HomeMy WebLinkAbout2025-495-E-Economic Dev-Alliance for Historic Hillsborough-Outside AgencyOrange County Outside Agency Performance Agreement
Revised 07/25—County Manager Version Page 1 of 12
OUTSIDE AGENCY PERFORMANCE AGREEMENT
THIS AGREEMENT, made and entered into the first day of July 2025, (“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 Alliance for Historic Hillsborough, a not-for-profit
corporation, located at 150 E King St, Hillsborough, North Carolina 27278 (“Provider”).
WITNESSETH:
WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby
enhance its availability to residents of the County, and said program addresses an important community
human services need, as identified by the Board of Commissioners.
NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set
forth, the County and Provider agree as follows:
1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1,
2025 to June 30, 2026.
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 the
Scope of Services attached as Exhibit B, both of which are incorporated herein.
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 Exhibits A and
B, the maximum sum of $4,500.00.
b. All funds appropriated shall be used for purposes described in Exhibits A and B. 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 two equal installments in the amount of $2,250.00. The first
payment is contingent upon receipt of the agency’s performance agreement; the remaining
payment is contingent upon receipt of the request for reimbursement and related supporting
documentation.
d. The County’s obligation to make two 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.
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.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Orange County Outside Agency Performance Agreement Page 2 of 12
Rev.07/25
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 – June 30. Reports are due on January 6 and July 6 of
the program fiscal year. The form of reports shall be as described in Attachment 2.
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.
Performance Measures and Outcomes are subject to posting on the County’s website.
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
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.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Orange County Outside Agency Performance Agreement Page 3 of 12
Rev.07/25
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 (Laurie Paolicelli) 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 ‐
Statutory State NC, for each employee
Limits for Coverage B ‐
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Orange County Outside Agency Performance Agreement Page 4 of 12
Rev.07/25
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
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
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Orange County Outside Agency Performance Agreement Page 5 of 12
Rev.07/25
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 $18.18 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 and Certifications. 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. Provider shall execute Attachment 1 and comply with
all certifications therein.
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.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Orange County Outside Agency Performance Agreement Page 6 of 12
Rev.07/25
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 Provider’s Name Alliance for Historic Hillsborough
Attention: Laurie Paolicelli/CHOCVB Attention: Amanda Boyd
P.O. Box 8181 Address: 150 E King St
Hillsborough, NC 27278 Hillsborough, NC 27278
Email:lpaolicelli@visitchapelhill.org Email:
director@historichillsborough.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
_____________________________ _______________________
Amanda Boyd, Director Date
For and on behalf of Orange County Government
_______________________________ ________________________
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
8/11/2025
8/12/2025
Orange County Outside Agency Performance Agreement Page 7 of 12
Rev.07/25
Travis Myren, County Manager Date
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Orange County Outside Agency Performance Agreement Page 8 of 12
Rev.07/25
ORANGE COUNTY—INTERNAL USE ONLY
______________________________________________________________________________
Finance Information
Vendor Name: Alliance for Historic Hillsborough Vendor Contact Person: Amanda Boyd Phone: 919-732-7741
Address: 150 E King St City Hillsborough State: NC Zip: 27278 Department: Econ Dev/Vistiors Bureau Amount:
$4,500.00 Purpose: Outside Agency Budget Code(s): 37290050719111 Vendor # 33006
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 07/01/25 End Date 06/30/26 Notice Date (Notice Purpose )
Award
Approved by Board (Agenda Date: 06/17/25); 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: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
8/11/2025
8/11/2025
8/12/2025
8/12/2025
Orange County Outside Agency Performance Agreement Page 9 of 12
Rev.07/25
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Orange County Outside Agency Performance Agreement Page 10 of 12
Rev.07/25
Exhibit A
Insert Provider’s Outside Agency Application
(located on the T:drive/Outside Agencies FY25-26 folder)
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Town of Chapel Hill, NC January 14, 2025
4815
Human
Services/Outside
Agencies Funding
Application Fiscal Year
2026
Status: Active
Submitted On: 12/30/2024
Primary Location
No location
Owner
No owner information
Applicant
Amanda Boyd
919-732-7741
director@historichillsborough.org
150 E King St
Hillsborough, NC 27278
Agency Information
Agency's Legal Name
The Alliance for Historic Hillsborough
Agency's Mailing Address (Street, City, State & Zip
Code)
150 E King Street Hillsborough NC
27278
Agency's Physical Address (Street, City, State & Zip
Code)
Agency’s Web Address
Tax ID:
**-***8934
Date of Incorporation (Month/Year)
December 1992
Executive Director Name
Amanda Boyd
E-Mail Address
director@historichillsborough.org
Telephone Number
9197327741
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Agency's Purpose/Mission Statement
To encourage residents and visitors to experience historic Hillsborough through
visitor services, heritage education, and preservation.
