LEE COUNTY BOARD OF COMMISSIONERS DENNIS WICKER CIVIC CENTER 1801 NASH STREET SANFORD, NC 27330 June 19, 2023 MINUTES  Roll Call Vorbeck Absent: Mark Lovick CALL TO ORDER INVOCATION  Present: Dr. Andre Knecht, Robert Reives, Cameron Sharpe, Kirk Smith, Bill Carver, Taylor  Young Commissioner Mackenzie Serrano called the meeting to order at 6:00 p.m. Young Commissioners Savannah Pressley -Lee and Talitha Heimbuecher provided an  invocation and led attendees in the Pledge of Allegiance.  PLEDGE OF ALLEGIANCE I. ADDITIONAL AGENDA Mover: Robert Reives Taylor Vorbeck Absent: 1 - Mark Lovick Motion Result: Passed  Motion: Motion to approve the Agenda as presented.  For: 6- Dr. Andre Knecht, Robert Reives, Cameron Sharpe, Kirk Smith, Bill Carver,  II. APPROVAL OF CONSENT AGENDA  Chairman Smith added item I.L Budget Amendment #06/19/23/18 and item VI.D Request from Lee County School Board for the County to, purchase a modular unit for Southern Lee High School to the Agenda. Commissioner Cameron Sharpe asked to move item IV.C Endor Iron Furnace Proposal to the Consent Agenda as item I.M. Motion: Motion to approve the Consent Agenda as amended.  Mover: Robert Reives    For: 6- Dr. Andre Knecht, Robert Reives, Cameron Sharpe, Kirk Smith, Bill Carver,  Taylor Vorbeck Absent: 1- Mark Lovick Motion Result: Passed Funding Plan Signature LEE.pdf  II.AJuvenile Crime Prevention Council (JCPC) Annual Plan Certification and County FY23.24. JCPC Certification Needs County Commissioner Approval and  II.B Refund and Release Report for May 2023 May Personal Property Abatement Report.pdf RELEASE CODES SPREADSHEETxIS Gen  Statute 105.docx  II.C Resolution Declaring Ten (10) Vehicles as Surplus Property Surplus_ Properly_Resolutionand,Adverisement.6.19.23 (3).docx FY2023 COLTS NCDOT REVISED CAPITAL APPVD ORIG APPL.pdf FY 2023 revised COLTS repl veh order forms May 31 2023.pdf H.E Minutes from the June 5, 2023 Regular Meeting BOC_ Regular_Meeting.Min.ues.6-52023pdr  II.D Purchase Order for COLTS Vans Purchase  II.F Senior Services Home and Community Care Block Grant FY 2024 FY 2024 HCCBG County Funding Plan Lee County.pdf FY: 2024 HCCBG Certification of Local Match Lee County.pdf FY 2024 HCCBG Standard Assurances Lee County.pdf II.G Renewal of Lee County Health Insurance Plan I.H Empowering Lives Contract Renewal FY23-24 Empowering Lives Contract  Renewal Rates.pptx  IIA Approve Agreement with SAGA to provide economic development services to Lee  County  Updated 2023 SAGA Contract.docx I.J Budget Amendment #06/19/23/17  6-19-23.pdf  II.K Approval of the classification and pay plans for sworn law enforcement, detention  officers, and communications dispatchers. detentions officers pay plan.pdf    dispatch pay plan.pdf sworn law pay plan.pdf 6-19-23 3#18.pdf I.K Endor Iron Furnace Moved from New Business. Signed Joint Resolution.pdf Ena.PansRa22t.R22Pat Proposal Letter Endor Iron_6-19-23.docx  II.L Budget Amendment #06/19/23/18  III. INTRODUCTION OF THE 2023 LEE COUNTY YOUNG COMMISSIONERS LEADERSHIP PROGRAM PARTICIPANTS  Lee County Extension Director Dr. Bill Stone and Young Commissioners President Jocelyn Gomez introduced this year's Young Commissioners, which includes Katherine Contreras, Loria Funes, Aiden Hall, Talitha Heimbuecher, Sofia Macias, Kaiya Powell, Savannah Pressley-Lee, Mackenzie Serrano, Julia Slowik, Jayla Tabora, Isaac Alvarado, Omar Brito, Jeanne Emma"Apperson, and Jermaine Nairn, Jr.  IV. PUBLIC COMMENTS V. OLD BUSINESS  Mark Coggins, 3909 Hunt Springs Drive (Endor Iron Furnace)  V.A Appointments to Boards and Commissions  The Board voted by ballot for eligible residents to be elected to the Lee County Government Boards, Committees, and Commissions. The following were elected  as appointees:  ADA Committee: Elonda Womble Airport Authority: Jonathan Shockey  Agriculture Advisory Board: Lloyd Smith (Cape Fear seat) Central Carolina Board of Trustees: Taylor Vorbeck Joint Environmental Affairs Board: Lloyd Smith Jury Commission: Angela Minnick Murchison, Bobby Covington, and Cynthia Galyean Library Board of Trustees: Cathy Griffith  Juvenile Crime Prevention Counci!: Angela Minnick, Pamela Adkins, Utarious F Parks and Recreation Commission: Nathan Vorbeck (regular seat) and Pamela Lee County Planning Board: Charles "Chuck" Baker (regular seat), Charles David Turner (regular seat), Jonathan Hilliard (regular seat), and Brad Joint Nursing/AdullFamly Care Home Community Advisory Committee: Harold  Adkins (alternate seat) Kelly (alternate seat)  Fore, Nancy Johnson, and Janette Scott (regular seats)  Upcoming Vacancles.5-5-23.pdr 2023 Board Appointment Ballot.docx    Motion: Motion to recuse Commissioner Taylor Vorbeck from voting on the Parks and Recreation Board appointments due to a conflict of interest. For: 6- Dr. Andre Knecht, Robert Reives, Cameron Sharpe, Kirk Smith, Bill  Mover: Robert Reives Carver, Taylor Vorbeck Absent: 1- Mark Lovick Motion Result: Passed V.B Skimmer System for Moore Center  Ryan Kerns with Terraquest provided an update to the Board on the E. Eugene Moore Center hazardous waste permit. The County contracted with Terraquest to test and remove hazardous waste from storage wells on the property. 27of the 28 wells have been cleared, with one underground tank remaining that continues to require a permit. Terraquest's recommendation for the most cost- effective option for the remaining well is to install bailers in the wells and skimmers to pump out waste. The skimmers are temporary but will likely be in place for a year. Maintenance and installation costs may vary but are calculated in the total cost of $175,000, which includes installation, equipment cost, maintenance, and disposal of material. Commissioner Taylor Vorbeck asked that the Board receive updates on the progress. Basis of Charges - Product skimmer system install and OM.pdf  Motion: Motion to approve Mover: Robert Reives Taylor Vorbeck Absent: 1- Mark Lovick Motion Result:  For: 6- Dr. Andre Knecht, Robert Reives, Cameron Sharpe, Kirk Smith, Bill Carver,  VI. NEW BUSINESS  VI.A Update on NCDOT projects in Lee County  NCDOT Division 8 Transportation Board member Lisa Mathis and NCDOT Division 84 Engineer Patrick Norman, provided an update on NCDOT, projects in Lee County to the Board, a copy of which is attached and incorporated into these minutes. Chairman Smith asked about the access, point on N.C. 42/Broadway Road for the multi-sports complex. Mr. Norman said their office is in the process ofreviewing the  request.  VI.B 2012 Tax Bill Write Off  Michael Brown presented the 2012 Tax Bill Write Off to the Board for consideration. Mr. Brown is requesting the authority to write off the 2012 tax bills ini the amount of $21,854.98 (real property at $5,716.84 and personal property at $16,138.14), per NCGS 105-373(g) and 105-378. After ten years, collections cannot be enforced.  GS_105-373.pdf GS_105-378.pdr 2012 Write-Off Summary.pdf    Motion: Motion to authorize the Tax Collector to write-off 2012 delinquent tax bills in the amount of $ 21,854.98 per NCGS 105-373(g) and 105378. For: 6- Dr. Andre Knecht, Robert Reives, Cameron Sharpe, Kirk Smith, Bill Carver,  Mover: Dr. Andre Knecht Taylor Vorbeck Absent: 1- Mark Lovick Motion Result: Passed VI.C Endor Iron Furnace Proposal Moved to the Consent. Agenda. Signed Joint Resolution.pdf Ene.PansPuc2u2e2rt Proposal Letter Endor Iron_6-19-23.docx unit for Southern Lee High School  VI.D Request from the Lee County School Board for the County to purchase a modular Board of Education member and Finance and Facilities & Technology Chair Alan Rummel presented this request on behalf ofLee County Schools and the Board of Education as an emergency request. He said the district's capital request did not include a line item for this project because the Board learned about this immediate need after May 15. During a special called Facilities & Technology meeting on June 7, the committee learned that lottery funds may not be used for this purchase. The Board of Education and Board of Commissioners Chairs, along with the Superintendent and County Manager, engaged in a meeting to discuss this on June 16. County Manager Lisa Minter said the current capacity is 1,227 (27 students over the total capacity) at Southern Lee High School and 1,445 (230 students under capacity) at Lee Senior. The elementary and middle schools are under capacity. Mr. Rummel said the request is for an eight-classroom unit with restrooms at $1,152,348 although there is an option for a four-classroom unit with restrooms, which would be $785,000. Mr. Rummel. recommends the eignt-classroom unit due to growth. Commissioner. Andre Knecht asked if the Board of Education has looked. at redistricting and noted that a four-classroom unit would allow time to redistrict. Mr. Rummel said the majority of projected growth is in the Lee County High School district and redistricting is not being considered. Commissioner Taylor Vorbeck asked how the space for an eight-unit pod would be reduced to the already approved six permanent classrooms. Mr. Rummel said the construction and number of classrooms depends on what the school needs and the pod could be moved elsewhere once the project is finished. Lee County Schools Maintenance Director Chris McNeill said the proposed eight-unit pod with. restrooms cannot be split into two facilities due to the restrooms. Lee County Schools Superintendent Dr. Chris Dossenbach said classroom capacity varies depending on course. The average English or math class is about 26-28 students, but specialized courses such as culinary classes have about 18 students. Commissioner Robert Reives requested the current school capacity numbers be shared with the Board of Commissioners.  Southern Lee information_pdf    Motion: Motion to amend the motion to approve a four-unit pod to an eight-unit  pod. Mover: Bill Carver For: 1-E Bill Carver Vorbeck Absent: 1 - Mark Lovick Motion Result: Failed  Against: 5-[ Dr. Andre Knecht, Robert Reives, Cameron Sharpe, Kirk Smith, Taylor  Motion: Motion to approve a four-unit classroom pod for Southern Lee  High School in the amount of $785,000.  Mover: Robert Reives Taylor Vorbeck Absent: 1 - Mark Lovick Motion Result: Passed  For: 6- Dr. Andre Knecht, Robert Reives, Cameron Sharpe, Kirk Smith, Bill Carver,  VII. MANAGERS REPORTS  VII.A Monthly Financial and Sales Tax Reports  Finance Director Candace Iceman presented the monthly financial report for  May 2023 and the sales tax report for March 2023. Fellow is also a former Young Commissioner, Suzy Brito.  Ms. Iceman announced that Finance will have a Finance Fellow start in August. The  March 2023 sales tax.pdf May 2023 Monthly Financial Report.pdf VII.B County Manager's Monthly Report for June 2023  Commissioner Robert Reives. left the meeting at 7:25p.m.  County Manager Lisa Minter gave her report, a copy ofv which is attached and incorporated into these minutes. Assistant County Manager Jennifer Gamble provided an update on the Horton Park Pool. There is no firm projected opening date for the pool at this time, due to delays with construction that staff are closely Couny,Mansger.Monthy.Repor.61923 BOC Meeting.docx Library_6.14.23 Lee County Library Board Agenda.pdf Libraly/2023.May.Drector_Reportpar Parks and Rec_ 6.26.23 Agenda.docx Parks and Rec_ Minutes_4 4-26-23 Permit_ Issuance_ Summary May 2023.pdf Tax_ Monthly Managers Report May 2023.docx June TRC Agenda [06.02.23.pdf  monitoring.  VIII. COMMISSIONERS COMMENTS    ADJOURN  Motion: Motion to adjourn. The Board adjourned at 7:37 p.m.  Mover: Taylor Vorbeck Absent: 2- Robert Reives, Mark Lovick Motion Result: Passed  For: 5- Dr. Andre Knecht, Cameron Sharpe, Kirk Smith, Bill Carver, Taylor Vorbeck  Kirk Smith, Chairman  Lee County Board of Commissioners  ATTEST:  fw#hl Hailey Hall, Clèrk to the Board  COUN 6003 BH      Juvenile Crime Prevention Council Certification  Fiscal Year: 2023/2024  County: LEE COUNTY  Date: May 30, 2023  G.S. 143B-853 allows for a 2-year funding cycle for programs that meet the requirements of the statute and have been awarded funds in a prior funding cycle. Indicate below if the. JCPC plans to  allow for a 1-year or 2-year funding cycle. 1-Year Funding: FY 2023-2024  (Check 2-year if the JCPC has a mixture of 1-year and 2-year funding.)  2-Year Funding: FY CERTIFICATION: STANDARDS STANDARD #1 Membership  and FY  A. Have the members of the Juvenile Crime Prevention Council been appointed by C.A Are members appointed for two-year terms and are those terms staggered? D. Isn membership reflective of social-economic. and racial diversity of the community? E. Does the membership of the Juvenile Crime Prevention Council reflect the required positions as provided by N.C.G.S. $143B-846? Ifnot, which positions are vacant and why?  county commissioners? B. Ist the membership list attached?  YES YES YES YES NO  Position #12-Two Persons Under the. Age of21, or one person under the age of21 and one member oft the public representing the interests of families of at-risk juveniles. JCPC has filled one ofthe vacancies with ai member of the public representing the interests of families and at-risk juveniles.  STANDARD #2- Organization  A. Does the. JCPC have written Bylaws? B. Bylaws are D attached or R on file (Select one.)  