farm is at the core of TTCF’s Youth Leadership programs, providing space for refugee youth ages 5-17 to explore identity, leadership, culture, and community, and also supports TTCF’s hunger reduction programs including “Share a Share”, an innovative model that provides food insecure refugee families a share of the culturally appropriate traditional produce grown by TTCF farmers. Founded in 2009 as a project of the Orange County Partnership for Young Children, TTCF became an independent 501(c)(3) in August 2018 to focus more deeply on serving refugees through the lens of food, agriculture, and social justice. TTCF provides resources and support for refugee families to come together to foster a healthier community, gaining income while maintaining valuable agricultural traditions as they build new lives in the Piedmont of North Carolina. 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 2011, refugee farmers in TTCF’s business and leadership development programs, collectively earned $987,000 in income. More than 97,000 pounds of produce grown by TTCF farmers reaches approximately 650 community members and 1,751 food insecure refugees bi-monthly through the “Share a Share” food access program. TTCF began its refugee teen leadership program in 2013 and since then has overseen the program’s growth and national recognition by providing educational opportunities and leadership support for refugee teenagers. In addition, the refugee Children Education Program works two-fold providing childcare and summer learning enrichment through tutoring and camps for refugee children. 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? No If no, please briefly explain. Transplanting Traditions has not completed the certification process; however we pay all employees and contractors a minimum of $18 p/hr EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 11 of 33 Schedule of Positions: # of FTE – Full-Time Paid Positions: 5 # of FTE – Part-Time Paid Positions: 3 NEW THIS YEAR Consistent with our commitment to equity and inclusion, the Towns of Chapel Hill and Carrboro and Orange County Government are taking steps together to center racial equity in the Human Services Funding Program. Over the course of the next year, the Towns and County will conduct a comprehensive racial-equity analysis of the program and we are requesting basic information about your organization’s racial equity work. a. Please describe how you have involved the intended beneficiaries of the proposed project in the planning and design process (in 100 words or less). One active goal is transitioning the board of directors and staff to be 75% of beneficiary and community leadership. TTCF is committed to this transition through monthly Leadership Transition Workshops co-creating with beneficiaries to center leadership and skill development to increase autonomy over organizational operations. TTCF has included beneficiaries in program design for over a decade including actively involving ethnic Karen staff to ensure programming is culturally competent. For the past two years beneficiaries have been involved in the staff hiring process and currently TTCF staff consists of five staff from the beneficiary community, one being the Incoming Executive Director. b. How has your organization incorporated racial equity goals into your organizational goals? TTCF's goal is to foster equitable practices and have a shared analysis on how white supremacist cultural practices, and values influence organizational operations. Since 2015, TTCF has committed to monthly racial equity (RE) conversations through the following: RE conversations hosted by outside consultants, lengthier RE workshops, monthly RE TTCF staff meetings and requiring all new staff to attend RE trainings upon orientation. These conversations have shaped the makeup of leadership within our team and allows open and honest discussion regarding racial equity. Lastly, TTCF is working to support leaders from the refugee community, to feel confident as leaders with crucial lived experiences who are best poised to create lasting community changes. 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) : 60% ii. % of board that are BIPOC: 60% iii. % of staff that have attended racial equity training: 100% d. Please describe any additional activities your organization is doing to address racial equity. In addition to the activities listed above, TTCF has put in the effort to make a community leadership transition possible by having the staff and board of directors be led 75% by the community by 2023. To do so, we are in the process of hiring a racial equity consultant group to assess and support us in EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 12 of 33 this leadership transition within the staff team, the board, and community-based organizational structure. PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 6. Program Name: Healthy Food Access Program Program Primary Contact and Title: Hsar Ree Ree Wei Telephone Number: 984-212-4621 E-Mail: Hrwei@TransplantingTraditions.