Brief description of your organization’s past achievements
The Alliance is dedicated to visitor services, heritage education, and
preservation, continuously enhancing these pillars to serve our community and
visitors. We collaborate with the Town of Hillsborough to promote its history,
natural beauty, shops, and dining.
In partnership with the Occaneechi Band of the Saponi Nation, we elevate the
Occaneechi Replica Village through programming and cultural integration into
education. A key focus is our Telling the Full Story initiative, featuring an
interactive map of oral histories that highlight the contributions of local Black
and Indigenous communities, fostering a fuller understanding of our shared
heritage.
First Time/Previously Unfunded Applicant (Note: A
joint public hearing will be required)
Returning Applicant
Wages and Positions
Does the agency pay permanent employees a
living wage?
Yes
Agency Demographics
Please ensure that each subsection listed below adds up to the total number of staff
members listed here.
Number of Part-Time Paid Positions
2
Number of Full-Time Paid Positions
3
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Staff Members
Please ensure that each subsection listed below adds up to the total number of staff
members listed here.
Total Number of Staff
5
Staff Members - Sex
Number of Male Staff
1
Number of Female Staff
4
Number of Nonbinary Staff
–
Number of Staff who prefer not to answer
–
Staff Members - Race and Ethnicity
Number of American Indian or Alaska Native Staff
–
Number of Asian Staff
–
Number of Black or African American Staff
1
Number of Native Hawaiian or Other Pacific Islander
Staff
–
Number of White Staff
4
Number of Staff of more than one race
–
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Number of staff who prefer not to answer
–
Number of Staff who identify as a race/ethnicity not
listed
–
Total Number of Staff who identify as Hispanic or
Latino
0
Total Number of Staff who do not identify as
Hispanic or Latino
5
Board Members
Please ensure that each subsection listed below adds up to the total number of
board members listed here.
Total Number of Board of Members
12
Board Members - Sex
Number of Male Board Members
5
Number of Female Board Members
7
Number of Nonbinary Board Members
–
Number of Board Members who prefer not to answer
–
Board Members - Race and Ethnicity
Number of American Indian or Alaska Native Board
Members
1
Number of Asian Board Members
–
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Number of Black or African American Board
Members
1
Number of Native Hawaiian or Other Pacific Islander
Board Members
–
Number of White Board Members
9
Number of Board Members of more than one race
1
Number of Board Members who prefer not to answer
–
Number of Board Members who identify as a
race/ethnicity not listed
–
Total Number of Board Members who identify as
Hispanic or Latino
–
Total Number of Board Members who do not identify
as Hispanic or Latino
–
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.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Describe how the agency incorporates racial equity into its goals. (150 word limit)
Racial equity is vital to the success of The Alliance and central to our role as a
resource for heritage education. We are committed to ensuring that all voices
are represented and heard in the diverse narratives of our community. To
achieve this, we prioritize ongoing racial equity education opportunities for our
staff, fostering understanding and accountability within our organization.
We also actively partner with individuals and organizations that elevate the
perspectives of historically marginalized communities, ensuring that our
programs and initiatives reflect the diversity of our area. While racial equity
remains a core focus, The Alliance recognizes the importance of embracing
equity in all its forms, striving to incorporate and celebrate a wide range of
experiences and identities. This commitment allows us to build a more inclusive
and representative platform for heritage education and community
engagement.
Describe how the intended beneficiaries of the proposed project(s) were involved in the planning and design
process. (150 word limit)
Each heritage program hosted by The Alliance is the result of meaningful
collaboration. For example, Telling the Full Story is guided by an advisory
committee composed of local Black and Indigenous community members who
shape the project’s narratives and goals while helping to preserve and share oral
histories. Similarly, our programs at the Occaneechi Replica Village are
developed in partnership with the Occaneechi Band of the Saponi Nation
(OBSN) and local representatives to ensure cultural authenticity and accuracy
in education.
