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2024-267-E-Health Dept-Reintegration Support Network-Opioid prevention in youth
Revised 01/24 1 [Departmental Use Only] TITLE RecovSupNtwk-Opioid FY 2023-2024 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this first day of January, 2024, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Reintegration Support Network, (hereinafter, the "Provider"). WITNESSETH: That the County and Provider, for the consideration herein named, do hereby agree as follows: 1. Services a. Scope of Work. i) This Agreement is for services to be rendered by Provider to County with respect to (insert type of project): Provide recovery services to adolecents who may be struggling with problematic use of drugs or mental health conditions. ii) By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof. Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 2. Responsibilities of the Provider a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Provider is solely responsible for the professional DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Revised 01/24 2 quality, accuracy and timely completion and submission of all work related to the Basic Services. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, or assigns in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Provider represents that it or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) Should any documents, exhibits, or addenda be attached to this Agreement, the terms of this Agreement shall have priority in any conflict with or among the terms of such referenced documents, exhibits. vii) Should this Agreement involve project designs, the construction or creation of which is to be bid out or fulfilled by other contractors, and bidding or negotiation with contractors produce prices which, when added to the other elements of the approved total project cost, produce a cost that is in excess of the approved total project cost, the Provider shall participate with the County in negotiation and design adjustments to the extent such are necessary to obtain prices within the approved total project cost. All activity of the Provider with respect to these matters shall constitute Basic Services and shall be performed by the Provider without additional compensation. If negotiation and design adjustments fail to bring costs within the total project cost the County may reject all bids and Provider will redesign or reduce portions of the project in an effort to reduce the bid prices to within the total project cost and rebid the project. One such redesign is included within Basic Services. If this second letting for bids does not produce bids that are within the approved total project cost initially or after negotiations with the contractor the cost is not reduced to an amount within the total project cost, the Provider is not obligated to engage in further redesign. 3. Basic Services DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Revised 01/24 3 a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Services and support programs, as listed in Exhibit A, 3. Recovery support services, that serve persons with Opioid Use Disorder (OUD) or any co-occurring Substance Use Disorder (SUD) or mental health condition as stated in the National Settlement Agreement. First payment of one half of total contract ($10,000) will be paid upon receipt of invoice after signing of contract with the final amount to be paid once an invoice, the final report, and backup based on the submitted budget as shown in Exhibit C has been submitted and reviewed. Per Exhibit B, one metrics report will be required July 15, 2024 (for services dated January 1, 2024 through June 30, 2024) along with a narrative (story) and a final metrics report will be due January 15, 2025 (for services dated July 1, 2024 through December 31, 2024) along with a narrative (story). 4. Duration of Services a. Term. The term of this Agreement shall be from January 1, 2024 to December 31, 2024. b. Scheduling of Services. i) The Provider shall schedule and perform its activities in a timely manner. ii) Should the County determine that the Provider is behind schedule, it may require the Provider to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform its services in accordance with the approved project schedule at no additional cost to the County. iii) The Commencement Date for the Provider's Basic Services shall be January 1, 2024. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services satisfactorily (as determined by the County) performed pursuant to this Agreement. The maximum amount payable for Basic Services shall not exceed Twenty Thousand Dollars ($20,000). Payment for satisfactorily performed Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Payment shall be subject to provisions of Section 5(b). b. Disputes. In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. c. Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Revised 01/24 4 additional services in writing and such additional services are evidenced by a written amendment to this Agreement. 6. Responsibilities of the County a. Cooperation and Coordination. The County has designated (Orange County Health Director, Quintana Stewart) to act as the County's representative with respect to the Project who shall have the authority to render decisions within guidelines established by the County Manager or the County Board of Commissioners and who shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance a. General Requirements. Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers’ Compensation Insurance, and any additional insurance as may be required by County’s Risk Manager as such insurance requirements are described in 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). If County’s Risk Manager determines additional insurance coverage is required such additional insurance shall consist of Sexual Conduct and Physical Abuse Coverage rider (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 8. Indemnity a. Indemnity. To the extent authorized by North Carolina law the Provider agrees, without limitation, to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from property damage or bodily injury including death to any person or persons caused in whole or in part by the negligence or 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 provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 9. Amendments to the Agreement a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. 10. Termination DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Revised 01/24 5 a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days’ prior written notice to the Provider. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. Either party may terminate this Agreement upon notice to the other party that obligations pursuant to this Agreement are made impractical due to declarations of emergency by Orange County or by North Carolina due to events directly impacting Orange County. Both parties shall remain responsible for all payment and performance due up to the receipt of such notice, but shall have no further obligation or responsibility beyond that date provided the terminating party has taken all reasonable steps to complete the performance of its obligations. c. Compensation After Termination. i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider. Upon request of the County, the Provider shall submit to County all relevant documentation, including but not limited to, job cost records, to support its claims for final compensation. ii) Should this Agreement be terminated, the Provider shall deliver to the County within seven (7) days, at no additional cost, all deliverables including any electronic data or files relating to the Project. d. 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. e. Suspension. County may suspend the Basic Services and this Agreement at any time for County’s convenience and without penalty to County upon three (3) days’ notice to Provider. Upon any suspension by County, Provider shall discontinue work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. 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 DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Revised 01/24 6 Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal non-discrimination laws, policies, rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy (each Orange County policy is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Any violation of the Orange County Non-Discrimination Policy is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. d. 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. e. 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. f. Severability. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. g. Ownership of Work Product. Should Provider’s performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. All artwork and tangible projects created by Provider and participants in this program shall be the property of the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Revised 01/24 7 h.Non-Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable or not appropriated for the performance of County’s obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability or non-appropriation of public funds. It is expressly agreed that County shall not activate this non-appropriation provision for its convenience or to circumvent the requirements of this Agreement. In the event of a change in the County’s statutory authority, mandate or mandated functions, by state or federal legislative or regulatory action, which adversely affects County’s authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County’s legal authority. i.Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. j. 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 Attention: Kimberlee Quatrone P.O. Box 8181 Hillsborough, NC 27278 Reintegration Support Network 117 West Main Street Carrboro, NC 27510 [SIGNATURE PAGE TO FOLLOW] DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Revised 01/24 8 IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder set their hands and seal, all as of the day and year first above written. ORANGE COUNTY: PROVIDER: By: _________________________________ Bonnie Hammersley, County Manager By: __________________________________ Terence Johnson, Executive Director Printed Name and Title DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Revised 01/24 9 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Reintegration Support Network Vendor Contact Person: Jamie Jacobs Phone: 984-777-5282 Address: 117 West Main Street City Carrboro State: NC Zip: 27510 Department: Health Amount: $20,000 Purpose: Opioid prevention in youth Budget Code(s): 27411020-630000-92005 Vendor # 800062 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 1-1-24 End Date 12-31-24 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: 12-12-23); Made or Administered by Signature Authority - BOCC Express Delegation (Agenda Date: ) - Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 - Budget Policy Section XV (Capital Improvement Project: ) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) Department Affirmation This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement. This agreement is approved as to technical form and content. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: These services are already being delivered due to the nature of the service and not wanting to keep services from the population while completing the contract. Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D 5/3/2024 5/6/2024 5/7/2024 5/7/2024 Revised 01/24 10 The following signature block is for hard copies only and is not required for Docusign contracts: Received for record retention: Office of the Clerk to the Board __________________________________________Date:________ DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Exhibits, page 1 EXHIBIT A TO NC MOA: HIGH-IMPACT OPIOID ABATEMENT STRATEGIES (“OPTION A” List) In keeping with the National Settlement Agreement, opioid settlement funds may support programs or services listed below that serve persons with Opioid Use Disorder (OUD) or any co-occurring Substance Use Disorder (SUD) or mental health condition. As used in this list, the words “fund” and “support” are used interchangeably and mean to create, expand, or sustain a program, service, or activity. 1.Collaborative strategic planning. Support collaborative strategic planning to address opioid misuse, addiction, overdose, or related issues, including staff support, facilitation services, or any activity or combination of activities listed in Exhibit C to the MOA (collaborative strategic planning). 2.Evidence-based addiction treatment. Support evidence-based addiction treatment consistent with the American Society of Addiction Medicine’s national practice guidelines for the treatment of opioid use disorder – including Medication-Assisted Treatment (MAT) with any medication approved for this purpose by the U.S. Food and Drug Administration – through Opioid Treatment Programs, qualified providers of Office-Based Opioid Treatment, Federally Qualified Health Centers, treatment offered in conjunction with justice system programs, or other community-based programs offering evidence-based addiction treatment. This may include capital expenditures for facilities that offer evidence-based treatment for OUD. (If only a portion of a facility offers such treatment, then only that portion qualifies for funding, on a pro rata basis.) 3.Recovery support services. Fund evidence-based recovery support services, including peer support specialists or care navigators based in local health departments, social service offices, detention facilities, community-based organizations, or other settings that support people in treatment or recovery, or people who use drugs, in accessing addiction treatment, recovery support, harm reduction services, primary healthcare, or other services or supports they need to improve their health or well-being. 4.Recovery housing support. Fund programs offering recovery housing support to people in treatment or recovery, or people who use drugs, such as assistance with rent, move-in deposits, or utilities; or fund recovery housing programs that provide housing to individuals receiving Medication-Assisted Treatment for opioid use disorder. 5.Employment-related services. Fund programs offering employment support services to people in treatment or recovery, or people who use drugs, such as job training, job skills, job placement, interview coaching, resume review, professional attire, relevant courses at community colleges or vocational schools, transportation services or transportation vouchers to facilitate any of these activities, or similar services or supports. 6.Early intervention. Fund programs, services, or training to encourage early identification and intervention for children or adolescents who may be struggling with problematic use of drugs or mental health conditions, including Youth Mental Health Exhibit ADocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Exhibits, page 2 First Aid, peer-based programs, or similar approaches. Training programs may target parents, family members, caregivers, teachers, school staff, peers, neighbors, health or human services professionals, or others in contact with children or adolescents. 7. Naloxone distribution. Support programs or organizations that distribute naloxone to persons at risk of overdose or their social networks, such as Syringe Service Programs, post-overdose response teams, programs that provide naloxone to persons upon release from jail or prison, emergency medical service providers or hospital emergency departments that provide naloxone to persons at risk of overdose, or community-based organizations that provide services to people who use drugs. Programs or organizations involved in community distribution of naloxone may, in addition, provide naloxone to first responders. 8. Post-overdose response team. Support post-overdose response teams that connect persons who have experienced non-fatal drug overdoses to addiction treatment, recovery support, harm reduction services, primary healthcare, or other services or supports they need to improve their health or well-being. 9. Syringe Service Program. Support Syringe Service Programs operated by any governmental or nongovernmental organization authorized by section 90-113.27 of the North Carolina General Statutes that provide syringes, naloxone, or other harm reduction supplies; that dispose of used syringes; that connect clients to prevention, treatment, recovery support, behavioral healthcare, primary healthcare, or other services or supports they need; or that provide any of these services or supports. 