HomeMy WebLinkAbout2026-317-E-Office of Civil Rights & Civic Life Dept-Office of Civil Rights & Civic Life-Interpretation-Translation various languagesRevised 04/26
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[Departmental Use Only]
TITLE Language Services
FY 2026-2027
NORTH CAROLINA
SERVICES AGREEMENT NO RFP/RFQ
ORANGE COUNTY
This Services Agreement (hereinafter “Agreement”), made and entered into this 1st. day of
July, 2026, (“Effective Date”) by and between Orange County, North Carolina a political
subdivision of the State of North Carolina (hereinafter, the "County") and Chapel Hill Institute of
Cultural and Language Education, LLC (CHICLE), (hereinafter, the "Provider").
WITNESSETH:
That the County and Provider, for the consideration herein named, do hereby agree as follows:
1. Services
a. Scope of Work.
i) This Agreement is for services to be rendered by Provider to County with respect
to (insert type of project): Interpretation and Translation Services for various
languages.
ii) By executing this Agreement, the Provider represents and agrees that Provider is
qualified to perform and fully capable of performing and providing the services
required or necessary under this Agreement in a fully competent, professional and
timely manner.
iii) Time is of the essence with respect to this Agreement.
iv) The services to be performed under this Agreement consist of Basic Services, as
described and designated in Section 3 hereof. Compensation to the Provider for
Basic Services under this Agreement shall be as set forth herein.
2. Contract
a. Contract. This Contract consists of this document and additional documents for certain
County Departments checked below:
i) For the County
The Scope of Work, description of services, and rate (Attachment A)
ii) For Health Department:
Health Department Additional Terms and Conditions (Attachment B)
Business Associates Agreement (Attachment C)
Condition of Contract Statement (Attachment D)
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iii) For Department of Social Services:
The General Terms and Conditions (Attachment E)
Federal Certification Regarding Drug-Free Workplace (Attachment F)
Conflict of Interest (Attachment G)
No Overdue Taxes (Attachment H)
3. Responsibilities of the Provider
a. Services to be provided. The Provider shall provide the County with all services required
in Section 3 to satisfactorily complete the Project within the time limitations set forth
herein and in accordance with the highest professional standards.
b. Standard of Care.
i) The Provider shall exercise reasonable care and diligence in performing services
under this Agreement in accordance with the highest generally accepted standards
of this type of Provider practice throughout the United States and in accordance
with applicable federal, state and local laws and regulations applicable to the
performance of these services. Provider is solely responsible for the professional
quality, accuracy and timely completion and submission of all work related to the
Basic Services.
ii) Provider shall be responsible for all errors or omissions of its agents, contractors,
employees, or assigns in the performance of the Agreement. Provider shall correct
any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at
no additional cost to the County.
iii) Provider shall maintain the confidentiality of all County and client information
received in connection with this Agreement and shall not disclose such information
except as required by law or authorized in writing by the County. Provider shall
ensure that its employees, agents, and subcontractors are bound by the same
confidentiality obligations.
iv) Provider shall ensure that all interpreters and translators performing services under
this Agreement remain impartial and neutral in all interactions. Interpreters shall
interpret accurately and completely without altering, omitting, summarizing, or
adding to the content of communications. Interpreters shall not provide personal
opinions, advice, advocacy, or counseling to any party and shall disclose any actual
or perceived conflict of interest to the County immediately.
v) The Provider shall not, except as otherwise provided for in this Agreement,
subcontract the performance of any work under this Agreement without prior
written permission of the County. No permission for subcontracting shall create,
between the County and the subcontractor, any contract or any other relationship.
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vi) Provider is an independent contractor of County. Any and all employees of the
Provider engaged by the Provider in the performance of any work or services
required of the Provider under this Agreement, shall be considered employees or
agents of the Provider only and not of the County, and any and all claims that may
or might arise under any workers compensation or other law or contract on behalf
of said employees while so engaged shall be the sole obligation and responsibility
of the Provider.
vii) If activities related to the performance of this Agreement require specific licenses,
certifications, or related credentials Provider represents that it or its employees,
agents and subcontractors engaged in such activities possess such licenses,
certifications, or credentials and that such licenses certifications, or credentials are
current, active, and not in a state of suspension or revocation.
viii) Should any documents, exhibits, or addenda be attached to this Agreement, the
terms of this Agreement shall have priority in any conflict with or among the terms
of such referenced documents, exhibits.
ix) Should this Agreement involve project designs, the construction or creation of
which is to be bid out or fulfilled by other contractors, and bidding or negotiation
with contractors produce prices which, when added to the other elements of the
approved total project cost, produce a cost that is in excess of the approved total
project cost, the Provider shall participate with the County in negotiation and design
adjustments to the extent such are necessary to obtain prices within the approved
total project cost. All activity of the Provider with respect to these matters shall
constitute Basic Services and shall be performed by the Provider without additional
compensation. If negotiation and design adjustments fail to bring costs within the
total project cost the County may reject all bids and Provider will redesign or reduce
portions of the project in an effort to reduce the bid prices to within the total project
cost and rebid the project. One such redesign is included within Basic Services. If
this second letting for bids does not produce bids that are within the approved total
project cost initially or after negotiations with the contractor the cost is not reduced
to an amount within the total project cost, the Provider is not obligated to engage
in further redesign.
4. Basic Services
a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows
(fully describe services to be provided):
i) Interpretation services may be provided by the following means: In-person,
Telephone or other audio, Video.
ii) Interpretation: $60 per hour for Consecutive. Simultaneous Interpretation
$80/hr.one-hour minimum. If the event is expected to last 1.5 or more hours, two
interpreters are needed to maintain the quality of simultaneous interpretation.
ASL $80/hr two-hours minimum . For events booked for 3 or more hours, if the need
for interpretation is cancelled or postponed 2 business days before any event, the
client will pay 100% of the scheduled time. Telephonic $60hr. $25 minimum charge
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for calls up to 15 minutes long. 1hour minimum charge applies for calls expected to
last longer than that at the corresponding consecutive interpreting rate ($60/hr.).
Video Interpretation $ 60 for consecutive and $80 for simultaneous. $75 for
equipment rental for in-person interpreting for up to 25 headsets. Additional fee for
extra headsets. Translations: In a document or a website translation $0.19 per word
in the target language for languages that use the Roman alphabet (Spanish, French,
Portuguese, Italian, etc.) $0.25/word in the source language for other languages
(Arabic, Karen, Burmese, Kinyarwanda, Korean, Russian, Vietnamese, Mandarin,
Japanese,Hindi,etc.) Translation minimum charge: A minimum charge of $50 will be
applied to translation requests. If a document is needed to be translated in several
languages, there’s a minimum charge of $25/language. There is a $35 rush fee for
translation work with turnaround times of less than 5 business days. Multimedia
translation $80 per hour..
5. Duration of Services
a. Term. The term of this Agreement shall be from July 1, 2026 to June 30, 2027.
b. Scheduling of Services.
i) The Provider shall schedule and perform its activities in a timely manner.
ii) Should the County determine that the Provider is behind schedule, it may require
the Provider to expedite and accelerate its efforts, including providing additional
resources and working overtime, as necessary, to perform its services in accordance
with the approved project schedule at no additional cost to the County.
iii) The Commencement Date for the Provider's Basic Services shall be July 1, 2026.
6. Compensation
a. Compensation for Basic Services. Compensation for Basic Services shall include all
compensation due the Provider from the County for all services satisfactorily (as
determined by the County) performed pursuant to this Agreement. The maximum amount
payable for Basic Services shall not exceed Twenty Five Thousand Dollars ($25,000).
Payment for satisfactorily performed Basic Services shall become due and payable within
thirty (30) days of Provider properly invoicing County. Payment shall be subject to
provisions of Section 5(b).
b. For interpretation services only:
i) County will compensate Provider as provided in this agreement for interpretation and
translation services at the rate prescribed. Per hour reimbursement will begin at the
time the Provider meets with County staff for the appointment and ends at the time
the staff and interpreter contact are completed.
There will be a minimum of one (1) hour of service for the first in-person
appointment. All subsequent appointments will be paid according to the duration of
the scheduled appointment time or the actual appointment duration, whichever is
longer. County will pay for a minimum of one (1) hour of service for in-person
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appointments for clients who do not show up for an appointment, and for those who
cancel an appointment with less than 24-hour notice, unless the County is able to
schedule another client for the same appointment time.
ii) In the case of an unexpected closing or delayed opening (e.g., inclement weather) of
the County Offices when providing interpretation services, the Provider shall not be
paid for missed appointments. When possible, the Provider is also asked to help call
his/her scheduled clients to inform them of the delay or closing.
iii) Virtual appointments will be governed by the attached Scope of Work. Virtual
appointments include telehealth appointments.
iv) The Provider will record the start and finish time worked to the minute. After the first
hour of service, payment will be calculated and paid per minute.
v) For interpreting events, that are booked for three (3) or more hours for a single event,
County will pay the provider 100% of the scheduled time. Interpreter events do not
include medical and dental appointments with the Health Department. If the event
ends early or if the provider arrives and their services are no longer required, then the
County will pay the provider 100% of the scheduled time.
vi) The Provider shall submit one invoice per client, per appointment. All invoices should
be submitted to the County within thirty (30) days of Provider completing the service.
c. Disputes. In the event the amount stated on an invoice is disputed by the County, the
County may withhold payment of all or a portion of the amount stated on an invoice until
the parties resolve the dispute. Should Provider fail to perform its duties under the terms
of this Agreement, County may, without fault or penalty, withhold any payment associated
with the work to be performed until such time as said work is completed.
d. Additional Services. County shall not be responsible for costs related to any services in
addition to the Basic Services performed by Provider unless County requests such
additional services in writing and such additional services are evidenced by a written
amendment to this Agreement.