To enhance accessibility and strengthen community connections, we partner
with organizations such as the Passmore Center and the Orange County Public
Library. These partnerships allow us to better engage with diverse populations
and expand access to our offerings by providing free or low-cost programming.
These collaborations reflect our commitment to inclusivity, cultural
preservation, and creating opportunities for everyone to engage with our shared
heritage.
Percent (%) of Staff who attended racial equity
trainings.
–
Percent (%) of Board Members who attended racial
equity trainings.
–
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Describe other racial equity related activities.
The Alliance staff actively engages in racial equity education through resources
such as weekly lectures at North Carolina Central University and the
Information Plus Hour virtual series with Dr. Freddie Parker. Staff also benefit
from flexible scheduling to attend seminars, conferences, and hands-on
activities that enhance their knowledge. Recent opportunities include sessions
on oral history ethics with Danita Mason-Hogan, Emancipation at Bennett Place,
and the Water Ceremony with Beverly Scarlett.
Program Funding Request
Program Name
AHH- Heritage Education
Town of Carrboro
–
Town of Chapel Hill
–
Orange County
10000
Total
10000
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Short description of proposed use of funds.
The Alliance is seeking $10,000 to support the growth and sustainability of
our heritage education initiatives. This funding will strengthen current
programs and enable future expansion. Specifically, it will address three key
needs:
. Oral History Transcription: Collaborating with county representatives,
we will digitally transcribe and equitably preserve previously collected oral
histories of Hillsborough and Orange County.
. Paid Internship Program: Establishing a program to benefit The Alliance
and our historic site partners, fostering workforce development and
collaboration.
. Adult Education Series: Launching a 24-lecture series across two 12-
week periods, developed in partnership with Elon University, to provide
enriching, accessible educational opportunities and ensure program
sustainability in future years.
This funding will allow The Alliance to deepen its impact on heritage
education, engage diverse audiences, and build long-term capacity.
Funding Totals (Note: A joint public hearing will be required for
applicant's requesting $10,000 or more)
Carrboro Chapel Hill
Orange County Total
Program Information
Program Name
Heritage Education- TTFS
Primary Contact's Name
Amanda Boyd
0 0
10000 10000
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Primary Contact's Phone Number
9197327741
Primary Contact's Email Address
director@historichillsborough.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 Orange County's Strategic Plan FY2025-2029 (250 words or less).
Part of the funding requested will support the continuation of our Telling
the Full Story project. In collaboration with county representatives, we aim
to transcribe and digitize a newly uncovered collection of oral histories from
the early 1990s. These histories capture the reflections of individuals who
lived on or near Occoneechee Mountain and rural farmers from the area.
Currently, these invaluable stories lack proper storage or a public
repository.
The Alliance seeks to expand our existing oral history collection and create
a sustainable, accessible digital repository where these and future oral
histories can be preserved and shared with the public. The first step
involves transcription and digitization, enabling access via online platforms.
Oral histories are a vital way to connect our community to its past, fostering
understanding and appreciation through diverse perspectives that shape
our collective identity.
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.
Actual Cost 2023-2024
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Total Program Cost (Actual 2023-2024
25000
Total Number of Individuals (Actual 2023-2024)
4500
Cost Per Individual (Actual 2023-2024)
5.55
Projected Cost 2024-2025
Total Program Cost (2024-2025)
9900
Total Number of Individuals (Projected 2024-
2025)
5500
Cost Per Individual (Projected 2024-2025)
1.8
Projected Cost 2025-2026
Total Program Cost (Projected 2025-2026)
4800
Total Number of Individuals (Projected 2025-
2026)
6500
Cost Per Individual (Projected 2025-2026)
0.73
Chapel Hill and Carrboro Performance Indicators/Program Goals
Strategic Objective
–
Intermediate Result
–
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
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 2023-2024
Projected Outcomes 2024-2025
Projected Outcomes 2025-2026
Orange County Strategic Plan
Please indicate which priority area from the
Orange County Strategic Plan best aligns with
your agency and Program(s) in which you are
requesting funding.
Priority 6: Diverse and Vibrant
Economy
Please indicate a minimum of one Orange
County Strategic Plan objective for your
selected priority area that addresses your
program(s).