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) Because of language, training, and other barriers to higher income jobs, the majority of refugees in Orange County are low income and many are food insecure. Those that do seek out food assistance, through SNAP-EBT, food banks, and similar services, struggle to access culturally appropriate foods that are familiar and critical to a healthy culturally rooted diet. Traditional food banks or SNAP retailers often provide unhealthy or unfamiliar food items that add to the burden of chronic disease in the refugee community and replace once healthy food traditions that rely on culturally appropriate foods. To address the issue of access to culturally relevant food for refugees, TTCF has developed a holistic food access program that works with food pantries and community donations to purchase culturally appropriate Asian foods grown by TTCF farmers for donation to organizations such as PORCH and the Refugee Support Center. Vegetables and herbs such as lemongrass, bitter melon, snake gourd and pennywort have been grown and harvested TTCF farmers for this program As of Fall 2021, this food access program has distributed more than 21,311 pounds of food to almost 5,000 refugees. Farmers growing specifically for these programs have earned more than $87,588 since 2015 Healthy Food Access Program 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 418 836 504 836 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 13 of 33 Women 478 915 644 915 Nonbinary/Genderqueer 0 0 0 0 Self-Describe 0 0 0 0 Total 896 1751 1148 1751 Race and Ethnicity Black or African-American 0 0 0 0 American Indian or Alaska Native 0 0 0 0 Asian Indian 0 0 0 0 White 0 0 0 0 Native Hawaiian or other Pacific Islander 0 0 0 Chinese Japanese Vietnamese Filipino Korean From Burma (aka Myanmar) 896 1751 1148 1751 Total 896 1751 1148 1751 Of the above, how many Hispanic, Latino or Spanish origin 0 0 0 0 Of the above, how many non-Hispanic, Latino or Spanish origin 896 1751 1148 1751 Total 896 1751 1148 1751 Age 0-5 years 85 31 158 31 6-18 years 333 461 389 461 19-50 years 401 922 511 922 51+ years 77 338 90 338 Total 896 1751 1148 1751 Geographic Location Town of Chapel Hill 533 1237 697 1237 Town of Carrboro 268 293 325 293 Orange County ( Outside of Chapel Hill/Carrboro) 66 87 88 87 Outside of Orange County 29 134 38 134 Total 896 1751 1148 1751 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments 100% 100% 100% 100% Total 896 1751 1148 1751 Healthy Food Access Program 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. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 14 of 33 *Note: Last year’s application required each program to fill out demographic and cost per individual tables separately. These instructions were misunderstood and last years cost per individual program combined Healthy Food Access and Business Development Program into one cost per individual making last years projected data irrelevant to the table below. Actual 2020-2021 Projected 2021-2022 Projected 2022-2023 Total Cost of Program N/A N/A $118,867 Total # of Individuals N/A N/A 1751 Cost Per Individual N/A N/A $68 Program Name: TTCF Healthy Food Access Program Strategic Objective (please choose one from the Results Framework) Ö Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) 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). # of people reporting healthier functionality and lifestyle behaviors (improved nutrition and access to healthy food, stress reduction practices, exercise at least 30min 3x a week.) 100% of 12 heads of household reporting on behalf of 57 total household participants, report that all household member, or 57 people total, improve their nutrition, physical activity and stress reduction practices 100% of 21 heads of household reporting on behalf of 88 total household participants, report that all household member, or 88 people total, improve their nutrition, physical activity and stress 100% of 12 heads of household reporting on behalf of 57 total household participants, report that all household member, or 57 people total, improve their nutrition, physical activity and stress reduction practices EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 15 of 33 reduction practices % and # of program participants that consume fresh food 100% of 1,751 participants consume fresh food 100% of 1060 participants consume fresh food 100% of 1,751 participants consume fresh food on a weekly or twice monthly basis % and # of program participants who access culturally appropriate fresh fruits and vegetables 100% of 1,751 participants access culturally appropriate fresh fruits and vegetables 100% of 1060 participants access culturally appropriate fresh fruits and vegetables 100% of 1,751 participants access culturally appropriate fresh fruits and vegetables on a weekly or twice monthly basis ___________________ 6. Program Name: Business Development Program Program Primary Contact and Title: Hsar Ree Ree Wei Telephone Number: 984-212-4621 E-Mail: Hrwei@TransplantingTraditions.