Loading...
HomeMy WebLinkAbout2023-475-E-DEAPR-Historical Foundation of Hillsborough and Orange-Outside Agency FundingOrange County Outside Agency Performance Agreement Revised 06/23—County Manager Version Page 1 of 10 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2023, (“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 Historical Foundation of Hillsborough and Orange, a not-for-profit corporation, located at 201 N Churton St., Hillsborough, North Carolina 27278 (“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, 2023 to June 30, 2024. 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 $30,000. 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 $7,500. The first payment is contingent upon receipt of the agency’s performance agreement; the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. d. The County’s obligation to make the quarterly payments is contingent upon receipt of Progress Reports, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services. DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Orange County Outside Agency Performance Agreement Page 2 of 10 Rev.06/23 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 8, April 8 and July 8 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: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Orange County Outside Agency Performance Agreement Page 3 of 10 Rev.06/23 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 (Ardra Webster) 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 ‐ DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Orange County Outside Agency Performance Agreement Page 4 of 10 Rev.06/23 Statutory State NC, for each employee Limits for Coverage B ‐ Employers Liability of: $1 million Each Occurrence $1,000,000 BID limit  Cyber Liability $1,000,000 Each Occurrence; $2,000,000 Aggregate *Only required for agencies transmitting personal identifiable information that is disseminated electronically.  Commercial General $1,000,000 Each Occurrence Liability $2,000,000 Aggregate  Automobile Liability $1,000,000 Each Occurrence *Only required for agencies doing travel as part of the agreement with the County.  Professional Liability $1,000,000 Each Occurrence $2,000,000 Aggregate  Sexual Misconduct $1,000,000 Each Occurrence $2,000,000 Aggregate *Only required for agencies doing direct work with minors (under the age of 18). 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 DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Orange County Outside Agency Performance Agreement Page 5 of 10 Rev.06/23 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. 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 DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Orange County Outside Agency Performance Agreement Page 6 of 10 Rev.06/23 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 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 Historical Foundation of Hillsborough and Orange Attention: Ardra Webster Attention: Catie Atkinson P.O. Box 8181 Address: 201 N Churton St. Hillsborough, NC 27278 Hillsborough, NC 27278 Email:awebster@orangecountync.gov Email: manager@orangehistorync.org n. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. IN WITNESS WHEREOF, the Orange County and the Provider have signed this Agreement, effective on the last date this Agreement is signed by both parties as indicated by the dates set forth under signatures below. For and on behalf of the Provider _____________________________ _______________________ Catie Atkinson, Site Manager Date For and on behalf of Orange County Government DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 8/25/2023 Orange County Outside Agency Performance Agreement Page 7 of 10 Rev.06/23 _______________________________ ________________________ Bonnie Hammersley, County Manager Date DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 9/5/2023 Orange County Outside Agency Performance Agreement Page 8 of 10 Rev.06/23 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Historical Foundation of Hillsborough and Orange Party/Vendor Contact Person: Catie Atkinson Contact Phone: 919-732-2201 Party/Vendor Address: 201 N Churton St. City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: $30,000 Purpose: Outside Agency Funding Budget Code(s): 10290050 710005 Vendor # 59229 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date Approved by Board Yes No Agenda Date: June 20, 2023 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: C69C51AB-48D7-45AB-9CD6-A634302D2A04 8/25/2023 9/1/2023 9/1/2023 9/5/2023 Cover Page Page 6 of 28 COVER PAGE Applicant Contact Information Applicant Organization’s Legal Name: Historical Foundation of Hillsborough and Orange County Applicant Organization’s Physical Address: 201 N Churton St Hillsborough NC 27278 Applicant Organization’s Mailing Address: 201 N Churton St Hillsborough NC 27278 Applicant Organization’s Web Address: www.orangehistorync.org Executive Director: N/A Board Chair: Tonya Brami Telephone Number: 919-732-2201 E-Mail: manager@orangehistorync.org Tax ID Number: 56-0797289 Funding Request Please list all Fiscal Year 2024 Human Services (HS) funding requested for all programs and the proposed use of funds (please list program name only) Program Carrboro - HS Chapel Hill - HS Orange County-HS Total Ex. Youth Afterschool Program Operations or Personnel $10,000 Operations $15,000 Personnel $5,000 Operations $30,000 Orange County Historical Museum: Education Through Exhibits