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HomeMy WebLinkAbout060319a Agenda Package - revised060319 HCBOC Page 1 HARNETT COUNTY BOARD OF COMMISSIONERS County Administration Building 420 McKinney Parkway Lillington, North Carolina Regular Meeting June 3, 2019 1. Call to order -Chairman Gordon Springle 9:00 am 2. Pledge of Allegiance and Invocation -Commissioner Joe Miller 3. Consider additions and deletions to the published agenda 4. Consent Agenda A. Minutes B. Budget Amendments C. Tax rebates, refunds and releases D. Hamett County Finance Officer requests approval of the Northwest Hamett Elementary School Project Capital Project Ordinance totaling $29,634 ,397. E. Hamett County Finance Officer requests approval of a Resolution Declaring the Intent of the County of Hamett to Issue Approximately $28,000,000 General Obligation School Bonds to Finance NW Hamett Elementary School, as requested by the Board of Education, and to Reimburse Itself for Capital Expenditures Incurred in Connection with the Acquisition and Construction of NW Harnett Elementary School from the Proceeds of Such General Obligation School Bonds Executed to be Issued in Fiscal Year 2020. F. Hamett County Finance Officer requests approval of the Erwin Elementary School Project Capital Project Ordinance totaling $23,481,723. G. Harnett County Finance Officer requests approval of a Resolution Declaring the Intent of the County of Harnett to Issue Approximately $23,500,000 General Obligation School Bonds to Finance Erwin Elementary School, as requested by the Board of Education, and to Reimburse Itself for Capital Expenditures Incurred in Connection with the Acquisition and Construction of Erwin Elementary School from the Proceeds of Such General Obligation School Bonds Executed to be Issued in Fiscal Year 2020. H. Administration requests approval of a Capital Project Ordinance for the "Shawtown Area Community Center Feasibility Study" that will be funded through a $10,000 grant-in-aid, no County funds are included in this project. I. Hamett County Fire Marshal requests approval of the Carolina Lakes Fourth of July fireworks permit application. J. Hamett County Cooperative Extension requests approval to accept a Pesticide Container Recycling Grant in the amount of $1,845 from the North Carolina Department of Agriculture and Consumer Sciences, Structural Pest Control and Pesticides Division. Grant funds will enhance the pesticide container recycling program and the recycling of properly prepared containers. K. Proclamation -2019 Elder Abuse Awareness Day Page 1 of2 060319 HCBOC Page 2 L. Hamett County Health Director requests approval to add the new fee of $30 for Total Serum Bilirubin CPT Code 82247. M . Hamett County Health Director requests approval of the revised Clinical Patient Fees, Eligibility and Bad Debt Write Off Policy . N . Administration requests approval of contract documents accept $10,000 grant-in-aid from the North Carolina Department of Commerce to fund the Shawtown Area Community Center Feasibility Study. 5. Special Presentations 6. Period of up to 30 minutes for informal comments allowing 3 minutes for each presentation 7. Appointments 8. Presentation regarding the work of the Guardian ad Litem (GAL) Program, Allison Delong, NC Judicial Branch 9. Update on Raven Rock State Park, Friends of Raven Rock State Park and staff 10 . Request by Habitat for Humanity of Hamett County to waive all of the necessary fees associated with the lot preparation and construction of a house to be located at 807 Rosemary Street in Erwin, Executive Director Mike Blackmon 11. Administration and Finance Officer request approval of a Project Budget Ordinance Amendment for the new Hamett County Resource Center and Library, DSS building addition and site improvements. 12. Shawtown Renovation Update 13. Boys and Girls Club Presentation, Daniel Simmons, Chief Executive Officer of Boys and Girls Clubs of Central Carolina 14. Harnett County General Services requests approval of the Project Ordinance for the Former Boone Trail Elementary School Demolition Project. The former Boone Trail Elementary School is condemned and anticipated expenses for this project are $239,000 . 15. County Manager's Report -Paula Stewart, County Manager Harnett County DSS Monthly Report -April 2019 Interdepartmental Budget Amendments 16. New Business 17. Closed Session 18. Recess to reconvene in work session to discuss the proposed 2019/2020 budget. 19. Adjourn Page 2 of2 060319 HCBOC Page 3 Agenda Item __ 4_-_B ___ _ BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett, North Carolina, that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30, 2019: Section 1. To amend the General Fund, Cooperative Extension, the appropriations are to be changed as follows : EXPENDITURE AMOUNT AMOUNT CODE NUMBER DESCRIPTION OF CODE INCREASE DECREASE 1104990 -544080 Pesticide Recycling 1845 REVENUE AMOUNT AMOUNT CODE NUMBER DESCRIPTION OF CODE INCREASE DECREASE 1104995-330210 Revenue -Pesticide Recycling 1845 EXPLANATION: To budget funds for Pesticide Recycling Container Grant Project. Adopted this Margaret Regina Wheeler Clerk to the Board day of Gordon Springle, Chairman Harnett County Board of Commissioners 060319 HCBOC Page 4 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by th e G o vern ing Bo ard o f the County of Harnett, Nort h Carol ina . th a t the followin g a m endment be mod e to the a n n ual b udg e t ord inance for the fisc a l year e nding June 30 . 2019 . Section 1. To amend the General Fund , the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION Of CODE INCREASE DECREASE REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE 1103000 300101 Adva lorem rea l -curre nt 110 3000 300201 Adva lorem re a l -orior $500.000 EXPLANATION: To correct budget from conversion. APPROVALS : Dept He (date) ,nonc e Of er L9a l aj B Cou nty M a nager (dote) ~-\/-1_-1 ~/):;,4") Se ction 2. Copies of t his budget am e ndment shall be furnished t o the Clerk t o the Boa rd , and t o t h e Budget O ffi c er and the Finance Officer for their direction. Adopted this ___ day of ________ , 20 _ . Margaret Re gina Wh eeler. Clerk t o t he Boa rd G o rd o n Springle . Chairman Board of C o mm is si o ners DECREASE $500,000 060319 HCBOC Page 5 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE 11 ORDAINED by lhe Governing Boord of the County of Harnett. North Carolina, thol the following amendment be mode to the annual budget ordinance for the fiscal year ending June 30, 2019 Section 1. To omend the Generol Fund, Child Core Resource & Referral Grant (CCR&R), the oppropriolions ore to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1104995 548000 CCR&R O PERT DUES DUES DU ES & SUBSCRIPTIONS $500 1104995 549085 CCR&R OPERT INDCT INDSCT INDIRECT COST $90 1104995 526010 CCR &R OPERT SUPL&MATRL OTHERMAT O THER MATERIALS $1,419 1104995 532010 CCR&R OPERT TEL&POST TELE&POST TELEPHONE & POST AGE $200 1104995 531050 CCR&R OPER T TRAIN TRAIN&MEET TRAIN ING & ME ETIN G S $300 1104995 504 010 CCR&R OPERT TRAV EL TRVADMIN TR AVEL ADMIN $750 1104995 503030 CCR&R PERSN BNFIT 401 !KI SUPPLEM ENTAL RETIREMENT $359 1104995 505050 CCR&R PERSN BNFIT RETIREMENT REGU LAR RETIREMENT $1 ,395 1104995 507010 CCR&R PERSN BNFIT UNEMP UNEMP LOYEMENT $90 1104995 507030 CCR&R PERSN BNFIT WORKERCOMP WORKERS COMP $3 30 110 4995 502020 CCR&R PERSN SLARY SLWPT SA LARIES & WAGES PART-TIME $3 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1104995 330210 CCR&R FEDERAL US H03 CDBG C HI LD CARE GRANT $502 EXPLANATION: TO ADJUST BUDGET FOR CHILD CARE RESOURCE GRANT FROM THE CHA THAM COUNTY PARTNERSHIP FOR CHILDREN TO THE AWARDED AMOUNT FOR FY 2018-2019. APPROVALS : Depl Head !da t e) Section 2. Copies of this budget amendment shall be furnished to the Clerk to Finance Officer tor their direcfion. Adopted this ___ doy of _______ , 20 Margaret Regina Wheele r, Clerk to the Board ~Yt-~,J~ County Monogerdate) he Board. and to the Budget O fficer~~ ---t ") Gordon Spring le, Chairman Board o f Commiss io n ers 060319 HCBOC Page 6 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Boord of the County of Home!t, North Corolina , that the following omendment be made to the annual budge! ordinance for the fiscal year ending June 30, 2019 . Section 1. To amend the General Fund, library, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1106170 531030 LST19 OPERT TRAIN TRAINLODG TRAINING LODGING $1,100 1106170 531050 LST19 OPERT TRAIN TRAINREG TRAINING REGISTRATION $800 1106170 531040 LST19 OPERT TRAIN TRANSPORT TRAINING TRANSPORATION $600 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE 1106170 330210 LSTl9 FEDERAL NCNCR LSTA FEDERAL AWARD -LSTA $2,500 EXPLANATION: TO BUDGET FOR THE 2018-2019 LSTA GRANT AWARDED BY THE NORTH CAROLINA STATE LIBRARY FOR THE "COMPUTERS IN LIBRARIES CONFERENCE". APPROVALS : ~,~s}N,/11 · · ~.s+e.Jv,.Jc DECREASE 'eptead{cj · nee Offi er (date) . \7-'Zvf) County Manager (date). lo Section 2. Copies of this budget amendment shall be furnished to the Clerk to the Board, and to the Budget ~cer -,, and the Finance Officer for their direction. Adopted this ___ day of _______ , 20 _. Margaret Regina Wheeler, Clerk to the Board Gordon Springle. Chairman Board of Commissioners 060319 HCBOC Page 7 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by th e Governing Boord of the County of Harnett. North Carolina. that the following amendment be mode to th e ann ual budget ordinance for the fiscal year ending June 30. 2019 . Section 1. To amend the General Fund, Hbra,y , the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1106170 528010 LST19 OPERT TECHEDGE SUPPLIES PROGRAM SUPPLIES $7.478 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION Of CODE INCREASE DECREASE 1106170 330210 LST19 FEDERAL NCNCR LSTA FEDERAL AWARD-LSTA $7,478 EXPLANATION: TO BUDGET FOR THE 2018-2019 LSTA EZ EDGE GRANT AWARDED BY THE NORTH CAROLINA STATE LIBRARY. APPROVALS: A..,,,t,m1...t_ s1,~1,1 Q....J'""~' )3--c, ~ /' tf:oeHead(dtjl (date) i)-1 County Manager ~le) Section 2. Copies of this budget amendment shall be furnished to the Cieri< to the Board, and to the Budget ~;;J '1 and the Finance Officer for their direction . Adopted this ___ day of _______ , 20 _. Margaret Regina Wheeler, Clerk to the Board Gordon Springle. Chairman Boord of Commissioners 060319 HCBOC Page 8 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Boord of the County of Harnett, North Carolina, tha t the following amendment be mode to the annual budget ordinance for the fisca l year ending June 30, 2019 . Section 1, To amend the General Fund, Cooperative Extension, the appropriations ore to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 110 4995 5280 10 SPCPG OPERT SPECIA LP RG COMRD Community Rura l Devmt $171 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 11 03900 390990 Annrooria ted Funds $171 EXPLANATION: To budget appropriated funds for continued CRD programs & activities. Activities including Disaster Preparedness Kits Sec tion 2. Copies of this budget amendment shal l be furnishe Finance Officer for their d ir ection. Adopted this ____ day of ________ , 20 __ . Margaret Reg ina Wheeler, Clerk to the Board Gordon Spri ngle, Chairman Boord o f Commissioners q;50 b 060319 HCBOC Page 9 COUNTY OF HARNETT BUDGETORD™ANCEAMENDMENT BE IT ORDAINED by the Governing Board of the County of Hamett, North Carolina, that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30, 2019 . Section 1. To amend the Facilities Maintenance and Human Resources department budgets, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1104230 519040 ENGINEERJNG $15,000 1104160 584000 IT EQUIPMENT $3,000 1109800 599000 CONTINGENCY $18,000 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: To transfer contingency funds to Facilities department to contract with engineer to develop cost estimate for the renovation of the former Ben haven Elementary School campus and to the Human Resources department for the purchase of a badge printing machine for the printing of ID cards for County employees. APPROVALS : Prepared b:,·. Adopted this ___ day of ________ , 20 Margaret Regina Wheeler, Clerk to the Board alco;us ~---t--~ 4.)-- County Manager (date) f~ 5 ~ ~i --,Ci , and to the Budget Officer and the Finance Gordon Springle, Chairman Board of Commissioners D.1t c 060319 HCBOC Page 10 COUNTY OF HARNETT BUDGET ORDINANCE AMEND!\iENT BE IT ORDAINED by th e Governing Board of the County of Harnett, North Carolina, that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30, 2019 . Section I . To amend the Public Safety Special Revenue (Asset t'orfciture) Fund budget, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 2104310 598500 TRANS TO SHERIFF CA P $217,411 2104310 598100 TRANSTOGENARALFUND $24,283 REVENUE AMOL'i\'T ORG OBJECT PROJECT TASK st:B-TASK JOB DESCRIPTION OF CODE INCREASE 2103900 390990 ASSET FORFEITURE FB $241,694 EXPLANATION: To budget Public Safety Special Re\'enue (Asset Forfeiture) fund hi1lance for the purchase vehicles for the new SRO positions Hdded this year, the updating of finger print machine software (State mandate) and the cost of furniture for the uew CA LEA officer (approved at Board's February 18th meeting). APPROVALS: Adopted this ___ day of ________ , 20 Margaret Regina Wheeler, Clerk to the Board Gordon Springle, C hairman Board of Commi ss io ners Dale DECREASE 060319 HCBOC Page 11 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett, North Carolina, that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30, 2019. Section I. Tu amend the General Fund budget, the appropriations are to be changed as follows : EXPENDITURE AMOUNT ORC OBJE.CT PROJECT TASK SUB-TASK ,JOB DESCRIPTION OF CODE INCREASE DECREASE 1104 310 544050 SOFTWARE MAINT & $14,283 1104 3 10 587000 FURNITURE $10 ,000 REVENUE AMOUNT ORC OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1103900 390982 TRANS FROM SPECIAL REV $24,283 ~ EXPLANATION: To budget transfer of Asset For[citure funds to the Sherifrs department to update linger print machine software (State mandate) 11nd to cover the cost of forniture for new Calea urticer (approved at Board's Februal")' 18th meeting). APPROVALS: ~~ s)za./,C\ } ~~~ Dept Head (date) Finance O ·cer (date) County Manager (date) Section 2. Copies of this budg~t amendment s hall be furnished to the Clerk tot~ ~?a~d, ;;5>to)j Budget Officer and the Finan~ ·31--t'l Officer for their direction. f'11:pu1cd b~· Adopted this ____ day of ________ , 20 Margarel Regina Wheeler, Clerk to the Board .1!~001s Gordon Springle, Chairman Board of Commissioners Do11e 060319 HCBOC Page 12 COUNTY OF HARNETT BUDGET ORDINANCE AMENDME~T BE IT ORDAINED by the Governing Board of the County of Harnett, North Carolina, that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30, 2019. Section I . To amend the Sheriff Capital Reserve Fund budget, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 5104310 555000 CO -EQUIPMENT -SHERIFF $415,696 5104390 55500 CO -EQlJI PMENT -JAIL $43,408 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 5103900 390982 TRANS FROM SPECIAL REV $217,411 5103900 390990 SHER.I FF CAP RESRY FB $241,693 EXPLANATION: To budget Sheriff Capital Reserve fund balance and Asset Forfeitul'c transfer for the purdchase of vehicles for the new SRO positions added this year and a replacement dishwasher for the Jail. APPROVALS: ~~ s/71/i9 ~i? >±:cvJ vJ:' Dept Head (date} Finance fficer (dateJ County Manager (date} Section 2. Copies of thi s budget amendment shall be furnished to the Clerk to~l~e ~~~rd, and to the Budget Officer and the Ff:~[)'\ Officer for their direction . Adopted this ___ day of ________ , 20 Margaret Regina Wheeler. Clerk to the Board nkoats Gordon Springle. Chairman Board of Commissioners Dale I l?J 'o 060319 HCBOC Page 13 Agenda Item _...;;4~-D __ _ Harnett NORTHWEST HARNETT ELEMENT ARY SCHOOL PROJECT COUNTY CAPITAi, PRQIB:CT QBDINANCE NORTH CAROLINA www.harnett.org BE IT ORDAINED by the Board of Commissioners of Harnett County, North Carolina, sitting as the governing board for Hamett County. Section 1. Section 2. Section 3. Section 4. Section 5. Section 6. Section 7. Section 8. Section 9. This project consists of the purchase of land for and construction of a new elementary school to be known as Northwest Harnett Elementary School. The new Northwest Hamett Elementary School will have capacity to accommodate up to I 050 students. The officers of this unit are hereby directed to proceed with the capital project within the tenns of the loan documents and the budget contained herein. The following amounts are hereby appropriated for this project: Co nstruction Construction -Site Work Land Engineering/Design Surveying Geotechnical Furnishings Contingency Total $ 20,469,240 4,548,720 2,000,000 1,501,078 40,000 75,000 500,000 500,359 $ 29,634.397 The following revenues are anticipated to be available to complete this project: Debt Proceeds Special Revenue (Lottery Funds) Total $27,634 ,397 2,000,000 $ 29,634,397 The Finance Officer is hereby directed to maintain within the Capital Project Fund sufficient s p ecific detailed accounting record s to satisfy the requirements of the loan agreements and fede.ral regulations. Funds may be advanced from the General Fund for the purpose of making payments as due. The Finance Officer is directed to report , on a quarterly basis, on the financial status of each project element in Section 3. The Budget Officer is directed to include a detailed analysis of past and future costs and revenues on this capital project in every budget s ubmi ss ion made to this Board. Cop ies of this capital project ordinance shall be furnished to the Clerk to the Governing Board, and to the Budget Officer and the Finance Officer for direction in carrying out this project. Duly adopted this 3rd day of June 2019 . ATTEST: Gordon Springle, Chainnan Marga re t Regin a Wheeler, C lerk to the Board strong roots • new growth Hamett County Board of Com mi ssioners 060319 HCBOC Page 14 Agenda Item 4-E ----- EXTRACTS FROM MINUTES OF BOARD OF COMMISSIONERS A regular meeting of the Board of Commissioners (the "Boarcf') of the County of Harnett, North Carolina was held on June 3, 2019, at 9:00 a.m. in the County Commissioners ' Meeting Room, Harnett County Administration Building, 420 McKinney Parkway, Lillington, North Carolina, Gordon Springle, Chairman of the Board, presiding and the following Commissioners present: Howard Penny, Vice Chairman Barbara McKoy, Commissioner Joe Miller, Commissioner The following members were absent: District 2 Commissioner Also present: Paula Stewart, County Manager Dwight Snow, County Attorney Kimberly Honeycutt, Finance Officer Margaret Regina Wheeler, Clerk * * * Commissioner moved that the following resolution (the "Resolution"), a copy of which was available with the Board and which was read by title: RESOLUTION OF THE COUNTY OF HARNETT, NORTH CAROLINA DECLARING THE INTENT OF THE COUNTY OF HARNETT, NORTH CAROLINA TO ISSUE APPROXIMATELY $28,000,000 GENERAL OBLIGATION SCHOOL BONDS TO FINANCE NW HARNETT ELEMENTARY SCHOOL, AS REQUESTED BY THE BOARD OF EDUCATION OF HARNETT COUNTY, AND TO REIMBURSE ITSELF FOR CAPITAL EXPENDITURES I NCURRED IN CONNECTION WITH THE ACQUISITION AND CONSTRUCTION OF NW HARNETT ELEMENTARY SCHOOL FROM THE PROCEEDS OF SUCH GENERAL OBLIGATION SCHOOL BONDS EXPECTED TO BE ISSUED IN FISCAL YEAR2020. WHEREAS, the Board of Education of the County of Harnett (the ''Board of Education ") has requested that the Board of Commissioners (the "Board ") of the County of Hamett, North Carolina (the ''County") issue approximately $28,000,000 of tax-exempt general obligation school bonds (the .. Bonds ") in order to finance the acquisition and construction of NW Hamett Elementary School (the "Project"), pursuant to the bond order adopted by the Board on July 21, 2014 and effective on a pproval by the voters of the Count y at a referendum duly held on November 4, 2014; and WHEREAS, the County intends to proceed with the Project and expects to incur and pay certain expenditures in connection with the Project prior to the date of issuance of the Bonds (the "Original Expenditures "), such Original Expenditures to be paid for originally from a source other than the proceeds of the Bonds, and the County intends , and reasonably expects, to be reimbursed for such Original Expenditures from a portion of the proceed s of the Bonds to be issued at a date occurring after the dates of such Original Expenditures; PP AB 3139930v I 060319 HCBOC Page 15 NOW, THEREFORE, BE IT RESOLVED by the Board of Commissioners of the County of Hamett, North Carolina as follows: Section 1. Official Declaration of Intent. The County presently intends, and reasonably expects, to reimburse itself for the Original Expenditures incurred and paid by the County on or after the date occurring 60 days prior to the date of adoption of this Resolution from a portion of the proceeds of the Bonds. The County reasonably expects to issue the Bonds in the fiscal year ending June 30, 2020, and the maximum principal amount of Bonds reasonably expected to be issued by the County to pay for all or a portion of the costs of the Project, which amount is subject to change, is expected to be approximately $28,000,000. Section 2. Compliance with Regulations. The County adopts this Resolution as a declaration of official intent under Section 1.150-2 of the Treasury Regulations promulgated under Section 103 of the futemal Revenue Code of 1986, as amended, to evidence the County's intent to reimburse itself for the Original Expenditures from proceeds of the Bonds. Section 3. Itemization of Capital Expenditures. The Finance Officer of the County, with advice from special counsel, is hereby authorized, directed and designated to act on behalf of the County in determining and itemizing all of the Original Expenditures incurred and paid by the County in connection with the Project during the period commencing on the date occurring 60 days prior to the date of adoption of this Resolution and ending on the date of issuance of the Bonds. Section 4. Effective Date. This Resolution is effective immediately on the date of its adoption. On motion of Commissioner , seconded by Commissioner ____ _ the foregoing resolution entitled "RESOLUTION OF THE COUNTY OF HARNETT, NORTH CAROLINA DECLARING THE INTENT OF THE COUNTY OF HARNETT, NORTH CAROLINA TO ISSUE APPROXIMATELY $28,000,000 GENERAL OBLIGATION SCHOOL BONDS TO FINANCE NW HARNETT ELEMENTARY SCHOOL, AS REQUESTED BY THE BOARD OF EDUCATION OF HARNETT COUNTY, AND TO REIMBURSE ITSELF FOR CAPITAL EXPENDITURES INCURRED IN CONNECTION WITH THE ACQUISITION AND CONSTRUCTION OF NW HARNETT ELEMENTARY SCHOOL FROM THE PROCEEDS OF SUCH GENERAL OBLIGATION SCHOOL BONDS EXPECTED TO BE ISSUED IN FISCAL YEAR 2020" was duly adopted by the following vote: AYES: NAYS: PPAB 3139930vl 060319 HCBOC Page 16 ST ATE OF NORTH C AROLINA COUNTY OF HARNETT ) ) ) ss: I, MARGARET REGINA WHEELER , Clerk to the Board of Commissioners of the County of Harnett , North Carolina, DO HEREBY CERTIFY that the foregoing is a true and exact copy of a resolution entitled "RESOLUTION OF THE COUNTY OF HARNETT, NORTH CAROLINA DECLARING THE INTENT OF THE COUNTY OF HARNETT, NORTH CAROLINA TO ISSUE APPROXIMATELY $28,000,000 GENERAL OBLIGATION SCHOOL BONDS TO FINANCE NW HARNETT ELEMENT ARY SCHOOL, AS REQUESTED BY THE BOARD OF EDUCATION OF HARNETT COUNTY, AND TO REIMBURSE ITSELF FOR CAPITAL EXPENDITURES INCURRED IN CONNECTION WITH THE ACQUISITION AND CONSTRUCTION OF NW HARNETT ELEMENTARY SCHOOL FROM THE PROCEEDS OF SUCH GENERAL OBLIGATION SCHOOL BONDS EXPECTED TO BE ISSUED IN FISCAL YEAR 2020'' adopted by the Board of Commissioners of the County of Harnett, North Carolina, at a meeting held on the 20th day of May, 2019 . WITNESS my hand and the corporate seal of the County of Harnett, North Carolina, this the 3rd day of June 2019. PPAB 3 139930v1 MARGARET REGINA WHEELER Clerk to the Board County of Hamett, North Carolina 060319 HCBOC Page 17 Agenda Item __ 4 __ -F ___ _ Harnett ERWIN ELEMENT ARY SCHOOL PROJECT Ci\P1I4J,PRQ1ECI QRD1Ni\NCE COUNTY .....__,~li:::::!::..-----' NORTH CAROLINA www.harnett.org BE IT ORDATNED by the Board of Commissioners of Hamett County, North Carolina, sitting as the governing board for Hamett County. Section 1. Section 2. Section 3. Section 4. Section 5. Section 6. Section 7. Section 8 . Section 9. This project consists of demolition work of the old Erwin Elementary School and the construction of a new 700 stud ent capacity Erwin Elementary Sc hool. The new Erwin Elementary School will combine the student populations from the current Erwin Elementary and Gentry Primary schools. The officers of this unit are hereby directed to proceed with the capital project within the terms of the loan documents and the budget contained herein. The following amounts are hereby appropriated for this project: Construction Construction -Site Work Demolition Engineering/Design Surveying Geotechnical Furnishings Contingency Total $ 16,963,200 3,482,840 1,000,000 1,226,762 25,000 25 ,000 350,000 408,921 $.21.48 l, 723 The following revenues are anticipated to be avai lable to complete this project: Debt Proceeds $23,481.723 The Finance Officer is hereby directed to maintain within the Capital Project Fund s ufficient specific detailed accounting records to satisfy the requirements o f the Joan agreements and federal regulations . Funds may be advanced from the General Fund for the purpose of making payments as due. The Finance Officer is directed to report, on a quarterly basis, on the financial status of each proj ect e lement in Section 3. The Budget Officer is directed to include a detailed analysis of past and future costs and revenues on this capital project in every budget s ubmi ss ion made to this Board. Copies of this capital project ordinance shall be furnished to the Clerk to the Governing Board, and to the Budget Officer and the Finance Officer for direction in carrying out this project. Duly adopted this __ day of ___ , 2019. ATTEST: Margare t Regin a Whee ler, Clerk to th e Board strong roots • new growt h Gordon Sprin gle , Chairm an Hamett County Board of Commissioners 060319 HCBOC Page 18 Agenda Item 4-G ----- EXTRACTS FROM MINUTES OF BOARD OF COMMISS IONERS A regular meeting of the Board of Commissioners (the "Board") of the County of Harnett , North Carolina was held on Jun e 3, 2019, at 9:00 a.m. in the County Commissioners ' Meeting Room, Harnett County Administration Building, 420 McKinney Parkway, Lillington, North Carolina, Gordon Springle, Chairman of the Board, presiding and the following Commissioners present: Howard Penny, Vice Chairman Barbara McKoy, Commissioner Joe Miller, Commissioner The following members were absent: District 2 Commissioner Also present: Paula Stewart, County Manager Dwight Snow, County Attorney Kimberly Honeycutt , Finance Officer Margaret Regina Wheeler, Clerk * * * Commissioner moved that the following resolution (the "Resolution"), a copy of which was available with the Board and which wa s read by title: RESOLUTION OF THE COUNTY OF HARNETT, NORTH CAROLINA DECLARING THE INTENT OF THE COUNTY OF HARNETT, NORTH CAROLINA TO ISSU E APPROXIMATELY $23,500,000 GENERAL OBLIGATION SCHOOL BONDS TO FINANCE ERWIN ELEMENT ARY SCHOOL, AS REQUESTED BY THE BOARD OF EDUCATION OF HARNETT COUNTY, AND TO REIMBURSE ITSELF FOR CAPITAL EXPENDITURES INCURRED IN CONNECTION WITH THE ACQUISITION AND CONSTRUCTION OF ERWIN ELEMENTARY SCHOOL FROM TH E PROCEEDS OF SUCH GENERAL OBLIGATION SCHOOL BONDS EXPECTED TO BE ISSUED IN FISCAL YEAR 2020. WHEREAS, the Board of Education of the County of Hamett (the "Board of Education ") ha s requested that the Board of Commissioners (the "Board ") of the County of Hamett, North Carolina (the "County ") issue approximately $23,500,000 of ta x-ex empt general obligation school bonds (the "Bonds") in order to finance the acquisition and construction of Erwin El ementary School (the ''Project "), pursuant to the bond order adopted by the Board on July 21, 2014 and effective on approval by the voters of the County at a referendum duly held on November 4, 2014; and WHEREAS, the County intends to proceed with the Project and expect s to incur and pay certain expenditures in connection with the Project prior to the date of issuance of the Bonds (the "Original Expenditures"), such Original Expenditures to be paid for o ri ginally from a source other than the proceeds of the Bonds, and the County intends, and reasonably expects, to be reimbursed for such Original Expenditures from a portion of the proceeds of the Bonds to be issued at a date occurring after the dates of such Original Expenditures ; PP AB 3 139930v I 060319 HCBOC Page 19 NOW, THEREFORE, BE IT RESOLVED by the Board of Commissioners of the County of Harnett, North Carolina as follows: Section I. Official Declaration of Intent. The County presently intends, and reasonably expects, to reimburse itself for the Original Expenditures incurred and paid by the County on or after the date occurring 60 days prior to the date of adoption of this Resolution from a portion of the proceeds of the Bonds. The County reasonably expects to issue the Bonds in the fiscal year ending June 30, 2020, and the maximum principal amount of Bonds reasonably expected to be issued by the County to pay for all or a portion of the costs of the Project, which amount is subject to change, is expected to be approximately $23,500,000. Section 2. Compliance with Regulations. The County adopts this Resolution as a declaration of official intent under Section 1.150-2 of the Treasury Regulations promulgated under Section 103 of the Internal Revenue Code of 1986, as amended, to evidence the County's intent to reimburse itself for the Original Expenditures from proceeds of the Bonds. Section 3. Itemization of Capital Expenditures. The Finance Officer of the County, with advice from special counsel, is hereby authorized, directed and designated to act on behalf of the County in detennining and itemizing all of the Original Expenditures incurred and paid by the County in connection with the Project during the period commencing on the date occurring 60 days prior to the date of adoption of this Resolution and ending on the date of issuance of the Bonds. Section 4. Effective Date. This Resolution is effective immediately on the date of its adoption. On motion of Commissioner , seconded by Commissioner ____ _ the foregoing resolution entitled "RESOLUTION OF THE COUNTY OF HARNETT, NORTH CAROLINA DECLARING THE INTENT OF THE COUNTY OF HARNETT, NORTH CAROLINA TO ISSUE APPROXIMATELY $23,500,000 GENERAL OBLIGATION SCHOOL BONDS TO FINANCE ERWIN ELEMENTARY SCHOOL, AS REQUESTED BY THE BOARD OF EDUCATION OF HARNETT COUNTY, AND TO REIMBURSE ITSELF FOR CAPITAL EXPENDITURES INCURRED IN CONNECTION WITH THE ACQUISITION AND CONSTRUCTION OF ERWIN ELEMENTARY SCHOOL FROM THE PROCEEDS OF SUCH GENERAL OBLIGATION SCHOOL BONDS EXPECTED TO BE ISSUED IN FISCAL YEAR 2020" was duly adopted by the following vote: AYES: NAYS: PPAB 3J39930vl 060319 HCBOC Page 20 ST ATE OF NORTH CAROLINA COUNTY OF HARNETT ) ) ) ss : I, MARGARET REGINA WHEELER, Clerk to the Board of Commissioners of the County of Harnett, North Carolina, DO HEREBY CERTIFY that the foregoing is a true and exact copy of a resolution entitled ·'RESOLUTION OF THE COUNTY OF HARNETT, NORTH CAROLINA DECLARING THE INTENT OF THE COUNTY OF HARNETT, NORTH CAROLINA TO ISSUE APPROXIMATELY $23,500,000 GENERAL OBLIGATION SCHOOL BONDS TO FINANCE ERWIN ELEMENTARY SCHOOL, AS REQUESTED BY THE BOARD OF EDUCATION OF HARNETT COUNTY, AND TO REIMBURSE ITSELF FOR CAPITAL EXPENDITURES INCURRED IN CONNECTION WITH THE ACQUISITION AND CONSTRUCTION OF ERWIN ELEMENTARY SCHOOL FROM THE PROCEEDS OF SUCH GENERAL OBLIGATION SCHOOL BONDS EXPECTED TO BE ISSUED IN FISCAL YEAR 2020'' adopted by the Board of Commissioners of the County of Harnett, North Carolina, at a meeting held on the 20th day of May, 2019. WITNESS my hand and the corporate seal of the County of Harnett, North Carolina, this the 3rd day of June 2019 . PPAB 3139930vl MARGARET REGINA WHEELER Clerk to the Board County of Harnett, North Carolina 060319 HCBOC Page 21 Agenda Item 4-H ----- Harnett COUNTY NO RTH CAROLINA www.harnen.o rg SHA WTOWN AREA COMMUNITY CENTER FEASIBILITY STUDY CAPITAL PROJECT ORDINANCE BE IT ORDAINED by the Board of Commissioners of Hamett County, North Carolina, sitting as the governing board for Harnett County. Section 1. Section 2. Section 3. Section 4. Section 5. Section 6. Section 7. Section 8. Section 9 . This project will include preparation of a conceptual site plan, development of a rendered site plan and building elevation plan, and preliminary estimation of construction costs for a Community Center to be constructed by the Shawtown Alumni Association on property acquired from Harnett County behind the fonner Shawtown School. The officers of this unit are hereby directed to proceed with the capital project with in the terms of the grant documents, loan documents, and the budget contained herein. The following amounts are hereby appropriated for this project: Engineering/Design ;;!:.$_...a:l~0.1:a,O:.:::O..:a:.O Total $ 10,000 The following revenues are anticipated to be available to complete this project: State Grant Funds $ 10,000 The Finance Officer is hereby directed to maintain within the Capital Project Fund sufficient specific detailed accounting records to satisfy the requirements of the grantor agency , the grant agreements, and federal regulations. Funds may be advanced from the General Fund for the purpose of making payments as due. Reimbursement request should be made to the grantor in an orde rly and timely manner. The Finance Officer is directed to report, on a quarterly basis, on the financial status of each project e lement in Section 3and on the total grant revenues received or claimed. The Budget Officer is directed to include a detailed analysis of past and future costs and revenues on this capital project in every budget submission made to this Board. Copies of this capital project ordinance shall be furnished to the Clerk to the Governing Board, and to the Budget Officer and the Finance Officer for direction in carrying out this project. Duly adopted thi s 3rd day of June, 2019. Gordon Springle, Chairman Hamett County Board of Commissioners ATTEST: ----------------Marg are t Regina Wheeler, Clerk to the Board st ron g roo ts • new g row t h 060319 HCBOC Page 22 Board Meeting Agenda Item Agenda Item __ 4_-_1 __ MEETING DATE: June 3, 2019 TO: HARNETT COUNTY BOARD OF COMMISSIONERS SUBJECT: Carolina Lakes Fireworks Application for July 4th, 2019 REQUESTED BY: Larry Smith, Emergency Services Director REQUEST: The Hamett County Fire Marshal requests approval of the Carolina Lakes Fourth of July fireworks permit application. The Fire Marshal's Office has conducted a compliance review of the Permit application and all requirements have been met by vendor conducting the fireworks discharge. Once Board approval has been granted the Fire Marshal's Office will conduct an inspection the day of the fireworks discharge to provide final inspection of the operation. FINANCE OFFICER'S RECOMMENDATION: COUNTY MANAGER'S RECOMMENDATION: C :\Uscrs\gw hee ler\AppData\Loca 1\M icroso ft\ W indows\l NetCach e\Contcnt. Outlook \OZM K66 X 9\agen daform2 O 19 - Caro lina Lakes Fireworks Applic 7.4 .19.docx Page I of l 060319 HCBOC Page 23 Fireworks Application Attached you will find an application for a Fireworks Discharge Permit. This application must be completed and returned to Central Permitting prior to issuance of the permit. Please allow thirty (30) calendar days for processing and Board of Commissioner approval. There is a $100.00 permit fee assessed per disr.harge event. Permit fees shall be paid prior to issuance of permits. If you have any questions , please feel free to contact us. Items required for permit issuance: • All blanks must be completed on the application. • Permit holder is required to obtain liability insurance in an amount sufficient to cover the claims of any person(s) who may be injured or otherwise damaged as a result of the display. The insurance must name the County of Harnett as an additional insured with a minimum amount of one million dollars ($1,000,000). A copy of the Certificate of Insurance evidencing the coverage must accompany the application. • A detailed site plan indicating the discharge and storage locations as well as distance . • Manufacturer's technical data sheet of each type of pyrotechnic to be discharged . Application Index Section I : Information on the person, group, corporation, association. or entity sponsoring, holding , or Section II : Section Ill: Section IV: Sec tion V: Sec tion VI: primarily respon sible for the eve nt Information on the pyrotechnici an Information on the actual display Public safety information. (Name of fire district where the discharge will take place, address of th e nearest fire station, and name and address of the nearest med ical facility) Notari za tion of the application. (APPLICATION SIGNATURES MUST BE NO TARIZED) Fire Department Comments. (Must be completed by the chief of the lo cal fire departm en t repr ese nting the district where the discharge will take place) Section VII : For Harn ett County Fire Marshal use only Section VIII: Fireworks Permit Numb er. THE COMP LETED FIREWORKS PERMIT MUST BE ON SITE DURING THE DISCHARGE OF PYROTECHNICS 060319 HCBOC Page 24 Harnett .::..(_:0:........::.U_N..;_·_:.~-, .• -y---------$--A-® I. This application must be submitted no later than seven to ten working days prior to the event to ensure permit processing. APPLICANT INFORMATION : Note: The applicant is the person, group, corporation, association, or other entity sponsoring , holding or primarily responsible for the event or enterprise for which this permit is requested. Please type or print Applicant: Billing Address : Contact Person : Contact Email : Contact Phone: ( 919 )·//99. P1 ;1:2 ( )· ____ _ President or CEO (for corporate applications): Je JV/lJ ,·{e, f _/&;,Jc_s· Is the applicant insured with respect to the discharge of fireworks/pyrotechn ics: Yes _____ No X If covered , specify the source, amount, and coverage period of the insurance: Source: _____________________ Amount:$ _______ _ Coverage Period :------------------------------ 2 060319 HCBOC Page 25 Harnett (OUNTY II. PYROTECHNICIAN INFORMATION: Note: This is to be completed by the individual who will shoot and/or discharge the fireworks or pyrotechnics. Technician Name : Billing Address: _,,U..,,c:.........CZ=A,.).:..._.f_;__o......:,/_I ______ , NC .2 ?J3 :2 Contact Email : Contact Phone: ( ti JI )-Y'.2£ -,:?y't 2 ( )-____ _ Bureau of Alcohol, Tobacco and Firearms permit/license type and number: ,.....J.{: _. /... £/ :::P-, 5? 2 :Z. Pyrotechnicians' training and experience : Is the technician insured with respect to the discharge of fireworks/pyrotechnics: Yes X If covered, specify the source , amount, and coverage period of the insurance: -:,, I -,I];, ,r Source: ,Nq.,(.1 ?f f""t' / c I I f 1 No __ _ Coverage Period :----------------------------- 3 060319 HCBOC Page 26 ~ DISPLAY INFORMATION: Who provided this information: Applicant: ____ Technician:_.,,.)'-"--( __ Both : ___ _ Type of display event: Carnival: ____ Exhibition: ____ Fair: ___ _ Public Celebration: ---"-X ___ Other: ___ _ Proposed date and time of the event: ---'-?_-____.y"'---...... 2"--' __,,o"-· _,__/-'--9 ___________ 9_.'_c1_0_ a.m. ([r!} Proposed location or site:-------------------------- Type and quantity of fireworks/pyrotechnics to be used and the sequence of the discharge/shooting: / t../ Co/\1 S(/.fYle t £r foie c)lt1c:.s. Ct:/5-6 Atlacie~ J Estimated duration of the display : _J=--=0'--"'""/'1,---'--'-'-· ~----=-,..,'--'l"---"~-=Sc.....-_____________ _ Specify any safety precautions to be tak·en: Conf/7 tv-.,/J NF /J/J /ldJ. 4 060319 HCBOC Page 27 * A ----~ .. --·--'\ . . ~j -... -~ IV. PUBLIC SAFETY INFORMATION : The display will occur within the following fire district: '-yaw -b Slflc/ ,.J !Ji!. ' Location of the nearest fire station: 4/ '!do .B ~-P£;. I c L .. i<. e,s £.J (?/) "" e.,. ~-,-,) ,;1.!/~ ,.Ji'Jd,26. Nearest medical facility : Name : W,-J-P !' c,j C"-I< l,.; "'J 5 060319 HCBOC Page 28 Harnett ~--,~---U-.-~-~-T-~Y~~~~~~~~~~~~-~(~~~m_~_~_~_nc_Y_~~_·,.-:-:~-~~-n~-~:-:-:-:-: V. Applicant Printed Name: ~ A t:c I' f-£/ /7/ I /e I' Applicant Signature: ~£ ~~ Date: §/ :J. J j ;i,{)i 9 ~ I ST ATE OF NORTH CAROLINA COUNTY OF ~hu -V\l +/- I I, L. i 'S {l. r~.. I V\e...q .:r , a Notary Public of the County and State aforesaid , do ) hereby certify that IZ L b-u ..\-A . (Y\ d kr-signed and sworn to before me this day. Witnes s my hand and official stamp , this the 2.1 ?t day of f\t\ a,J , 20.11 . [SEAL] . /1 . if , L,J-tt I i( L/f'/;1 ,. , , ~ vf l • t..C,d {/ v Notary Publi c 6 060319 HCBOC Page 29 VI. FOR OFFICE USE ONLY : Fire Marshal's Office Comments: Fire Marshal 's Office Comments: Reviewed For Code Compliance By: D . Banks Wallace Fire Marshal's Office Recommendation: Approve: [8J Deny: D Fire Marshal's Office Signature: _e_. -~---;)-~-------------Date: May 23, 2019 Board of Commissioner's Comments: Final Board Approval: Approved: D Den ied: I · 1 Board of Commissioners Signature: ----------------Date : ____ _ Board of Commissioner's Representative (Printed Name): _________________ _ Fireworks Permit Number : 7 060319 HCBOC Page 30 ... 060319 HCBOC Page 31 Hale Artifricier ~ Inc .. firewolf'lks and Pyrotechnics Carobna Lakes POA RFP for a 1.4G Fireworks materials ONLY MATERIALS TO INCLUDE: 48 -P8031 G-Force Canister Shells 48 -BS9007 Super Nova Canister Shells 32 -Megabanger Red/White/Blue Canister Shells 48 -Grand Patriot Big Brutus Canister Shells 48 -P8040 X-Force Pistil Shells l 2 -PFX 13 FR Assorted "Slices" 8 -P5 l 63 Chain Smoker 8 -PI 565 Silent Power 4 -P5497 Lace Impulse 2 -P5493 Trinity (3" -9 shot rack) 2 -P5494 Mother of All Bombs (3" - 9 shot rack) 3 -P5482 Rainbow 30 shot 3 -P5483 All In 5 L shot 4 -P5491 Sky Fall 25 shot 2 -P5486 Crazy Lemon (3" -9 shot rack) 2 -P5409 Perfect Round (3" - 9 shot rack) 2 -P53 l 7 Amazing Ballet 220 shot 2 -P5345 USA Conqueror 192 shot 4 -P5350 Super Stunt 12 shot 4 -P5359 Jumping Skier 16 shot 3 -P54 l 3 Big mother Clucker 30 shot 2 -P5417 Curfew Breaker 36 shot 2 -P5430 4th of July Madness 36 shot 4 -P5439 Own the Night 30 shot 3 -P5445A Game On 40 shot 060319 HCBOC Page 32 4 -P5452A Neon Blast 36 shot 4 -P5463 Fat Lady 30 shot 4 -P5465 Can't Touch This 28 shot 2 -P5474 Galazy 96 shot 4 -P5396A War Stopper 12 shot 4 -P5358 Strobing Willow 12 shot 4 -BS8008 V Power 15 shot 6 -BS80l 1 Rounders 25 shot 6 -BS8012 Prie Rain 25 shot 4 -BS8014 Sublime 30 shot 6 -MSl 134 Wild Bear 16 shot 2 -PFX5 l 16 Brocade to Pink Strobe 42 shot PRICE: $4,275.00 1.4G Consumer Grade Fireworks Only Does not include Insurance, Permits, Transportation or Personnel For a Full, Turn-Key Program, Including insurance and Assistance in Permitting, Bob Miller, Operator Price: $7,500.00 060319 HCBOC Page 33 ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYY") ~ 05/08/2019 THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BElWEEN HIE ISSUING INSURER(S), AUTMORl2rn REPRESENTATIVE OR PRODUCER , AND HIE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may r equire an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CUN!ACT NAME: Betty C allic utt Mo u ntcastle Insurance r,::gNJ0 E.tl: (336) 249-4951 l i&No ), 307 W Ceo1e, Street E-MAIL bcallicutt@mou nt castleinsu rance.com ADDRESS : INSURER(S) AFFORDIN G COVfRAGE NAIC # Lexin91on NC 27292 INSURER A : N ational Fire & Ma ri ne INSUR ED INSURER B : RW! -Penn . N al l Mutu al Cas Ins Co. Hal e An.ific ier. Inc INS URER C : I 545 Ne w Bowers Rd INSURER D : INSURER E : Le xington NC 27292 l"ISURER F : COVERAGES CERTIFICATE NUMBER · C L 19424 0411 4 REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INS URANC E LIS TED BELOW HAVE BE EN ISSUED TO THE IN SURED NA MED ABOVE FOR THE POLI CY PER IOD INDICATE D. NO TWIT HSTA NDI NG ANY REQU IREM EN T TER M OR COND ITION OF ANY CONTRACT OR OT HER DOCU MENT WI TH RESPECT TO WHICH THI S CERT IF ICATE MAY BE ISS UED OR MAY PE RTAIN. THE INS URANC E AFFORDE D BY THE PO LI CIES DE SCRIB ED H EREIN IS SUBJECT TO ALL TH E TE RMS. EXCLUS IONS AND CO NDITIONS OF SUCH POLICIES . LI MITS SHOWN MAY HAVE BEEN REDU CED BY PA ID CLAIMS IN SR TYPE OF INSURANCE WVD POU CYEFF POLIC Y EXP LTR INSD POUCY N UMBER IMM /00 /YYYYl IMM/DD/YYYY) LIMITS X COMhlERC IAL GEN ERAL U ABIUTY EAC~ OCCURRENCE s 2.000,0 00 -D CLAIMS-MADE [8j OCC UR UArvil'\~c I U t-<LN ;1..v PREMISES /Ea occur-ence\ ! 100 ,000 - -MED EXP (Al"y one person) s 5.000 A ' y 72 LPS034t09 04/28/2019 04/28/20 20 PERSONAL 3 ADV INJURY ! 2 .000 ,000 -I GEN'LAGGRCGATC lli'/IT APPLIES PER GENERAL AGGREGATE { 2.000 ,000 ~ soucv D FJr/?r D LDC I 2.000.000 PRODUCTS · COMPIO P AGG s OTHER I Electronic Da1a Lia bilily ~ 100,000 AUT0hl0B1LE LIABILIT Y COMBiNED SING LE LIMIT <Ea i1cc1d en1f s 5,000 ,000 - AN' AUTO BODILY IN JU~Y tper pers<:m1 s -OW'N[;:0 -SCHCDULL D 09/2312018 09123120 19 B AU"10S ONLY X AUTOS AU9 060781 ·, 8 001L.Y IN JURY [Per t!CC1ce r .l l ~ ~ HIRCO -NON OWNED PROPERTY DAMAGE AUTOS ON LY X AUTOS O N LY lPe, aGcide111 1 s f--U n insure d moto rist Bl s 30.000 UMBRELLA LIAB H OCCUR iACH 'C)CCuRR ENCE s ,__ EXC ESS LIAB CLA IMS-MADE AGGR CGAT[ s ow I I RETCNT 10N S ~ WORKER S COMPENS ... TION I ~mulE I \ 0TH, AND EhlP LOYERS' LIABILITY ER Y IN ANY PROPRIETORIPA~TNER.'EXECUTIVE D NIA E L EACH ACC IDENT ! OFFICER/MEMBER EXCI.UOED? (Mandatory in NH• EL DI SEASE · CA CtAOLOY CE s Jr ves. describe oncer C L. DISC/\SC CESCRIPTIDN OF OPERATIONS helo" POLICY LIMI T s DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (AC ORD 101 . A ddit ional Rern 1,r k $ Sc.ha dule. m ay be .atta ched if mo re s pace is reQu iredJ Date : July 4 , 20 19 Ra in Date July 5. 20 19 Harnett Coucty is incl uded as ad dit1ona1 insured with regards to general 1,abih!y as req uired by a w r,'.tei cont ract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DA.TE THEREOF , NOTICE WILL BE DELIVERED IN Carolina Lakes POA ACCORDANCE WITH THE POLICY PROVISIONS . 91 Cl u bhouse Drive AUTHORIZED REPRESE NT,.TIVE d-h!-,~ Santo re NC 27332 t,.J. ( I © 1988-2015 ACORD CORPORATION . All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 060319 HCBOC Page 34 CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDO'VVVV) 05/09/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER . THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORCEO BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{$), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is en ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED. subject to the terms and conditions of the policy, certain policies may require en endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemenl(s). PRODUCER Mountcastle Insurance 307 W Center St Lexington, NC 27293 (336)249-4951 --·-.. __ ,. __________ _ INSURED Hale Artificier, Inc. 545 New Bowers Rd Lexington, NC 27292-7058 CTL 1273 1533644 COVERAGES CERTIFICATE NUMBER· CONTACT NAME : PHONE ~No.~x1): E-MAIL -----,. fccA"'x--,-·-·- (877 )234-4~~-(AIC. No): (877 )234-U21 __ _ f-CA"'0"-0'--RE"-S'-'S'--: -------------··· • PRODUCER CUSTOMER ID• '!:'SUR_ER A Contine~_ta~~ndemni tr..~: INSURER B: IN SURER C : ; ------~~c~. - l ~~~- i - --------------. -_; .. INSURER 0: -----------·-· ----------·--------- INSURER E: I----'---·--· .. INSURER F: REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE IN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDU CED BY PAID CLAIMS. INSR ADDLSU&R POLICYEFF I -------------POLICY EXP I LTR TYPE OF INSURANCE 'INSR WVD POLICY NUMBER IMM/00/VYYYI. (MM/00/YYYYI "JIIT" GENERAL LIABILITY : i I EACH OCCURRENCE I s JCOMMERCIAL GENERAL LIABILITY 1--,--1 ! :·DAMAGE TO RENTED ! S ---- I --, -,-, I ; -_j t PRFM1Sr=S(Ea.nccwrmcel I -----------c.....l.._ CLAIMS MADE LJ OCCUR ,-11 I ·---i i ~XE.li!ffi'.'100-=~--12--------- --·l-·· -i PERSONAL & ADV IN.l!,!AY I s ---·-·---I -• --J ________ I GENERAL AGGREGATE ~--____ ., ___ GE N L AGGREGAE LIMIT APPLIES PER n POUCY nPRO· c·ILoc I ' , PBQi:aic:rs. C:QMe!OP e.GG I s _____ ..... . . JECT : i 5 AU'T OM081LE LIABILITY lc!·-1 I COMBINED SINGLE LIMIT ! s --,ANY Al/TO I ,u I CEn accqeni1 -. -·---i _§QplLY INJURY tPer ~rsonl rs 'ALL OWNED AUTOS --. ... ,---; I ! BOP tLY INJU.B.tf.P.er ~e;tdentJ s I j SCHEDULED ~UTOS I ' ----·--· --r--, i Pf'lOPERTY DAMAGE ! : HIRED AUTOS I ~!.~od~n!} ___ i s ..__, ---- ~ NON-OWNED AUTOS i I r-----.. s --i ! i s l---UMBRELLA LIAB HOCCUR I i I ~H OCCURRENCE._---+ S i ! ---- EXCESS LIAB CLAIMS MADE ~!c ! AGGREGATE I s ; OEDUCTl81..E I S f .. ; ! i Is ·-·· --RE~ENT ION s ' I I -""'""'""''~ ~ i t_x · WC STATU, OTH-1 • AND EMPLOYERS' LIABILITY y IN . iTOR':' LIMITS ....... ER : -A I ANY PROPRIE101WARTNER/i:XECUTIVE y N / A • :--1 46 -879245-01-06 •l2/01/2018 ' l2/01/2019 , E_." EACH ACCIDENT I S 1 ,000, 00~_ -· t OFFICEA}l\~EMBE:A EXCLUDED? ~-J I !Mandatory in NH) , : E L DIS:ASE • EA EM•LOVE_E __ S _ 1,000, 000 ____ H es. desr.rroe ,,ode, I ' i stECIAL PROl/:SIONS below i l E..L. DISEASE . POLICY uMrr .s 1,ooo,ooo I 1r-·· ij ; ---:. ! ! , ..... ,L . :j I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach Acord 101 ,Addition.al Remark&Schedule,if more spoce is require(!) CERTIFICATE HOLDER CANCELLATION Carolina Lakes POA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 91 Clubhouse Drive BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Sanford, NC 27332 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT A~..,,-/ ( " I ---=--1000002116 A CORD 25 (2009/09) _, ©1988-2009 ACORD CORPORATION. All rights reserved 060319 HCBOC Page 35 Hale Mtllfidel' ~ Inc. HIJ'eworks alfild Pyrotechnics Daspi<illy Site Wor~lmeet 116-149-670] fax 116-249-6741 This infonnation must be documented to comply with the National Fire Protection 1123 Codes for Outdoor Fireworks Display. Please attach a diagram of your site's details, or use the back of this form for a drawing, and return to Hale Artificier, Inc. Your site must conform to NFA standard of 70 feet times the diameter of the largest shell to be fired EXAMPLE: 70 feet X 5"diameter = 350 feet RADIUS minimum distance requirement. for low level ejfects less than 3 '' diameter, distance shall be a minimum of 200.feet radius. Please Indicate your site's Distance, iu feet, from the firing are to the following: 1. Spectator Viewing Area ,/1 7 ~ 10 , Feet 2 Hazardous Materials (fuel storage, gas station, etc .) /'JJL)_ I Feet 3. Parking Areas 770 Feet 4 . Occupied Residential or Commercial Buildings o/ d-O Feet 5 Public Buildings (Schools, Church, Hospital, etc .) /\J//J Feet 7 6. Above Ground Structures (power lines, lights, etc.) /JIA J Feet 7 Temporary Event Structures (tents, stages, etc .) //(/; Feet I 8. Streets, Roads, Highways ;; (') J; Feet 9 . Active Railways /VIA Feet I 10. Other ?//'Jo cc af; (! -2. ......-, ..., rt ,-x 12,:,,(,. Feet Signature (·&Q' ;:J'JV'i.-•. Date-¢?p ·z Budget Range: From $ ___________ to$ ___________ _ All Aerial ___ Aerial and Ground Effects ___ Low Level Only ___ Indoor ___ _ Driving Directions to Sitt": -------------------------------- Please Fax Worksheets to 336-249-6743 060319 HCBOC Page 36 282.9724 Feet 0 ., J o·t ·-· t"-, .i' •·-i, .; ·,. 060319 HCBOC Page 37 G \~1 ~~ ~'\ r, ('\ ~ ~ '> ~ <:, t-,C' ~ L~j ";;: B ) ,. ~:1 G 060319 HCBOC Page 38 Board Meeting Agenda Item Agenda Item '-I :1' ~ftC 3 MEETING DA TE: H.aJ l8, 2019 TO: HARNETT COUNTY BOARD OF COMMISSIONERS SUBJECT: Request permission to receive Pesticide Container Recycling Grant REQUESTED BY: Tim Mathewx, County Extension Directo~ REQUEST: The North Carolina Cooperative Extension, Harnett County Center, request permission to receive a Pesticide Container Recycling Grant in the amount of $1,845 from the North Carolina Department of Agriculture and Consumer Sciences, Structural Pest Control and Pesticides Division. Grant funds will enhance the pesticide container recycling program and the recycling of properly prepared containers. FINANCE OFFICER'S RECOMMENDATION: COUNTY MANAGER'S RECOMMENDATION: C:\U ser s\swi lliarn s\Desktop\County forrns\agendaforrn2019 .docx I of l Page 060319 HCBOC Page 39 Steve Troxler Commissioner April24,2019 North Carolina Department of Agriculture and Consumer Services Brian Parrish, Agriculture Extension Agent Harnett County Cooperative Extension 126 Alexander Drive, Suite 300 Lillington, NC 27546 NOTIFICATION OF FUNDING OFFER Dear Mr. Parrish: N. David Smith Chief Deputy Commissioner On behalf of Commissioner Steve Troxler and the North Carolina Department of Agriculture and Consumer Services -Structural Pest Control and Pesticides, I am pleased to inform you that $1,845.00 for your project, Harnett County Pesticide Container Recycling Program, was approved under the Pesticide Environmental Trust Fund. Two original Contract packets must be completed and returned to the NCDA&CS, making sure that the contracts and certain forms have been signed, dated, and witnessed, as applicable, before they are returned to the address provided in your contract cover document. By completing these documents, you are agreeing to the specific stipulations. the general terms and conditions and specific reporting requirements. Please return the two completed packets to: Renee Woody, Environmental Programs Manager NC Department of Agriculture & Consumer Services, Structural Pest Control and Pesticides Division 1090 Mail Service Center Raleigh, NC 27699-1090 All authorjzed representative signatures must be in blue ink. Use the Contract Check Off List to ensure all attachments are included and are in the correct order for each contract packet. One fully executed , original contract will be returned to you for your records. If you have any questions about your contract or any of the forms contained in your offer packet, please call Renee Woody at 919-857-4137, or feel free to send an email to renee.woody@ncagr.gov. I would like to take this opportunity to thank. you for participating in the Pesticide Container Recycling Program for the enhancement of container recycling by farmers and commercial pesticide applicators, which reduces the burden on landfills, protects human health and the environment by reducing the thr at of improper rinsing and disposal, and ensures the user is in Enclosures { rf)K. cc: Melissa Madrid, Grants Manager Renee Woody, Environmental Programs Manager Email: David.Smith@ncegr.gov 1001 Mail Service Center. Raleigh, North Carolina, 27699-1001 (919) 707-3033 • Fax (919) 715-0026 An Equal Opportunity Affirmative Action Employer 060319 HCBOC Page 40NORTH CAROLINA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES Steven W. Troxler, Commissioner Contract Check Off List for Grantee (Government/University) INSTRUCTIONS: Check the "Yes" boxes in the left column for the document titles that are being returned with the two signed, dated and witnessed copies of the contract, with signatures in blue ink. Be sure to include all the other documents specified in your contract package. If "No" has been checked off for you, that document is not required for this grant program or project. GRANTEE ORGANIZATION NAME: Harnett County Cooperative Extension PROJECT TITLE/NAME: Harnett County Pesticide Container Recycling Program CONTRACT #: 19-016-4006 -----------------------GO Entities Only Document Title Check One Box Yes No Contractual "Check Off List for Grantee Yes No Contract Cover (To be siQned, dated & witnessed) Yes No Attachment A-General Terms and Conditions -Government/University Yes No Attachment B -Scope of Work (includes Timeline and Line Item Budget) Yes No Attachment C -Certifications and Assurances Section Yes No Attachment D -NC Open Book Suoolemental Information Yes No Attachment E -Signature Card Yes No Attachment F -W-9 Tax Information Yes No Attachment G -Vendor Electronic Payment Form Yes No Attachment H -FFATA Data Reporting Requirements (if aoolicable) Yes No Attachment I -Federal Regulations (if applicable) Rev. 6/17 Department Use -Grants and Contracts• Documents Attached Documents Attached or On File or On File Yes No X Yes No Yes No X Yes No Yes No X Yes No Yes No X Yes No Yes No X Yes No Yes No X Yes No Yes No X Yes No Yes No X Yes No Yes No X Yes No Yes No Yes No Yes No Yes No 060319 HCBOC Page 41 STATE OF NORTH CAROLINA COUNTY OF WAKE Departmental Use Only CENTER: 6137 ACCOUNT: 536401 AMOUNT: $ 1,845.00 North Carolina Department of Agriculture and Consumer Services Structural Pest Control & Pesticides Division Harnett County Pesticide Container Recycling Program -Government CONTRACT# 19-016-4006 This Contract is hereby entered into by and between the North Carolina Department of Agriculture and Consumer Services, Structural Pest Control & Pesticides Division, (the "Agency") and the County of Harnett, ("Grantee"), and referred to collectively as the "Parties." The Grantee's federal tax identification number is 56-6000306 and is physically located in Harnett County, and is further located at 126 Alexander Drive , Suite 300, Lillington, NC 27546. The purpose of this Contract is to enhance a pesticide container recycling program and the recycling of properly prepared containers . The Grantee's project title is Harnett County Pesticide Container Recycling Program . This Contract is funded by a grant from the Pesticide Environmental Trust Fund . Funds awarded under this Contract must be used for the purposes for which they are intended . The Grantee's fiscal year ends June 30 . Contract Documents: This Contract consists of the Grant Contract and its attachments , all of which are identified by name as follows : 1. This Contract 2. General Terms and Conditions (Attachment A) 3. Scope of Work , including Timeline, Line Item Budget and Budget Narrative (Attachment B) 4. Certifications and Assurances Section (Attachment C) 5. NC Openbook Supplemental Information (Attachment D) 6. Signature Card (Attachment E) 7. W-9 Tax Information (Attachment F) 8. Vendor Electronic Payment Form (Attachment G) These documents constitute the entire agreement between the Parties and supersede all prior oral or written statements or agreements. NCDA&CS (Govt Contract Cover) Rev. 7/14;12/14; 8/17 Page 1 of 7 060319 HCBOC Page 42 I. 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 precedence 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 most recent amendment shall have the highest precedence and the oldest amendment shall have the lowest precedence. II. Effective Period: This Contract shall be effective on April 22, 2019 and shall terminate on June 30, 2020 with the option to extend , if mutually agreed upon, through a written amendment as provided for in the General Terms and Conditions as described in Attachment A. Ill. Grantee's Duties: The Grantee shall provide the services as described in Attachment B, Scope of Work. IV. Agency's Duties: The Agency shall pay the Grantee in the manner and in the amounts specified in the Contract Documents. The total amount paid by the Agency to the Grantee under this Contract shall not exceed $1,845.00. This amount consists of$ 1,845.00 in State funds. [X] a. There are no matching requirements from the Grantee. ] b. There are no matching requirements from the Grantee; however, the Grantee has committed the following match to this project: In Kind $ Cash $ Other/Specify: $ ] c. The Grantee's matching requirement is , which consists of: In Kind $ Cash $ Other/Specify: $ ] d. The Grantee has committed to an additional $ to complete the project as described in Attachment B . The contributions from the Grantee shall be sourced from non-federal funds . The total Contract amount is $ 1,845 .00. V. Conflict of Interest Policy: The Agency has determined that the Grantee is a government agency and is not subject to N .C.G.S. § 143C-6-23(b). Therefore, the Grantee is not required to file a Conflict of Interest Policy with the Agency prior to disbursement of funds. NCDA&CS (Govt Contract Cover) Rev. 7/14 ;1 2/14 ; 8/17 Page 2 of 7 060319 HCBOC Page 43 VI. Statement of No Overdue Tax Debts: The Agency has determined that Grantee is a government agency and is not subject to N.C.G.S . § 143C- 6-23(c). Therefore , the Grantee is not required to file a Statement of No Overdue Tax Debts with the Agency prior to disbursement of funds . VII. Reversion of Unexpended Funds : Any unexpended grant funds shall revert to the Agency upon termination of this Contract. VIII. Reporting Requirements : (1) State (N .C .G .S. 143C-6-23l: The Agency has determined that the Grantee is a governmental entity and is not subject to the State reporting requirements mandated by N .C.G .S. § 143C-6-23. Therefore , the Grantee does not have to file annual electronic reports with the NC Office of State Budget & Management. (2) Agency: a) Performance Reports : Grantee shall submit a written Annual Report by December 31 , 2019 that summarizes the accomplishments and setbacks of the pesticide container recycling program since the grant was awarded . b) Financial Reports : Grantee shall submit copies of invoices and checks that paid for items approved in this grant when 80% of the grant funding has been spent. The final report will include cop ies of invoices and checks that paid for the remaining 20% or less of the grant funding not later than 60 days after the expiration or termination of this Contract. IX . Payment Provisions: Upon execution of this Contract the Grantee shall subm it to the Agency Contract Administrator a completed Request for Payment form, to be provided by the Agency . All Request for Payment forms should be received no more than monthly, with a certified invoice showing expenditures and matching funds, if applicable, for the current period and cumulatively for the entire project. Upon approval by the Agency, payment shall be made within 30 days . Twenty percent (20%) of the total funds awarded under this Contract shall be retained by the Agency until both the final performance and financial reports are submitted by the Grantee and approved by the Agency. All payments are subject to the availability of funds . The Grantee shall expend funds in accordance with G .S. 143C-6-23 (f1)(f2)U). The Grantee shall account for any income earned, which may result from any funds awarded under this Contract, on the Agency "Request for Reimbursement" form . Eligible uses of income earned are : a) Expanding the project or program ; b) Continuing the project or program after grant ends ; or c) Supporting other projects or programs that further the broad objectives of the grant program . If this Contract is terminated prior to the original end date, the Grantee may submit a final Request for Payment form . All unexpended funds shall be returned by the Grantee to the Agency within 60 days of the Contract termination date with a complete final financial report, accompanied by either a final invoice or a refund of any funds received but not expended . The Agency shall have no obligation to honor requests for payment based on expenditure reports submitted later than 60 days after termination or expiration of the Contract period . NCDA&CS (Govt Contract Cove r) Rev . 7/14;12/14 ; 8/17 Page 3 of 7 060319 HCBOC Page 44 Reimbursement requests shall be completed on a "Request for Reimbursement" form furnished to the Grantee by the Agency . All reimbursement forms must include support documentation, including but not limited to : copies of invoices , individual time sheets and travel logs that have been signed by the employee and supervisor, salary registers or payrolls that include fringe benefits, hourly rates of pay, and signature of the Grantee's responsible financial person, cancelled checks and lease agreements. Eligible expenditures for payment must be within the effective period noted in the Contract. Reimbursement may not be considered prior to the submission and final execution of the Contract. All travel reimbursement shall be made in accordance with the current State rates , at the time of the expenditure , and shall be made in accordance with the "State Budget Manual". All matching funds, including in-kind and cash, must be spent concurrently with funds provided by the Contract. Both types of matching funds expended shall be accounted for on the monthly certified invoices . Indirect costs are not allowable expenditures under this Contract. X . Contract Administrators: All notices permitted or required to be given by one Party to the other and all questions about the Contract from one Party to the other shall be addressed and delivered to the other Party's Contract Administrator. The name, post office address, street address, telephone number, fax number, and email address of the Parties' respective initial Contract Administrator are set out below. Either Party may change the name, post office address, street address , telephone number, fax number , or email address of its Contract Administrator by giving timely written notice to the other Party. For the Agency: IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS Renee Woody, Environmental Programs Manager Structural Pest Control and Pesticides Division 1090 Mail Service Center Raleigh, NC 27699-1090 Telephone: 919-857-4137 Fax : 919-733-9796 Email : renee .woody@ncagr .gov For the Grantee : Grantee Contract Administrator-MailinQ Address Grantee Principal Investigator or Key Personnel Brian Parrish, Agriculture Extension Agent Harnett County Cooperative Extension Service 126 Alexander Drive , Suite 300 Lillington, NC 27546 Telephone: 910-893-7530 Fax: 910-893-7539 Email: brian oarrishti'i)ncsu .edu NCDA&CS (Govt Contract Cover) Rev. 7/14 ;12/14 ; 8/17 Page 4 of 7 060319 HCBOC Page 45 XI. Supplementation of Expend iture of Public Funds : The Grantee 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 Grantee otherwise expends for activities involved with specialty 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 Grantee's total expenditure of other public funds for such services. XII. Disbursements : As a condition of this Contract, the Grantee acknowledges and agrees to make disbursements in accordance with the following requirements : a . Will implement or already have implemented adequate internal controls over disbursements; b. Pre-audit all invoices 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 negotiable instruments ; and e. Have procedures in place to ensure that account balance is solvent and to reconcile the account monthly. XIII. Outsourcing : The Grantee certifies that it has identified to the Agency all jobs related to the Contract that have been outsourced to other countries , if any. Grantee further agrees that it will not outsource any such jobs during the term of this Contract without providing prior notice to the Agency. XIV. N.C .G .S. § 133-32 and Executive Order 24: N .C .G .S . § 133-32 and Executive Order 24 prohibit the offer to , or acceptance by , any State employee of any gift from anyone with a Contract with the State , or from any person seeking to do business with the State. By execution of any response in this procurement or Contract, you attest, for your entire organization and its employees or agents, that you are not aware that any such gift has been offered, accepted , or promised by any employee of your organization . NCDA&CS (Govt Contract Cover) Rev . 7/14 ;12/14; 8/17 Pages of 7 060319 HCBOC Page 46 \ (This Contract is continued on the next page .] NCDA&CS (Govt Contract Cover) Rev. 7/14;12/14; 8/17 Page 6 of 7 060319 HCBOC Page 47 XV. Signature Warranty: The undersigned represent and warrant that they are authorized to bind their principals to the terms of this Contract. IN WITNESS WHEREOF , the Grantee and the Agency execute this Contract in two (2) originals, one (1) of which is retained by the Grantee and one (1) which is retained by the Agency. Grantee : County of Harnett Signature of Authorized F Date Printed Name Title 'I f • fr;j ~ .. Date · • • •. •• • • • ·: · ' .. Witness : Signature Printe d Nam e Title • I . Ne.. .... --·-····---.--··-·-------_riculture and Consumer Services Signature of Authorized Repres entative Date N. Dav id Sm ith , Chief Deputy Commissioner NCDA&CS (Govt Contract Cover) Rev . 7/14 ; 12/14; 8/17 Page 7 of 7 060319 HCBOC Page 48 Attachment A PUBLIC SECTOR CONTRACTS (Including Local Governments} General Terms and Conditions DEFINITIONS Unless indicated otherwise from the context, the following terms shall have the following meanings in this Contract. All definitions are from 9 NCAC 3M.0102 unless otherwise noted. If the rule or statute that is the source of the definition is changed by the adopting authority, the change shall be incorporated herein: (1) "Agency" (as used in the context of the definitions below) shall mean and include every public office, public officer or official (State or local, elected or appointed), institution, board, comm1ss1on, bureau, council, department, authority or other unit of government of the State or of any county, unit, special district or other political subagency of government. For other purposes in this Contract, "Agency" shall mean the entity identified as one of the parties hereto. (2) "Audit" means an examination of records or financial accounts to verify their accuracy. (3) "Certification of Compliance" means a report provided by the Agency to the Office of the State Auditor that states that the Grantee has met the reporting requirements established by this Subchapter and included a statement of certification by the Agency and copies of the submitted grantee reporting package. (4) "Compliance Supplement" refers to the North Carolina State Compliance Supplement, maintained by the State and Local Government Finance Agency within the North Carolina Department of State Treasurer that has been developed in cooperation with agencies to assist the local auditor in identifying program compliance requirements and audit procedures for testing those requirements. (5) "Contract" means a legal instrument that is used to reflect a relationship between the agency, grantee, and subgrantee. (6) "Fiscal Year" means the annual operating year of the non-State entity. (7) "Financial Assistance" means assistance that non-State entities receive or administer in the form of grants, loans, loan guarantees, property (including donated surplus property), cooperative agreements, interest subsidies, insurance, food commodities, direct appropriations, and other assistance. Financial assistance does not include amounts received as reimbursement for services rendered to individuals for Medicare and Medicaid patient services. (8) "Financial Statement" means a report providing financial statistics relative to a given part of an organization's operations or status. (9) "Grant" means financial assistance provided by an agency, grantee, or subgrantee to carry out activities whereby the grantor anticipates no programmatic involvement with the grantee or subgrantee during the performance of the grant. {10) "Grantee" has the meaning in G.S. 143C-6- 23(a)(2): a non-State entity that receives a grant of State funds from a State agency, department, or institution but does not include any non-State entity subject to the audit and other reporting requirements of the Local Government Commission. For other purposes in this Contract, "Grantee" shall mean the entity identified as one of the parties hereto. (11) "Grantor" means an entity that provides resources, generally financial, to another entity in order to achieve a specified goal or objective. (12) "Non-State Entity" has the meaning in N.C.G.S. 143C-1-1 (d)(18): Any of the following that is not a State agency: an individual, a firm, a partnership, an association, a county, a corporation , or any other organization acting as a unit. The term includes a unit of local government and public authority. (13) "Public Authority" has the meaning in N.C.G.S. 143C-1-1(d)(22): A municipal corporation that is not a unit of local government or a local governmental authority, board, commission, council, or agency that (i) is not a municipal corporation and (ii) operates on an area, regional, or multiunit basis, and the budgeting and accounting systems of which are not fully a part of the budgeting and accounting systems of a unit of local government. (14) "Single Audit" means an audit that includes an examination of an organization's financial statements, internal controls, and compliance with the requirements of federal or State awards. (15) "Special Appropriation" means a legislative act authorizing the expenditure of a designated amount of public funds for a specific purpose. ( 16) "State Funds" means any funds appropriated by the North Carolina General Assembly or collected by the State of North Carolina. State funds include federal NC DA&CS -General T erm s and Conditi o ns -Publi c -Local Gove rnme ntal Entities Eff. 07/14;4/1 5;1/17 Page 1 of 4 060319 HCBOC Page 49 PUBLIC SECTOR CONTRACTS (Including Local Governments) financial assistance received by the State and transferred or disbursed to non-State entities . Both federal and State funds maintain their identity as they are subgranted to other organizations. Pursuant to N.C.G.S. 143C-6-23(a)(1 ). the terms "State grant funds" and "State grants" do not include any payment made by the Medicaid program, the Teachers' and State Employees' Comprehensive Major Medical Plan, or other similar medical programs. (17) "Subgrantee" has the meaning in G.S. 143C-6-23(a)(3): a non-State entity that receives a grant of State funds from a grantee or from another subgrantee but does not include any non-State entity subject to the audit and other reporting requirements of the Local Government Commission. {18) "Unit of Local Government has the meaning in G.S . 143C-1-1(d)(29): A municipal corporation that has the power to levy taxes, including a consolidated city-county as defined by G.S. 160B-2(1 ), and all boards, agencies, commissions, authorities, and institutions thereof that are not municipal corporations. Relationships of the Parties Independent Contractor: The Grantee 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 th e supervision of its employees. The Grantee represents that it has , or shall secure at its own expen se, all personnel required in performing the services under this agreement. Such employees shall not be employees of, or have any individual contractual relationship with, the Agency. Subcontracting: The Grantee shall not subcontract any of the work contemplated under this Contract without prior written approval from the Agency. Any approved subcontract shall be s ubject to all conditions of this Contract. Only the subcontractors or subgrantees specified in the Contract documents are to be considered approved upon award of the Contract. T he Agency shall not be obligated to pay for any work performed by any unapprove d subcontractor or subgrantee. The Grantee shall be responsible for the performance of all of its subgrantees and shall not be relieved of any of the duties and responsibilities of this Contract. Subgrantees: The Grantee has the responsibility to ensure that all subgrantees, if any, provide all information necessary to permit the Grantee to comply with the standards set forth in this Contract. Assignment: No assignment of the Grantee's obligations or the Grantee's right to receive payment hereunder shall be permitted. However, upon written request approved by the issuing purchasing authority. the State may: (a) Forward the Grantee's payment check(s) directly to any person or entity designated by the Grantee, or (b) Include any person or entity designated by Grantee as a joint payee on the Grantee's payment check(s). In no event shall such approval and action obligate the State to anyone other than the Grantee and the Grantee shall remain responsible for fulfillment of all Contract obligations. Beneficiaries: Except as herein specifically provided otherwise, this Contract shall inure to the 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 strictly reserved to the Agency and the named Grantee. 