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2022-550-E-Housing-EmPOWERment Inc-FY23 Outside Agency Funding
Orange County Outside Agency Performance Agreement Revised 06/22 Page 1 of 10 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2022, (“Effective Date”) by and between the County of Orange, a political subdivision of the State of North Carolina, Post Office Box 8181, Hillsborough, North Carolina, 27278, ("County") and Empowerment, a not-for-profit corporation, located at 109 N. Graham Street, #200, 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 Fund ing 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 $40,000.00. 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 $10,00.00. 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: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F 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 invoi ce 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: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F 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 (Corey Root) 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: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F 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: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F 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: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F 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 EmPOWERment, Inc. Attention: Corey Root Attention: Delores Bailey P.O. Box 8181 Address: 109 N Graham St, Suite 200 Hillsborough, NC 27278 Chapel Hill, NC 27516 Email:croot@orangecountync.gov Email: empowermentinc@gmail.com 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 _____________________________ _______________________ Delores Bailey, Exective Director Date For and on behalf of Orange County Government _______________________________ ________________________ Bonnie Hammersley, County Manager Date DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F 10/10/2022 10/18/2022 Orange County Outside Agency Performance Agreement Page 7 of 10 Rev.06/22 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: EmPOWERment Inc. Party/Vendor Contact Person: Delores Bailey Contact Phone: 919-967- 8779 Party/Vendor Address: 109 N Graham St City Chapel Hill State: NC Zip: 27516 Department: Housing Department Amount: $40,000.00 Purpose: FY23 Outside Agency Funding Budget Code(s): 10290050-789005 Vendor # 700658 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 09/08/2022 Approved by Board Yes No Agenda Date: 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: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F 10/11/2022 10/11/2022 10/14/2022 10/18/2022 Orange County Outside Agency Performance Agreement Page 8 of 10 Rev.06/22 Exhibit A Provider’s Outside Agency Application DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F 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: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F 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: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F DocuSign Envelope ID : A 1 EB25D0-1464-44DD-894A-53A04A225D F2 COVER PAGE Applicant Contact Information Applicant Organization's Legal Name: EMPOWERment. INC Applicant Organization's Physical Address: 109 N. Graham Street. Chapel Hill. NC 27516 Applicant Organization's Mailing Address: 109 N. Graham Street. Chapel Hill, NC 27516 Applicant Organization's Web Address: www.empowermentinc-nc~org Executive Director: Delores Bailey Telephone Number: 919-967-8779 E-Mail: empowermentincnc@gmail.com Tax ID Number: 56-1969772 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 -Chapel Orange Total HS Hill -HS County-HS $10,000 $15,000 $5,000 $30,000 Operations Personnel Operations Affordable Rental Program $25 ,000 $40,000 $40,000 $105,00 0 Totals $25,000 $40,000 $40,000 $105,000 .. Briefly explain your proposed use of funds: EMPOWERment, Inc. will use these funds to support programs that address the affordable housing shortage. 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. ~OocuSlgned by: Signature: __ ___.,L_l)_,eliil~iiiBlil'iB~ieiii&1-oro1&~1a1:11,,.~,_4;!1 ______ _ Executive Director lsDocuSigned by: Signature: __ __,L_~-.Q;11a""·g~~a1:..-41.p.;.•1:~a1:~1:~~11A•.-~------- Board Chairperson 1/12/2022 Date 1 /13 /2022 Date DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F DocuSign Envelope ID: A 1 EB25D0-1464-44DD-894A-53A04A225DF2 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 181 D a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? 181 Cb) Members of or closely related to members of the governing bodies of the Town of Carrboro, the Town of Chapel Hill, or Orange County? D I&) Current beneficiaries of the program for which funds are being requested? D 181d) 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. Assistant Chief Jabe Hunter is a member of the EMPOWERment, Inc. Board of Directors. He is employed by the Town of Chapel Hill as an Assistant Chief of Police. Council members Tai Huynh and Parris Miller are Ex-Oficio members of the El board. NON-DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to the pa rties 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. 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. lrOocuSlgned by: Signature: ___ L,,_,l.).._~ .... 22""e2 .... c"'"306.,.E""A~""4:'"":'-~-------- 1/12/2022 Exec~~ Signature: __ __,L,_~~~aMl'.g1~2ct,j•,1,1,•c;.ac1.-1c~~liA._e..t,.1,vv ______ _ Date 1/13 /20 2 2 Board Chairperson Date DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F Program informationPage 1 of 10 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): 03/1996 2. Agency’s Purpose/Mission (no more than a few sentences): EMPOWERment, Inc.'s (EI) mission is to empower individuals and communities to achieve their destiny through community organizing, affordable housing, and grassroots economic development. EmPOWERment’s affordable housing mission is to reduce or remove housing barriers for the most vulnerable populations in Chapel Hill and give them priority in receiving aid. 3. Please provide a brief description of your organization’s past achievements in carrying out similar projects and evidence of a successful record of mee ting proposed budgets and timetables (no more than 100 words). EMPOWERment Inc (EI) has a mission to provide safe affordable rentals to underserved communities by 1) Rental acquisitions- for the last 5 years the rental inventory has increased by 2 units- we have consistently been on time and on budget for these acquisitions 2) Affordable rental advocacy: EI has advocated for protection of manufactured home parks (the most affordable rentals) working with Tarheel and Lakeview mobile home park residents advocate for their homes 3) Reducing barriers to minority and women owned entrepreneurs- facilitated weekly resource sharing sessions encouraging owners to apply for grants targeting sustainability . 4. Living Wage: Does this agency pay permanent employees a minimum living wage? YES If yes, is this agency an Orange County Living Wage Certified Employer? YES If no, please briefly explain. Schedule of Positions: # of FTE – Full-Time Paid Positions: 4 # of FTE – Part-Time Paid Positions: 1 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). DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F Program informationPage 2 of 10 Intended beneficiaries are current and potential renters , usually low income, usually minorities. Pre-COVID: regular neighborhood and tenant meetings were held for suggestions on planning and design for upcoming projects. Post -Covid: Rely on virtual listening sessions, limited community meetings, food, and gift certificates giveaways (outside) which give EI the opportunity to ask for input. Tenants are encouraged to share their ideas via phone or via the EI website. Information sharing wit h other non-profits likely to be serving the same populations: Community Empowerment, Jackson Center, DSS, area churches, Family Success Alliance, Interfaith Council has proven successful . b. How has your organization racial equity goals into your organizational goals? EI understands that the wealth and income status of individuals can be directly traced to racial discrimination and bias. EI has created an infrastructure to achieve racial equity goals for renters by supplying housing counseling, financial literacy, and strategic partnerships that help people of color thrive, thus reducing racial disparities between this population and the more privileged. EI partners with organizations throughout the communities of Northside and Pine Knolls to understand and target community-based needs. EI also works with other non-English speaking communities such as manufactured home communities to provide resources to assist and bridge language, transportation, and employment barriers. a. 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 people of color: 100% ii. % of board that are people of color: 75% iii. % of staff that have attended racial equity training: 95% b. Please describe any additional activities your organization is doing to address racial equity. EI currently has 3 programs whose focus is to address racial equity in Orange County. The Home Buyers Education classes and Foreclosure Prevention Program targets potential and current homeowners. In addition, the newly created Eviction Stabilization Counseling Program, for renters was established to offer people of color the opportunity to receive counseling as well as connect them to resources such as the HOPE Program, Emergency Housing Assistance (EHA) program and local organizations to keep them housed during the current pandemic. DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F Program informationPage 3 of 10 PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 6. Program Name: Affordable Rental Program Program Primary Contact and Title: LaTanya Davis, Operations Manager Telephone Number: 919-967-8779 E-Mail: empowermentincnc@gmail.com 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) EMPOWERment’s rental program maintains and promotes the well being of residents by providing affordable rental housing opportunities for the most vulnerable populations in Orange County. There is a critical need for affordable rental that serves families living on minimum wage salaries, or less. Typical beneficiaries are