Operations and Personnel $30,000 Operations and Personnel $30,000 Totals $30,000 DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Cover Page Page 7 of 28 Briefly explain your proposed use of funds: The Museum will use funds to educate the public about Orange County’s history with the development, design, and presentation of a permanent gallery and special exhibits as well as through free programs, activities, and tours for both formal and informal learning groups, and by collecting, preserving, and making publically available artifacts and research files about family and local history. In the past several years, the Museum has been growing its reputation through quality exhibits and programs. We are the only history museum in the county (as opposed to the many historic sites). This is a responsibility we take seriously. Accordingly, we have transitioned to having two full-time and one part-time staff members. These additional staffing hours have increased the services we have been able to provide and has afforded the museum the ability to be open now seven days a week (increased from three days a week). As schools begin to return to pre-COVID operations, in-person field trips are beginning to occur. One of our main goals for FY 23-24 is to significantly increase our educational outreach with Orange County and other school systems, including home school groups. For this, we would like to update our traveling trunks available to schools (self-contained history-themed educational activity kits with handling artifacts, costumes, craft kits, worksheets, and more), update existing lesson plans, and create new lesson plans. With the requested funding, we would also expand the structure and content of the children’s educational gallery (initial content put in place in FY 22-23). Thus family friendly educational space, focused on Orange County history, is unique to Hillsborough. In addition, additional funding would potentially cover some costs of field trips and school visits in order to make them more accessible. Moreover, additional funding will be used to contract individuals to facilitate educational programs for children. For example, we would like to contract with Haliwa Saponi artist Senora Lynch who works with children pre-K-12 to make pottery and murals. Funds from this grant would be used for personnel salaries for staff completing the scope of work, exhibit supplies to create and maintain exhibits, general supplies to support every day museum operations, and to support educational engagement such as field trips and school visits. DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Program information Page 10 of 28 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): Orange County Historical Museum (OCHM) was incorporated in November 1984. The Historical Foundation of Hillsborough and Orange County (HFHOC), incorporated in 2007, has operated OCHM since then. 2. Agency’s Purpose/Mission (no more than a few sentences): The mission of the Historical Foundation of Hillsborough and Orange County and the Orange County Historical Museum is to enlighten and engage our community and visitors from around the world by preserving and interpreting the history of Orange County. 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 OCHM reopened after being closed for structural repairs and the COVID-19 pandemic restrictions, OCHM has been rapidly growing. OCHM has been able to move from having only part-time staff to having two full-time staff members. OCHM has seen significant growth in the total number of individuals served, from 1,828 in FY 20-21 to 3,104 in FY 21- 22 and an estimated total served for FY 22-23 of 3,564. The museum has also been able to consistently present new exhibits, host in-person and virtual educational programs, provide tours, produce educational resources, and create a dedicated children’s learning gallery all free to the public. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes / No) NO If yes, is this agency an Orange County Living Wage Certified Employer? NO If no, please briefly explain. Full time staff are paid above the living wage at $16/hr. The one part time staff member is paid just under the living wage at $15/hr. Schedule of Positions: # of FTE – Full-Time Paid Positions: 2 # of FTE – Part- Time Paid Positions: 1 Race & Equity 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. We are requesting basic information about your organization’s racial equity work. 5. How has your organization incorporated racial equity goals into your organizational goals? One of the goals of OCHM is to “Be Inclusive: Tell full stories that highlight the rich diversity of the county geographically, ethically, and culturally.” As the only dedicated history museum in Orange County, it is our responsibility to present content that is representative of all of DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Program information Page 11 of 28 Orange County’s residents. In order to do so, OCHM staff works with various members of the community and community groups to determine what content should be presented and how in order to promote shared authority in the museum. 