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2023-597-E-Housing Dept-Community Empowerment Fund-Outside Agency
Orange 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 Community Empowerment Fund, a not-for-profit corporation, located at 208 N. Columbia St, Suite 100, Chapel Hil, North Carolina 27514 (“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 $22,500 . 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 $5,625 . 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: A24D2229-012E-4233-A6F8-624A53BCF7DA 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: A24D2229-012E-4233-A6F8-624A53BCF7DA 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 (Corey Root (Interim Sharron Hinton)) 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: A24D2229-012E-4233-A6F8-624A53BCF7DA 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: A24D2229-012E-4233-A6F8-624A53BCF7DA 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: A24D2229-012E-4233-A6F8-624A53BCF7DA 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 ame nded 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 Community Empowerment Fund Attention: Corey Root (Interim Sharron Hinton) Attention: Donna Carrington P.O. Box 8181 Address: 208 N. Columbia St, Suite 100 Hillsborough, NC 27278 Chapel Hill, NC 27514 Email:shinton@orangecountync.gov Email: donnac@communityempowermentfund.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 _____________________________ _______________________ Donna Carrington, Executive Director Date For and on behalf of Orange County Government _______________________________ ________________________ DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA 10/16/2023 10/18/2023 Orange County Outside Agency Performance Agreement Page 7 of 10 Rev.06/23 Bonnie Hammersley, County Manager Date DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Orange County Outside Agency Performance Agreement Page 8 of 10 Rev.06/23 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Community Empowerment Fund Party/Vendor Contact Person: Donna Carrington Contact Phone: 919-200-0233 Party/Vendor Address: 208 N. Columbia Street, Suite 100 City Chapel Hill State: NC Zip: 27514 Department: Housing Amount: 22,500 Purpose: Outside Agency Budget Code(s): 10290050-719064 Vendor # 61695 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 7/1/23 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content and I as Department Director affir matively 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: A24D2229-012E-4233-A6F8-624A53BCF7DA 10/16/2023 10/16/2023 10/17/2023 10/18/2023 Orange County Outside Agency Performance Agreement Page 9 of 10 Rev.06/23 Exhibit A Provider’s Outside Agency Application DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Orange County Outside Agency Performance Agreement Page 10 of 10 Rev.06/23 Exhibit B Provider’s Revised Scope of Services and Program Budget DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Orange County Outside Agency Performance Agreement Page 11 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 covere d 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 age ncy 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: A24D2229-012E-4233-A6F8-624A53BCF7DA Executive Director 10/16/2023 Cover Page Page 3 of 20 COVER PAGE Applicant Contact Information Applicant Organization’s Legal Name: The Community Empowerment Fund Applicant Organization’s Physical Address: 208 N. Columbia Street, Suite 100, Chapel Hill, NC 27514 Applicant Organization’s Mailing Address: 208 N. Columbia Street, Suite 100, Chapel Hill, NC 27514 Applicant Organization’s Web Address: www.communityef.org Executive Director: Donna Carrington Telephone Number: 919.200.0233 E-Mail: development@communityef.org Tax ID Number: 27-0428981 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 Advocate Program $6,000 Personnel $50,000 Personnel $30,000 Personnel $86,000 Totals $6,000 $50,000 $30,000 $86,000 Briefly explain your proposed use of funds: To the best of my knowledge and belief all information and data in this application is true and current. The document has been duly authorized by the governing board of the applicant. CEF will use funds from the Town of Carrboro, Town of Chapel Hill, and Orange County to support the salary and benefits for Advocate Program staff, including the Advocate Program Coordinator and Member Services Coordinator. Staff members provide direct support to Members experiencing homelessness and housing insecurity; recruit, train, and coordinate CEF’s 160+ volunteer Advocates; manage partnerships; and maintain CEF’s financial tools, including the Safe Savings Program and the Financial Coaching curriculum. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Cover Page Page 4 of 20 Signature: 12/20/2022 Executive Director Date Signature: 1/10/2023 Board Chairperson Date Application Signatures: Please submit a wet signature or electronic signature , MS Word cursive fonts are not acceptable. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Cover Page Page 5 of 20 DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON- DISCRIMINATION CLAUSE Are any of the Board Members or employees of the agency which will be carrying out this program or members of their immediate families, or their business associates. YES NO ☒ ☐ a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ☐ ☒ b) Members of or closely related to members of the governing bodies of the Town of Carrboro, the Town of Chapel Hill, or Orange County? ☒ ☐ c) Current beneficiaries of the program for which funds are being requested? ☐ ☒ d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below. a) CEF’s Office & Community Organizer, Yvette Mathews is married to an employee of the Town of Chapel Hill (O.D. Sanders). He works in landscaping. c) CEF has incorporated into our By-Laws the requirement that at least one former or current beneficiary (Member) of our program serve on the Board of Directors at all times. Currently, two Members serve on the Board of Directors. These members of the Board of Directors provide invaluable advice based on their particular experiences working with the organization directly, and like all members of the Board of Directors, sign an annual conflict of interest disclosure outlining any potential conflicts that may arise based on their dual relationship with the organization. Although these Board Members will not benefit financially from this proposal, they may receive services that are funded through the proposal. NON-DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, gender identity/expression, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Anti-discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Cover Page Page 6 of 20 To the best of my knowledge and belief all of the above information is true and current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the program ineligible for funding, but the existence of an undisclosed conflict may result in the termination of any grant awarded. Signature: 12/20/2022 Executive Director Date Signature: 1/10/2023 Board Chairperson Date Application Signatures: Please submit a wet signature or electronic signature , MS Word cursive fonts are not acceptable. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Outside Agencies/Human Services Cover Page Page 7 of 20 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): October 2010 2. Agency’s Purpose/Mission (no more than a few sentences): The Community Empowerment Fund (CEF) cultivates opportunities, assets, and communities that support the alleviation of homelessness and poverty. CEF supports individuals, or “Members,” experiencing homelessness and housing insecurity to secure housing, gain employment, connect to supportive resources, and build financial wellbeing. Our approach combines person-centered support with financial services that pursue equity in order to reduce the racial wealth gap. 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 2009, CEF has supported Orange County residents experiencing homelessness and housing insecurity, including many residents of Carrboro and the Town of Chapel Hill. Through CEF, 1,391 Members secured employment, 1,074 gained housing, 50 became first-time homeowners, and 908 saved $1.61 million dollars. CEF has received funding from Orange County and the Towns of Chapel Hill and Carrboro since 2013, and has always met budgets and timetables. CEF has also been funded by many other funders including the City of Durham, Durham County, Duke University, UNC-Chapel Hill, Oak Foundation, Triangle Community Foundation, Bank of America, and GSK. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes / No) Yes If yes, is this agency an Orange County Living Wage Certified Employer? Yes If no, please briefly explain. Schedule of Positions: # of FTE – Full-Time Paid Positions: 12 # of FTE – Part-Time Paid Positions: .375 Race & Equity DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Outside Agencies/Human Services Cover Page Page 8 of 20 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? CEF is explicitly anti-racist and committed to pursuing equity and ending the racial wealth gap. Early in CEF’s history, a Co-Director model was established with the aim of reducing hierarchy. While some BIPOC (Black, Indigenous, and other People of Color) and former Members were hired, the leadership structure remained predominantly white and it took almost a decade for the organization to critique how white supremacy and racism showed up in everyday operations. From 2018-2020, CEF worked with outside evaluators on a capacity- building process to address the harm caused to Black staff members and other problematic dynamics. With more direct conversations about race and racism, the team recognized that the best way for them to combat white supremacy in the organization was to move away from the non-hierarchical structure and towards one in which power was centered among BIPOC and people with lived experience of homelessness and poverty. This decision led to the transition to an Executive Director leadership model, Donna Carrington’s promotion to this role, and other changes to board and HR practices. All staff are now required to participate in monthly racial caucuses and the Equity Paradigm’s Racial Equity Cohort. Board Members are also required to participate in the Racial Equity Cohort. In addition, the organization has increased base-pay and benefits to ensure that everyone working at the organization is receiving a living-wage and that lived-experience is recognized as an invaluable attribute. 