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) All Business Development program participants were farmers in their native country of Burma and the majority are women who arrived in the U.S. with a deep cultural relationship to agriculture and a strong commitment to farming as a profession. Unfortunately, cultural, language and educational barriers often make it difficult for refugees to find gainful employment and provide significant challenges for farmers looking to start their own businesses. Most TTCF partner farmers work multiple minimum wage service jobs, in addition to managing and developing their farm businesses, typically working the night shift. Refugees often face significant challenges to achieving financial self-sufficiency and economic stability after resettlement due to limited literacy, numeracy, and previous exposure to formal education. However, farming represents a viable opportunity for them to leverage their existing agricultural experience to overcome these barriers and support themselves and their families. TTCF addresses these issues through a nationally recognized business development and sustainable agricultural training program which supports refugee farmers as they start and build their small EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 16 of 33 agricultural businesses. In addition to providing low-cost farm land access, TTCF provides agricultural technical assistance, training, workshops and business marketing support. Currently, 20 farmers grow year-round and distribute and sell their produce at local markets, through vegetable subscription programs (CSA) and to local hunger relief organizations. Business Development Program 8. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. *Note: Application didn’t specify separate demographic tables for each program until 2021-2022, thus N/A in column 1 These numbers reflect the individuals operating farm businesses out of the TTCF incubator farm. Over the years, many farmers have moved to Mebane or Graham for affordable housing options. All participants work off-farm jobs in Orange County with the majority working in Chapel Hill at UNC- CH Housekeeping or in custodial and/or housekeeping jobs at schools and hotels in Chapel Hill and Carrboro. Program Target Population Demographics Projected 2020-2021 Actual 2020- 2021 Projected 2021-2022 Projected 2022-2023 Gender Men N/A 5 10 5 Women N/A 15 18 15 Nonbinary/Genderqueer N/A 0 0 0 Self-Describe N/A 0 0 0 Total N/A 20 28 20 Race and Ethnicity Black or African-American N/A 0 0 0 American Indian or Alaska Native N/A 0 0 0 Asian Indian N/A 0 0 0 White N/A 0 0 0 Native Hawaiian or other Pacific Islander N/A 0 0 0 Chinese Japanese Vietnamese Filipino Korean From Burma (aka Myanmar) N/A 20 28 20 Total N/A 20 28 20 Of the above, how many Hispanic, Latino or Spanish origin N/A 0 0 0 Of the above, how many non-Hispanic, Latino or Spanish origin N/A 20 28 28 Total N/A 20 28 20 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 17 of 33 Age 0-5 years N/A 0 0 0 6-18 years N/A 0 0 0 19-50 years N/A 11 23 11 51+ years N/A 9 5 9 Total N/A 20 28 20 Geographic Location Town of Chapel Hill N/A 12 16 12 Town of Carrboro N/A 2 5 2 Orange County ( Outside of Chapel Hill/Carrboro) N/A 2 6 2 Outside of Orange County N/A 4 1 4 Total N/A 20 28 20 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments N/A 100% 100% 100% Total N/A 0 28 20 9. Cost Per Individual: Business Development Program This cost per individual must reflect the total program budget divided by the total number of program individuals in this application. *Note: Since 2019, farmers enrolled in TTCF’s Business Development Program have been working towards increasing their independence and individual business autonomy through monthly Leadership Development workshops. These farmers are highly skilled and farming has been a life long career. However, farming in the U.S. presents unique barriers including lack of familiarity with accessing resources and U.S. culture and customs as well as language and literacy to name a few. In addition, outside of TTCF, culturally and linguistically accessible business development training support is not available to the refugee/immigrant community. The point being that farmers and staff are actively working to co-create solutions to increasing farmer independence which over the next 2-3 years would lessen the cost per individual. However, the current cost per individual is crucial to continue as drastically or quickly removing the necessary support that TTCF provides for these farmers businesses would undermine the decade of work many have put into the creation of their business and would fail to recognize the ways in which refugee/immigrant BIPOC farmers are marginalized and disadvantaged by U.S. systems. Actual 2020-2021 Projected 2021-2022 Projected 2022-2023 