6. Please describe how you have involved the intended beneficiaries of the proposed project in the planning and design process (in 100 words or less). Decisions regarding the selection of exhibit topics and content are made in consultation with civic groups, elected officials, public and homeschool educators, local families, and organizations representing minority groups, such as the Occaneechi Band of the Saponi Nation Tribal Council and Free Spirit Freedom. Continuous feedback is solicited from guests after viewing the exhibits and/or participating in programs. Additionally, pre-visit consultations are always conducted with any special tour group, including with educators. 7. Please fill in your agency demographics in the table below: Agency Demographics Staff Board Gender Men 1 5 Women 2 5 Nonbinary/Genderqueer 0 0 Self-Describe 0 0 Total 3 10 Race and Ethnicity Black or African-American 2 American Indian or Alaska Native 1 Asian Indian White 3 7 Native Hawaiian or Other Pacific Islander Chinese Japanese Vietnamese Filipino Korean Some other race Total 3 10 Of the above, how many Hispanic, Latino or Spanish origin 0 0 Of the above, how many non-Hispanic, Latino or Spanish origin 3 10 Total 3 10 8. Please describe any activities your organization is doing to address racial equity. a. % of staff that have attended racial equity training: 0 DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Program information Page 12 of 28 b. % of board that have attended racial equity training: ~20% c. Any additional activities: One board member is trained in inclusion and diversity, having lead inclusion and diversity efforts in major company. PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 9. Program Name: Orange County Historical Museum: Education Through Exhibits Program Primary Contact and Title: Catie Atkinson, Site Manager Telephone Number: 919-732-2201 E-Mail: manager@orangehistorync.org 10. Please briefly describe the proposed program, including an explanation of how it aligns with the Town of Chapel Hill and Carrboro’s Results Framework, and Orange County BOCC Goals and Priorities, and the target population to benefit from the program. (250 words or less) The Orange County Historical Museum: Education Through Exhibits aligns with the Orange County BOCC goal “Ensure a high quality of life and lifelong learning that champions diversity, education at all levels, libraries, parks, recreation, and animal welfare.” The Museum will design and present free exhibits to engage and educate the public about the dynamic history of Orange County. Programs, events, tours, and a variety of educational offerings will provide further learning opportunities for the public, through which the museum will strive to promote diversity and life-long learning. Museum staff works with various members of the community and community groups to determine what content should be presented and how in order to promote shared authority in the museum. A variety of programs are held that appeal to different audiences, in the hopes that the Museum can reach as many members of the community as possible. The Museum will also facilitate educational outreach in the county by working with Orange County Schools and other school systems, including home school groups to plan field trips and site visits. Museum staff have met with the superintendant of Orange County Schools and the chairman of the School Board to discuss how the Museum can partner with schools. A follow-up meeting has been scheduled. Moreover, the museum would like to contract individuals to facilitate educational programs for children. For example, we would like to contract with Haliwa Saponi artist Senora Lynch who works with children pre-K-12 to make pottery and murals. 11. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Program information Page 13 of 28 Program Target Population Demographics Projecte d 2021- 2022 Actual 2021- 2022 Projected 2022- 2023 Projecte d 2023- 2024 Gender Men 625 1,552** 1,782** 1,960** Women 625 1,552** 1,782** 1,960** Nonbinary/Genderqueer Self-Describe 30 ** ** ** Total 1,280 3,104 3,564 3,920 Race and Ethnicity Black or African-American 125 160 463 510 American Indian or Alaska Native 150 17 53 60 Asian Indian 25 43 71 78 White 860 2369 2,495 2,750 Native Hawaiian or Other Pacific Islander 0 0 10 10 0 96 ** 107** 120** Chinese Japanese Vietnamese Filipino Korean Some other race 120 419 357 392 Total 1,280 3,104 3,564 3,920 Of the above, how many Hispanic, Latino or Spanish origin 120 120 357 392 Of the above, how many non-Hispanic, Latino or Spanish origin 1,160 2,984 3,207 4,312 Total ***1,280 ***3,10 4 3,564 3,920 Age 0-5 years 25 128 178 196 6-18 years 355 505 713 784 19-50 years 500 1,364 1,604 1,764 51+ years 400 789 1,069 1,176 Total ***1,280 ***3,10 4 3,564 3,920 Geographic Location Town of Chapel Hill 300 281 300 392 Town of Carrboro 250 39 100 120 Orange County (Outside of Chapel Hill/Carrboro) 555 499 700 800 Outside of Orange County 175 2,285 2,464 2,608 Total ***1,280 ***3,10 4 3,564 3,920 DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Program information Page 14 of 28 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments **** **** **** **** Total 1,280 3,104 3,564 3,920 * The Museum does not require all on‐site guests to fill out self‐described demographics surveys. ** The Museum does not collect data regarding gender identity or specific Asian identities *** Some data missing due to demographics not being collected through virtual programs ****The Museum does not collect economic status of visitor 12. 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 2021- 2022 Projected 2022- 2023 Projected 2023- 2024 Total Cost of Program $9,606 $18,750 $30,000 Total # of Individuals 3,104 3,564 3,920 Cost Per Individual $3.09 $5.26 $7.65 DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Program information Page 15 of 28 13. 