Provide family-oriented and inclusive
programming or other cultural events
for residents and visitors. Increase
access to and awareness of resources
and assistance available to residents
and businesses.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Please list how you plan to measure or track the program's contribution to each objective.
We will measure the program's contributions by completing the
transcription and creating a public space to share with the community.
Once the Alliance knows what the oral histories indicate and their length, It
can plan to incorporate them into future programs and heritage education
initiatives for FY 2026-2027.
Actual Outcomes 2023-24
In 2024, we launched the interactive map on our website, which included 10
locations of digital oral histories and videos. We encourage you to take a
look at our website for more details.
Projected Outcomes 2024-2025
We are working towards expanding the map with three additional oral
history collections set for January 2025. We will launch a new educational
series in early 2025, which takes the information collected to the
community for round table conversations led by the Telling the Full Story
committee and those who provided their oral histories.
We are also excited to partner with NCCU to create an online repository for
all collected oral histories included in the Telling the Full Story project.
Projected Outcomes 2025-2026
If funding is received for the transcription services of the newly discovered
oral histories, we will be able to begin the expansion of the digital map, as
well as pursue additional future programming opportunities with the
collected information.
Program Name
Heritage Edu - Intern
Primary Contact's Name
Amanda Boyd
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Primary Contact's Phone Number
9197327741
Primary Contact's Email Address
director@historichillsborough.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 Orange County's Strategic Plan FY2025-2029 (250 words or less).
The Alliance seeks to establish a new paid summer internship program to
benefit Hillsborough's historic organizations while offering a student-
focused, skill-building experience. Running from May to August, the
program will place interns with three historic sites, where they will work on
specific projects that enhance their professional development.
This program addresses a critical need by supporting small-staffed historic
sites while providing students with hands-on, real-world experience in
heritage work. Interns will gain valuable skills, contribute to preserving local
history, and prepare for future careers, ensuring mutual benefits for both
the students and the participating organizations.
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.
Actual Cost 2023-2024
Total Program Cost (Actual 2023-2024
0
Total Number of Individuals (Actual 2023-2024)
0
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Cost Per Individual (Actual 2023-2024)
0
Projected Cost 2024-2025
Total Program Cost (2024-2025)
0
Total Number of Individuals (Projected 2024-
2025)
0
Cost Per Individual (Projected 2024-2025)
0
Projected Cost 2025-2026
Total Program Cost (Projected 2025-2026)
1200
Total Number of Individuals (Projected 2025-
2026)
10
Cost Per Individual (Projected 2025-2026)
120
Chapel Hill and Carrboro Performance Indicators/Program Goals
Strategic Objective
–
Intermediate Result
–
Based on the strategic objective, intermediate result, and/or funding area selected above, what are
the performance indicators/program goals related to this program?
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Actual Outcomes 2023-2024
Projected Outcomes 2024-2025
Projected Outcomes 2025-2026
Orange County Strategic Plan
Please indicate which priority area from the
Orange County Strategic Plan best aligns with
your agency and Program(s) in which you are
requesting funding.
Priority 6: Diverse and Vibrant
Economy
Please indicate a minimum of one Orange
County Strategic Plan objective for your
selected priority area that addresses your
program(s).
Provide workforce and business
development resources to enhance
the skills of residents of the
County.Provide family-oriented and
inclusive programming or other
cultural events for residents and
visitors.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Please list how you plan to measure or track the program's contribution to each objective.
The success and impact of the internship program will be measured
through several key metrics. First, the interns' hours and time contributions
at each site will be meticulously tracked to assess engagement and
workload distribution. Second, each assigned project will include clearly
defined outcomes and completion goals, tailored to the needs of each site.
These goals will be monitored and evaluated under the supervision of The
Alliance to ensure alignment with program objectives and overall
effectiveness.
Actual Outcomes 2023-24
na
Projected Outcomes 2024-2025
na
Projected Outcomes 2025-2026
Completion of a project at each location: The Alliance for Historic
Hillsborough, The Orange County HIstorical Museum, and The Burwell
School Historic Site
Program Name
Heritage Edu - Adult EDU
Primary Contact's Name
Amanda Boyd
Primary Contact's Phone Number
9197327741
Primary Contact's Email Address
director@historichillsborough.org
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
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 Orange County's Strategic Plan FY2025-2029 (250 words or less).
