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HomeMy WebLinkAbout2024-329-E-OCOEI Dept-Refugee Community Partnership-Outside Agency FundingOrange County Outside Agency Performance Agreement Revised 06/23—County Manager Version Page 1 of 10 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2023, (“Effective Date”) by and between the County of Orange, a political subdivision of the State of North Carolina, Post Office Box 8181, Hillsborough, North Carolina, 27278, ("County") and Refugee Community Partnership, Inc., a not-for-profit corporation, located at P.O. Box 461, Carrboro, North Carolina 27510 (“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 $7,500. 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 $1,875. 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: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 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: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 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 (Courtney E. McLaughlin) 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: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 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: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 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: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 Orange County Outside Agency Performance Agreement Page 6 of 10 Rev.06/23 injury, including death or property damage, to any person or persons caused in whole or in part by the negligence or willful misconduct of the Provider, except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this section to require Provider to indemnify the County to the extent permitted under North Carolina law. Nothing in this section is intended to affect or abrogate the County’s sovereign immunity defenses. j. Non-Appropriation. This Agreement is subject to the availability of funds to purchase the specified services and may be terminated at any time if such funds become unavailable. k. Severability. All clauses found herein shall act independently of each other. If a clause is found to be illegal or unenforceable, it shall have no effect on the other provisions of this Agreement. It is understood by the parties hereto that if any part, term or provision of this Agreement is by the Courts held to be illegal or in conflict with any laws of the State of North Carolina or the United States, the validity of the remaining portions or provisions shall not be affected, and the rights and obligations of the parties shall be construed and enforced as if the Agreement did not contain the particular part, term or provision held to be invalid. l. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. m. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Provider’s Name Refugee Community Partnership, Inc. Attention: Bonnie Hammersly Attention: Madison Hayes P.O. Box 8181 Address: P.O. Box 461 Hillsborough, NC 27278 Carrboro, NC 27510 Email:bhammersley@orangecountync.gov Email: madison@rcpteam.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 _____________________________ _______________________ Madison Hayes, Co-Executive Director Date For and on behalf of Orange County Government _______________________________ ________________________ DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 6/3/2024 6/17/2024 Orange County Outside Agency Performance Agreement Page 7 of 10 Rev.06/23 Bonnie Hammersley, County Manager Date DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 Orange County Outside Agency Performance Agreement Page 8 of 10 Rev.06/23 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Refugee Community Partnership, Inc. Party/Vendor Contact Person: Madison Hayes Contact Phone: (919) 590-5910 Party/Vendor Address: P.O. Box 461 City Carrboro State: NC Zip: 27510 Department: Office of Equity & Inclusion Amount: $7500.00 Purpose: Outside Agency Funding Budget Code(s): 10290050-719108 Vendor # 65327 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 7/1/2023 Approved by Board Yes No Agenda Date: 6/20/2023 This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director’s Signature ________________________________________ Date: ________ Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technologies (Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 6/17/2024 6/17/2024 6/17/2024 6/17/2024 Orange County Outside Agency Performance Agreement Page 11 of 10 Rev.06/23 ATTACHMENT “A” Orange County Certifications – FY 2023-24 Outside Agency Performance Agreement Chief Contact, Administrators, Chief Executive Officer and Chief Financial Officer I certify that I have provided a list of the chief contact, administrators, chief executive officer and chief financial officer for my agency with this