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HomeMy WebLinkAbout2025-642-E-Health Dept-Reintegration Support Network-Opioid prevention in youthOrange County Opioid Funding Agency Performance Agreement Revised 07/25 Page 1 of 10 OPIOID FUNDING 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 Reintegration Support Network located at 117 West Main Street, Carrboro, North Carolina 27510 (“Provider”). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need, as identified by the Board of Commissioners. NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth, the County and Provider agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2025 to June 30, 2026. 2. Scope of Services. a. Provider will provide services, as outlined in Exhibit A to NC MOA: High-Impact Opioid Abatement Strategies (“OPTION A” List) - to the residents of Orange County. The Scope of Services and the Program Budget (Exhibit B) 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 C. 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 B, 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 Scope of Services. 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 (Attachment A), which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the Scope of Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 Orange County Opioid Funding Agency Performance Agreement Page 2 of 10 Rev.07/25 Services. Final payment is contingent upon a final Progress Report as well as the narrative story and accounting of expenditures. 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: January 10 for reporting months July 1 - December 31 • April 10 for reporting months January 1 - March 31 • July 10 for reporting months April 1 – June 30 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 Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 Orange County Opioid Funding Agency Performance Agreement Page 3 of 10 Rev.07/25 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. 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 (Orange County Health Director, Quintana Stewart) to act as the County's representative with respect to the Project who shall have the authority to render decisions within guidelines established by the County Manager or the County Board of Commissioners and who shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance. a. General Requirements. Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers’ Compensation Insurance, and any additional insurance as may be required by County’s Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php). If County’s Risk Manager determines additional insurance coverage is required such additional insurance shall consist of Sexual Conduct and Physical Abuse Coverage rider (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. a. 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 Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 Orange County Opioid Funding Agency Performance Agreement Page 4 of 10 Rev.07/25 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 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. 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. e. 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. f. 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. g. 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. h. 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 Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 Orange County Opioid Funding Agency Performance Agreement Page 5 of 10 Rev.07/25 law. Nothing in this section is intended to affect or abrogate the County’s sovereign immunity defenses. i. 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. j. 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. k. 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. l. 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 Reintegration Support Network Attention: Kimberlee Quatrone Attention: Terrence Johnson P.O. Box 8181 Address: 117 West Main Street Hillsborough, NC 27278 Carrboro, NC 27510 Email: kquatrone@orangecountync.gov Email: Terence@rsnnc.org m. 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 _____________________________ _______________________ Terence Johnson, Executive Director Date For and on behalf of Orange County Government _______________________________ ________________________ Travis Myren, County Manager Date Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 10/13/2025 10/16/2025 Orange County Opioid Funding Agency Performance Agreement Page 6 of 10 Rev.07/25 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Reintegration Support Network Vendor Contact Person: Terence Johnson Phone: 984-777-5282 Address: 117 West Main Street City Carrboro State: NC Zip: 27510 Department: Health Amount: $20,000 Purpose: Opioid prevention in youth Budget Code(s): 27411020-630000-92005 Vendor # 800062 Vendor Status with NCSOS: Current-Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 7/1/25 End Date 6/30/26 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: 5/20/25); 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. 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: Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 10/13/2025 10/14/2025 10/15/2025 10/16/2025 Orange County Opioid Funding Agency Performance Agreement Page 7 of 10 Rev.07/25 Office of the Clerk to the Board __________________________________________Date:_________ Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 Exhibit A, page 1 EXHIBIT A TO NC MOA: HIGH-IMPACT OPIOID ABATEMENT STRATEGIES (“OPTION A” List) In keeping with the National Settlement Agreement, opioid settlement funds may support programs or services listed below that serve persons with Opioid Use Disorder (OUD) or any co-occurring Substance Use Disorder (SUD) or mental health condition. As used in this list, the words “fund” and “support” are used interchangeably and mean to create, expand, or sustain a program, service, or activity. 