YES YES YES YES  C. Bylaws contain Conflict of Interest section per. JCPC policy and procedure. D. Does the JCPC have written policies and procedures for funding and review? E. These policies and procedures Dattached or  on file. (Select one.) F. Does the JCPC have officers and are they elected annually? JCPC has: R Chair; R Vice-Chair; D Secretary; D Treasurer.  STANDARD #3 - Meetings  A. JCPC meetings are considered open and public notice of meetings is provided. B. Is a quorum defined as the majority of membership and required to be present in  YES YES YES YES YES  order to conduct business at JCPC meetings? C. Does the. JCPC meet six (6) times a year at a minimum? D. Are minutes taken at all official meetings? E. Are minutes distributed prior to or during subsequent meetings?  Form. JCPC/OP 002 (a). Juvenile Crime Prevention Counçil Certification  Form structure lastr revised. January 29, 2021 NCI Department of! Public Safety  Page 1of5    Juvenile Crime Prevention Council Certification (cont'd)  STANDARD#4- Planning  A. Does the JCPC conduct a minimum of biennial planning process which includes a needs assessment, monitoring of programs and funding allocation process? B. Ist this Annual or Biennial Plan presented to the Board of County Commissioners C. Ist the Funding Plan approved by the full council and submitted to Commissioners  YES YES YES  and to DPS? for their approval?  STANDARD #5- Public Awareness  A. Does the JCPC communicate the availability ofi funds to all public and private non- profit agencies which serve children or their families and to other interested community members? (B RFP, distribution list, and article attached) B. Does the JCPC complete a minimum of biennial needs assessment and make that information available to agencies which serve children or their families, and to A. As recipient of the county DPS JCPC allocation, does the County certify that it has no overdue tax debts, as defined by N.C.G.S. $105-243.1, at the Federal, State, or Briefly outline the plan for correcting any areas of standards non-compliance. The. JCPC is diligently working to recruit a youth representative to fill vacancy listed above. Having complied with the Standards as documented herein, the Juvenile Crime Prevention Council may use up to $15,500 of its annual Juvenile Crime Prevention fund allocation to cover administrative and related costs of the council. Budget pages (sections VI and' VII) printed from NCALLIES detailing the  YES YES  interested community members?  STANDARD #6 - No Overdue Tax Debt  local level?  YES  expenditure's must be attached to this certification.  The JCPC Certification must be received by DPS by June 30th annually.  JCPC Administrative Funds SOURCES OF REVENUE  DPSJCPC Only list requested funds for JCPC Administrative Budget. Local Other Total  $9,500 0.00 0.00 $9,500  JCPC Chairperson Signature Submitted Electronically in NCALLIES  JCPC, Clairperesn  Date Date  mDhtl  Form. JCPC/OP 002 (a). Juvenile Crime Prevention Council Certification  Form structure last revised. January 29,2021 NCI Department ofl Public Safety  Page2of5    Juvenile Crime Prevention Council Certification (cont'd)  DPS Designated Official  Date  DPS Designated Official Signature Submitted Electronically in NCALLIES  Form. JCPC/OP 002 (a). Juvenile Crimel Prevention Council Certification  Form structure last revised. January 29, 2021 NCI Department of] Public Safety  Page3of5    Juvenile Crime Prevention Council Certification (cont'd)  LEE COUNTY  County  FY 2023/2024  Instructions: N.C.G.S. $ 143B-846 specifies suggested members be appointed by county commissioners to serve on local Juvenile Crime Prevention Councils. In certain categories, a designee may be appointed to serve. Please indicate the person appointed to serve in each category and his/her title. Indicate appointed members who are designees for named  positions. Indicate: race and gender for all appointments. 1) School Superintendent or designee Dr. Johnnye  Specified Members  Name Waller Evan Gunter Sgt. Larry Whitake Tiffany Bartholomew Bennett  Title Asst. Superintendent Chief Sergeant Asst. District Attorney ChiefCourt Counselor Licensed Counselor DSS Director Director Substance Abuse Counselor Pastor Commissioner  Designee Race Gender  W W W TM B W B W B  F M M M F F F F F  B D B B D B D B  2) Chief of Police or designee 3) Local Sheriff or designee 4) District. Attorney or designee  5) Chief Court Counselor or designee Michelle 6) Director, Local Management Entity/Managed Care Organization Laurie Perez (LME/MCO), or designee 7) Director DSS or designee 8) County Manager or designee 9) Substance Abuse Professional  Takishia McMiller  Candace Iceman Asst. Finance Beverly Wicker Licensed  10) Member of Faith Community 11) County Commissioner 12) Two persons under the age of21, or one person under the age of21 and one member of thep public of at-risk juveniles 13) Juvenile Defense. Attorney 14) Chief District Judge or designee  Gail Dickens Taylor Vorbeck County  W W  F F  representing thei interests of families Pamela Adkins Professor  B B W W H W  F F M F M M  Nicolle. Phair Jim Love Jr.  Attorney District Court Judge Manager Vital Records Athletic Supervisor  B  15) Member of] Business Community Angela Minnick General 16) Local Health! Director or designee Juan Diaz- 17) Rep. United Way/other non-profit 18) Representative/Parks: and. Rec.  B  Franco Bill Shuey  Form. JCPC/OP 002 (a). Juvenile Crimel Prevention Council Certification  Forms structure last revised. January 29, 2021 NCI Department ofF Public Safety  Page 4of5    Juvenile Crime Prevention Council Certification (cont'd)  19ycounty Commissioner appoitee Margaret 20) County Commissioner appointee Utarious 21) County Commissioner appointee Chaplian 22) County Commissioner appointee Bobby  RetredDSS Supervisor Detention Sergeant Youth Advocate Evangelist Owner  B B B B W  Johnson Murchison Christopher McLean Covington  M M M F  23) County Commissioner appointee Cynthia Galyean Childcare  24) County Commissioner appointee 25) County Commissioner appointee  Form. JCPC/OP 002 (a). Juvenile Crimel Prevention Council Certification  Form structure lasti revised January 29,2021 NCI Department ofPublic Safety  Page 5of5    LEE  County  NC DPS - Community Programs County Funding Plan  Available Funds:  $205,084  Local Match: $ $58,941  Rate: 30%  DPSJCPC funds must! be committed witha al Program Agreement submittedi in! NCA Allies ande electronically signed by authorizedo officials.  LOCALFUNDING Match  OTHER OTHER  Program Provider  DPS-JCPC County Cash] Local Cash Local In- State!  Funds  Total %Non OPS-JCPC Program Revenues $9,500 $92,986 23% $32,243 23% $129,296 23%  Funding Match $9,500 $71,528 $24,696 $99,360  Kind Federal $21,458 $7,547 $29,936  County. JCPC Administrative Project Challenge (LEE) Life Connections D-A-S-HI Mentoring Scots For Youth-Lee County Teen Court  TOTALS:  $205,084  $58,941  $264,025 22% County  The above plan was derived through aj planning process by the  LEE  Juvenile Crime Prevention Council and represents the County's Plani for use oft these fundsi inl FY 2023/2024  Amount of Unaliocated Funds Amount ofiunds révertedi back loDPS Discretionary! Funds added ---DPS Use Only-- Area Consultant Program Assistant Designateds State Office Staff  Chairperson, Juvenile Crime Prevention Council (Date) DeDbti  check type ta initialplan D update 0 final  ofCounty Commissioners (Date)  County Finance Officer  Reviewed by Reviewed by_ Verifledb by  Date Date Date  int the  This instrument has been preauditedi manner required by the Local Govemment Budget and Fiscal ContractA Act. Cantauluna Finance Officer, Lee County    RESOLUTION DECLARING PROPERTY AS SURPLUS AND AUTHORIZING THE DISPOSITION OF CERTAIN PERSONAL PROPERTY BY THE METHOD KNOWN AS: "GOVDEALS"  WHEREAS, the Lee County Board of Commissioners desires to declare certain government owned personal property as surplus in accordance with the North Carolina General Statutes; and WHEREAS, the Lee County Board of Commissioners hereby declares the following described propertyas  surplus to its needs:  ITEM NAME Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle  ASSET NO. 12596 12529 10398 12533 12531 11543 11318 13156 8407 8386  DESCRIPTION 2015 Dodge Charger 2015 Dodge Charger 2008 Ford Explorer 2015 Dodge Charger 2015 Dodge Charger 2013 Dodge Charger 2012 Ford Explorer 2008 Honda Accord 2001 Ford Crown Vic 2001 Dodge Stratus  WHEREAS, North Carolina General Statute S 160A-270 and S 153A-176 allows the County to dispose of personal property belonging to the County, subject to limitations and according to procedures NOW, THEREFORE, BEI ITRESOLVED, by the Lee County Board of Commissioners declares the personal 1. The County Manager or his/her designee is authorized to receive bids on behalf of the Lee County Board of Commissioners via GovDeals.com fori the purchase of the above described property. GovDeals.com is an online platform which conducts public auctions through 2. GovDeals.com will begin the sale of the described properties on or about, June 30,2023, and will continue until the described properties are sold. The terms of the sale shall be that the property iss sold in its current condition, as is, with no warranty with respect to usability of the property and subject to all terms and conditions of GovDeals.com. The county reserves the right to  prescribed therein, by public auction.  property as surplus and authorizes the following:  electronic means.    delete/remove from the auction or "no sale" the property. The buyer will pay the full amount before the conclusion of the auction and failure to make payment on the day of the auction cancels the buyer's bid.. As one part oft the collection/payment process, the buyer must pay a 3. Bids must be submitted to the GovDeals.com platform, found at www.govdeals.com. 4. The Board of Commissioners authorizes the Clerk to the Board to provide an electronic-only public notice via the County's website of the electronic public auction in accordance with North 5. Notice shall be published on the County's website at least 10 days prior to the auction of the 6. The highest bid, ifi it complies with the terms of the sale, may be accepted by the County  12.50% Buyers Premium to GovDeals.  Carolina General Statute S: 160A-270.  property.  Manager or his/her designee.  Adopted this 'dayo ofJwr,2023.  Kirk D. Smith, Chairman  ATTEST:  Hailey Hall, Clerkt ti/the Board lull  COUNT BF    w)  XXXx  919199191915    Area Agency On Aging Triangle J Council of Governments  CERTIFICATION OF REQUIRED MINIMUMI LOCAL MATCH AVAILABILITY  Date:  6/8/2023_  Fiscal Year:  2024_  Agency: Lee County Senior Services Service: Home & Community Care Block Grant Itemization of Commitment:  Required Local Match (total must agree to amount int the Funding Plan)  1. Cash of: $51,622 Cash of: Cash of: Cash of: 2. Total Local Match:  provided by: County ofl Lee provided by: provided by: provided by: $51,622  Itis understood that funds committed as required minimum local match will be used to match the Home and Community Care Block Grant appropriation and will not be used to match any other federal or state funds during  the contractual period. Print Name and Title: KirkD.Smith,  Chair, Lee County Board of Commissioners -19-7023  Signature:  PaDbne  TJAAA Form, rev April 2017    DAAS-734  July 2023 through June 2024 Community Service Provider Standard Assurances  Home and Community Care Block Grant for Older Adults  LEE COUNTY SENIOR SERVICES ina accordance with the following: a) The County Funding Plan; Service Providers; and  agrees toj provide services through the Home and  Community Care Block Grant, as specified on the Provider Services Summary (DAAS-732)  1. Services shall bep providedi in accordance with requirements set forthi in:  b) Thel Division of Aging: and. Adult Services Home and Community Carel Block Grant Procedures Manual for Community  c)1 The Division of Aging and Adults Services Standards: at https/www.ncdhhss o/ehsenénsmontcins  Community service providers shall monitor anys subcontracts with providers of Block Grant services and take appropriate measures to ensure that services are provided in accordance with the aforementioned documents, 2. Priority shall be givent top providing services tot those older persons with the greatest economic or social needs. The service needs ofl low-income minority elderly willl be addressed int the manner specified on the Outreach] Methodology to Address The following service authorization activities willl bec carried out inc conjunction with all services provided through thel Block  Servicel Needs of Target) Population (DAAS-733).  Grant: a) Eligibility determination; b)c Clienti intake/registration;  c) Client sessmemureassesmens and quarterly visits, as appropriate; d) Determining the: amount ofs services tob ber received by the client; and e) Reviewing consumer contributions policies withe eligible clients. community service provider and any subcontracted providers.  