HomeMy WebLinkAbout2025-758-E-Health Dept-UNC-CH-Services and support programs that serve persons with Opioid Use DisorderOrange 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 University of North Carolina at Chapel Hill, located at
104 Airport Drive, Suite 2200, Chapel Hill, North Carolina 27599 (“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 $37,600.00.
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 $9,400.00. 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 (Attachment A), which show satisfactory progress toward completion of
performance measures and an accounting of expenditures as detailed in the Scope of
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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.
Quarters 1 and 2 progress and financial reports due January 10 for reporting months
July 1 – December 31.
Quarter 3 progress and financial report due April 10 for reporting months January 1 –
March 31.
Final progress report due August 15 for reporting months July 1 – June 30.
Final financial report due August 15 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.
.
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b. In the event of default by the Provider, including but not limited to failure to perform services
in accordance with this Agreement or noncompliance with applicable reporting,
documentation, or funding requirements, the County may elect to terminate this Agreement
in whole or in part. The County shall pay Provider for all properly performed services
accepted by the County up to the effective date of termination, including services identified
by the Provider in a written list submitted within 30 days of termination notice, detailing
services performed since the last report and their associated costs, subject to County review
and acceptance. The County shall not be responsible for payment of any non-cancellable
commitments entered into by the Provider without the County’s prior written consent, except
for those costs that were expressly included in the approved budget (showing in Exhibit B)
and incurred in accordance with this Agreement prior to termination. 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, including the right to recover any funds determined to have
been improperly expended under this Agreement. If any funds are determined to be
improperly expended under this Agreement, the Provider shall repay such funds within thirty
(30) business days.
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 thirty (30) days prior to termination. In the event of such termination, the County shall
pay the Provider for all properly performed services accepted by the County through the
effective date of termination, including services identified by the Provider in a written list
submitted within 30 days of termination notice, detailing services performed since the last
report and their associated costs, subject to County review and acceptance. The County shall
not be responsible for any non-cancellable commitments or obligations incurred by the
Provider without the County’s prior written consent, except for those costs that were
expressly included in the approved budget (showing in Exhibit B) and incurred in accordance
with this Agreement prior to termination. Any unused funds shall be returned to the County
within thirty (30) 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.
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7. Insurance.
a. General Requirements. Provider, an agency of the State of North Carolina, is responsible for
its and its employees’ negligence as provided under North Carolina law. The Provider is a
self-insured entity and carries insurance limits as required by the state of North Carolina. The
Provider will be responsible for its own negligence in accordance with the North Carolina
Tort Claims Act. A copy of Provider’s Certificate of Insurance will be provided to County
upon request.
i. 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
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.
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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 arising from bodily injury, including death or property
damage, to any person or persons caused in whole or in part by the negligence of the Provider,
except to the extent same are caused by the negligence of the County. It is the intent of this
section to require Provider to indemnify the County to the extent permitted by the North
Carolina Tort Claims Act. Nothing in this section shall be construed as a waiver of any
defenses or immunities available to either party under North Carolina law, including but not
limited to sovereign immunity and governmental immunity.
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 The University of North Carolina at Chapel Hill
Attention: Kimberlee Quatrone Attention: Penny Gordon-Larsen
P.O. Box 8181 104 Airport Dr., Suite 2200
300 W. Tryon St. Chapel Hill, NC 27599
Hillsborough, NC 27278 Email: SponsoredPrograms@unc.edu
Email:kquatrone@orangecountync.gov
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.
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Orange County Opioid Funding Agency Performance Agreement
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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
Penny Gordon-Larsen, Vice Chancellor for Research Date
For and on behalf of Orange County Government
Travis Myren, County Manager Date
Lexi Damacus on behalf ofPenny Gordon-Larsen 12/18/2025
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12/23/2025
Orange County Opioid Funding Agency Performance Agreement
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ORANGE COUNTY—INTERNAL USE ONLY
Finance Information
Vendor Name: UNC-CH Vendor Contact Person: Lexi Damacus Phone: 919-962-8003 Address: 104 Airport Dr.,
Suite 2200 City Chapel Hill State: NC Zip: 27599 Department: Health Amount: $37,600.00 Purpose: Services and
support programs that serve persons with Opioid Use Disorder Budget Code(s): 27411020-630000-92004 Vendor #
49882 R9
Vendor Status with NCSOS: Current-Active Non-Profit 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: May 20,2025); 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.