veterans, Housing Choice voucher holders, seniors and single income families that are transitioning from homelessness. Most of the tenants earn between 30 -80% Area Median Income (AMI). This rental program aligns with TOCH and Carrboro’s Results Framework of providing livelihood security for low-income or disenfranchised residents through affordable rentals. EMPOWERment owns sixty-four affordable rental units throughout Orange County. Forty-eight percent of our units are subsidized with vouchers. Fifty -two percent of our units are subsidized with EMPOWERment operating dollars. Even when there is no vacancy in EMPOWERment units, staff continues to work to find placement in other locations. EMPOWERment commits itself to underrepresented rental populations such as those living in manufactured home communities. A tremendous amount of work has been done to advocate for tenants in the midst of gentrification. EMPOWERment is attempting to bridge the knowledge gap by educating communities about town and county resources available to them that could impact their community. EMPOWERment Inc.’s rental program with intention treats each resident and potential resident with “fairness, respect and understanding” as noted in the Orange County BOCC Goals and Priorities. DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F Program informationPage 4 of 10 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 349 255 250 340 Women 690 720 589 1017 Nonbinary/Genderqueer 3 Self-Describe Total 1039 978 839 1357 Race and Ethnicity Black or African-American 854 659 500 700 American Indian or Alaska Native Asian Indian 15 33 25 White 185 104 221 150 Native Hawaiian or other Pacific Islander 5 Chinese Japanese Vietnamese Filipino Korean Some other race 200 80 482 Total 1039 978 839 1357 Of the above, how many Hispanic, Latino or Spanish origin 42 150 80 482 Of the above, how many non-Hispanic, Latino or Spanish origin 997 828 759 875 Total 1039 978 839 1357 Age 0-5 years 177 100 11 75 6-18 years 242 75 21 125 19-50 years 444 593 503 725 51+ years 176 210 304 432 Total 1039 978 839 1357 Geographic Location Town of Chapel Hill 585 525 424 675 Town of Carrboro 393 253 216 478 Orange County ( Outside of Chapel Hill/Carrboro) 137 150 140 Outside of Orange County 61 63 49 64 DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTR INSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER: $ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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. 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 8/2/2022 (919) 636-3252 2 Empowerment, Inc. 109 N. Graham Street, #200 Chapel Hill, NC 27516 A 1,000,000 X NPP2578454 6/16/2022 6/16/2023 10,000 2,000,000 B TWC4109945 6/16/2022 6/16/2023 500,000 500,000 500,000 C Professional Liabili PM1553951 7/29/2022 E&O Occ/Agg 1,000,000 C D&O/EPLI NDO1564703F 12/16/2021 12/16/2022 Aggregate 1,000,000 Certificate holder is added as Additional Insured as respects General Liability as required by written contract. Orange County Government P.O. Box 8181 Hillsborough, NC 27278 EMPOINC-01 VDECAMP Titan Risk Consultants LLC107 Conner Drive, Suite 225Chapel Hill, NC 27514 Victoria DeCamp v.decamp@titanriskconsultants.com Mount Vernon Fire Insurance Company Technology Insurance Company, Inc. United States Liability Insurance Company 7/29/2023 X DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F Program informationPage 5 of 10 Total 1039 978 839 1357 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments Total 1039 978 839 1357 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 $421,000.00 $459,768.00 $491,000.00 Total # of Individuals 978 1039 1357 Cost Per Individual $430.00 $442.51 $361.83 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: Affordable Rentals Strategic Objective (please choose one from the Results Framework) □ Children improve their educational outcomes ☒ Residents Increase their livelihood security □ Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) Vacancy rate for rental units stays below 3%. Program participant(s) lives are more stable due to safe affordable rentals and are able to stay in place. RESULTS Actual 2020-2021 Projected 2021-2022 Projected 2022-2023 Performance % and # of program 97%, 351 97%,300 97%, 358 DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F Program informationPage 6 of 10 Indicator s (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). participants who maintain or improve their housing status. DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F Outside Agencies/Human Services Program informationPage 7 of 10 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. Housing 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 Decrease the number of evictions due to nonpayment of rent in Orange County by 20. Performance Measure (How will you accomplish your goal?) Tenants who are experiencing rental hardships are encouraged to attend counseling with EI’s HUD Certified Housing Counselors. These sessions have been created to include financial literacy, budgetin g and information about the eviction process. Once the classes are completed, EI’s counselors will work with the tenant on creating a