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 Agency and Grantee that any such person or entity , other than the Agency or the Grantee, receiving services or benefits under this Contract shall be deemed an incidental beneficiary only. Indemnity Indemnification: The Grantee agrees to indemnify and hold harmless the Agency, including any of its Divisions, and any of its officers, agents and employees, from liability of any kind, and from any claims of third parties arising out of any act or omission of the Contractor in connection with the performance of this Contract to the extent permitted bylaw. Default and Termination Termination by Mutual Consent: The Parties may terminate this Contract by mutual consent with 60 days notice to the other party, or as otherwise provided by law. Termination for Cause: If, through any cause, the Grantee shall fail to fulfill its obligations under this Contract in a tim e ly and proper manner, the Agency shall have the right to terminate this Contract by giving written notice to the Grantee and s pecifying the effective date the reof. In that event, all finished or unfinished deliverable items prepared by the Grantee under thi s Contract NC DA&CS -General Tenns and Conditions -Public -Loca l Govemmental Entities Eff. 07/14 ;4/1 5;1117 Page 2 of 4 060319 HCBOC Page 50 PUBLIC SECTOR CONTRACTS (Incl ud ing Local Governments) shall, at the option of the Agency, become its property and the Grantee shall be entitled to receive just and equitable compensation for any satisfactory work completed on such materials, minus any payment or compensation previously made. Notwithstanding the foregoing provision, the Grantee shall not be relieved of liability to the Agency for damages sustained by the Agency by virtue of the Grantee's breach of this agreement, and the Agency may withhold any payment due the Grantee for the purpose of setoff until such time as the exact amount of damages due the Agency from such breach can be determined. The filing of a petition for bankruptcy by the Grantee shall be an act of default under this Contract. Waiver of Default: Waiver by the Agency of any default or breach in compliance with the terms of this Contract by the Grantee 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 Agency and the Grantee and attached to the Contract. Availability of Funds: The parties to this Contract agree and und erstand that t he p ayment of th e sums specified in this Contract is dep endent and contingent upon and subject to the appropriation, allocati o n, and av ail ability of funds for this purpose to the Agency. Force Majeure: N eith er party shall be deeme d to be in default of its obligations hereunder if and so long as it is preve nte d from pe rforming su c h obligations by any act of war , hostile foreign acti on, nuclear explo sion, riot, strikes , ci vil in s urrection, earthqu a ke, hurric an e , tornado, or othe r ca ta s trophi c natural event or a ct of God . Survival of Promises: All pro mi se s , requirements , term s , conditions, pro v1s1ons, representation s, guarantees , and warranties contained herein shall survive the Contract expiration or termination date unless spec ifica lly provid e d otherwis e here in, or unles s supe rseded by applicable federal or State statutes of limitation . Intellectual Property Rights Copyrights and Owne rship of Deliverables: All deliverable items produced pursuant to this Contra ct are the exclusive prope rty of the Age nc y. The Grantee shall not as sert a claim of copyright or other property interest in s uch deliverables. Compliance with Applicable Laws Compliance with Laws: The Grantee shall comply with all laws , ordin a nces , c od es , rules , regulations , and licensing 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 Grantee shall take affirmative action in complying with all federal and State statutes and all applicable requirements concerning fair employment of people with disabilities, and concerning the treatment of all employees without regard to discrimination by reason of race, color, religion, sex, national origin or disability. For additional information see Title VI of the Civil Rights Act of 1964 (42 U.S.C., 2000d, 2000e- 16), Title XI of the Education amendments of 1972, as amended (20 U.S.C. 1681-1683 and 1685-1686), and section 504 of the Rehabilitation Act of 1973 as amended (29 U.S.C. 794). Executive Order 24: In accordance with Executive Order 24, issued by Governor Perdue, and N.C.G.S.§ 133-32, a vendor or contractor (i.e. architect, bidder, contractor , construction manager, design professional, engineer, landlord , offeror, seller, subcontractor, supplier, vendor, or grantee}. is prohibited from making gifts or giving favors to any employee of the Agency of Agriculture and Consumer Se rvices . Thi s prohibition c overs those vend ors , contractors, and/or g rantees who: (a) have a Contract with a g overnmental Agenc y; or (b) have performed under su c h a Contract within the past year; or (c) anticipate biddi ng on s u c h a Contra ct in the future. For additional inform ation reg a rding the specific requirements and exemptions, ve ndors, contractors, and/o r grantees are encouraged to revie w Executive Ord e r 24 and N.C.G.S. § 13 3-32. Confidentiality Confidentiality: Any in fo rmati o n, data, in strum e nts , d oc uments, studies or reports given to or prepared or assembled by the Grantee under thi s agre ement shall be kept as confidential and no t divulged or m ade available to a ny individual or organization without the prior writte n approval of the Agency. The Grantee ackn owledges that in receiving, sto ring , process ing or otherwi s e dealing with a ny confid ential info rmatio n it will s afeg uard a nd n ot further disclose the information except a s othe rwise provided in thi s Contract. Oversight Access to Persons and Records : The State Auditor and the using a ge ncy's interna l a uditors shall have NC DA&CS -Gener al T erm s and Conditi ons -Publi c - Local Governm ental Entiti es Eff. 07/14 ;4 /15;1/17 Page 3 of 4 060319 HCBOC Page 51 PUBLIC SECT OR CONTRACTS (Includ ing Loca l Governments} access to persons and records as a result of all Contracts or grants entered into by State agencies or political subdivisions in accordance with General Statute 147-64.7 and Session Law 2010-194, Section 21 (i.e., the State Auditors and internal auditors may audit the records of the contractor during the term of the Contract to verify accounts and data affecting fees or performance). Record Retention : Records shall not be destroyed, purged or disposed of without the express written consent of the Agency. State basic records retention policy requires all grant records to be retained for a minimum of five years or until all audit exceptions have been resolved , whichever is longer. If the Contract is subject to federal policy and regulations, record retention may be longer than five years since records must be retained for a period of three years following submission of the final Federal Financial Status Report, if applicable, or three years following the submission of a revised final Federal 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, or until the end of the regular five-year period described above , whichever is later. Miscellaneous Choice of Law: The validity of this Contract and any of its terms or provi s ions, as w ell as the rights and duties of the parties to this Contract, are governed by the laws of North C arolin a. The Grantee, by signing thi s Contract, agrees and submits, solely for matters c oncerning this Contra ct , to the e xclusive jurisdiction of the courts of North Carolina and agrees, solely for such purpose, that the ex c lu s ive venue for any legal proce eding s shall be Wake County, North Carolina. The place of this Contract and all transac tion s and agreements relating to it, and their situ s and forum , shall be Wak e Co unty, North Carolina , where all matters wh e ther s ounding in Contract or tort , relating to the validity, con stru c tion , interpretation, and enfo rce ment shall be determined. Headings: The Section and Paragraph headings in thes e General Terms and Conditions are not material part s of the agreement and should not be us ed to construe th e meaning thereof. Time of the Essence: Time is of t he essen ce in the performance of thi s Co ntract. Care of Property: The Grantee agrees that it shall be respon s ible for the prop er c u stody and care of any property furni shed to it for use in c o nnection with the performance of this Contract and will reim burse the Agency for loss of, or damage to, such property . At the termination of this Contract, the Grantee shall contact the Agency for instructions as to the disposition of such property and shall comply with these instructions. Amendment: This Contract may not be amended orally or by performance. Any amendment must be made in written form and executed by duly authorized representatives of the Agency and the Grantee. 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 or requirement shall continue to be enforced to the extent it is not in violation of law or is not otherwise unenforceable and all other provisions and requirements of this Contract shall remain in full force and effect. Travel Expenses: Reimbursement to the Grantee for travel mileage, meals, lodging and other travel expenses incurred in the performance of this Contract shall be reasonable and supported by documentation. State rates shall be used. International travel shall not be reimbursed under this Contract. Sales/Use Tax Refunds: If eligible, the Grantee a nd all subgrantees s hall: (a) ask th e North Ca rolina Dep artment of Revenue for a refund of all sales and use t axes paid by th e m in the pe rfo rmance of this Contract, pursuant to G.S. 105-164.14; and (b) exclude all refundable sales and use taxes from all re portable expe nditures before th e expenses are entered in th eir reimburs ement reports . Advertising: The Grantee shall no t u se th e award of thi s Contract as a part of any news release or commercial advertising. Indirect Costs Policy: The Agency h as a dopte d a "Zero" poli c y that indire ct costs are unallowable expen ditures in all State fund ed grant applications and/or g rant guidance, in formational or dire ctional documents. Allowable Uses of State Funds: E x penditures of State funds by a ny grantee shall be in accordance with the Cost Principles outl ined in the Office of Manag ement and Budget (0MB) CFR Title 2, Part 200 Unifo rm Adm ini s trative Requirements , as appli c able. If the grant funding includ es federal s ourc es, the grantee shall ensure adhe ren ce to the cost principles establi s hed by the Federal Office of Ma nageme nt and Budget. [0 9 NCAC 03M.020] N C DA&CS -Gene ral Term s and Conditions -Public - Loca l Gove rn mental Entities Eff. 07/14;4/1 5;1/17 Page 4 of 4 060319 HCBOC Page 52 Attachment B GRANTEE'S DUTIES The Grantee shall comply with all provisions of the Contract, regulations, any amendments thereto, and any instructions, policies, and/or procedures issued in connection therewith. Specifically, the Grantee shall agree to conform to the services and/or requirements listed below. A. The Harnett County Cooperative Extension Service shall provide the following for the enhancement and use only for the Harnett County Pesticide Container Recycling Program: • (24) Jet rinse nozzles • (3) Rolls clear plastic bags 116 count/ roll • Materials to repair damaged doors to container trailer • Trash can and garbage bags B. Maintain accurate and complete records to document the purchasing of budget line items as required by the Agency. The Grantee also specifically agrees to provide financial reports to the Agency that includes the following: • copies of invoices for purchases made with money from this grant; • copies of checks to vendors for purchases made with money from this grant; and • the above two items must be sent to the Agency to show that 80% of the grant has been spent before the final 20% of the grant will be sent to the grantee for budget line items. C. Records shall not be destroyed, purged or disposed without the express written consent of the Agency. State basic records retention policy requires all grant records to be retained for a minimum of five years or until all audit exceptions have been resolved, whichever is longer. 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, or until the end of the regular five-year period described above, whichever is later. D. The Grantee shall also submit a written Annual Report by December 31, 2019 that summarizes the accomplishments and setbacks of the project. E. The Grantee shall submit all the Agency required reports in a timely manner, failure to do so may be a basis for cancellation of this Contract. DATE: April 17, 2019 060319 HCBOC Page 53 Attachment B GRANTEE'S LINE ITEM and NARRATIVE BUDGET NAME OF RECIPIENT : Harnett County Cooperative Extension APPROVED AMOUNT : $1.845.00 Expenditures for reimbursement under the PETF Pesticide Container Recycling Program are presented below . Items not listed are not approved for reimbursement. Approval for items not listed shall be secured prior to the expenditure of funds if reimbursement of that item will be requested. LINE ITEM ESTIMATED AMOUNT (24) Jet rinse nozzles 600 .00 (3) Rolls clear storaqe baqs 116 count/ roll 945.00 Materials to repair damaged trailer doors 300 .00 TOTAL $1,845.00 DATE: 060319 HCBOC Page 54 Attachment B Harnett County Grant Request for Plastic Pesticide Container Recycling Program 2019 The pesticide container recycling program continues to grow here in Hamett County as we have more farmers participating each year. We need the following listed items below in order to make repairs to the deck and transfer truck trailer doors that were damaged during Hurricane Florence. We also need more plastic storage bags. The bags help make recycling convenient for farmers and greatly improve loading and unloading times. The jet rinse nozzles also help make it easy for participating fanners to triple rinse the containers. Thank you for your consideration. From: Brian Parrish Hamett County Center NC State Extension 126 Alexander Drive Suite 300 Lillington, NC 27546 Office phone 910-893-7530 Cell 919-692-5845 Detailed Budget: Total $ 1,845 24 Jet rinse nozzles @ $25 each for new recycling participants $600 3 Rolls Clear Storage Bags 1 I 6 count/ Pallet Covers @ $315 each, includes shipping $945 For storing and transporting empty pesticide containers. makes loading and unloading Easier Materials to repair damage to container trailer doors as result of hurricane Florence $300 Any remainder funds to be used to purchase garbage bags and a trash can Budget Total $1,845 Hamett County has provided a site for pesticide container recycling and the site is operational. The site where containers will be stored before being granulated by USAg Recycling. Inc. is located behind the Agriculture Building at: l. Hamett County Center NC State Extension 126 Alexander Drive Suite 300 Lillington, NC 27546 2. The site is available and open by appointment, by contacting Agriculture Agent Brian Parrish at 910-893-7530 or cell 919-692-5845 3. The site will serve Harnett County 060319 HCBOC Page 55 Attachment B 4. Doors to the site will be kept locked when not in use. Agriculture Extension Agents will be available by appointment to accept containers during normal county business hours . 5 . Agriculture Extension Agents will be the ones inspecting the containers and have been trained on how to properly inspect the containers by ACRC guidelines. 6 . The site has been and will continue to be advertised in the local newspaper and in agricultural newsletters sent out by the NC State Extension. 7. Educational Program: The Extension Agent (County Pesticide Coordinator) will mention the pesticide container recycling program and requirements during each of the more than l 4 pesticide continuing education credit trainings that take place in Hamett County each year. USAg recycling, Inc. or the current contractor with ACRC for NC will be the recycling contractor that will granulate the pesticide containers stored at the Hamett County site. Harnett County i s the government agency providing the pesticide container storage site. Brian Parrish (Agriculture Agent) is the contact person for the only designated storage site located at : Harnett County Center NC State Extension 126 Alexander Drive Suite 300 Lillington NC 27546 Office 910-893-7530 Cell 919-692-5845 Brian Parrish (Agriculture Agent) will conduct the educational and training programs Harnett County Center NC State Extension 126 Alexander Drive Suite 300 Lillington NC 27546 Office 910-893-7530 Cell 919-692-5845 Accountability for funds Funds received by Harnett County government for the purpose of establishing or enhancing a pesticide container recycling program shall be used only for the purposes and conditions stated in the grant contract. County government misappropriating funds earmarked for pesticide container recycling shall be required to reimburse the North Carolina Department of Agriculture and Consumer Services the full amount of funding misappropriated. Annual written reports that provide an overview of pesticide container recycling activities shall be sent to the Environmental Programs Manager of the Pesticide Section, North Carolina Department of Agriculture and Consumer Services by December 31st of each year. 060319 HCBOC Page 56 Attachment C Certifications and Assurances CERTIFICATIONS REGARDING LOBBYING, NONPROCUREMENT, DEBARMENT, SUSPENSION AND DRUG-FREE WORKPLACE Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Signature of this form provides for compliance with certification requirements under 2 CFR , Subtitle 8, Chapter IV, Part 417, "Nonprocurement Debarment and Suspension," Part 418, "New Restrictions on Lobbying," and Part 421 , "Requirements for Drug-Free Workplace (Financial Assistance)," and 2 CFR Part 180. The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Agriculture & Consumer Services determines to award the covered transaction , grant, or cooperative agreement. 1. LOBBYING As required by authority: 31 U.S.C. 1352 and U .S.C. 301 and implemented at 2 CFR Part 180 , for persons entering into a grant or cooperative agreement over $100 ,000 , as defined at 2 CFR Section 418 .110, the applicant certifies that to the best of their 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 an 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, the making of any Federal contract, the making of any Federal loan , the entering into of any cooperative agreement , and the extension, continuation , renewal, amendment , or modification of any Federal contract, grant, loan , or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid 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 this Federal contract , grant, loan, or cooperative agreement , the undersigned shall complete and submit Standard Form -LLL , "Disclosure Form to Report Lobbying" in accordance with its instructions. 3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts , subgran ts, and contracts under grants, loans, and cooperative agreements) 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 or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31 , U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure . 2. NONPROCUREMENT DEBARMENT AND SUSPENSION As required by Executive Order 12549, Debarment and Suspension, and implemented at 2 CFR Part 180 and 2CFR Part 417, for prospective participants in primary covered transactions, as defined at 2 CFR 180.435 and Subpart C, 417 .332, the applicant certifies that it and its principals : a) Are not presently debarred, suspended, proposed for debarment, declared ineligible , or voluntarily excluded from covered transactions by any Federal department or agency; b) Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining , attempting to obtain , or performing a public (Federal, State. or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft , forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; NCDA&CS Certi fi cations & Assurances Rev9/12 , 10/12, 11 /13 ;1/17 Page 1 of 3 060319 HCBOC Page 57 c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State. or local) with commission of any of the offenses enumerated in paragraph 2 . (a) (b) of this certification. d) Have not within a three-year period preceding this application had one or more public transaction (Federal , State , or local) terminated for cause or default. e) Agree to include a term or condition in lower tier covered transactions requiring lower tier participants to comply with subpart C of the 0MB guidance in 2 CFR part 180, as supplemented by subpart C of Part 417. Where the applicant is unable to certify to any of the statements in this certification , he or she shall attach an explanation to this certification . 3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug-Free Workplace Act of 1988, and implemented at 2 CFR Part 182, Subparts B. and C, for grantees : The applicant certifies that it will: a) Make a good faith effort, on a continuing basis, to maintain a drug-free workplace. You must agree to do so as a condition for receiving any award covered by this part . b) Publish a drug-free workplace statement and establish a drug-free awareness program for your employees (see Sections 182.205 through 182.220); and c) Take actions concerning employees who are convicted of violating drug statutes in the workplace (see Section 182.225), including notification to any Federal agency on whose award the convicted employee was working and within 30 days take appropriate personnel action against the employee , up to and including termination , consistent with the requirements of the Rehabilitation Act of 1973 (29 U .S .C. 794 ), as amended; or require the employee to participate satisfactorily in a drug abuse ass istance or rehabilitation program approved for these purposes by a Federal , State or local health, law enforcement, or other appropriate agency. d) You must identify all known workplaces under your Federal awards (see Section 182 .230). The grantee must provide the location site(s ) for the performance of work done in connection with the specific grant. Place(s) of Performance (Street address, city , county . state, zip code} dll! ~~.2c& ,to f X JetV-SitrJ \:J ls fl;k?xarJ""° "u:,ve Su; k3oo h\\\~+' At, G'1S4(p DRUG-FREE WORKPLACE (GRANTEES WHO ARE INDIVIDUALS) As required by the Drug-Free Workplace Act of 1988, and implemented at 2 CFR Part 182: A . As a condition of the grant, I certify that I will comply with drug-free workplace requirements in Subpart B (or Subpart C, if the recipient is an individual) of part 421 , which adopts the Government- wide implementation (2 CFR part 182) of sec. 5152 -5158 of the Drug Free Workplace Act of 1988 (Pub .L 100-690 , Title V, Subtitle D ; 41 U .S .C. 701-707). NCDA&CS Certifications & Assurances Re v 9 /12, 10/12 , 11 11 3 ;1/17 Page 2 of 3 060319 HCBOC Page 58 B. I agree to notify the agency as required by 2 CFR 182 .300(b) of any conviction for a criminal drug offense within ten days . Notice shall include the identification number(s) of each affected grant. As the duly authorized representative of the Grantee, I hereby certify and state to the best of my knowledge and belief, that the Grantee will comply with the above certifications. Prin NCDA&CS Certifications & Assurances Rev 9/12 , 10/12, 11/13 ;1/17 Date Title r 1 .. • • • , C • r o a I o ....... Page 3 of 3 = en ffl -:DC, mz 060319 HCBOC Page 59 Attachment D NC OpenBook Supplemental Information Instructions: Complete the information below and return it to the Contract Administrator identified in your original contract. This information must be submitted as part of your contract. If you have questions , please contact the Contract Administrator or the Alternate Contact as reflected in your contract. DUNS Number: Contract Number: Amendment Number: _______ _ Grantee Name : TM ID Number: Fiscal Year Ends : :W, )J\,,f 30 1. Brief Description and Background/History of your Organization . 2. Current project timeline: Begin ~ul~dOl1 End ~ c;)OI~ 3. Expected outcomes and specific deliverables. 4. The Grantee's WEB URL: b frf ! // Wl,\Jk.JG hall\&. 0(5 5. * Grantee County of Residence : \-\Gf11-eit' Congressional District#: QrJ (CONGRESSIONAL DISTRICT# MUST BE IDENTIFIED) ~s D No County Name: .... ~-4""',0\......._.:f'..,_A..__,_±: ____ _ D Yes D No 6. °County of Benefit: Single County: Statewide: Regional : D Yes D No 7. If the answer to question number 6 is more than one county or "Regional ", list the counties receiving benefit *Grantee County of Residence : County in which grantee is located. **County of Benefit: List only county or counties in which funding will be spent and/or food commodities will be received. NCDA&CS NC OpenBook Supplemental Information Rev 07/14 ; 4117 Page 1 of 1 060319 HCBOC Page 60 f"'\llO\.tlBIIC.l~l L. Signature Card CONTRACT & FINANCIAL DOCUMENTS INSTRUCTIONS: Please read and fill in the required information to the right of each field where applicable. Signatures must match the Contract signatures. In the event the affixed signature(s) are no longer valid, a revised form must be submitted prior to processing any contractual documents or submitting "Request for Payments" or any other financial documents. If more than two people will siqn for the orcianization, this form mav be duplicated. SECTION I. Date: 5 ... 3-)q Legal Applicant Organization/Agency Name: CbUnt'( Of tta.roe,.W- Federal Tax Identification Number: $ '7-~ 000 .:3D ~ SECTION II. Certification : By affixing my signature below, I certify that person(s) identified are designated having legal authorization to sign on behalf of the organization named in Section I., above, for purposes of executing contractual documents and preparing , approving and executing all financial documents ; including "Requests for Payments." I understand the legal implications of any and all misrepresentation, which include but are not limited to defrauding the State of North Carolina, and certify that the person signing below has full authority to execute this Agreement on behalf of the named organization. NON-GOVERNMENTAL ORGANIZATIONS ONLY (Must match Contract sianature) Board Chair, Executive Director, etc. Financial Representative, Treasurer, etc. Print Name & Title ; Print Name & T itle : Signature: Signature : GOVERNMENTAL ENTITIES (Must match Contract sionature) Authorized Governmental Official Chief Fiscal Officer Print Name & Title: Signature : /f\ r b ~t d.Ot" Sf}'1 '~ ~ r "aM.t J h. ~ I· i '501\a.rtU e.. NCDA&CS • Signatu re Ca rd -NGO & Governm ental Rev 7/14 ; 1/17;11/17 Print Name & Title: Signature: ,t ~fl' ~cwt'"' (\/vt,L1 ti~ ~i~~ '- , ... ,.. •n • '• '. • W!. ,,··.··A· ·.· \~ ¥:J .. r; f ........ ,. ~ •••• ' . · ... . Page 1 of 1 060319 HCBOC Page 61 Form W-9 {Rev. October 2018) Department ot the Treasury Internal Revenue Serv ice Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. ... Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name {as shown on your income tax return). Name is required on th is line; do not leave this line blank. County of Harnett 2 Business name/disregarded entity name, if different from above C"ii-------------------------------------------,------------- (1) 3 Check appropriate box for federal tax classification of the person whose name is entered on li ne 1. Check only one of the 4 Exemptions (codes apply only to ~ following seven boxes. certain entities, not individuals; see a. instructions on page 3): § 0 lndividuaVsole proprietor or D C Corporation D S Corporation D Partnership O TrusVestate cii ~ single-member LLC faempt payee code (if any) ___ _ a. 0 :t, ti O Limited liability company. Enter the tax classif ication (C=C corporation, S=S corporation , P=Partnershi p) ""---- ls 2 Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check £ ~ LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is Exemption from FATCA reporting code {if any) ._ -another LLC that is not disregarded from the owner fo r U.S. federal tax purposes. Otherwise, a single-member LLC that a. u is disregarded from the owner should check the appropriate box for the tax classification of its owner. !e lil 0 Other (see instructions)"" Local Government ft t-:::-5=A:""d-,-d.,..re_s_s-:(-nu_m_b,...e-r-. s"".'t-re-e-t.-a-nd-,-a-pt,.... -o-r s-u..,.it_e_n_o7.)-=s-ee--,-in-st.,..ru-c"".'t,-io-ns-.-------------.-::R:-e-q-ue-s..,.te-r.,..'s_n_a_m_e_a~n...,d,-a-dccd-re-s-s...,(-op-t7io-n-a71) ------ (Applie s to ai:-counts maintained out~idtt the, U.S .) (1) Js ,_P_O_B_o_x_7_6_o _________________________ ..... 6 City, state, and ZIP code Lillington, NC 27546 7 List account number(s) here (optionaO m D __ T_a_xp~ay~e_r_l_d_e_n_ti_fi_c_a_ti_o_n_N_u_m_b_e_r~(T_I_N~>-------------.-::--:-:---:-:----:---------, I Social security number I Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup w ithholding. For individuals, this is generally your social securi ty number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number. see How to get a TIN. later. ITO -[I] -I I I I I or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for gu idelines on whose number to enter. I Employer identification number 56 -6000306 Certification Under penalt ies of pe rjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number t o be issued to me); and 2 . I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup w ithholding as a result of a fa ilure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U .S. citizen or other U.S. person (defined below); and 4 . The FATCA code{s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contribut ions to an ind ividual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are o quired to sign the certification, but y u must provide your correct TIN . See the instructions for Part II, later . Sign Here Signature of U.S. person~ /' General Instructions ../ Section references are to the Internal Revenue Co noted. Future developments. For the latest information about developments related to Form W-9 and its instructions. such as legislation enacted after they were published, go to www.irs .gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpaye r identification number (TIN) wh ich may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number {ATIN). or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return . Examples of information returns include, but are not limited to , the following. • Form 1099-INT (interest earned or paid) Cat. No. 10231X Date~ 0-?.3-2DJ9 • Form 1099-DIV {dividends, includ in g those from stocks or mutual funds) • Form 1099-MISC (various t ypes of income , prizes, awards, or gross proceeds) • Form 1099-B {stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (p roceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest). 1098-E (student loan interest), 1 098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A {acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not retum Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Form W-9 (Rev. 10-2018) 060319 HCBOC Page 62 Form W-9 (Rev. 11-2017) By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership Income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected Income, and 4 . Certi/y that FATCA code(s) entered on this form (if any) Indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting, later, for further information. Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined in Regulations section 301 , 7701-7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States ere generally required to pay a withholding tax under section 1446 on any foreign partners' share of effectively connected taxable income from such business. Further, In certain cases where e Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner Is a foreign person, and pay the section 1446 withholding ta,c . Therefore, ii you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status end avoid section 1446 withholding on your share of partnership income. In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on Its allocable share of net Income from the partnership conducting a trade or business in the United States. • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity; • In the case of a granter trust with a U.S. granter or other U.S. owner, generally, the U.S. granter or other U .S . owner of the granter trust and not the trust; and • tn the case of a U.S . trust (other than a grant or trust), the U.S. trust (other than a granter trust) and not the beneficiaries of the trust. Foreign parson. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated a:; a U .S. person, do not use Form W-9 . Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515. Withholding of Tax on Nonresid8flt Allens and Foreign Entities). Nonresident alien who becomes a realdent alien. Generally, only a nonresident alien individual may use the tenns of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a "saving clause." Exceptions specified in the saving clause may permit an exemption from ta,c to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who Is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of Income, you must attach a statement to Form W-9 that specifies the following five items. 1 . The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and Its exceptions. 4. The type and amount of income that qualifies for the exemption from lax. S. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Page2 Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily pres8!1t in the United States. Und~ l:J .S. law, this . student will become s resident alien for tax purposes if h1s or her stay 1n the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States . A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and 1s relying on this exception to claim an exemption from ta>< on his or her scholarship or fellowship income would attach to Fann W-9 a statement that includes the information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-6 or Fonn 8233. Backup Withholding What Is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 28% of such payments. This is called "backup withholding." Payments that may be subject to backup withholding Include Interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Reel estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your co1Tect TIN, make the proper certifications, and report all your ta,cable interest and dividends on your tax return . Payments you receive will be subject to backup withholdlng H: 1. You do not furnish your TIN to the requester, 2 . You do not certify your TIN when required (see the instructions for Part II for de1ails), 3 . The IRS tells the requester that you furnished an inco1Tect TIN, 4 . The IRS tails you that you are subject to backup withholding because you did not report ell your interest end dividends on your tax return (for reportable Interest and dividends only), or 5. You do not certify to the requester that you are not subject lo backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 onty). Certain payees end payments are eKempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. Also see Special rules for pa,tnerships, earlier. What is FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires e participating foreign financial institution to report all United States account holders that ere spectlled United States persons. Certain payees are exempt from FATCA reporting. See ~xemptlon from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information. Updating Your Information You must provide updated lnfonnation to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or ii you no longer are ta,c exempt. In addition, you must furnish a nl!lw Form W-9 ii the name or TIN changes for the account; for example, If the granter of a granter trust dies. Penalties Feilura to tumlsh TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Clvll penalty for false Information with respect to wlthholdlng. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. 060319 HCBOC Page 63 Form W·9 (Rev. 11-2017) Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties. Specific Instructions Line 1 You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return. II this Form W-9 is for a Joint account (other than an account maintained by a foreign financial institution (FFI}), list first, and then circle, the name of the person or entity whose number you entered In Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S . person must provide a Form W-9. a. Individual. Generally, enter the name shown on your tax return . If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name. the last name as shown on your social security card, and your new last name. Note: ITIN applicant: Enter your individual name as It was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/104DN1040EZ you filed with your application. b. Sole proprietor or single-member U.C. Enter your individual name as shown on your 1040/1040A/1040EZ on Nne 1. You may enter your business, trade, or "doing business as" (OBA) name on Una 2 . c. Partnership, LLC that is not a single-member LLC, C corporation, or S corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or OBA name on line 2. d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity . You may enter any bUslness, trade, or OBA name on line 2 . e . Disregarded entity. For U.S. federal tax purposes, an entity that Is disregarded as an entity separate from its owner is treated as a "disregarded entity." See Regulations section 301 .7701-2(c)(2)(iii). Enter the owner's name on line 1. The name ol the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown oo the Income tax return on which the income should be reported . For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on llne 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for fed81'al 1ax purpDS8s. Enter the disregerded entity's name on line 2, "Business name/disregarded entity name." If the owner of the disregarded entity Is a foreign person, the owner must complete an appropriate Form W-8 Instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN. Line2 If you have a business name, trade name, OBA name, or disregarded entity name, you may entB1' it on line 2 . Line 3 Check the appropriate box on line 3 for the U.S . federal tax classification of the person whose name is entered on line 1 . Check only one box on line 3 . Page3 IF the entity/person on line 1 ie THEN check the box for ••• a(n) ... • Corporation Corporation • Individual lndividuaVsole proprietor or single· • Sole proprietorship, or memberlLC • Single-member limited liability company (LLC} owned by an individual and disregarded for U.S. federal tax purposes. • LLC treated as a partnership for Limited llablllty company and enter U .S. federal tax purposes, the appropriate tax classification. • UC that has filed Form 8832 or (P"' Partnership; C= C corporation; 2553 to be taxed as a corporation, or S= S corporation) or • UC that is disregarded as an entity separate from its owner but the ownB1' is another LLC that Is not disregarded for U.S. federal tax purposes. • Partnership Partnerehip • Trust/estate Trust/estate Line 4, Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you . Exempt payee code. • Generally, individuals Qncluding sole proprietors) are not exempt from backup withholding. • Except as provided below. corporations are el{empt from backup withholding for certain payments, including interest and dividends. • Corporations are not exempt from backup withholding for payments made In settlement of payment card or third party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys' fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4. 