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DocuSign Envelope ID:276E5C1E-2398-4C5A-BAC3-4D588BFC7983 <br /> ORANGE COUNTY HEALTH DEPARTMENT FAMILY SUCCESS ALLIANCE <br /> OUTSIDE AGENCY PERFORMANCE AGREEMENT <br /> FY 2015-2016 <br /> THIS AGREEMENT, made and entered into the first day of May 2016, ("Effective Date") by and <br /> between the County of Orange, a political subdivision of the State of North Carolina, 200 South Cameron <br /> Street, Hillsborough, North Carolina, 27278, on behalf of the Orange County Health Department <br /> ("County") and Empowerment, Inc., located at 109 N. Graham St. 9200, Chapel Hill, NC 27516 <br /> ("Provider"). <br /> WITNESSETH: <br /> WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby <br /> enhance its availability to residents of the County, and said program addresses an important community <br /> human services need, as identified by the Board of Commissioners; <br /> NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set <br /> forth, the County and Empowerment, Inc. agree as follows: <br /> 1. Term of the Agreement. The term of this Agreement shall be a program year beginning May <br /> 25, 2016 to September 15,2016. <br /> 2. Scope of Services. <br /> a. Provider will provide services, as outlined in the attached Outside Agency Funding <br /> Application Scope of Services and any amendments or revision thereto which is attached as <br /> Exhibit"A" and incorporated by reference, to the residents of Orange County. The Scope <br /> of Services may be different from the original application based on County appropriation; <br /> however, any revisions or amendments to this Agreement must be approved in writing by <br /> the County and attached to this Agreement. <br /> b. The Provider shall be solely responsible for the means, methods, techniques, sequence, <br /> safety program and procedures necessary to properly and fully complete the work set forth <br /> in the Scope of Services. <br /> 3. Funding. <br /> a. The County agrees to appropriate for the provision of services described in Exhibit A, <br /> Scope of Services and more particularly described in the Program Budget, the maximum <br /> sum of Twenty Five Thousand dollars ($25,000). <br /> b. All funds appropriated shall be used for purposes described in Exhibit A. Any funds not <br /> used for the purposes stated shall be returned to the County. Any changes in the use of <br /> funds must be authorized in writing by the County prior to any expenditure of the funds by <br /> the Provider. If the funds are expended not in accordance with the Scope of Services, at the <br /> discretion of the County the Provider may be required to repay the funds to the County. <br /> c. The Provider shall be paid in two installments each in the amount of $12,500. The first <br /> payment is contingent upon receipt of the fully executed agency's performance agreement. <br /> Revised 512016 Page I of 6 <br />