4. Alll licenses, permits, bonds, andi insurance: necessary for carrying out Block Grant Services willl be maintained by the As specified in4 45 CFR 75, Subpart D-Post Federal Award Requirements, Procurement: Standards, community service providers shalll havep procedures for settling all contractual and administrative issues arising out of procurement ofs services through thel Block Grant. Community service providers shall have procedures governing the evaluation oft bids for services and procedures through whichb bidders and contracted providers may appeal or dispute a decision madel by the community Applicant/Client: appeals shall be addressed as specified in Section 70 oft thel Division of Aging and Adult Services Home and 7. Community servicep providers are responsible for providing ora arranging for the provision of required local match, as specified ont thel Provider Services Summary, (DAAS-732). Local match shall be expended simultaneously with) Block Community service providers agree to comply with audit and fiscalr reporting requirements as specified int the Agreement for Compliance with] Equal Employment Opportunity and Americans with) Disabilities Act requirements, as specified in paragraph fourteen (14)oft the. Agreement for thel Provision of County-Based. Aging Services (DAAS-735): shall be 10. Providers ofl In-Home. Aide, Home Health, Housing and Homel improvement, and. Adult Day Care or Adult Day Health Care shall sign and return the attached assurancet tot the area agency on: agingi indicatingt that recipients oft these services have been informed oft their client rights, as required in Section 314 of the 2006. Amendments tot the Older Americans Act (DAAS-734  service provider.  Community Carel Block Grant] Manual for Community Service Providers.  Grant funding.  thel Provision of County-E -Based Aging Services (DAAS-735).  maintained.  Standard. Assurançes Regarding In-Home Client Rights).    11. Subcontracting- AlII HCCBG community service providers must assure that subcontractors (for-profit and non-profit a. Thes subcontractor has not been suspended or debarred. (N.C.G.S. $143C-6-23, 091 NCACO 03M) b. Thes subcontractor. has notl been barred from doing! business att the federal level. c. The subcontractor is ablet top producear notarized "State Grant Certification of No Overdue Tax Debts." d. All licenses, permits, bonds and insurance: necessary for carrying out Home and Community Carel Block Grant services willb be maintained! by botht the community service provider and any subcontractors. e. The subcontractor: ist registered as a charitable, tax-exempt (501c3) organization with thel Internal Revenue Service (non- 12. Confidentiality and Security. Per the requirements in1 10AI NCAC 05J and Section 6 of thel Home and Community Care Block Grant Procedures Manual, client information in any format and whether recorded ori not shall bel kept confidential and not disclosed ina ai form thati identifies the person without thei informed consent oft they person orl legal representative. Community service providers, including subcontractors and vendors, must adheret to: all applicable federal, state and departmental requirements for protecting the security and confidentiality ofc clienti information including but not limited to appropriately: restricting access, establishing procedures tor reduce the risk of accidental disclosures from data processing systems, and developing aj process by which thel Division of Adult Aging Services isr notified of suspected or confirmed 13. Record Retention and Disposition. All community service providers are responsible for maintaining custody ofr records and documentation tos support the allowable expenditure ofi funds, service provision, andt the reimbursement ofs services. Service byt the NCI Department of Health and Human Services Controller's Office, asv well ast the local government: schedules Service providers are nota authorized to destroy records relatedt tot the provision ofs services under this Agreement excepti in compliance with the approved DHHS retention and disposition schedule, whicha allows for thej proper destruction of records based on as schedulel by fundings source and fiscal year. The agency agrees too comply with 07 NCAC 04M .0510 when deciding on a method of record destruction. Confidential records willl be destroyedi ins sucha ai manner that the records cannot  entities only) meet the following requirements:  profit subcontractors only).  securityi incidents and datal breaches.  providers must adheret to the approved recordr retention and disposition schedule posted at htps/AwwwacdhhsgovAbauasmastalielicesalkernalee/rrordereienton posted by the NC Department of Natural and Culltural Resources: at htpsl/archivesncdt, goVgovernment/loca  be practically read orr reconstructed.  6-19-1023  (Authorized  Mepanie  Signature)  (Date)    Contract # 1023-24 Fiscal Year Begins July 1, 2023 Ends June 30, 2024  This contract is hereby entered into by and between the Lee Counly Department of Social Services (the "County") and Empoweringlives: GuardlanshpServices. LLC (the' Contractor)(teferred: to collectively as the" "Parties"). The Contraçtor's federal tax identification number is 27-3721789 and DUNS Number (required iffunding from a federal funding source).  1. Contract Documents: This Contract consists of the following documents: (2) The General Terms and Conditions (Attachment A) (3) The Scope of Work, description of services, and rate (Attachment B) (4) Combined Federal Certifications (Attachment C) (5) Conflict of Interest Policy (Attachment D) (6) No Overdue Taxes (Attachment E) (8) State Certification (Attachment M)  (1) This contract  (7) Happlicable, HIPAA Business Associate Addendum (checklist and forms) (Allachment 1)  (9) Certification of Eligibility Under the Iran Divestment Act (10)Attachment N. - Non-Discrimination, Clean Air, Clean Water (11)Contract Detemination Questionnaire (required)  These documents constitute the entire agreement between the! Parties and supersede all prior oral or writtenslatements 2. Precedence among Contract Documents: In the event of a conflict between or among the terms of the Contract Documents, the terms in the Contract Document with the highest relative preçedence shall prevail. The order of precedence shall be the order of documents as listed in Paragraph 1, above, with the first-listed document having the highest precedence and the last-listed document having the lowest precedence. If there are multiple Contract Amendments, the mostrecent amendment: shall have thet highest precedence and the oldestamendment shall havet the 3. Effective Period: This contract shall be effective on July 1. 2023 and shall terminate on June 30, 2024, 4. Contractor's Duties: The Contractor shall provide thes services andi ina accordance with the approvedr rate as described in 5. County's Duties: The County shall pay the Contractor in the manner and in the amounts specified in the Contract Documents. The total amount paid by the County tot the Contractor under this contract shallr not exceeds $33,000.00. This  ora agreements.  lowest precedence.  This contract must be twelve months or less. Attaçhment B, Scope of Work.  amount consists of$ 0 in Federal funds (CFDA# ),$0in State Funds, $0 in County funds  a. There arer no matching requirements from the Contractor. b. The Contractor's matching requirement is $  which shall consist of: Cash Cash and/or In-kind  In-kind Cash and in-kind  The contributions from the Contractor shall be sourced from non-federal funds. The total contract amount including any Contractor match shall not exceed $  6. Reversion of Funds: termination of this contract.  Any unexpended grant funds shall revert to the County Department of Social Services/Human Services upon  7. Reporting Requirements: Contract-General (06/15)  Page 1of3    Contractor shall comply witha audit requirements as deseribedinNC6S.5143C622423amd5 OMB Circular-CFRTile 20 Grants and Agreements, Part 200, and shall disclose alli information ub/USC451040I 42 USC455.105,  or 42 USC455.106. . Payment Provisions: Attachment B.  Payment shall be made ina accordance with the Contract Documents as described in the Scope of Work, 9. Contract Administrators: All notices permitled orr required to be given by one Parly to the other and alt questions about the contract from one Parly to the other shall be addressed and delivered to the other Party's Contract Administrator. The name, post oflice address, street address, telephone number, fax number, and email address of the Parties' respectivel initial Contract Administrators: are set out below. Either Party may change the name, post office address, street address, telephone number, faxr number, or email address ofi its Contract Administratort by giving timely written notice to  the other Party.  For the County:  IF DELIVERED BYUS POSTAL SERVICE Name & Title Angelina Noel, DSS Director Mailing Address PO Box 1066 Cily, State, Zip Sanford, NC27331  IF DELIVERED BY ANY OTHER MEANS Name & Title Angelina Noel, DSS Director Street Address 530 Carthage Street City, State, Zip Sanford, NC 27331  County Telephone Fax Email  Lee  County  Lee  919-718-4690 ext 5257 919-718-4634 anoelgleecounync.gov  For the Contractor:  IFC DELIVERED BY US POSTAL SERVICE Name & Tille Stacey Skradski, Member Mgr. Mailing Address 2554 Lewisville Clemmons Rd., City State Zip Clemmons, NC 27012  IFC DELIVERED BY ANY OTHERMEANS Name & Title Stacey Skradski, Member Mgr. Street Address 2554 Lewisville Clemmons Rd., Suite City State Zip Clemmons,NC27012  Company Name Empowering Lives Guardianship Company Name Empowering! Lives Guardianship  Suite! 310 Telephone Fax Email  310  336-714-9790 ext. 1001 1-855-771-8948  slace/gempowernglnesguardenshipcon 10. Supplementation of Expenditure of Public Funds:  The Contractor assures that funds received pursuant to this contract shall be used only to supplement, not to supplant, the total amount of federal, state and local public funds that the Contractor otherwise expends for contract services and related programs. Funds received under this contract shall be used to provide additional public funding for such services; the funds shall not be used to reduce the Contractor's total expenditure of other public funds for As a condition oft this contract, the Contractor acknowledges and agrees to make disbursements ina accordance with  such services. 11. Disbursements: the following requirements:  Contract-General. (06/15)  Page2of3    (a) Implement adequate internal controls over disbursements; (h) Pre-audit all vouchers presented for payment to determine:  Validity and accuracy of payment Payment due date Adequacy of documentation supporting payment Legality of disbursement (c) Assure adequate control of signature stamps/plates; (d) Assure adequate control of negoliable instruments; and  (e) Implement procedures to insure that account balance is solvent and reconcile the account monthly. The Contractor certifies that i has identified to the County all jobs related to the contract thath have been outsourced to other countries, if any. The Contractor further agrees thal it wil not outsource any suchj jobs during the term of Individuals and Organizations receiving federal funds must ensure compliance with certain certifications required by federal laws and regulations. The contractor is hereby complying with Certifications regarding Nondiscrimination, Drug-Free Workplace Requirements, Environmental Tobacco Smoke, Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions, and Lobbying. These assurances and certitications are to  12. Outsourcing to Other Countries:  this contraçt without providing notice to the County.  13. Federal Certifications:  be signed byt the contractor's authorized representative. 14. Specific Language Not Previously Addressed: (can be delted ifnot needed) terms of this agreement.  15. Signature Warranty: The undersigned represent and warrant that they are authorized to bind their principals to the The Contractor and the County have executed this contract in duplicate originals, with one original being retained by each  party. Sigcalkan Printed Name/ COUNTY Signaturg Printed Name  fa -  EIGc  slars Aor/penypr  ce Ssifabfu  b-19-123 Date CoMMICrions Title  os2yhdzed tesag*  AmDbn  coracts for County DSS)  kik D.JMMh, Chairman Df-He W  Courhy  This.instrument has peen pre-audited in the manner required by the Local Government Budget and Fiscal Control Act.  Tondauuma Signature of County Finance Officer  422  Contracl-General (06/15)  Page 3of3    GENERAL TERMS AND CONDITIONS  Relationships of the Parties  performance of this contraci to the extent permitted by  law.  