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). CEF believes that those who have directly experienced homelessness and poverty are best equipped to identify solutions. We center power among those with lived experience, and especially among current or recent Members. Two permanent board seats are reserved for Member representatives. The Executive Director and four other staff have lived experience and we encourage Members to apply to job openings. Members also lead and contribute to CEF’s advocacy efforts, arts projects, and selecting and training Advocates. Member input was also prioritized during our 2022 strategic planning process through surveys, focus groups, and an all-day retreat and is reflected in the final plan. 7. Please fill in your agency demographics in the table below: Agency Demographics Staff Board Gender Men 3 3 DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Outside Agencies/Human Services Cover Page Page 9 of 20 Women 8 10 Nonbinary/Genderqueer 0 0 Self-Describe 0 0 Total 11 13 Race and Ethnicity Black or African-American 5 4 American Indian or Alaska Native 0 1 Asian Indian 1 1 White 4 5 Native Hawaiian or Other Pacific Islander 0 0 Chinese 0 0 Japanese 0 0 Vietnamese 0 0 Filipino 0 0 Korean 0 0 Two or more races 1 2 Total 11 13 Of the above, how many Hispanic, Latino or Spanish origin 0 0 Of the above, how many non-Hispanic, Latino or Spanish origin 11 13 Total 11 13 8. Please describe any activities your organization is doing to address racial equity. a. % of staff that have attended racial equity training: 100% b. % of board that have attended racial equity training: 79% c. Any additional activities: CEF Staff participate in monthly race-based caucuses and have previously participated in an anti-racism book club. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Outside Agencies/Human Services Cover Page Page 10 of 20 PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 9. Program Name: Advocate Program Program Primary Contact and Title: ari rosenberg, Director of Development & Finance Telephone Number: 919.200.0233 E-Mail: development@communityef.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 CEF Advocate Program provides one-on-one assistance to help Orange County residents who are homeless or experiencing housing insecurity to gain employment, secure housing, build financial savings, and access community resources. The program aligns with Orange County’s first goal of ensuring “a community network of basic human services and infrastructure” and with Chapel Hill and Carrboro’s second strategic objective of increasing “livelihoods security” by helping residents access safety net services (2.1) and increase job skills (2.2). The target population is Orange County residents who are low-income (below 80% AMI) and experiencing homelessness, housing insecurity, or financial insecurity. Services available through the Advocate Program include: ● Financial coaching courses to improve financial behaviors and wellbeing. Each course is an interactive, hands-on module Members complete with the help of a volunteer Advocate to work towards their personal goals, such as budgeting, reducing credit, or building savings. ● One-on-one support obtaining housing and securing employment through setting and achieving personalized goals, resource access and navigation, and continued follow- up. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Outside Agencies/Human Services Cover Page Page 11 of 20 11. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. Program Target Population Demographics Project ed 2021- 2022 Actual 2021- 2022 Projected 2022- 2023* Project ed 2023- 2024 Gender Men 427 296 336 420 Women 594 443 459 575 Nonbinary/Genderqueer 9 5 5 5 Self-Describe 0 0 0 0 Unknown/Did not disclose 0 42 0 0 Total 1029 786 800 1000 Race and Ethnicity Black or African-American 672 503 528 660 American Indian or Alaska Native 10 4 10 10 Asian Indian 0 0 0 0 White 239 141 184 227 Native Hawaiian or Other Pacific Islander 4 2 3 3 Chinese 0 0 0 0 Japanese 0 0 0 0 Vietnamese 0 0 0 0 Filipino 0 0 0 0 Korean 0 0 0 0 Asian (did not identify specifics) 10 7 8 10 Two or more races 0 29 32 40 Some other race 94 35 35 50 Unknown/Did not disclose 0 65 0 0 Total 1029 786 800 1000 Of the above, how many Hispanic, Latino or Spanish origin 54 33 40 50 Of the above, how many non-Hispanic, Latino or Spanish origin 975 753 760 950 Total 1029 786 800 1000 Age 0-5 years 0 0 0 0 6-18 years 1 1 1 1 DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Outside Agencies/Human Services Cover Page Page 12 of 20 19-50 years 646 377 392 490 51+ years 382 393 407 509 Unknown/Did not disclose 0 0 0 0 Total 1029 786 800 1000 Geographic Location Town of Chapel Hill 338 243 343 385 Town of Carrboro 75 60 76 80 Orange County (Outside of Chapel Hill/Carrboro) 23 23 24 35 Outside of Orange County 593 460 357 500 Total 1029 786 800 1000 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments 1029 786 800 1000 Total 1029 786 800 1000 *Note that CEF’s Projected Results for 2022-2023 have changed since the 2022-2023 application was submitted. These projections are adjusted based on year-to-date activity. CEF has seen a reduction in activity as Members readjust to post-pandemic life and services. 