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Home My WebLink About2024-489-E-Health Dept-Planned Parenthood South Atlantic-Outside AgencyOrange 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 2024, (“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 Planned Parenthood South Atlantic, a not-for-profit corporation, located at 1765 Dobbins Drive, Chapel Hill, North Carolina 27514 (“Provider”). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need, as identified by the Board of Commissioners. NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth, the County and Provider agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2024 to June 30, 2025. 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 $20,000. b. All funds appropriated shall be used for purposes described in Exhibit A. Any funds not used for the purposes stated shall be returned to the County. Any changes in the use of funds must be authorized in writing by the County prior to any expenditure of the funds by the Provider. If the funds are expended not in accordance with the Scope of Services, at the discretion of the County the Provider may be required to repay the funds to the County. c. The Provider shall be paid in four equal installments in the amount of $5,000. 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: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 Orange County Outside Agency Performance Agreement Page 2 of 12 Rev.06/24 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 7, April 7 and July 7 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: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 Orange County Outside Agency Performance Agreement Page 3 of 12 Rev.06/24 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 (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. 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: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 Orange County Outside Agency Performance Agreement Page 4 of 12 Rev.06/24 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: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 Orange County Outside Agency Performance Agreement Page 5 of 12 Rev.06/24 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 $17.65 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. There are no third party beneficiaries of this Agreement and nothing in this Agreement, express or implied, is intended to confer on any person other than the parties hereto (and their respective successors, heirs and permitted assigns), any rights, remedies, or obligations. 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. Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 Page 6 of 12 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 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 Attention: Kimberlee Quatrone P.O. Box 8181 Hillsborough, NC 27278 Provider’s Name: Planned Parenthood So. Atlantic Attention: Jenny Black Address: 100 S. Boylan Ave. Raleigh, NC 27603 Email:kquatrone@orangecountync.gov Email: jenny.black@ppsat.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 _______________________ Date _____________________________ Jenny Black, President and CEO Orange County Outside Agency Performance Agreement Rev.06/24 Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 8/15/2024 Orange County Outside Agency Performance Agreement Page 7 of 12 Rev.06/24 _______________________________ ________________________ Travis Myren, County Manager Date For and on behalf of the Provider Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 8/20/2024 Orange County Outside Agency Performance Agreement Page 8 of 12 Rev.06/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Planned Parenthood South Atlantic Vendor Contact Person: Jenny Black Phone: 919-833-7534 x6140 Address: 1765 Dobbins Dr. City Chapel Hill State: NC Zip: 27514 Department: Health Amount: $20,000 Purpose: Outside Agency Budget Code(s): 10290050-710013 Vendor # 800040 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 7/1/24 End Date 6/30/25 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: 6/18/24); 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: Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Received for record retention: Office of the Clerk to the Board __________________________________________Date:_________ Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 8/16/2024 8/18/2024 8/19/2024 8/20/2024 Orange County Outside Agency Performance Agreement Page 9 of 12 Rev.06/24 Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 1/14 Town of Chapel Hill, NC 1/31/2024 HSOA-24-9 Human Services/Outside Agencies Funding Application Fiscal Year 2025 Status: Active Submitted On: 1/10/2024 Applicant Elizabeth Irwin 205-994-5015 elizabeth.irwin@ppsat.org 1765 Dobbins Drive Chapel Hill, NC 27514 Agency Information Agency's Legal Name Planned Parenthood South Atlantic Agency's Mailing Address (Street, City, State & Zip Code) 100 South Boylan Avenue,Raleigh,NC 27603 Agency's Physical Address (Street, City, State & Zip Code) 100 South Boylan Avenue, Raleigh,NC 27603 Agency’s Web Address www.ppsat.org Tax ID: **-***2557 Date of Incorporation (Month/Year) July 1980 Executive Director Name Jenny Black E-Mail Address jenny.black@ppsat.org Telephone Number (919) 833-7534 ext. 6140 Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 2/14 Agency's Purpose/Mission Statement brief description of your organization’s past achievements Wages and Positions Does the agency pay permanent employees a living wage? Yes Is the agency an Orange County Living Wage Certified Employer? Yes Award Programs Check one or more of the following application types. Human Services Awards (Chapel Hill, Carrboro, and Orange County) Small Awards (Chapel Hill & Carrboro Applicants Only) Community Impact Awards (Chapel Hill Applicants Only) Planned Parenthood South Atlantic’s (PPSAT) mission is to provide comprehensive reproductive and sexual health care services in settings that preserve and protect the individual’s right to privacy and informed decisions, provide educational programming that fosters a culture of healthy sexuality, and advocate for public policies that advance these rights and expand access to these services. For more than 40 years, PPSAT has provided high-quality education that reflects the needs of young people,their families, patients,and local communities. The education team emphasizes multi-session sex education programs that are evidence-based and proven to meet the needs of the participants. Last year, PPSAT provided multi-session evidence-based sex education to nearly 800 young people throughout our service area. Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 3/14 Agency Demographics Please ensure that each subsection listed below adds up to the total number of staff and board members listed here. Number of Part-Time Paid Positions 93 Number of Full-Time Paid Positions 247 Staff Members Total Number of Staff 340 Staff Members - Sex Number of Male Staff 28 Number of Female Staff 297 Number of Nonbinary Staff 14 Number of Staff who prefer not to answer 1 Staff Members - Race and Ethnicity Number of American Indian or Alaska Native Staff 0 Number of Asian Staff 6 Number of Black or African American Staff 89 Number of Native Hawaiian or Other Pacific Islander Staff 0 Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 4/14 Number of White Staff 196 Number of Staff of more than one race 16 Number of staff who prefer not to answer 14 Number of Staff who identify as a race/ethnicity not listed 19 Total Number of Staff who identify as Hispanic or Latino 30 Total Number of Staff who do not identify as Hispanic or Latino 310 Board Members Total Number of Board of Members 20 Board Members -Sex Number of Male Board Members 4 Number of Female Board Members 16 Number of Nonbinary Board Members 0 Number of Board Members who prefer not to answer 0 Board Members -Race and Ethnicity Number of American Indian or Alaska Native Board Members 0 Number of Asian Board Members 2 Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 5/14 Number of Black or African American Board Members 4 Number of Native Hawaiian or Other Pacific Islander Board Members 1 Number of White Board Members 13 Number of Board Members of more than one race 0 Number of Board Members who prefer not to answer 0 Number of Board Members who identify as a race/ethnicity not listed 0 Total Number of Board Members who identify as Hispanic or Latino 0 Total Number of Board Members who do not identify as Hispanic or Latino 20 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. Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 6/14 Describe how the agency incorporates racial equity into its goals.(150 word limit) Describe how the intended beneficiaries of the proposed project(s) were involved in the planning and design process. (150 word limit) Percent (%) of Staff who attended racial equity trainings. 99.7 Percent (%) of Board Members who attended racial equity trainings. 100 At PPSAT, we embrace diversity, equity, and inclusion (DEI) and strive to keep it at our core. We are committed to a diverse workforce that welcomes various perspectives, experiences,and backgrounds. We believe that DEI in teams, decision-making, policy, practice, and operations contributes to a sense of belonging that benefits our culture, staff,patients,and community. At PPSAT, we are dedicated to learning, reducing and eliminating inequities, and developing best practices to dismantle systemic racism and the complex problems caused by it. PPSAT’s CEO created a Building Equity and Accountability (BEA) working group of staff members from across the organization to help make a set of recommendations to leadership on how to facilitate honest and fearless dialogue that identifies the race equity issues at PPSAT. Students who have previously participated in evidence-based programs can join a group of alumni. The Triangle educator meets with alumni regularly to discuss opportunities for further engagement. Alumni often assist with implementing the program for future participants. This allows former participants to inform the program’s implementation.For example,if students feel they want more information on consent or menstruation (as they have expressed in the past),the educator pivots to providing more factual and engaging information to them.Alumni can then help disseminate this information to their peers. As they learn,develop,and hone their skills,alumni of multi-session education programs become the next generation of Planned Parenthood leaders, making a meaningful difference in their community through service projects,educational presentations,and advocacy. Additionally, there is a comment/suggestion box at all multi-session program sessions for current participants to provide feedback. Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 7/14 Describe other racial equity related activities. Program Funding Request Please list all of the current Fiscal Year Human Services (HS) funding requested for all programs and the proposed use of funds. In 2021,all staff received Mind Sciences on Difference training to understand the concepts of implicit bias,microaggressions, racial anxiety, and stereotype threat. This training also helped increase personal motivation to confront these phenomena in the workplace, improving employee engagement, patient experience,and health equity efforts. To build on and continue this work, we signed a contract with For The Culture—an equity and culture shift firm founded by four women of color—to develop a comprehensive diversity, equity, inclusion,and belonging (DEIB) training curriculum and DEI work plan for PPSAT. While this engagement has ended, we are working with another outside consultant. This consultant is collaborating with our Board’s DEI committee,supporting the finalization of the DEI work plan, leading and facilitating the BEA group, and coaching the leadership team.PPSAT’s Board and leadership team has approved the work plan, and will encourage continued learning and feedback related to DEI. PPSAT strives to be more than just representative of our communities—we want our organization to reflect full participation and shared power with diverse racial, cultural, and economic groups in determining our mission, structure,constituency, policies, and practices. Responses to Press Ganey patient experience surveys have revealed inequities in patient experience based on race. Going forward, PPSAT’s Patient Services Strategic Initiatives Manager is tracking Press Ganey survey results and communicating with Health Center Managers (HCMs), at least quarterly,on progress toward minimizing these inequities. They will assist in addressing persisting disparities and any new gaps. PPSAT is considering establishing a Bias Incident Response Team (BIRT) program. This team would receive reports from employees who have experienced or witnessed bias in the workplace. We are determining how to select members of the BIRT, the program’s role and relationship to our Human Resources department, and how to train BIRT members. PPSAT is also pondering the pros and cons of employee resource groups (more focused on professional development) and affinity groups (just focused on a common identity). Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 8/14 Program Name Sexual Health Education and Outreach Town of Carrboro 1000 Town of Chapel Hill 5000 Orange County 20000 Total Short description of proposed use of funds. Funding Totals Carrboro Chapel Hill Orange County Total 26000 PPSAT requests $26,000 from the collective Human Services funding opportunities to support the personnel costs for one full-time community health educator in Orange County.The educator will provide Orange County teens and young adults with comprehensive sexuality education promoting healthy behavior and responsible choices to reduce unintended pregnancy and sexually transmitted infection (STI) rates. 1000 5000 20000 26000 Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 9/14 Program Information Program Name Sexual Health Education and Outreach Primay Contact's Name Karina Martinez Romo Primary Contact's Phone Number (919) 980-0511 Primary Contact's Email Address karina.martinez.romo@ppsat.org Describe the proposed program and the target population to benefit from the program.Please also explain how the program aligns with the Town of Chapel Hill and Carrboro's Human Services Program Results Framework and/or Orange County's BOCC Goals and Priorities (250 words or less). Target Population The program target population demographics table is included as an attachement on the application cover page. Please download the excel spreadsheet and fill out the demographic data in the table and then upload it with your application. Provide one copy per program that you are requesting funding for. Program Cost This cost per individual must reflect the total program budget divided by the total number of program individuals in this application. PPSAT will provide Orange County adolescents and their caregivers (the target population) with comprehensive sexuality education promoting healthy behavior and responsible choices to reduce unintended pregnancy and STI rates.This program will contribute to a network of basic human services and infrastructure that maintains, protects,and promotes the well-being of all county residents (Orange County BOCC Goals and Priorities),and will help youth develop age- appropriate skills and demonstrate new healthy lifestyle behaviors around sexual health (Chapel Hill/Carrboro Obj. 3,Intermediate Result 3.2).The program will ensure a high quality of life for teens and encourage them to be lifelong learners (Orange County BOCC Goals and Priorities). Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 10/14 Actual Cost 2022-2023 Total Program Cost (Actual 2022-2023) 47604 Total Number of Individuals (Actual 2022-2023) 604 Cost Per Individual (Actual 2022-2023) 78.81 Projected Cost 2023-2024 Total Program Cost (2023-2024) 51833 Total Number of Individuals (Projected 2023- 2024) 325 Cost Per Individual (Projected 2023-2024) 159.49 Projected Cost 2024-2025 Total Program Cost (Projected 2024-2025) 53379 Total Number of Individuals (Projected 2024- 2025) 325 Cost Per Individual (Projected 2024-2025) 164.24 Performance Indicators/Program Goals Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 11/14 Strategic Objective* 3.Residents improve their health outcomes Intermediate Result* 3.2 Residents demonstrate new healthy lifestyles behaviors If applying to Orange County, please select the funding area that best aligns with your program. Public Health & Health Education Based on the strategic objective, intermediate result, and/or funding area selected above, what are the performance indicators/program goals related to this program? Actual Outcomes 2022-2023 Projected Outcomes 2023-2024 1.Number of adolescents who participate in multi-session,evidence-based curricula; average increase in knowledge about pregnancy and STI prevention 2. Number of students reached by peer educators 3.Number of parents reached through parent workshops; percentage of parents who report an increased comfort in talking about sexuality with their children 4.Number of participants reached by single-session programs; percentage of individuals who report an increased understanding of their risk of pregnancy or STI transmission 1.54 adolescents; 18.6%increase in knowledge 2. 