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:
Docusign Envelope ID: 29556FD2-008F-43BA-A984-596F90EB929E
12/19/2025
12/22/2025
12/22/2025
12/23/2025
Exhibits, page 1
Exhibit A
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
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Exhibits, 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.
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Exhibit B: Scope of Services
Project Description and Program Sustainability
The primary implementation strategy addressed by this proposal is Strategy 9: Syringe
Service Program. Our work also addresses Strategy 7: Naloxone Distribution. The proposed
project is funding for the Student Health Action Coalition (SHAC) SSP. SHAC SSP is a volunteer-
based organization that seeks to improve health outcomes for people who use substances and
improve community knowledge of drug safety. We are founded on the principles of harm
reduction, which seek to center the humanity of people who use substances while working to
reduce higher-risk behaviors through delivery of non-judgmental care. We aim to “meet people
where they are” and rebuild trust between people with substance use disorder (SUD) and the
medical community. SHAC SSP serves a diverse clientele and is the only fixed location SSP
operated out of and focused exclusively on Orange County.
Our parent organization, SHAC, is a 501(c)(3) nonprofit that is managed through the
UNC Health Foundation and is part of the National Association of Free Clinics and North
Carolina Association of Free and Charitable Clinics. SHAC’s mission is to provide free
“comprehensive health care and social needs support.” Due to capacity constraints, SHAC is
unable to administer large awards in-house. Therefore, we are applying with the UNC Injury
Prevention Research Center (IPRC) who will administer the award, including overseeing the
financial, personnel, and compliance aspects of the program. SHAC SSP was awarded Orange
County Opioid Settlement funds in a previous cycle and the contract is currently administered
through IPRC. SHAC SSP registered with the North Carolina Department of Health and Human
Services as an SSP in Spring of 2022. Since our inception in 2022 we have provided safer use
supplies to over 175 unique SSP clients, including more than 456 doses of naloxone and 2,002
syringes. We also provide sterile injection supplies, fentanyl and xylazine test strips, first aid
supplies, drug checking kits, referrals to local organizations for substance use disorder
treatment, and referrals to other clinics within SHAC for free medical and dental care, STI and
HIV testing and treatment, and more.
Our leadership team has been trained to lead educational activities related to naloxone
administration, harm reduction principles, North Carolina Good Samaritan laws, and fentanyl
awareness. In the last year, our volunteer base increased from 15 to 83 active volunteers with
undergraduates, nursing students, public health students, and medical students receiving
training on topics important for SSP shift staffing including how to teach participants about
naloxone use. Our tracked statistics from May 2022-May 2023, prior to receiving Orange
County Opioid Settlement Funding, compared to June 2023-June 2024 with funding show that
we substantially increased our supply provision to participants. Overall, our number of
participants served increased from 65 in 2022-2023 to 124 in 2023-2024. Our provision of
naloxone doses increased 109% in 2023-2024 compared to 2022-2023 from 99 to 207, and our
number of syringes distributed increased 115% from 439 to 946. Additionally, we expanded
from one to two weekly supply distribution shifts during the last funding period.
We are seeking funding for SSP supplies, educational materials, marketing, travel, and
continued funding for the paid Program Navigator position within SHAC SSP. Supplies include
purchases of naloxone, syringes, fentanyl and xylazine test strips, basic first aid supplies, and
other items comprising the total inventory of 26 harm reduction-related items we supply. The
program navigator hired within the last funded year provides program management and
support, including development of educational materials, volunteer management and training,
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program expansion, management of community partnerships, and direct staffing of supply
distribution shifts. This funding will let us meet organizational goals by increasing supply
distribution and starting new initiatives as detailed below. Our grant through the Orange
County Opioid Settlement Fund is currently our only source of funding. Challenges for our
program beyond the current project cycle include maintaining our Program Navigator role,
which is currently a temporary position pending grant funding. However, we will work with our
program navigator for whatever time we can fund this position to create streamlined workflows
that are more sustainable for a student-run organization. Streamlining processes for inventory,
supply ordering, maintaining records, and interfacing with other programs will enable us to
continue to grow and maintain access to necessary safer use supplies for residents of Orange
County. Another challenge for our program is that we currently receive nasal Naloxone for free
via the Addiction Medicine program at UNC but are not guaranteed to continue receiving this
resource indefinitely. To address this, we developed our budget such that if needed we can
shift spending to be able to purchase Naloxone. We would also explore other sources of free or
reduced cost Naloxone via connections with other SSPs. For the initiatives below, three student
co-directors and the program navigator will share responsibility for oversight and completion of
all tasks, with our student volunteer base providing staffing for routine SSP activities.