Agreement and that I will keep it current to the County of Orange. The list should be in writing with the name, title, residential address; phone and email address and if possible, fax number. Officers and Board of Directors I certify that I have provided a current list of the Officers and Board of Directors with this Agreement and that we will continue to update the list as changes occur. The list should be in writing, with the name, physical address, mailing address and if possible, phone, fax and email address. Budget Submission I certify that I have provided a budget for the period to be covered by funding Orange County, and that any substantive changes made to this budget have been in advance authorized in writing by Orange County. Annual Financial Review I certify that I have provided a copy of the latest annual Financial Review for our agency and the budget adopted by the agency for the fiscal years encompassing this Agreement. If not, please explain on a separate sheet of paper. Alignment with Organization’s Mission I certify that the programs and services for which this funding is requested align with the mission of the organization. Intended Purpose I certify that the funds provided to the agency under the terms of this Agreement will be used for a public purpose and shall only be used for the purposes intended and any money not used for those purposes will be promptly returned to Orange County. Certified by: _______________________ Title: __________________________ Date: ___________ (Provider’s Signature) DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 6/3/2024Co-Executive Director COVER PAGE Applicant Contact Information Applicant Organization’s Legal Name:Refugee Community Partnership Applicant Organization’s Physical Address:117 W Main St, Carrboro, NC 27510 Applicant Organization’s Mailing Address:PO Box 461,Carrboro, NC 27510 Applicant Organization’s Web Address:www.refugeecommunitypartnership.org Executive Director:Madison Hayes Telephone Number:919-590-5910 E-Mail:development@refugeecommunitypartnership.org Tax ID Number:26-3608741 Funding Request Please list all Fiscal Year 2024 Human Services (HS) funding requested for all programs and the proposed use of funds (please list program name only) Program Carrboro - HS Chapel Hill - HS Orange County-HS Total Ex. Youth Afterschool Program Operations or Personnel $10,000 Operation s $15,000 Personne l $5,000 Operations $30,000 Neighborhood Support Circles $10,000 Personnel and Operation s $50,000 Personne l and Operatio ns $10,000 Personnel and Operations $70,000 Totals $10,000 $50,000 $10,000 $70,000 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. Signature: Executive Director Date Signature: Board Chairperson Date Application Signatures: Please submit a wet signature or electronic signature,MS Word cursive fonts are not acceptable. Cover Page Page 7 of 21 Exhibit A Provider’s Outside Agency Application Vice Chair January 12, 2023 January 12, 2023 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 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 ☐X a)Employees of or closely related to employees of the Town of Carrboro,the Town of Chapel Hill, or Orange County? X ☐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? ☐ X c) Current beneficiaries of the program for which funds are being requested? ☐X 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. We are thrilled that Tai Hyunh,a Chapel Hill Town Council Member,is Member on RCP’s Board of Directors. Tai and RCP are conscious of potential conflicts of interest,and will take the necessary measures to mitigate against them. 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. 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: Executive Director Date Signature: Board Chairperson Date Application Signatures: Please submit a wet signature or electronic signature,MS Word cursive fonts are not acceptable. Cover Page Page 8 of 21 Vice Chair January 12, 2023 January 12, 2023 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 AGENCY INFORMATION Please provide the following information about your agency: 1.Date of Incorporation (Month/Year):09/2008 2.Agency’s Purpose/Mission (no more than a few sentences):The Refugee Community Partnership (RCP)is a grassroots organization that uses community-led design to disrupt threats to the health and safety of refugee and migrant communities,creating systems that connect people to the resources they need while mobilizing institutions to eliminate barriers to access. Our 1,200+Members are largely non-English speaking,representing 13 unique languages with 18 dialects,hailing from Burma,Syria,Turkey,Yemen,Lebanon,the Congo,Central African Republic,El Salvador,Colombia,Guatemala,Honduras,Mexico,and Afghanistan.Most are families with young children,and roughly 98%live below the Federal Poverty Line.Centering relationships of mutual aid and transformative companionship,RCP works at the intersection of social mobility,health equity,and language justice,to ensure that our Members experience economic and social well-being & opportunities to thrive as they rebuild home in Orange County. 