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 $647,400 $901,869 $1,000,000 Total # of Individuals 786 800 1000 Cost Per Individual $823.66 $1127.34 $1000 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. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Outside Agencies/Human Services Cover Page Page 13 of 20 Program Name: CEF: Advocate Program Strategic Objective (please choose one from the Results Framework) □ Children improve their educational outcomes X Residents Increase their livelihood security □ Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) 2.1 Residents access the most appropriate social safety net services 2.2 Residents increase job skills appropriate for the local economy 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 row). (2.1) % and # of program participants who complete at least 1 financial goal 32% 252 34% 270 34% 340 (2.1) % and # of program participants who were homeless or experiencing unstable housing who obtain housing 7.9% 62 11% 88 11% 110 (2.2) % and # of program participants who secure employment 10% 82 8% 64 8% 80 *Note that CEF’s Projected Results for 2022-2023 have changed since the 2022-2023 application was submitted. These projections are adjusted based on year-to-date activity, including more Members participating in financial coaching than we originally anticipated (i.e., we’ve increased our projected outcome in this area) and less Members being successful at finding housing and employment (we’ve slightly reduced % of Members expected to find housing and kept % of Members expected to find employment the same, but the total number is reduced). There has not been enough affordable housing available for the current need, making it very difficult for Members to find housing. We DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Outside Agencies/Human Services Cover Page Page 14 of 20 anticipate an increase now that CASA has opened applications to Perry Place. We are working with a number of CEF Members to ensure timely submission of their applications. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Outside Agencies/Human Services Cover Page Page 15 of 20 Please select which function area best aligns with your agency and program(s) in which you are requesting funding. Please select only one from the list below: ☐ Behavior Health ☐ Public Health & Health Education ☐ Food & Nutritional Service ☐ Recreational ☒ Housing ☐ Senior Services ☐ Human Rights & Community Services ☐ Youth Services ☐ Juvenile & Adult Justice Services ☐ Other 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 34% of participants will meet at least 1 financial goal Performance Measure (How will you accomplish your goal?) Track completion of Financial Coaching courses by CEF Members. Each course is an interactive, hands-on module Members complete with the help of their Advocate to work towards their personal goals, such as budgeting, reducing credit, or building savings. Actual Results (Outcome) Ending FY2022 32% 252 Projected Results (Outcome) Ending FY2023* 34% 270 Projected Results (Outcome) Ending FY2024 34% 340 _________________ DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Outside Agencies/Human Services Cover Page Page 16 of 20 Program Goal # 2 11% of participants who are homeless or experiencing unstable housing will obtain housing Performance Measure (How will you accomplish your goal?) Assess the housing status upon intake and document changes in housing status, determined through regular updates and continued follow-up with Members Actual Results (Outcome) Ending FY2022 7.9% 62 Projected Results (Outcome) Ending FY2023* 11% 88 Projected Results (Outcome) Ending FY2024 11% 110 Program Goal # 3 8% of participants will secure employment Performance Measure (How will you accomplish your goal?) Assess employment status upon intake and document changes in employment status through weekly meetings and regular follow-up with Members. Actual Results (Outcome) Ending FY2022 10% 82 Projected Results (Outcome) Ending FY2023* 8% 64 Projected Results (Outcome) Ending FY2024 8% 80 *Note that CEF’s Projected Results for 2022-2023 have changed since the 2022-2023 application was submitted. These projections are adjusted based on year-to-date activity, including more Members participating in financial coaching than we originally anticipated (i.e., we’ve increased our projected outcome in this area) and less Members being successful at finding housing and employment (we’ve slightly reduced % of Members expected to find housing and kept % of Members expected to find employment the same, but the total number is reduced). There has not been enough affordable housing available for the current need, making it very difficult for Members to find housing. We anticipate an increase now that CASA has opened applications to Perry Place. We are working with a number of CEF Members to ensure timely submission of their applications. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Cover Page Page 17 of 20 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. CEF helps Members secure housing, gain employment, and build savings to sustain transitions out of poverty. All Members experience homelessness or housing insecurity. In 2023-24, CEF anticipates 80 Members will find income, 110 will secure housing, 135 will save $108,000, and 340 will complete financial goals such as creating a budget and understanding credit. Member Quotes: “[CEF] really helps people get through the rough times… with a devoted and caring way for the homeless.” “CEF is like a warm blanket. It’s dependable – it will be there, and if you have a problem you know it will get taken care of.” 2. What methods/tools will your organization use to evaluate the proposed program’s effectiveness? Please include specific examples, such as a logic model. CEF uses Salesforce CRM to track our work, utilizing a customized interface to integrate data collection with service delivery processes. Advocates track Member’s employment and housing status at each session and all financial coaching sessions, Safe Saving Accounts, budgets, and Member information are tracked within this system. Results are analyzed to evaluate effectiveness and show areas where CEF can increase impact. We evaluate qualitative results of the program through interviews with Members and Advocates and a quarterly survey of active Members. This survey asks Members to rate their experience and satisfaction with CEF and to rate their financial wellbeing. 3. Please briefly describe how your proposed programs aligns with evidence-based approaches to addressing human service need(s). CEF incorporates evidence-based strategies throughout the Advocate Program. We follow a “housing first” model, which prioritizes permanent housing to create a platform for pursuing other goals. Housing First results in participants accessing housing faster and increases the likelihood of remaining stably housed. Clients using DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Cover Page Page 18 of 20 supportive services--like CEF’s programs--are more likely to participate in job training programs, attend school, discontinue substance use, have fewer instances of domestic violence, and spend fewer days hospitalized than those not participating (National Alliance to End Homelessness). CEF’s training for volunteer Advocates also utilizes an evidence-based, trauma-informed approach to working with individuals experiencing homelessness. 4. Please describe one to three key partnerships/collaborations that add the most value to the success of the proposed programs. Collaborations are an important part of CEF’s work as a service provider. In Chapel Hill, our most valuable collaboration is the Orange Community Hub (OCH). CEF developed a strong network of 40+ partners through OCH, a one-stop center for Members to access resources from many different agencies. Major partners include Legal Aid NC, Freedom House Recovery Center, the VA, local government agencies including street outreach, and many others. OCH is a collaborative effort to support Members while also sharing resources between agencies. A new partnership with Community Home Trust will support Chapel Hill residents with purchasing a first home. 5. If you are not awarded a Community Impact Award, what would your agency’s funding request be? $21,800 DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Attachments 4. ATTACHMENTS Description of Required Attachments a) Financial Audit A recent financial audit that should cover CY2021, for calendar year agencies, and FY2021- 2022, for fiscal year agencies. For agencies with prior year revenues totaling $500,000 or more a financial audit, prepared by a certified public accountant is required. Agencies with prior year revenues of less than $500,000 may submit a completed Schedule of Receipts and Expenditures form (see application materials), in lieu of an audit/report. Agencies with a certified audit/report should not complete the form. Schedule of Receipts and Expenditures form is listed on the Town’s and county website here. b) Agency Budget Please complete the provided template or submit your own budget file (as long as it contains the same information, and in a similar format, as requested in the provided template. Please explain other in your budget). Agency Budget Template is listed on the Town’s and County website here. Please submit In PDF form only. c) Program Budget You may complete the provided template, or you may submit your own budget file (as long as it contains the same information, in the same format, as requested in the provided template. Please explain other in your budget). Program Budget Template is listed on the Town’s and County website here. Please submit in pdf only. d) IRS Federal Form 990 A copy of the agency’s 2020 Form 990 is required. The specific form depends upon the agency’s financial activity. Review the IRS’ table guide, for more details. For Form 990-N (e- postcard) filers, include a copy of the postcard, with the agency’s application