Upcoming initiatives for new funding period:
1. Open a new SHAC SSP location to increase SSP access: With our program navigator available to
staff shifts weekly and the significant growth of our volunteer base, our bandwidth for shift
staffing has increased greatly. We are actively seeking an additional location in Chapel Hill to
host a third weekly distribution shift. This location will be selected to complement our weekly
shift locations in Chapel Hill and Carrboro and our supply site at Hillsborough Pharmacy and
serve a population to whom these locations are not easily accessible. We are utilizing
participant feedback and EMS data on overdose locations to select this site. An additional
distribution shift per week in a visible and easily accessible location within Orange County will
enhance the quantity of safe injection supplies and Naloxone we can distribute. We will seek to
start shifts at our new site at the start of the Fall undergraduate semester in August 2025.
2. Initiate SHAC SSP material distribution within the UNC Emergency Department (ED): We are in
the process of incorporating information on the SHAC SSP into discharge materials for patients
admitted to the UNC ED with substance use-related chief complaints or those who discuss
substance use with their provider. Through discussions with ED leadership, it became apparent
that the current guidance materials for treatment of SUD are out of date and our program is
assisting in revision of these materials. Our program will also be giving a presentation to the
UNC Emergency Medicine Residency Program to educate medical residents on SUD treatment,
harm reduction, and SSPs. This will benefit patients in our community by streamlining the
process with the UNC ED for patients to access lifesaving resources through our program. This
will represent a significant improvement in how patients who use opioids are treated within the
UNC Healthcare system and open a line of dialogue so we may continue to improve healthcare
providers’ knowledge and awareness as the opioid crisis evolves. The presentation will occur in
Summer 2025 and guidance materials updated throughout Fall 2025, with this initiative led by
the program co-directors in conjunction with medical student volunteers.
3. Establish Emergency Use Naloxone Boxes: We plan to expand access to free naloxone in
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Orange County through a selection of data-driven locations with a high risk of opioid overdoses.
This initiative will include installing emergency naloxone boxes (similar to public-use AEDs and
EpiPens) in locations that were sites of overdoses in 2020-2023. These efforts will initially focus
on parking garages and public spaces, with further locations determined through ongoing
collaboration with Orange County PORT. We plan to initiate this project during Summer 2025.
This project would build local infrastructure to respond to the opioid crisis by significantly
increasing access to overdose resources in our community. We will commit to continuously
restocking these boxes throughout and beyond the proposed funding period.
4. Improve and streamline referrals: During the prior fiscal year we strengthened our connections
with local programs providing resources that may be helpful for our participants such as free
primary care, dental care, counseling and mental health care, and STI and HIV testing. We have
previously referred participants to these resources on an as-needed basis upon request or
based on volunteers’ assessment of participant needs. In this grant period, we will seek to
streamline and increase the frequency of referrals by integrating a standardized checkout form
for our distribution shifts that will include referrals as items to offer every participant. This will
increase frequency of referrals, improving linkage to needed resources for vulnerable Orange
County residents. We will also continue to offer referrals to substance use disorder treatment
centers in a non-prescriptive, participant-initiated manner. The standardized checkout form will
be iteratively improved to incorporate feedback from participants throughout the funded
period.
5. Engage with and compensate SSP participants for their feedback to improve services: As an
organization composed of and led by UNC students, we are conscious of our need to
incorporate perspectives from individuals with lived experience with substance use into the
direction and leadership of our program to better serve our population. In the next fiscal year,
we will strive to integrate participant feedback and include the input of community members
with lived experience in a more regimented manner. We will develop and implement surveys
on the performance of our programs, including any unmet needs, and compensate participants
financially for filling out these questionnaires. We will also identify our most engaged
participants and create a community advisory board (CAB) so they can share their input on the
program with us at quarterly meetings and as needed throughout the funded period. CAB
meetings will begin in Fall 2025.
