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HomeMy WebLinkAbout2023-351-E-County Mgr-Alliance Health -Contract Mgmt of MOE OA fundsDocuSign Envelope ID: D14E62CE-FE8E-435E-B225-875FF4255242 DocuSign Envelope ID: D14E62CE-FE8E-435E-B225-875FF4255242 DocuSign Envelope ID: D14E62CE-FE8E-435E-B225-875FF4255242 DocuSign Envelope ID: D14E62CE-FE8E-435E-B225-875FF4255242 Revised 04/23 1 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Alliance Health Vendor Contact Person: Kelly Goodfellow Phone: Address: 5200 West Paramount Parkway, Suite 200 City Morrisville State: NC Zip: 27560 Department: County Manager Amount: $1,153,894 Purpose: Contract Mgmt of MOE/OA Funds Budget Code(s): Multiple Codes Vendor # 67641 Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 7/1/23 End Date 6/30/24 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: 6/20/23); Made or Administered by Signature Authority - BOCC Express Delegation (Agenda Date: ) - Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 - Budget Policy Section XV (Capital Improvement Project: ) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) Department Affirmation 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. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: Approve by BOCC as part of the FY23-24 adopted budget. Contract was initiated by Alliance and signed by County staff to begin 7/1/23. This procedure to route the contract internally to include the County’s routing sheet. Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services 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 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: DocuSign Envelope ID: D14E62CE-FE8E-435E-B225-875FF4255242 7/21/2023 7/27/2023 7/28/2023 7/28/2023 Revised 04/23 2 Received for record retention: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: D14E62CE-FE8E-435E-B225-875FF4255242 MOE FundingProgram/Service FY24 Provider FY24 Final ApprovalRevised per EmailVolunteer Coordination 33,320$ Arc of Orange County (The) 33,320$ 33,320$ Treatment Services/Language Interpretation 27,600$ Art Therapy Institute27,600$ 27,600$ Child Mental Health Services 15,000$ Chapel Hill Training Outreach Project, Inc. 15,000$ 15,000$ PSR Services 163,000$ Club Nova Community, Inc. 163,000$ 163,000$ Orange County Crisis Services 230,499$ Freedom House 230,449$ 230,449$ Youth Focused Services 19,000$ Haven House 19,000$ 19,000$ Orange County Apartments 35,100$ New Destinations, Inc. 35,100$ 35,100$ Inpatient Services 31,374$ UNC Dept. of Psychiatry31,374$ 31,374$ Outpatient Services 261,450$ UNC Dept. of Psychiatry261,450$ 261,450$ Outpatient Services 22,200$ El Futuro 22,200$ 22,200$ Psychiatry services for Detention Center 25,000$ UNC Dept. of Psychiatry25,000$ 25,000$ Flex Funds 10,662$ To be identified by Orange County 11,732$ -$ Admin Support for all program 2% 22,840$ Admin Support for all program 2% 22,890$ 22,625$ Subtotal897,045$ 898,115$ 886,118$ Outside Agency FundingProgram/Service FY24 Provider FY24 Final ApprovalRevised per EmailVolunteer Coordination 5,625$ Arc of Orange County (The)-$ -$ PSR Services 18,750$ Club Nova Community, Inc.18,750$ 18,750$ Outpatient Services 48,906$ El Futuro73,848$ 73,848$ Orange County Crisis Services 50,178$ Freedom House 50,178$ 50,178$ Outpatient Services 72,000$ KidSCope 45,000$ 45,000$ Art Therapy 5,000$ Art Therapy Institute-$ -$ Music Therapy 10,000$ Voices Together 15,000$ 15,000$ Employment and Services 57,344$ OE Enterprises 65,000$ 65,000$ Subtotal267,803$ 267,776$ 267,776$ Grand Total1,164,848$ 1,165,891$ 1,153,894$ Orange County Approved Budget 897,045$ 898,115$ 886,118$ MOE funds 267,803$ 267,776$ 267,776$ Total 1,164,848$ 1,165,891$ 1,153,894$ Difference -$ Alliance Health - FY24 Orange County BudgetDocuSign Envelope ID: D14E62CE-FE8E-435E-B225-875FF4255242 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 5/26/2023 Gilroy Kernan &Gilroy 210 Clinton Rd New Hartford NY 13413 315-768-8888 315-768-8600 Service@gkgrisk.com Utica National Assurance Co.10687 COMMBUS-01 Graphic Arts Mutual Ins.Co.25984CommandBusinessProducts,Inc 310 Oser Avenue Hauppauge NY 11788 Lloyd's Utica Mutual Insurance Company 25976 MEMIC Indemnity Co 11030 1708129380 A X 1,000,000 X 100,000 10,000 1,000,000 2,000,000 X 4920559 12/10/2022 12/10/2023 2,000,000 B 1,000,000 X 4910196 12/10/2022 12/10/2023 D X X 3,000,000492056012/10/2022 12/10/2023 3,000,000 X 10,000 E X31028082304/1/2023 4/1/2024 1,000,000 1,000,000 1,000,000 C Cyber Liability APT1069022 7/13/2022 7/13/2023 Aggregate Limit 4,000,000 Alliance Health 5200 W.Paramount Pkwy.,Suite 200 Morrisville NC 27560 DocuSign Envelope ID: D14E62CE-FE8E-435E-B225-875FF4255242