2013-461 Health - Person County Health Dept to reach GTG Project Goals $8,000

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Please return this copy to the Clerk to the office for permanent agenda file. MEMORANDUM OF UNDERSTANDING BETWEEN PERSON COUNTY HEALTH DEPARMENT,FISCAL LEAD AND ORANGE COUNTY HEALTH DEPARTMENT Whereas the above mentioned parties wish to recognize the mutual commitment, understanding and benefits of the relationship that exists between the PERSON COUNTY HEALTH DEPARTMENT, FISCAL AGENT REPRESENTING REGION 5, and the ORANGE COUNTY HEALTH DEPARTMENT. These two parties recognize and pledge their commitment for the period of October 1, 2013 - September 30, 2014 towards reaching the goals set forth in the Community Transformation Grant (CTG)Project by supporting programs to promote policy, systems, and environmental change. In recognition of this agreement, The PERSON COUNTY HEALTH DEPARTMENT agrees to: 1. Grant an amount of up to$8,000 to the ORANGE COUNTY HEALTH DEPARTMENT, upon receipt of this original signed contract with a completed W-9 form. Final funding amounts for Community Transformation Grants will be based on the availability of funds. 2. CTG Project Grant funds will be reimbursed to counties on a monthly basis based on invoices submitted by the 15th of each month. If the 15th of each month falls on a non-business day, submit invoices the next business day. 3. Submit quarterly regional reports(using data submitted by partnering CTG counties)on forms provided by NCDPH and RTI. 4. Funding will not be released to a county until Person County Health Department receives notification of budget approval at the state level. The ORANGE COUNTY HEALTH DEPARTMENT agrees to: 1. Designate an individual as the primary contact,who will have the authority to sign approvals or authorizations. 2. Identify one key county contact for CTG work,in addition to the local health director who will submit monthly reports(by the 8h of each month),cost study reports(by the 151'of each month on a quarterly basis),and detailed budgets. 3. Submit budget changes as needed if you deviate from your state approved budget for approval request. 4. Work with CTG Coordinators and intervention leads to coordinate visits to project areas in order to assess progress, discuss successes,and determine action plans to overcome barriers. 5. Submit a detailed budget for any funds to be allocated to support strategic focus areas around healthy eating, active living, and tobacco free living. This budget will be attached as an addendum to this contract. Questions can be directed to Dawn Coleman, (CTG Fiscal Lead)at dcoleman.pchd@personcounly.net. 6. Submit an action plan that will outline your strategic area(healthy eating, active living, and tobacco free living). County contacts are encouraged to work with the regional CTG coordinators for support in this area. 7. Participate in regional CTG meetings, strategic planning sessions, state approved webinars and trainings as provided. 8. Send at least one local health department representative to the May Action Institute(schedule TBA by NC DPH).