1-An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401 (f)(2) 2 -The United States or any of its agencies or instrumentalities 3-A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivtslons or Instrumentalities 4 -A foreign government or any of its political subdivisions. agencies, or instrumentalities 5-A corporation 6-A deal81' in securities or commodities required to register In the United States, the District of Columbia, or a U.S. commonwealth or possession 7-A futures commission merchant registered with the Commodity Futures Trading Commission 8-A real estate Investment tru,t 9-An entity registered at all times during the tax year under the Investment Company Act of 1940 10-A common trust fund operated by a bank under section 584(a) 11-A financial institution 12-A middleman known in the investment community as e nominee or custodian 13-A trust exempt from lax under section 664 or described In section 4947 060319 HCBOC Page 64 Form W-8 (Re~. 11-2017) The following chart shows types of payments that may be exempt from backup withholding . The chart applies to the exempt payees listed above, 1 through 13. IF the payment is for ... Interest and dividend payments Broker transactions THEN the payment is exempt for ... All exempt payees except for 7 Exempt payees 1 through 4 and 6 through 11 end all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. Barter exchange transactions and Exempt payees 1 through 4 patronage dividends Payments over S600 required to be Generally, exempt payees reported and diraci sales over 1 through 52 $5,000' Payments made in settlement of Exempt payees 1 through 4 payment card or third party network transactions 1 See Fonn 1099-MISC, Miscellaneous Income, and Its Instructions. 2 However, the fallowing payments made to a corporation and reportable on Form 1089-MISC are not exempt from backup withholding: medical and health care payments , attorneys' lees. gross proceeds paid to an attomoy reportable under section 6045(1), and payments for services paid by a federal executive agency. Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form If you are uncertain if the financial institution Is subject to these requirements . A requester may Indicate that a code is not required by providing you with a Form W-9 with "Not Applicable" (or any similar indication) written or printed on the line for a FATCA exemption code . A-Ar, organization exempt from tax under section 501 (a) or any individual retirement plan as defined in section 7701 {a)(37) B-The United States or any of Its agencies or instrumentalities C-A state, the District of Columbia, a U.S. commonwealth or possession, or any of their pofitical subdivisione or instrumentalities D-A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1 .1472-1 (c)(1 )(I) E-A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472· 1(c)(l)(i) F-A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards. and options) that is registered as such under the laws of the United States or any state G-A real estate investment trust H-A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940 I-A common trust fund as defined in section 584(8) J-A bank as defined in section 581 K-Abroker L-A trust e)(empt from tax under section 664 or described in section 4947(a)(1) Page4 M-A tax exempt trust under a section 403(b) plan or section 457(g) plan Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or e)(empt payee code should be completed. Line 5 Enter your address (number, street, and apartment or suite number). This is where the requesler of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, write NEW at the top. If a new addrsss Is provided, there is still a chance the old address will be used until the payor changes your address in their records. Line6 Enter your city, state, and ZIP code. Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer Identification number (rTIN). Enter it in the social security number box. If you do not have an ITIN , see How to get a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN . If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner's SSN {or EIN, It the owner has one}. Do not enter the disregarded entity's EIN . If the LLC is classified as a corporation or partnership, enter the entity's EIN. Note: See What Name and Number To Give the Reqvester, later, for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN. get Fonn SS-5, Application for a Social Security Card, from your local SSA office or get this form onllne at www.SSAgov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN . You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business . Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.lrs.gov/OrrJerForms to place an order and have Form W-7 and/or SS-4 malled to you within 10 business days. If you are asked to complete FOfTTl W-9 but do not have a TIN, apply for a TIN and write "Applied For" in the space for the TIN, sign and date the fonn, and give it to the requester. For interest and dividend payments, and certain payments made with respect to madily tradable instruments, generally you will have 60 days to get a TIN and give i1 to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all sucn payments until you provide your TIN to the requester. Note: Entefing "Applied For" means that you have already applied for a TIN or that you intend to apply for one soon. Caution: A disregarded U .S. entity that has a foreign owner must use the appropriate Form W-8. Part II. Certification To establish to the withholding agent that you are a U .S . person, or resident alien, sign Form W-9. You may be requested to sign by the wllhholding agent even If Item 1, 4. or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown In Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, eanier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 060319 HCBOC Page 65 Form W-9(Rev.11-2017) 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certlftcatlon. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered Inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to back1,1p withholding and you are mel'l!ly providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form . 3. Real estate transactions . You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given ao incorrect TIN . "Other payments" include payments made in the course of the requester's trade or business for rents, royalties, goods (other thao bllls for merchandise), medical and health care services (including paymeots to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys ~ncluding payments to corporations). 5. Mortgage Interest paid by you, acquleltlon or abandonment of secured property, cancellation of debt, quallflad b.litlon program payments (under section 529), ABLE account& (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification. What Name and Number To Give the Requester For this type of account; 1. Individual 2. Two or more individuals Oolnt acwunt) o!her lhan an account maintained by en FFI 3 . Two or more U.S. peffions Oolnt account maintained by en FFI) 4 . Custodial account of a minor (Uniform Gitt to Minors Act) Give name and SSN of: The indiYidual The actual owner of 1118 account or, if combined funds, the first individual on the account' Each holder of the account The minor' 5. a . The usual revocable savings trust The grant or-trustee 1 (grantor is also trustee) b. So-called trust account lhat is not The actual owner' a legal or vaUd trust under state law 6. Sole proprietorship or disregarded The owner' entity owned by an lndillidual 7. Grantor trust flling under OptiOnal The grantor· Form 1099 Filing Method 1 (see Aegulalions secUon 1.671-4(b)(2)0) (Al) For this type of account: Give name and EIN of: 8. Disregarded entily not owned by an The owner individual 9 . A valid trust, !!$tale, or pension trust Legal entity" 10. Corporation or LLC electing The corporation corporate status on Form 8832 or Form 2553 11. Association, clut>, religious, The organization charitable, educationel, or other tax- exemp! organization 12. Partnership or multi-member U.C The partnership 13 . A broker or registered nominee The broker or nomi1- PageS For this type of account: Give name and EIN of: 14. Account with the Department of The public entity Agriculture In the name of a public entity (such as a slate or local government. scnoot dlstnct, or prison) that NIC8ivas agricultural program payments 15. Grantor trust filing Lllder tile Form The trust 1041 Filing Ma!hod or the Optional Form 1099 Flllng Method 2 (see Regulations section 1.671-4(b){2}(i}(8)) ' List first and circle the name of the person whose number you furnish . If only ooe person on a joint account has an SSN, that person's number must be furnished. 2 Circle the minor's name and furnish the minor's SSN. 3 You must show your individual name and you may also enter your business or OBA name on the "Business name/disregarded entity" name line . You may use either your SSN or EIN frf you have one), but the IRS encourages you to use your SSN. • List first and circle the name of the trust, estate, or pension trust. (Do not fumish the TIN of the personal representative or trustee unless the legal entity itself Is not designated in the account title.} Also see Special rules for partnerships, earlier. •Note: The grantor also must provide a Form w-g to trustee of trust. Note: If no name Is circled when more than one name is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information such as your name, SSN , or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a Job or may file a tax return using your SSN to receive a refund . To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax preparer. If your tax records era affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If your tax recorde are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039. For more information, see Pub. 5027, Identity Thef1 Information for Taxpayers. Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help In resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-B00-829-4059. Protect yourself from suaplclous emails or phillhlng achemee. Phishing is the creation and use of email and websites designBd to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely clalmlng to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. 060319 HCBOC Page 66 Form W-9 (Rev. 11·2017) The IRS does not initiate contacts with taxpayers via emails . Also, the IRS does not request personal detailed Information through email or ask taxpayers for the P1N numbers, passwords, or similar secret access informalion for their credit card, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@lrs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/comp/aint. You can contact the FTC at W'NW .ftc.govlidtheft or 877-IDTHEFT (877-438-4338). II you have been the victim of identity theft, see www.ldentityTheft.gov and Pub. 5027. Visit www.irs.gov/ldentityTheft to learn more about identity theft and how lo reduce your risk . Page6 Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to per:ions (including federal agencies) who are required to file Information returns with the IRS to report Interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to en IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns witt, the IRS, reporting Ille above information. Routine uses of this informalion include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use In administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal taws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must.generally withhold a percentage of taxable interest, dividend, and certam other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent infonnation. 060319 HCBOC Page 67 Instructions * Denotes a required field on the form 1. *Check the appropriate box at the top of the form : • • • New Add Request -Vendor would like to begin receiving payments via ACH . Change/Update Existing Account -Vendor's account number, routing number, or remittance email address has changed . Inactivate Existing Account -Vendor no longer wants to receive payments via ACH . 2 . *Enter the vendor's Tax Identification Number or Social Security Number . 3. *Enter the Payee Name -The name of the person or business receiving payment. 4. *Enter the vendor 's remittance address . The remittance address is the address printed on your invoice where payments should be sent. 5. *Enter the vendor's contact name, title, and phone number. 6. *Enter the vendor's financial information : • Financial Institution Name -Name of the financial institution . • Name on Account -The account owner's name . • Routing Number -Nine.digit number identifying the financial institution . • Account Number -The bank account number where the funds should be deposited . • Account Type -Is this a checking or savings account? Check the appropriate box. • Remit E·mail address· Enter the email address to which the remittance advices should be sent. 7. *For a new add request only , provide the following: • Agency Name -The state agency the vendor is doing business with . • Agency Contact Name -The vendor 's contact person name at the state agency. • Agency Contact Email Address -The contact person 's email address at the state agency. • Agency Contact Phone Number -The contact person 's phone number at the state agency. NOTE: New add requests MUST include contact information for the state agency with which you are doing business. 8 . Prior Financial Information -this is required if the vendor's bank account , routing number, or remittance email address has changed . • Financial Institution Name -Name of the financial institution . • Name on Account -The account owner's name. • Routing Number -Nine-digit number identifying the financial institution . • Account Number -The bank account number where the funds should be deposited . • Account Type -Is this a checking or savings account? Check the appropriate box. • Remit E·mail address -Enter the email address to which the remittance adv ices should be sent. 9. *Review all the information in the 3 attestation boxes located above the signature area. All 3 boxes must be checked -otherwise the form will not be processed. 10. *Print Name -Print the name of the authorized signee on the form . •oate -Date of signature . *Signature -The authorized signee's signature . *Phone Number -The authorized signee 's phone number . Revised May 2018 Return to: OSC Support Services Center Address : 1410 Mail Service Center Raleigh, NC 27699·1410 Email : osc .support.services@osc .nc.gov Please allow up to 30 days for processing. 060319 HCBOC Page 68 Agenda Item ---=L/:......-_,k'-31.._ _ _; lr ~-~Harnett ;r~})Jr' _C _O_U_N_T_Y _________________ _ --~--~ NORTH CAROLINA 2019 Elder Abuse Awareness Day WHEREAS, Harnett County joins the world in recognizing World Elder Abuse Aware.ness Day on Saturday, June 15 1\ and WHEREAS, each year, it is estimated that five mi11ion vulnerable and older adults are victims of abuse, neglect and exploitation; and www.h arnett.org WHEREAS, Harnett County's vulnerable and older adults of all social, economic, racial and ethnic backgrounds may be targets of abuse, neglect or exploitation, which can occur in families, long tenn care settings and communities; and WHEREAS, protecting Harnett County's vulnerable and older adults is a community responsibility and all citizens are charged under State law to report suspected abuse, neglect or exploitation to their local department of social services; and WHEREAS, combating abuse and empowering our elderly population will help improve the quality of life for all seniors in Hamett County, allowing them to continue to live as independently as possible, adding to their overall well-being; and WHEREAS, effective elder abuse awareness will successfully reduce those being abused by partnerships fonned among citizens, human service agencies, faith communities, health care providers, civic organizations and law enforcement agencies; THEREFORE, we, the Harnett County Board of Commissioners, do hereby proclaim June 20 I 9 as "Elder Abuse Awareness M onth " in Harnett County and commend its observance to all c itizens, asking them to wear purple Elder Abuse Awareness ribbons, and we further do hereby proclaim June 15, 2019 "National Elder Abuse Day" in Harnett County ; and we further ask all citizens to work together to protect older and vulnerable adults from abuse, neglect and exploitation. It is imperative that we refuse to tolerate the indignity of Elder and Vulnerable adult abuse. Adopted this 3rd day of June 2019. HARNETT COUNTY BOARD OF COMMISSIONERS Gordon Springle, Cbainnan Howard Penny , Vice Chainnan Abe Elmore Barbara McKoy Joe Miller strong roots • new growth 060319 HCBOC Page 69 Agenda Item Lf L Board Meeting Agenda Item MEETING DATE: June 3, 2019 TO: HARNETT COUNTY BOARD OF COMMISSIONERS SUBJECT: New Fee REQUESTED DY: John Rouse,~ REQUEST: At the May 16, 2019 meeting the Board of Health approved to add the following fee. CPTCODE 82247 DESCRIPTION Total Serum Bilirubin Thank you for your consideration in this matter . FINANCE OFFICER'S RECOMMENDATION: COUNTY MANAGER'S RECOMMENDATION: RECOMMENDED PRICE $30.00 \\hc fil eb\hth shar e\admin\F ileshare\1 -Exc e l\B O H PAT FEE rN C-NEW FEES-BOC Reque st s \B OC Form s\B OC 060 3 19 (B OH 0 51 6 19) 82247.d oc x Page I of I 060319 HCBOC Page 70 Agenda Item J./: ft\ Board Meeting Agenda Item MEETING DATE: June 3, 2019 TO: HARNETT COUNTY BOARD OF COMMISSIONERS SUBJECT: Revised Clinical Patient Fees, Eligibility and Bad Debt Write Off Policy REQUESTED BY: John Rouse, Health Directo<o\ .. ~ REQUEST: At the May I 6, 2019 meeting, the Board of Health approved a revision to the Clinical Patient Fees, Eligibility and Bad Debt Write Off Policy. The page and section is attached for review. Thank you for your consideration in this matter. FINANCE OF FICER'S RECOMMENDATION: COUNTY MANAGER'S RECOMMENDATION: \\hcfite b\ht hshare\adm in \F il eshare\ 1-Exc el\BO H PAT FEE INC-NEW FEE S -B OC Req uests\BOC F onns\agendaform2 01 9 .d ocx Page I of I 060319 HCBOC Page 71 Page 11 7. Income information r eported for Family Planning financia l eligibility screening can be used through other p rograms offered in the agency, rather than re-verifyin g income or solely on the client's self-reporting. 3. Sources of In come: • Employer Wages • W-2 • SSI / Public Assistance payments • Retir ement • Social Secu rity • Alimony payments • U n emp l oymen t comp ensation • Regul ar cont ributions from sources out side the h ome • Financial p ayment/other sources of income that may exist include but n ot limited to ca sh, or tha t c an be read ily c onverted to cash, etc ... Some items not included as income: • Housing allowance for milit ary p ersonnel is not counted . The eligib ility specialist will have to identify the proper amount of the housing a l1 owance and subtract it from the total gross income shown on the check. • Non-cash b enefit s such as WIC vouchers, food stamps, food, rent or fuel recei ved in lieu of wages . • In-kind ho using assistance • School lunches, etc ... 4. Client Household/Contact Electronic: (information needed to enter into Patagonia) Complete C lient Household on eac h c lient every 12 months ; unl ess clien t has a change, then it w ill be updat ed and resigned earlier. The cli ent will be asked at e ach visit i f the re ha s been a change in their financial status . Income will al ways be based on the "actual date" of service. If there has been a change or it is time fo r their annua l r eview, the income determination process shall take pl a ce. If flat fee service or no ch arge, Client Household is not necessary. For Immunization only visits, household infom1ation and income will be obtamed when possible. It is not always feasible to obtain this information if someone other than P.arentlg!;!ardian brings the minor client. 060319 HCBOC Page 72 Policy and Procedure HARNETT COUNTY HEAL TH DEPARTMENT Title: CLINICAL PATIENT FEES, ELIGIBILTY AND BAD DEBT-WRITE OFF APPROVED: 3-17-2005 DATES REVISED: 5-18-06 9-18-08 11-17-11 9-19-13 9-18-14 APPROVED BY: ~~ 9-17-15 3/2/17 1/25/18 10/02/18 05/16/19 John Rouse , Health Director Wk<&~M. Gail Hobbs, Accounting Specialist 1 Board of Health Chairman Board of Commissioner's Chairman Purpose Public health services are increasingly costly to provide. The Health Department serves the public's interest best by assuring that all legally required public health services are furnished for all citizens. The department provides recommended and requested public health services based upon the priorities established by the Board of Health. Fees are a means to help provide se rvices to the citizens of Hamett County. Fees h e lp finance and extend public health services when government funding is not sufficient to support the full cost of providing all required and requested services. Fees are considered appropriate in the sense, that the entire population benefits from the availability of public health services for those in need , it is the direct recipient of services who gains the greatest direct benefit. Fees for Health Department services are authorized under North Carolina 130A-39 (g), provided that I) the y are in accordance with a plan recommended by the Health Director and approved by the Board of Health and Board of County Commissioners, and 2) they are not otherwise prohibited by law. Fees are based on the cost of providing services. Policy The clinic is to operate a system of financial management to: • meet the standard of grantor agencies • safeguard all income and expenditures -fees collected (generated through reimbursement) will be maintained in an identifiable line item in the Health Department and County Finance Office . • assure collection of revenues from all sources with financial obligations of the serv ice The policy will include procedures for (I) Setting Charge s, (II) Definitions (III) Billing Clients and (IV) Procedure for Aging of Accounts (Bad Debt Write-Off), (V) Patient Demographic (Vl) Determining Eligibility for Discounts. 060319 HCBOC Page 73 Page 2 Procedure I. Setting Charges for Service a. In accordance with G.S. 130-A-39(g), the Board of Health has the authority and duty to establish charges for services provided in clinics. Specific methods used in seeking reimbursement will be through third-party coverage, including Medicaid, Medicare (for massive immunizations), private insurance, and individual patient pay. The Board of County Commissioners adopts fees established by the Board of Health. The Board of Health and Board of Commissioners adopt the fees along with the fiscal years budget process. b. No client will be denied services nor subject to any variation in services based solely on the inability to pay or regardless of the source of payment. C. Eligibility: Each client must cooperate in: • an eligibility determination; and • provision of documentation of third party eligibility (Medicaid, Medicare, private insurance) for which they are eligible; and • provision of declaration of income. 1. Cost-based services: Charges are to be based on an accounting analysis of all services provided. The Board of Health accepts the Medical Fees in the United States 50th percentile times geographic adjustment factors for North Carolina, unless the approved Medicaid rates are greater. If the Medicaid rate is greater then that will be the acceptable charge. A comparison of the Medicaid cost study is considered. The Fee Setting Committee reviews and makes recommendations to Board of Health. 2. Service discounts: A schedule of discounts is to be used to adjust most service charges for clients between 101 % and 250% of poverty. Family Planning clients with income <100% of the Federal Poverty Level are not charged for Family Planning services. 3. The discounts will be based on: 1. household members (economic unit), family and 11. mcome. 4. Financial Agreements/Assignment of Benefits Authorization is to be scanned in Patagonia Electronic Health Record to acknowledge responsibility for services not covered by third party carriers. Patients at 0% do not have to sign Financial Agreement. 060319 HCBOC Page 74 Page 3 II. Definition: 1. Adults and Emancipated minors : 164.502(g)(2) a. Emancipated minors : In North Carolina, there are only two ways for a minor to be emancipated (see G .S. 7B-3500 et seq): • By marriage, or • By an order of emancipation granted by a court. b. Adults : In North Carolina, a person age 18 or older is an adult for purposes of making health care decisions . 2. Minor's consent sufficient for certain medical health services (G .S. 90-21.5) a . Any minor may give effective consent to a physician licensed to practice medicine in North Carolina for medical health services for the prevention, diagnosis and treatment of (i) venereal disease and other diseases reportable und G.S. I30A-135, (ii) pregnancy, (iii) abuse of controlled substances or alcohol, and (iv) emotional disturbance. This section does not authorize the inducing, of an abortion, performance of a sterilization operation, or commitment to a mental institution or hospital for confinement or treatment of a mental condition. This section does not prohibit the admission of a minor to a treatment facility upon his own written application in an emergency situation as authorized by G.S . 122C-222. b. Any minor who is emancipated may consent to any medical treatment, dental and health services for himself or for his child . (1971, c . 35 ; 1977, c .582, s .2 ; 1983 , c .302, S 2; 1985, C . 5899, S. 31,) 3. Services to minors: • Family planning services shall be available to all who voluntarily request such services without regard to age or parental consent. (15A NCAC 21A.0503) a . Family Planning -clinic designed to assist women in planning their childbearing schedule; detailed history, lab work, physical exam, counseling and education given by appropriate provider. Women of childbearing age regardless of residency; sliding fee scale, Medicaid and third party insurance . Clients must be charged based on household members and income and discounts may be established for persons between 101 %-250% of poverty based on sliding fee scale . If client loses birth control pills a $10.00 per pack 060319 HCBOC Page 75 Page 4 will be accessed to the client and sliding fee scale will apply. Depo-Provera is to be billed separately from physical fee. If during the course of a Family Planning or Maternal Health visit the clinician needs to rule out STDs to meet standards of care , the patient cannot be charged for STD testing and treatment. [The STD services must be provided at no cost to the client. Medicaid can be billed and if permission is given by client then third party insurance can be billed; but co-pays, co-insurance/deductibles for STD are adjusted off.] The billing staff must determine, as accurately as possible , the client's ability to pay based upon family income. This determination and notice of any applicable waiver should be made prior to the delivery of services and must be conducted each time a client requests services. When considering charges to minors for family planning, several conditions must be taken into account. If the minor is unemancipated and confidentiality of services is not a concern, the family 's income must be considered in determining the charge for the services. When a minor requests confidential services, without the involvement of a principal family member, charges for services must be based on the minor 's income. Income actually available to the minor, such as wages from part-time employment, stipends and allowances paid directly to the minor , should be considered in determining the minor's ability to pay for services. Those services normally provided by parents/guardians, e.g., food, shelter, transportation, tuition, etc., should not be included in determining a minor's income . Under certain circumstances where confidentiality is restricted to limited members of the family , e .g., one parent is aware of the minor seeking services but the other is not because of disagreement regarding the minor's right to receive family planning services, the charges shall be based on the minor's income if the minor's confidentially would be breached in seeking the full charge . Billing staff must seek payment from third parties who are authorized or legally obligated to pay for services unless , in doing so, patient confidentiality would be compromised . Third parties should be billed at full charge and not discounted, unless there is a contracted reimbursement rate that must be billed per the third party agreement. Family Planning patients will have fees assessed based on declaration of income if no proof of income is provided. The use of NC Debt Set-Off is acceptable for collecting past due amounts for Family Planning . Bills/receipts given to clients at the time of service show total charges, as well as any allowable discounts. Where a third party is responsible, bills are submitted to that party . Bills to third party show total charges, without discounts , unless there is a contracted reimbursement rate that must be bill per the third party agreement. Family Planning Services will not be denied because the patient has a delinquent account balance. No Medical Doctor referral is required for patients seeking Family Planning services . 060319 HCBOC Page 76 Page 5 4. Child Health clients must be charged based on household members and income and discounts established for clients between 101-250% of poverty based on sliding fee scale. 5. Maternal Health clients must be charged based on household members and income and discounts established for clients between 101-250% of poverty based on sliding fee scale. 6. Adult Health clients must be charged based on household members and income and discounts established for clients between 101-250% of poverty based on sliding fee scale. If Adult Health services falls under flat fee service follow the Flat Fee Policy. 7. Communicable Disease Control -this program deals with the investigation and follow-up of all reportable communicable and/or sexually transmitted diseases, to include: testing, diagnosis, treatment and referring as appropriate. It also provides follow-up and treatment of Tuberculosis cases and their contacts. The services must be provided at no cost to the client. Medicaid can be billed and if permission is given by client then third party insurance can be billed; but copays, co-insurance / deductibles are adjusted off. 8. Flat Fee Senrice: this is clinical service not on a sliding fee scale; vaccine is purchased by this agency or services provided by agency and is not mandated by the state. III. Billing clients for Care: a. See section IX. Flat Fee Services for non-discounted services. b. The Department of Public Health follows OMA guidelines when billing Family Planning and other clinical services. c. Patagonia Electronic Health Record (accounting system): Bills are to be given directly to the client at the time of their clinic visit and/or claim sent to another payment source, i.e. Medicaid, Medicare or private insurance. If payment is not made in full at time of visit then a payment schedule (dollar amount, daily, weekly, and monthly payment) will be discussed with client and put on file. d. Emancipated minors (by legal emancipation, or married) fees are to be based on household members and income. Fees for clients requesting confidentiality or no contact must be based on the client's income alone and a family size of one. e. Bills to clients are to show full charge less the appropriate sliding fee discount. 060319 HCBOC Page 77 Page 6 f. Bills to third party payer sources are to reflect the full charge and without any discount/no sliding fee discount. Unless there is a contracted reimbursement rate that must be billed per the third party agreement. g. When billing 340B services through Family Planning , a UD modifier will be used for Medicaid and HealthChoice clients. h. All denied claims will be reviewed for resubmission to Medicaid or third party insurance. ff a claim is denied payment due to improper billing code, the billing sheet is reviewed with the provider, corrected and then resubmitted for payment. 1. Patagonia's Aging Report is reviewed on a monthly basis and necessary corrections are made. J. When a bill is not paid in full during the clinic visit, it will be mailed to the client's address on the next scheduled statement processing cycle and monthly thereafter until paid in full or written off. Bills are not to be mailed to adolescents when it may undermine their confidentiality or when a client requests no contact or no mail. When confidentially or no mail is requested by client see if alternate billing address can be used . Also , see Debt Set-Off Policy for further collection options. k . Clients are to receive a receipt for any payment. (Printed from Patagonia EHR unless after closeout for daily deposit then hand written numbered receipt will be issued). I. Voluntary donations may be accepted and a receipt issued. Clients are not pressured to make voluntary donations. Voluntary donations are not a prerequisite for provision of any service or supply. Billing requirements set out are not waived because of client donations. If the donation is from a client with an account balance , it is considered a payment, not a donation . m. No mail is sent to confidential clients, or if requested by a client to receive no mail or no contact "no snail mail " is checked in Patagonia . IV. Process for billing clients and aging accounts follows: Billing a . Explain to client charges for that day's services and request payment during clinic visit; inform client of balance due and have client sign "Financial Agreement/Assignment of Benefits Authorization, if deemed necessary. b . Bills to patients show total charges , as well as any allowable charges . 060319 HCBOC Page 78 Page 7 c. If client is unable to pay full amount of bill for that day's service, prepare "Payment Agreement Form" for clients to sign. Scan agreements into Patagonia under "Billing Bin". d. Label will be kept on each client in a notebook and the encounter forms shall be matched back to the label sheet to ensure all encounter forms are accounted for. e. If encounter forms are not accounted for follow-up with supervisor of that clinic. (A duplicate encounter form may need to be created if original is not found). f. Mail statement of account to client sixty (60) days after visit and monthly thereafter until written off or collected through Debt Set-off. g. After 3 months; mail "payment agreement form" to client to select payment option(s), if client has not signed "payment agreement form" or if client has already made a selection send a copy of "payment agreement form" on file to the client along with statement of balance from accounting system. h. Patient statements contain a message reminding the patient if they have signed a payment agreement form to please make a payment as soon as possible. 1. Inform patient of balance due at time of service and a. Next telephone call, (if applicable or time allows) V. Aging Patient Accounts (Bad Debt Write-Offs) a. Aging of account is an accounting procedure to periodically provide an update and realistic value for accounts receivable. Accounts will be aged every 2 years or annually, if deemed by Health Director or Designee and written off as "uncollectible" only after two (2) years following the date of last service and no effort to pay has been made by patient. Unless, approval by Board of Health and/or Board of Commissioners to delay write-offs. b. Two years after the initial visit balance and payment has not been rendered, and client has been sent to Debt Set-off program and has not been in for service any balance remaining under $50 after two years will be written-off. Balance will be reinstated once client returns for service. Balances over $50 follow Debt-Set Off Policy, unless unable to collect from Debt-Set Off. c. As long as a balance remains, the client is to be informed of the current balance. 060319 HCBOC Page 79 Page 8 d. In the event a client should offer payment on an amount previously written-off, the charge will be reinstated and payment accepted. Reinstatement wiil reflect the amount written-off in the accounting system. If client returns to Health Department for services write-off will be reinstated and the client will be informed of the amount owed. e. The electronic client ledger card (accounting system) will indicate the write-off. f. The Harnett County Board of Health authorizes the Health Director to write-off debts deemed uncollectible under this policy; the Health Director will report to the Board of Health the total amount to be written off. The Health Director will then request approval of the write-off debts from the Board of Commissioners. After approval by the Board of Commissioners then the debts will be written off. g. Reasonable efforts to collect charges/bills without jeopardizing patient confidentiality are made. The Harnett County Health Department utilizes an Electronic Accounting System for receivables (Patagonia EHR). Electronic version to be used, unless Patagonia EHR (accounting system) is down then paper version will be done and then scanned into system when it is back up. VI. Patient Demographics and Insurance Information a. A Patient Demographics will be initiated and completed for each client. b. Personal data required includes: • Last name, First name, Middle Initial (MN if one) • Social Security number, as needed for billing and debt set-off • Date of Birth • Race and Ethnicity • Sex • County of Residence Code • Country of Origin • Address and phone number • Preferred Language • If minor, Parent Details: Father Name, Father DOB, Father Phone, Father SSN, Emergency Contac Name, Emergency Contact Number; Mother Name, Mother DOB, Mother Phone, Mother SSN. 060319 HCBOC Page 80 Page 9 c . In surance information: (Patagonia EHR) Primary & Secondary • Self-Pay o Insurance Type (Type Self-Pay) o Insurance Type (Type Self-Pay) o Relationship with Insured (Spouse, self, child , other) o Full Name of Insured o Insured number o Date of Birth of Insured o Gender of Insured o Address of Insured o Home Phone of Insured, if available o Work Phone of Insured , if available o Cell Phone of Insured , if available o Subscriber Assignment of Benefits (clients will sign) o Subscriber Release of Info ( clients will sign o Has Coordination of Benefits • Medicaid /Medicare / or Private Insurance o Insurance Type ( o Insurance (Type Medicaid) o Relationship with Insured (Spouse, self, child, other) o Full Name of Insured o Insured number o Date of Birth of Insured o Gender of Insured o Address of Insured o Home Phone of Insured, if available o Work Phone oflnsured, if available o Cell Phone , if available o Subscriber Assignment of Benefits ( clients will sign) o Subscriber Release of Info ( clients will sign o Has Coordination of Benefits VII. Instructions for Determining Eligibility for Sliding Scale Fee Discount: Definition: l . Economic Unit : The Economic Unit will consist of people living in the home related to the client and those living in the home providing direct or indirect financial support for the client. 