10. Criminal justice diversion programs. Support pre-arrest or post-arrest diversion programs, or pre-trial service programs, that connect individuals involved or at risk of becoming involved in the criminal justice system to addiction treatment, recovery support, harm reduction services, primary healthcare, prevention, or other services or supports they need, or that provide any of these services or supports. 11. Addiction treatment for incarcerated persons. Support evidence-based addiction treatment, including Medication-Assisted Treatment with at least one FDA-approved opioid agonist, to persons who are incarcerated in jail or prison. 12. Reentry Programs. Support programs that connect incarcerated persons to addiction treatment, recovery support, harm reduction services, primary healthcare, or other services or supports they need upon release from jail or prison, or that provide any of these services or supports. DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Start Date: 1/1/2024 End Date: 12/31/2024 Description Count How were efforts supported?Notes Additional Information & Helpful Hints about this Measure # of unique participants, who use opioids and/or have OUD, served A unique participant may participate in multiple support programs so there may be some duplication of unique participants when numbers across programs, project, sites, etc., are aggregated for the strategy-specific impact report. A participant may receive services across local government boundaries (e.g., a person with OUD may reside in one county and receive services in another county). Number of referrals do not equate to number of unique participants because one individual may receive multiple referrals. # of total contacts with all participants of the program # of participants who use opioids and/or have OUD, referred to addiction treatment # of participants who use opioids and/or have OUD, referred to recovery supports (e.g., employment services, housing services, etc.) # of participants who use opioids and/or have OUD, referred to harm reduction services (e.g., syringe and supply access, overdose prevention education, disease prevention, etc.) # of participants who use opioids and/or have OUD, referred to primary healthcare # of participants who use opioids and/or have OUD, referred to other services # of peer support specialists/care navigators # of naloxone kits distributed A naloxone kit contains two doses. Custom, strategy-specific measures may be entered in this row. Custom, strategy-specific measures may be entered in this row. Custom, strategy-specific measures may be entered in this row. Process Measure Count Additional Information & Helpful Hints about this Measure # of unique participants, who use opioids and/or have OUD, served A unique participant may participate in multiple treatment programs so there may be some duplication of unique participants when numbers across programs, project, sites, etc., are aggregated for the strategy- specific impact report. A participant may receive services across local government boundaries (e.g., a person with OUD may reside in one county and receive services in another county). American Indian/Alaska Native Non-Hispanic Asian Non-Hispanic Notes 3. Recovery Support Services Insert Start and End Date for this Strategy (MM/DD/YYYY) Process measures answer the question, “How much did you do?”. Please quantify the process measures relevant to your implementation of this strategy. Indicate whether the count represents efforts supported only by opioid settlement funds or efforts supported by multiple funding sources including opioid settlement funds. Process measures should reflect numbers during the time period January 1, 2024 through December 31, 2024. STRATEGY-SPECIFIC PROCESS MEASURES DEMOGRAPHICS: Provide the following information on race and ethnicity for the # of unique participants, who use opioids and/or have OUD, served during the time period January 1, 2024 through December 31, 2024. Of the # of unique participants, who use opioids and/or have OUD, served in the count above, how many people identified as: Exhibit B: Reintegration Support Network Reporting Form Scope of Work Required Reporting. Provider must report on the approved metrics by July 15, 2024 (for Januaryl 1 - June 30), and January 15, 2025 (for July 1, 2024 - December 31, 2024). In addition to the metric reporting , provider must submit a success story (250 word limit) from a person who has benefitted from the Strategy (de-identified unless the person has agreed in writing to be identified) during the time period of January 1, 2024 through June 30, 2024, and another for the time period July 1, 2024 through December 31, 2024. These stories are to be submitted at the time of the metric reports. DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Black Non-Hispanic Native Hawaiian or Other Pacific Islander Non-Hispanic White Non-Hispanic Hispanic Some Other Race or Multiple Races Unknown Sum total of unique participants served (Autocalculated) Does sum total (C35) match the reported # of unique participants (C25)? (Autocalculated)Yes Description Count Quality Measure Percent (Autocalculated)Notes Additional Information & Helpful Hints about this Measure # of unique participants, who use opioids and/or have OUD, served, who report they are satisfied with services # of unique participants, who use opioids and/or have OUD, served # of referrals to addiction treatment, recovery supports, harm reduction services, primary healthcare, and other services that result in linkage to supports/services # of referrals to addiction treatment, recovery supports, harm reduction services, primary healthcare, and other services # of staff with lived experience with OUD # of staff # of unique participants, who use opioids and/or have OUD, served who received naloxone kit # of unique participants, who use opioids and/or have OUD, served Description Count Outcome Measure Percent (Autocalculated)Notes Additional Information & Helpful Hints about this Measure # of unique participants with OUD served who were connected to treatment and adhered to treatment STRATEGY-SPECIFIC QUALITY MEASURES Quality measures answer the question, “How well did you do it?”