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 af,  Default and Termination  Termination Without Cause: The County may terminate this contract without cause by giving 30 days written Termination for Cause: if, through any cause, Contractor shall fail to fulfil its obligations under this contract in a limely and proper manner, the County shall have the right to terminate this contract by notice to the Contractor and specifying the effective date thereof. In that event, all finished orunfinished deliverabie 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 compensation for any satisfactory work completed on such materials, minus any payment or compensation previously made. Notwithstanding the foregoing provision, the Contractor shallr not be relieved ofl liabiityto the County for damages sustained byt the County by virtue of the Contractor's breach of this agreement, and the County may withhold any payment duei the Contractor for thep purpose of setoff until sucht 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 excess cost occasionedi thereby. The filing ofa petitionf any for bankruptcy by the Contractor shall be an act of default Waiver of Default: Waiver by the County of any default ort breach in compliance wifh the terms oft this contractby the Contractor 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 Availability of Funds: The parties to this contract agree and understand that the payment of the sums specifiedin 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 ifa and so long as itis prevented from performing such obligations by any actof war, hostile foreign action, nuclear explosion, riot, strikes, civili insurrection, earthquake, hurricane, tornado, or ather catastrophic natural event or act of God. Survival of Promises: All promises, requirements, terms, conditions, provisions, representations,  notice to the Contractor.  individual  the written giving  or have any County. Subcontracting: The  contractual relationship with, 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 thes subcontractors specified in the contract 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 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 thei issuing purchasing authority, the Countyr may: (a) Forward the Contractor's payment check directly to any person or entity designated by the Contracior, or (b) include any person or entity designated by Contractor as a joint payee on the Contractor's payment check. In no event shall such approval and action obligate the County to anyone other than the Contractor and the Contractor shali remain responsible fort fulfillment of all contract obligations. Beneficiaries: Except as herein specifically provided otherwise, this contractshal! inure to thet 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 strictlyr 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 shali be deemed an incidental beneficiary only.  documents  equitable  ofall ofi its subcontractors.  under this contract.  attached to the contract.  Indemnity: and Insurance  Indemnification: The Contractor agrees toi indemnify and hold harmless the County, the State of North Carolina, and any of their officers, agents and employees, and Federal Government from any claims of third parties arising out of any act or omission of the Contractor in  connection with the  NCDHHS TC1010 (General Terms and Conditions)(Local Government) (Rev. 11.01.15)    During the performance of this contract, the contractor tonotify the County contract administrator ofany contact is by the federal Office for Civil Rights (OCR) received Cost Borne by Contractor: If any applicable federal, state, orlocal law, regulation, or rule requires the County ort the Contractor to give affected persons written notice ofa security breach arising out of the Contractor's performanceu under thiscontract, the Contractor  guarantees, and warranties contained herein shalls survive the contract expiration or termination date unless specifically provided otherwise herein, or uniess superseded by applicable Federal or State statutes of  the contractor.  by  limitation.  Intellectual Property Rights  Copyrights and Ownership of Deliverables: All deliverable items produced pursuant to this contract are thee exclusive properly oft the County. The Contractor shall notassert a claim of copyright or other property interest in  the cost oft the notice.  shall bear  Oversight  such deliverables.  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 State political subdivisions in accordance by with General agencies Statute or 147-64.7. Additionally, as the Slate funding Department of Health and Human Services authority, access to persons and records as at result of all shall contracts have or grants entered into by State agencies or political Record Retention: Records shall not be purged or disposed ofwithout the expresswritten destroyed, consent of the Counly. State basic records retention requires al grant records to be retained for a minimum policy five years or until all audit exceptions have whichever is longer. If the contract is been to resolved, Federal policy and reguations, record retention subject than five years. Records must be retained may for a be longer of three years following submission of the final period Federal Financial Status Report, if applicable, or three following the submission of a revised finat Federal years 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, oruntil the end of the regular five-year period described whichever is later. The record retention above, Temporary Assistance for Needy Families (TANF) period and for MEDICAID and Medical Assistance grants and must be retained for a minimum of  Compliance with Applicable Laws Compliance with Laws: The Contractor shall comply with all laws, ordinances, codes, rules, regulations, and liçensing requirements that are applicable to the conduct of its business, including those of federal, state, and local agencies having jurisdiction and/or authority. Equal Employment Opportunity: The Contractor shall comply with all federal and State laws relating to equal 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 Healthinsurance Portability and Accountability Actof1 1996, P.L. 104-91, as amended( ("HIPAA"),ori its impiementing regulations, itwill comply with the HIPAA requirements and will execute such agreements and practices as the Counly may  the  subdivisions.  employment opportunity.  of  require to ensure compliance.  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 andi not divuiged or made available to anyi individual or organization without the prior written approvai of the County. The Contractor acknowledges that ini receiving, storing. processing or otherwise dealing with any confidential information it will safeguard and not further disclose the information except as otherwise 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 Duty to Report: The Contractor shall report a suspected or confirmed security breach to the County's 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.  programs  tenyears.  provided in this contract.  rules.  NCDHHS TC1010 (General Terms and Conditions) (Local Government) (Rev. 11.01.15)    Miscellaneous  or phrase shall be read to include the plural and vice  versa.  Choice of Law: The validity of this contract and any of its terms or provisions, as well as the rights and duties oft the parties tot this contraci, are governed by the laws of North Carolina. The Contractor, by signing this contract, agrees and submits, soiely for matters concerning this Contract, tot the exclusive jurisdiction of the courts of North Carolina and agrees, solely for such purpose. that the exclusive venue for any legal proceedings shali be Wake County, North Carolina. The plaçe of this contract and all transactions and agreements relating to It, and their situs and forum, shall be Wake County, North Carolina, where all matters, whether sounding in contract or tort, relating to the validity, construction, interpretation, and Amendment: This contract may not be amended orally or by performance. Any amendment must be madei in written form and execuled by duly authorized representatives of 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 orrequirement: shall continue to be enforced to the extent is not in violation of law or is not otherwise unenforceable and all other provisions and requirements of this contract shall remain int full force and effect. Headings: The Section and Paragraph headings in these General Terms and Conditions are not material paris of the agreement and should not be used to construe the Gender and Number: Masculine pronouns shall be read toi inçlude feminine pronouns and the singular of any word  Time of the Essence: Time is of pertormance of this contract. Key Personnel: The Contractor shall not the key personnel contract without assigned The term "key personne!" includes identified as such in the contract any documents and all persons other persons subsequently identified by the written agreement of the Care of Property: The Contractor responsible for the 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 termination of this contract, the Contractor property. contact the County for instructions as to the property and shall comply with these instructions. disposition such Travel Expenses: Reimbursement to travel mileage, meals, incurred in the performance lodging of this contract travel expenses exceed the rates published in the ora approved local government travel policy. International travel shall not be reimbursed under this contract. Sales/Use Tax Refunds: If eligible, the Contractor and all subcontractors shall: ask Department of Revenue for (a) a refund the of all North sales Carolina use taxes paid by them in the performance of this and pursuant to G.S. 105-164.14; and (b) exclude contract, all refundable sales and use taxes from all reportable expenditures before the expenses are entered in their Advertising: The Contractor shall not use the award of this contract as a part of any news release orcommercial  the essence in the replace any of performance of this and any as key personnel parties. that it shall be agrees  to the  the prior written approval oft the County.  enforcement shall be determined.  proper custody and care of any  At the shall of  the County and the Contractor.  and other the Contractor for applicable  State shall not rules  meaning thereof.  reimbursement reports. advertising.  NCDHHS TC1010 (General Terms and Conditions) (Local Government) (Rev. 11.01.15)    ATTACHMENT B - Scope of Work Federal" Tax Id. or SSN 27-3721789 1. Contractor. Agency Name: Empowering Lives Guardianship Services, LLC 2. Ifdiferent from Contract Administrator Information in General Contract:  Contract#123/24  A. CONTRACTOR INFORMATION  Address Telephone Number: 3. Name of Program (s): 4, Status:  Fax Number:  Email:  Public  Private, Not for Profit Private, For Profit  5. Contractor's Financial Reporting Year January through Pebruary DECEMBEL B. Explanation of Services to be provided and to whom (include SIS Service Code):  CCegL 6o1623  .I Rate per unit of Service (define the unit):  1.JfStandard Fixed Rate, Maximum Allowable, (See Rates for Services Chart)  2. Negotiated County Rate.  The Department of Social Services will pay Empowering Lives Guardianship Services, LLC: at fee of $275.00 per ward per month for a maximum often (10)  wards during fiscal year 2023-2024 D. Number of units to be provided:  E. Details of Billing process and Time Frames; Empowering Lives Guardianship Services, LLC will submit monthly invoices to the Department of Social Services. Invoices received by the 10" ofthe month will be paid by the last working day oft the month. Empowering Lives Guardianship Services, LLC must provide guardianship services to a ward for at least the first day oft the month for which payment is requested in  order to receive payment for the named ward.  F.Area to be servea/Delivery site(s): Lec County citizens to be served.  v  SsyRe  Contract-Scope of Work (7-2008)  Page lof1    (Signature ofCounty Authorized Person) V/19/7013 (Date Submitted)  (Signature of Contractor) olb/2023 (Date Sabuitted)  Contract-Scope of Work (7-2008)  Page 2of1    FEDERAL CERTIFICATIONS  The undersigned states that:  1. He or she is the duly authorized representative of the Contractor named below;  2. He or she is authorized to make, and does hereby make, the following certifications on behalf of the Contractor, as set  out herein:  a. The Certification Regarding Nondiscrimination; b. The Certification Regarding Drug-Free Workplace Requirements; The Certification Regarding Environmental Tobacco Smoke;  d. The Certificatien Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered 3. He or she has completed the Certification Regarding Drug-Free Workplace Requirements by providing the addresses  Transactions; and e. The Certification Regarding Lobbying; at which the contract work will be performed; 4. [Check the applicable statement]  11 He or she has completed the attached Disclosure Of Lobbying Activities because the Contractor has made, or has an agreement to make, a payment to al lobbying entity for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a  Member of Congress in connection with a covered Federal action;  OR  M He or she has not completed the attached Disclosure Of Lobbying Activities because the Contractor has not made, and has no agreement to make, any payment to any lobbying entity for influencing or attempting to influence any officer or employee of any agency, any Member of Congress, any officer or employee of Congress,  or any employee of a Member of Congress in connection with a covered Federal action. 5. The Contractor shall require its subcontractors, ifany, to make the same certifications and disclosure.   