7. Responsibilities of the County
a. 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.
8. Insurance
a. General Requirements. The Provider shall, at its sole expense, maintain Commercial
General Liability Insurance. The Provider shall also maintain Professional Liability
(Errors and Omissions) Insurance appropriate to the Consultant’s profession, with limits
of not less than $2,000,000 per occurrence (or per claim) and $2,000,000 in the
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aggregate.
9. Indemnity
a. Indemnity. To the extent authorized by North Carolina law the Provider agrees, without
limitation, to defend, indemnify and hold harmless the County from all loss, liability,
claims or expense, including attorney's fees, arising out of or related to the Project and
arising from property damage or bodily injury including death to any person or persons
caused in whole or in part by the negligence or 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 provision to require the Provider to indemnify the County to the fullest extent
permitted under North Carolina law.
10. Amendments to the Agreement
a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional
compensation or a change in duration of this Agreement shall be made by a written
Amendment to this Agreement executed by the County and the Provider. The Provider
shall proceed to perform the Services required by the Amendment only after receiving a
fully executed Amendment from the County.
11. Termination
a. Termination for Convenience of the County. This Agreement may be terminated without
cause by the County and for its convenience upon seven (7) days’ prior written notice to
the Provider.
b. Other Termination. The Provider may terminate this Agreement based upon the County's
material breach of this Agreement; provided, the County has not taken all reasonable
actions to remedy the breach. The Provider shall give the County seven (7) days' prior
written notice of its intent to terminate this Agreement for cause. Either party may
terminate this Agreement upon notice to the other party that obligations pursuant to this
Agreement are made impractical due to declarations of emergency by Orange County or
by North Carolina due to events directly impacting Orange County. Both parties shall
remain responsible for all payment and performance due to the receipt of such notice,
but shall have no further obligation or responsibility beyond that date provided the
terminating party has taken all reasonable steps to complete the performance of its
obligations.
c. Compensation After Termination.
i) In the event of termination, the Provider shall be paid that portion of the fees and
expenses that it has earned to the date of termination, less any costs or expenses
incurred or anticipated to be incurred by the County due to errors or omissions of
the Provider. Upon request of the County, the Provider shall submit to County all
relevant documentation, including but not limited to, job cost records, to support its
claims for final compensation.
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ii) Should this Agreement be terminated, the Provider shall deliver to the County
within seven (7) days, at no additional cost, all deliverables including any electronic
data or files relating to the Project.
d. 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.
e. Suspension. County may suspend the Basic Services and this Agreement at any time for
County’s convenience and without penalty to County upon three (3) days’ notice to
Provider. Upon any suspension by County, Provider shall discontinue work on the Basic
Services and shall not resume the Basic Services until notified to proceed by County.
12. Additional Provisions
a. Limitation and Assignment. The County and the Provider each bind themselves, their
successors, assigns and legal representatives to the terms of this Agreement. Neither the
County nor the Provider shall assign or transfer its interest in this Agreement without the
written consent of the other.
b. 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.
c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable
local, state, and federal laws, rules, and regulations including but not limited to all state
and federal non-discrimination laws, policies, rules, and regulations and the Orange
County Non-Discrimination Policy and Orange County Living Wage Policy (each policy
is incorporated herein by reference and may be viewed at
http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Any
violation of the Orange County Non-Discrimination Policy is a breach of this Agreement
and County may immediately terminate this Agreement without further obligation on the
part of the County. This paragraph is not intended to limit and does not limit the definition
of breach to discrimination.
d. 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
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initiated by either Party, however, the Parties may agree to nonbinding mediation of any
dispute prior to the bringing of such suit or action.
e. 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.
f. Severability. If any provision of this Agreement is held as a matter of law to be
unenforceable, the remainder of this Agreement shall be valid and binding upon the
Parties.
g. Ownership of Work Product. Should Provider’s performance of this Agreement generate
documents, items or things that are specific to this Project such documents, items or things
shall become the property of the County and may be used on any other project without
additional compensation to the Provider. The use of the documents, items or things by the
County or by any person or entity for any purpose other than the Project as set forth in this
Agreement shall be at the full risk of the County.
h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the
validity of this Agreement is based upon the availability of public funding under the
authority of its statutory mandate.
In the event that public funds are unavailable or not appropriated for the performance of
County’s obligations under this Agreement, then this Agreement shall automatically
expire without penalty to County immediately upon written notice to Provider of the
unavailability or non-appropriation of public funds. It is expressly agreed that County shall
not activate this non-appropriation provision for its convenience or to circumvent the
requirements of this Agreement.
In the event of a change in the County’s statutory authority, mandate or mandated
functions, by state or federal legislative or regulatory action, which adversely affects
County’s authority to continue its obligations under this Agreement, then this Agreement
shall automatically terminate without penalty to County upon written notice to Provider
of such limitation or change in County’s legal authority.
i. Signatures. This Agreement together with any amendments or modifications may be
executed electronically. All electronic signatures affixed hereto evidence the consent of
the Parties to utilize electronic signatures and the intent of the Parties to comply with
Article 11A and Article 40 of North Carolina General Statute Chapter 66.
j. 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
Attention:Chief Civil Rights Officer CHICLE Program Director
Co-Owner
P.O. Box 8181 105 Conner Drive, Suite 2200
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Hillsborough, NC 27278 Chapel Hill, NC 27514
[SIGNATURE PAGE TO FOLLOW]
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IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have
hereunder set their hands and seal, all as of the day and year first above written.
ORANGE COUNTY: PROVIDER:
By: _________________________________
Travis Myren,County Manager
By: __________________________________
Perla Maria Saitz
Director Co-Owner
Printed Name and Title
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ORANGE COUNTY—INTERNAL USE ONLY
______________________________________________________________________________
Finance Information
Vendor Name: Chapel Hill Institute of Cultural and Language Education, LLC (CHICLE) Vendor Contact Person:
Perla Maria Saitz Phone: 919-933-0398 Address: 105 Conner Drive, Suite 2200 City Chapel Hill State: NC Zip:
27514 Department: OCOCRCL Amount: $25,000 Purpose: Interpretation/Translation various languages Budget
Code(s): There is no code in this document because each Department pays for expenses out of their budget as
services are utilized Vendor # 43840
Vendor Status with NCSOS: Active Vendor is a BOCC consultant: Yes No
Contract Details
Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment )
Effective Date July 1, 2026 End Date June 30, 2027 Notice Date (Notice Purpose )
Award
Approved by Board (Agenda Date: ); 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:
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6/24/2026
6/29/2026
6/29/2026
7/9/2026
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Office of the Clerk to the Board __________________________________________Date:_________
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Language Services FY
2026-27
Contract-Scope of Work (May 2026) Page 1of 4
ATTACHMENT A
SCOPE OF WORK
Vendor #
A.Contractor Information
1.Contractor or Agency Name:
2.Contact Person:
Address:
Telephone: Fax:
Email:
3.Entity Status: Public Private, Not for Profit Private, For Profit
4.Contractor’s Financial Reporting Year through .
B.Service Provisions
1.Interpretation Services
On-Site Interpretation
Telephonic Interpretation
Video Interpretation
2.Translation Services
Document Translation
Website Translation
Multimedia Translations (e.g., audio, video)
3.Additional Services (Describe below)
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Language Services FY
2026-27
Contract-Scope of Work (May 2026) Page 2of 4
4.Languages Offered:
Amharic Japanese
Burmese Karen
Dari Chin-Falam
French Arabic
Korean Haitian Creole
Rohingya Ukrainian
Russian Portuguese
Spanish Mandarin
Swahili Pashto
Urdu Kinyarwanda
Vietnamese Romanian
Other Languages:
1.Please review each general contract departmental terms and conditions and
applicable disclosures to confirm the departments you are available to work
with this fiscal year.
Orange County Department of Social Services ***
Orange County Health Department
Virtual Appointment Disclosure
•No minimum for telehealth or virtual appointments.
•No minimum for add-on appointments.
•Interpreter will be reimbursed for the time scheduled for each
telehealth, virtual, and add-on appointment.
•County will pay for 100% of the time scheduled for an
appointment for clients who do not show up for an
appointment, and for those who cancel an appointment with less
than 24-hour notice.