6. Disseminate our program’s work and continue building collaborations through educational
conferences: To further engage with other agencies in the state, learn about new harm
reduction approaches, and increase our awareness of other local resources, we plan to have
our program directors and navigator attend conferences in this fiscal year. They will attend the
twice-yearly NC Safer Syringe Initiative Learning Collaboratives for education and training on
topics such as wound care that will enhance the services our SSP offers. We will also seek to
disseminate our program’s unique student-led SSP model by presenting at the American Society
of Addiction Medicine conference in April 2026, with abstract submission in January 2026. We
hope that the presentation will inspire and guide the creation of student-run SSPs at other
institutions.
Docusign Envelope ID: 29556FD2-008F-43BA-A984-596F90EB929E
Overall Program Budget
Agency
Proposed Program Title
Total Program Revenue Budget
2025 2026 2027 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 $ - $ - $ - $ -$ -$ -
$ - $ - $ -$ -
$ - $ - $ -$ -
$ - $ - $ -$ -
$ - $ - $ -$ -
$ - $ - $ -$ -
Total Revenues: $ - $ - $ - $ - $ -$ - $ - $ -$ -$ -
Total Program Expense Budget
2025 2026 2027 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: 22,360.00 - 22,360.00 - - -- --22,360.00
Operations Expenses: 15,240.00 - 15,240.00 - - -- --15,240.00
Subcontractor Services:
Subcontractor 1 name - - -- - -- ---
Subcontractor 2 name - - -- - -- ---
Subcontractor 3 name - - -- - -- ---
Capital - - - - ---
Administrative/Indirect cost (no more than 10%) - - -- - -- ---
Total Expenses: 37,600.00 - 37,600.00 - ----37,600.00
University of North Carolina at Chapel Hill
Student Health Action Coalition Syringe Service Program
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.
Docusign Envelope ID: 29556FD2-008F-43BA-A984-596F90EB929E
Opioid Settlement Strategies RFA Budget Narrative
Agency
Proposed Program Title
Year
Direct Personnel and Fringe Benefits
Other Direct Costs (Non-Personnel)
Subcontractor/Consultant Services
Administrative Costs
The Director of Outreach, Training, and Education (0.48 calendar months/4.01% FTE) for the SHAC SSP award will oversee overall management of the award, ensuring its
programmatic and fiscal integrity. The Director of Outreach, Training, and Education will ensure timely submission of financial invoices, programmtic reports, and proactive
communication with Orange County representatives. She will directly supervise the Syringe Service Program Navigator and liaise with the co-directors of the syringe service
program.
The Syringe Service Program Navigator (2.84 calendar months/23.65% FTE) will provide management of the syringe service program, including development of educational and
marketing materials, training & onboarding new volunteers, managing existing volunteers, and staffing supply distribution shifts. This position will also be responsible for
identifying opportunities for program expansion in Orange County in addition to developing and maintaining relationships with community partners.
Fringe Benefits: The University of North Carolina at Chapel Hill fringe benefits are calculated at a rate of 24.7679% (6.2%+1.45% social security; 14.24% retirement; 1% worker's
comp; 1.8779% leave payout, transit, and communications) of annual salary plus $8,095/FTE/year for health insurance. Fringe benefits for part-time and temporary employees are
calculated at 9.5279% of annual salary (6.2%+1.45% social security; 1% worker's comp; 0.8779% transit and communications).
Safe injection supplies: are included in harm reduction kits that are handed out to SSP participants on an as-needed basis.These supplies include sterile syringes, tourniquets,
cookers, cotton pellets, triple antibiotic ointment, saline ampoules, alcohol prep pads, Vitamin C packers, small bandages, 5 qt sharps containers, 1 qt sharp containers.
Overdose prevention and reversal supplies are lifesaving products that help prevent and reverse overdoses. People who use drigs (PWUD) are most likely that anyone else to
reverse an overdose, so it is vital that these supplies are distributed to program participants. These supplies include naloxone, fentanyl test strips, and CPR face shields.
General first aid supplies are provided to program participants because PWUD often experience wounds related to their injection drug use, especially with xylazine in the supply.
Additionally, we work with a population that is largely unhoused, so we believe it is important to provide them with basic necessities, such as hand warmers and mosquito
repellent to keep them safe in the outdoor environment. These supplies include large bandages, 3x3 gauze pads, surgical tape rolls, nitrile gloves, hand warmers, and mosquito
repellent.
Safe sex supplies are distributed to decrease the spread of STIs and other blood borne pathogens. These supplies include condoms, lubricant sachets, dental dams, and pregnancy
test strips.
