2015-554-E Health - Empowerment, Inc. FSA zone navigators

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DocuSign Envelope ID:09753F27-6363-4410-92C8-6DEEA3C8F09D 2015-16 Family Success Alliance Zone Navigators Agreement THIS AGREEMENT, made and entered into the 17"' day of October 2015, ("Effective Date") by and between the County of Orange, a political subdivision of the State of North Carolina, 200 South Cameron Street, Hillsborough, North Carolina, 27278, ("County") by and through the Orange County Health Department ("Department") and Empowerment, Inc., located at 109 North Graham Street, 9200, Chapel Hill,NC 27516 ("Provider") (all collectively"the Parties"). WITNESSETH WHEREAS, it is an important community service need to improve support provided to low-income families by providing assistance to navigate the system of supports in Orange County; and WHEREAS, the Family Success Alliance Zone Navigator Program ("Program") is a pilot program to improve connections and referrals to programs and services; and WHEREAS, the Program assisted by the Provider would enhance the availability of the Program to the residents of the County; and NOW, THEREFORE,in consideration of the above and the mutual covenants and conditions hereafter set forth, the County and Provider agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning 10/17/15 to 6/30/16. 2. Scope of Services. a. Provider will provide Services, as outlined in Family Success Alliance Zone Navigators and any amendments or revision thereto which is attached as Exhibit "A" and incorporated by reference, to the residents of Orange County. Any revisions or amendments to this Agreement must be approved in writing by the County and attached to this Agreement. b. The Provider shall be solely responsible for the means, methods, techniques, sequence, safety program and procedures necessary to properly and fully complete the work set forth in the Scope of Services. 3. Funding. a. The County agrees to appropriate for the provision of services described in Exhibit "A", Scope of Services and more particularly described in the Program Budget Categories, the maximum sum of Thirty Six Thousand, Five Hundred Seventy Six dollars ($36,576.00). b. All funds appropriated shall be used for purposes described in Exhibit "A". Any funds not used for the purposes stated shall be returned to the County. Any changes in the use of funds must be authorized in writing by the County prior to any expenditure of the funds by the Provider. If the funds are expended not in accordance with the Scope of Services, at the discretion of the County the Provider may be required to repay the funds to the County. c. The Provider shall be paid in three installments in the amount of $12,192. The first payment is contingent upon receipt of the agency's fully executed performance agreement; the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. Family Alliance Success Zone Navigators Rev. 8115 Page 1 of 10