Orange County Department of Aging
All other Orange County Departments
*** Denotes departments that provide for mileage reimbursement to
service rendered. Unless notated otherwise, mileage will not be
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Language Services
FY 2026-27
Contract-Scope of Work (May 2026) Page 3of 4
reimbursable.
C.Rate per unit of service (define the unit):
1.Interpretation Services:
Service Rate Minimum Charge Additional Fees
(if any)
On-Site
Interpretation
Telephonic
Interpretation
Video Interpretation
(Does not include
Health Department)
2.Translation Services:
Service Rate Minimum Charge Additional Fees
(if any)
Document
Translation
Website
Translation
Multimedia
Translation
3.Other Services:
Service Rate Minimum Charge Additional Fees
(if any)
$60/hr. Consecutive
$80/hr. Simultaneous
ASL $80/hr
1 hour minimum
ASL 2 hours minimum
$60/hr.$25 minimum charge for
up to 15 minutes long
$60/hr. Consecutive
$80/hr. Simultaneous
1 hour minimum
$0.19 per word target language for
Roman alphabet (Spanish, French,
Italian, etc).$0.25source language
per word for other languages
(Arabic, Karen, Burmese, etc)
$50 $35 rush fee for
translations less than 5
business days.
Same as above Same as above
$80 per hour
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Language Services FY
2026-27
Contract-Scope of Work (May 2026) Page 4of 4
Provider Name, Title
Provider Signature Date
Authorized Orange County Representative, Title
Authorizing Signature Date
Perla Maria Saitz, Director Co-Owner - CHICLE
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6/24/2026
Travis Myren
7/9/2026
County Manager
Orange County Health Department (hereinafter referred to as “OCHD”)
Additional Terms and Conditions
These are additional terms and conditions to the Agreement between Orange County and Provider under the
Countywide Agency Interpreter Agreement. The additional terms and conditions shall supersede any terms
and conditions in the original contract and are hereby incorporated as follows:
Add to Subsection B.3.a Basic Services
v. The Interpreters will follow the National Code of Ethics and Standards of Practice
outlined by the Nat ional Council on Interpreting in Health Care, which can be
found at www.ncihc.org and is hereby incorporated by reference.
vi. The Interpreters are required to sign the OCHD Conditions of Contract Statement
containing the confidentiality, Title X and public health activities in emergency
situations information which is hereby incorporated by reference.
Add to Section B.3.iii the following sentence:
The Interpreter shall instruct clients to call the Health Department’s main number to
schedule an appointment or to inquire about services.
Add to Subsection B.3
d. Medical Documentation. Prior to beginnin g work, the Interpreter i s required to:
i. Provide proof of vaccination or immunity to the vaccine-preventable diseases
(VPD) described below as well as current TB evaluation as defined by the current
NC Tuberculosis Manual.
ii. The following list identifies the VPDs included under this contract
• Influenza (flu)
• MMR (measles, mumps, and rubella)
• Varicella (chicken pox)
• Pertussis (Tdap)
iii. Acceptable proof of vaccination to VPDs includes one or more of the following:
• Immunization or medical records signed by a licensed healthcare
provider. Record must include:
• Healthcare Provider name, address, and telephone
number.
• Patient name and date of birth.
• Vaccine name, dosage, route, signature of person
administering, and date of vaccination.
• NC Immunization Registry (NCIR) with NC Seal;
• Patient name, date of birth, and date of vaccinations must
be included on NCIR record.
• If documentation reflects only one dose of vaccine, the
interpreter must provide documentation of a second dose within
60 days of the fi rst day of contract work.
iv. Acceptable proof of immunity to the VPDs includes one or more of the following:
• Medical records diagnosing the disease,
• Laboratory records confirming the disease,
• Laboratory records docum enting positive titers.
v. Proof of TB screening and results should be provided to OCHD. This screening
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can be one of the following:
• Evidence of negative 2-step TB skin testing (TST) as defined in
the NC TB Control Manual found at
http://epi.publichealth.nc.gov/cd/lhds/manuals/tb/toc.html;
• Evidence of a positive TST followed by a negative chest x-ray and
a negative review of symptoms completed within 30 days;
• Evidence of a negative interferon gamma release assay (IGRA);
• Evidence of a positive IGRA followed by a negative chest x-ray
and a negative review of symptoms completed within 30 days;
• If history of TB or positive TST, completion of a TB Screening
form by a medical provider found at Record of Tuberculosis
Screening (DHHS 3405) (ncdhhs.gov)
vi. Provide proof of vaccination or immunity to other emerging vaccines required
by the OCHD.
vii. The immunization requirements listed in this subsection are waived for
Interpreters working remotely (e.g., telehealth appointments) or interpreting at
a public event. All other OCHD interpretation assignments require proof of
immunization.
Add to Subsection BJ
e. If interpreting for a video or phone telehealth appointment, all Interpreters shall be in a
private, separate room where others cannot hear or see the conversations between the
Provider and/or Interpreter and the client.
Add sentence to end of 5.2.ii
Exception: "Family" Refugee Health Assessment (communi cable disease and/or
physical exam) appointments with three (3) or more family members will on ly be
reimbursed for a total of two (2) hours in the case of same-day cancelled
appointments. OCHD will not reimburse the Interpreter if an appointment is cancelled
with more than 24-hour notice.
Replace 5.b.iii with the following
In the event of a cancelled appointment, the Interpreter is required to stay until relieved
of duty by the nurse supervisor or the individual in charge of clinical operation s.
OCHD staff may require other interpreter-re lated services in place of the scheduled
appointment. As provided in 5.2.ii, the Interpreter shall submit an invoice in the event
of a cancelled appointment (with less than 24-hour notice) to account for time
scheduled for the appointment.
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BUSINESS ASSOCIATE AGREEMENT
This Business Associate Agreement (“Agreement”) is made effective the first day of July 2026, by
and between Orange County (“Covered Entity”), and Chapel Hill Institute of Cultural and Language
Education, LLC. (“Business Associate”). Covered Entity and Business Associate may be referred herein
individually as a “Party” or collectively as the “Parties”. This Agreement supersedes any previously
executed Business Associate Agreement between the Parties.
WITNESSETH:
WHEREAS, Sections 261 through 264 of the federal Health Insurance Portability and
Accountability Act of 1996 (“HIPAA”), Public Law 104-191, as modified by the Health Information
Technology for Economic and Clinical Health Act (“HITECH”), Public Law 111-5, known as “the
Administrative Simplification Provisions,” direct the Department of Health and Human Services to develop
standards to protect the security, confidentiality and integrity of health information; and
WHEREAS, pursuant to the Administrative Simplification provisions, the Secretary of Health and Human
Services (“Secretary”) has issued regulations modifying the Privacy, Security, Breach Notification, and
Enforcement Rules at 45 CFR Parts 160 and 164, as the same may be amended from time to time (the
“HIPAA Security and Privacy Rule”); and
WHEREAS, the Parties wish to enter into or have entered into an arrangement whereby Business Associate
will provide certain services to Covered Entity, and, pursuant to such arrangements, Business Associate
may be considered a “Business Associate” of Covered Entity as defined in the HIPAA Security and Privacy
Rule (the agreement evidencing such arrangement is detailed below and hereinafter referred to as the
“Service Agreement(s)”); and
WHEREAS, Business Associate may have access to Protected Health Information (as defined below) in
fulfilling its responsibilities under such arrangement;
THEREFORE, in consideration of the Parties’ continuing obligations under the Service Agreement,
compliance with the HIPAA Security and Privacy Rule, and other good and valuable consideration, the
receipt and sufficiency of which is hereby acknowledged, the Parties agree to the provisions of this
Agreement in order to address the requirements of the HIPAA Security and Privacy Rule and to protect the
interests of both Parties.
I. DEFINITIONS
(a) Service Agreement. Agreement(s) for services affected by this HIPAA Business Associate
Agreement, which this Business Associate Agreement shall be attached to, and is (are) hereby incorporated
by reference, and which shall be taken and considered as a part of this document the same as if fully set out
herein:
Countywide Agency Interpretation and Translation Services Agreement dated July 1, 2026, for
Chapel Hill Institute of Cultural and Language Education, LLC
(b) Catch-all Provision. Except as otherwise defined herein, any and all capitalized terms in
this Agreement shall have the definitions set forth in the HIPAA Security and Privacy Rule, 45 CFR Parts
160 and 164, subparts A and E. In the event of an inconsistency between the provisions of this Agreement
and mandatory provisions of the HIPAA Security and Privacy Rule, as amended, the HIPAA Security and
Privacy Rule shall control. Where provisions of this Agreement are different than those mandated in the
HIPAA Security and Privacy Rule, but are nonetheless permitted by the HIPAA Security and Privacy Rule,
the provisions of this Agreement shall control.
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(c) Business Associate. Business Associate shall generally have the same meaning as the term
Business Associate at 45 CF R160.103, and in reference to the party to this agreement, shall mean Chapel
Hill Institute of Cultural and Language Education, LLC,.
(d) Covered Entity. Covered Entity shall generally have the same meaning as the term Covered
Entity at 45 CFR 160.103, and in reference to the party to this agreement, shall mean Orange County, North
Carolina.