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 select one strategic objective per program. If you would like to provide additional information on how your program aligns with additional strategic objectives, please include that information in Question 10 – Program Description. See the Results Framework in the Attachments section as a reference. Program Name: Strategic Objective (please choose one from the Results Framework) o Children improve their educational outcomes o Residents Increase their livelihood security o Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) Insert Intermediate Result here. RESULTS Actual 2021-2022 Projected 2022-2023 Projected 2023-2024 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 Insert Performance Indicator here. DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Certified by: _______________________ Title: __________________________ Date: ____________ (Provider’s Signature) EXHIBIT “B” Scope of Services – FY 2023-24 Outside Agency Performance Agreement Agency Name: Historical Foundation of Hillsborough and Orange County Program Name: Orange County Historical Museum: Education Through Exhibits Funding Award: $30,000 Outline how the agency will spend Orange County’s funding award. Program Services Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2024.  Provide free educational history and heritage opportunities to the public in the form of exhibits and programs.  Collaborate with town and countywide organizations to coordinate history focused programming, promoting life-long learning and diversity.  Facilitate field trips and classrom visits for K-12 students in public, privtae, and home schools, and provide traveling trunks and lesson plans for teachers. 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 Using analytics, monitor and report on the number of people who engage with the museum on-site and at programs and events to track community engagement. Increase of 10% from FY22-23 projection, from 3,564 to 3,920 in FY 23-24 Track instances of collaboration with town and countywide organizations through number of programs the Museum was a part of planning or engaging in Participate in 10 collaborative programs Expense Description Amount Personnel Costs for staff completing scope of work $22,000 Exhibit Costs, including physical supplies, printing and promotional material, and advertising $5,000 General Supplies and Equipment for everday opperations $1,500 Education Expenses, including field trip supplies, traveling trunk costs, Kids' Space upgrades, and educational program contracting $1,500 DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 8/25/2023Museum Site Manager Certified by: _______________________ Title: __________________________ Date: ____________ (Provider’s Signature) Performance Measures Anticipated Results Track and report the number of K -12 field trips and classroom visits held, as well as number of students served through these activities Facilitae 10 field trips and classroom visit with 250 students served DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Museum Site Manager 8/25/2023 Orange County Outside Agency Performance Agreement Page 10 of 10 Rev.06/23 ATTACHMENT “A” Orange County Certifications – FY 2023-2024 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: C69C51AB-48D7-45AB-9CD6-A634302D2A04 Museum Site Manager 8/25/2023 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 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. (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSR 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 AUTOSAUTOSNON-OWNEDHIRED AUTOS SCHEDULEDALL OWNED 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-TORY LIMITSWC STATU- LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 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) GENERAL LIABILITY 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 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD 08/10/2023 The Ballard Agency 105 W King St. NC 27278 Lee Hammond 919-732-2158 lee@ballardagency.com The Historical Foundation Of Hillsborough & Orange County, Inc. 201 N Churton St. Hillsborough NC 27278-2535 Erie Insurance Exchange Philadelphia Indemnity Insurance Company A Y Q442250193 08/22/23 08/22/24 1,000,000 1,000,000 5,000 1,000,000 2,000,000 2,000,000 B Directors & Officers Liability PHSD1727447 08/31/23 08/31/24 $1,000,000 D&O $1,000,000 Employment Practices Orange County Government is an additional insured as respects general liability, per CG2012 4/13. Orange County Government PO Box 8181 Hillsborough NC 27278 DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04 CERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS WC STATU-TORY LIMITS OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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. INSR ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 08/29/2023 AP INTEGO INSURANCE GROUP, LLC AP Intego Insurance Group, LLC 888-289-2939 375 Woodcliff Dr.certs@apintego.com Suite 103 Fairport NY 14450 Historical Foundation of Hillsborough and Orange County, Inc 201 N Churton St Hillsborough NC 27278 Technology Insurance Company 42376 A TWC4275861 07/13/2023 07/13/2024 100,000 100,000 500,000 Orange County Historical Museum 201 North Churton Street Hillsborough NC 27278 Clear All DocuSign Envelope ID: C69C51AB-48D7-45AB-9CD6-A634302D2A04