3.Please provide a brief description of your organization’s past achievements in carrying out similar projects and evidence of successful record of meeting proposed budgets and timetables (no more than 100 words). RCP creates tailored and streamlined “referral pathways,” deploying Community Coordinators and Bridge Builder Volunteers to provide personal interpretation and accompaniment eliminating language barriers that obstruct access to cross-sector services and stabilizing financial security. Last year, Community Coordinators earned 2x living wage, providing 2,802 hours of interpretation for 280+ residents navigating public services, from housing lease renewal meetings, to DSS, to accessing crisis response services. RCP’s work has garnered national attention and funding as a community-driven model for refugee support. Supported by the Towns of Carrboro, Chapel Hill, and Orange County, RCP was launched in 2011 and has over 1,200+ Members. Each year, we carry out programmatic activities within budget, and complete reporting requirements within timeframes. 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:10 # of FTE – Part-Time Paid Positions:4 Race & Equity Consistent with our commitment to equity and inclusion, the Towns of Chapel Hill and Carrboro and Orange County Government are taking steps together to center racial equity in the Human Services Funding Program.We are requesting basic information about your organization’s racial equity work. Program information Page 9 of 21 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 5.How has your organization incorporated racial equity goals into your organizational goals? RCP centers racial equity by examining where white supremacy culture shows up in our organizational culture and structure, and maintaining accountability to communities we work with. Our priorities reflect those of the people we serve, rather than those who fund our organization. Language justice is our arterial focus, as English improficiency is weaponized for the economic and political exclusion and exploitation of migrant and refugee populations. We focus on “reciprocal relationships” rather than "service provision", turning relationships of charity to relationships of collective care, working in cooperation toward Members’ goals in a way that maintains their agency and priorities. 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). Throughout the refugee journey, help-giving relationships are one-way, undermining self agency and perception of self-worth. At RCP we flip the script, where refugee and migrant communities play the lead role in addressing the issues that affect them. Decision-making comes from Membership through 1) neighborhood level conversations between Member families, staff, and interpreters and 2) through our Member Councils, composed entirely of refugee and migrant residents. RCP maintains economic accountability by hiring Members for as many positions as possible. Currently, 7 of 10 staff are refugee or migrant identifying, with an additional 35 Members on payroll. 7.Please fill in your agency demographics in the table below: Agency Demographics Staff Board Gender Men 2 4 Women 8 4 Nonbinary/Genderqueer Self-Describe Total 10 8 Race and Ethnicity Black or African-American 2 American Indian or Alaska Native Asian Indian 3 4 White 3 4 Native Hawaiian or Other Pacific Islander Chinese Program information Page 10 of 21 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 Japanese Vietnamese Filipino Korean Some other race 2 Total 10 8 Of the above, how many Hispanic, Latino or Spanish origin 1 0 Of the above, how many non-Hispanic, Latino or Spanish origin 9 8 Total 10 8 8.a. % of staff that have attended racial equity training:90% (a new staff member will attend training by the end of the quarter) b.% of board that have attended racial equity training:100% c. Any additional activities:Staff have participated in Racial Equity Cohorts, small learning circles facilitated by The Equity Paradigm. We practice continuous learning among staff via articles, resources, and group conversations about settler colonialism in the US, anti-Blackness, white supremacy culture in both domestic and international settings, and power and oppression. The cost of personal and professional development opportunities related to these topics is covered by RCP. PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 9.Program Name:Neighborhood Support Circles Program Primary Contact and Title: Daniella Runyambo, Co-ED of Programs and Community Impact    Telephone Number:919-590-5910 E-Mail:daniella@refugeecommunitypartnership.