(e) HIPAA Rules. HIPAA Rules shall mean the Privacy, Security, Breach Notification, and
Enforcement Rules at 45 CFR Part 160 and Part 164.
(f) Electronic Protected Health Information. Protected Health Information that is transmitted
by or maintained in Electronic Media (as defined in the HIPAA Security and Privacy Rule).
(g) Protected Health Information. “Protected Health Information” shall have the same meaning
as the term in 45 CFR § 160.103, limited to the information created or received by Business Associate from
or on behalf of Covered Entity and includes without limitation “Electronic Protected Health Information.”
Business Associate acknowledges and agrees that all Protected Health Information that is created or
received by Covered Entity and disclosed or made available in any form, including paper record, oral
communication, audio recording, and electronic display by Covered Entity or its operating units to Business
Associate or is created or received by Business Associate on Covered Entity’s behalf shall be subject to this
Agreement.
(h) Required by Law. “Required by Law” shall have the same meaning as the term in 45 CFR
§ 164.103.
II. OBLIGATIONS AND ACTIVITIES OF BUSINESS ASSOCIATE
(a) Use and Disclosure. Business Associate agrees to fully comply with the requirements
under the HIPAA Rules applicable to Business Associates and not to use or disclose Protected Health
Information other than as permitted or required by this Agreement, the Service Agreement or as Required
by Law. To the extent Business Associate carries out obligations of Covered Entity under the HIPAA
Rules, Business Associate shall comply with the applicable provisions of the HIPAA Rules as if such use
or disclosure were made by Covered Entity. Business Associate agrees to comply with Covered Entity’s
policies regarding the minimum necessary use or disclosure of Protected Health Information. Business
Associate shall not access, receive, create, maintain, transmit, or otherwise process Protected Health
Information on behalf of the Covered Entity until this Agreement has been fully executed by both Parties.
The Covered Entity shall not disclose Protected Health Information to Business Associate prior to execution
of this Agreement.
(b) Appropriate Safeguards. Business Associate agrees to use appropriate safeguards to
prevent use or disclosure of Protected Health Information other than as provided for by the Service
Agreement(s), this Agreement or as Required by Law. This includes the implementation of physical,
technical, and administrative safeguards to prevent use or disclosure of Protected Health Information other
than as permitted in this Agreement or Required by Law and reasonably and appropriately protect the
confidentiality, integrity, and availability of any Electronic Protected Health Information that it creates,
receives, maintains, or transmits on behalf of Covered Entity as required by the HIPAA Rules. The
Business Associate shall maintain appropriate documentation of its compliance with the HIPAA Rules,
including, but not limited to, its policies, procedures, records of training and sanctions of members in its
workforce.
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(c) Assurances. Business Associate agrees to provide Covered Entity with written assurances
that any Protected Health Information placed on any type of mobile media, including, but by no means
limited to, laptop computers, tablets and mobile phones, is encrypted in accordance with guidance issued
by the Department of Health and Human Services. Business Associate shall implement encryption for
Electronic Protected Health Information at rest and in transit in accordance with industry standards and
applicable HIPAA guidance.
(d) Agents and Subcontractors. In accordance with 45 CFR 164.502(e)(1)(ii) and
164.308(b)(2), if applicable, Business Associate shall ensure that any agents or subcontractors that create
receive, maintain, or transmit protected health information on behalf of the business associate agree by
written contract to the same, or greater, restrictions, conditions, and requirements that apply to the Business
Associate with respect to such information, and to agree to implement reasonable and appropriate
safeguards to protect any of such information that is Electronic Protected Health Information. In addition,
Business Associate agrees to take reasonable steps to ensure that its employees’ actions or omissions do
not cause Business Associate to breach the terms of this Agreement.
(e) Mitigation of Breach. Business Associate agrees to mitigate, to the extent practicable, any
harmful effect that is known to Business Associate of a use or disclosure of Protected Health Information
by Business Associate in violation of the requirements of this Agreement, as well as to provide complete
cooperation to Covered Entity should Covered Entity elect to review or investigate such noncompliance or
Security Incident. Business Associate shall cooperate in Covered Entity’s breach analysis and/or risk
assessment, if requested. Furthermore, Business Associate shall cooperate with Covered Entity in the event
that Covered Entity determines that any third parties must be notified of a Breach, provided that Business
Associate shall not provide any such notification except at the direction of Covered Entity.
(f) Breach Reporting. Business Associate shall report in writing to Covered Entity’s Privacy
Officer (see Attachment A), any use or disclosure of Protected Health Information that is not in compliance
with the terms of this Agreement, as well as any Security Incident and any actual or suspected Breach, of
which it becomes aware, without unreasonable delay, and in no event later than forty-eight (48) hours of
such discovery. For purposes of this Agreement, “Security Incident” means the attempted or successful
unauthorized access, use, disclosure, modification, or destruction of information or interference with system
operations in an information system. Such notification shall contain the elements required by 45 CFR
164.410. Business Associate shall maintain and periodically review written information security and
incident response policies and procedures designed to prevent, detect, contain, and respond to Security
Incidents and Breaches.
(g) Compliance. To the extent applicable, Business Associate will comply with (i) Covered
Entity’s Notice of Privacy Practices; (ii) any limitations to which Covered Entity has agreed regarding an
Individual’s permission to use or disclose his or her Protected Health Information; and (iii) any restrictions
to the use or disclosure of Protected Health Information to which Covered Entity has agreed or is required
to agree.
(h) Government Access. Business Associate will make its internal practices, books and
records available to the Department of Health and Human Services for purposes of determining compliance
with the terms of the HIPAA Security and Privacy Rule, and, at the request of the Department of Health
and Human Services, will cooperate with any investigations and compliance reviews, permit access to
information, and address any complaints, as Required by Law. Without unreasonable delay and, in any
event, no more than 48 hours of receipt of the request or notification, Business Associate will notify
Covered Entity in writing of any request by any governmental entity, or its designee, to review Business
Associate’s information of any kind.
(i) Electronic Transactions. If Business Associate conducts any Standard Transactions for or
on behalf of Covered Entity, Business Associate shall comply with the requirements under Federal
Electronic Transaction Rules.
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(j) Audit. Business Associate shall permit Covered Entity, in its discretion, to conduct an
audit of Business Associate’s compliance with this Agreement, HIPAA, and HITECH. Such audit may
consist of an onsite visit, a series of inquiries that require written responses, or both. Business Associate
shall promptly and completely respond to Covered Entity’s requests for information in support of the audit,
which shall not be conducted more than once annually except in cases of an actual or reasonably suspected
Security Incident or reasonably suspected noncompliance with this Agreement, HIPAA or HITECH. Each
Party shall bear its own costs associated with the audit. Business Associate shall provide Covered Entity
with a written verification of compliance at least once annually.
(k) Risk Assessment and Risk Management. Business Associate shall conduct periodic risk
assessments, at lease annually (every 12 months) of its administrative, physical, and
technical safeguards related to the protection of Protected Health Information and
Electronic Protected Health Information. Business Associate shall document identified
risks and vulnerabilities and implement appropriate risk management measures
sufficient to reduce risks to a reasonable and appropriate level in accordance with the
HIPAA Security Rule and applicable industry standards.
(l) Identity Theft. Business Associate shall implement Identity Theft Monitoring Policies and
Procedures to protect any patient information that may be breached by the Business Associate to the extent
applicable under the Federal Trade Commission’s Red Flag Rules.
(m) HITECH Compliance. Business Associate shall:
A. Not receive, directly or indirectly, any impermissible remuneration in exchange
for Protected Health Information or Electronic Protected Health Information,
except as permitted by HITECH § 13405(d) or the HIPAA Regulations;
B. Comply with the marketing and other restrictions applicable to Business
Associates contained in HITECH § 13406 and the HIPAA Regulations;
C. To the extent required under HITECH § 13404, fully comply with the applicable
requirements of 45 CFR 164.502(e)(2) for each use and disclosure of Protected
Health Information;
D. To the extent required under HITECH § 13401, fully comply with 45 CFR
164.308, 164.310, 164.312, and 164.316;
E. To the extent required under HITECH §§ 13401 and 13404, comply with the
additional privacy and security requirements that apply to Covered Entities in the
same manner and to the same extent as Covered Entity is required to do so; and
F. To the extent required under the HIPAA Regulations, comply with the privacy and
security requirements that apply to Business Associates.
(n) State Privacy Laws. Business Associate shall understand and comply with state privacy
laws to the extent that such privacy laws are not preempted by HIPAA or HITECH.
III. PERMITTED USES AND DISCLOSURES BY BUSINESS ASSOCIATE
(a) Use of Protected Health Information on Behalf of Covered Entity. Except as otherwise
limited in this Agreement, Business Associate may use or disclose Protected Health Information to perform
functions, activities, or services for, or on behalf of, Covered Entity described in the Service Agreement,
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provided that such use or disclosure would not violate the HIPAA Security and Privacy Rule if it were made
by Covered Entity, or would not violate the Covered Entities minimum necessary policies.