1.Collaborative strategic planning. Support collaborative strategic planning to address opioid misuse, addiction, overdose, or related issues, including staff support, facilitation services, or any activity or combination of activities listed in Exhibit C to the MOA (collaborative strategic planning). 2.Evidence-based addiction treatment. Support evidence-based addiction treatment consistent with the American Society of Addiction Medicine’s national practice guidelines for the treatment of opioid use disorder – including Medication-Assisted Treatment (MAT) with any medication approved for this purpose by the U.S. Food and Drug Administration – through Opioid Treatment Programs, qualified providers of Office-Based Opioid Treatment, Federally Qualified Health Centers, treatment offered in conjunction with justice system programs, or other community-based programs offering evidence-based addiction treatment. This may include capital expenditures for facilities that offer evidence-based treatment for OUD. (If only a portion of a facility offers such treatment, then only that portion qualifies for funding, on a pro rata basis.) 3.Recovery support services. Fund evidence-based recovery support services, including peer support specialists or care navigators based in local health departments, social service offices, detention facilities, community-based organizations, or other settings that support people in treatment or recovery, or people who use drugs, in accessing addiction treatment, recovery support, harm reduction services, primary healthcare, or other services or supports they need to improve their health or well-being. 4.Recovery housing support. Fund programs offering recovery housing support to people in treatment or recovery, or people who use drugs, such as assistance with rent, move-in deposits, or utilities; or fund recovery housing programs that provide housing to individuals receiving Medication-Assisted Treatment for opioid use disorder. 5.Employment-related services. Fund programs offering employment support services to people in treatment or recovery, or people who use drugs, such as job training, job skills, job placement, interview coaching, resume review, professional attire, relevant courses at community colleges or vocational schools, transportation services or transportation vouchers to facilitate any of these activities, or similar services or supports. 6.Early intervention. Fund programs, services, or training to encourage early identification and intervention for children or adolescents who may be struggling with problematic use of drugs or mental health conditions, including Youth Mental Health Exhibit ADocusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 Exhibit A, page 2 First Aid, peer-based programs, or similar approaches. Training programs may target parents, family members, caregivers, teachers, school staff, peers, neighbors, health or human services professionals, or others in contact with children or adolescents. 7.Naloxone distribution. Support programs or organizations that distribute naloxone to persons at risk of overdose or their social networks, such as Syringe Service Programs, post-overdose response teams, programs that provide naloxone to persons upon release from jail or prison, emergency medical service providers or hospital emergency departments that provide naloxone to persons at risk of overdose, or community-based organizations that provide services to people who use drugs. Programs or organizations involved in community distribution of naloxone may, in addition, provide naloxone to first responders. 8.Post-overdose response team. Support post-overdose response teams that connect persons who have experienced non-fatal drug overdoses to addiction treatment, recovery support, harm reduction services, primary healthcare, or other services or supports they need to improve their health or well-being. 9.Syringe Service Program. Support Syringe Service Programs operated by any governmental or nongovernmental organization authorized by section 90-113.27 of the North Carolina General Statutes that provide syringes, naloxone, or other harm reduction supplies; that dispose of used syringes; that connect clients to prevention, treatment, recovery support, behavioral healthcare, primary healthcare, or other services or supports they need; or that provide any of these services or supports. 10.Criminal justice diversion programs. Support pre-arrest or post-arrest diversion programs, or pre-trial service programs, that connect individuals involved or at risk of becoming involved in the criminal justice system to addiction treatment, recovery support, harm reduction services, primary healthcare, prevention, or other services or supports they need, or that provide any of these services or supports. 11.Addiction treatment for incarcerated persons. Support evidence-based addiction treatment, including Medication-Assisted Treatment with at least one FDA-approved opioid agonist, to persons who are incarcerated in jail or prison. 12.Reentry Programs. Support programs that connect incarcerated persons to addiction treatment, recovery support, harm reduction services, primary healthcare, or other services or supports they need upon release from jail or prison, or that provide any of these services or supports. Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 Overall Program Budget Agency Reintegration Support Network Proposed Program Title Reintegration Support Network: Individual Mentoring Project Period Total Revenues:Opioid Settlement Funds Other Funding Sources Total Opioid Settlement Funds Other Funding Sources Total Opioid Settlement Funds Other Funding Sources Total Orange County Opioid Settlement Funding $ 20,000.00 $ 294,266.00 $ - $ - -$ $ - $ - $ - -$ $ - $ - $ - -$ $ - $ - $ - -$ $ - $ - $ - -$ $ - $ - $ - -$ Total Revenues: $ 20,000.00 $ 294,266.00 $ - $ - $ - $ - $ - $ - $ - -$ Project Period Total Expenses:Opioid Settlement Funds Other Funding Sources Total Opioid Settlement Funds Other Funding Sources Total Opioid Settlement Funds Other Funding Sources Total Personnel and Benefits: 20,000.00 20,000.00 - - - - 20,000.00 Operations Expenses: - - - - - - - Subcontractor Services: Subcontractor 1 name - - - - - - - Subcontractor 2 name - - - - - - - Subcontractor 3 name - - - - - - - Capital - - - - Administrative/Indirect cost (no more than 10%) - - - - Total Expenses: 20,000.00 - 20,000.00 - - - - - - 20,000.00 2025 2026 2027 Complete this form for all revenue sources, as well as expense sources other than Opioid Settlement funds. Figures for expenses using Opioid Settlement funds will automatically populate from detail tabs of spreadsheet, except for the administrative/indirect cost line item, which should be filled out in this tab. Add rows as needed. Enter information in yellow shaded cells only. Total Program Revenue Budget 2025 2026 2027 Total Program Expense Budget Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 Opioid Settlement Strategies RFA Budget Narrative Agency Reintegration Support Network Proposed Program Title Reintegration Support Network: Individual Mentoring Year 2025/26 Year 2026 Year 2027 Direct Personnel and Fringe Benefits Direct Personnel and Fringe Benefits Direct Personnel and Fringe Benefits Other Direct Costs (Non-Personnel)Other Direct Costs (Non-Personnel)Other Direct Costs (Non-Personnel) Subcontractor/Consultant Services Subcontractor/Consultant Services Subcontractor/Consultant Services Administrative Costs Administrative Costs Administrative Costs Program Manager, Base Salary at 87.5% FTE @ $45,500 (project FTE @20%), 7 hours/week; FICA @7.65% base salary. Mentors: 537 hours @ $19/hour for 12 months, 6-8 mentors, includes compensation for time spent onboarding, training, supervision & support. Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 Attachment A Start Date: 7/1/2025 End Date: 6/30/2026 Description Count How were efforts supported?Notes Additional Information & Helpful Hints about this Measure # of Youth Mental Health First-Aid training programs held Click here for more information about the Youth Mental Health First-Aid program # of unique participants trained in Youth Mental Health First-Aid # of trainers who provide Youth Mental Health First-Aid programs # of peer-based training programs held # of unique participants trained in peer-based program Click here for resources on Early Intervention. Primary prevention activities should not be the focus of these Early Intervention programs. Primary prevention activities may be covered Exhibit B strategies, which require local governments to complete and submit an Option B Report and Recommendations. # of trainers who provide peer-based programs # of other early intervention training programs held Click here for resources on Early Intervention. Primary prevention activities should not be the focus of these Early Intervention programs. Primary prevention activities may be covered in Exhibit B strategies, which require local governments to complete and submit an Option B Report and Recommendations. # of unique participants trained in other early intervention programs # of trainers who provide other early intervention programs Custom, strategy-specific measures may be entered in this row. Custom, strategy-specific measures may be entered in this row. Custom, strategy-specific measures may be entered in this row. Process Measure Count Additional Information & Helpful Hints about this Measure # of unique participants trained American Indian/Alaska Native Non-Hispanic Asian Non-Hispanic Black Non-Hispanic Native Hawaiian or Other Pacific Islander Non-Hispanic White Non-Hispanic Hispanic Some Other Race or Multiple Races Unknown Sum total of unique participants served (Autocalculated) Does sum total (C37) match the reported # of unique participants (C27)? (Autocalculated)Yes Description Count Quality Measure Percent (Autocalculated)Notes Additional Information & Helpful Hints about this Measure # of unique participants trained, who are satisfied w/ training # of unique participants trained # of unique participants trained, who feel more confident in supporting children and adolescents who may be struggling # of unique participants trained # of unique participants trained, who improved skills in supporting children and adolescents who may be struggling # of unique participants trained # of unique participants trained, who improved knowledge in supporting children and adolescents who may be struggling # of unique participants trained Description Count Outcome Measure Percent (Autocalculated for Most Measures)Notes Additional Information & Helpful Hints about this Measure # of unique participants trained, who report using skills/knowledge gained in training # of unique participants trained # of unique participants trained, who report getting the social and emotional support they need # of unique participants trained % of short-term suspensions N/A % of short-term suspensions This measure is the number of out-of-school short-term suspensions in educational facilities for all grades per 100 students. It is collected by NC Department of Public Instruction and an indicator for HNC 