E1SSuc  Duhenye bleko2s Date  Siy SasArei f ELGSuc  ContractofName  [This Certification Must be Signed by the Same Individual Who Signed the Proposal Execution Page]  .C Certification Regarding Nondiscrimination  The Contractor certifies that it will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title Vi of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. $51681-1683, and 1685-1686), which prohlbits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. $794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Acl of 1975, as amended 2U5.C.$96101-610h. which prohibits discrimination on the basis of age; (e) the Drug Abuse Offiçe and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; () the Comprehensive Alcohol Abuse and Alcoholism Prevention, Trealment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Title VII of the Civil Rights Act of 1968 (42 U.S.C. $53601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (h) the Food Stamp Act and USDA policy, which prohibit discrimination on the basis of religion and political beliefs; and (i)  the requirements of any other nondiscrimination statutes which may apply to this Agreement.    I. Certification Regarding Drug-Free Workplace Requirements  1, The Contractor certifies that it wil 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; Establishing a drug-free awareness program to inform employees about: The dangers of drug abuse int the workplace; The Contractor's policy of maintaining a drug-free workplace;  ili. Any available drug counseling, rehabilitation, and employee assistance programs; and  iv. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; Making it ar requirement that each employee be engaged in the performance of the agreement be given a copy of d. Notifying the employee in the slatement required by paragraph (a) that, as a condition of employment under the  the statement required by paragraph(a); agreement, the employee will: Abide by the terms of the statement; and than five days after such conviction; otherwise receiving actual notice of such conviction; any employee whoi is so convicted: termination; or agency; and (a),(b), (c), (d), (e), and (f). add additional pages if necessary):  Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later Notifying the Department within ten days after receiving notice under subparagraph (d)(ii) from an emplayee or Taking one of thei following actions, within 30 days of receiving notice under subparagraph (d)(i). with respecl to Taking appropriate personnel action against such an employee, up to and including Requiring such employee lo 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 Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs 2. The sites for the performance of work done in connection with the specific agreement are listed below (list all sites;  Address Street City, State, Zip Code Street City, State, Zip Code  SIHTE OF-NC    3. Contractor will inform the! Department of any additional sites for performance of work under this agreement. 4. False certification or violation of the certification may be grounds for suspension of payment, suspension or terminationofg grants, or government-wide Federal suspension or debarment. 45 C.F.R. 82.510.  H. Certification Regarding Environmental Tobacco Smoke  Public Law 103-227, Part C-Environmental Tobacco Smoke, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, education, or library services to children under the age of 18, if the services are funded by Federal programs either directly or through State or local governments, by Federa! grant, contract, loan, or loan guarantee. The law does not apply to chiidren's services provided in private residences, facilities funded solely by! Medicare or Medicaid funds, and portions off facilities used for inpatient drug or alcohol treatment. Fallure to comply with the provisions of the law may result ini the imposition ofa civil monetary penalty of upt to $1,000.00 per day The Contractor certifies that it will comply with the requirements of the Act. The Contractor further agrees that it will require the language of this certification be included in any subawards that contain provisions for children's serviçes and IV. Certification Regarding Debarment, Suspension, ineligibility and Voluntary Exclusion! Lower Tier  and/or the imposition of an administrative compliance order ont the responsible entity.  that alls subgrantees shall certify accordingly.  Covered Transactions Instructions  [The phrase "prospective lower tier participan!" means the Contractor.)  I. By signing and submitting this document, the prospective lower tier participant is providing the certification set out 2. The certification in this clause is a material representation of the fact upon which reliance was placed when this kansaction was entered into. #fit is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originate may pursue available remedies, including suspension and/or debarment. The prospective lower tier participant will provide immediate written notice to the person to whom this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted 4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered transaction," "principal," 'proposal," and' "voluntarily excluded," as usedi in this clause, have the meanings set out int the Definitions and Coverage sections of rules implementing Executive Order 12549, 45 CFR Part 76. Your may contact the person to whom this proposal is submitted for assistance in obtaining a copy of those 5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter any lower tier covered transaction with a person who Is debarred, suspended, determined ineligible or voluntarily excluded from participation in this covered transaction 5. The prospective lower tier participant further agrees by submitting this document that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered 7, Aparticipant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibilily of its principals. Each participant may, but is not required to, check the Nonprocurement List.  below.  or has become erroneous by reason of changed circumstances.  regulations.  unless authorized by the department or agency with which this transaction originated.  transactions.    8. Nothing contained in the foregoing shall be construed to require establishment of B system of records in order to render in good faith the certificatien required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 9. Except for transactions authorized in paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies,  including suspension, andlor debarment.  Certification  1. The prospective lower tier participant certifies, by submission of this document, that neither it nor its principals is presentiy debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation 2. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such  in this transaction by any Federal department or agency. prospective participant shall attach an explanation to this proposal.  V. C Certification Regarding Lobbying  The Contractor certifies. to the! bestofh his or her knowledge and belief, that:  1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative 2. Ifany funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or atlempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federally funded contract, grant, loan, or cooperalive agreement, the undersigned shall complete and submit Standard Form SF-LLL, Disclosure of Lobbying 3. The undersigned shall require that the language of this certificalion be included in the award document for subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) who receive federal funds of $100,000.00 or more and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made ore entered into. Submission of this certification is aj prerequisite for making or entering Into this transaction imposed by Section 1352, Titie 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil  agreement.  Activities," ina accordance with its instructions.  penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure.  VI. Disclosure OfLobbying Activities  Instructions  This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or recelpt of a covered Federal action, or ar material change to a previous filing, pursuant to tille 31 U.S.C. section 1352. The fling of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency. a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use the SF-LLL-A Continuation Sheet for additional information if the space on the form is nadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of  Management and Budget for additional information.    Identify the type of covered Federal action for which lobbying activily is and/or has been secured to influence the outcome  ofa covered Federal action.  1. Identify the status of the covered Federal action.  2. Identify the appropriate classification of this report. If this is at follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last 3. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates ifiti is, or expects to be, a prime or sub- award recipient. Identify the tier ofthe subawardee, e.g., thei first subawardee of the prime is the 1st tier. Subawards 4. If the organization filing the report in Item 4 checks "Subawardee", then enter the full name, address, city, state and Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transporlation, United States Coast Guard. 6. Enter the Federal program name or description for the covered Federal action (Item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan 7. Enter the most appropriate Federal Identifying number available for the Federal action identified in ltem 1 (e.g., Request for Proposal (RFP)number, invitation for Bid (IFB) number, grant announcement number, the contract grant, or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes. 8. Fora covered Federal action where there has been an award or loan commitment by the Federal agency, enter the 9, (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting (b) Enter the full names oft the individual(s) performing services, andi includet fulla address ifo different from 10(a). Enter Last 10. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. Ifthis is a material change report, enter the cumulative amount of payment made or planned to be 11. Check the appropriate boxes. Check all boxes that apply. If payment is made through. an In-kind contribution, specify 13. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the date(s) of any services rendered. Include all preparatory and related activity, notj just time spent in actual contact with Federal officials. Identify the Federal official(s) or employee(s) contacted or the officer(s),  previously: submitted report by this reporting entily for this covered Federal action.  include but are not limited to subcontracts, subgrants and contract awards under grants. zip code of the prime Federal recipient. Include Congressional District, if known.  commitments.  e.g., "RFP-DE-90-001.  Federal amount of the award/loan commitment for the prime entityi identified in Item 4 or 5.  identified  entity  in Item 4 toi influence the covered Federal action.  Name, First Name and Middle Initial (MI).  made.  the nature and value of the in-kind payment.  12. Check the appropriate boxes. Check all boxes that apply. lfother, specify nature.  employee(s), or Member(s) of Congress that were contacted. 14. Check whether or not a SF-LLL-A Continualion Sheet(s) is attached.  15. The cerlifying official shall sign and date the form, print his/her name, title, and telephone number.  Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of nformation. Send comments regarding the burden estimate or any other aspect of this collection ofi information, including suggestions for reducing this burden, tot the Office of Management: and  Budget, Paperwork Reduction Project (0348-0046), Washington, D. C. 20503    Disciosure OfLobbying Activities (Approved by OMB 0344-0046) 2. Status of Federal Action: a. Bidloffer'application D. initial Award Post-Award  Complete this form to disciose lobbying activities pursuant to 31 U.S.C. 1352  1. Type of Federal Aclion: a. contract B: grant cooperative agreement LL d. loan loan guarantee loan insurance  3. Report Type: a. initial filing b, material change For Material Change Only: Year_ Date OfLasyeport  Quarter_  Name and Address of Reporting Entity: Prime Subawardee Tier (ik known) Congressional District (if known). 6. Federal DepartmentAgency 8. Federal Action Number (if known) 10. a. Name and. Address ofl Lobbying Entity (individual, last name, first name, MI): (etlach Conlinuetion Sheel(s) SF-LLL-A, inecessary 11. Amount of Payment (check all that apply): 12. Form of Payment (check all thal apply/y): a. cash I In-kind; specify: Nature  5. IfReporting Entityi in N 4is Subawardee, Enter Name  and Address ofF Prim Congressional trict (fknown). 