materials. e) NC Solicitation License A copy of the agency’s current solicitation license is required. Organizations that solicit contributions in North Carolina, directly or through a third party, must renew their licenses annually. For more details, refer to the NC Secretary of State’s licensing website and its Frequently Asked Questions Guide (PDF), about exemptions. If exempt per N.C.G.S. § 131F- 3, include a copy of the exemption letter with the agency’s application materials. f) IRS Federal Tax-Exemption Letter A copy of the agency’s current IRS tax-exempt letter that confirms its nonprofit status is required. An agency can request a copy of its letter from the IRS’ Customer Account Services. g) List of Board of Directors Provide the following information about each board of director’s member: name, telephone number, address, occupation or affiliation of each member and the list must identify the principal officers of the governing body, and length of term. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA Attachments h) Certificate of Liability Insurance A copy of the agency’s current certificate, from the agency’s insurance carrier. Table 1 below outlines insurance types and minimums required, for each jurisdiction. If exempt from Worker’s Compensation compliance, include a statement explaining why, with the agency’s application materials. NOTE: Proof of insurance is not required at the time of application submission. If your agency is approved for funding, documentation of insurance must be provided to the jurisdiction awarding the funding when the contract is awarded. The insurance certificate should reflect the funding jurisdiction as an additional insured party and certificate holder and provide coverage for the duration of the funding period (July 1 – June 30). Renewal certificates must be sent to the jurisdiction 30 days prior to any expiration date, cancellation or modification of any stipulated insurance coverage. NOTE: Upon request, insurance requirements may be reviewed on a case by case basis by the Town or County. Please contact the staff identified on the Submission Requirements on Page 2 if you have questions or would like to request a review of your insurance requirements. DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA EXHIBIT “B” Scope of Services – FY 2023-24 Outside Agency Performance Agreement Agency Name: Community Empowerment Fund Program Name: Advocate Program Funding Award: $22,500 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, 20 24 . ● Employment: Building resumes, applying for jobs, acquiring interview attire, gaining soft skills, expunging criminal records, and connecting to employers ● Financial Capability & Services: Opening bank accounts, building buffets, monitoring expenses, planning for the future, setting savings goals, building credit ● Housing: Searching for housing, communicating effectively with landlords, acquiring deposit/move-in assistance, paying bills on time, reducing utility expenses, support for first-time home buyers 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 Track completion of Financial Coaching courses by CEF Members. Each course is an interactive, hands-on module Members complete with the help of their Advocate to work towards their personal goals, such as budgeting, reducing credit, or building savings. 340 participants (34%) Assess the housing status upon intake and document changes in housing status, determined through regular updates and continued follow-up with Members. Advocates will work with Members to obtain vouchers, find and apply for units, and provide any other housing-related assistance needed to support Members in finding and securing stable housing. 110 participants (11%) Assess employment status upon intake and document changes in employment status through weekly meetings and regular follow-up with members. Advocates will support Members with updating and creating resumes, practicing and preparing for interviews, and searching and applying for jobs. 80 participants (8%) Certified by: Title: Executive Director Date: 9/21/23 (Provider ’s Signature) Expense Description Amount Advocate Program Personnel $22,500 DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA 07/28/2023 Summers Insurance Group 2113 Cameron St., Suite 219 Raleigh NC 27605-1370 Deborah Mason (919) 968-4472 debbie.mason@relationinsurance.com Community Empowerment Fund 208 N Columbia St Ste 100 Chapel Hill NC 27514 USLBIC - United States Liability Ins Co 25895 Sequoia Insurance Co 22985 23-24GL/Auto/D&O/WC A Y NPP1580143E 01/26/2023 01/26/2024 1,000,000 100,000 5,000 1,000,000 2,000,000 A Y NPP1580143E 01/26/2023 01/26/2024 B QWC1299261 08/11/2023 08/11/2024 1,000,000 1,000,000 1,000,000 A NDO1574101F 08/11/2023 08/11/2024 Orange County Government is listed as additoinal insured with respects to General Liability per written contract Orange County Government Attn: Risk Manager 200 S. 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EACH ACCIDENT ER OTH- STATUTE PER LIMITS(MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) POLICY EFF POLICY NUMBERTYPE OF INSURANCELTR INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA