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HomeMy WebLinkAbout2025-743-E-Civil Rights & Civic Life Dept-Refugee Support Center-Outside Agency FundingOrange 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 Refugee Support Center, a not-for-profit corporation, located at P.O. Box 1025, 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 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 $7,500.00. 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 four equal installments in the amount of $1,875.00. The first payment is contingent upon receipt of the agency’s performance agreement; the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. d. The County’s obligation to make the quarterly payments is contingent upon receipt of Progress Reports, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services. 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: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 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 – March 31 and April 1 - June 30. Reports are due on January 6, April 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 Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Orange County Outside Agency Performance Agreement Page 3 of 12 Rev.07/25 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 (Paul Slack) 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 Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Orange County Outside Agency Performance Agreement Page 4 of 12 Rev.07/25 Limits for Coverage B ‐ Employers Liability of: $1 million Each Occurrence $1,000,000 BID limit • Cyber Liability $1,000,000 Each Occurrence; $2,000,000 Aggregate *Only required for agencies transmitting personal identifiable information that is disseminated electronically. • Commercial General $1,000,000 Each Occurrence Liability $2,000,000 Aggregate • Automobile Liability $1,000,000 Each Occurrence *Only required for agencies doing travel as part of the agreement with the County. • Professional Liability $1,000,000 Each Occurrence $2,000,000 Aggregate • Sexual Misconduct $1,000,000 Each Occurrence $2,000,000 Aggregate *Only required for agencies doing direct work with minors (under the age of 18). c. All insurance policies (with the exception of Worker's Compensation and Professional Liability) required under this Agreement shall name the County as an additional insured party and as a certificate holder. For more information see the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements, (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Evidence of such insurance and all correspondence shall be sent to: Orange County Risk Manager Post Office Box 8181 Hillsborough, NC 27278 d. Nothing in this section is intended to affect or abrogate the County’s sovereign immunity defenses. 8. General Provisions. a. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Orange County Outside Agency Performance Agreement Page 5 of 12 Rev.07/25 b. Non-Discrimination. Provider agrees as part of consideration of the granting of funds by Orange County the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Non-discrimination Policy, which is incorporated herein by reference and can be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php. The County may enforce this provision by an action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. c. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. d. Living Wage. Orange County is committed to providing its employees with a living wage and encourages agencies if funds to pursue the same goal. The Orange County Living Wage Policy, which is incorporated herein by reference, can be viewed at: http://www.orangecountync.gov/departments/purchasing_division/contracts.php. The County’s living wage is $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: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 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 Refugee Support Center Attention: Travis Myren Attention: Flicka Bateman P.O. Box 8181 Address: P.O. Box 1025 Hillsborough, NC 27278 Carrboro, NC 27510 Email:tmyren@orangecountync.gov Email: fbatemanrsc@gmail.com 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 _____________________________ _______________________ Flicka Bateman, Executive Director Date For and on behalf of Orange County Government _______________________________ ________________________ Travis Myren, County Manager Date Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 12/11/2025 12/19/2025 Orange County Outside Agency Performance Agreement Page 7 of 12 Rev.07/25 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Refugee Support Center Vendor Contact Person: Flicka Bateman Phone: 919-423-1478 Address: P.O. Box 1025 City Carrboro State: NC Zip: 27510 Department: Office of Civil Rights & Civic Life Amount: $7,500.00 Purpose: Outside Agency Funding Budget Code(s): 10290050-720276 Vendor # 62967 Vendor Status with NCSOS: Current Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 7/1/2025 End Date 6/30/2026 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: 6/17/2025); 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: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 12/11/2025 12/16/2025 12/17/2025 12/18/2025 Town of Chapel Hill, NC January 14, 2025 HSOA-25-4818 Human Services/Outside Agencies Funding Application Fiscal Year 2026 Status: Active Submitted On: 1/13/2025 Primary Location No location Owner No owner information Applicant Flicka Bateman 919-423-1478 fbatemanrsc@gmail.com 401 Highway 54 Bypass Unit E 15 Carrboro, NC 27510 Agency Information Agency's Legal Name Refugee Support Center Agency's Mailing Address (Street, City, State & Zip Code) PO Box 1025, Carrboro, NC 27510 Agency's Physical Address (Street, City, State & Zip Code) 401 Highway 54, Unit E 15, Carrboro NC 27510 Agency’s Web Address www.refugeesupportcenter.org Tax ID: **-***4698 Date of Incorporation (Month/Year) 09/2013 Executive Director Name Flicka Bateman E-Mail Address fbatemanrsc@gmail.com Telephone Number 9194231478 Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Agency's Purpose/Mission Statement The Refugee Support Center is a volunteer-based organization established to facilitate the transition of local refugees to a new life in our community by providing them with services, assisting them with access to resources, and teaching them skills to promote self-sufficiency. Brief description of your organization’s past achievements Past achievements include successfully providing refugees with assistance related to housing, employment, transportation, health care access, legal counsel through our pro bono law clinic, immigration legal assistance for green card, citizenship and family reunification applications, English/citizenship instruction, after school tutoring, personal financial literacy, and food/clothing access. In 2024 we distributed food, clothing, backpacks with school supplies, diapers, and menstrual products. In a typical year, services are offered individually and in small classes, but periodic community-wide workshops are held on health education, immigration, and legal information. Timetables and budget deadlines have been met when required by grants: Strowd Roses, UNC Center for Public Service, Orange County Social Justice, Triangle United Way and Orange County Human Services. 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. Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Number of Part-Time Paid Positions 6 Number of Full-Time Paid Positions 0 Staff Members Please ensure that each subsection listed below adds up to the total number of staff members listed here. Total Number of Staff 11 Staff Members - Sex Number of Male Staff 5 Number of Female Staff 6 Number of Nonbinary Staff 0 Number of Staff who prefer not to answer 0 Staff Members - Race and Ethnicity Number of American Indian or Alaska Native Staff 0 Number of Asian Staff 5 Number of Black or African American Staff 1 Number of Native Hawaiian or Other Pacific Islander Staff 0 Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Number of White Staff 5 Number of Staff of more than one race 0 Number of staff who prefer not to answer 0 Number of Staff who identify as a race/ethnicity not listed 0 Total Number of Staff who identify as Hispanic or Latino 0 Total Number of Staff who do not identify as Hispanic or Latino 11 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 10 Board Members - Sex Number of Male Board Members 2 Number of Female Board Members 8 Number of Nonbinary Board Members 0 Number of Board Members who prefer not to answer 0 Board Members - Race and Ethnicity Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Number of American Indian or Alaska Native Board Members 0 Number of Asian Board Members 8 Number of Black or African American Board Members 2 Number of Native Hawaiian or Other Pacific Islander Board Members 0 Number of White Board Members 0 Number of Board Members of more than one race 0 Number of Board Members who prefer not to answer 0 Number of Board Members who identify as a race/ethnicity not listed 0 Total Number of Board Members who identify as Hispanic or Latino 0 Total Number of Board Members who do not identify as Hispanic or Latino 0 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. Describe how the agency incorporates racial equity into its goals. (150 word limit) By using interpreters for all languages other than English and by respecng and honoring different cultures we try to incorporate equity goals. Addionally, interpreters all come from cultures reflected in our client base. Our board is made up enrely of refugees. Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Describe how the intended beneficiaries of the proposed project(s) were involved in the planning and design process. (150 word limit) Feedback from our Client Sasfacon Survey is used. In addion, our Board of Directors is composed totally of refugees or former refugees. They are beneficiaries as well as representaves of their specific community of refugees (ex. Chin) and are involved in providing input about all acvies and services of the Refugee Support Center. Percent (%) of Staff who attended racial equity trainings. 20 Percent (%) of Board Members who attended racial equity trainings. 18 Describe other racial equity related activities. We have not held any targeted equity-related acvies but believe our daily pracces and services comprise equity in acon. Examples include distribung backpacks with school supplies to over 350 vulnerable refugee students, holding voter registraon/educaon sessions for non- white new cizens, securing 30 summer camp scholarship for minority kids, and partnering with a local medical office to provide free vision assessment and eye glasses for refugees without health insurance. Program Funding Request Program Name Centralized Location for Services Town of Carrboro – Town of Chapel Hill – Orange County 7500 Total 7500 Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Short description of proposed use of funds. Funding will be used to assist with rent for dedicated space at an accessible location so that refugees can come for help with needed services such as employment, housing, safety net applications, legal counsel, immigration applications, citizenship/ESL classes, and to receive essential items such as food, clothing, diapers, backpacks with school supplies,and menstrual products. Please note that this is our first requested increase in funding since we started applying seven years ago. 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 Centralized Location for Services Primary Contact's Name Flicka Bateman Primary Contact's Phone Number 9194231478 Primary Contact's Email Address fbatemanrsc@gmail.com 0 0 7500 7500 Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 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 proposed program seeks funding for a centralized, accessible location for refugees to come for help with employment, housing, safety net applications, legal counsel, immigration applications, citizenship/ESL classes, after-school tutoring and to receive essential items (food, clothing, diapers, school supplies, menstrual products). BOCC’s goals and objectives include Heathy Community Objective 3: Provide social safety net programming and the resources needed for our most vulnerable members. Our target population is all refugees, one of the most vulnerable groups of Orange County. 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 5000 Total Number of Individuals (Actual 2023-2024) 854 Cost Per Individual (Actual 2023-2024) 5.72 Projected Cost 2024-2025 Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Total Program Cost (2024-2025) 5000 Total Number of Individuals (Projected 2024- 2025) 870 Cost Per Individual (Projected 2024-2025) 5.75 Projected Cost 2025-2026 Total Program Cost (Projected 2025-2026) 7500 Total Number of Individuals (Projected 2025- 2026) 880 Cost Per Individual (Projected 2025-2026) 8.52 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? Actual Outcomes 2023-2024 Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 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 2: Healthy Community Please indicate a minimum of one Orange County Strategic Plan objective for your selected priority area that addresses your program(s). Objective 3 Please list how you plan to measure or track the program's contribution to each objective. BOCC's objective 3 includes providing a network of human services and resources for vulnerable county residents. Our services and network of resources are designed to meet the needs of refugees, one of the most vulnerable populations in our country. We will measure our contributions to this objective in two ways: 1) We will measure the number of refugees for whom we submit immigration applications to USCIS. 2) We will measure the number of refugees that receive at least one essential item through RSC. Actual Outcomes 2023-24 1) RSC submitted 150 immigration applications to USCIS in FY 2023-24. 2) 772 refugees received at least one donated essential item in FY 2023-24. Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Projected Outcomes 2024-2025 1) RSC projected that 130 immigration applications will be submitted to USCIS in FY 2024-25. 2) 760 refugees will receive at least one donated essential item in FY 2024- 45. Projected Outcomes 2025-2026 1) 135 refugees will have immigration applications submitted by RSC to USCIS in FY 2025-26. 2) 760 refugees will receive at least one donated essential item in FY 2025- 26. 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: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 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 Flicka Bateman Agency Role of Person Submitting the Application Director Agency Representative Signature Flicka Bateman Dec 31, 2024 Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 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: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 EXHIBIT “B” Scope of Services – FY 2025-26 Outside Agency Performance Agreement Agency Name: Refugee Support Center Program Name: Centralized Location for Services Funding Award: $7,500 Outline how the agency will spend Orange County’s funding award. Expense Description Amount Partial rent at $1,436 for 12 mos for FY 25-26 7500 Program Services Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2026. Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2025. ● Provide a centralized location to connect refugees to services and resources ● Provide a centralized location to deliver immigration legal services ● Provide a centralized location to distribute essential goods (food, clothing, school supplies, diapers) Orange County Strategic Plan Priority Identified in Application. Please click on the box below and select from the drop-down menu. Priority 2: Healthy Communities 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. Provide a network of human sevices and resources for vulnerable county residents . 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. Performance Measures Anticipated Year End Results 135 refugees will have immigration applications submittted by RSC to USCIS in FY 25 -26 135 applications will be submitted 760 refugees will receive at least 1 donated essential item in FY 25 -26 760 refugees received 1 essental item l Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Certified by: Flicka Bateman Title: Director Date: 08/08/2025 (Provider’s Signature) Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Orange County Outside Agency Performance Agreement Page 11 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: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 12/11/2025Director Orange County Outside Agency Performance Agreement Page 12 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: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 Orange County Outside Agency Performance Agreement Page 13 of 12 Rev.07/25 Quarterly Outcomes Form Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7 2/7/2025 Titan Risk Consultants, LLC 107 Conner Drive, Suite 225 Chapel Hill, NC 27514 License #: 1000643509 Victoria DeCamp (919)636-3252 v.decamp@titanriskconsultants.com 00065758-0 1 Refugee Support Center P.O. Box 1025 Carrboro, NC 27510 Alliance of Nonprofits for Insurance 10023 A Y 2025-53837 1/16/2025 1/16/2026X X 1,000,000 20,000 1,000,000 2,000,000 2,000,000 Alliance of Nonprofits for Insurance 10023 A 2025-53837 1/16/2025 1/16/2026 X X 1,000,000 Alliance of Nonprofits for Insurance 10023 A 2025-53837 1/16/2025 1/16/2026Abuse & Molestation Abuse Aggregate 2,000,000 Alliance of Nonprofits for Insurance 10023 A 2025-53837 1/16/2025 1/16/2026Errors & Omissions E&O Aggregate 1,000,000 Certficate holder is added as Additional Insured as respects General Liability as required by written contract Orange County Government Attention: Risk Manager P.O. Box 818 Hillsborough, NC 27278 (VCD) Printed by VCD on 02/07/2025 at 09:18AM ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ PER OTH-STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE Docusign Envelope ID: DF678D8E-51B7-49C9-A644-C8D38C2DADC7