Total Cost of Program N/A N/A $196,085 Total # of Individuals N/A N/A 20 Cost Per Individual N/A N/A $9,804.25 Program Name: Business Development Program EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 18 of 33 Strategic Objective (please choose one from the Results Framework) Ö Residents Increase their livelihood security Intermediate Result (please choose one from the Results Framework) 2.2 Residents increase job skills appropriate for the local economy 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 participants who pass ESL tests % and # of participants who self-report improved English language abilities N/A new program N/A new program 90% of 11 participants will pass ESL tests 100% of 11 participants will pass ESL tests % and # of participants who increase incomes (wages, disability, public benefits, or other income) 100% of 25 program participants who report that services enabled employment, education or training. 100% of 27 program participants who report that services enabled employment, education or training. 100% of 25 program participants who report that services enabled employment, education or training. % and # of participants who increase incomes (wages, disability, public benefits, or other income) 88% of 25 participants who increase incomes 100% of 27 participants who increase incomes 88% of 25 participants who increase incomes % and # of participants who maintain incomes (wages, disability, public benefits, or other income) 88% of 25 participants who maintain incomes 100% of 27 participants who maintain incomes 88% of 25 participants who maintain incomes % and # of participants who improve their small business, small farming, and marketing skills, resulting in improved business operations and increased income through farm sales 100% of 19 participants who improve their small business, farming, and marketing skills, resulting in improved business operations and increased income through farm sales 100% of 21 participants who improve their small business, farming, and marketing skills, resulting in improved business operations and increased income through farm sales 100% of 19 participants who improve their small business, farming, and marketing skills, resulting in improved business operations and increased income through farm sales EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 19 of 33 % and # of participants who make progress towards a long- term savings goal as a result of increased on-farm income. 80% of 5 advanced farm families who make progress towards a long-term savings goal as a result of increased on-farm income 90% of 21 participants who make progress towards a long-term savings goal as a result of increased on-farm income. 80% of 5 advanced farm families who make progress towards a long-term savings goal as a result of increased on-farm income ____________________ 6. Program Name: Youth and Children’s Program Program Primary Contact and Title: Hsar Ree Ree Wei Telephone Number: 984-212-4621 E-Mail: Hrwei@TransplantingTraditions.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 Chapel Hill the largest youth minority group is refugee youth from Burma; refugee youth navigate all of the challenges their peers experience every day as developing future adults. And refugee youth face additional challenges layered on top of the typical American teen experience. They are often de facto interpreters and translators for their parents’ and grandparents’ generations, navigating difficult healthcare, human services, and other systems on behalf of their families. Many want to access further education and opportunities here in the US, but they do not have the historical knowledge or parental support to help them accomplish these goals. Since 2013, the TTCF Refugee Youth Program (RYP) has addressed these challenges and concerns. The program was conceived by refugee farmers at TTCF watching their children grapple with these challenges of culture, language, education and belonging as they matured from childhood into young adulthood. The primary purpose of the RYP is to provide opportunities for refugee youth to develop leadership skills and reach educational goals, while exploring complex cultural identities and barriers that undermine their success. The RYP supports low-income refugee youth from Burma by focusing on four goals: (1) increasing access to post-secondary opportunities for refugee youth; (2) increasing capacity for refugee youth to serve as social justice leaders; (3) improving overall mental health and self-esteem for refugee youth; (4) increasing cultural identity and appreciation for refugee youth. The RYP works with youth ages 3-17 and has appropriate services and activities catered to youth based on age and need. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 20 of 33 Youth and Children’s Program 8. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. *Note: TTCF has run a Young Children’s Program for youth from Burma since 2012. The program was paused in 2020 due to COVID. In 2021 the program was re-started; however, we didn’t seek Human Services funding in the 2020-2021 application due to the uncertainty of the pandemic. Numbers in the Actual 2020-2021 column represent youth served in 2021. Program Target Population Demographics Projected 2020-2021 Actual 2020- 2021 Projected 2021-2022 Projected 2022-2023 Gender Men N/A 17 25 25 Women N/A 17 25 25 Nonbinary/Genderqueer N/A 0 0 0 Self-Describe N/A 0 0 0 Total N/A 34 50 50 Race and Ethnicity Black or African-American N/A 0 0 0 American Indian or Alaska Native N/A 0 0 0 Asian Indian N/A 0 0 0 White N/A 0 0 0 Native Hawaiian or other Pacific Islander N/A 0 0 0 Chinese Japanese Vietnamese Filipino Korean From Burma (aka Myamar) N/A 34 25 25 Total N/A 34 50 50 Of the above, how many Hispanic, Latino or Spanish origin N/A 0 0 0 Of the above, how many non-Hispanic, Latino or Spanish origin N/A 34 50 50 Total N/A 34 50 50 Age 0-5 years N/A 7 10 10 6-18 years N/A 27 40 40 19-50 years N/A 0 0 0 51+ years N/A 0 0 0 Total N/A 34 50 50 Geographic Location Town of Chapel Hill N/A 29 44 44 Town of Carrboro N/A 3 5 5 Orange County ( Outside of Chapel Hill/Carrboro) N/A 0 0 0 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 21 of 33 Outside of Orange County N/A 2 1 1 Total N/A 34 50 50 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments N/A 100% 100% 100% Total N/A 34 50 50 9. Cost Per Individual: Youth and Children’s Program This cost per individual must reflect the total program budget divided by the total number of program individuals in this application. *Note: Program did not request funding in 2020-2021 or 2021-2022 due to COVID undertainty Actual 2020-2021 Projected 2021-2022 Projected 2022-2023 Total Cost of Program N/A N/A $62,755 Total # of Individuals N/A N/A 50 Cost Per Individual N/A N/A $1,255 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: Youth and Children’s Program Strategic Objective (please choose one from the Results Framework) Ö Children improve their educational outcomes Intermediate Result (please choose one from the Results Framework) Children demonstrate new grade-level-appropriate skills. 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 that improve grades by end of program period Program not offered due to COVID in 2020- 2021 Teen Program and Youth Children’s Program restarted May of 2021 75% of 50 program participants improve grades EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Program information Page 22 of 33 % and # of program participants that are promoted to the next grade Program not offered due to COVID in 2020- 2021 Teen Program and Youth Children’s Program restarted May of 2021 95% of 50 program participants are promoted to the next grade % and # of program participants that express greater confidence in their ability to be successful at school Program not offered due to COVID in 2020- 2021 Teen Program and Youth Children’s Program restarted May of 2021 75% of 50 program participants express greater confidence in their ability to be successful at school % and # of program participants that express greater confidence in their leadership and pro-social abilities Program not offered due to COVID in 2020- 2021 Teen Program and Youth Children’s Program restarted May of 2021 90% of 50 program participant express greater confidence in their leadership and pro-social abilities % and # of program participants who plan on attending post- secondary education Program not offered due to COVID in 2020- 2021 Teen Program and Youth Children’s Program restarted May of 2021 85% of 10 program participants who plan on attending post-secondary education EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Outside Agencies/Human Services Program information Page 23 of 33 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 Participants measurably improve their small business, small farming, and marketing skills, resulting in improved business operations and increased income through farm sales Performance Measure (How will you accomplish your goal?) Percentage of participants who attend TTCF’s small business and agricultural trainings and who demonstrate an increase in farm income and business growth Actual Results (Outcome) Ending FY2021 100% of 20 participants measurably improved their small business, small farming, and marketing skills, resulting in improved business operations and income through farm sales. Overall farm sales increased 18% from $195,329 to $231,011 From 2020 to 2021 Projected Results (Outcome) Ending FY2022 100% of 20 participants will measurably improve their small business, small farming, and marketing skills, resulting in improved business operations and income through farm sales. Projected Results (Outcome) Ending FY2023 100% of 20 participants will measurably improve their small business, small farming, and marketing skills, resulting in improved business operations and income through farm sales. Program Goal # 2 Participants report healthier functionality and