payment plan acceptable to the landlord for the tenants to avoid the eviction process. Actual Results (Outcome) Ending FY2021 30 Projected Results (Outcome) Ending FY2022 20 Projected Results (Outcome) Ending FY2023 30 Program Goal # 2 Increase the number of rental units on a average of 2 annually Performance Measure (How will you accomplish your goal?) Work with Self-Help to acquire properties out of the land bank, grant opportunities through HOME, _________________ DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F Outside Agencies/Human Services Program informationPage 8 of 10 TOCH, OC, TOC and annual fundraising. Actual Results (Outcome) Ending FY2021 4 Projected Results (Outcome) Ending FY2022 1 Projected Results (Outcome) Ending FY2023 2 Program Goal # 3 To provide housing for the most vulnerable populations: homeless, disabled, housing choice voucher holders, and the veteran population. Performance Measure (How will you accomplish your goal?) collaboration with other nonprofits and local government agencies to reach these underserved and disenfranchised populations. Actual Results (Outcome) Ending FY2021 5 Projected Results (Outcome) Ending FY2022 4 Projected Results (Outcome) Ending FY2023 4 DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F Outside Agencies/Human Services Community Impact Award If you are applying for the Town of Chapel Hill’s Community Impact Award, please provide responses to the questions below. All other applicants, please skip these questions. (Responses should not exceed 100 words per question) 1. Please describe the impact the proposed programs will have on the target population. Please include specific quantitative and qualitative data in your response. The impact of this program creates a safety net for disenfranchised populations. Providing direct services and resources to over 100 families help to sustain households. $3,000 was provided in gift cards for twenty Carrboro families for four months. Food collection and distribution was provided to 80 families living in Elliott Woods and Chase Park apa rtments. 500 turkeys were given away all over Orange County during the holidays. Facilitated virtual Listening Sessions to monitor the experience low -income housing residents had with the Emergency Housing Assistance. Utility bill payment assistance to 67 households preventing them from facing debt and disruption of utilities . 2. What methods/tools will your organization use to evaluate the proposed program’s effectiveness? Please include specific examples, such as a logic model. EI will use several methods to evaluate the program’s effectiveness. Electronic surveys were used for the Listening Sessions. The utility assistance tracking is done with applications and one-on-one budgeting sessions. The food and gift certificate give -away programs require information supplied through an in-take process usually accessed via text and emails. Demographics are collected from the various methods to verify the populations being served. Collected data is analyzed at the staff and board level. 3. Please briefly describe how your proposed programs aligns with evidence-based approaches to addressing human service need(s). Years of data verify housing stability is the foundation of stable lives. Programs, like EMPOWERment’s Affordable Housing Program align with that data. By purchasing rental units that will be rented to families earning less than 60 AMI, helps build that foundation. Affordable rental for families formerly sleeping on the couch of family of friends restores respect, dignity and creates a social safety net through housing. 4. Please describe one to three key partnerships/collaborations that add the most value to the success of the proposed programs. Family Success Alliance - major factor in reaching the Latinx communities. Their mission to target the needs of families living at or below the poverty level gave EI another entry to DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F Outside Agencies/Human Services neighborhoods. Twenty five percent of EI’s tenants were cultivated through the FAS relationship. Community Empowerment Fund works with residents that are transitioning which includes housing. Their clients experience hardships and instability causing other landlords to turn them away. Partnered with “House Us Now” OCAHC placed EI at the table with housing non -profits seeking positive solutions to the affordable housing. Opportunity to share resources, peer support and advocacy. 5. If you are not awarded a Community Impact Award, what would your agency’s funding request be? EI understands that the Impact award is only awarded to a limited number of organizations and that an organization can only be awarded this grant 2 years consecut ively. While this award is a vital part of EI’s budget to operate at the current capacity, EI would continue to request funding from the Human Services general fund. EI will also continue its fundraising efforts to continue to support EI’s programs of s erving our community, assisting the most vulnerable populations by providing affordable safe housing throughout Orange County. DocuSign Envelope ID: 7E3B840A-729F-4167-AA3E-B7E3D1B7700F