(b) Other Uses of Protected Health Information. Except as otherwise limited in this
Agreement, Business Associate may use Protected Health Information within its workforce for the proper
management and administration of Business Associate, and to carry out the legal responsibilities of the
Business Associate, but not to include Marketing or Commercial Use; and
(c) Third Party Confidentiality. Except as otherwise limited in this Agreement, Business
Associate may disclose Protected Health Information for the proper management and administration of
Business Associate or to carry out the legal responsibilities of Business Associate, provided that if Business
Associate discloses any Protected Health Information to a third party for such purpose, the Business
Associate shall enter into a written agreement with such third party requiring the following:
A. Disclosure only as Required by Law; or
B. Reasonable assurances from the person to whom the information is disclosed that the
information will remain confidential and will be used or further disclosed only as Required
by Law or for the purpose for which it was disclosed to the person, and the person notifies
Business Associate of any instances of which it is aware in which the confidentiality,
integrity, and or availability of the Protected Health Information has been breached
immediately upon becoming aware.
(d) Business Associate may provide data aggregation services relating to the health care
operations of Covered Entity pursuant to any agreements between the Parties evidencing their business
relationship as permitted by 45 CFR 164.504(e)(2)(i)(B).
(e) Other Uses Strictly Limited. Nothing in this Agreement shall permit the Business
Associate to share Protected Health Information with Business Associate’s affiliates or contractors except
for the purposes of the Service Agreement(s) between the Covered Entity and Business Associate(s)
identified in Section I (a) of this Agreement.
(f) Covered Entity Authorization for Additional Uses. Any use of Protected Health
Information by Business Associate, its affiliate or Contractor, other than those purposes of this Agreement,
shall require express written authorization by the Covered Entity, and a new Business Associate Agreement
or amendment as necessary. Activities which are prohibited include, but are not limited to, Marketing, as
defined by 45 CFR 164.503 or the sharing for Commercial Use or any purpose construed by Covered Entity
as Marketing or Commercial Use, even if such sharing would be permitted by federal or state laws.
(g) Business Associate may de-identify Protected Health Information only at the specific
direction of and only for the use of Covered Entity. Business Associate may not sell Protected Health
Information except at the direction of Covered Entity and in compliance with the requirements of the
HIPAA Rules.
IV. AVAILABILITY OF PHI
(a) Access to Protected Health Information. Business Associate agrees, in the event the
Business Associate maintains protected health information in a Designated Record Set, to make available,
within ten (10) days of a request by Covered Entity in a time and manner designated by Covered Entity,
Protected Health Information in a Designated Record Set, to Covered Entity or as directed by Covered
Entity, to an individual in order to meet the requirements of 45 CFR 164.524 of the HIPAA Rules.
(b) Amendments to Protected Health Information. In the event that the Business Associate
maintains Protected Health Information in a Designated Record Set, Business Associate agrees to make any
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amendment(s) to Protected Health Information in a designated record set that the Covered Entity directs or
agrees to pursuant to the HIPAA Rules at the request of Covered Entity or an individual, within ten (10)
days of receipt of a request from Covered Entity and in the time and manner designated by Covered Entity.
(c) Accounting of Disclosures. Business Associate agrees to maintain and make available the
information required to provide an accounting of disclosures, as required by 45 CFR 164.528 of the HIPAA
Security and Privacy Rule. Business Associate will comply with Covered Entity’s policy regarding
accounting of disclosures.
(d) Document Disclosures. In the event an Individual makes a request under this Section of
the Agreement directly to Business Associate, Business Associate will notify Covered Entity of such
request within three (3) business days and shall cooperate with, and act only at the direction of Covered
Entity in responding to such request.
V. OBLIGATIONS OF COVERED ENTITY
(a) Notice of Privacy Practices. Covered Entity shall provide Business Associate with the
Notice of Privacy Practices that Covered Entity produces in accordance with 45 CFR 164.520, as well as
any changes to that notice.
(b) Notice of Changes in Individual’s Access or Protected Health Information. Covered Entity
shall provide Business Associate with any changes in, or revocation of, permission by an Individual to use
or disclose Protected Health Information, if such changes affect Business Associate’s permitted or required
uses.
(c) Notice of Restriction in Individual’s Access to Protected Health Information. Covered
Entity shall notify Business Associate of any restrictions to the use or disclosure of Protected Health
Information that Covered Entity has agreed in accordance with 45 CFR 164.522 to the extent that such
restriction may affect Business Associate’s use of Protected Health Information.
VI. PERMISSABLE REQUESTS BY COVERED ENTITY
Requests Permissible Under HIPAA. Covered Entity shall not request Business Associate to use
or disclose Protected Health Information in any manner that would not be permissible under the HIPAA
Rules.
VII. TERMINATION
(a) Term. This Agreement shall be effective as of the date first set forth above and shall
terminate upon the earlier of (i) the termination of all agreements between the parties, and (ii) the
termination by Covered Entity for cause as provided herein.
(b) Termination for Cause. Notwithstanding anything in this Agreement to the contrary,
Covered Entity shall have the right to terminate this Agreement and the Service Agreement immediately if
Covered Entity determines that Business Associate has violated or will violate any material term of this
Agreement. Upon Covered Entity’s knowledge of a material breach by Business Associate, Covered Entity
may provide an opportunity for Business Associate to cure the breach or end the violation. Covered Entity
may terminate this Agreement and the Service Agreement if Business Associate does not cure the breach
or end the violation within the time period specified by Covered Entity. Covered Entity may report the
violation to the Department of Health and Human Services.
(c) Obligation of Business Associate Upon Termination. At termination of this Agreement,
the Service Agreement (or any similar documentation of the business relationship of the Parties), or upon
request of Covered Entity, whichever occurs first, Business Associate, shall:
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A. if feasible, return (in a manner or process approved by the Covered Entity) or destroy
all Protected Health Information, regardless of form, including but not limited to paper
or electronic format, received from Covered Entity, or created, maintained or received
by Business Associate on behalf of Covered Entity. Business Associate shall retain no
copies of the Protected Health Information. This provision shall also apply to Protected
Health Information and other confidential information in the possession of sub-
contractors or agents of Business Associate.
B. If such return or destruction is not feasible, Business Associate shall (i) retain only that
Protected Health Information necessary for Business Associate to continue its proper
management and administration or to carry out its legal responsibilities; (ii) return or
destroy the remaining Protected Health Information that the Business Associate still
maintains in any form; (iii) extend the protections of this Agreement to the retained
Protected Health Information; (iv) limit further uses and disclosures to those purposes
that make the return or destruction of the Protected Health Information not feasible;
and (v) return or destroy the retained Protected Health Information when it is no longer
needed by Business Associate.
(d) Survival. This obligations under this Section shall survive the termination of this
Agreement and shall apply to Protected Health Information created, maintained, or received by Business
Associate and any of its subcontractors.
VIII. MISCELLANEOUS
(a) Indemnification. Business Associate agrees to indemnify, defend, and hold harmless
Covered Entity, its officers, agents, contractors and agents, against, and in respect of, any and all claims,
losses, expenses, costs, damages, obligations, penalties, and liabilities which Covered Entity may incur by
reason of Business Associate’s breach of or failure to perform any its obligations pursuant to this
Agreement, including but not limited to any injury or damages arising from any noncompliance with this
Agreement or any Security Incident attributable to the negligence of Business Associate, including failure
to execute the terms of this Agreement. Further, Business Associate agrees to indemnify, defend, and hold
harmless Covered Entity, its officers, employees, contractors and agents, against all costs and expenses,
including but not limited to, reasonable legal expenses, which are incurred by or on behalf of Business
Associate in connection with the defense of such claims.
(b) Disclaimer. Covered Entity makes no warranty or representation that compliance by
Business Associate with this Agreement, HIPAA, HITECH, or the HIPAA Rules will be adequate or
satisfactory for Business Associate’s own purposes. Business Associate is solely responsible for all
decisions made by Business Associate regarding the safeguarding of Protected Health Information.
(c) Assistance in Litigation or Administrative Proceedings. Business Associate shall make
itself, and any subcontractors, employees, affiliates or agents assisting Business Associate in the
performance of its obligations under this Agreement, available to Covered Entity, at no cost to Covered
Entity, to testify as witnesses, or otherwise, in the event of litigation or administrative proceedings being
commenced against Covered Entity, its directors, officers or employees based upon a claimed violation of
HIPAA, HITECH, the HIPAA Rules, or other laws relating to security and privacy, except where Business
Associate or its subcontractor, employee or agent is named adverse party.
(d) Survival. The obligations of Business Associate under this Agreement shall survive the
expiration, termination, or cancellation of this Agreement, the Service Agreement and/or the business
relationship of the parties, and shall continue to bind Business Associate, its agents, employees, contractors,
successors, and assigns as set forth herein.
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(e) Ownership of Information. Covered Entity holds all right, title, and interest in and to the
Protected Health Information and Business Associate does not hold and will not acquire by virtue of this
Agreement or by virtue of providing goods or services to Covered Entity, any right, title, or interest in or
to the PHI or any portion thereof.
(f) Right to Injunctive Relief. Business Associate expressly acknowledges and agrees that the
breach, or threatened breach, by it of any provision of this Agreement may cause Covered Entity to be
irreparably harmed and that Covered Entity may not have an adequate remedy at law. Therefore, Business
Associate agrees that upon such breach, or threatened breach, Covered Entity will be entitled to seek
injunctive relief to prevent Business Associate from commencing or continuing any action constituting such
breach without having to post a bond or other security and without having to prove the inadequacy of any
other available remedies. Nothing in this paragraph will be deemed to limit or abridge any other remedy
available to Covered Entity at law or in equity. Except as expressly stated herein or in the HIPAA Security
and Privacy Rule, the parties to this Agreement do not intend to create any rights in any third parties.
(g) Amendment. The Parties agree to take such action as is necessary to amend this
Agreement from time to time as is necessary for Covered Entity to comply with the requirements of the
HIPAA Regulations. In addition, this Agreement may be amended or modified by the Parties only in
writing. The Parties shall review this Agreement at least annually and update it as necessary to ensure
continued compliance with applicable federal and state privacy and security laws, including HIPAA and
HITECH. The Covered Entity reserves the right to require revisions to this Agreement as necessary to address
changes in law, regulatory guidance, security standards, or organizational risk assessments.
(h) Assignment. No Party may assign its respective rights and obligations under this
Agreement without the prior written consent of the other Party.
(i) Independent Contractor. None of the provisions of this Agreement are intended to create,
nor will they be deemed to create any relationship between the Parties other than that of independent parties
contracting with each other solely for the purposes of effecting the provisions of this Agreement and any
other agreements between the Parties evidencing their business relationship. No change, waiver or
discharge of any liability or obligation hereunder on any one or more occasions shall be deemed a waiver
of performance of any continuing or other obligation, or shall prohibit enforcement of any obligation, on
any other occasion.
(j) Regulatory References. A reference in this Agreement to a section in HIPAA, HITECH or
the HIPAA Rules means the section as it currently is in effect or as amended.
(k) Interpretation. Any ambiguity in this Agreement shall be resolved in favor of a meaning
that permits Covered Entity to comply with the HIPAA Rules. The parties agree that, if any documentation
of the arrangement pursuant to which Business Associate provides services to Covered Entity contains
provisions relating to the use or disclosure of Protected Health Information that are more restrictive than
the provisions of this Agreement, the more restrictive provisions will control. The provisions of this
Agreement are intended to establish the minimum requirements regarding Business Associate’s use and
disclosure of Protected Health Information.
(l) Severability. In the event any part or parts of this Agreement are held to be unenforceable,
the remainder of this Agreement will continue in effect. In addition, in the event a party believes in good
faith that any provision of this Agreement fails to comply with the then-current requirements of the HIPAA
Rules, such party shall notify the other party in writing. For a period of up to (30) thirty days, the parties
shall address in good faith such concern and amend the terms of this Agreement, if necessary to bring it
into compliance. If, after such thirty-day period, a party believes in good faith that the Agreement fails to
comply with the HIPAA Rules, then either party has the right to terminate upon written notice to the other
party.
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(m) Notices and Communications. All instructions, notices, consents, demands, or other
communications required or contemplated by this Agreement shall be in writing and shall be delivered to
the Party at the address below:
For Covered Entity: For Business Associate:
Orange County Health Department CHICLE
300 West Tryon Street Program Director Co-Owner
Hillsborough, NC 27278 105 Conner Drive, Suite 2200
Chapel Hill, NC 27514
(n) Strict compliance. No failure by any Party to insist upon strict compliance with any terms
or provisions of this Agreement, to exercise any option, to enforce any right, or to seek any remedy upon
any default of any other Party shall affect, or constitute a waiver of, any Party’s right to insist upon such
strict compliance, exercise that option, enforce that right, or seek that remedy with respect to that default
or any prior, or contemporaneous, or subsequent default. No custom or practice of the Parties at variance
with any provisions of this Agreement shall affect, or constitute a waiver of, any Party’s right to demand
strict compliance with all provisions of this Agreement.
(o) Governing Law. This Agreement shall be governed and construed in accordance with the
laws of the State of North Carolina except to the extent that North Carolina laws have been pre-empted by
HIPAA and without giving effect to principles of conflicts of law. Jurisdiction shall be Orange County,
North Carolina, for purposes of litigation resulting from disagreements of the Parties for purposes of this
Agreement and the Service Agreement(s).
(p) E-Verify. Employers and their subcontractors with 25 or more employees as defined in
Article 2 of Chapter 64 of the NC General Statutes must comply with E-Verify requirements to contract
with governmental units. E-Verify is a Federal program operated by the United States Department of
Homeland Security and other federal agencies, or any successor or equivalent program used to verify the
work authorization of newly hired employees pursuant to federal law. Where applicable, failure to maintain
compliance with the requirements of Article 2 of Chapter 64 of the North Carolina General Statutes shall
constitute breach of this Agreement. If applicable, by executing this Agreement, Business Associate affirms
that they are in compliance with Article 3 of Chapter 64 if the North Carolina General Statutes.
IN WITNESS WHEREOF, the Parties have executed this Agreement as of the day and year written above.
COVERED ENTITY: BUSINESS ASSOCIATE:
By:_________________________________ By:___________________________________
Title:________________________________ Title:__________________________________
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Program Director/Co-OwnerCounty Manager
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Review Dates: 7/2024, 6/2026
ATTACHMENT A
COVERED ENTITY PRIVACY OFFICER CONTACT INFORMATION
To report to Covered Entity any use or disclosure of Protected Health Information not in compliance with
the terms of this Agreement that might be considered a privacy breach, Business Associate should contact
the Privacy Officer at the applicable entity. To report to Covered Entity any Security Incident (as defined
in the Agreement), Business Associate should contact Ashley Rawlinson (919-245-2440), or the Security
Officer at The Orange County Health Department.
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ORANGE COUNTY HEALTH DEPARTMENT
FY 2026 - 2027
Contract Interpreters: Conditions of Contract Statement
I certify that I have read and understand the conditions stated above. I have had an opportunity to discuss the
conditions and requirements of my contract with a designated agency representative.
Contract Interpreter Name: ____________________________________ Date: ____________________
Contract Interpreter Signature: _________________________________ Date: ____________________
OCHD Representative: ______________________________________ Date: _____________________
Confidentiality
As a Contract Interpreter for Orange County Health Department (OCHD), I acknowledge that I may have
access to information that is confidential as mandated by state and federal law, HIPAA regulation and/or
Orange County policy. I recognize my legal obligation as a Contractor to maintain the confidentiality of
information about former and current recipients of OCHD services.
I understand that release of information determined to be confidential by law to unauthorized persons may
result in criminal prosecution. I further understand that the failure to maintain legally required confidentiality
of information constitutes “misconduct” within the meaning of the Orange County Personnel Ordinance and
may lead to disciplinary action, including termination of contract.
If a question arises regarding whether a release of information may be public record vs. confidential client
information, I will seek assistance from the Compliance Manager/Language Services Supervisor who also
serves as the OCHD HIPAA Privacy and Security Officer.
Title X Information Requirement
OCHD provides services solely on a voluntary basis. A client’s acceptance of service is not a prerequisite to
eligibility or receipt of a non-Title X service (Family Planning).
As an OCHD Contract Interpreter, I understand that I may be subject to prosecution under Federal law if I
coerce or endeavor to coerce any person to undergo an abortion or a sterilization procedure. I must also
follow mandatory reporting requirements of child abuse, child molestation, rape, incest and human
trafficking, and will seek assistance from the Clinic Manager and Compliance Manager/Language Services
Supervisor if I have questions or concerns.
As an Interpreter, my responsibility is to convey the message from the provider to the client to the best of my
ability, without prejudice or personal bias. If I am present when an OCHD employee attempts to coerce a
person to undergo an abortion or a sterilization procedure, I should discontinue interpreting, and report this to
the Clinic Manager and Compliance Manager/Language Services Supervisor immediately.
Public Health Activities in Emergency Situations
In order to fulfill the responsibilities of the department in emergency situations or in training, and due to our
limited number of bilingual staff, you may be asked to work at emergency shelters or other locations
designated by the Health Director or emergency operations. I understand that I may be asked to participate in
emergency drills and exercises. As a Contractor, I do have the right to decline any of these special requests.
Docusign Envelope ID: 598CF3A3-4FAC-81EE-8266-7E9DD9D9C262
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CHICLE- Perla Saitz
6/24/2026
General Terms and Conditions – (06/16) Page 1 of 5
ATTACHMENT E
GENERAL TERMS AND CONDITIONS
Orange County Department of Social Services and Department on Aging
Relationships of the Parties
Independent Contractor: The Contractor is and shall be
deemed to be an independent contractor in the performance
of this contract and as such shall be wholly responsible for
the work to be performed and for the supervision of its
employees. The Contractor represents that it has, or shall
secure at its own expense, all personnel required in
performing the services under this agreement. Such
employees shall not be employees of, or have any
individual contractual relationship with the County.
Subcontracting: The Contractor shall not subcontract any
of the work contemplated under this contract without prior
written approval from the County. Any approved
subcontract shall be subject to all conditions of this
contract. Only the subcontractors specified in the contract
documents are to be considered approved upon award of
the contract. The County shall not be obligated to pay for
any work performed by any unapproved subcontractor.
The Contractor shall be responsible for the performance of
all of its subcontractors.
Assignment: No assignment of the Contractor's
obligations or the Contractor's right to receive payment
hereunder shall be permitted. However, upon written
request approved by the issuing purchasing authority, the
County may:
(a) Forward the Contractor's payment check(s)
directly to any person or entity designated by the
Contractor, or
(b) Include any person or entity designated by
Contractor as a joint payee on the Contractor's
payment check(s).
In no event shall such approval and action obligate the
County to anyone other than the Contractor and the
Contractor shall remain responsible for fulfillment of all
contract obligations.
Beneficiaries: Except as herein specifically provided
otherwise, this contract shall inure to the benefit of and be
binding upon the parties hereto and their respective
successors. It is expressly understood and agreed that the
enforcement of the terms and conditions of this contract,
and all rights of action relating to such enforcement, shall
be strictly reserved to the County and the named
Contractor. Nothing contained in this document shall give
or allow any claim or right of action whatsoever by any
other third person. It is the express intention of the County
and Contractor that any such person or entity, other than
the County or the Contractor, receiving services or benefits
under this contract shall be deemed an incidental
beneficiary only.
Indemnity and Insurance
Indemnification: The Contractor agrees to indemnify and
hold harmless the County and any of their officers, agents
and employees, from any claims of third parties arising out
or any act or omission of the Contractor in connection with
the performance of this contract.
Insurance: During the term of the contract, the Contractor
at its sole cost and expense shall provide commercial
insurance of such type and with such terms and limits as
may be reasonably associated with the contract. As a
minimum, the Contractor shall provide and maintain the
following coverage and limits:
(a) Worker’s Compensation - The contractor shall
provide and maintain Worker’s Compensation
Insurance as required by the laws of North
Carolina, as well as employer’s liability coverage
with minimum limits of $500,000.00, covering all
of Contractor’s employees who are engaged in any
work under the contract. If any work is sublet, the
Contractor shall require the subcontractor to
provide the same coverage for any of his
employees engaged in any work under the
contract.
(b) Commercial General Liability - General
Liability Coverage on a Comprehensive Broad
Form on an occurrence basis in the minimum
amount of $1,000,000.00 Combined Single Limit.
(Defense cost shall be in excess of the limit of
liability.)
(c) Automobile Liability Insurance: The Contractor
shall provide automobile liability insurance with a
combined single limit of $500,000.00 for bodily
injury and property damage; a limit of
$500,000.00 for uninsured/under insured motorist
coverage; and a limit of $25,000.00 for medical
payment coverage. The Contractor shall provide
this insurance for all automobiles that are:
(a) owned by the Contractor and used in the
performance of this contract;
(b) hired by the Contractor and used in the
performance of this contract; and
(c) Owned by Contractor’s employees and
used in performance of this contract (“non-
owned vehicle insurance”). Non-owned
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vehicle insurance protects employers when
employees use their personal vehicles for
work purposes. Non-owned vehicle
insurance supplements, but does not
replace, the car-owner’s liability insurance.
The Contractor is not required to provide and maintain
automobile liability insurance on any vehicle – owned,
hired, or non-owned -- unless the vehicle is used in the
performance of this contract.
(d) The insurance coverage minimums specified in
subparagraph (a) are exclusive of defense costs.
(e) The Contractor understands and agrees that the
insurance coverage minimums specified in
subparagraph (a) are not limits, or caps, on the
Contractor’s liability or obligations under this contract.
(f) The Contractor may obtain a waiver of any one or more
of the requirements in subparagraph (a) by
demonstrating that it has insurance that provides
protection that is equal to or greater than the coverage
and limits specified in subparagraph (a). The County
shall be the sole judge of whether such a waiver
should be granted.
(g) The Contractor may obtain a waiver of any one or more
of the requirements in paragraph (a) by demonstrating
that it is self-insured and that its self-insurance
provides protection that is equal to or greater than the
coverage and limits specified in subparagraph (a). The
County shall be the sole judge of whether such a
waiver should be granted.
(h) Providing and maintaining the types and amounts of
insurance or self-insurance specified in this paragraph
is a material obligation of the Contractor and is of the
essence of this contract.
(i) The Contractor shall only obtain insurance from
companies that are authorized to provide such
coverage and that are authorized by the Commissioner
of Insurance to do business in the State of North
Carolina. All such insurance shall meet all laws of the
State of North Carolina.
(j) The Contractor shall comply at all times with all lawful
terms and conditions of its insurance policies and all
lawful requirements of its insurer.
(k) The Contractor shall require its subcontractors to
comply with the requirements of this paragraph.
(l) The Contractor shall demonstrate its compliance with
the requirements of this paragraph by submitting
certificates of insurance to the County before the
Contractor begins work under this contract.
Transportation of Clients by Contractor: The contractor
will maintain Insurance requirements if required as noted
under Article 7 Rule R2-36 of the North Carolina Utilities
Commission.
Default and Termination
Termination Without Cause: The County may terminate
this contract without cause by giving 30 days written
notice to the Contractor.
Termination for Cause: If, through any cause, the
Contractor shall fail to fulfill its obligations under this
contract in a timely and proper manner, the County shall
have the right to terminate this contract by giving written
notice to the Contractor and specifying the effective date
thereof. In that event, all finished or unfinished deliverable
items prepared by the Contractor under this contract shall,
at the option of the County, become its property and the
Contractor shall be entitled to receive just and equitable
compensation for any satisfactory work completed on such
materials, minus any payment or compensation previously
made. Notwithstanding the foregoing provision, the
Contractor shall not be relieved of liability to the County
for damages sustained by the County by virtue of the
Contractor’s breach of this agreement, and the County may
withhold any payment due the Contractor for the purpose
of setoff until such time as the exact amount of damages
due the County from such breach can be determined. In
case of default by the Contractor, without limiting any
other remedies for breach available to it, the County may
procure the contract services from other sources and hold
the Contractor responsible for any excess cost occasioned
thereby. The filing of a petition for bankruptcy by the
Contractor shall be an act of default under this contract.
Waiver of Default: Waiver by the County of any default
or breach in compliance with the terms of this contract by
the Provider shall not be deemed a waiver of any
subsequent default or breach and shall not be construed to
be modification of the terms of this contract unless stated
to be such in writing, signed by an authorized
representative of the County and the Contractor and
attached to the contract.
Availability of Funds: The parties to this contract agree
and understand that the payment of the sums specified in
this contract is dependent and contingent upon and subject
to the appropriation, allocation, and availability of funds
for this purpose to the County.
Force Majeure: Neither party shall be deemed to be in
default of its obligations hereunder if and so long as it is
prevented from performing such obligations by any act of
war, hostile foreign action, nuclear explosion, riot, strikes,
civil insurrection, earthquake, hurricane, tornado, or other
catastrophic natural event or act of God.
Survival of Promises: All promises, requirements, terms,
conditions, provisions, representations, guarantees, and
warranties contained herein shall survive the contract
expiration or termination date unless specifically provided
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otherwise herein, or unless superseded by applicable
Federal or State statutes of limitation.
Intellectual Property Rights
Copyrights and Ownership of Deliverables: All
deliverable items produced pursuant to this contract are the
exclusive property of the County. The Contractor shall not
assert a claim of copyright or other property interest in
such deliverables.
Federal Intellectual Property Bankruptcy Protection
Act: The Parties agree that the County shall be entitled to
all rights and benefits of the Federal Intellectual Property
Bankruptcy Protection Act, Public Law 100-506, codified
at 11 U.S.C. 365 (n) and any amendments thereto.
Compliance with Applicable Laws
Compliance with Laws: The Contractor shall comply
with all laws, ordinances, codes, rules, regulations, and
licensing requirements that are applicable to the conduct of
its business, including those of federal, state, and local
agencies having jurisdiction and/or authority. By
executing this Agreement Provider certifies that
Provider has not been identified, and has not utilized
the services of any agent or subcontractor, on the list
created by the State Treasurer pursuant to G.S. 147-
86.58.
Title VI, Civil Rights Compliance: In accordance with
Federal law and U.S. Department of Agriculture (USDA)
and U.S. Department of Health and Human Services
(HHS) policy, this institution is prohibited from
discriminating on the basis of race, color, national origin,
sex, age or disability. Under the Food Stamp Act and
USDA policy, discrimination is prohibited also on the
basis of religion or political beliefs.
Equal Employment Opportunity: The Contractor shall
comply with all federal and State laws relating to equal
employment opportunity.