Funding for the proposed adult education series is critical to establishing
this program as a sustainable initiative. As a new endeavor for The Alliance,
the series will be designed to engage nontraditional learners by offering 24
diverse lectures over two 12-week periods. The program will provide
enriching cultural experiences and educational opportunities, with
proposed topics such as Gaelic lessons with Michael Newton, the history of
racing at Occoneechee Speedway, a battlefield surgeon's perspective, a
writing workshop with local author Eryk Pruitt, and a sommelier class with
Hillsborough Wine Co.
The Alliance is currently collaborating with Elon University to develop the
program and plans to partner with the Orange County Public Library and
Durham Tech for additional local support. This initiative aims to create an
accessible, community-centered educational platform that offers unique
learning experiences and promotes lifelong learning opportunities.
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.
Actual Cost 2023-2024
Total Program Cost (Actual 2023-2024
0
Total Number of Individuals (Actual 2023-2024)
0
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Cost Per Individual (Actual 2023-2024)
0
Projected Cost 2024-2025
Total Program Cost (2024-2025)
0
Total Number of Individuals (Projected 2024-
2025)
0
Cost Per Individual (Projected 2024-2025)
0
Projected Cost 2025-2026
Total Program Cost (Projected 2025-2026)
7000
Total Number of Individuals (Projected 2025-
2026)
50
Cost Per Individual (Projected 2025-2026)
140
Chapel Hill and Carrboro Performance Indicators/Program Goals
Strategic Objective
–
Intermediate Result
–
Based on the strategic objective, intermediate result, and/or funding area selected above, what are
the performance indicators/program goals related to this program?
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Actual Outcomes 2023-2024
Projected Outcomes 2024-2025
Projected Outcomes 2025-2026
Orange County Strategic Plan
Please indicate which priority area from the
Orange County Strategic Plan best aligns with
your agency and Program(s) in which you are
requesting funding.
Priority 6: Diverse and Vibrant
Economy
Please indicate a minimum of one Orange
County Strategic Plan objective for your
selected priority area that addresses your
program(s).
Provide family-oriented and inclusive
programming or other cultural events
for residents and visitors.Increase
access to and awareness of resources
and assistance available to residents
and businesses.Provide workforce and
business development resources to
enhance the skills of residents of the
County.
Please list how you plan to measure or track the program's contribution to each objective.
The number of attendees is our most significant metric to measure. In our
first year, we hope to attract a minimum of 25 attendees for each lecture.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Actual Outcomes 2023-24
na
Projected Outcomes 2024-2025
na
Projected Outcomes 2025-2026
25 attendees per lecture.
Applicant Statement
Disclosure of Conflicts of Interest
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
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
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.
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
Amanda Boyd
Agency Role of Person Submitting the Application
Executive Director
Agency Representative Signature
Amanda Boyd
Dec 30, 2024
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
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*
–
Date of Approval*
–
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Orange County Outside Agency Performance Agreement Page 11 of 12
Rev.07/25
Exhibit B
Insert Provider’s Revised Scope of Services and Program Budget
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
EXHIBIT “B”
Scope of Services – FY 2025-26
Outside Agency Performance Agreement
Agency Name: The Alliance for Historic Hillsborough
Program Name: Oral History/ Telling the Full Story
Funding Award: $4,500
Outline how the agency will spend Orange County’s funding award.
Expense Description Amount
Oral history collection & Programming 3,300
Telling the Full Story Platform Support 1200
Program Services
Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2026.
Part of the funding requested will support the continuation of our Telling the Full Story project. In
collaboration with county representatives, we aim to transcribe and digitize a newly uncovered collection of
oral histories from the early 1990s. These histories capture the reflections of individuals who lived on or near
Occoneechee Mountain and rural farmers from the area. Currently, these invaluable stories lack proper
storage or a public repository.
The Alliance seeks to expand our existing oral history collection and create a sustainable, accessible digital
repository where these and future oral histories can be preserved and shared with the public. The first step
involves transcription and digitization, enabling access via online platforms. Oral histories are a vital way to
connect our community to its past, fostering understanding and appreciation through diverse perspectives
that shape our collective identity.
Orange County Strategic Plan Priority Identified in Application. Please click on the box below and select
from the drop-down menu.
Priority 6: Diverse and Vibrant Economy
Orange County Strategic Plan Objectives Identified in Application. Please type or cut and paste in the space
below the strategic plan objective(s) you selected in your application.