7. Federar Program Name/Description: CFOA Number (ifa applicable), 9.7 Award Amount (if known)s  b. Individuals Performing Services (including address if different from No. 10a.) (last name, first name, MI): (attach Continuetion Sheet(s) SF-LLI-A. ifnecessary) 13. Type of Payment (check all Ihat apply): a. retainer b. one-time fee commission d. conlingent fee deferred other; specify:  açtual planned  Value  14. Brief Description of Services Ferformed or to be Performed and Date(s) of Services, including officer(s), employee(s), or Member(t)contacted, for Payment Indicated! ini Item 11(attach Continuation Sheet(s) SF-LLL-A, inecessary):  15. Continuation Sheel(sis SF-LLL-A allached:  D Yes  D No  16. Information requotted through this fomm is authorized by Signature:. litle 31 U.S. C,ection 1352. This disclosure of lobbying activities is amaterial representation off fact upon which Print! Name:. reliance was placed! by thet tier above whent thist transaction was made ore enteredi into. This disclosure is required pursuant to 31 U.S. C. 1352. This information will be reported 10 the Congress semi-annually and will be available for publici inspection. Any person who fails tot file ther required disclosure shall be subject to a ciI penally of not less than $10,000 andr not more than $100,000 for each  Tille: Telephone No:.  Date:.  such failure. Federal Use Only  Authorized: for Local Reproduction Standard Form- LLL    CONFLICT OF INTEREST ACKNOWLEDGEMENTI AND POLICY  State of N/C County FoRsh  Notary Public for said County and State, certify personally appeared before me this day and  that  Sney hespsii acknowledged  that he/shei is CuNpz/PG of  EMPAMAPRIg LVEs GOINSE SRVICES KG  [name of Organization)  and by that authority duly glven and as the act of the Organization, affirmed that thet foregoing Conflict of Interest Policy was adopted by the Board of Directors/Truslees or other governing body in a meeting held  on the 8 day of Iune 2023  Sworn to and subscribed before me this. 8 _day of Tune  1023  Mduh.  (Official Seal)  E  Notary Public  Commission My    expires 1D.4-30a2Csa  ITLETSN  Instruction for Organization;  Sign and attach the following pages after adopted by the Board of Directors/Trustees or other governing body OR replace the following with the current adopted conflict ofi interest pollcy.  EMAslnh LIES UMUSH/gaIcss LIC  Name of Organization SI  ELARc Official  NCDHHS COIT015 (Rev.4/11)    Conflict of Inferest Policy Example  The Board of Directors/Trustees or other governing persons, officers, employees or agents are to avoid any conflict of interest, even the appearance of a conflict of interest. The Organization's Board of Directors/Trustees or other governing body, officers, staff and agents are obligated to always act in the best interest of the organization. This obligation requires that any Board member or other governing person, officer. employee or agent, in the performance of Organization duties, seek only the furtherance of the Organization mission. At all times, Board members or other governing persons, officers, employees or agents, are prohibited from using their job tille, the Organization's name or properly, for private profitor A. The Board members or other governing persons, officers, employees, or agents of the Organization shouid neither solicit nor accept gratuities, favors, or anything of monetary value from current or potential contractorsvendors, persons receiving benefits from the Organization or persons who may benefit from the actions of any Board member or other governing person, officer, employee or agent. This is not B.AE Board or other governing body member may, with the approval of Board or other governing body, receive honoraria for lectures and other such activities while not acting in any official capacity for the Organization. Officers may. with the approval of the Board or other governing body, receive honorarla for lectures and other such activities while on personal days, compensatory time, annual leave, or leave without pay. Employees may, with the prior written approval of their supervisor, receive honoraria for leclures and other such activities while on personal days, compensatory lime, annual leave, or leave without pay. If a Board or other governing body member, officer, employee or agent is acting In any official capacity, honoraria received in connection with activities relating to the Organization: aret to be paid C. No Board member or other governing person, officer, employee, or agent of the Organization shall participate in the selection, award, or administration of a purchase or contractwith: a vendor where, to his knowledge, any of the following has a financial interest int that purchase or contract: 1. The Board member or other governing person, officer, employee, ar agent; 2. Any member of their family by whole or half blood, step or personal relationship or relative-in-law; 3. Anorganization in which any oft the above is an officer, director, or employee; 4. A person or organization with whom any of the above individuals is negotiating or has any arrangement concerning prospective employment or contracts. D. Duty to Disclosure - Any conflict of interest, potential conflict of interest, or the appearance of a conflict ofi interest is to be reported to the Board or other governing body ar one's supervisor immediately. E. Board Action - When a conflict of interest is relevant to a matter requiring action by the Board of Directors/Tiustees or other governing body, the Board member or other governing person, officer, employee, or agent (person(s)) must disclose the existence of the conflict of interest and be given the opportunity to disclose all material facts to the Board and members of committees with governing board delegated powers considering the possible conflict of interest. After disclosure of al material facts, and after any discussion with the person, he/she shall leave the governing board or committee meeting while the determination ofa conflict of interest is discussed and voted upon. The remaining board or committee Ina addition, the person(s) shall notp participate in the final deliberation or decision regarding the matter under consideration and shalll leave the meeting during the discussion of and vote oft the Board of F.Violations of the Conflicts of Interest Policy - If the Board of Directors/Trustees or other governing body has reasonable cause to believe a member, officer, employee or agent has failed to disclose actual or possible conflicts of interest, it shall inform the person of the basis for such belief and afford the person an opportunity to explain the alleged failure to disclose. If, after hearing the person's response and after making further investigation as warranted by the circumstances, the Board of Directors/Trustees or other governing body determines the member, officer, employee or agent has failed to disclose an actual or possible conflict of interest, its shall take appropriate disciplinary and corrective action.  benefit.  intended to preclude bona-fide Organization fundr reising-activities.  tot the Organization.  members shall decide ifa conflict of interest exists. Directors/Trustees or other governing body.  NCDHHS CO11015 (Rev. 4/11)    G. Record of Conflict The minutes of the governing board and all committees with board delegated 1. The names of the persons who disclosed or otherwise were found to have an actual or possible conflict of interest, the nature of the conflict of interest, any action taken to determine whether: a conflict of interest was present, and the governing board's or committee's decision as to whether 2. The names of the persons who were present for discussions and votes relating to the transaction or arrangement thal presents a possible conflict of interest, the content of the discussion, including any alternatives to the transaction or arrangement, and a record of any votes taken in  powers shall contain:  aconflict ofi interest in fact existed. connection with the proceedings.  Approved by: #ContraclorNamel! Name of Organization ofOrganization Official FA lo//2023 Date  EMAEING WVES GWRRDIAASHHP. SERVICES LC  NCDHHS CO11015 (Rev. 4/11)    Forsyth Office: 2554 Lewisville- Clemmons Rd., Ste 310, Clemmons, NC 27012 (336)714-9790  Empowering Lives Wake Office:  11101 Navaho Drive, Ste. 304, Raleigh, NC: 27609  Guardianship Services, LLC (919)799-2223  State Grant Certification - No Overdue Tax Debts  TO: State Agency Head and Chief Fiscal Officer  Certification:  Icertify that Empowering Lives Guardianship Services, LLC, does not have any overdue tax debts, as defined by N.C.G.S. 105-243.1, at the federal, State, or local level. We further understand that any person who makes a false: statement in violation OfN.C6S.143C62305 guilty of a criminal offense punishable as provided by N.C.G.S.) 143C-10-1b.  Sworn Statement:  Stacey Skradski, being duly Sworn say that lam the owner/manager of Empowering Lives Guardianship, LLG, of Clemmons in the State of North Carolina; and that the foregoing certification is true, accurate and complete to the best of my knowledge and was made and suiscribed by me. lalso acknowledge and understand that any misuse of State funds will be  reported to the appropriate authorities for further action  fESuE  Owner/Manager,  Sworn and subserbec'iefore,me on the day of the date ofs said certification.  TslodA Notary Signareandisenth  LA a  Notary Public County ess  My Commission Expires: 16-4-dod)  Fax (855)771-8948 www.empowernglvesguardianehp.om Crisis Line (336)655-2580 or Office, Option 9    This documen! will be used 10c determine ifyoul have abusiness associatc rclationship with a contractor. This form should be completed on all contracts that have a HIPAA covered health care component. This would include alll health related information.  Contractor: ELGS Contract Number:  Dae46/2023  HIPAA ASSESSMENT FORM  Questions  Notes  Steps  1. Hasal relationship been initiated Select allows the contractor toj perform a function or activity for, or on behalfof, County Department of Social Services HIPAA covered health care component? ether than treatment of clients?  ESC Go to Question 2. NO_-Stop. There is no business associate rclationship. YES- Go to Question 3. NO2-Stop. There is no business associate relationship.  2. Ist the function or service to be Select NOTE: The sharing of rendered by the contractor on an activity Individually identifiable  health information with another treatment contractor for treatment purposes only does not require al business associate agreement. See 45 CFR 9164.5020)0XUXA) Department of Social Services individually identifiable health information is not covered by HIPAA and thus does not have to be pretected through abusiness associate agrccment.  3. Does the function or service to Select NOTE: Data that does not YES--Go to Question 4,  be rendered by the centracter involve the contain A County  NO--Stop. There is no business associate relationship.  use or disclosure of the County Department of Social Services individually identifiable health infonmation?  4. Are the services rendered by Select NOTES: Whenever a service NO--Got Questien 5. staff from the contractor performed on the isre rendered on the premises YES--Stop. There is not business  premises oft the covered health care component, using the component's policies and procedures?  ofa covered component, utilizing the component's component's policies and procedures, the person rendering such services is considered a member ofthe component' 's workforce, and isrequired to comply with the component's privacy pelicies and procedures. No business associate agreement isrequired. Agency  associate relationship.  resources and following the component's resources and following the  5. Is the contractor performing a Select Çheck appropriate service(s): YES--Youl have identificd a business  type(s) of function/activity for or on the DAttorey Representing  associate relationship. The specified function/activity, which involves the sharing of individually identifiable  behalfoft the County Department of Social Services HIPAA covered health  Benefits Management  1    component that is directly related to the covered health component's continued  Patient Accounts Billing health information, is provided by the  Claims Processing Claims Administration Bill Collections Professional Services Special Population Assessments Data Analysis Data Processing Data Administration JCAHO Re-pricing Rate Setting Practice Management Software Support Utilization Review Quality Assurance Contract Analysis Central Office Supervision Security Dietary Machine Maintenance Facility Maintenance Landscaping Housekeeping Hardware Support Audits/Surveys Purchasing  centractor, This constitutes al business associate relationship as such information must be protected the same as required oft the HIPAA covered health care component. There are two types oft business associate relationships: External Business Associate relationships: You have indentified an External business associate relationship ifyou are contracting with any entity A Business Associate Addendum must be signed and included with the contract. Ifyou are completinga a Memorandum of Agreement (MOA) with a governmental entity the Government Associate Addendum must beu utilized. NO--STOP. There is no business associate relationship.  operation?  Council on Accreditation outside city, ceunty or state government.  