Health Insurance Portability and Accountability Act
(HIPAA): The Contractor agrees that, if the County
determines that some or all of the activities within the
scope of this contract are subject to the Health Insurance
Portability and Accountability Act of 1996, P.L. 104-91,
as amended (“HIPAA”), or its implementing regulations,
it will comply with the HIPAA requirements and will
execute such agreements and practices as the County
may require to ensure compliance.
(a) Data Security: The Contractor shall adopt and
apply data security standards and procedures
that comply with all applicable federal, state and
local laws, regulations, and rules.
(b) Duty to Report: The Contractor shall report a
suspected or confirmed security breach to the
local Department of Social Services Contract
Administrator within twenty-four (24) hours
after the breach is first discovered, provided that
the Contractor shall report a breach involving
Social Security Administration data or Internal
Revenue Service Data within one (1) hour after
the breach is first discovered.
(c) Cost Borne by Contractor: If any applicable
federal, state, or local law, regulation or rule
requires the Contractor give written notice of a
security breach to affected persons, the Contract
shall bear the cost of the notice.
Trafficking Victims Protection Act of 2000:
The Contractor will comply with the requirements of
Section 106(g) of the Trafficking Victims Protection Act
of 2000, as amended (22 U.S.C. 7104)
Executive Order # 24: It is unlawful for any vendor,
contractor, subcontractor or supplier of the state to make
gifts or to give favors to any state employee. For
additional information regarding the specific
requirements and exemptions, contractors are
encouraged to review Executive Order 24 and G.S. Sec.
133-32.
Confidentiality
Confidentiality: Any information, data, instruments,
documents, studies or reports given to or prepared or
assembled by the Contractor under this agreement shall be
kept as confidential and not divulged or made available to
any individual or organization without the prior written
approval of the County. The Contractor acknowledges that
in receiving, storing, processing or otherwise dealing with
any confidential information it will safeguard and not
further disclose the information except as otherwise
provided in this contract.
Oversight
Access to Persons and Records: The State Auditor shall
have access to persons and records as a result of all
contracts or grants entered into by State agencies or
political subdivisions in accordance with General Statute
147-64.7. Additionally, as the State funding authority, the
Department of Health and Human Services shall have
access to persons and records as a result of all contracts or
grants entered into by State agencies or political
subdivisions.
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Record Retention: Records shall not be destroyed,
purged or disposed of without the express written consent
of the Division. State basic records retention policy
requires all grant records to be retained for a minimum of
five years or until all audit exceptions have been resolved,
whichever is longer. If the contract is subject to federal
policy and regulations, record retention may be longer than
five years since records must be retained for a period of
three years following submission of the final Federal
Financial Status Report, if applicable, or three years
following the submission of a revised final Federal
Financial Status Report. Also, if any litigation, claim,
negotiation, audit, disallowance action, or other action
involving this Contract has been started before expiration
of the five-year retention period described above, the
records must be retained until completion of the action and
resolution of all issues which arise from it, or until the end
of the regular five-year period described above, whichever
is later. The record retention period for Temporary
Assistance for Needy Families (TANF) and MEDICAID
and Medical Assistance grants and programs must be
retained for a minimum of ten years.
Warranties and Certifications
Date and Time Warranty: The Contractor warrants that
the product(s) and service(s) furnished pursuant to this
contract (“product” includes, without limitation, any piece
of equipment, hardware, firmware, middleware, custom or
commercial software, or internal components, subroutines,
and interfaces therein) that perform any date and/or time
data recognition function, calculation, or sequencing will
support a four digit year format and will provide accurate
date/time data and leap year calculations. This warranty
shall survive the termination or expiration of this contract.
Certification Regarding Collection of Taxes: G.S. 143-
59.1 bars the Secretary of Administration from entering
into contracts with vendors that meet one of the conditions
of G.S. 105-164.8(b) and yet refuse to collect use taxes on
sales of tangible personal property to purchasers in North
Carolina. The conditions include: (a) maintenance of a
retail establishment or office; (b) presence of
representatives in the State that solicit sales or transact
business on behalf of the vendor; and (c) systematic
exploitation of the market by media-assisted, media-
facilitated, or media-solicited means. The Contractor
certifies that it and all of its affiliates (if any) collect all
required taxes.
E-Verify
Pursuant to G.S. 143-48.5, the undersigned hereby certifies
that the Contractor named below, and the Contractor’s
subcontractors, complies with the requirements of Article 2
of Chapter 64 of the NC General Statutes.
Miscellaneous
Choice of Law: The validity of this contract and any of its
terms or provisions, as well as the rights and duties of the
parties to this contract, are governed by the laws of North
Carolina. The Contractor, by signing this contract, agrees
and submits, solely for matters concerning this Contract, to
the exclusive jurisdiction of the courts of North Carolina
and agrees, solely for such purpose, that the exclusive
venue for any legal proceedings shall be Orange County,
North Carolina. The place of this contract and all
transactions and agreements relating to it, and their situs
and forum, shall be Orange County, North Carolina, where
all matters, whether sounding in contract or tort, relating to
the validity, construction, interpretation, and enforcement
shall be determined.
Amendment: This contract may not be amended orally or
by performance. Any amendment must be made in written
form and executed by duly authorized representatives of
the County and the Contractor.
Severability: In the event that a court of competent
jurisdiction holds that a provision or requirement of this
contract violates any applicable law, each such provision
or requirement shall continue to be enforced to the extent it
is not in violation of law or is not otherwise unenforceable
and all other provisions and requirements of this contract
shall remain in full force and effect.
Headings: The Section and Paragraph headings in these
General Terms and Conditions are not material parts of the
agreement and should not be used to construe the meaning
thereof.
Time of the Essence: Time is of the essence in the
performance of this contract.
Key Personnel: The Contractor shall not replace any of
the key personnel assigned to the performance of this
contract without the prior written approval of the County.
The term “key personnel” includes any and all persons
identified as such in the contract documents and any other
persons subsequently identified as key personnel by the
written agreement of the parties.
Care of Property: The Contractor agrees that it shall be
responsible for the proper custody and care of any property
furnished to it for use in connection with the performance
of this contract and will reimburse the County for loss of,
or damage to, such property. At the termination of this
contract, the Contractor shall contact the County for
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instructions as to the disposition of such property and shall
comply with these instructions.
Travel Expenses: Reimbursement, if provided in this
Agreement, to the Contractor for travel mileage, meals,
lodging and other travel expenses incurred in the
performance of this contract shall not exceed the rates
established in County policy.
Sales/Use Tax Refunds: If eligible, the Contractor and all
subcontractors shall: (a) ask the North Carolina
Department of Revenue for a refund of all sales and use
taxes paid by them in the performance of this contract,
pursuant to G.S. 105-164.14; and (b) exclude all
refundable sales and use taxes from all reportable
expenditures before the expenses are entered in their
reimbursement reports.
Advertising: The Contractor shall not use the award of
this contract as a part of any news release or commercial
advertising.
Orange County Living Wage: Orange County is
committed to providing its employees with a living wage
and encourages agencies to which it provides funding to
pursue the same goal. The County’s living wage hourly
standard, as adopted by the Orange County Board of
County Commissioners annually, can be found in the
Orange County Budget Ordinance. To the extent possible,
Orange County recommends that the Contractor and all
subcontractors provide a living wage, as defined in this
section, to their employees.
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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ATTACHMENT F
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
Orange County Department of Social Services I. By execution of this Agreement the Contractor certifies that it will provide a drug-free workplace by:
A. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the Contractor’s workplace and specifying the actions that will be taken against employees for violation of such prohibition; B. Establishing a drug-free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) The Contractor’s policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
C. Making it a requirement that each employee be engaged in the performance of the agreement be given a copy of the statement required by paragraph (A); D. Notifying the employee in the statement required by paragraph (A) that, as a condition of employment under the agreement, the employee will: (1) Abide by the terms of the statement; and (2) Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction;
E. Notifying the County within ten days after receiving notice under subparagraph (D)(2) from an employee or otherwise receiving actual notice of such conviction; F. Taking one of the following actions, within 30 days of receiving notice under subparagraph (D)(2), with respect to any employee who is so convicted: (1) Taking appropriate personnel action against such an employee, up to and including termination; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; and
Making a good faith effort to continue to maintain a drug-free workplace through
implementation of paragraphs (A), (B), (C), (D), (E), and (F).
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II. The site(s) for the performance of work done in connection with the specific agreement are listed below:
1. __________ 113 Mayo Street______________________ (Street address)
___________Hillsborough, Orange, NC, 27278 ____________ (City, county, state, zip code)
2. _____________2501 Homestead Road____________________ (Street address)
___________Chapel Hill, Orange, NC, 27516______________ (City, county, state, zip code) Contractor will inform the County of any additional sites for performance of work under this agreement. False certification or violation of the certification shall be grounds for suspension of payment, suspension or termination of grants, or government-wide Federal suspension or debarment (Section 4 CFR Part 85, Section 85.615 and 86.620).
_________________________________ __________________________________
Signature Title
_________________________________ __________________________________
Agency/Organization Date
(Certification signature should be same as Contract signature.)
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CHICLE LANGUAGE INSTITUTE
Program Director/Co-Owner
6/24/2026
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