510 students 3.16 parents; 100% reporting increased comfort 4.71 participants;100%reporting increased understanding 1.25 adolescents; 25% increase in knowledge 2. 250 students 3.15 parents; 80% reporting increased comfort 4.35 participants;75%reporting increased understanding Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 12/14 Projected Outcomes 2024-2025 Community Impact Award Please describe the impact the proposed programs will have on the target population.Please include specific quantitative and qualitative data in your response. What methods/tools will your organization use to evaluate the proposed program’s effectiveness? Please include specific examples, such as a logic model. Please briefly describe how your proposed programs aligns with evidence-based approaches to addressing human service need(s). Please describe one to three key partnerships/collaborations that add the most value to the success of the proposed programs. If you are not awarded a Community Impact Award, what would your agency’s funding request be? Applicant Statement Disclosure of Conflicts of Interest 1.25 adolescents; 25% increase in knowledge 2. 250 students 3.15 parents; 80% reporting increased comfort 4.35 participants;75%reporting increased understanding Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 13/14 Are any board members or agency employees, including their immediate relatives and business associates, current beneficiaries of the proposed program for which funds are being requested? No Are any board members or agency employees, including their immediate relatives and business associates, members of or related to members of the governing bodies of Chapel Hill, Carrboro, or Orange County? No Are any board members or agency employees, including their immediate relatives and business associates, paid providers of goods or services to or have other financial interest in the proposed program? No Are any board members or employees,including their immediate relatives and business associates, related to employees of that Town of Chapel Hill, Town of Carrboro, or Orange County? No If the answer to any of the above is yes,please provide an explanation. Non-discrimination Clause 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. N/A Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 14/14 Applicant Statement 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. Name of Person Submitting the Application Elizabeth Irwin Agency Role of Person Submitting the Application Director of Development Communications and Grants Agency Representative Signature Elizabeth Irwin Jan 10, 2024 By submitting this application, the agency representative noted above affirms they are either the Executive Director, or, if someone other than the Executive Director is submitting this application, they affirm the Executive Director has reviewed the application for accuracy and approved it for submittal. Approval Details Approved Amount – Exhibit A Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 EXHIBIT “B” Scope of Services –FY 2024-25 Outside Agency Performance Agreement Agency Name:Planned Parenthood South Atlantic Program Name:Sexual Health Education and Outreach Funding Award:$20,000 Outline how the agency will spend Orange County’s funding award. Program Services Outline the critical services (activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2025. ●PPSAT’s educator will provide Orange County teens and young adults with medically accurate, intensive,and balanced sexuality education programs. ●PPSAT’s educator will engage Orange County parents and caregivers in programs that help families talk more comfortably about sexual health issues. ●PPSAT’s educator will provide science-based community presentations in Orange County designed for the age and demographics of the audience. 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 Number of adolescents who participate in multi-session,evidence-based curricula;average increase in knowledge about pregnancy and STI prevention 25;25% Number of students reached by peer educators 250 Number of parents reached through parent workshops;percentage of parents who report an increased comfort in talking about sexuality with their children 15;80% Number of participants reached by single-session programs;percentage of individuals who report an increased understanding of their risk of pregnancy or STI transmission 35;75% Certified by:Title:President &CEO Date:08/12/2024 Expense Description Amount Personnel $20,000 Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 Orange County Outside Agency Performance Agreement Page 12 of 12 Rev.06/24 ATTACHMENT “A” Orange County Certifications – FY 2024-2025 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: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 8/15/2024President and CEO Orange County Outside Agency Performance Agreement Page 13 of 12 Rev.06/24 FOR INFORMATION ONLY ATTACHMENT “B” As mentioned in Sections 3- Funding and Section 4- Agency Reporting of the performance agreement, the following two forms will be required before quarterly reimbursements can be made. They are included below for informational purposes. Forms are available online at https://www.orangecountync.gov/736/Contracts-Reporting Quarterly Expense Report Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 Orange County Outside Agency Performance Agreement Page 14 of 12 Rev.06/24 Quarterly Outcomes Form Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54 Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54