ADDITIONAL REQUIRMENTS NOTE: Make sure all county requirements are met for internally notifying the correct parties for Extemal and Internal Business Associates Rev: 7-1-2013  2    State Certifications  Contractor Certifications Required by North Carolina Law  Iustructions: Thep person who signs this document should read the text oft the stalutes and Executive Order listed below and consult with counsel and other knowiedgeable persons before signing. The text ofe each North Carolina General Statutes and oft the Executive Article 2 of Chapter 64: ht MWIL. ncsa.s simvngwsEnslle.lniSlausl PDrBxAriclChanter 64'Arlicle 2pdr Executive Order No. 24 (Perduc, Gov., Oct. 1, 2009): mn-nwvaliscmmisiamasemdemn.hndenfxlasxE02nur G.S. 105-164.8(b): hun: arfaadl. MamSPHBsicwChaue, IO5/GS 105-164.Sxf G.S. 143-48.5: INu: WnEHSTaS. us Enaciedl ceislation' Stalu utesiin MLivsactimChi 143-GS 143-48.5. html G.S. 143-59.1: ESAifaaN eaisiation Sualin.s PDF BwSaytim-Chanter 143/GS 143-59.1pdr G.S. 143-59.2: -BANSASEnSavtnedeiaiain: Statutes PDF/BVS SvlionChanter 143-GS 143-59.2.ndr G.S. 143-133.3: hup: MNKRAAELIRA us EnasredLogislation! Suauls' HTMI. BvSestinn/Chater H3-GS 143-133.3.Aml G.S. 143B-139.6C: MP-SMIASAASINSNE Enaetedl.islaiin: Staes PF. B.Setin-Chapisr 143B-GS 143B-139.6C.Nl  Order cant be founde online at:  G.S. 133-32: by w AEL.S statc. ne. N Mastripts STIeS marmpalsamseIN  Certifications  (1) Pursuant to G.S. 133-32 and Executive Order No. 24 (Perdue, Gov., Oct. 1, 2009), the undersigned hereby certifies that the Contractor naméd below is in compliance with, and has not violated, the provisions of either said stalute or Executive Order.  ceuntry" as set forth in G.S. 143-59.1(c)(2) after December 31, 2001 but the United States is not the principal market fort the public trading ofthe stock of the corporation incorporated in the tax  haven country.  (2) Pursuant to G.S. 143-48.5 and G.S. 143-133.3, the (4) Pursuant to G.S. 143-59.2(b), the undersigned hereby undersigned hereby certifies that the Contractor named certifies that none of the Contractor's officers, directors, below, and the Contractor's subcontractors, complies or owners (if the Contractor is an unincorporated with the requirements of Article 2 of Chapter 64 oft the business entity) has been convicted of any violation of NC General Stalutes, including the requirement fore each Chapter 78A ofthe General Statutes orthe Securities Act employer with more than 25 employees in North of 1933 or the Securities Exchange Act of 1934 within Carolina to verify the work authorization of its I0 years immediately prior 10 the date of the bid (3) Pursuant to G.S. 143-59.1(b), the undersigned hereby certifies that the Contractor will not use a former certifies that the Contractor named below is not an employee, as defined by G.S. 143B-139.6C(d)2), of "ineligible Contractor" as set forth in G.S. 143-59.1(a) the North Carolina Department ef! Health and Human (a) Neither the Contractor nor: any of its affiliates has Department in violation ofG.S. 143B-139.6C: and that refused to collect the use tax levied under Article 5 aviolation of that statute shall void the Agreement, ormoreofthes conditionsofG.s.105-164.8b)and (a) He or shei is a duly authorized representative oft the  employces through the federal E-Verify system." E- solicitation.  Verify System Link: MI.ASCis.Roy  (5) Pursuant to G.S. 143B-139.6C, the undersigned hereby  becHuse:  Services in the administration of a contract with the  of Chapter 105 of the General Statutes on its sales (6) The undersigned  certifies further  delivered to North Carolina when the sales met one (b) (check one of the following boxes) Neither the Contractor nor any ofi its affiliates has incorporated or reincorporated in a "tax 59.1(c)(2) after December 31,2001; or OThe Contractor or one of its affiliates has incorporated or reincorporated in a "tax haven  hereby  that:  Contractor named below; He Contractor; and  (b) or she is authorized to make, and does hereby make, the foregoing certihications on behalf of the knowingly submits a falsc certification in response tot the requirements of G.S. 143-59.land-59.2: shall  haven country" as set forth in G.S. 143- (c) He or she understands that any person who  be guilly ofa ClassI felony.  Contractor'sName: EMPWERIN9 LIVES 6WARDIANKHP SERICE uC  Contractor's Wimess  Authorized Agent: Signaure SAKEKku  Dale 6-8-3023  Prined Nane, SACEY Svesosei Printed Nane Mudeed N- Buons  muefunpangur Tile Ie manacs  6-8-3023  ARS  The witness should be present when the Contractor's Authorized Agen! signs this certification and should sign and date this  document immediately thereafter.  Contmctor Cestifications Ruxtuired hy North Carolina Law! (Rev. 82016)  Paex Jofi    The County of Lee North Carolina  Vendor/Contractor Name:  EMfowelinh LIVS GUARDIANSEP SERVICES LIC  IRAN DIVESTMENT ACT CERTIFICATION REQUIRED BY N.C.G.S. 147-86.59  As of the date listed below, the Vendor/Contractor listed above certifies that they are not on the Iran Final Divestment List ("List") created by the North Carolina State Treasurer persuant to N.C.G.S. 147-86.58.  Contractor/Vendor: shall not utilize any subcontractor that is identified on the list.  E-VERIFY CERTIFICATION  REQUIRED BY N.C.G.S. 143-48.5 & 147-33.95(9)  As of the date listed below, the Vendor/Contractor listed above and all Vendor/Contractors subcontractors certify that they are in compliance with the requirements of Article 2of Chapter 64 of the North Carolina General Statutes, including the requirement for each employer with more than 25 employees in North Carolina lo verify the work authorization of its employees through the federal E-Verify system. The undersigned hereby certifies that he/she is authorized by the entity listed above to make the foregoing  statement.  ELKSuc  Lldzo23  f  Signatre Printed Namé  Date Printed Title  Sy Svempsi faAue  Grmanape    ÇONTRACT PROVIDER NAME: Empowering Lives  CONTRACT NUMBER: CONTRACT PERIOD:  N/A 7//2023-6/30/2024  PROVIDER'S FISCAL YEAR: 112023-12731/2023  CONTRACT DETERMINATION QUESTIONNAIRE (PURCHASE OF SERVICE VS. FINANCIAL ASSISTANCE)  Instructions: Enter 5 points for each factor in either the yes or no column. Once the entire list has been completed tally the points in each column. The column with the most points should be: a good indicator oft the designation of  the organization-either Financial Assistance (Grant) or Vendor (Purchase of Service).  5points 5points Financial Purchase Assistance of Service YES  Determination Factors  NO x x x X x  Does the provider determine eligibility? procedures and rules?  2 Does the provider provide administrative funclions such as Develop program standards 3 Does the provider provide administrative functions such as Program Planning? 4 Does the provider provide administrative functions such as Monitoring? 5 Does the provider provide administrative functions such as Program Evaluation? 6 Does the provider provide administrative functions such as Program Complance? 7 is provider performance measured against whether specilic objectives are met? 8 Does the provided have responsibilitly for programmatic decision making? 9 Is the provider objective to carry out a public purpose to support an overall program obiective? 10 Does the provider have to submit a cost report to satisfy a cost reimbursement arrangement? 11 Does the provider have any obligation to the funding authority other than the delivery of the 13 Does the provider provide these or similar goods and/or services only to the funding agency? 14 Does the provide these or similar goods andlor services outside normal business operations? Note: The autherized Individual(s) must place an Xi in one of the boxes below toi indicate thet type of contractual arrangement for this contract, then sign and date where indicated.  specified goods/services?  12 Does the provider operate in a noncompetitive environment?  x 70  TOTAL.  0  FINANCIAL ASSISTANCE  PURCHASE SERVICE  Stephen Blews  Signature of Authorized Programmatic Individual Signature of Authorized Administrative Individual AAnD  DATE  (e/9/20.23  DATE  Revised effective 7-1-2013 page 1    This CONTRACT made and entered into this the 19th day of. June, 2023, by and between the County ofl Lee, one of the 100 counties of the State of North Carolina and a body politic and corporate, hereinafter referred to as COUNTY, and the Sanford-Lee County Partnership for Prosperity, doing business as Sanford Area Growth. Alliance, a non-profit corporation organized and existing under the  laws of the State of North Carolina, hereinafter referred to as SAGA.  WITNESSETH  WHEREAS, Chapter 158 of the North Carolina General Statutes authorizes counties to engage in WHEREAS, North Carolina General Statute 5153A-449 authorizes counties to contract with and appropriate money to a corporation to carry out any public purpose that a county is authorized by law  economic development activities; and,  top perform; and,  WHEREAS, it is the desire oft the Lee County Board of Commissioners that the County should engage in economic development activities and that SAGA: should be employed to undertake such  activities on behalf oft the County; and, such activities on behalf of the County; and,  WHEREAS, SAGA, by action of its Board of Directors, has indicated its willingness to perform  WHEREAS, both parties desire a written memorandum of their agreement.  NOW, THEREFORE, in consideration of the premises, the sums to be paid, and the mutual 1. County hereby engages SAGA to carry out a program ofe economic development in keeping with the authority granted to it by Chapter 158 oft the North Carolina General Statutes and SAGA accepts such engagement and promises to perform and carry out such a program. 2. County agrees to make an annual budgetary appropriation to pay for the services provided by SAGA to include the recruitment of newi industry, business retention and expansion, marketing of Lee County and business/industrial sites and any other activity, which is considered typical for 3. Inc consideration for making the annual budgetary appropriation, the County will appoint three members to the SAGA Board of Directors at their sole discretion and consistent with County Policy on Board Appointments. Based on the County's level of funding, the Board of 4. One of the Board members appointed to the Board of Directors shall be an elected County Commissioner. The Board of Commissioners can also elect an alternate Commissioner to serve on the SAGA Board of Directors. The alternate Commissioner can attend all meetings oft the Board of Directors but shall not vote on any matters, unless the appointed Commissioner is  promises herein set out, the parties have mutually agreed as follows:  an economic development agency to provide to a County.  Commissioners will review this on an annual basis.  absent.    5. The other members appointed to the SAGA Board of Directors by the Board of Commissioners 6. Lee County and SAGA agree to participate and plan an annual meeting that willi include the City of Sanford and the Town of Broadway. At this meeting, SAGA will deliver a report to all three boards detailing the activities of SAGA. SAGA or any oft the three local governments may propose additional meetings as needed. In addition, on an annual basis, SAGA will include an annual economic outlook report as well as a review of the successes achieved by SAGA. SAGA will also provide a monthly written report to the Lee County Board of Commissioners: as an update on the activities of SAGA. The SAGA Director and/or the Economic Development Director will appear before the County Commissioners to give updates and seek support for 7. Continue to operate aj joint community and economic development office int the Old Buggy Factory in downtown Sanford in order toi foster cooperation amongst Lee County, the City of Sanford and the Town of Broadway. The Old Buggy Factory will continue to be a "one stop shop" for the economic development growth oft the community, as long as all parties agree to  shall be private citizens.  projects in the County as needed.  the continued relationship. 8. SAGA agrees to the following:  a. Tos select, supervise and evaluate the performance oft the SAGA staff to ensure that the delivery of an effective Economic Development Program. SAGA will provide an updated list ofs staff to the Clerk to the Board of Commissioners: annually or anytime there isa b. Toc direct the Economic Development staff to develop and implement an effective economic development program. The SAGA Board of Directors will monitor the results of the program and develop action plans to help develop job growth and investment in Lee County. Addendum. Ai includes a list of current SAGA Board of Directors. Tof follow the County's Economic Development Investment Guidelines in dealing with incentives to industry and businesses. The Executive Director will take the project before the SAGA Board of Directors or Executive Board fora a recommendation. All recommendations, favorable or unfavorable, will be forwarded to the Lee County Board of Commissioners for their consideration, once recommended by the SAGA Economic Development Committee and/or the SAGA Executive Board of Directors and/or the SAGA Board of Directors. The recommendation of the SAGA Executive Committee will be provided in writing to the Lee County Board of Commissioners before the public d. Toc cooperate fully with all agencies located in Lee County whose goal is to grow the Town of Broadway, City of Sanford, and Lee County. These groups include, but are not limited to, the Sanford. Area Chamber of Commerce, Lee County Board of Education, City of Sanford Downtown Development Corp., and Central Carolina Community College. e. Tok keep accurate, thorough, and detailed records of the expenditure of funds appropriated by the County for economic development. Annually, SAGA will provide an  change in staff.  