. Please quantify the quality measures relevant to your implementation of this strategy. Quality measures should reflect numbers during the time period January 1, 2024 through December 31, 2024. % of participants, who use opioids and/or have OUD, who are satisfied w/ services Incomplete A unique participant may participate in multiple treatment programs so there may be some duplication of unique participants when numbers across programs, project, sites, etc., are aggregated for the strategy- specific impact report. A participant may receive services across local government boundaries (e.g., a person with OUD may reside in one county and receive services in another county). % of referrals that results in linkage (e.g., first appointment)Incomplete % of staff with lived experience with OUD Incomplete % of participants who received naloxone kit Incomplete A naloxone kit contains two doses. A unique participant may participate in multiple treatment programs so there may be some duplication of unique participants when numbers across programs, project, sites, etc., are aggregated for the strategy- specific impact report. A participant may receive services across local government boundaries (e.g., a person with OUD may reside in one county and receive services in another county). STRATEGY-SPECIFIC OUTCOME MEASURES (PROGRAM-LEVEL) Incomplete Custom, strategy-specific measures may be entered in this row. Incomplete Custom, strategy-specific measures may be entered in this row. Incomplete Custom, strategy-specific measures may be entered in this row. Outcome measures answer the question, “Is anyone better off?”. Outcome measures can be at the program- or population-level. Please quantify the outcome measures relevant to your implementation of this strategy. Outcome measures should reflect numbers during the time period January 1, 2024 through December 31, 2024. % of patients with OUD who adhere to treatment months after first Incomplete Recommended measure at six months. If measure for adherence is taken at another increment, please describe this in the "Notes" column. A unique participant may participate in multiple treatment programs so there may be some duplication of unique participants when numbers DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D # of participants who use opioids and/or have OUD, referred to addiction treatment # of unique participants with OUD served who were connected to employment services and obtained employment # of participants who use opioids and/or have OUD, referred to recovery supports (e.g., employment services, housing services, etc.) # of unique participants with OUD served who retain permanent housing at _ months # of participants who use opioids and/or have OUD, referred to recovery supports (e.g., employment services, housing services, etc.) # of unique participants with OUD served who were connected to harm reduction services and remained engaged with services # of participants who use opioids and/or have OUD, referred to harm reduction services # of unique participants with OUD served who were connected to primary healthcare services and who kept using services # of participants who use opioids and/or have OUD, referred to primary healthcare # of unique participants with OUD served who were connected to other services and who kept using services # of participants who use opioids and/or have OUD, referred to other services # of participants who use opioids and/or have OUD, served who report getting the social and emotional support they need to treatment __ months after first appointment Incomplete there may be some duplication of unique participants when numbers across programs, project, sites, etc., are aggregated for the strategy- specific impact report. A participant may receive services across local government boundaries (e.g., a person with OUD may reside in one county and receive services in another county). % of participants with OUD who have obtained employment at __ months, through engagement with recovery support services at __ months Incomplete This measure indicates if participants have jobs at the __ month check in. Recommended measure at six months. If measure for employment is taken at another increment, please describe this in the "Notes" column. A unique participant may participate in multiple treatment programs so there may be some duplication of unique participants when numbers across programs, project, sites, etc., are aggregated for the strategy- specific impact report. A participant may receive services across local government boundaries (e.g., a person with OUD may reside in one county and receive services in another county). % of participants with OUD who retain housing at __ months, through engagement with recovery support services at __ months Incomplete Recommended measure at six months. If measure for retention of permanent housing is taken at another increment, please describe this in the "Notes" column. A unique participant may participate in multiple support programs so there may be some duplication of unique participants when numbers across programs, project, sites, etc., are aggregated for the strategy-specific impact report. A participant may receive services across local government boundaries (e.g., a person with OUD may reside in one county and receive