060319 HCBOC Page 81 Page 10 2. A family is defined as a group of related or non-related individuals who are living together as one economic unit. Individuals are considered members of a single family or economic unit when their production of income and consumption of goods are related. An economic unit mush have its own source of income. Also, groups of individuals living in the same house with other individuals may be considered a separate economic unit if each group support only their unit. A pregnant woman is counted as two (including the unborn child) in determining the family size . (Related to client by blood, marriage, or adoption, father of unborn child or client's boyfriend, and/or live in the same household as the client and contribute to the client's support; rent, utilities, grocies, clothes, etc.). Those who are financially responsible for the client or those who dependent on the client for financial assistance are included in economic unit. 1. A foster child assigned by Department of Social Services is a family of one with income considered to be paid to the foster parent for support of the child. 2. A student maintaining a separate residence and receiving most of her/his support from her/his parents or guardians may be counted as a dependent of the family. Self-supporting students maintaining a separate residence would be a separate economic unit. Family Planning considers this group extremely high-risk for unintended pregnancy. Any student in this category is considered as a family of one and is to be billed based on the income of the client. 3. An individual or family in an institution is considered a separate economic unit. 4. lf a patient requests "confidential services", regardless of age, the agency shall consider them a family unit of one based on their income. 5. Family Planning patient is marked as "confidential" in Patagonia EHR when Encounter is created; ESB is created and "no snail mail is checked". 6. If a Family Planning patient presents for a service and is considered to be a minor , interview questions may include the following: 1) Ask the patient if their parents are aware of their visit? 2) Ask if "both" parents are aware of their visit , since sometimes the mother may be present with the patient, however, the father may not be aware of the visit. 3) Ask if you can send a bill to the home, to both parents. 4) If the patient states both parents are aware and it is not a confidential visit, you should treat as such. 060319 HCBOC Page 82 Page 11 7. Income information reported for Family Planning financial eligibility screening can be used through other programs offered in the agency, rather than re-verifying income or solely on the client 's self-reporting. 3. Sources of Income: • Employer Wages • W-2 • SSI / Public Assistance payments • Retirement • Social Security • Alimony payments • Unemployment compensation • Regular contributions from sources outside the home • Financial payment/other sources of income that may exist include but not limited to cash, or that can be readily converted to cash, etc ... Some items not included as income: • Housing allowance for military personnel is not counted. The eligibility specialist will have to identify the proper amount of the housing allowance and subtract it from the total gross income shown on the check. • Non-cash benefits such as WIC vouchers, food stamps, food, rent or fuel received in lieu of wages. • In-kind housing assistance • School lunches , etc ... 4. Client Household/Contact Electronic: (information needed to enter into Patagonia) Complete Client Household on each client every 12 months; unless client has a change, then it will be updated and resigned earlier. The client will be asked at each visit ifthere has been a change in their financial status. Income will always be based on the "actual date " of service . If there has been a change or it is time for their annual review, the income determination process shall take place . If flat fee service or no charge, Client Household is not necessary . For Immunization only visits, household information and income will be obtained when possible. It is not always feasible to obtain this information if someone other than parent/guardian brings the minor client. 060319 HCBOC Page 83 Page 12 • Enter the following information: 1. Last name, First name, Middle Initial (MN, if one) 2. Relation 3. Employer 4. Annual Income 5. Proof of Income (proof is not required -type declaration of income or if they bring proof provide type of proof: example pay stub, etc. a. lf minor -type not specified 6. Date Verified 5. Computation of income Regular Income Formula: The patient's income will be determined by the following: income will be based on a twelve (12) month period. lf the patient is working the day they present for a service, income will be calculated weekly, bi - weekly, monthly or annually, depending on the documentation obtained. If the patient is unemployed the day they present for their service, their "employment only" income will be calculated at zero (0), however the patient shall be asked to provide "their mechanism", in regards to their paying for food, clothing, shelter, utility bills, etc. Refer to "sources of income" counted and apply all sources, as appropriate. "Regular contributions received from other sources outside of the home" is considered one of these sources. lf the patient is receiving unemployment or other "sources" of income, as designated above, all of these sources shall be counted. Unemployment or irregular Income Formula: • Six months formula • Wage earners unemployed at time of application • Unemployed any time during previous 12 months • Example: Unemployed today • Income determined six months back • Income determined six months forward • Total= 12 months of income An electronic version of the Financial Eligibility Determination shall be maintained in Patagonia EHR for future reference. The number in the household, annual gross income and percentage of pay should be reflected on the financial documentation. The documentation should be signed and dated by the interviewer and patient. Use of electronic signatures is acceptable. Income is re-assessed annually unless there has been a change in financial status. Following the initial financial eligibility determination, the client will be asked at each visit if there has been a change in their financial status. Income will always 060319 HCBOC Page 84 Page 13 be based on the "actual date" of service . If there has been a change or it is time for their annual review the income determination process should take place. Patient fees are assessed according to the rules and regulations of each program and for clients based on sliding fee between IO 1-250% of poverty level will be used to determine fees. All third-party providers are billed where applicable. Clients presenting with third party health insurance coverage where copayments are required shall be subject to collection of the required copayment at the time of service. For Family Planning (Title X) clients the copay may not exceed the amount they would have paid for services based on sliding fee scale. Income information reported during the financial eligibility screening for one program can be used through other programs offered in the agency, rather than to re-verify income or rely solely on the client 's self-report. Individuals and emancipated minors seeking confidential or individuals requesting no contact service are to be considered a family unit of one (family planning, etc) • Client documentation when refused: Client/guardian may be requested to declare income annually or as changes occur, but proof of income for documentation is not required. If client refuses income information he /she will be accessed at 100%, except Family Planning will not be accessed (0%). • Documentation is required: Acceptable sources of income verification. Proof of income is not required. 1. Check/Pay stubs 2. W-2 forms 3 . Letter from employer, etc . 4. Self-employed clients can provide the latest tax return 5. Self-Declaration •:• Check all Eligible Programs in Patagonia EHR: • Eligibility specialist will ensure that all eligible programs are checked that apply to the clients visit in Patagonia EHR. • Eligibility specialist will create declaration of income and have client sign and date declaration of income list • Eligibility specialist will sign and date declaration of income list 060319 HCBOC Page 85 Page 14 VIII. Responsibility of Billing Staff -each visit 1. Clients are screened to determine financial eligibility at the time of visit 2. Explain to the client the reason for charging fees for services received and sliding fee scale 101 ·250% 3. Discuss with client acceptable forms of income verification. 4. Complete financial eligibility in Patagonia .if no income, can be referred to Department of Social Services with "Third Party Confirmation Letter" (attached to policy) or accept declaration of income. 5. There is no minimum fee requirement or surcharge that is indiscriminately applied to all patients. 6. Explain that the expectation of the Health Department is that reimbursement is expected same day as service. If unable to pay same day have the client sign a contract agreeing to pay for the cost of the services. If, on subsequent visits, the client has not made payment, remind client of signed agreement. (see attached "Financial Agreement/ Assignment of Benefits Authorization" Farm) 7. Billing staff shall copy insurance card and a form of identification to ensure the correct insured client is using the insurance card. (May be scanned into Patagonia under "billing bin") 8. Billing staff should collect insurance co·insurance/deductibles and will be accessed according to the sliding fee scale. Co·pays are not subject to sliding fee scale and will be collected at 100%, with the exception to Family Planning which will be applied to the sliding fee scale. Eligibility 1. Clients will not be denied statutorily required services based solely on the inability to pay. Services may be denied if the department does not have the resources needed to provide a quality non-mandated service. Family Planning clients will not be denied because the patient has a delinquent account balance. 2. The Health Department shall not deny a service due to religion, race, national origin, creed, sex, marital status or age. 3. Clients do not have to be a resident of the county to be eligible for services provided by the Health Department. 060319 HCBOC Page 86 Page 15 4. Clinical services provided by the Health Department are targeted to individual with income between 101 %-250% or below of the federal poverty level. 5. Cost of foam and condoms, and other non-prescription contraceptives are included in the reimbursement rate established for preventive medicine codes. Medicaid and third party insurance clients will be provided a prescription unless, confidential or no contact requested. These clients will be provided pills. One exception is if a client loses her birth control pills there will be a $10.00 per pack or currently established fee accessed to the client and sliding fee scale will apply. 6. Clients will be informed to bring Medicaid card, Insurance card, Health Choice Card and/or household income or declare income at the time of visit. 7. Clients will be asked if their income has changed at each visit to the health department. 8. There shall be no minimum fee requirement or surcharge that is indiscriminately applied to all patients. 9. Patients are not required to apply for Medicaid to receive services. 10. Medicaid recipients are eligible to receive program services. 11. Patient shall be given a receipt each time a payment is collected, showing charge and discounted fee for services. 12. Patient schedule of charges are on county website and a sign is posted that states "patient fee information is available upon reque st". 13. Patients will not be denied services nor subjected to any v ariation in services based solely on inability to pay. 14. Patients, including Family Planning patients are not required to meet with the Health Director in an attempt to collect a delinquent account. 15. Patients will not be denied services because the patient has a delinquent account balance. 16. The Health Director or his designee may make exceptions to the eligibility requirements on a case-by-case basis. The Health Director or his designee may waive fees for Family Planning clients with incomes above 100% of the Federal Poverty Level who , as determined by the Health Director or his designee, are unable, for good cause, to pay for Family Planning services. Documentation of such decisions shall be maintained in a log at the Billing Station. 060319 HCBOC Page 87 Page 16 Laboratory Billing-AFP-Prenatal Patients AFP labs will be sent to UNC for testing on all prenatal patients. IX. FLAT FEE SERVICES Flat Fee Service This is clinical services not on a sliding fee scale, vaccine is purchased by this agency and is not mandated by the State nor is the vaccine provided by the state ; and providers see adult women for services (pap smear, labs-such as cholesterol, urinalysis). • Flat fee service will be collected at the billing before the client is seen in clinic. • If the client does not receive the service then a refund will be issued. • Medicaid does not pay for PPD/Tuberculin Skin Test if related to work or school , so in this instance the client is responsible for the charge. This policy shall be reviewed by the Health Director annually. If there is a revision/amendment to this policy then it shall be brought back to the Board of Health for approval at the next meeting date and the Board and Board of Commissioners at their next meeting date. 060319 HCBOC Page 88 Board Meeting Agenda Item Agenda Item L/ -N MEETING DATE : June 3, 2019 TO: HARNETT COUNTY BOARD OF COMMISSIONERS SUBJECT: CONSIDERATION OF CONTRACT DOCUMENTS FOR SHA WTOWN AREA COMMUNITY CENTER FEASIBILITY STUDY GRANT AW ARD REQUESTED BY: ADMINISTRATION REQUEST: Administration requests approval of contract documents to accept $10,000 grant-in-aid from the North Carolina Department of Commerce. This funding will allow for the completion of the "Shawtown Area Community Center Feasibility Study." This project includes the preparation of a conceptual site plan, development of a rendered site plan and building evaluation plan, and preliminary estimation of construction costs for a community center to be constructed by the Shawtown Alumni Association on property the Association acquired from Harnett County behind the former Shawtown School. The County gave the property to the Alumni Association in 2012 with the requirement that a community center be constructed on the property by 2032. This project will be funded through a $10,000 grant-in-aid, which Harnett County was awarded for the development of this project. No County funds are included in this project. FINANCE OFFICER'S RECOMMENDATION: COUNTY MANAGER'S RECOMMENDATION: P :\B0 C\agendafonn2019.docx Page I of I 060319 HCBOC Page 89 ROY COOPER Ga.t>rnor ANTHONY M. COPELAND SPcrnar~- May 16, 2019 Mr. C. Gordon Springle Chairman Hamett County PO Box 759 Lillington, NC 27546 KENNY FLOWERS ~ss,-'1anr S..Cf'f'far, Re: Contract Agreement for Grant Number 2019-015-1257-1534; Your Signature and Reply is Requested Project Title: "Shawtown Area Community Center Feasibility Study" Dear Chairman Springle: Enclosed for your review and signature are two complete sets of contract documents required to finalize the grant award pursuant to N.C. S.L. 2018-5, as construed by The Joint Conference Committee Report. Below is a description of the documents enclosed along with an explanation of the signatures required for each document. Document: Document Description: Si~ned Bv: Grant Contract: Outlines the terms of Grant Agreement between the Departm ent o f Commerce Highest Elected Official - Agree ment and the Unit of Local Government. Unit of Local Government. Exhibit A Grantee Proposal: This document is incorporated into the agreement as the scope of the Highest E lected Official - oroiect. Unit of Local Government. Exhibit B Sample Final Report Form: This is a sample of the progress/fin al report. A progress Highest Elected Official - report is due every January and July 151h for every year that the grant is open. Local Unit of Local Government. governments should submit a final report detailing the outcomes and expenditures of the grant including copies of invoices/receipts for each expenditure paid with the grant funds due to Commerce by July 15, 2020 . This form may be found on our website: www.nccommerce.com/nm . Exhibit C Payment Request Form: This fom1 outlines payment to b e made from Commerce to the Authori zed Signatory - grantee. Please sien and date Section F. Unit of Local Government. Execute two originals of these documents and return one of them to my attention at the address. If you have any questions regarding the enclosed documents, please contact me at (919) 814-4671. Sincerely, Nichole M. Gross Data and Compliance Specialist Enclosure Nor lh Caro lina O~partmenl of Comrncrc.~ I Ru,~I (conomic D~vdopmcnl Divi~ion 301 North Wilming1on Slrc·ct I 434b Mail Servirc Cen1tr I Raleigh. NC 271,qq 434b q 1q 814 4b00 T 060319 HCBOC Page 90 Rural Economic Development Grant Agreement Revitalization and Economic Development 2019-015-12S7-1534 The North Carolina Department of Commerce ("Commerce"), an agency of the State of North Carolina ("State"), enters into this Revitalization and Economic Development Grant Agreement ("Grant Agreement") with the Harnett County (the "Governmental Unit" or "Grantee" and, together with Commerce, the "Parties"}, a local governmental unit. WHEREAS , N.C. S.L. 2018-5, as construed by The Joint Conference Committee Report, (the "Authorizing Legislation") authorized the awarding of Revitalization and Economic Development Grants or ("Revitalization and Economic Development Grant") to provide grants to certain municipal governments to encourage revitalization and economic development through investment in Shawtown Area Community Center Feasibility Study referenced in the "Authorizing Legislation"; and WHEREAS , Commerce, through its Rural Economic Development Division, administers the Revitalization and Economic Development Grants; and WHEREAS, the Governmental Unit submitted a proposal and supporting materials (together, "Proposal"} to Commerce for a grant (the "Grant") to fund a project (the "Project"} as described in Grantee Proposal (Exhibit A). NOW, THEREFORE, in consideration of the mutual promises and such other valuable consideration as set out herein, the Parties mutually agree to the following tenns and conditions: I. Grant Agreement Documents. This Grant Agreement consists of the following documents: (a}. This Grant Agreement, including all documents incorporated by reference herein. (b). Grantee Proposal (Exhibit A}. (c). Sample Progress/Final Report (Exhibit B). (d). Payment Request Form (Exhibit C) 2. Changes in the Project or Other Conditions. (a). A "Project Change" is any material alteration, addition, deletion or expansion of the Project, including (without limitation) material changes to construction, rehabilitation, the matching investment in the Project and/or the other significant source of funding (if applicable). A "Project Change" also includes any filing of bankruptcy by the Governmental Unit. There shall be no Project Changes unless expressly approved of by Commerce in a separate, prior written agreement stating, if applicable, the costs and schedule for completing the Project Change. (b ). Additionally, the Governmental Unit shall immediately notify Commerce of any change in conditions or local law, or any other event, which may significantly affect its ability to oversee, administer or perform this Grant Agreement or the Project. In its sole discretion, Commerce may deem such a change in conditions, local law or other event to constitute a Project Change. 060319 HCBOC Page 91 Rural Economic Development Grant Agreement Revitalization and Economic Development 2019-015-1257-1534 3. Tenn of Grant Agreement. 4. 5. The effective period of this Grant Agreement shall commence on 7/3/2018 (''Effective Date") and shall terminate on 7/3/2020 unless tenninated on an earlier date under the terms of this Grant Agreement (either one of which dates shall constitute the "Termination Date") or unless extended for an express tenn in writing by Commerce. Funding. Commerce grants to the Governmental Unit an amount not to exceed $10,000.00 for expenditures directly relating to the Project. The Governmental Unit hereby represents and warrants that all Grant funds shall be utilized exclusively for the purpose of the Project and consistent with this Grant Agreement, the Authorizing Legislation and all other applicable laws, rules, regulations and requirements. The Governmental Unit shall not make or approve of any improper expenditure of Grant funds, including any expenditure of Grant funds for salary or wages for employees of the grantee organization, and food or refreshment expenses. Independent Status of the Governmental Unit. (a). The Governmental Unit is an entity independent from Commerce and the State. The Grant Agreement, the Project and any actions taken pursuant to them shall not be deemed to create a partnership or joint venture between or among the Governmental Unit, Commerce, the State or any third party. Nor shall the Grant Agreement or the Project be construed to make the Governmental Unit (including its employees, agents or contractors) or any third party into employees, agents, members or officials of Commerce or the State. Neither the Governmental Unit (including its employees, agents or contractors) nor any third party shall have the ability to bind Commerce or the State to any agreement for payment of goods or services or represent to any person that they have such ability. (b ). The Governmental Unit shall be responsible for payment of all of its expenses, including rent, office expenses and all forms of compensation to its employees, agents and contractors. The Governmental Unit shall provide worker's compensation insurance to the extent required for its operations and shall accept full responsibility for payments of unemployment tax or compensation, social security, income taxes and any other charges, taxes or payroll deductions required by law in connection with its operations, for itself and its employees, agents and contractors who are performing work pursuant to this Grant Agreement. All expenses incurred by the Governmental Unit are its sole responsibility, and neither Commerce nor the State shall be liable for the payment of any obligations incurred in the performance of the Project. 6. Method of Payment. Commerce shall endeavor to pay the Grant funds to the Governmental Unit within 30 calendar days of actual receipt of this Grant Agreement executed by Governmental Unit and the satisfaction of all other conditions precedent to payment of grant funds to Governmental Unit. Funds may only be used in accordance with this Grant Agreement and the uses set forth in the Authorizing Legislation. Commerce may request, and the Governmental Unit must produce, any information from the Governmental Unit justifying the use of the Grant funds. The submission of any reports required by Exhibit Band Paragraph 8 below, or any requests for reimbursement required by this Paragraph or Exhibit B, representing that any work on the Project has been performed shall constitute a certification that the work represented has actually been performed. 2 060319 HCBOC Page 92 Rural Economic Development Grant Agreement Revitalization and Economic Development 2019-015-1257-1534 7. 8. Project Records. (a). The Governmental Unit shall maintain full, accurate and verifiable financial records, supporting documents and all other pertinent data for the Project in such a manner as to clearly identify and document the expenditure of the State funds provided under this Grant Agreement separate from accounts for any separate awards, monetary contributions or other revenue sources for this Project. (b). The Governmental Unit shall retain all financial records, supporting documents and alJ other pertinent records related to the Project for a period of five (5) years from the date of the last disbursement of Grant funds or the Termination Date, whichever is later. In the event such records are audited, all Project records shall be retained beyond the five-year period until the audit is concluded and any and all audit findings have been resolved. Monitoring, Reports and Auditing. (a). The Governmental Unit agrees to ensure compliance and provide its assistance with such monitoring and auditing requirements as the State may request, including following the Termination Date of this Grant Agreement. Additionally, the Governmental Unit shall regularly monitor all performance under Grant-supported activities to ensure that time schedules are being met and other performance goals are being achieved. Further, the Grantee, or designated agent, shall maintain records and accounts that properly document and account for the application of all Grant funds for a minimum of five (5) years after the date of the last disbursement or the Termination Date, whichever is later. (b ). The Governmental Unit shall furnish Commerce a detailed written final report within 30 days of the Termination Date. If the Termination Date is extended a final report shall be furnished within 30 days of the new Termination Date. The Governmental Unit shall furnish detailed written progress reports as otherwise requested by Commerce within 30 days of the request from Commerce. Such progress and final reports should describe the progress made by the Governmental Unit toward achieving the requirements and purpose(s) of the Project, and shall include detailed financial documentation proving funds were appropriately expended . Such descriptions should include the successes and problems encountered during the reporting period . In Commerce's sole discretion, failure to submit a required report by the scheduled submission date or submission of an inadequate report will trigger Repayment Requirements addressed in Paragraph 12(b) of this Grant Agreement. (c). The Governmental Unit acknowledges and agrees that, with regard to the Grant funds, it will be subject to the audit and reporting requirements prescribed by N .C.G .S § I 59-34, Local Government Finance Act -Annual Independent Audit; rules and regulations. Such audit and reporting requirements may vary depending upon the amount and source of Grant funding received by the Governmental Unit and are subject to change from time to time. (d). The Governmental Unit grants the State and any of its related agencies, commissions or departments (including, without limitation, Commerce, the North Carolina State Auditor and the North Carolina Office of State Budget and Management) and any of their authorized representatives, at all reasonable times and as often as necessary (including after the Termination Date), access to and the right to inspect, copy, monitor, and examine all of the books, papers, records and other documents relating to the Grant Agreement or the Project. Likewise, the Governmental Unit shall ensure that any third party it employs or contracts with to work on the Project provides the same access. In addition, the Governmental Unit agrees to comply at any time, including after the Termination Date, with any requests by the State (including, without limitation, Commerce) for other 3 060319 HCBOC Page 93 Rural Economic Development Grant Agreement Revitalization and Economic Development 2019-015-1257-1534 financial and organizational materials to permit the State to comply with its fiscal monitoring responsibilities or to evaluate the short-and long-range impact of its programs. 9. Termination; Availability of Funds . (a}. If the Governmental Unit fails to fulfill in a timely and proper manner its obligations or violates any of the covenants or stipulations under this Grant Agreement, the Governmental Unit agrees that Commerce has the right to terminate this Grant Agreement by giving the Governmental Unit written notice specifying the Termination Date, which Commerce may determine in its sole discretion . Upon such termination , Commerce shall have no responsibility to make additional Grant payments. Upon such termination, the Governmental Unit shall not expend any Grant funds without Commerce 's express written authorization and shall return all unspent Grant funds to Commerce upon demand. (b). The obligations of Commerce to pay any amounts under this Grant Agreement are contingent upon the availability and continuation of funds for such purpose. If funds for the Grant become unavailable , the Governmental Unit agrees that Commerce has the right to terminate this Grant Agreement by giving written notice specifying the Termination Date, which Commerce shall determine in its sole discretion. Upon such termination, the State shall have no responsibility to make additional Grant payments. Further, upon such termination, the Governmental Unit shall not expend any Grant funds without Commerce 's express written authorization and shall return all unspent Grant funds to Commerce upon demand. I 0 . Liabilities and Loss. The Governmental Unit hereby agrees to release, indemnify and hold harmless the State (including , without limitation, Commerce), and their respective members, officers, directors , employees, agents and attorneys (together, the "Indemnified Parties"), from any claims of any third party arising out of any act or omission of the Governmental Unit or any third party in connection with the performance of this Grant Agreement or the Project, and for all losses arising from their implementation. Without limiting the foregoing, the Governmental Unit hereby releases the Indemnified Parties from , and agrees that such Indemnified Parties are not liable for, and agrees to indemnify and hold harmless the Indemnified Parties against , any and all liability or loss , cost or expense, including, without limitation, reasonable attorneys' fees, fines, penalties and civil judgments, resulting from or arising out of or in connection with or pertaining to, any loss or damage to property or any injury to or death of any person occurring in connection with the Project, or resulting from any defect in the fixtures, machinery, equipment or other property used in connection with the Project or arising out of, pertaining to , or having any connection with, the Project or the financing thereof (whether arising out of acts, omissions, or negligence of the Governmental Unit or of any third party), including any claims and losses accruing to or resulting from any and all subcontractors, material men, laborers and any other person , finn or corporation furnishing or supplying work, services, materials or supplies in connection with the Project. 11. Governmental Unit Representations and Warranties . The Governmental Unit hereby represents and warrants that: (a). The execution and delivery of this Grant Agreement have been duly authorized by all necessary Governmental Unit action and are not in contravention of law or in contravention of the provisions of any indenture agreement or undertaking to which the 4 060319 HCBOC Page 94 Rural Economic Development Grant Agreement Revitalization and Economic Development Governmental Unit is a party or by which it is bound . 2019-015-1257-1534 (b ). There is no action, suit proceeding, or investigation at law or in equity or before any court, public board or body pending , or to the knowledge of the Governmental Unit , threatened against or affecting it that could or might adversely affect the Project or any of the transactions contemplated by this Grant Agreement or the validity or enforceability of this Grant Agreement or the abilities of the Governmental Unit to discharge its obligations under this Grant Agreement. If it is subsequently found that an action, suit, proceeding, or investigation did or could threaten or affect the development of the Project, Commerce can, in its discretion , terminate the Grant Agreement upon notice and require the Governmental Unit to repay to Commerce the entire amount of the Grant. (c). No consent or approval is necessary from any governmental authority as a condition to the execution and delivery of this Grant Agreement by the Governmental Unit or the performance of any of its obligations hereunder, or all such requisite governmental consents or approvals have been obtained . The Governmental Unit shall provide Commerce with evidence of the existence of any such necessary consents or approvals at the time of the execution of this Grant Agreement. (d). The Governmental Unit is solvent. 12. Additional Repayment Requirements and Remedies . (a). The repayment requirements and remedies addressed in this Paragraph 12 are in addition to those repayment requirements and other remedies set forth elsewhere in this Grant Agreement, including the requirements to repay unspent Grant funds . No remedy conferred or reserved by or to the State is intended to be exclusive of any other available remedy or remedies, but each and every such remedy shall be cumulative and shall be in addition to every other remedy provided for in this Grant Agreement, or now or hereinafter existing at law, in equity, or by statute, and any such right or power may be exercised from time to time and as often as may be deemed expedient. (b ). If there is a breach of any of the requirements, covenants or agreements in this Grant Agreement (including, without limitation, any reporting requirements), or if there are any representations or warranties which are untrue as to a material fact in this Grant Agreement or in relation to the Project (including the performance thereof), the Governmental Unit agrees that Commerce may require repayment from the Governmental Unit of an amount of Grant funds to be determined in Commerce 's sole discretion but not to exceed the amount of Grant funds the Governmental Unit has already received under this Grant Agreement. 13 . No Waiver by the State . Failure of the State (including, without limitation, Commerce) at any time to require performance of any tenn or provision of this Grant Agreement shall in no manner affect the rights of the State at a later date to enforce the same or to enforce any future compliance with or performance of any of the terms or provisions hereof. No waiver of the State of any condition or the breach of any term, provision or representation contained in this Grant Agreement, whether by conduct or otherwise, in any one or more instances, shall be deemed to be or construed as a further or continuing waiver of any such condition or of the breach of that or any other term , provision or representation . 5 060319 HCBOC Page 95 Rural Economic Development Grant Agreement Revitalization and Economic Development 14. Waiver of Objections to Timeliness of Legal Action. 2019-015-1257-1534 The Governmental Unit knowingly waives any objections it has or may have to timeliness of any legal action (including any administrative petition or civil action) by the State (including, without limitation, Commerce) to enforce its rights under this Grant Agreement. This waiver includes any objections the Governmental Unit may possess based on the statutes oflimitations or repose and the doctrines of estoppel or )aches. 15. Special Provisions and Conditions. (a). Non-discrimination. The Governmental Unit agrees not to discriminate by reason of age, race, religion, color, sex, national origin or disability related to the activities of this Grant Agreement . (b ). Conflict of Interest. The Governmental Unit shall keep on file, along with the executed copies of this Grant Agreement, a copy of its policy and any ordinance or resolution it has adopted addressing conflicts of interest that may arise involving the members of the Governmental Unit 's governing body and/or any of its employees or officers involved in the Grant or the Project. Such policy, ordinance or resolution shall address situations in which any of these individuals may directly or indirectly benefit, other than through receipt of their normal compensation in their capacities as the Governmental Unit's employees, officers or members of its governing body, from the Grant or the Project, and shall include actions to be taken by the Governmental Unit or the individual, or both, to avoid conflicts of interest and the appearance of impropriety. Additionally, the Governmental Unit certifies that, as of the date it executes this Grant Agreement, no such individuals have such a conflict of interest or will directly or indirectly benefit, except in the capacities described above, from the Grant or Project . Throughout the duration of this Grant Agreement and the Project, the Governmental Unit has the duty to promptly inform Commerce of any such conflict of interest or direct or indirect benefit of which it becomes aware. (c). Compliance with Laws. The Governmental Unit shall at all times observe and comply with all laws, regulations, codes, rules, ordinances and other requirements (together, "Laws") of the state, federal and local governments which may in any manner affect the performance of the Grant Agreement or the Project. (d). Non-Assignability. The Governmental Unit shall not assign or transfer any interest in the Agreement without the prior written consent of Commerce; provided, however, that claims for money due to Governmental Unit from Commerce under this Grant Agreement may be assigned to any commercial bank or other financial institution without such approval. 