Strategic plan criteria: Provide family-oriented and inclusive programming or other cultural events for
residents and visitors. Increase access to and awareness of resources and assistance available to residents
and businesses.
Plan to track: We will measure the program's contributions by completing the transcription and creating a
public space to share with the community. With proper permissions, we will upload the digital formats to
YouTube and the Alliance website for public viewing and calibrate success to the viewership numbers.
Once the Alliance knows what the oral histories indicate and their length, we can plan to incorporate them
into future programs and heritage education initiatives for FY 2026-2027.
Performance Measures and Anticipated Outcomes
The Performance Measures and Anticipated Year End Results columns must align with the Strategic Plan Priority and Objectives.
Please 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 being served by the measure.
Example: Priority 2, Healthy Communities
2.9. Provide 128 families annually with case-management through the Family Success Alliance program to connect them to
medical/mental health care, housing, or food with support, information, and referral services.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Performance Measures Anticipated Year
End Results
Digitize various VHS and Cassettes from the Alliance archives of
previously recorded oral histories
350
Digitize up to 15 cassettes on behalf of OC Department of Natural and
Cultural Resources
350
Telling the Full Story Platform 1300
Certified by: Title: Date:
(Provider’s Signature)
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Executive Director 8/11/2025
FY 2021-22 Program Budget
Program Budget
Operating Budget for Specific Program
If you are requesting funds for more than one program, a program budget worksheet should be provided for each program.
PROGRAM NAME:Heritage Education: Oral History Collection (Telling the Full Story)
PROGRAM REVENUE
Actual
2023-2024
Projected
2024-2025
Projected
2025-2026
Percent
Change
Private Donations ($- ) ($- ) ($- ) 0
Program Generated Revenue ($- ) ($- ) ($- ) 0
Local Government Grants:
Human Services - Town of Carrboro ($- ) ($- ) ($- ) 0
Other - Town of Carrboro ($- ) ($- ) ($- ) 0
Human Services - Town of Chapel Hill ($- ) ($- ) ($- ) 0
Other - Town of Chapel Hill ($- ) ($- ) ($- ) 0
Human Services - Orange County ($- ) ($- ) ($- ) 0
Other - Orange County ($- ) ($5,000) ($4,800) -4%
Other - Town of Hillsborough ($- ) ($- ) 0
Other Government Grants
Triangle United Way ($- ) ($- ) ($- ) 0
State Government ($- ) ($- ) 0
Federal Government (CDBG/HOME/etc.)($- ) ($- ) ($- ) 0
Private Foundation Grants ($- ) ($4,900.00) ($- ) ($(1.00)
Other Revenue ($- ) ($- ) ($- ) 0
Total Program Revenue ($- ) ($9,900) ($4,800) -52%
PROGRAM EXPENSES
Compensation ($- ) ($- ) 0
Rent & Utilities ($- ) ($- ) ($- ) 0
Supplies & Equipment ($- ) ($9,900) ($4,800) -52%
Travel & Training ($- ) ($- ) ($- ) 0
Other Expenses: ($- ) ($- ) 0
Total Program Expenses ($- ) ($9,900) ($4,800) -52%
SURPLUS/(DEFICIT) FOR PERIOD:($- ) ($- ) ($- ) 0
Please explain Other Grants
The Alliance recieved additoinal support from NC Humanities to
expand our initatives towards Telling the Full Story. This is not a
recurring grant.
Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit.
Grant fudning recieved for Telling the Full Story programming is
dedicated funds for expanding the programs development and
outreach. There is no expectation to have either a surplus or
deficit.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
FY 2021-22 Program Budget
Program Budget
Operating Budget for Specific Program
If you are requesting funds for more than one program, a program budget worksheet should be provided for each program.