hearing is held on a potential project.    annual budget request to the County Manager. The annual budget request will be the financial plan that addresses SAGA's efforts to recruit newi industry and retain existing industry. The budget is due to the County Manager by March 15th of each year. SAGA will provide an audit every other year to the Board of Commissioners. The years an audit is not provided, their auditor will conduct a financial review and a copy will be provided to the Commissioners. Fort fiscal years in odd numbered years, a financial review will be conducted, for fiscal years in even numbered years an audit will be conducted. Either the financial report or the audit will be due to the Commissioners by SAGA will establish an audit committee that will work with SAGA's auditor to complete the annual audit. The audit committee currently consists oft the treasurer ofS SAGA Board of Directors, the Lee County Manager, the Town of Broadway Manager and the h. SAGA may submit an annual Capital Improvements Plan to the Board of Commissioners which outlines the infrastructure needs of the County for economic development purposes over the next five (5) year period. Any capital improvement item over $500,000.00 which the SAGA Board of Directors wants the Board of Commissioners to consider must go through the CIP process. Any capital funding less than $500,000.00 will be included in SAGA's annual budget request submitted to the Board of Commissioners. SAGA can, during thei fiscal year, come and request additional capital funding if projects present themselves that will stimulate economic development and To apprise the Board of Commissioners: and the County's Clerk of all job announcements before media is contacted for the purpose of a public announcement. Toc cooperate fully with the County's auditors in their annual examination of county . Toa abide by the North Carolina Non-Profit Corporation Act, Chapter 55A of the North  December 315t of each year.  City of Sanford Manager.  growth in the County.  expenditures.  Carolina General Statutes.  9. The annual appropriation to SAGA in FY2023-2024 will be $355,970. The appropriation of funds by the County for subsequent fiscal years and the acceptance oft the same by SAGA shall renew or extend this agreement for such fiscal year. As required by the Local Government Budget Fiscal Control Act, this agreement is subject to the annual appropriation clause of the Act.  10. This agreement becomes effective. July 1, 2023.    IN' WITNESS WHEREOF, County has caused this instrument to be executed ini its name by the Chairman oft the Board of Commissioners for said County and attested byt the Clerk of said board, and its County seal to be affixed, all by authority of its Board of Commissioners, first duly given; and SAGAI has caused this instrument to be executed in its name byi its President for said County and attested by its Secretary, and its corporate seal to be affixed, all by authority ofi its Board of Directors, first duly given, both  effective aso of the 9m day of Junk  2023.  COUNTI  LEE COUNTY BOARD OF COMMISSIONERS Hifnite  By:  CARSY  F  #ilp Hailey Hall Clerk to the Board  SANFORD AREA GROWTH ALLIANCE  s  SEAL Bjr ORTH CARO  ATTEST:  MAM  Secretary  This instrument has been preaudited in the manner required byt the Local Govemment Budget and Fiscal Contract Act. Danda Kwmr Finance Officer, Lee County    Addendum, A  The 2022-2023 SAGA Board of Directors currently consists of:  1. Jody Albright, Central Electric Membership Corporation 2. Donald Andrews, Mayor, Town of Broadway 3. Todd Baker, Carter Bank & Trust 4. David Bernard, Lee County Board of Commissioners Appointee 5. Kirk Bradley, Lee-Moore Capital Company 6. Otto Breitschwerdt, Caterpillar, Inc. 7. Dr. Andy Bryan, Lee County Schools 8. Byron Buckles, Sanford City Council 9. Bill Carver, Lee County Commissioners 10. Dr. Lisa Chapman, Central Carolina Community College 11. Joe Clancy, Express Employment Professionals 12. Tom Darden, Cherokee Land Company 13. Alan Dossenbach, Dossenbach's Finer Furniture 14. indira Everett, Duke Energy 15. Chris Fensterle, Central Carolina Hospital 16. Dr.. Jim Foster, Farm Bureau 17. John Godfrey, Town of Broadway 18. Tina Gross, Gross Farms 20. Hal Hegwer, City of Sanford 21. Bob Heuts, Raleigh Executive. Jetport 22. Jimmy Keen, Truist 23. Carter Keller, Carolina Commercial Contractors 24. Steve Malloy, Adcock & Associates 25. Chet Mann, CMG Financials 26. Joni Martin, Progressive Contracting Company, Inc. 27. Charles Mellette, Christian Provision Ministries 28. Lisa Minter, Lee County Government 29. April Montgomery, REAP HOLDINGS LLC 30. Ryan Murphy, Rodeco Company 31. Donnie Oldham, Sanford Contractors 32. Richard Oldham, Sanford Contractors 33. Ella Pantaleon, Multitech Mechanical 34. Jerry Pedley, Mertek Solutions, Inc. 35. Julian Philpott, Central Carolina Community College 36. Jay Rapp, Helix' Ventures 37. Rebecca Salmon, Mayor, City of Sanford 38. Kirk Smith, Lee County Board of Commissioners 39. Dr. Bill Stone, NC Cooperative Extension-Lee County Center 42. Bill Wilson, Wilson, Reives, Silverman & Doran, PLLC 43. Sherry Lynn Womack, Lee County Board of Education  19. Scott Hadley, Lee & Associates Commercial Real Estate Services  40. Rich Trogdon, First Bank 41. Charlie Welborn, DMJPS    MEMO TO: FROM: SUBJECT: DATE:  LEE COUNTY BOARD OF COMMISSIONERS LISA MINTER, LEE COUNTY MANAGER BUDGET AMENDMENT:# 6/19/23/17  June: 19,2 2023  SECTIONI. THE FOLLOWING GENERAL FUND (1100) REVENUE NCREASES ARE HEREBY APPROVED:  CURRENT BUDGET 130,000 25,000 6,188,547  NEW 200,000 35,000  DEPARTMENT Parks and Rec Parks and Rec Fund Balance  ACCOUNT# 1100-3612-35251 1100-3612-38200 Rent 1100-3990-39900  DESCRIPTION Gymnastics Fund Balance TOTAL CHANGES  CHANGE BUDGET 70,000 10,000 117,000 6,305,547 197,000  SECTIONII. THE FOLLOWING GENERAL FUND (1100) EXPENSE INCREASES ARE HEREBY APPROVED:  CURRENT BUDGET 98,000 157,679 450,500  NEW 178,000 217,679 12,000 495,500  DEPARTMENT Parks and Rec Sheriff's Office Sheriff's Office Jail  ACCOUNT# 1100-6120-43100 1100-4310-44250 Vehicle Gas and oil 1100-4314-43510 Telephone 1100-4320-44140 Food Supplies  DESCRIPTION Professional: Services TOTAL CHANGES  CHANGE BUDGET 80,000 60,000 12,000 45,000 197,000  SECTION II. THE FOLLOWING MOORE CENTER PROJECT FUND (4840) EXPENSE INCREASES ARE HEREBY APPROVED:  CURRENT BUDGET 90,056  NEW  DEPARTMENT Moore Center Project  ACCOUNT# 4840-8100-46100  DESCRIPTION Issuance Cost TOTAL CHANGES  CHANGE BUDGET 58,987 149,043 58,987  SECTION IV THE FOLLOWING MOORE CENTER PROJECT FUND (4840) EXPENSEL DECREASES ARE HEREBY APPROVED:  CURRENT BUDGET 3,655,275  NEW  DEPARTMENT Moore Center Project  ACCOUNT#  DESCRIPTION TOTAL CHANGES  CHANGE BUDGET 58,987 3,596,288 58,987  4840-8100-46300 General Construction  COUA  #ulun fll HAILEY HALL, CLERK TOTHE BOARD  bmink  45  CARO    LEE COUNTY CLASSIFICATION AND PAYI PLAN  Effective. July 1, 2023  Grade Minimum Midpoint Maximum  Classification  201  41,456 52,856 64,257  Communications Dispatcher  This page and nut three pages were approved and incorporaed whothe  FY 1013-2014 Budyt Dminande bn Jwnt 19, 2013.    LEE COUNTY CLASSIFICATION, AND PAY PLAN  Effective July 1, 2023  Grade Minimum Midpoint Maximum  Classification Administrative Detention Officer Detention Officer Detention ricer/Transportation Officer  302  44,107 56,236 68,366  303 304 305 306 307 308 309 310 311 312 313 314 315  46,312 59,048 71,784 48,628 62,000 75,373 51,059 65,100 79,142 53,612 68,356 83,099 56,293 71,773 87,254 59,107 75,362 91,617 62,063 79,130 96,197 65,166 83,087 101,007 68,424 87,241 106,058 71,845 91,603 111,360 75,437 96,184 116,928 79,209 100,993 122,775 83,170 106,042 128,913  Detention Officer (BLET) Detention Sergeant  Detention Sergeant (BLET) Detention Lieutenant  Detention Lieutenant (BLET) Detention Captain  Detention Captain (BLET)  1/    LEE COUNTY CLASSIFICATION, AND PAY PLAN  Effective. July 1, 2023 Classification  Grade Minimum Midpoint Maximum  101 102 103 104  45,120 57,528 69,936 47,376 60,404 73,432 49,745 63,424 77,104 52,232 66,595 80,959  Deputy Sheriff Deputy Sheriff-C CRO Deputy Sheriff-S SRO  105 106 107 108 109  54,843 69,925 85,007 57,586 73,422 89,258 60,465 77,093 93,720 63,488 80,947 98,406 66,662 84,995 103,327  Deputy Sheriff Sergeant - Civil Animal Control: Sgt Deputy Sheriff Sergeant - Detective Deputy Sheriff Sergeant - Narcotics Deputy Sheriff Sergeant - Patrol Deputy Sheriff Sergeant -SRO  110 111  69,996 89,244 108,493 73,495 93,707 113,918  Deputy Sheriff Lieutenant Civil Process Deputy Sheriff Captain Civil Process Deputy Sheriff Lieutenant Community Relations Deputy Sheriff Lieutenant - Detective Deputy Sheriff Lieutenant Narcotics Deputy Sheriff Lieutenant Patrol Deputy Sheriff Lieutenant- -9 SRO  113  81,029 103,311 125,594  Captain Field Operations/Training Coordinator Captain Professional Standards Deputy Sheriff Captain Narcotics Deputy Sheriff Captain Detective  2    LEE COUNTY CLASSIFICATION AND PAY PLAN  Effective. July1 1, 2023 Classification  Grade Minimum Midpoint Maximum  114 117  85,080 108,477 131,874 98,491 125,576 152,661  Deputy Sheriff Major Field Operations  Chief Deputy Sheriff  4    MEMOTO: FROM: SUBJECT: DATE:  LEE COUNTY BOARD OF COMMISSIONERS LISAI MINTER, LEE COUNTY MANAGER BUDGET AMENDMENT# 6/19/23/18 June: 19, 2023  SECTIONI. THE FOLLOWING GENERAL FUND (1100) REVENUE INCREASES ARE HEREBY APPROVED:  CURRENT BUDGET 205,084  NEW CHANGE BUDGET 1,619,714 1,619,714 730 205,814 9,600 9,600 1,630,044 NEW CHANGE BUDGET 730 199,674 17,559 17,559 1,420 1,420 14,524 14,524 1,876 1,876 117,746 117,746 7,172 7,172 61,418 61,418 1,122,814 1,122,814 143,814 143,814 21,670 21,670 20,727 20,727 24,203 24,203 3,510 3,510 57,430 57,430 3,831 3,831 9,600 9,600 3,302 3,302 138,255 138,255 1,771,601  DEPARTMENT Other Revenue Y&A ASERVICES Other Revenue  ACCOUNT#  DESCRIPTION TOTAL CHANGES  1100-3930-38566 Subscription! Proceeds 1100-3583-34810 NCDJJDP Grant 1100-3930-38565 Lease Proceeds  SECTIONII. THE FOLLOWING GENERAL FUND(1100). EXPENSE INCREASES ARE HEREBY APPROVED:  CURRENT BUDGET 198,944  DEPARTMENT JCPC Commissoners Administration Finance Tax Tax Clerkofc Court Elections IT Sheriff's Office Jail Emergency Services Health EnvronmentalHeath DSS Library INTS Service Debt Service Debt Service  ACCOUNT#  DESCRIPTION  1100-5834-43960 Contracted: Services 1100-4110-46700 Capital Outlay Subscriptions 1100-4120-46700 Capital Outlay Subscriptions 1100-4130-46700 Capital Outlay Subscriptions 1100-4143-46700 Capital Outlay Subscriptions 1100-4144-46700 Capital Outlay Subscriptions 1100-4160-46700 Capital Outlay Subscriptions 1100-4172-46700 Capital Outlays Subscriptions 1100-4210-46700 Capital Outlay Subscriptions 1100-4310-46700 Capital Outlay Subscriptions 1100-4320-46700 Capital Outlay Subscriptions 1100-4371-46700 Capital Outlays Subscriptions 1100-5100-46700 Capital Outlay Subscriptions 1100-5109-46700 Capital Outlays Subscriptions 1100-5312-46700 Capital Outlay Subscriptions 1100-6110-46700 Capital Outlay Subscriptions 1100-4131-46600 Capital Outlayl Leases 1100-9100-45103 Interest-Leases 1100-9100-45203 Principal-Leases  TOTAL CHANGES  SECTIONIII THE FOLLOWING GENERAL FUND (1100) EXPENSE DECREASES ARE HEREBY APPROVED:  CURRENT BUDGET 69,300 4,000 1,180 1,200 3,194 27,755 4,655 37,307  NEW 4,539 2,008 198 289 0 0 0 0 0  DEPARTMENT INT Service INT Service Registrar of Deeds Sherif's Office Cooperative Extension Social Services Social Services Parks andF Recreation  ACCOUNT# 1100-4131-43230 Copier Expense 1100-4131-43520 Postage 1100-4180-43220 Rent-Equipment 1100-4310-43220 Rent-Equipment 1100-4950-44200 EDP Supplies 1100-5312-43230 Copier Expense 1100-5312-43220 Rent-Equipment 1100-6120-43210 Rent  DESCRIPTION  CHANGE BUDGET 64,761 1,992 982 911 3,194 27,755 4,655 37,307 141,557  TOTAL CHANGES COUNT est 1941 R  Am CHAIR SMITH,  #ll  min HAILEY HALL, CLERKI TO1 MEE BOARD   CAR    I  E @ @ 0)  < E E 8 m o I 6 I aU U -  9 # o I O ! 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NC  P.C.  PROJECT NO: 09821 CHECKED BY: MJB FIGURE NO. SCALE: "= 125' DRAWN BY: RDK DATE: 5/4/23    D  MARELLI NORTH CAROLINA USA LLC 2101 NASH ST, SANFORD, 27330  VERRAquest ENVIRONMENTAL CONSULT TANTS.  NC  LEE COUNTY GOVERNMENT  SANFORD. NC  PROJECT NO: 09821 CHECKED B: MJB FIGURE NO. SCALE: 1"= 125' DRAWN BY: RDK DATE: 5/4/23    4  - CD  2  MARELLI NORTH CAROLINA USA LC 2101 NASH ST, SANFORD, NÇ 27330 40' DRAWN BY: RDK DATE: 3/16/23  VERRAquest  LEE COUNTY GOVERNMENT SCALE:  SANFORD, NC  CONSULTANTS,P.C.  PROJECT NO: 09821 CHECKED BY: MJB FIGURE NO.        -    EZ/91/S avg MQH AB NMVNO .04  3NOS  ON 3un9u arw A8 Q3X03H0 12860 :ON 103/OHd OFSLZ ON 'GHOINVS '15 HSVN 101Z on vsn VNNONVO HIJON masww  O'd's SINVITNSNOD WINENNOHANS  ON "GHOINVS  IN3HN8EA0S AINNOD 337  3sonbyRET  1    )  D 3 +    2 a a o 6 3  8/17/22 FREE PRODUCT THICKNESS MARELU NORTH CAROLINA USA LC 2101 NASH ST, SANFORD. NC 27330 PROJECT NO: 09821 CHECKED B. MJB FIGURE NO. 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