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) Language inaccess is the greatest threat to the wellbeing of refugee and migrant communities, blocking non-English speaking residents from accessing housing, public benefits, and economic opportunities. Since 2020, RCP’s Membership- and their need for language support- has skyrocketed to 1,200+. Most institutions lack language services for niche global languages, Program information Page 11 of 21 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 preventing residents from being able to address their basic needs. More broadly, language access is critical for daily life - from finding and maintaining employment, to calling a child’s teacher or participating in a lease renewal meeting with a landlord. Neighborhood Support Circles supports refugee and migrant residents in stabilizing financial security and accessing opportunities. Members first join our digital organizing environment, The Hive, which delivers public information- from public safety alerts to resources and opportunities- to users in their language of proficiency through textable audio recordings, translated by Community Interpreters into 8+ languages. Next, families’ access in-person support from Community Interpreters and Bridge Builder volunteers through neighborhood-based pods, every week, across 5 different neighborhood sites. Kids participate in academic enrichment that focuses on STEM education and social-emotional learning curriculum, while adults can access support ranging from digital literacy skill building to finding or maintaining housing, to applying for a job. Finally, Members can request trained Bridge Builder volunteers or Community Interpreters for additional support as needed, either acting as “cultural consultants” or emergency contacts, to personal interpretation and accompaniment to job interviews, medical appointments, or parent-teacher conferences. Neighborhood Support Circles flexibly combines relationship-based support with language access to foster self-agency for refugee and migrant families. 11.Target Population:Please complete the table below with numbers (not percentages) of individuals served and projected to be served. Program Target Population Demographics Projected 2021-2022 Actual 2021-2022 Projected 2022-2023 Project ed 2023-2 024 Gender Men 400 406 527 525 Women 380 497 643 675 Nonbinary/Genderqueer Self-Describe Total 780 903 1170 1,200 Race and Ethnicity Black or African-American 155 102 125 70 American Indian or Alaska Native Asian Indian 625 511 570 580 White Native Hawaiian or Other Pacific Islander Program information Page 12 of 21 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 Chinese Japanese Vietnamese Filipino Korean Some other race 290 475 550 Total 780 903 1170 1200 Of the above, how many Hispanic, Latino or Spanish origin 30 187 250 275 Of the above, how many non-Hispanic, Latino or Spanish origin 750 716 920 925 Total 780 903 1170 1,200 Age 0-5 years 104 117 151 140 6-18 years 317 367 476 490 19-50 years 346 401 520 540 51+ years 13 18 23 30 Total 780 903 1170 1200 Geographic Location Town of Chapel Hill 400 441 600 620 Town of Carrboro 280 163 220 240 Orange County (Outside of Chapel Hill/Carrboro)346 39 50 40 Outside of Orange County 60 260 300 300 Total 780 903 1170 1200 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments N/A N/A 1170 1170 Total 0 0 1170 1170 Program information Page 13 of 21 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 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 $315,280 $275,584 $313,450 Total # of Individuals 903 1170 1200 Cost Per Individual $349 $235 $261 13.Performance Indicators For Chapel Hill and Carrboro applicants: Please complete the following chart with information about the Strategic Objective,Intermediate Result,and the Agency Performance Indicator for each program for which you are applying for funding.Please select one strategic objective per program.If you would like to provide additional information on how your program aligns with additional strategic objectives,please include that information in Question 10 –Program Description.See the Results Framework in the Attachments section as a reference. Program Name: Strategic Objective (please choose one from the Results Framework) □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) Insert Intermediate Result here. 2.1 Residents access the most appropriate social safety net services RESULTS Actual 2021-2022 Projected 2022-2023 Projected 2023-2024 Program information Page 14 of 21 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 Performance Indicators % and # of participants who complete their referrals 95% of Members who receive a referral complete their referrals (643 of 677) 98% (860 of 878) 95% (855 of 900) # and % of low-income residents that increase income (wages, public benefits, or other income/savings) 85% (575 of 677) 85% (746 of 878) 85% (765 of 900) Program information Page 15 of 21 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 Outside Agencies/Human Services 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 X 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 Members are able to access the community services and resources they need to increase their security and health Performance Measure (How will you accomplish your goal?) Members receive referrals and are provided language accompaniment to attend and meaningfully participate in appointments with service providers (medical, social services, school, etc) Actual Results (Outcome) Ending FY2022 458 Members, 38 of whom live in Orange County outside of Chapel Hill and Carrboro, attend and meaningfully participate in critical appointments, and complete referrals. Projected Results (Outcome) Ending FY2023 640 Members, 37 of whom live in Orange County outside of Chapel Hill and Carrboro, attend and meaningfully participate in critical appointments, and complete referrals. Projected Results (Outcome) Ending FY2024 641 Members, 29 of whom live in Orange County outside of Chapel Hill and Carrboro, attend and meaningfully participate in critical appointments, and complete referrals. 1621 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 Outside Agencies/Human Services Program Goal # 2 Members improve their financial security Performance Measure (How will you accomplish your goal?) Members decrease household expenses and increase incomes by accessing eligible benefits, terminating contracts with fraudulent or predatory service providers, and increasing employment or wages Actual Results (Outcome) Ending FY2022 108 households, 7 of which live in Orange County outside of Chapel Hill and Carrboro, reduce their expenses by an average of $2300 Projected Results (Outcome) Ending FY2023 145 households, 9 of which live in Orange County outside of Chapel Hill and Carrboro, reduce their expenses by an average of $2300 Projected Results (Outcome) Ending FY2024 151 households, 7 of which live in Orange County outside of Chapel Hill and Carrboro, reduce their expenses by an average of $2300 Program Goal # 3 Members receiving housing support successfully secure, and retain, stable housing that they can afford Performance Measure (How will you accomplish your goal?) Staff assist Members with general housing support (lease applications, renewals, applying for housing and housing assistance, affordable housing acquisition, etc.) and housing crisis support (eviction diversion, transitioning out of homelessness, or other self-identified crisis). Actual Results (Outcome) Ending FY2022 43 Orange County households were supported in securing or retaining stable housing Projected Results (Outcome) Ending FY2023 72 Orange County households are supported in securing or retaining stable housing Projected Results (Outcome) Ending FY2024 75 Orange County households are supported in securing or retaining stable housing 1721 DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 Certified by: _______________________ Title: __________________________ Date: ____________ (Provider’s Signature) EXHIBIT “B” Scope of Services – FY 2023-24 Outside Agency Performance Agreement Agency Name: The Refugee Community Partnership Program Name: Neighborhood Support Circles Funding Award: $7,500 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, 2024. • Our digital Hive delivers public information- from public safety alerts to resources and opportunities- to users in their language of proficiency through textable audio recordings, translated by Community Interpreters into 8+ languages. • 5 Community Interpreters- refugee and migrant young adults- are employed in meaningful, living wage work, providing language access and accompaniment for refugee and migrant residents navigating interactions and appointments with public services (medical, social services, school, etc.) • Families access in-person support from Community Interpreters and Bridge Builder volunteers through neighborhood-based pods, every week, across 5 different neighborhood sites. 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 Members receive referrels and are provided language accompaniment to attend and meaninfully participate in appointments with service providers (medical, social services, school, etc.) Outcome achieved for 37 Member in Orange County in 2023 and 29 in 2024 Expense Description Amount Personnel & Operations $7,500 May 23, 2024Madison Hayes DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 Certified by: _______________________ Title: __________________________ Date: ____________ (Provider’s Signature) Performance Measures Anticipated Results Members decrease household expenses and increase incomes by accessing elegible benefits, terminating contracts with fraudulent or predatory service providers, and increasing employment or wages. Outcome achieved for 9 households in Orange County in 2023 and 7 in 2024 Staff assist Members with general housing support (lease applications, renewals, applying for housing and housing assistance, affordable housing acquisition, etc.) and housing crisis support (eviction diversion, transitioning out of homelessness, or other self-identified crisis). Outcome achieved for 72 Orange County Housholds in 2023 and 75 in 2024 May 23, 2024Madison Hayes DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 04/02/2024 Titan Risk Consultants, LLC 107 Conner Drive, Suite 225 Chapel Hill, NC 27514 License #: 1000643509 Victoria C DeCamp (919)636-3252 v.decamp@titanriskconsultants.com 00065757-67809 2 Refugee Community Partnership, Inc. Madison Hayes P.O. Box 461 Carrboro, NC 27510 Alliance for Non-Profits 10023 A Y 2024-53764 02/01/2024 02/01/2025X X 1,000,000 500,000 20,000 1,000,000 2,000,000 2,000,000 Alliance for Non-Profits 10023 A 2024-53764 02/01/2024 02/01/2025 X X 1,000,000 Nonprofits Insurance Alliance 10023 B 2024-53764 02/01/2024 02/01/2025Abuse & Molestation Abuse Aggregate 2,000,000 Nonprofits Insurance Alliance 10023 B 2024-53764 02/01/2024 02/01/2025Errors & Omissions E&O Aggregate 1,000,000 Orange County, its officers, agents, and employees are added as Additional Insured as respects General Liability as required by written contract. Orange County 300 West Tryon Street P.O. Box 8181 Hillsborough, NC 27278 (VCD) Printed by VCD on 04/02/2024 at 10:00AM ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH-STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 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 05/29/2024 Doug Jones (Justworks) c/o Artex Risk Solutions, Inc. P.O. Box 13838 Scottsdale, AZ 85267 (888) 534-1711 Justworks Customer Success support@justworks.com American Zurich Insurance Company 40142 Justworks Employment Group LLC Alt. Emp: Refugee Community Partnership, Inc PO Box 7119 Church Street Station New York, NY 10008-7119 Coverage is provided for only those co-employees of, but not subcontractors to: WC 00-94-236-07 06/01/2023 07/01/2023 06/01/2024 06/01/2024 2,000,000 2,000,000 2,000,000 23NY0171178265 136645-NC Refugee Community Partnership, Inc 117 W Main St Carrboro, NC 27510 Town of Chapel Hill 405 Martin Luther King Jr Blvd Chapel Hill, NC 27514 Client# A Location Coverage Period: X DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 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 05/29/2024 Doug Jones (Justworks) c/o Artex Risk Solutions, Inc. P.O. Box 13838 Scottsdale, AZ 85267 (888) 534-1711 Justworks Customer Success support@justworks.com American Zurich Insurance Company 40142 Justworks Employment Group LLC Alt. Emp: Refugee Community Partnership, Inc PO Box 7119 Church Street Station New York, NY 10008-7119 Coverage is provided for only those co-employees of, but not subcontractors to: WC 00-94-236-08 06/01/2024 06/01/2024 06/01/2025 06/01/2025 2,000,000 2,000,000 2,000,000 24NY0171178265 136645-NC Refugee Community Partnership, Inc 117 W Main St Carrboro, NC 27510 Town of Chapel Hill 405 Martin Luther King Jr Blvd Chapel Hill, NC 27514 Client# A Location Coverage Period: X DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8 04/02/2024 Titan Risk Consultants, LLC 107 Conner Drive, Suite 225 Chapel Hill, NC 27514 License #: 1000643509 Victoria C DeCamp (919)636-3252 v.decamp@titanriskconsultants.com 00065757-67809 2 Refugee Community Partnership, Inc. Madison Hayes P.O. Box 461 Carrboro, NC 27510 Alliance for Non-Profits 10023 A Y 2024-53764 02/01/2024 02/01/2025X X 1,000,000 500,000 20,000 1,000,000 2,000,000 2,000,000 Alliance for Non-Profits 10023 A 2024-53764 02/01/2024 02/01/2025 X X 1,000,000 Nonprofits Insurance Alliance 10023 B 2024-53764 02/01/2024 02/01/2025Abuse & Molestation Abuse Aggregate 2,000,000 Nonprofits Insurance Alliance 10023 B 2024-53764 02/01/2024 02/01/2025Errors & Omissions E&O Aggregate 1,000,000 Orange County, its officers, agents, and employees are added as Additional Insured as respects General Liability as required by written contract. Orange County 300 West Tryon Street P.O. Box 8181 Hillsborough, NC 27278 (VCD) Printed by VCD on 04/02/2024 at 10:00AM ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH-STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DocuSign Envelope ID: C7E9E35D-4294-4C57-9D16-FD34B7245AA8