Educational materials include:
-Trifold pamphlets will provide information about the services offered by the SSP and the importance of having an SSP in the community. Pamphlets will also include a list of other
resources for participants.
-"I carry naloxone" stickers will be provided to individuals who are trained through the SSP to use naloxone so they can be easily identified as a resource in the community.
-"How to use test strips" cards will be provided with test strips to instruct individuals on how to use and read fentanyl and xylazine test strips.
-SHAC SSP Manual will be provided to all new volunteers and shift managers to ensure that the SSP procedures, policies, and protocols are followed and the program is run
efficiently.
Travel within Orange County accounts for mileage driven by the program navigator and SSP co-directors to deliver supplies to program sites, travel to staff supply distribution
shifts, and travel to meetings with community partners.
Travel within North Carolina will allow the program navigator and SSP co-directors to attend in person meetings of the North Carolina Safer Syringe Iniative held by NC
Department of Health & Human Services' Injury & Violence Prevention Branch.
Marketing materials will be used to increase knowledge and awarness of the SSP in Orange County to increase participation and ensure all who may need these services are aware
of them. Marketing materials will also aim to communicate the importance of SSPs in the health and safety of communities to increase community buy-in for the program. These
materials include yard signs, banners, business cards, and flyers.
N/A
N/A
Student Health Action Coalition Syringe Service Program
2025-2026
Docusign Envelope ID: 29556FD2-008F-43BA-A984-596F90EB929E
MIKE CAUSEY
INSURANCE COMMISSIONER
BRIAN TAYLOR
STATE FIRE MARSHAL
OFFICE OF STATE FIRE MARSHAL
1202 MAIL SERVICE CENTER I RALEIGH NC 27699-1202 I TEL 919.647.0000 I Fax 866.851.6508 I WWW.NC OSFM.GOV
February 19, 2024
Re: NC State Tort
The State of North Carolina, being self-insured and holding sovereign immunity, is not
susceptible to legal action without its explicit permission. Consequently, we do not procure
liability insurance. However, pursuant to statute (Chapter 143, Article 31), the State has
chosen to waive its sovereign immunity concerning suits related to the negligence of its
employees or agents, leading to injuries. The indemnity extends up to a maximum of
$1,000,000 for any single individual arising from a singular incident (NCGS § 143-299.2). The
North Carolina Industrial Commission is constituted as a court for the purpose of hearing and
passing upon tort claims against departments, institutions, or agencies.
The State tort is not attached to a policy, therefore does not expire, or require an expiration
date to be placed on the certificate of coverage.
We trust that the above information provides the necessary certification needed by your
organization. If you have any questions or need additional information, please let us know.
Sincerely,
Latarsha Y. Silver, CRM
Risk Manager
Docusign Envelope ID: 29556FD2-008F-43BA-A984-596F90EB929E
MIKE CAUSEY
INSURANCE COMMISSIONER
BRIAN TAYLOR
STATE FIRE MARSHAL
OFFICE OF STATE FIRE MARSHAL
1202 MAIL SERVICE CENTER I RALEIGH NC 27699-1202 I TEL 919.647.0000 I Fax 866.851.6508 I WWW.NCOSFM.GOV
CERTIFICATE OF COVERAGE
Insurer: State of North Carolina
Authorization: North Carolina General Statute Sections 143-291 to 143-300.1A,
commonly referred to as the State Tort Claims Act.
Coverage: Tort Claims against Departments, Agencies, and Employees must be filed
in the North Carolina Industrial Commission and a legal defense is
provided by the State.
1. Workers’ Compensation
Limits $1,000,000 statutory damage to any one person arising out of any one
occurrence. NCGS § 143-299.2
2. Statutory Limits for Workers’ Compensation
Description: University of North Carolina at Chapel Hill and its employees, officers,
agents, as covered by the Defense of State Employees as per NCGS §
143 300.2. The State Tort does not expire.
Administrator: Department Insurance - Risk Management Division
Office of State Fire Marshal
1202 Mail Service Center, Raleigh, NC 27699-1202
Note: This Certificate is for informational purposes only and does not alter any
provision of the Tort Claims or Defense of State Employees General
Statutes of the State.
Verified By:
Latarsha Y. Silver, CRM
Risk Manager
Docusign Envelope ID: 29556FD2-008F-43BA-A984-596F90EB929E