lifestyle behaviors (improved nutrition and access to healthy food, stress reduction practices, exercise at least 30min 3x a week.) Performance Measure (How will you accomplish your goal?) Number of participants that report that all household members improve at least one of the following: their nutrition, physical activity and mental health. Actual Results (Outcome) Ending FY2021 100% of 12 households reporting for 57 individuals report an improvement in at least one of the following: their nutrition, physical activity and mental health _________________ EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Outside Agencies/Human Services Program information Page 24 of 33 Projected Results (Outcome) Ending FY2022 100% of 12 households reporting for 57 individuals report an improvement in at least one of the following: their nutrition, physical activity and mental health Projected Results (Outcome) Ending FY2023 100% of 12 households reporting for 57 individuals report an improvement in at least one of the following: their nutrition, physical activity and mental health Program Goal # 3 Participants grow 93,000 lbs. which is distributed to 1,751 refugee families on a weekly to bi-monthly basis who are able to reduce their food insecurity and consume fresh, culturally appropriate food Performance Measure (How will you accomplish your goal?) Number of food insecure participants accessing and consuming fresh, culturally appropriate food through TTCF’s “Share a Share” hunger relief program. Survey results from participants qualify the success of the program. Actual Results (Outcome) Ending FY2021 100% of 1,751 food insecure participants access culturally appropriate fresh fruits and vegetables. Projected Results (Outcome) Ending FY2022 100% of 1,751 food insecure participants access culturally appropriate fresh fruits and vegetables. Projected Results (Outcome) Ending FY2023 100% of 1,751 food insecure participants access culturally appropriate fresh fruits and vegetables. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Certified by: _______________________ Title: __________________________ Date: ____________ (Provider’s Signature) EXHIBIT “B” Scope of Services – FY 2022-2023 Outside Agency Performance Agreement Agency Name: Transplanting Traditions Community Farm Program Name: Food and Nutritional Services Funding Award: $5000 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. Participants measurably improve their small business, small farming, and marketing skills, resulting in improved business operations and increased income through farm sales Participants report healthier functionality and lifestyle behaviors (improved nutrition and access to healthy food, stress reduction practices, exercise at least 30min 3x a week.) Participants grow 93,000 lbs. which is distributed to 1,751 refugee families on a weekly to bi- monthly basis who are able to reduce their food insecurity and consume fresh, culturally appropriate food 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 Percentage of 20 participants who attend TTCF’s small business and agricultural trainings and who demonstrate an increase in farm income and business growth 100% Number of 12 households reporting for 57 individuals that report that all household members improve at least one of the following: their nutrition, physical activity and mental health. 100% Number of food insecure 1,751 participants accessing and consuming fresh, culturally appropriate food through TTCF’s “Share a Share” hunger relief program. Survey results from participants qualify the success of the program. 100% Expense Description Amount staffing management of Food Access services, education, and distribution, and interpreter contractors $5000 DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Executive Director 9/8/2022 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: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631 Executive Director 9/8/2022 09/01/2022 Sentinel Risk Advisors LLC 4700 Six Forks Road Suite 200 Raleigh NC 27609 Dana Wilson (919) 926-4623 (919) 926-4664 dwilson@sentinelra.com Transplanting Traditions Community Farm, Inc. P O Box 394 Carrboro NC 27510 GuideOne Mutual Insurance Company 15032 GuideOne Insurance 002404 CL2211313293 A Y 01-0007-300 01/21/2022 01/21/2023 1,000,000 300,000 5,000 1,000,000 3,000,000 3,000,000 B Y 01-0007-302 01/21/2022 01/21/2023 1,000,000 Uninsured/Underinsured Motorist BI 1,000,000 B 2,500 Y 01-0007-303 01/21/2022 01/21/2023 1,000,000 1,000,000 B 01-0007-299 01/21/2022 01/21/2023 1,000,000 1,000,000 1,000,000 Sexual Abuse & Molestation 01-0007-300 01/21/2022 01/21/2023 Each Claim $1,000,000 Aggregate Limit $3,000,000 Certificate Holder named Additional Insured (for ongoing & completed operations) on General Liability, Auto Liability and Umbrella Liability Coverage per written contract. Orange County Government 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: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631