services in another county). Number of referrals do not equate to number of unique participants because one individual may receive multiple referrals. % of participants with OUD engaged with harm reduction services at __Incomplete Recommended measure at six months. If measure for engagement is taken at another increment, please describe this in the "Notes" column. A unique participant may participate in multiple treatment programs so there may be some duplication of unique participants when numbers across programs, project, sites, etc., are aggregated for the strategy- specific impact report. A participant may receive services across local government boundaries (e.g., a person with OUD may reside in one county and receive services in another county). % of participants with OUD using primary healthcare services at __ months Incomplete Recommended measure at six months. If measure for utilization is taken at another increment, please describe this in the "Notes" column. A unique participant may participate in multiple treatment programs so there may be some duplication of unique participants when numbers across programs, project, sites, etc., are aggregated for the strategy- specific impact report. A participant may receive services across local government boundaries (e.g., a person with OUD may reside in one county and receive services in another county). % of participants with OUD using other services at __ months Incomplete Recommended measure at six months. If measure for utilization is taken at another increment, please describe this in the "Notes" column. A unique participant may participate in multiple treatment programs so there may be some duplication of unique participants when numbers across programs, project, sites, etc., are aggregated for the strategy- specific impact report. A participant may receive services across local government boundaries (e.g., a person with OUD may reside in one county and receive services in another county). % of participants who report getting the social and emotional support Incomplete Consider asking participants the Behavioral Risk Factor Surveillance System question, "How often do you get the social and emotional support you need?" 1. Always 2. Usually 3 Sometimes DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D # of participants who use opioids and/or have OUD, served Description Notes Additional Information & Helpful Hints about this Measure % of residents receiving dispensed buprenorphine prescriptions The Opioid and Substance Use Action Plan (OSUAP) Data Dashboard can be found here. Use the "Metrics" tab to find the "Metric" (i.e., Outcome Measure, Population-Level) and "Place" to find your county. % of individuals with OUD served treatment programs by who are uninsured or Medicaid beneficiaries The Opioid and Substance Use Action Plan (OSUAP) Data Dashboard can be found here. Use the "Metrics" tab to find the "Metric" (i.e., Outcome Measure, Population-Level) and "Place" to find your county. Unemployment rate The Opioid and Substance Use Action Plan (OSUAP) Data Dashboard can be found here. Use the "Metrics" tab to find the "Metric" (i.e., Outcome Measure, Population-Level) and "Place" to find your county. % of housing & homelessness 211 calls The Opioid and Substance Use Action Plan (OSUAP) Data Dashboard can be found here. Use the "Metrics" tab to find the "Metric" (i.e., Outcome Measure, Population-Level) and "Place" to find your county. the social and emotional support they need Incomplete 3. Sometimes 4. Rarely 5. Never The # of participants who answer "Always" and "Usually" can be summed to find # of participants who have OUD, served who report getting the social and emotional support they need Incomplete Custom, strategy-specific measures may be entered in this row. In addition to any program-level outcome measures captured above, population-level data on outcome measures are available from the OSUAP Data Dashboard. Please visit the Data Dashboard and become familiar with what is available. Then indicate if there are population-level outcome measures you are expecting to change as a result of your implementation of this strategy. The OSUAP Data Dashboard provides integration and visualization of state, regional, and county-level metrics for partners across NC to track progress toward reaching the goals outlined in the North Carolina’s Opioid and Substance Use Action Plan. Which metrics are shared on the Dashboard, referred to as outcome measures (population-level) in the Impact Report, may change over time. STRATEGY-SPECIFIC OUTCOME MEASURES (POPULATION-LEVEL) Are you expecting to change this measure as a result of implementing this stragegy? Incomplete Custom, strategy-specific measures may be entered in this row. Incomplete Custom, strategy-specific measures may be entered in this row. DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Exhibit C: RSN Budget FY 2023-2024 A. Personnel Opioid Settlement Funds 70xx ꞏ Personnel Expenses 7010 ꞏ Salaries & Wages engagement program, including referral 9,153 701x - Lead Mentor (Act as a liaison with other OC youth-serving organizations; provides formal and informal mentoring, lead facilitation for Life Skills groups; mentor support including recruitment, onboarding, training and supervision) 7,800 Total 7010 ꞏ Salaries & Wages 16,953 B. Fringe Benefits 7060 ꞏ FICA Taxes 7064 - FICA - PPM (Prog.Mgr. #1)700 706x - FICA Lead Mentor 597 Total 7060 ꞏ FICA Taxes 1,297 70xx ꞏ Workers' Comp 250 Total 70xx ꞏFringe Benefits 1,547 Total 70xx ꞏ Personnel Expenses 18,500 82xx ꞏ Contractors/Consultants 8xxx - Mentor Services (incl. mentor fees @ $18.54, 5 mento 1,500 Total 82xx ꞏ Contractors/Consultants 1,500 Grand Total 20,000 DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D 03/28/2024 Dominick Huckabee Noblin & Trent Insurance Agency PO Box 52239 Durham NC 27717 Diane Nadeau (919) 968-4611 dnadeau@business-insurers.com Reintegration Support Network, 117 W Main St Carrboro NC 27510 Westchester Insurance 27154 Markel Insurance Company Philadelphia Insurance Comp 23850 CL2432842094 A GLWF17467141 001 02/27/2024 02/27/2025 1,000,000 50,000 5,000 1,000,000 2,000,000 2,000,000 A GLWF17467141 001 02/27/2024 02/27/2025 1,000,000 B Y MWC0155468-05 09/03/2023 09/03/2024 100,000 100,000 500,000 A Abuse & Molestation GLWF17467141 001 02/27/2024 02/27/2025 Each Occurrence 1,000,000 Aggregate 2,000,000 Orange County 300 West Tryon Street PO Box 8181 Hillsborough NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D From:Melissa Tegeder To:Kimberlee Quatrone Subject:Re: Insurance Company Refusing to Name OC on COI Date:Wednesday, April 3, 2024 1:30:20 PM Attachments:image001.png image002.png Outlook-h0u1dywm.png Thank you. You can move forward without the endorsement. Grants are a bit tricky! One favor - please attach this email to the contract so I know we had this conversation! Melissa Tegeder Risk Management Director “Human Error is not a cause, it’s a consequence.” 131 W Margaret Street,3rd Floor, Hillsborough, NC 27278 (919) 245-2155 www.orangecountync.gov CONFIDENTIALITY NOTICE: All email messages, including any attachments, generated from or received by this account are the property of Orange County Government and as such are considered public domain and are subject to the North Carolina Public Records Law. Certain confidential information may be transmitted and any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. From: Kimberlee Quatrone <kquatrone@orangecountync.gov> Sent: Wednesday, April 3, 2024 12:36 PM To: Melissa Tegeder <mtegeder@orangecountync.gov> Subject: Insurance Company Refusing to Name OC on COI Melissa, I keep bringing you all the difficult ones. Please see email below. This is for an organization that is receiving Opioid funding (part of the settlement funds). When I informed them the COI I received was inadequate this is the response I received. I’ve attached the COI they originally sent me as well as the contract. They will not be conducting work on campus. We are granting them money to be used in their daily programming. Let me know how you would like to move forward. Kim Kimberlee Quatrone Business Officer II Phone: 919-245-2460 Please tell us how we are doing by completing this short survey. We appreciate your comments. https://www.surveymonkey.com/r/OCHD_satisfaction_English DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D CONFIDENTIALITY NOTICE: All email messages, including any attachments, generated from or received by this site are the property of Orange County Government and are considered public domain subject to the North Carolina Public Record Law. The Orange County Health Department transmits minimal confidential client/patient information via email, and any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. If you believe there has been an inappropriate disclosure, please contact Ashley Rawlinson, OCHD HIPAA Privacy and Security Officer, at arawlinson@orangecountync.gov. From: Jamie Jacobs <jamie@rsnnc.org> Sent: Tuesday, April 2, 2024 12:59 PM To: Kimberlee Quatrone <kquatrone@orangecountync.gov> Cc: Dana Crews <dcrews@orangecountync.gov>; Terence Johnson <terence@rsnnc.org> Subject: [EXTERNAL MAIL!] Re: [EXTERNAL MAIL!] Re: Opioid Prevention Contract -Items Needed Hello Kimberlee - I've spoken to our insurance agent, Diane Nadeua at Business Insurers of the Carolinas and was informed the following: Diane Nadeau 12:34 PM (1 minute ago) to me Hi Jamie, The carrier got back with me and they have declined to add Orange County as additional insured so I can’t send out the certificate that way. Per the carrier, they would not consider that entity an insurable interest to our exposure since we are a non-for profit. Because the city donates and funds the programs does not mean they have interest in your operations. If they are going to make it an absolute must to be additional insured, we will need to see if we can rewrite the policy with another carrier. Thanks Dinae Diane Nadeau, CIC Business Insurers of the Carolinas, LLC Commercial Lines Account Manager PO Box 2536 (27515) 501 Eastowne Drive, Suite 250 Chapel Hill NC 27514 dnadeau@business-insurers.com Direct -919-537-7221 Toll Free-877-834-4467 ext 221 DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D Fax 919-968-8991 Diane can be available to speak with you about this matter and I'm happy to give you a call regarding how to proceed. Thank you, Jamie Jamie Jacobs, CTACC, PSS, Recovery Coach (she/they) Director of Operations Reintegration Support Network, Inc. Office: 984-777-5282 www.rsnnc.org On Mon, Apr 1, 2024 at 7:41 AM Kimberlee Quatrone <kquatrone@orangecountync.gov> wrote: Jamie, Good morning. I hope you had a pleasant weekend. Can you please update the certificate of insurance to include Orange County named as an additional insured for General Liability and Auto coverage? This is required by the Risk Manager. We will be unable to accept a COI without this information. I have put the requirements below. Thank you. Kimberlee All COIs (Certificates of Insurance) must name Orange County as an additional insured for GL, Auto and Umbrella Coverage. This is noted on the COI by x in the Additional Insured Box or noting it in the Comment section. Make sure address is West Tryon Street and PO Box. DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D