2030. Visit this link to download Table S-C1 for the 2023-24 report. # of community overdose reversals using naloxone # of community overdose reversals using naloxone N/A A community overdose reversal is one where naloxone is administered by a community member who is not EMT or first responder staff Description Notes Additional Information & Helpful Hints about this Measure Overdose death rate per 100,000 residents The North Carolina Overdose Epidemic Data Dashboard can be found here. Use the "Metrics" dropdown to find the "Metric" (i.e., Outcome Measure, Population-Level) and "Place" to find your county. Overdose emergency department visits per 100,000 residents The North Carolina Overdose Epidemic Data Dashboard can be found here. Use the "Metrics" dropdown to find the "Metric" (i.e., Outcome Measure, Population-Level) and "Place" to find your county. Notes 6. Early Intervention Insert Start and End Date for this Strategy (MM/DD/YYYY) Process measures answer the question, “How much did you do?”. Please quantify the process measures relevant to your implementation of this strategy. Indicate whether the count represents efforts supported only by opioid settlement funds or efforts supported by multiple funding sources including opioid settlement funds. Process measures should reflect numbers from the current reporting period (fiscal year). STRATEGY-SPECIFIC PROCESS MEASURES DEMOGRAPHICS: Provide the following information on race and ethnicity for the # of unique participants trained during the current reporting period (fiscal year). STRATEGY-SPECIFIC QUALITY MEASURES Of the # of unique participants trained in the count above, how many people identified as: Quality measures answer the question, “How well did you do it?”. Please quantify the quality measures relevant to your implementation of this strategy. Quality measures should reflect numbers from the current reporting period (fiscal year). % of participants who are satisfied w/ training Incomplete assessments may be used by trainers to determine satisfaction with training % of participants who feel more confident in supporting children and adolescents who may be struggling Incomplete pre/post assessments may be used by trainers to determine a change in confidence % of participants who improved skills in supporting children and adolescents who may be struggling Incomplete pre/post assessments may be used by trainers to determine a change in skill % of participants who improved knowledge in supporting children and adolescents who may be struggling Incomplete pre/post assessments may be used by trainers to determine a change in knowledge STRATEGY-SPECIFIC OUTCOME MEASURES (PROGRAM-LEVEL) Incomplete Custom, strategy-specific measures may be entered in this row. Incomplete Custom, strategy-specific measures may be entered in this row. Incomplete Custom, strategy-specific measures may be entered in this row. Outcome measures answer the question, “Is anyone better off?”. Outcome measures can be at the program- or population-level. Please quantify the outcome measures relevant to your implementation of this strategy. Outcome measures should reflect numbers from the current reporting period (fiscal year). % of participants who report using skills/knowledge gained in training Incomplete % of participants who report getting the social and emotional support they need Incomplete Consider asking participants the Behavioral Risk Factor Surveillance System question, "How often do you get the social and emotional support you need?" 1. Always 2. Usually 3. Sometimes 4. Rarely 5. Never The # of participants who answer "Always" and "Usually" can be summed to find # of participants who have OUD, served who report getting the social and emotional support they need Custom, strategy-specific measures may be entered in this row. In addition to any program-level outcome measures captured above, population-level data on outcome measures are available from the NC Overdose Epidemic Data Dashboard. Please visit the Data Dashboard and become familiar with what is available. Then indicate if there are population-level outcome measures you are expecting to change as a result of your implementation of this strategy. The NC Overdose Epidemic Data Dashboard provides integration and visualization of state, regional, and county- level metrics for partners across NC to track progress toward reaching common goals. Which metrics are shared on the Dashboard, referred to as outcome measures (population-level) in the Impact Report, may change over time. STRATEGY-SPECIFIC OUTCOME MEASURES (POPULATION-LEVEL) Incomplete Custom, strategy-specific measures may be entered in this row. Incomplete Custom, strategy-specific measures may be entered in this row. Are you expecting to change this measure as a result of implementing this strategy? Incomplete Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 10/7/2025 (910) 515-8244 (919) 968-8991 21121 Reintegration Support Network, 117 W Main St Carrboro, NC 27510 38970 A 1,000,000 GLWF17467141 002 2/27/2025 2/27/2026 100,000 5,000 1,000,000 2,000,000 2,000,000 1,000,000A GLWF17467141 002 2/27/2025 2/27/2026 B MWC0155468-05 9/3/2025 9/3/2026 100,000 100,000 500,000 C Directors & Officers PHSD1865465 4/1/2025 EA Claim 1,000,000 A Abuse & Molestation GLWF17467141 002 2/27/2025 2/27/2026 Ea Occ $1,000,000 Orange County 300 West Tryon Street PO Box 8181 Hillsborough, NC 27278 REINSUP-01 DBUNDERS Business Insurers of the Carolinas LLC 501 Eastowne Dr Suite 250 Chapel Hill, NC 27514 Dan Bunders dbunders@business-insurers.com Westchester Fire Ins Co MARKEL INSURANCE COMPANY PHILADELPHIA INSURANCE Co. X 4/1/2026 X X X X X Docusign Envelope ID: 3F83C396-147B-4D86-8D5D-FF80C0FA2C34