6 060319 HCBOC Page 96 Rural Economic Development Grant Agreement Revitalization and Economic Development 2019-015-1257-1534 16 . Notice. All notices required or permitted to be delivered hereunder and all communications in respect hereof shall be in writing and shall be deemed given when personally delivered or when deposited in the United States mails , certified , return receipt requested, first class , postage prepaid and addressed as follows: If to the Rural Authority or Commerce: Attn: Melody Adams Director, Rural Grant Programs North Carolina Department of Commerce Rural Economic Development Division 301 North Wilmington Street 4346 Mail Service Center Raleigh, North Carolina 27699-4346 lf to the Governmental Unit: Attn: Mr. C. Gordon Springle Chairman Hamett County PO Box 759 Lillington, NC 27546 or addressed to such other address or to the attention of such other individual as Commerce or the Governmental Unit shall have specified in a notice delivered pursuant to this subsection . I 7. Entire Agreement. This Grant Agreement supersedes all prior agreements between Commerce and the Governmental Unit with regard to the Project and expresses their entire understanding with respect to the transactions contemplated herein, and shall not be amended, modified or altered except pursuant to a writing signed by both Commerce and the Govenunental Unit. 18 . Execution . This Grant Agreement may be executed in one or more counterparts, each of which , when executed, shall be deemed an original , and such counterparts , together, shall constitute one and the same Grant Agreement which shall be sufficiently evidenced by one of such original counterparts . I 9 . Construction. This Grant Agreement shall be construed and governed by the laws of the State of North Carolina. 20 . Severability. Each provision of this Grant Agreement is intended to be severable and , if any provision of this Grant Agreement is held to be invalid, illegal or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect or impair any other provision of this Grant Agreement, but this Grant Agreement shall be construed as if such invalid, illegal or unenforceable provision had not been contained herein. 7 060319 HCBOC Page 97 Rural Economic Development Grant Agreement Revitalization and Economic Development 21. Acceptance. 2019-015-1257-1534 If the Governmental Unit agrees to the Grant conditions as stated, please return the execu ted documents specified in Paragraph 1. This Grant may be withdrawn if Commerce has not received such documents within ten ( 10) days from the date of the cover letter from Commerce to the Governmental accompanying this Grant Agreement and its Exhibits. IN WITNESSETH WHEREOF, the parties hereto have executed this Grant Agreement as of the date first above written. Harnett County Signature: [SEAL] Printed Name: Title: Date: ~-3-J'/ North Ca rolina Department of Commerce Signature: [SEAL] Printed Name: Kenny Flowers Title: Assistant Secretary for Rura l Economic Development Date: 5/16/2019 ------------------------------ 8 060319 HCBOC Page 98 2018-2019 Downtown Revit-alli;ation/Economic Devefopment Proposal Form Local Govemment Information Lega [ i-!ame of Local Governm e nt: Ho rn &1t C ~ ·-_ _ _____ County: __ Harne_tl __ l ier# 2 Name of Chief EIEcted Offi ci a1• C . Gorcion Springle litle: Chairman , Board of Cornrnissioners Mailing Address : P 0 . Box 75S -------------Street Address · -~-~ McKinney_P_a_rk._w_a~y _________ _ City: Lillingto n Stat€: __ _B~ ___ Zip : 2754 6 Primary Telephone(s): 910-893· 7555 Fax : 910 -614 -2662 Email. gspringl e@ha_r_n_e_tl_.o~rg ____ -----------Fede ral Tax ID#: 566000306 Local Gove:nment Project Contact: Name : Brian Haney Title: Assistant County Manager Primary Tel ephone: 910-893-7 555 Email : -------------~-bhaney@hamf,tt org ----------·------ Grant Administrator (if applicable) Mailing Address : Street Address : City · State : Zip: Name : Title: --------------------. -- Primary Telephone : Fa~: Ema il: 2 3 Federal Tax ID#: Community Information Is you r community des ignated by the Department of Commerce as a NC Main Street community? Is your commun ity designated by the Department of Commerce as a NC Small Town Main Street community? Is your community receiving downtown strategic economic development planning services through the NC Main Street & Rural Planning Center's Downtown Associate Community program? Has your commun ity received strategic economic development planning services through the NC Main Street & Rural Planning Center's Rural Planning program in the last 3 years? Would you like for the staff at the Oepartmenl of Commerce, NC Main Street & Rural Planning Center to contact you regarding strategic economic development planning services? l If yes , please provide the contact information for the person to contact Name : Title: Phone : Email. Project Information Check One Yes No r I~ Provide a description of the downtown revi1alization/economic development activities to be funded by the grant along with the estimated cost for each activitv. Hamett County donated 10.3 acres of land to the Shawtown Alumni Association for the purpose of construction of a Community Center. This project is the initial phase towards that goal. The project, '"Shawtown Area Community Center Feasibllity Study" is to complete a rendered site design and rendered building elevations. The scope will also indude prelimnary construction cost opi nions for both the site development and build ing construction . 2 060319 HCBOC Page 99 2 Provide a descri tion oj the ro osed outcomes of the downtown revitaliza tion/economic develo ment ro ·ect/activit . The proposed outcomes for !he project begin with the prel1m1nary cost opinions for the site development and constructrc,n of the -, Community Center Th,s esUmate will he lp eslabhsh the proJecl budget so t'le A lumni Association can begin to work towards fundrng co nstruction The rendered Sile plan and rendered building elevations wil l be a valuable tool for presentations about the proiect and fundra,sing efforts 3 . 4 Upon issuance of an authorization to proceed to lhe selected architectural firm , the project will take approximately 8 wee~s to- complete . -----·····------ Included ore aerial UAS photo, of 1he site in ques!ion. Subjecl property owned by Showlown Alumni Associolion is --1 adjacent to the east of 10 .55 acres owned by· the Coun1y of Harnet t. The County-owned proper1y ts tt1e site of the forrner ! Showlown School and is currently in lhe process of being renovated/developed for occupancy by numero us C ounty jl partners to provide se1vices to tt 1e community . Also included is GIS moppi ng of sife Ac c ess to subject properly will be J from Irene Roberts Rood. Applicant Certifications The attached statements and exhibits are hereby made part of this application, and the undersigned representative of the applicant certifies that the information In this application and the attached statements and exhibits are true , correct, and complete to the best of the signatory's knowledge and belief. The signatory further certifies : 1 as Authorized Representative , the signatory has been authorized to file this application: 2 that the governing body or agrees that if a grant is awarded , the applicant will provide proper and timely submittal of all documentation requested by the Granter Agency; 3 that the applicanl has substantially complied with or will comply with all federal, state, and local laws. rules, regulations . and ordinances as applicable to this project; and 4 that as of the date listed below, the applicant is not listed on the Final Divestment List created by the State Treasurer pursuant to N.C.G.S . 143-6A-4. This list , along with additional information about the Iran Divestment Act, is available on the Treasurer's Office site : ht1ps :/lwww.nctreasurer.com/inside-the-departmenVOpenGovernmenVPages/lran-Divestment-Act-Resources .aspx . ~ .J~_ ~ ~------:-,=-,......,...----,--,--,~---,--- Signature of Chief Elected Official or Authori¥ed Representativs S-\Y-1~ -------Date Complete proposals should be submitted no later than October 5, 2018 by one of the following delivery options: Via e-mail as a signed PDF to: rgpreports(a),rn.:commerce.com Or via postal or overnight delivery to: Melody Adams, Director, Rural Grant Programs North Carolina Department of Commerce, Rural Economic Development Division 301 N. Wilmington Street {For Overnight Delivery Services) 4346 Mail Service Center (For US Postal Service) Raleigh, NC 27699 3 060319 HCBOC Page 100Ill (I) :::, .., C: (!J w .., ~ 0 I&, ~ 0 z ~ ,Harnett ·1 c--, en~, u >N ~ .~ GIS/E-911 Addressing May 13, 2019 e z u Harnett GIS Recyde Center -, L .. City Limits LandfiDs 0 Address Numbers Surrounding County Boundaries D Airport Federal Property MajorRoads 0 Interstate NC Parcels N w~e us Roads s lo 80 160 320 I Mile_Markers Feet Railroad 1 inch = 188 feet 060319 HCBOC Page 101.. .,.._-=----.;.-·· . . . . ' ...---·-::--.. ··';f;!f&..:'..:t~' ..... ; .~·"':f.t--L,,_ ( ~ , •. ~ --•, ,•' -~~~~-~-"{ ilo-', -~,..1t~~-~· ... ;-::. , . .. . ~ l, ~-~~~-. --::t.. ·.-'',/. • -. ~--,,.,.. 4~ I :/_,·•> · ~·· ---..J: ~~~· r '-~~ ' IP . .. ~ .. j .·• .. -.. . -~. . . ... _., ·.~ . ... :.. ·, '·-·, ,, 060319 HCBOC Page 102 060319 HCBOC Page 103 North Carolina Department of Commerce Rural Economic Development Division Rural Grant Programs Downtown Revitalization and Economic Development Progress and Final Report Form r Progress Report ! Final Report GRANTEE INFORMATION (to be completed by Grantee) Reporting Period Contract Information From: Contract Ref# 2019-015-1257-1534 ----------------(date) To: (date) Grantee Name: Harnett County Project Contact Completing this Form: Primary Telephone : Project Title : Shawtown Area Community Center Feasibility Stud Title : ------------ Email : PROJECT SUMMARY 1) Please provide a detailed description of the project progress to date . 2) Provide a detailed list of expenditures including the item and cost. 3). Attach copies of invoices/receipts for each expenditure paid with grant funds . SIGNATURE OF CHIEF ELECTED OFFICIAUAUTHORIZED REPRESENTATIVE TYPED NAME AND TITLE Page 1 of 1 Date Last Updated July 2017 060319 HCBOC Page 104 NC DEPARTMENT OF COMMERCE, RURAL ECONOMIC DEVELOPMENT DIVISION RURAL GRANT PROGRAMS PAYMENT REQUEST FORM GranVC:;.~~:::::-'-~"'~""9-0""'"1.;~;:;;1unty"25'!7-.1~5-34-----------------Request Numbar: 1 Requeat Amou nt: ""s°'10'"',ooo=.-=oo::------------------ Grant Award Amount:_,s,,,10 ..... 000 ........... 00 ....... __________________ _ Project Type:~O~lh~•~•--------------------- T•nnlnaUon Date:..;.7/'J/2=c=020=------------------- &totion A S.otlon B one D PAYMENT REQUESTS RGP-owd Total Lin• lt•m ... ., Budget Lin. Items 1 2 3 • • • 7 • • 10 Expenditures t o RGP 81,11.t Dato B ud'l"t F-711/201' ,-. ,..., , ..... ,_ , ..... ,_ ,_ ,_ ,..., . . . °' ' °' ~ « ~ ~ NCSL 201 .. S 15.1; NC&l 2'01MJ s ,0000.00 $10,000.00 s 10.000.00 100.00% s 0.00% s ...... s 0.00% s ODDS< s 0.00% $ 0.000< s 0.000< s 0 ..... • 0 ..... s 0.000< • 0.00% $ 000% • 0.00% s 0.000< • o ..... s 0.00% s 0.00% Expenditur• per Pavment R~,t S 10,000.00 s s s $ . s s s s s Total R•qllht Amount s 10,000.00 s s s s s s s $ s Sec4lon E S.ctlon F RURAL DIVISION USE ONLY GtantSummarv , ,. .. ., nr111y ,o a.,._, or .. r 111~ elHI .. ,,., .. at.,.,. f¥01f ,. _.,MW ~.,.,-,..,.,,...,. .,.nodafJ,.....,,C~11rrouflltandn•orfl"Opaad......,..,,D•ofhw-~actJOIIIIJ•-"'"' GNnt Awerd: $10,000.0D ~ Of'l'Mb:.atlort to, M1 S... olF«lfHw w .. , lnlc,,.,. ,WMN ~a. In,.,.., -" le-. I owttr,,,,., all PIDfPW• rep,a,u am/-,..,. '9ponlnf1 ,.qu,~ u OtlflflNd In "'-fPMi conr,,acf .,. ~ M d Grant Amount up to UM,., • ..,.. lo.sJPP'f Mf~flldocumMCdotl ~to~W •cJMtn , R,quen.d to 0..: $1 0,000.00 PNpMw/ by• Nldtoh II Gtott a.. & CM!plla,!c. s,,.ddti (t1tJ l 1"4111 <j I·~ ,. ·-'"" ,,._. RMt.Jning Gr•m S Martce : $0.0 0 Auchorlz ed Signatory k•! P~ent~• af Grant t:Jr,,,,,,n: 100.00% Authorlz-1 Slgn,,to,y Title Ce b./l i ... fil e. ~ ~. o.t. Signed: Program rage Dale ~-!-'I la thle the Mal pa~ent? v .. No Soc11on0 If SO, whal deob amount? $ N OT ES: Grant M countam: Date Sul)Jec:t lo t43C~23: Yes No Compbant W'ith 143C~-23: Yes No Amended 7/5/18 Oivialon Olrector:j Aula\anl Secretary: !Dale Dale I Qunt1ons or S.rtd Payment Requeat & Su pporting Oocumentatlon to: Ma1': Rural Grant Programs I -4346 Mail S&rvice C&nl er I Rate.gh, NC 27t'IW-4346 O R :=~~u~~~=~=f:~nth ,~Ht J.s le.s.s IIMn 50 pri'>ted pagM) m >< I OJ -I 0 l) ro Q) Ul (l) Ul co· ::, Q) ::, a. ., $a. C ., ::, §. g 8 ::, c:- Q) $1 a. g C 3 (l) ::, ur - 060319 HCBOC Page 105 AGENDA ITEM 7 JUNE 3, 2019 APPOINTMENTS NEEDED ADULT CARE HOME COMMUNITY ADVISORY COMMITTEE There are five (5) vacancies on this committee. BOARD OF HEAL TH There is (1) vacancy for an engineer position on this board. CEMETERY BOARD OF TRUSTEES Michele Temple would like to be reaQPointed to serve on this board. HARNETT COUNTY REGIONAL JETPORT There is one vacancy for a Harnett County Economic Development Council member. HARNETT COUNTY BOARD OF ADJUSTMENT There is one (I) vacancy for an alternate member representing District 3 on this Board. There is one ( 1) vacancy for an alternate member representing District 5 on this Board. HISTORIC PROPERTIES COMMISSION There is (1) vacancy for District 3 and (1) vacancy for an a lternate on this committee. HOME AND COMMUNITY CARE BLOCK GRANT COMMITTEE Pamela Williams would like to serve on this board. aQplication attached). There are (2) vacancies on this committee. NURSING HOME COMMUNITY ADVISORY COMMITTEE There is (2) vacancy on this committee. NONPROFIT FUNDING COMMITTEE There is (1) vacancy for a District 4 representative on this committee. SOUTHEASTERN ECONOMIC DEVELOPMENT COMMISSION There is one vacancy to serve on this board. Page 1 of 2 060319 HCBOC Page 106 TRIANGLE SOUTH WORKFORCE DEVELOPMENT BOARD (TSWDB) This board recommends Angie Stewart be reappointed to serve (letter & application attached). Her new term would be effective July 1, 2019 to June 30, 2023 . s. Michelle Muir has been reappointed to serve on this Board to fulfill the role as the State Employme11t Service Representative. Her new term will be effective July I, 2019 -June 30, 2023. Page 2 of 2 060319 HCBOC Page 107 APPLICATION TO SERVE ON A BOARD APPOINTED BY THE HARNETT COUNTY BOARD OF COMMISSIONERS BOARD: "> rn c + U ')yY)rJJ t,1 111 f (-,t ( ,(' ):__tj J Q_: f Ca /l'l/"7/'i ic C NAME: ~ V1 1 r .,, u J ADDRESS: I l7 lt l;rfa oc~ t1 II LJ(-1 kC z vc,J .~ tJc J-d i3. c; ' I VOTING DISTRICT: (Please check district number in which you live): D District l, Commissioner McKoy's D District 4, Commissioner Springle's D District 2, Commissioner Elmore's D District 5, Commissioner Miller's D District 3, Commissioner Penny's TELEPHONE: (HOME) O\ l 0 -~ Cai J -9 Y q ,,, (WORK) 0, Ju --,S -c J. -3 s R-er PRESENT OCCUPATION: S e_ J -f e_ fl/1,,lP /u l 1 eel YEARSOFFORMALEDUCATION: ---'-....-..C---+~---------------- CMC AND FRATERNAL ORGANIZATIONS IN WHICH YOU HA VE PARTICIPATED: WI\.) ~o ,~'-l ..e--- PLEASE TELL WHY YOU WOULD LIKE TO SERVE ON THE ABOVE LISTED BOARD: t--. ·--, 1,., .. ':,..J / \ \ ('~ ( .i lt' __. I+. S t,,k!(<f/ h ,St',,', U'.j (_, !; S::-1-(·/!,0., t' /,;0-d 0 l ' -f j, _.,_ J. / . /,l' ) _ r] v'Vc c;_,~ e~ 5 (_ , > ? I •v v• ru ~, ,,<.f J . •, , ,J .<)'-"·/ 1 J () t ·1 -<.l a::'! -ho ,. /,If < {" 1 1.1 ((1,,M f 4 / . .,4: •••••••••••••••••••••••••••••••••••••••• FOR OFFICE USE ONLY: DA TE RECEIVED: __ ___,-)=--~-~ I'-----..__/ q_.___ ____ -tl)_·~_r-v_~~-----11 __ _ DATE FORWARDED TO COUNTY COMMISSIONERS: -------------- 060319 HCBOC Page 108 rr1an111 south orklorca D8U810Dffl8RI Board - May 17, 2019 Hamett County Board of Commissioners P. 0. Box 759 Lillington, NC 27546 T. 919.777-7795 F. 919.718.7071 Center for Workforce Innovation 5910 Enterprise Park Drive, Sanford, NC 27330 www.trianglesouthworkforce.com Re: Recommendation for Reappointment -Angie Stewart Dear Commissioners: Ms. Angie Stewart, Existing Industry and Product Development Manager with Hamett County Economic Development, currently serves on the Triangle South Workforce Development Board as a representative of Economic Development. Ms. Stewart's initial, four-year term on the board, expires on June 30th, 2019. Ms. Stewart is eligible for reappointment and has submitted a nomination form for consideration of reappointment to the above mentioned board. Ms. Stewart comes with a tremendous amount of experience regarding economic development and remains an active and participatory board member. The Workforce Innovation and Opportunity Act (WIOA) requires representation of economic development on workforce boards to remain in full compliance of the law. This appointment will allow the board to be in compliance ofWIOA regulations. If reappointed, Ms. Stewart's new term would be effective July l, 2019-June 30, 2023. Thank you for the consideration and we look forward to hearing from you soon. Sincerely, ::&oJ,Q)J _ CJuofYJ Rosalind M. Cross, Director Workforce Development and WIOA Programs Attachment: Nomination Form for Angie Stewart "An Equal Opportunity Employer/Program. Auxiliary aids and services available upon request to individuals with disabilities" 060319 HCBOC Page 109 NOMINATION FORl\1 -TRIANGLf. SOUTH WORJ.:FORCf. DJ:\'EI.OPMEl''T BOARD Workforre D.-·dopmenl and \\'orkforce lnno\'llion and Opportunity Act Pro~ram~ !>en·inJ! the North Carolina Counties of Chatham. II amen. I.cc and Sampson NH.me: Angie Stewart Addr~s . 200 Alexander Drive, Lillington, NC lii!H amc11 DLcc DSamrscm Count} of Residence ( Please Chccl One): DChatham Telephone: 910-814-6893 Email. astewart@harnett.org Present OccupallonlJob Title: Econ Dev .. Existing Industry/Product Dev Manager Employer: Harnett County Years with current employer. 2.5 __________ _ Ycan; offonnaleducation: _1_6 __________________________ _ Workforce [)e,•elopmcnt Board Composition Requirements: • Business/Private Sector (al least 5 I% private sector members) t Labor Representative, Community-Based Organization or apprenticeship (must equal :!O? o) • Adult Education and Literacy • lhgher Education (secondary and post-secondary) t Vocational Rehabilitation Agency Representative t Econom ic Development • State Employment Service Sector of Reprucutatiou (Please li,t vour joh title): Business (Small or large -pri,ate sector including medical, manufacturing, construcl1on. rcLml. etc) - Labor or Union Representative (Nomin3ted by loca l la bor federation or cmploye.:s of l"cdeull(m -or u·hcre none c.ists, rcprc~cntativc of em ployees including o rgani1,a tions that serve \'eterans) - Community Based Organil.ation (Includes organizations 1ha1 ser ve ind iv iduals" uh disabilities. ,eterans. you lh . literacy and community aclion agencies) - Appren11cesh1p (Including _1mnt-lahor management registered apprent1Ct"1'h 1p prog rams) - /\duh Ed,icauun and Literacy - Highc, Education - Vocational Rehahihtation Agency - Economic De,·elopment - Existing Industry/Product Development Manager State Employment Service - 060319 HCBOC Page 110 Sectnr of Repre,entation (Pltase li,t ,our job title) continued: Othe, (Picas-· lis11 · Cnmmu11it), Ci\ h. and Profc~~ilmal ,)t~dlli1.alit1ns i11 \\ hi1.·h _\11u haH· J'la.rtiL·ip.Jtu1 Harne!! County Bus1ne~5 Education Par111erst11p Triangle South Wor1<.force Development Board Central Carolina Community College Harnett County Advisory Board Please· de!'.Cnb,: bnc!l; wh) ~,,u \\Ould hkc to serve en tht· Workforce Dc,dopmcnt Hoard Workforce development is a key component of driving the county's economic development ettorts. Serving on thrs board allows me to keep our existing employers engaged with resources to assist thelf retention and expansion. Ongoing workforce development ettorts are also key to recruiting new employers to the county. JJ > •• •• ·7""·\:_ -~ 4 • ·) --j" .... Signalurc: I Plea,e send nomination fonn and letters lo: Rosalind \1. Cros,, Director of Workforce De, clopinenr and WIOA 1105 Kdl; Dri,c Sanford. N(' ~7330 ('ll\l) 777-771/~ I L"lt,~!l'U t..:t.:C\.' Cdt! Th(· l>lrccHlr \\ ill fnn,ard nflrninJ1ion forn1..., ,o rc!lpc..:-thc C"nun,y Ctimmis~ioncr:r-fr,r con,irlt:ratiC'n and appuintmrnt to the \Vorkfon:-t' l)ncl,,pinent Bvartl. 060319 HCBOC Page 111 1r1anu1e south or111orce oaue1onm1nt Board May 17, 2019 Board of Commissioners for: Chatham County Lee County Hamett County Sampson County Greetings Fellow Constituents: Re: Board Member Reappointment T. 919.718-7080 F. 919.718.7071 Center for Workforce Innovation 5910 Enterprise Park Drive, Sanford, NC 27330 www.trianglesouthworkforce.com Per the Workforce Innovation and Opportunity Act of 2014 (WIOA) legislation, all workforce boards are required to have a State Employment Service Representative on the board. In order for the Triangle South Workforce Development Board to remain in compliance with the WIOA legislation, I am moving to reappoint Ms. Michelle Muir to continue to fulfill that role as the State Employment Service Representative. Ms. Muir's new term will begin effective July 1, 2019-June 30, 2023. Ms. Muir continues to work for the NC Division of Workforce Solutions and currently serves as the Regional Operations Director in the North Central Prosperity Zone. In this role, Ms. Muir currently represents and covers three of Triangle South's counties to include: Chatham, Hamett and Lee. Please join in support of this action in order for the TSWDB to remain in full compliance of WlOA regulations. Sincerely, )n~-L~ A. Lrdon Spring!;_}/.--U ~ Chief Elected Official Triangle South Workforce Development Board "An Equal Opportunity Employer/Program. Auxiliary aids and services available upon request to individuals with disabilities " NC GUARDIAN AD LITEM PROGRAM DISTRICT: 11 COUNTIES: HARNETT, LEE AND JOHNSTON COUNTIES • JUNE 3, 2019 ffl North Carolina GUARDIAN AD LITEM A CHILD'S ADVOCATE IN COURT Role of NC Guardian ad Litem (GAL) Advocate Dig for details in the child's case Collaborate with others involved in the case Recommend what's best for the child Empower the child's voice Monitor the case to completion Keep a II records confidentia I \ Qualifications to Serve as a GAL At least 18 yea rs of age Willing to complete extensive screening (criminal, child abuse registry check, interview, etc.) and an initial 35 hour pre-service training typically held at CCCC in Lillington A sincere concern for the well-being of children A commitment to advocate for a child until a safe and permanent home is established and court involvement is no longer required The ability to be objective, non-judgmental, and culturally competent The ability to interact respectfully with people from diverse economic, educational, and ethnic backgrounds Good verbal and written communication skills Volunteers Supporting Our Community 151 Children Represented in Harnett County o (31 Children in Lee; 257 Children in Johnston County) 13 Harnett County Children Awaiting a GAL ( -J by 3) o (21 Children in Johnston; 100% Coverage in Lee) 56 Harnett County Citizens Serving as Advocates ( 1' by 3) o (14 Advocates Serving in Lee; 59 Advocates Serving in Johnston) Savings to Community e 151 Children Represented in Harnett County Volunteers Donate, on Average, 8 Hours of Service Per Month o 1,208 Average Hours Per Month 2019 Rate for Independent Sector Valued Time -$25.19 Per Hour o $30,429.52 Savings Why volunteer? Our Children Need A Voice! A Guardian ad Litem has the potential to change the entire trajectory of a young person's life. Representing the best interests of a child in court can be the difference between a life of dysfunction and a life of opportunity and happiness for a young person. That is why I serve. -Daniel Simmons, Harnett & Lee QJ u ·-> 1.- QJ V) I QJ i.-e.. GIVING BAGI( TO OUR COMMUNITY North Carolina GAL Program's Peanut Butter& Jelly Drive tft-·-1 GUARDIA_flf AO LITt.M •o..n""'*A1't•c.....,. T.', Appreciation for Office Space o Convenient Access to Court Room for Child-Clients and GALs Work Space for Citizen Volunteers Pleasant Work Environment for Staff Secure Meeting Location for Advocates on Contested Cases GAL Advocates Feel Appreciated GET IN TOUCH ! If you're interested in learning more about becoming a GAL volunteer or would just like to support our program, visit us online or on our social media sites. • • www.vol u nteerforga I .o rg IJ "NC Guardian ad Litem" Ii "Guardian ad Litem Program -Harnett, Johnston & Lee Counties" @Vol u nteerforGAL You can also contact us at: Allison Delong at 910-814-4692 allison.s.delong@nccourts.org IMPORTANT STATlSTlCS FISCAL YEAR 2016-17 Volunteers 5,371 volunteer advocates 515,616 hours of service $12.45 million saved due to volunteer efforts Volunteers donate, on average, 8 hours of service monthly. Independent Sector valued volunteer time during 2016 at $24.14 I hour. Attorneys 64 paid attorneys contractors 109 pro bono attorneys 12 staff attorney advocate positions 116 paid conflict attorneys Staff 3 regional administrator positions 139 field staff working in 69 offices 7 administrative, training, legal staff positions Program statistics 69,961 chi ld abuse and neglect hearings 18,083 abused and neglected children received legal representation 190 juvenile appellate cases filed PARTNERS National CASA Association N.C. Bar Association -Juvenile Justice and Childrens ' Rights Section N.C. Chi l d Fatality Prevention Team N.C. Child Fatality Task Force N.C. Collaborative for Children, Youth, an d Families N.C. Department of Health and Human Services N.C. Department of Juvenile Ju stice and Delinque ncy Prevention N.C. Department of Public Instruction N.C. Governor's Crime Commission N.C. Youth Advocacy and Involvement Office N.C. Office of Indigent Defense Services Strong Able Youth Speaking Out Inc. (SaySo) PARTNER Q!)OTE National Court Appointed Special Advocates (CASA) Association Tara Perry, CEO -"We envision a world where every abuse d or neglected child ha s the opportunity to thrive in a safe and loving home. Our volunteer advocates champion the chi ld's best inte rest in the courtroom and community." • ------------•••------------- GUARDIAN AD LITEM (GAL) PROGRAM Our Mission The North Carolina Guardian ad Litem (GAL) program equips community volunteers to serve abused and neglected children by advocating for their best interests in court. In 1983, the North Carolina Genera l Assemb ly established the Office of Guardian ad Litem Services as a division of the North Carolina Administrative Office of the Courts. Pursuant to G.S. 78-601, when a petition alleging abuse or neglect of a juvenile is filed in district court, the judge appoints a volunteer GAL advocate and an attorney advocate to provide team representation to the child, who has full party status in trial and appellate proceedi ngs. All GAL advocates are trained, supervised, and supported by program staff in each county of the state. The collaborative model of GAL attorney advocates, volunteers, and staff ensures that all North Carolina children who are all eged by the Department of Social Se rvices to have been abused or neglected receive GAL legal advocacy services. The role of Guardian ad Litem advocates is to: Fulfill state and federa l sta tutory mandates t o protect and promote the bes t interests of juveniles in abuse and neglect court proceedings Help the courts work efficientl y toward safety and permanence for ch ildren Con d uct independent investigations to determine the facts, needs of the chi ld, and the resources appropriate to meet those needs Determine the wi shes or expressed prefere nces of the chi ld and report those to the court Provide a voice for abused and neglected child r en in every cou nty of the st ate Why Use Volunteers? When speaking about child victim advocacy in court, the question sometimes arises, "Why use volunteers?" Answering that question for North Carolina entails an evolving history spanning nearly a decade, but the short answer is that volu nteers are effective. The model of co-appointing volunteers and attorneys to speak for abused and neglected children in court provides strong, competent advocacy for the children who need it. • ,,,,,,,. < ·""""" Providing trained, i ndepend ent advoca t es t o r eprese nt and promo t e t he bes t GUARD IA N AD LITEM . . . •cH1Lo·s•ovoCArE 1Ncou•r interes t s of abu se d, neglect ed, and dependent ch ildren in the st at e court syst em "The GAL is that independent voice advocating for the child's needs, without regard to budget or funding stream. Children know their voices are heard and the judge is considering their desires and wishes, as well as their best interests. As children in our caseloads age, the GAL and Attorney Advocate guide them through appearances in court and help them understand how court works, and why decisions are made. We do a better job in this critical effort because of the work of the GAL" -Judge J. H. Corpening OUR TEAM APPROACH Components Brief Description and Situation Staff "For 35 years, GAL staff have equipped citizen volunteers to advocate in court for the state's abused and neglected children. The powerful ripple effect of each staff member's knowledge, experience, and support is evident as thousands of GALs ensure timely permanent outcomes for tens of thousands of children:' -Cindy Bizzell, GAL Administrator Attorneys "GA L attorney advocates assure t hat abused and neglected children's legal rights and best interests are protected in juvenile court proceedings. These skilled attorneys co llaborate with trained GA L volunteers and staff to ensure that the court has the needed facts and information to make decisions about children's best interests and w ell- being." -Reginald O'Rourke, GAL Associate Counsel Volunteer advocates "Every child that's born has a purpose and has a right to be happy in childhood. Every child has the right to have a chance to be successful in life. That's what it means to be a GAL, for me to be ab le to speak up and fight for that right for chi ldren ." -John C., GAL Volunteer "I became a GAL to let a child in foster care know that someone is looking out for them when those who should be can't. I have le arned to be open-minded and forgiving to the parents who have put them in a stranger's care. I learned that kids can be resilient in the most unfortunate situations." -Charlene W., GAL Volunteer GAL staff recruit, train, and supervise volunteers. These roles, along with thorough screening and criminal record checks, help ensure the safety and best interests of child clients. Staff duties include assuring quality representation for children, promoting positive community relations to foster commitment to the program, while educating the public, maintaining a record keeping case management system, and developing and providing appropriate in-service training opportunities. Staff must have knowledge of volunteer administration, child development, juvenile court, applicable laws and statutes, program development, and evaluation techniques. They often serve on local interdisciplinary task forces and committees that affect the availability of services for GAL child clients. GAL attorneys represent children's best interests in nearly 70,000 court hearings, including non-secure custody hearings, adjudicatory proceedings, dispositional proceedings, review hearings, permanency planning hearings, proceedings to terminate parental rights, and post termination of parental rights hearings. In addition, they often participate in team meetings and any court ordered pre-trial co nferenc es. Although juvenile appeals are expedited, the number of appeals is ri sing. Attorneys from law firms across the state contribute pro bono time and expertise to handle more t han 65 percent of all GAL appeals. Volunteer advocates are screened, interviewed, and receive 30 hours of initial training. At lea st six hours of in-service training are offered each year to maintain the knowledge and ski lls needed to advocate for best interests of child clients. The sta te's GALs are adults who come from diverse communities, cultures, and life and work experiences. On average, advocates donate eight hours each month to perform their statutorily mandated duties. They visit child clients, conduct interviews, read reports, monitor court orders, collaborate with service providers, formulate fact-based, child-focused court reports with recommendations, and testify in court hearings. While GAL attorney advocates are appointed to every case, the program does not yet have a volunteer advocate for every child. In those instances where no volunteer advocate is available, GAL staff are required to perform the volunteer advocate's duties, limiting their ability to focus on their primary duties of recruitment, training, and supervision. Currently, 2,400 children need the services of a volunteer advocate. Learn more at 1-800-982-4041 I www.ncgal.org I www.volunteerforfga l.org ?-3-J 9 !IC t3o c_ FRIENDS OF RAVEN ROCK STATE PARK Presentation to Harnett County Board of Commissioners for Legislative Support to increase funding for additional park staff at Raven Rock State Park Robert Hewett Chairman Friends of Raven Rock State Park PO Box 1572 Lillington, NC 27546-8821 https.//www fr rendsofravenroc k.org/ lune 3rd, 2019 Table of Contents 1. To Whom it May Concern and Presentation 2. NCGA Legislative Update May 31st, 2019 a. E-Mail from David Pearson -Executive Director NCFSP 3. Example Letter for Legislative Support -RARO Staffing 4. Inadequate Staffing Brochure -NCFSP S. White Paper on RARO -John Privette, Superintendent 6. Copies of Old Newspaper Articles on RARO Visitation 1976 7. Brief on Inadequate Park Staffing -No Author 8. Raven Rock State Park General Management Plan -2017 9. Friends of Raven Rock -Board of Directors 2019 10. Friends of Raven Rock -About RARO 2019 (by Karen Kratz) 11. Friends of Raven Rock -Notable Accomplishments 2014-2019 12. North Carolina Friends of State Parks -Website Homepage 13. North Carolina Friends of State Parks -Two Year Vison Statement 14. North Carolina Friends of State Parks -Articles of Incorporation June 3rd, 2019 To Whom it May Concern: This brief is only intended as a supplemental information source to be used in concert with a presentation made to the Harnett County Board of Commissioners on June 3 rd, 2019 . The information contained within has been collected from many sources and collated into one packet for the benefit of the intended audience. As the presenter of this information I make no claims as to the accuracy of any data provided . All documents have been pulled from knowledgeable sources but the information may be out of date or out of context. Please keep this in mind as you read over the many documents provided and if you need additional i nformation or clarification of specific details then please contact one of the named individuals below. Friends of Raven Rock 501(c)3-Robert Hewett (robh2@earthlink.net) North Carolina Friends of State Parks 501(c)3 -Jim Richardson (j im r @ncfsp.org ) Raven Rock State Park Superintendent-John Privette (j ohn .privette@ncparks.gov) NC State Parks Piedmont Region Superintendent -Jay Greenwood (jay.greenwood@ncparks.gov ) North Carolina State Parks, Operations -Adrian O'Neal (adrian.oneal@ncparks.gov ) North Carolina State Parks, Director-Dwayne Patterson (dwayne.patterson@ncparks.gov) Robert Hewett Chairman Fri ends of Raven Rock State Park PO Box 1572 Lillington, NC 27546-8821 ht:tp..V/www fr 1endso fr avenrnck.01 g/ June 3rd , 2019 Presentation to Harnett County Board of Directors Introduction -I am here today to discuss staffing needs for Raven Rock State Park and the role I hope this Board can play in addressing this issue. More specifically I will talk about the shortage of funded positions and highlight some of the approved changes coming that will greatly impact the Park and assigned staff. The data provided will also highlight the increase in vistorship expected and the projected demand that will place on the park, support staff, and the surrounding community. My name is Robert Hewett and as the current elected Chairperson of the Friends of Raven Rock I am tasked with reaching out and obtaining grass roots support for our local Park. Who are we? The Friends of Raven Rock or "FRARO", is a local Chapter of the "North Carolina Friends of State Parks" a 501(c)3 non-profit organization that was incorporated on April 151h, 1982 by a group of dedicated North Carolina Citizens. Their stated goal is to support all of North Carolinas State Parks, State Natural Areas and Rivers, and State Scenic Trails to ensure they remain a viable resource for future generations. All of us that volunteer for FRARO share this goal and have dedicated our personal time to support Raven Rock State Park. We do this by working as unpaid volunteers in cooperation with the leadership of North Carolina State Parks, their local staff at the park, and elected leadership at the State and Local level. As FRARO, our current high priority goal is to bring attention to the deficit in funded personnel authorizations at Raven Rock State Park . History-I have no doubt the combined knowledge in this room of Raven Rock, and its history, far exceeds my own. So please bear with me while I recall some important details for this presentation. Raven Rock State Park will be 50 this year and it is still growing in size and capabilities. For example; in 1972, the earliest we have records for, it was estimated that the park had some 27,000 visitors. Last year Raven Rock was estimated to have had 238,000 visitors to the park. This is an increase of 50% from 2010, and a 110% increase since the year 2000. Unfortunately, the staffing authorizations at Raven Rock State Park have not changed since at least 1974 which leaves a large gap in support for park visitors and a comparably large increase in work load for the Park staff. Current estimates for visitation of Parks across the State show this increase is the norm and not the exception. Current Status -Currently Raven Rock has a total of six funded positions with no additional unfunded permanent authorizations on the books. There are three positions for Park Rangers; Superintendent 11, Ranger 11 , and Ranger I. Additionally, there are three support and maintenance positions; Office Assistant IV, Maintenance Construction Tech II, and Maintenance Construction Tech I. The only additional positions authorized are seasonal employees and due to several factors, they have largely gone unfilled. Raven Rock is a seven-day operation with hours that fluctuate based on the time of year. For the Summer season the Park is open from 7:00am to 10:00pm for a total of 15 hours a day or 105 hours a week . With only three Rangers on staff working 40 hours a week this means there is only 15 hours of overlap available to allow a Ranger to be away from the park while on duty. During the Winter months this overlap is slightly larger with a total of 36 hours a week . This does not take into account June 3rd, 2019 requirements for required off site training, continuing education hours to maintain certifications, assistance to other parks, or personal leave . Acreage -RARO cur r ently h as 4,800 acres of land of which 921 acres are currently unused . This land is split by the Cape Fear River with no direct access from the South side (Main Park) to the North side (Bridle Trails). To gain access to the Northern portion of the park you must drive though Lillington which has the closest public bridge. On an average day this trip takes approximately 28 minutes one way, and for a Ranger to visit will take about two hours including travel time. This of course does not include addressing public inquires or dealing with potential concerns from visitors not following the rules of the park. Currently, no staff are assigned to the North side/Bridle Trails which leaves a large portion of the Park without immediate support when it is needed . Vis its to the North Side are done on an as needed or random basis only. Future Projects-NC State Park's has approved and is currently build ing a new campground area near the bike trails . This site will have si x cabins, nine full-service RV sites, fifteen tent and trailer sites, and a shower house. This new facility will also have a waste water treatment requirement and will require a specific certification to ensure proper handling and maintenance of the system . This new addition will bring a set of unique challenges not currently a part of the daily routine and will require additional staff to ensure full support. Additional projects are in the works to include an expansion of the current beginner's bike trail with two additional trails of greater difficulty. Current Needs -To fill the widening gap in personnel that are available for visitor and park support. To bring awareness of the additional unique vistorship and needed support to ensure all planned Park enhancements are fully realized . To allow Park staff to continue teaching and interacting with the publi c on a routine ba sis, and to maintain a safe environment for the hundreds of thousands of visitors to the park now and in the future. Request for Support -Raven Rock State Park needs your support, and the support of Harnett County! I am asking that this Board add their voice to all of ours and help bring this to the attention of the North Carolina General Assembly who can authorize additional funding for Park staff. The folder I have provided contains a larger cross section that supports the information I am presenting to you now. Please look through the brief and con sider what Raven Rock means to the future of Harnett County. Additionally, I am also requesting that the Board cons ider creating an ad-hoc committee to study this topic and then present their findings for review. This committee should include, among others, representatives from local community leaders to en sure all interested parties have a voice. Closing Statement -In closing I would like to say that we are lucky to have Raven Rock and the many supporting voices who advocate for it. We are also lucky to have such dedicated park staff who make it their mission to ensure all vi sitors have a positive experience and fond memories of the park. We all would like to keep this trend and I look forward to your thoughts and support! Thank you for your time and attention. I am prepared to answer any immediate questions you may have . 