2021-048-E Social Svc-Art Therapy Institute Cardinal Managed Care agreement

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DocuSign Envelope ID:8C3AC364-20A8-477A-92A7-8FBD4923E2D0 OUTSIDE AGENCY AND CARDINAL MANAGED CARE FUNDS PERFORMANCE AGREEMENT THIS AGREEMENT,made and entered into the first day of July 2020, ("Effective Date")by and between the County of Orange, a political subdivision of the State of North Carolina, Post Office Box 8181, Hillsborough,North Carolina,27278, ("County")and Institute of Art Therapy DBA Art Therapy Institute.,a not-for-profit corporation, located at 200 N. Greensboro St., Suite D-6, Carrboro, North Carolina 27510 ("Provider"). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need,as identified by the Board of Commissioners. NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth,the County and uAgencys_Name» agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2020 to June 30,2021. 2. Scope of Services. a. Provider will provide services to the residents of Orange County, as outlined in the attached Cardinal Managed Funds Work Statement and any amendments or revisions thereto which is attached as Exhibit A,which is incorporated by reference. The Scope of Services and the Program Budgets may be different from the original application based on County appropriation; however, any revisions or amendments to this Agreement must be approved in writing by the County and attached to this Agreement. 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. Outside Agency Funding. i. Outside Agency Funding. The County agrees to appropriate funds for the provision of services described in Exhibit B, Scope of Services and may be more particularly described in the Revised Program Budget in Exhibit B, the maximum sum of $3,877.00 in Outside Agency Funds. ii. The Provider shall be paid Outside Agency Funds in four equal installments in the amount of$969.25. The first payment is contingent upon receipt of the agency's performance agreement;the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. b. Cardinal Managed Care Funding. i. Cardinal Managed Care Funding. The County agrees to appropriate funds for the provision of services described in Exhibit A, Work Statement and may be more («Agencys_Name)>) Orange County Outside Agency and Cardinal Managed Care Fund Performance Agreement Revised 112021