PROGRAM NAME:Heritage Education: Internship Program for Hillsborough Historic Sites
PROGRAM REVENUE
Actual
2023-2024
Projected
2024-2025
Projected
2025-2026
Percent
Change
Private Donations ($- ) ($- ) ($- ) 0
Program Generated Revenue ($- ) ($- ) ($- ) 0
Local Government Grants:
Human Services - Town of Carrboro ($- ) ($- ) ($- ) 0
Other - Town of Carrboro ($- ) ($- ) ($- ) 0
Human Services - Town of Chapel Hill ($- ) ($- ) ($- ) 0
Other - Town of Chapel Hill ($- ) ($- ) ($- ) 0
Human Services - Orange County ($- ) ($- ) ($- ) 0
Other - Orange County ($- ) ($1,200) 0
Other - Town of Hillsborough ($- ) ($- ) 0
Other Government Grants
Triangle United Way ($- ) ($- ) ($- ) 0
State Government ($- ) ($- ) 0
Federal Government (CDBG/HOME/etc.)($- ) ($- ) ($- ) 0
Private Foundation Grants ($- ) ($- ) 0
Other Revenue ($- ) ($- ) ($- ) 0
Total Program Revenue ($- ) ($- ) ($1,200) 0
PROGRAM EXPENSES
Compensation ($- ) ($- ) ($1,200) 0
Rent & Utilities ($- ) ($- ) ($- ) 0
Supplies & Equipment ($- ) 0
Travel & Training ($- ) ($- ) ($- ) 0
Other Expenses: ($- ) ($- ) 0
Total Program Expenses ($- ) ($- ) ($1,200) 0
SURPLUS/(DEFICIT) FOR PERIOD:($- ) ($- ) ($- ) 0
Please explain Other Grants
Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit.
All funds would go to support a paid summer internship program.
The intern would be able to complete projects not only with The
Alliance but with our additonal historic partners; The Orange
County Historical Museum and The Burwell School Historic Site.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
FY 2021-22 Program Budget
Program Budget
Operating Budget for Specific Program
If you are requesting funds for more than one program, a program budget worksheet should be provided for each program.
PROGRAM NAME:Heritage Education: Adult Edu Series
PROGRAM REVENUE
Actual
2023-2024
Projected
2024-2025
Projected
2025-2026
Percent
Change
Private Donations ($- ) ($- ) ($- ) 0
Program Generated Revenue ($- ) ($- ) ($- ) 0
Local Government Grants:
Human Services - Town of Carrboro ($- ) ($- ) ($- ) 0
Other - Town of Carrboro ($- ) ($- ) ($- ) 0
Human Services - Town of Chapel Hill ($- ) ($- ) ($- ) 0
Other - Town of Chapel Hill ($- ) ($- ) ($- ) 0
Human Services - Orange County ($- ) ($- ) ($- ) 0
Other - Orange County ($- ) ($4,000) 0
Other - Town of Hillsborough ($- ) ($- ) 0
Other Government Grants
Triangle United Way ($- ) ($- ) ($- ) 0
State Government ($- ) ($- ) 0
Federal Government (CDBG/HOME/etc.)($- ) ($- ) ($- ) 0
Private Foundation Grants ($- ) ($3,000.00) 0
Other Revenue ($- ) ($- ) ($4,000) 0
Total Program Revenue ($- ) ($- ) ($11,000) 0
PROGRAM EXPENSES
Compensation ($- ) ($- ) 0
Rent & Utilities ($- ) ($- ) ($- ) 0
Supplies & Equipment ($- ) ($7,000) 0
Travel & Training ($- ) ($- ) ($- ) 0
Other Expenses: ($- ) ($- ) 0
Total Program Expenses ($- ) ($- ) ($7,000) 0
SURPLUS/(DEFICIT) FOR PERIOD:($- ) ($- ) ($4,000) 0
Please explain Other GrantsWe have additional grant support from the Jenrette Foundation in
support of the launch of this adult education series. All grant funds
will be going to pay the instructors for their time and necessary
equipment. We hope to host 24 different speakers throughout two
12-week semesters.
Does your program budget show a surplus or deficit? Please provide a brief explanation for the surplus or deficit.
All grant funds will go to the development and speaker fees
needed to launch this program. We will be charging a nominal fee
to those who choose to participate with the goal to make the
program sustainable for years to come.
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Orange County Outside Agency Performance Agreement Page 12 of 12
Rev.07/25
ATTACHMENT 1
Orange County Certifications – FY 2025-2026
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: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
8/11/2025Executive Director
Orange County Outside Agency Performance Agreement Page 13 of 12
Rev.07/25
FOR INFORMATION ONLY
ATTACHMENT 2
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: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Orange County Outside Agency Performance Agreement Page 14 of 12
Rev.07/25
Quarterly Outcomes Form
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF
Docusign Envelope ID: 94ACE484-9AC8-486E-B2D9-37E0C4E5E0CF