6 /2/2019 Subject: FSP Weekly Legislative Update From: Sent: To: CC: "David Pearson" <David@swansboro.biz > 5/31/2019 6:52:55 PM "fspboard@ncfsp.org " <fspboard@ncfsp.org >; "localgroups@ncfsp.org " <localgroups@ncfsp.org >; "Patterson, Dwayne" <dwayne.patterson@ncparks.gov >; ''Tingley, Carol" <carol.tingley@ncparks.gov >; "adrian.oneal@ncparks.gov " <adrian.oneal@ncparks.gov >; Hello Friends, The focus at the General Assembly this week was on the Senate, which passed the budget bill this morning by a vote (30 to 16) largely along party lines. North Carolina adopts a two-year budget in the odd-numbered years and adjusts the second year spending in an even-numbered year session . Both chambers will now seek to resolve differences between their versions in a conference committee. Budget provisions related to parks (H966 ): The Parks and Recreation Trust Fund's recurring funding was increased by $1.55 million to "adjusts the budget for PARTF grants to allow for the expenditure of all the anticipated receipts". This brings the recurring total up to $17.67 million. In addition, the Senate's version of the budget transfers $10 million from the cash balance in the Film and Entertainment Grant in FY19-20 bringing the FY19-20 total to $27.67 million. The bill also makes a $4 million non-recurring increase to the trust fund in FY20-21, bringing next year's total to $21.67 million. Please note, the following earmarks came out of PARTF in FY19-20 (Note that these earmarks add up to $7.S million, and PARTF received an additional $10 million nonrecurring in FY19-20): • $1.5 million for Freedom Park in Raleigh . • $1 million for "stabilization or renovation of structures located on the Vade Mecum tract at Hanging Rock State Park". • $1 million "to provide a grant to the Town of Madison for development of the Lindsey Bridge river landing and park". • $2 million "for the development of Pisgah View Park in Buncombe and Haywood Counties". • $2 million "for the development of the Wilderness Gateway Trail in McDowell, Rutherford, Burke, and Catawba Counties". For those interested in the Clean Water Management Trust Fund, the non-recurring funding for FY19-20 was reduced by $4 million, but replaced with a $4 million transfer from the cash balance in the Film and Entertainment Grant, which brings the total appropriation for FY19-20 to $14.3 million. There is an additional $4 million nonrecurring in FY20 -21, so the total appropriation for FY20-21 is $18.3 million. In addition to the trust funds, there is a $4 million direct appropriation in FY19-20 "to the Audubon Society for the purchase of Lea Island". The budget also includes 18 full time employees for FY19 -20, and 19 full time employees for FY20-21 to operate the Connect NC Bond projects . H532 -An Act to Authorize the Overmountain Victory State Trail; to Authorize the Wilderness Gateway 1/2 6 /2 /2019 State Trail; and to Make Various Changes to the State Parks Act and the North Carolina Trails System Act, has been ratified by the Governor and is now law. 538 1. which would reconstitute certain boards and commissions. passed the House Judiciary committee this week as a Proposed Committee Substitute that added the other 4 boards impacted by the litigation. The bill goes to House Rules next. Please let me know if you have any questions. Thanks! Dav id M. Pearson , BFF Executive Directo r Friends of State Parks , Inc . P.O . Box 37655 Raleigh , NC 27627 Cell: (910) 389-0210 email: davidp@ncfsp.org website : www.ncfsp.org Do you really need to print this e-mail? CONFIDENTIALITY NOTICE: This transmission is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and confidential. lfthe reader of this message is not the intended recipient, you are hereby notified that any disclosure, distribution, copying or other use of this information is strictly prohibited. If you have received this transmission in error, please notify the sender immediately, delete the material from any computer and/or destroy the information as soon as possible. 2 /2 Honorable name of legislator 1234 Government Rd. Big Town, NC 12345 Date Dear Honorable (title+ name}, only use honorable for an elected representative. Introduce your self: for example, my name is Fred Fredrickson, I am a long time resident of XXXX county and an avid visitor and supporter of North Carolina's parks. I have blah blah blah ..... I am writing first to thank you for your service in our great state's (house or senate or department}, I sincerely appreciate your work. As North Carolina is a large and diverse state with many activities and services, I also want to take this opportunity to make you aware of the situation at Raven Rock State Park . As you are likely aware Raven Rock State park was opened in the 1970 and is located conveniently between Raleigh and Fayetteville near the idyllic town of Lillington. The county that Raven Rock is located in is Harnett County. The 1970 census showed Harnett County having under 50,000 residents. The most recent census date estimates that Harnett County now is home for more than 140,000. Harnett county is also predicted to be one of the fastest growing counties in North Carolina in the next decade . At the same time, large numbers of visitors to Raven Rock travel the short distance from places like Raleigh, Durham, Cary, and Fayetteville. I am sure you are aware of the rapid expansion and growth of those cities. The population growth combined with in crease interest in hiking, canoeing, and camping has combined to balloon the average monthly attendance of visitors to Raven Rock to over 30,000 per month! While this sounds like an exciting triumph for the North Carolina Park service, which it is, it is also leading to a precipice of a crisis . While the demographics, activities, and population changes have increased the Raven Rock attendance, the park itself has not added a single permanent staff position since 1970! So, in sum, Raven Rock is operating at 1970's staffing levels in 2019 ! On weekends with favorable weather, park visitation may swell to the point that all rangers and temporary staff are engaged in directing traffic to parking lots, which , incidentally, are also inadequate to the park's needs. This state of affairs creates serious risk s for the park. Moreover, at the direction of the Parks Department, Raven Rock State Park is currently adding a campground with RV sites and cabins , and although this campground will serve the recreational demand of large numbers of people and will create a great deal of revenue for the state park system, maintenance and policing of it will also add significantly to the rangers' work load. Rangers are responsible for policing the park and facilitating any rescues of injured visitors, and whenever an injury or a crime occurs, rangers must attend to it immediately. Traffic snarls caused by rangers being called away from directing traffic toward urgent situations could paralyze the park, possibly leading to further injuries to visitors, but difficulties and delays in addressing immediate problems could also expose the state park system to possible lawsuits . Under the current circumstances , park staff are compelled to conduct all maintenance work, ranging from trail repairs to cleaning of restrooms, during weekdays. Even routine but necessary tasks such as restocking toilet paper in toilet stalls is difficult to perform on weekends. The growth in the park's popularity and the growth in the population in the area that the park serves can only lead to further stra ins on the park staff. In addition, the scarcity of candidates for temporary positions, largely because these positions pay only $8 and $9 per hour with no benefits, dictate that an increase in the number of permanent positions is crucial for the park. For these reasons, it is imperative that Raven Rock State Park be given special funding consideration that will allow it to add these positions. At present, the park requires four additional full-ti me rangers, another mechanic, and another office assistant in order to meet its needs adequately . Because the byzantine nature of hiring within the state park system creates long delays in the addition of staff to any park, procurement of funding for the positions during the current funding cycle is especially desirable. I hope that you will consider this issue as budget deliberations in the state legislature continue. Regards , Name Address Address Phone number and email. Since 2008, total acreage of state park lands has increased by 17% and visitation has increased by 44% while number of staff has increased by only 2%. In 2008, N.C. State Parks had one ranger to serve each 28,600 visitors. In 2019, there is one ranger to serve every 40,300 visitors. Impacts of increased visitation include: • Increased life safety issues, including number of incidents of injury and death • Increased demands on park and local law enforcement • Parking challenges that absorb staff time and impact natural resources There has been a decline in public services provided by parks due to inadequate staffing and operations funding. These services include educational programs such as school field trip programs. School age educational programs have declined 13% in four years despite our burgeoning visitation. Wear and tear on facilities and infrastructure has occurred as parks have served more visitors without adequate maintenance staffing to meet repair needs. Inadequate maintenance leads to increased costs, tourist dissatisfaction and health and safety risks. A 10-15% increase in park staff would allow for more interaction with visitors, resulting in: • Improved park services that support state tourism and economy, attracting new businesses and improving rural economic prosperity • Increased educational programing • A higher quality experience for visitors • More visitor education, understanding, and stewardship of natural and historic resources • Better preventive facility maintenance to save money • Better compliance with park rules Our vision is for EVERY Elementary School child in North Carolina to have a memorable, life-long, park-based learning experience. Outdoor science field trips to parks are a proven way to improve science test scores. Experiential outdoor learning opportunities can also improve social studies scores, improve student behavior, increase student self-confidence, and encourage healthy lifestyles. Despite the value of field trips to state parks, school-age program participation in North Carolina State Parks declined in each of the past five years. Challenges include inadequate transportation funding and teacher staff development opportunities. Many in the education field have not been exposed to the valuable tools that environmental education offers in the learning process. "Outdoor Experiential Science Education" will meet these challenges by funding transportation, helping teachers maximize curriculum correlations during field trips, and supporting school administrators who recognize that a field trip to a state park will help students succeed academically. STRATECiY #1 Professional Development and Collaboration with Teachers. "Outdoor Experiential Science Education" will train teachers to serve alongside park rangers as field trip instructors, and will contract with educational institutions to offer best-practice professional development for teachers through summer teacher institutes. STRATEOY #2 Adequately Staff Parks To Include Interpretation and Education Specialists. Park staffing levels have not kept up With the increase in visitation, new land, and new facilities. Adding Interpretation and Education Specialist positions increase the capacity to accommodate students during field trips. Interpretation and Education Specialists will assist their fellow park rangers in best teaching practices and recruit competent volunteers to support educational field trips. North Carolina's parks are ideal places for teachers and students to explore science, history and social studies. "Outdoor Experiential Science Education"is an all-inclusive program, regardless of financial, physical or other challenges, which creates positive outdoor experiences for elementary-age youth in North Carolina. Raven Rock (RARO) Historical Data and Projected Staffing Shortfalls (White Paper) 1. Visitation: Raven Rock Visitation 1972 -2018 Vear Visitation Vear Visitation 1972 27,000 2008 121,577 1975 54,067 2009 176,691 1976 64,032 2010 156,433 2000 111,695 2011 152,665 2001 121,555 2012 195,415 2002 96,347 2013 188,645 2003 109,109 2014 197,534 2004 106,763 2015 225,849 2005 105,903 2016 232,028 2006 98,151 2017 236,258 2007 100,426 2018 238,645 Notes: The 1970's visitation numbers were taken from newspaper articles. In 2018, the la rge st number of visi tation year so far, the park was closed for a month and majority of trails were closed for several months, due to Hurricane Florence . These visitation counts are taken from traffic counters at the Avent's Creek Access Area, Moccasin Branch Bike Field, and the m ain park entrance. To calculate these figures, NC State does studies every couple of ye ar s to figure out an average of people per vehicle . 2. Staff: a) Park Superintendent b) Park Ranger II c) Park Ranger I d) Office Assistant IV e) Maintenance Construction Tech II (formally Maintenance Mechanic Ill) f) Maintenance Construction Tech I (formally Maintenance Mechanic II) Notes : During the 1970's there was only a Park Superintendent and two Park Rangers . Office work was limited and done by the Superintendent, Rangers, and Seasonal employees. Maintenance was done by Seasonal General Utility Workers, and also was done by District Maintenance Mechanics, and traveling maintenance crews. Around the 1980's, the General Utility Worker positions were turned into permanent Maintenance positions, and that is when RARO officially added had a Maintenance position posted to the park . In 1996, the operation reserve budget allowed RARO to obtain another full time Maintenance position and an Office Assistant position . Operation Reserve Budgets are allocated for Capital Improvement Projects . It is a budget that allows for more equipment and staff for large improvements to the park. Operation Reserve Budgets were an important tool for parks to use to gain equipment and staff with the facility growths that were happening ; especially for facilities that would gain some sort of way of earning money from visitors or would add drastically to visitation . Reserve Operation Budgets have se emed to have stopped in the past few years. RARO 's 2010 Budget was the last one that staff can think of, but we're not 100% certain. Important Note : The park r eceived a reserve operations budget when the visitor center and parking lots were built, in 2010. Additional pieces of equipment were purchased (lawn mower, UTV, etc.), but the huge failure wa s actually losing out on three po sitions. The three positions were supposed to be added to the park with the building of the picnic shelter, parking lots, and visitor center. Those three position s were as follows: Park Ranger 11, Maintenance IV, and Office Assistant. These position s were supposed to be additions to the then, cu r rent park staff. I believe the Ma i ntenance IV was moved to another park (I th ink Carvers Creek). The Office Assistant was a higher pos ition than was at the park, so RARO's then current Office Assistant applied and received that promotion. Her old position was moved to another park (I think Carvers Creek), which left RARO with still only one Office Assistant. The Park Ranger II position was added to RARO and w as given to David Brown . His old Ranger position wa s taken away. All this said, no personnel were added to the park at all, even though these capital improvement projects were mad e. The capital improvement projects did what they were intending; they added some revenue sources from rentals and gift shop sale s, greatly add ed to visitors' experience, and increa sed vi sitation. I do not believe there is any intention of having a reserve operations budget for the campground build . 3. Trails : a) Total -33.5 Miles b) Hiking specific -11.9 Miles c) Bridle (which people can hike) - 8 Miles d) Biking (which people can hike) -13.5 Miles i. Beginner - 6.6 ii. Intermediate - 2.62 iii. Advance - 4 .3 1. Route : Beg.+ Int.= 8.34 2. Route: Beg. + Adv . = 8.49 3. Route: Beg.+ Int.+ Adv .= 10.23 4. Acreage: a) Total : 4,800 b) Unused : i. 615 acres East of Fish Creek ii. 103 acres Hardee Track (Land Locked on North Side of River) ii i. 203 acres Wareheuser Track at Campbell Creek 5. Services Offered: a) Primitive Campsites (5) b) Canoe Campsites (6) c) Hiking Trails d) Biking Trails e) Bridle Trails f) Fishing g) Canoe-in h) Picnic areas i) Rental -Picnic Shelter, Auditorium, & Classroom j) Interpretive and educational programs to groups and to the public 6. Major Park Projects: 30 site drive into campground with a bathhouse. Thi s is from the 2016 Bond Referendum that was passed by the voters of North Carolina . The campground will have 6 cabins, 9 RV sites, and 15 tent sites. This project will be an operational stress on the park . Already being short staffed from years of improvements, growth, and increased visitation, this will bring a different type of recreation and visitor to the park . The types of calls of service will increase. The operational stand point of this campground is the highest concern to RARO . The addition of the campground is great for the area and the park, but it will come with much more maintenance needs, janitorial needs, safety concerns, and law enforcement encounters. Estimated Completion Date: October 2019 7. Historical data: I think I have covered visitation information fairly well. However, I would like to address the additional hours that were imposed on the parks around 2010 and 2013. These changes either added hours to the end of the day by extending closing times or added hours to the beginning of the day by opening earlier. There is now a 20% increase of operating hours with the same number of staffing. Due to increased operating hours, staff is forced to work more which affects productivity. Furthermore, the extended hours have cut down on our ability to have staff working more shifts together to accomplish goals and tasks . All this has been done with no additional personnel to the park. Also talking about attendance, I have to touch on the growth of Harnett County and surrounding areas. It is not uncommon to park cars three weekends out of the month, given that one weekend has bad weather. This holds staff to certain areas that they cannot leave from and doesn't allow them to be mobile for emergency situations or do real ranger work like interpretive educational programs . We are unable to properly patrol or meet the needs of our other visitors at other access areas or recreation spots. If more parking was added to the park, it still would not resolve the issue of overcrowding and the park's capacity. People will still come to the park in droves. But this is a planning and operations responsibility of the NC State Park System, and I'm working on this matter heavily too . 8. Staffing needs: Not to put a dramatic number on or make an unrealistic request, I believe the following need to be additions to the park for current needs and very near future growth. • Two Rangers to meet the needs of the new campground, other access areas, interpretive and educational programs, to improve the visitors' experience, law enforcement, and additional safety calls . (1 ranger for past needs and 1 ranger for current/future needs} • Maintenance Construction Tech Ill will be required because of the new certifications and trainings that will come with the campground construction (i.e . wastewater). The campground will also come with tons of janitorial needs and maintenance needs . (The park was already supposed to have another maintenance staff for past needs) • One Office Assistance to fully cover the visitor center through all weekends and add to the visitors' experience . Many times, the Office Assistant is the only person any one can talk to because all other staff are parking vehicles. It is not an easy job, but we will require more office work and management of campers once the campground opens since we will have multiple camping areas and different types camping (hike into and drive into). (The park was already supposed have another OA for past needs) If you are counting. this is only one additional staff member that I am requesting. because we were already supposed to get the other positions in 2010. Side Note -I still can 't figure what we are going to do when a 5th wheel camper pulls into the park on a busy weekend when all the parking spots are full. We will not be able to get them turned around . John Privette Park Superintendent Raven Rock State Park 3009 Raven Rock Road Lillington, NC 27546 (910)-893-4888 john . pr ivette@ncparks.gov 1971 Inadequate State Park Staffing and Operational Costs Resulting from Visitation Growth And Increased Acreage State parks serve North Carolina by encouraging healthful physical activity, by supporting the tourism sector, especially in the rural counties, by conserving natural resources , by protecting water quality, and by making our state an attractive place to live, work, and visit. State park services continue to be in high demand. North Carolina's state park visitation growth is exceeding population growth, and new parks are constantly requested. Since 2008 , state park acreage has increased 17%, visitation has increased 44%, but staff has increased only 2%. Additional staffing and funding of operations is needed to maintain adequate levels of operation and service. Effect of Increased Visitation Increased park visitation results in increased life safety issues, increased public safety incidents, increased law enforcement issues and greater traffic and parking problems. The graph below reflects a 30% increase in public safety incidents in just the past four years. Public Safety Incidents in State Park s System 100 100 300 •oo • Enwrsencv Medic.II Respon~. MIJor Emer,ency Medbl Responi& • Moderate If £merpncy Medkal Response · Minor Searth end Rsue/ Lost Person 500 In some parks, parking and traffic control is overwhelming , and seriously detracts from staff ability to perform other essential duties. More staff time is devoted to these urgent needs, and less staff time is available for interaction with visitors. A decrease in basic staff interaction with visitors has been noticed by both staff and visitors. Staff interaction, even at a casual level, leads to better compliance with park rules, a better understanding of natural and historic resources, and an overall higher quality of experience for park visitors. There has also been a noticeable decline in beneficial public services provided by the parks, such as . educational programs for school field trips. These services supplement local school budgets, support state goals in STEM education, and increase citizen understanding of North Carolina's geography, ecology, and history. To understand the negative impact of increased duties placed upon park staff, it is important to examine how the core mission of educational programs for school age children has been affected. School age educational program participants has decreased 13 percent in just the last four years. School-age Educational Program Participants 2013 2014 201 5 2016 2017 115,000 120,000 125,000 130,000 135,000 140,000 145,000 150,000 155.000 Increasing visitation also results in more wear and tear on recreational facilities, and additional facilities need to be built, expanded or renovated . State park facility infrastructure has been expanding, but maintenance staffing has not expanded proportionally. 160,000 155,000 150,000 145,000 140,000 135,000 130,000 125,000 120,000 115,000 EMERGENCY MEDICAL INCIDENTS VERSUS SCHOOL AGE PROGRAM PATICIPANTS IN THE STATE PARKS SYSTEM 2013 2014 2015 2016 2017 ..,.._Emergency Medical Response s _._School Participants 500 450 400 350 300 250 200 150 Each year, more maintenance needs are deferred or contracted out, both of which increase costs in the long run. Inadequate maintenance results in visitor complaints, tourist dissatisfaction, and health and safety risks. 2014 2015 2016 2017 2018 580 State Park Facility Infrastructure Value 600 620 640 Conclusion 660 680 MIiiions The unfavorable growth in the ratio of staff to acreage and visitation has grown drastically in the last ten years and it is putting staff and visitors at risk. One ranger for 28,606 visitors in 2008 versus one for every 40,272 now has caused safety, the visitor experience, and educational experiences for youth to suffer. 2008 2018 Percent Increase Acres to Staff Ratio 424 to 1 485 to 1 14% Visitors to Staff Ratio 28,606 to 1 40,272 to 1 41% Additional state park staff and operational funding will have various benefits, incJuding: • Increased and stable educational programming, increased recreational opportunities, and improved facility maintenance. • Adequate park services in North Carolina increases touri sm , attracts new businesses, and fosters rural economic prosperity. • Adequate staff for preventive facility maintenance saves money. • Most park jobs are out in the rural counties, supporting the rural economy. Over the last ten years the growth in attendance at parks has outpaced the State's population growth 44% compared to 14% respectively. Raven Rock State Park General Management Plan North Carolina Department of Natural and Cultural Resources Division of Parks and Recreation Piedmont Region JULY 2017 I. MISSION AND PURPOSE MISSION ST A TEMENT: Conservation: To protect North Carolina's natural diversity through careful selection and stewardship of state parks system lands; Recreation: To provide and promote outdoor recreation opportunities in the state parks system and throughout the state; and Education: To encourage appreciation of North Carolina's natural and cultural heritage through diverse educational opportunities ; for all citizens of and visitors to the State of North Carolina. PURPOSE: The State of North Carolina offers unique archaeologic, geologic, biologic, scenic and recreational resources. These resources are part of the heritage of the people of this State. The heritage of a people should be preserved and managed by those people for their use and for the use of their visitors and descendants. PARK PURPOSE: Raven Rock, a bluff that juts out at a sharp angle along the Cape Fear River, has been a landmark to river travelers since before the Civil War. As land transportation improved, it became a popular regional destination for picnickers visiting the scenic river vistas and unusual bluffs. Local support for establishing a state park culminated in 1969 when the General Assembly authorized funding for Raven Rock State Park and thus preserved the site 's natural and scenic quality from a potential mining operation. Bluffs The significant geological resources of the park occur primarily along the Cape Fear River, the dominant surface water feature. Raven Rock, the bluff for which the park is named, is exceptionally tall for the Piedmont, with an elevation of over I 00 feet above the river. It is the highest bluff in the North Carolina fall zone -the area where the more resistant rocks of the Piedmont meet the sediments and softer rocks of the Coastal Plain. The rocks forming the bluffs are 570 million years old and were metamorphosed on at least two separate occasions between 450 and 300 million years ago. The river, through millions of years of erosion, has sculpted the numerous metamorphic rock faces seen in the park today. Rapids , a typical river feature in the fall zone, occur at Fish Traps and Lanier Falls. The significant biological resources include three registered natural areas: Raven Rock State Park Natural Area, Avents Creek-Cape Fear River Floodplain Natural Area, and Granitic Flatrock Natural Area. Successional communities derived from the combination of unique habitats and the interface of the Piedmont and Coastal Plain at the fall zone include maturing communities representative of the eastern Piedmont as well as a number of unusual natural communities. Unusual habitats include the bluffs, flat rocks and north-facing mesic areas with disjunct montane 2 species. Pines and oak-hickory forest dominate the ridge tops, while mature beech and mixed hardwoods cover the slopes and floodplain. Remnant Piedmont longleaf pine trees and their associates are evidence of past forest types. Buttercup phacelia (Phacelia covillei), Virginia spiderwort (Tradescantia virginiana) and eastern Isopyrum (Enemion biternatum) are representative of the many unusual plant species known in the park. One hundred eighty eight (188) bird species, including the bald eagle, have been observed in the park. Fox squirrels (Sciurus niger), a declining species in North Carolina, are found in upland areas of the park. The park is within the historical range of the fox squirrel, but diminishing habitat has reduced the prime range in North Carolina to the public lands in the Sandhills. Significant scenic resources are found at the Raven Rock bluffs and along the waterways. Unusual rock formations of Raven Rock and wide river vistas have made it a landmark on the Cape Fear River for over a century. The Campbell Creek and Avents Creek areas are particularly scenic because the steep slopes that surround them are more reminiscent of mountain terrains than the Piedmont. The extensive acreage at Raven Rock State Park is suitable for day-use activities such as hiking and picnicking as well as camping and horseback riding. The Cape Fear River is an exceptional resource for water-based activities such as paddling and fishing. The visitor program focuses on interpretation and education programs. Conveniently located near the Research Triangle, Fayetteville, Fort Bragg and smaller surrounding communities, the park can be easily accessed by a large population seeking natural resource oriented and passive recreational opportunities. The Cape Fear River is the focus of significant archaeological resources. Prehistoric resources include Pre-Columbian artifacts such as projectile points, evidence that the river was once the site of Native American activities. Before the development of effective land transportation routes, the Cape Fear River played a major role in the growth and development ofNorth Carolina. The 1850's era Northington lock and dam site, which accommodated boat traffic through the fall zone rapids, and the Northington Ferry site, which served as the main transportation link between Raleigh and Fayetteville until the Lillington Bridge was built in the 1920s. Raven Rock serves as a state park for the protection of its valuable geological, biological, scenic, recreational and archaeological values. The Division of Parks and Recreation is charged with preserving these values and providing park experiences that promote pride in and understanding of natural heritage of North Carolina. 3 II. HISTORY Raven Rock State Park sits along the fall zone, an area where the hard , resistant rocks of the foothills give way to the softer rocks and sediments of the coastal plain. The underlying rocks of the area was formed more than 400 million years ago by intense heat and pressure. T hrough the ages, flowing waters and swirling winds gradually eroded the land , carving and sculpting Raven Rock . This immense crystalline structure rises to 150 feet and stretches for more than a mile along the Cape Fear River. The rock was originally called Patterson's Rock named after an early settler who found refuge there when hi s canoe capsized nearby. In 1854, the name was changed to "Raven Rock", inspired by the sight ofravens that formerly roosted on rock ledges . The Siouan and Tuscarora Ind ians hunted the area until European settlers arrived in the mid-1700s. The first settlers were primarily hunters and trappers who were searching for high country similar to their native country, Scotland. Later, stores, mills and quarries were built. Many of the woodlands were farmed, and as the forests returned , much of the land was harvested for timber. A road that stretched from Raleigh to Fayetteville crossed the Cape Fear River via the Northington Ferry and served as the major transportation route in the area. Locks and dams were built along the river to facilitate navi gation by boat, and Raven Rock became an important landmark for river pilots. After a hurricane destroyed the locks and dams in I 859, the structures were not replaced; railroad transportation e liminated the need for river travel. As roads were built, the ferry was closed and Raven Rock became a popular recreation spot. The remnants of the Northington lock and dam can still be seen in the park. In I 965, interest grew in preserving the area as a state park, and local citizens organized support for the project. In 1969, a bill establishing the park was passed in the General A s sembly. More than 220 acres of land were purchased and another 170 acres were donated by Burlington Industries . Overlook 4 III. THEMES AND INVENTORY Themes The significant archeological, geologic, scenic, recreational and biological resources of North Carolina should be represented in the State Park system. These resources, as cited in the State Parks Act, are divided into subcategories called resource "themes". There have been 108 themes identified that should be protected to preserve representative examples of unique resources. For this GMP onl y themes that are of high significance to this Park (or SRA) are shown. Raven Rock State Park Theme Table Theme Type Theme Raven Rock State Parks Significance System Representation Archeolog ical/Historic Cemetery High Adequate Archeological/Historic Recreation High Adequate Archeological/Historic Rural-Domestic High Adequate Archeological/Historic Transportation High Adequate Archeological/Prehistoric Burial/Cemetery High Moderate Archeological/Prehistoric Campsite/Activity Area High Adequate Archeological/Prehistoric Shelter/Cave High Adequate Archeolog ical/Prehistoric Underwater High Adequate Biological Granitic Flat rocks Little Adequate Biological Low Elevation Cliffs and Rock Moderate Adequate Outcrops Biological Piedmont and Coastal Plain Mesic High Adequate Forests Biological Piedmont and Coastal Plain Oak High Adequate Forests Biological Piedmont and Mountain Floodplains Moderate Adequate Biological Piedmont and Mountain Dry Little Little Coniferous Forests Biological Upland Seepages and Spray Cliffs Little Moderate Geological Cliffs High Adequate Geological Dissected Uplands High Adequate Geological Faults, Joints , and Related Features Little None Geological Fluvial Depositional Features High Adequate Geological Gorges , Rapids, Waterfalls High Little Geological Intrusions Little Adequate Scenic Caves/Cliffs High Little Scenic Forests Moderate Adequate Scenic Rivers High Moderate Scenic Rock Outcrops High Little Scen ic Scenic Vistas High Moderate *See the System wide Plan for references to Theme and inventory terms. Themes have both actual and "potential" future needs to be at a park. 5 FACILITY INVENTORY RAVEN ROCK STATE PARK 1,000 e j Raven Rock State Park Facility Inventory Campground Area August2015 -----Existing Trail -Road -Paved -Road -Unpaved CJ Existing Facilities .., State Parks Unit 6 Group Tent Camp FACILITY fNVENTOR Y RA VEN ROCK STATE PARK ,, ... , . 0 1.00 I Feet '· .. ' . I ·' Raven Rock State Park Facility Inventory Primitive Camp/Bridle Trails August 2015 ' . I I I ' .-... " ' .. ' , .. I ,.• , I ' ' .. , I ' ' , ' .. •, I I I I Existing Trail Road -Paved Road -Unpaved CJ Existing Facilities State Parks Unit 7 ' , , -.,. .... ,.. .1 ' ,• ' .. ' ,' -.. , . ' . ' ' . . ' ' I , ... \ , .. _, ' , .. t r .... _, FACILITY INVENTORY -VI SIT OR CENTER AREA RA VEN ROC K ST A TE PARK ....... 0 1,000 Feet i Raven Rock State Park Faci lity Inventory Visi to r Center Area Augus t2015 8 ·. .. . . . ', I I I \ . I ' ' \ ' ........ " .. ' '"·-: .,.,-···-- -----Existing Trail -Road • Paved -Road • Unpaved L."J Existing Facllltles State Parks Unit 8 ~, ..... , 0oser.vation 0 Structure , , : : • ---., . ... , I TRAIL INVENTORY RAVEN ROCK STATE PARK Trails Inventory Hiking Equestrian Mtn. Bike American Beech Trail 0 .50 Campbell Creek Loop Trail 5.00 East Loop Bridle Trail 4.00 4.00 Fish Traps Trail 0.60 Group Camp Trail 0.40 Lanier Falls Trail 0.20 Little Creek Loop Trail 1.50 Longleaf Loop Trail 0.20 Mountain Laurel Loop Trail 6.60 6.60 Northington Ferry Trail 0.90 Raven Rock Loop Trail 2.60 West Loop Bridle Trail 4.00 4.00 Raven Rock SP Totals (miles) 45.00 8.00 6.60 TRAILS: American Beech Trail: The Raven Rock State Park Trail follows an easy 0.50-mile loop along the American Beech Trail. Campbell Creek Loop Trail: 5.00 miles of moderately difficult hiking trails that features a waterfall. T he trail offers several activity options and is Accessible year round . East Loop Bridle Trail is accessible from River Road . The trails can be used by both hikers and equestrians. However, the majority of users are horse owners. Fish Traps Trail is a 0.60-mile trail down to the edge of the southern side of the Cape Fear River. Group Camp Trail is a 0.40-mile trail located along the eastern portion of park. It is a connector trail down to campground. Lanier Falls Trail is a 0.20-mile hiking trail located on the western s ide of the park. This is a connector trail that goes down to the Cape Fear River. Little Creek Loop Trail is a 1.50-mile trail that links Raven Rock Loop Trail and Group Camp Trail. 9 I' American Beech Trail Campbell Creek Loop Trail East Loop Bridle Trail Longleaf Loop Trail is a 0.20-mile trail located on the east side of the Visitor Center. Mountain Laurel Loop Trail: is a 6.60 mile Loop Trail for both mountain bikes and hikers. The trailhead is located along Moccasin Branch Road. Northington Ferry Trail is a 0.90-mile trail that travels from the end of the unpaved road down to the Cape Fear River. Raven Rock Loop Trail -This 2.60-mile hiking trailhead is located at first parking area by picnic shelter. This tree lined loop trail begins by following Little Creek while continually taking you through mountain laurel , hardwoods and majestic pines. In one mile there are 135 steps leading down to Raven Rock and once at the bottom you can hike under the 150-foot-high rocks and climb on huge roots and over downed boulders. Enjoy the sights, sounds and reflections of the Cape Fear River before heading back up the stairs to continue on the trail. Once up the stairs take a right and in a half mile is the Overlook. 350 feet above the Cape Fear River the Overlook gives you a bird's eye view of the river, Fish Traps, Northington Ferry and the A vents Creek Access side of the park. Here you will have an opportunity to see bald eagles, osprey, turtles , vultures, beautiful sunsets and a panoramic view of all the changing seasons. It is a 0.75-mile hike from the overlook back to the parking lot. HORSEBACK RIDING: Undeveloped woodlands on the north side of the river with areas set aside for parking and picnicking offer eight miles of trails for horseback riding. Land adjoining park bridle trails is posted private property. West Loop Bridle Trail: 4.00 miles of horse trails are rocky in places. This trail system is popular with local groups and access is off River Road on the north side of the park. East Loop Bridle Trail: 4.00 miles of horse trails. The trail system is often used by the local citizens and access is off River Road on the north side of the park. Mountain Bike Trails are currently under construction with a federal grant from Recreational Trails Program and DPR Funds. Project scope of work includes: a trailhead with adequate parking, a West Loop Bridle Trail 7-mile beginner loop located between Little Creek and Fish Traps on the south side of the park, an intermediate loop system and advanced loop system will expand off of the beginner loop and extend as far as Cedar Rock. 10 TRAIL INVENTORY RAVEN ROCK STATE PARK Raven Rock State Park Trail Inventory August2011 11 Hiking and Mountain Bike Trails -----Existing Trail -Road • Paved --Road. Unpaved ~ Existing Facilities State Parks Unit IV. PLANNING 12 LAND PROTECTION FOR ST A TE PARKS To achieve the highest level of connectivity between park properties already owned by the State of North Carolina, further acquisition of land is expected to take place. Additional land will ensure the maximum protection of natural resources, scenic preservation, outdoor recreation and public access. Each park has several tracts of land that have been distinguished as a future need or a critical need for the park. The following map shows Land Acquisition needs for Raven Rock State Park. Existing Shelter Cape Fear River Parking needed and access areas Geological features Overlook along Cape Fear River 13 LAND PROTECTION PLAN RAVEN ROCK STATE PARK Raven Rock SP N April 2016 Land Protection Plan D State Parks Unit Plffllf)I reOOtRe pmle<:llon Olhw C:OnHrvation L..tnd Inholding [ID Fedefal Scenic ptOtection ~ State Wl~rqual11ypn,IO<:tion bJ Other Facilities dovelopmenl Bufftr 14 LAND PROTECTION PLAN-CRITICAL ACRES RAVEN ROCK STATE PARK Raven Rock SP N A Aprll2016 0 State Pa1<s Uni Oilier Conservation Land Land Protection Plan [II] Fe<1era 1 L_J Future need t:J Critical need l:LL'.i State B omer 15 ------ PROJECT LIST RA VEN ROCK STA TE PARK Project Proiect Title Construction Cost Est. 1 Fish Creek/Cedar Rock Mtn.Biking Trail $1,029,600 2 Ranger Residence Repair/Renovation $172,900 3 Proposed Ranger Residence $232,800 4 Jake 's Field Campirround $1,327,500 TOTAL $2,762,800 ** Estimated project cost does not include contingencies, design fee, or escalation. 1. Fish Creek/Cedar Rock Mountain Biking Trail 2. Existing land within the park east of the main facility area will accommodate the proposed trail to be constructed under the Fish Creek/Cedar Rock Trail capital improvement project. The beginner course was completed. A 6.60, single-track beginner mountain bike trail named Mountain Laurel Loop Trail has been completed. Intermediate and advanced loops trail alignment will be flagged for future construction. Minimum of two (2) pedestrian bridges will be needed to cross over Fish Creek. A feasibility study will be done to determine a location for a trailhead with adequate parking near Mountain Laurel Loop Trail. Staff access will be provided from South River Road (S.R. 1257) up to or close to the trail. Fish Creek/Cedar Rock Trail is not intended to support vehicular traffic, but during emergency situations staff will be able to drive a full size vehicle within close proximity to the trail and then access the trail using a utility vehicle or all -terrain vehicle. Fish Creek/Cedar Rock Trail will offer an hiker the option of a long distance backcountry experience. Ranger Residence Repair/Renovation Project includes repairs and renovations to a 1,675-sq. ft. two-story frame house built in 1920. Scope of work includes: repair foundation, underpinning, replacing floor joist and other structural repairs, adding a bathroom , and upgrading plumbing, electrical, heating and air conditioning, and electrical improvements. The project also includes adding a deck and a detached carport. Ranger Residence 3. Proposed Ranger Residence Project includes constructing a 1, 700-square foot standard ranger res idence with detached carport, septic system, and water and electric line extensions. The residence will be located on the north side of the Cape Fear River within the A vent's Creek Access Area. A suitable ranger residence may be purchased in lieu of this proposed construction as a part of the 16 land acquisition program. Property and existing residence bordering A vent's Creek access area is currently being investigated. 4. Jake 's Field Campground Scope of work includes: the development of a proposed campground for different user groups. The campground will provide 9 full service RV sites on the 15 tent and trailer sites, 6 camper cabins, shower house with parking lot. This will require a waterline , and electrical extensions. 17 PROJECT #1: FISH CREEK/CEDAR ROCK MOUNTAIN BIKING TRAIL RAVEN ROCK STATE PARK 18 'O .. & 'O a, > .. Q. 'O ., C C .!l! Q. .fl ·;; t!: Ill ffi C co ~ a, :e ::, '5 0 .. :::; u. al C C al C C .. ., iL ii: D z< .. .!! ~ - .; 8.l! 0 .. 0 g ,.; § "' "' 0 ~ "' N ~ 0 0 0 21 :g :i ~ "' "' a, .; C Q. i ~ "' s w U) D PROJECT #2: RANGER RESIDENCE REPAIR/RENOVATION RA VEN R OCK ST A TE PARK CF> , ____ _ ':..t N r ----T ------- C .,IN Cl) ..c 0 ~, ... .¥. ~ ~~ 0 ::ii:: Q) Cl b I I CF> I ~ I I I I I I E I 0 0 L ~I -0 a, CD E 0 0 L "O CL> CD E 0 0 L "O Q) CD --, Mam...----. I I I ~ I 0 ~ I r_J I I I I I I I I I I I L _____ I _____ _J Bldg. descrip.: Ranger Residence Pork: Raven Rock Building No.: 20-018 Scale: 1/8"=1'-0" 19 N 0 PROPOSED 24' WIDE ENTRANCE ROAD / Raven Rock State Park Jake's Field Campground ~ _____ ) -----~-"-J:,.._ -~ j,,) "'4 ('~ r (\V ~,,~ j' I ";.. ~\ Cl' '\"'"-'\~, ,, , -·-~ ........ ~ ";! ..... . ......... ', /' 1..,,). ···~~~--if'.· ~---1 l~~.\r--(D VICINITY MAP-NOT TO SCALE l i'so J: 1 Scalo1"•200' ~ ;g <:0 tT1 '""" z~ ~...., O:i:t:: n.i:,. ;,::: .. '""" r:/) > ~@ ...., ~ tT1 r:/) '"O 'Tl ~~ n > ~ ~ 0 ~ 0 N > or j 3 .. "O '" ~-;;;-CT ;;; ~ 5-11) ~ * ~ !" RAVEN ROCK STATE / ,.i ,. ~'1\iver Rd. (SR 1411k,. ·-.-, ....... •' ·, " i ~ i ,• W.stLoop i f Bridl<! Tr•II . ..\ l"i / e...1 ... , .,l Avents Creek ( :·~ ~._ Access Area '11,.J '"-l \. "'-·-·-, ·-1 i ___ , ,/ ·,. Traits Ameriun-Tral 0 0Smlltt ffSY cam1>1>t1 ,,.... i.-r,11 • $.Omilts -·· East Loop 8rldlo Trd 0 4 . .0-. .. ,y f,sh Traps Trail .... 0.6mllts ... y c.._C.11'4'Tr1U 6 0.4milos ...,. Larwe-rfa,sfrail A o.i-. NSy Ll!tlo Crtttl.oop Trail • 1Smlltt NSy Longleatl.oopTrlN • O.lmllos .. ,y NOlthir>Qton ~rry Tr ail e,. 0.9mil6 ... y A,.,.,, Aocli Loop Trai 0 2.6miles ... , Wi!st loop Bridlo Trail • 4.0md<s .. ,y OUUnct1 ~_,. roundtno-. lOODtrtlls MctOMW6'/ on ,in od"8•••h. PARK -0 ,_ . m ~ :::y J ~ l i " j:' & Legend~~~~~~~~~~ IIA«nsible ~8fldleTrall fl <•noWmpng II Group(1mpjng 0 HlklngTr•II m Cent~! "'Olin• Hospital (919) m-2100 Cffllr•I H,rnett Ho,prtal (910)891-1000 IJ~art11_19 -Part Bounda'y Ga PaltG.11' ..... CD r3MOfflce m PknkArea g Pknl<Slltlter m~o11ntern1. ftl Prim~ Umping Im RingeiR~e ~R•~ CD Rntr°'."" Road·PMd -· ·--·Gfawf = ~ --0 ~~ z 3: ;,::; > 0 --0 n ~ VJ ;: tri --0 > ~ 6/2/2019 Board of Directors -Friends of Raven Rock FRIENDS OF RAVEN ROCK Rob Hewett, Chair (2020) Michele Dud ley, Vice Chair (2019) Judy Hewett, Secretary (2020) Bill Hewett, Treasurer (2019) Maggie Harder (2019) Ginger Hewett (2020) Edwin Patterson (2019) Tom Pedigo (202 ~) John Tucker (2020) Jason Wunsch (2019) Karen Kratz, Ex-Officio John Privette, Ex-Officio State Park (https://www.friendsofravenrock.org/) BOARD OF DIRECTORS *Number in parentheses indicates the year in which the members term is up for re-election. Terms end at the close of the Fall Business meeting when new board members have been elected. https://www.friendsofravenrock.org/about-fraro/board-of-directors/ 1/1 6/2/2019 About the Park -Friends of Raven Rock FRIENDS OF RAVEN Raven Rock State Park (https://www. friendsofraven rock .erg/) ABOUT THE PARK ROCK Through the ages, flowing waters and swirling winds gradually eroded the land, carving and sc ulpting Raven Rock. Th is immense crystalline structure rises to 150 feet and stretches for more than a mile al ong the Cape Fea r River. In 1854, it was officially named Raven Rock, inspired by the sight of ravens that formerly roosted on rock ledges. Visitor Center The Visitor Center has free park maps, clean restrooms and staff who are happy to help you with an y questi ons you may have. The Center also has a topographi cal map of the park, items for sale like w ater, Gatorade, snacks, t-sh i rts and hands, and souv en irs. There are also conference room s, exhibits and an interactive area where you can learn more about Raven Rock 's history and wild li fe . Picnic Shelter The Picnic Shelter, located at the far end of t he first parking lot, has 8 tables (two accessible) and two grills (one accessi b le). It will accommodate up to 50 people and has electricity and w ater nearby. When not in use hikers rest and have a snack. T he Shelter is available for rental y ear-round by reservation -free of charge on a first-come, first-served basis, if not reserv ed . Hike It There are more than 12 miles of hiking trails out at the park for h ikers of all fitness levels; from the eas y Longleaf Loop (0.2 mile) and American Beech (0 .5 mile} Trails to the moderate Campbell Creek Trail (4 .9 miles). Trek down the 136 stairs to Raven Rock with the Cape Fear River at its base and then hi ke up to Ov erlook on the Raven Rock Loop Trail (2.6 miles). There is something for every hiker at Raven Rock State Par k. Ride It Raven Rock State Park has 8 miles of beautiful bridle trails. Access is by Hwy. 401 to Ch ristian Light Road to River Road. The trails are comprised of two loops on the north side of the park, with Avent Creek running through the West Loop Bri dle Trail. All v isitors with horses must be able to provide proof of a negati ve equine i nfectious anemia (Coggi ns) test. https ://www.friendsofra venrock.org /about-the-park/ 113 6/2/2019 About the Park -Friends of Raven Rock Recently a vault toilet and new picnic benches have been added to the trails, and the parking lot was enlarged to help accommodate more trailers. Bike It The wait is over! A bike trail, Mountain Laurel Loop Trail, is now a part of Raven Rock State Park. This trail will be open to both bikers and hikers. Trail construction was initiated in December 2016 and concluded in May 2017. The trail was designed with a greater width to accommodate hand cycles along with using sustainable alignment to avoid erosion . It consists of 6.6 miles of natural surface trails through a hardwood/pine forest. The Mountain Laurel Loop Tra il is blazed with white squares. In the case of inclement weather, the trails will be closed to all users to prevent trail damage. You can vi sit the Park's website at https://www.ncparks.gov/raven -rock-state-park/trails {https://www.ncparks.gov/raven-rock-state-park/trails), or call the park at 910-893-4888 in ad vance of your visit. Row It The Cape Fear River runs through the middle of the park and can be accessed only by hiking trails. There is no boat launch i n the park. Negotiate the rapids of Lanier Falls and the Fish Traps on a portion of the Cape Fear Canoe Trail. The entire trail travels for 56 miles along the Cape Fear River from an access point at the U.S. 1 Bridge over Deep River. Camping There are a number of camp sites available at Raven Rock ; canoe-in, hike-in and group sites are all available. All of the Park 's sites are primitive camping sites; all supplies, including water, must be packed in to the sites. Fishing The best places for fishing in the Cape Fear River are in our Park. Game fish include largemouth bass , warmouth , bluegill, catfish and more. Fishing is permitted during posted park hours only. Anglers must have a state fishing license. Regulations of the NC Wildlife Resources Commission are enforced. Wildlife Hike quietly and you may see some of Raven Rock 's native wildlife. Liste n to the birdsong and feel at peace with nature. Come to the park, take pictures and leave on ly footprints behind. Learning Park led hikes and other fun events are held often at the park. Follow one of the Park staff as they introduce you to the flora and fauna that makes up Raven Rock State Park, and pick up little bit on its great history too. Educational Programs Adults and children alike benefit from the many educational programs at the park. Learn about birds, plants, park ma intenan ce and more from knowledgea bly staff and volunteers. Most programs are free of cha rge. For upcoming events, keep an eye out on the Park 's ca lendar (http://www.ncparks .gov/Visi t /parks/raro /events.php). Junior Ranger Program Junior Rangers help park rangers take care of the parks's natural resources. Ra ven Ro ck State Park participates in training Junior Range rs so that they can teach thei r families and friends about the ru les of the Park and how to take care of it. https://www.friendsofravenrock .org /abou t-th e-park/ 2/3 6/2/2019 About the Park -Friends of Raven Rock Volunteer Opportunities Raven Rock offers a variety of volunteer positions, from working with park grounds to assisting with events. Contact a the park at 910-893-4888 to discuss volunteer opportunities here. (Volunteers must be 18+ years of age or accompanied by a parent/guardian}. https://www.friendsofravenrock.org/about-th e-park/ 3/3 6/2/2019 Accomplishments -Friends of Raven Rock FRIENDS OF RAVEN State Park (https://www.friendsofravenrock.org/) ACCOMPLISHMENTS 2019 • Provided funding for new taxidermy mounts for education at the park. • Worked with park to get grant for the park's new pollinator garden. • Provided funding of $2,500 as part of grant for pollinator garden. • Got donations from local hardware store for materials for pollinator garden. • Attended Friends of NC State Parks ann ual conference. 2018 • Donated MicroEye to park for educational programs. • Donated a 30 compass teaching kit to the park. • Donated funds to purchase 500 new Junior Ranger badges. • Held donut days. • Set up a booth for Pollinator Party event. • Celebrated park visitors with a Donut Day. • Helped park by posting job openings on Facebook. • Held the third Annual Photo Contest. • Provided funding for Hungry Birds educational event. • Provided funding for sugar to feed hummingbirds. • Provided funding for seeds for birds. • Provided funding for food for annua l parks meeting. 2017 • Held second Annual Photo Contest. • Provided funding for sugar to feed hummingbirds. • Provided funding for seeds for birds. • Provided funding for more than six educational events. 2016 • Assisted with ice storm clean up on trails. ROCK • Partnered with Park to host Raven Rock's Viewing of "100 years in NC State Parks" and supplied s'mores, popcorn and hot cocoa. • Provided tools and water for volunteers for trail work. • Planned and ran 2nd Trail Trek (http://friendsofravenrock.org/trail-trek/) event in conjunction with Park Centennial Ce l ebration and Earth Day Celebration . http s ://www.friendsofravenrock.org/about-fraro/a ccomplishments/ 1/3 6/2/2019 Accomplishments -Friends of Raven Rock • Funded musical guests and artist as part of Centennial Celebration and Earth Day Celebration. • Provided frog costumes for Earth Day Celebration. • Hel d Donut Days -gave away donuts and coffee and had fun with hi kers and riders . • Provided educational materials and volunteer assistance for the pa rk's Nature's Seedlings programs and other educational events . • Provided sugar for Hummingbirds. • Purchased cam hangers for displays on rock wall in Visitor Cente r. • Purchased donation plaques for Visitor Center displays. • Funded cabinets fo r artifact display in the Visito r Center. • Supported Ra ven Rock Rumble (http://ravenrockrumble .com/}. • Supported Raven Lunatic Ru n (https://www.facebook.com/Raven-Lunatic-564158567084669 /}. • Purchased inked stamps for State Park Passport books. • Provided trail markers for Park . • Provided food and beverages for Volunteer Celebrat ion event. • Added 11 non-degradable benches (http://friendsofravenrock.org /sponsor-a-bench /} to the park. • Provided costumes for "Owls" event/play. • Designed new Park t-shirts and ball caps for sale at the Visitor Center. • Designed the Pa rk's Centennial Celebration poster. • Promoted Park events on Facebook (https://www.facebook .com /Friends-of-Raven-Rock-State-Park-FRAR0- 451769691501671 /), MeetUp (https://www.meetup.com /Raven -Rock-Park-Enthusiasts/} and this site's calendar (http://friendsofravenrock .org/calendar/). • He ld second annua l Photo Contest (http://friendsofravenrock.org /photo-contest/). 2015 • Provided tools fo r b i ke trail work. • Planned and ran the Trail Trek (http://friendsofravenrock.org /trail-trek/} event in April -approximately 30+ people participated. • Held multiple Donut Days in the Avent Creek Access area of the park. Gave away donuts and coffee and had fun with riders. • Installed a six-foot fire ring behind the park's visitor center and held a members-only first burn event (http://friendsofravenrock.org / new-fire-pits-first-burn/}. • Installed two FRARO donation envelope boxes in the park. • Assisted with bike trail buildi ng. • Purchased and installed seven new no-rot ben ches (http://friendsofravenrock.org /sponsor-a-bench /) donated by sponsors in both sides of the park. • Participated in ConnectNC (http://www.connect.nc .gov/)'s signature drive in Raleigh. • Provided educational materials and volunteer assistance for the park's Pollinat or Party in June. • Provided sugar for Hummingbirds. • Volunteered for Earth Day Celebration. • Provided educational materials for events at the park. 2014 • Set up a Facebook (https://www.facebook.com/pages/Friends-of-Raven-Rock-State-Park-FRAR0/451769691501671 ?ref=h l ) page and a Twitter (https://twitter.com /FRARO_NC) • Estab l ished procedures for donation box and placed it in the lobby of the Vis itor Center. • De veloped a Conflict of Interest document signed by each of the board members. • Supplied materials for Hummingbird Program held at the park. • Sent three members to the 2014 NC Trails Workshop in Rale igh. • Set up a PayPal account in order to take donations and membership payments on line. • Helped recruit volunteers and had se veral members help with switching out o ld picnic benches with new picnic ben c hes . • Provided a cake and drinks for the Kids TRAC Trail opening. • Worked with Park to establis h a new mountain bike trail system . This effort has resulted in the Park attaining nearly $200,000 in Recreational Trials Program grants. • Budgeted to supply the park with a season 's worth of sugar for Hummingbird food ea ch year. • Created a regular event called "Donut Day ". Gave out donuts, water and coffee on the Avent Creek Access area of the park. • Developed a design and had t-shirts made to be sold at the Vis itor Center. • Developed a desi gn and had ball-caps sti tched t o be sold at the Visitor Center. http s://www.fri endsofravenro ck.org/about-fraro/accompli shm ents/ 2/3 6/2/2019 Accomplishments -Friends of Raven Rock • Provided lunch, water and work gloves, and promoted the Trails Stewardshi p Workshop that then worked on the Avent Creek Access are of the park in August. • Created volunteer-lead "Discovery Hikes". • Provided materials for a Learn About Leaves program at the park. • Set up a Meetup (http://www.meetup.com/Raven-Rock-Park-Enthusiasts/) group to promote events at the park. 2013 • Sent two members to the Friends of State Parks Conference. • FRARO members donated two telescopes to improve the park's astronomy programs. • FRARO Board Member donated fishing poles and other education su pplies to the park. • FRARO held a fundraiser at Smithfield's BBQ . 2012 • A donation box was built (handmade) and donated to the friends group before its formation in March 2012. • Sponsored a very fun Special Fall Festival Event in 2012. • Established a website and designed a logo. • Joined the Chamber. • Had a banner made to be used at events and membership drives. • Set up and started sending a regular newsletter to members. • Set up a booth at the 2012 Lillington Fall Fest ival. • Sent two members to the Friends of State Parks Conference. • FRARO held a fund raiser at Smithfield 's BBQ. http s://www.friendsofravenrock.org/about-fraro/accomplishments/ 3/3 6/2/2019 Home Join Donate ncfsp.org Friends of State Parks , Inc. -Home Na,urally Friends of State Parks Supporting North Carolina State Parks Since 1973 Tak ing notice : State parks projects and the staff wh ... What do you remember after you visit a state park? Most people say they recall the peace of nature, seeing a cool plant or animal, or interacting with a park ranger. We ALL know park rangers immediately, with their big hats and all the cool things they know about the park. You often hear kids say they want to be a park ranger when they grow up, and I can definitely see why. But. we're all missing something. We 're missing a group of people -nearly as many serving our state parks as we have rangers-who do a tremendous amount every day to care for our state parks behind the scenes-and right in front of your nose. I 'm talking about our maintenance staff! Our maintenance staffs work is SO much more nuanced what their name implies, and it's time we acknowledge their valuable role in our parks. Recently, I asked our maintenance staff to start sending me photos and info about their daily work. After some groans (they are quite busy enough, thank you very much), I started receiving messages from several staff members across the state. Jordan Lake State Recreation Area Craig Autry, a maintenance and construction supervisor at Jordan Lake , shared with me some maior Fourth of July c hallenges for our maintenance staff,_ Check out the trash they 1/3 6/2/2019 Be the first of your friends to like this ~ Friends GA of State Parks on Thursday PILOTONLINE.COM Great Dismal .. . Unlike Colonel Wi .. . Carvers Creek Bums Bright Buming Award Division ... Oct 11, 2018 6 :00:07 PM New Mountains-to-Sea Trail segme path fr ... ncfsp.org Leadership fro national parks, officials , and tra gathered at Gre Mountains Nati Friends of State Parks, Inc. -Home collected after the holiday weekend last year! --. ,. .....- .• . Lake Norman State Park This Little Free Library built and installed by Maintenance and Construction Technician Greg Johnson at Lake Norman State Park was built from repurposed wood from a 100- year-old-barn that once stood on park property. Fort Macon State Park Larry, a maintenance and construction technician down east at Fort Macon, ends up fixing a lot of automatic sinks. Below, you can see the inner workings of the sink's automatic function , which requires fresh batteries regularly. This time , Larry found that the small electric solenoid that turns the water on and off needed to be cleaned before it would function again . Stone Mountain State Park In the mountain region , Trails Maintenance Manager Jody Reavis has been hard at work leading the construction on new sections of Stone Mountain trails. Here , a new section of horse trail was carved out near Wid ows Creek Falls and the main entrance. This section 2/3 6/2/2019 Friends of State Parks, Inc. -Home will be part of the Mountains to Sea State Trail. First the dynamite, and then the cleanup: When many people think of North Carolina's "Naturally Wonderful" state parks, they think of massive forests , expansive lakes, primitive camping , or pristine beach walking. Our natural resources are certainly part of what makes our parks special. But it's also the things that differentiate state parks from unmanaged wi lderness-bathrooms, trash cans , shower houses, docks, piers , trails , campsites , swim areas-that bring you to your state parks for a safe, comfortable adventure with modern conveniences and easy access to beautiful places. The fact is , all of these things are maintained , improved, repaired, restored and often constructed by our parks ' maintenance staff. From fixing mowers and sinks to landscaping , trail construction and maintenance, and waste management, our maintenance staff members are truly jack and jills-of-all-trades. Visitors to the parks often mistake them for park rangers because of their similar uniforms, but many leave without ever knowing how important these crews really are to the parks. We want to do a better job conveying the hard work that our maintenance staff do so that we all can give them more credit for their extensive skills, pride in their work, and the critical role the have in our parks. Please keep an eye on our blog and social media accounts for more updates about the work of our maintenance staff. Ho m e Privacy Po licy Si t emap Contact Us Copyright@2018 FRIENDS OF ST ATE PARKS INC ,s a GwcJcS1ar Exchange S1 lvcr Pan,c,pr,ni ,,.....__ Friends of State Pa r ks, Inc. PO Box37655 Raleigh, NC 27627 Email Conta ct EarthShare "'--' North Carolina Friends of State Parks, Inc. is a nonprofit, tax-exempt charitable organization (tax identification number 58-1634155) under section 50 1 (c)(3) of the Internal Revenue Code . Donations are tax deductible as allowed by law. ncfs p.org 3/3 6/2/20 19 Frien ds of State Parks, Inc. -Strategic Plan Home Join Don ate N.i~urally ~nclerliul Friends of State Parks Supporting North Carolina State Parks Since 1973 Two-Year Vision Statement VISION : A robust and thriving state parks system provides educational, economic, recreational and health benefits that improve and sustain the unique natural heritage of North Carolina and the well-being of its people. MISSION : Friends of State Parks, Inc. exercises its private sector nonprofit abilities to add value to NC's park system in areas wher e government action may be restricted such as • creating and maintaining a membership program focused on supporting state parks • providing outreach on issues affecting state parks • · advocating to improve the state parks system • coordinating a volunteer workforce to support programs and other initiatives • leveraging private sector contracting mechanism to address urgent, innovative or singular needs not suited to government purchasing processes • partnering with other organizations and private compan ies to achieve a shared objective stimul ating and unifying local Friends groups • raising money to enhance government funding • providing a means to request and administer legacy gifts or other investment opportunities VALUES : The core values of FSP are: • Preservation of the heritage of parks and recreation • Conservation of the natural environment • Stewardship of the parks and recreation infrastructure and resources • Youth involvement in parks • · Environmenta l education • Healthy initiatives • Significant and continuous progress • A cu lture of enjoyment, fun and celebration • Networking, collaboration and partnership • Transparent decision making • Commitment to inclusio n and diversity ncfsp.org/Str at eg i c-Plan 1/2 6/2/2019 Friends of State Parks , Inc. - Strategic Plan • Service exce ll ence to members and stakeholders • Non-partisan and non-confrontational PRIORITIES THROUGH 2016 : • 1. Successfully plan, fund and implement (in partnership with DPR, local groups and other su pporters) the State Parks Centennial Celebration i n 2016. • 2. Encourage participation in activities in all the parks for all ages that focus on health and education . • 3 . Advoca te for re-establishing dedicated funding for state parks. • 4. Solidify FSP into a statewide organization that includes or collaborates with all the state pa rks support groups. • 5. Hire profe ss i onal staff and fund outsource services that enhance communications, websi t e, social media, and newsletter. • 6. Increase and enhance membershi p as well as improve contacts with past, current, and future supporters of parks. • 7. Mai nta i n our established non-partisan, non-confrontational cu lture of advocacy on parks' i ssues. OUTCOMES : If successful i n its strat eg i c plan, FSP will realize the following outcomes by the end of 2016: • 1. An i ncreased awareness throughout the state of the importance of parks as a result of the Centenn ial celebration that is reflected in increased use of FSP social media, additional FSP or local Friends members and expanded programming in parks • 2 . Improvement in the health of North Carolinians as reflected i n response to Centennia l health initiatives(# of Parks Rx , miles logged, surveys, etc.) • 3. Funding and framework to support centennial capital projects i n state's parks • 4. Restoration of dedicated funding to reduce the risk of fluctuating funding that can undermi ne the stabil ity of our state parks system • 5. A cohesive and unified Friends network of statewide governance and l ocal chapters or partners • 6. Improved coordination, communications and integration with supporters of parks at the national, state and loca l level as well as public and private sectors as reflected by cooperative ag reements, joint initiatives and funding • 7. A set of staff or contracted services sufficient to support the FSP o rgan ization • 8 . A close co nnection with the state age ncy responsible for state parks that is reflected i n shared offi ce space, regular communication and j o int i nvolvement in shared in itiatives Ho m e Priva cy Policy Sitem ap Contact Us Co pyright@ 20 18 Fr iends of Stat e Parks, Inc. PO Box 37655 Raleigh, NC 2762 7 Emai l Contact FRIEND S Of' ST ATE P ARKS tNC 1s a G\JtdeStar Ekctia~c S lves-Pa ,oc,p ao1 ,,,,,....___ EarthShare· "'--" North Caroli na Fr iends of State Pa r ks, In c. is a nonprofi t , t ax-exem pt char it ab le organ ization (t ax id entificat ion number 58 -1634155) unde r sectio n 501 (c)(3) of the Int erna l Revenue Co de Donations are t ax ded uct ib le as allow ed by law. ncfsp.org/Strategic-Plan 212 ~-'''!''2069 ,,,,, ,,,,,,,.,, JAt£ RI OlAADSGI PAGE 01 . I STATE OF · NORTH . Department or Th Secretary of St.ate CAROLINA To all to whom these presents shall come, Greeting: I, Thad Eure, Secretary of State of the State of North Carolina, do here by certify the following and hereto attached ( 4 sheets) to be a true copy of CHARTER DOCUMEN':S 0~ . . Pn%Bl0>3 OP GTATB PAIU(S, :DIC. the original of which is now on file and a matter of record in this office . · In Witness Whereof; I have hereunto set my hand and affixed my official seal. Done in Office, at Raleigh, this l !5th day of .. Apru, in the year of our Lord 19_a_2. ___ _ 06 /03/2009 05:42 9192330935 PAGE 02 ...... ?°'. ;;:., , .. ...... ; "'' ... 1N S. CURRY IDHU Al U.lt t.Sl MAIN 1TAUT 110•v. •· (. HII• • / ~.i =o . . .. r . ·-~-ARTICLES OF INCORPORATION Oi' THE Dtc lS 11 17 AH 'i!IENDS OF STATE PARKS, INC. TH:. ~hi; lliSiersigned, being a. na.tura~ person of the age ~(CREU,RY OF shrt · OIIORjl~lYlts) years or more, a. citizen o! tbe United States and resident of the State of North Carolin&, does hereby make and &cknowledie these Articles of Incorporation for the purpoae of forming a corporation under Chapter 65A of tbe General Statutes of the State o~ North Carolina and to tha~ end does hereby set forth: ·ARTICLE I The na.rne o:f tho corpora.tion is :FRIENDS OF STATE PARKS , INC. ARTICLE II The period o! duration o! the corporation aball be perpetual. ARTICLE .III This corporation is organized exclusively tor educa- tional, charitable and scientific purposes w1thin ~he mean- ing of Section 501 (c) ( 3) o! the Internal Revenue .Code ot 1954 and specitically to assist and cooperate with ~tate, fed- eral and loca.l a.scnci•s, officials and communities ._in en- buicing and perpetuating the state park system ot North Carolina tor the enjoyment and benefit of all the state'& people; to preserve and protect natural areas of unique or exceptional scenic value; to promote the establishment and operatioa ot state parks, natural ar•as, st~te na~ural and scenic rivers. and state scenic trails; to portray and inter- pret plant and animal life, geolo11, and all otber natural feature& and processes included in the various etate parks and natural areas; to promote tbe preservation, protection a.ad portra7al of scientific aitcs of statewide importa.Doa; to promote public awareness o! the importance of the st&te parks system. ARTICLE IV The corporaiion shall have no capital stock. ARTICLE V Membership in the corporation shall include all of those persons who are now members of the Friend• of ~tate Parka, an unincorporated association and other members of the public who comply •ith the membership requirements set forth in the by-laws ARTICLE VI There shall be three classes of memberships: individual , family, and donor, each of which shall bave one vote on all matters subJect to vote bY the membership &nd family member- ships shall be entitled to one additional vote by virtue of th:la class. -1- 1~ S. CURR¥ H•IY AJ I.AW -ST l&AIII ITUU ........ C. :n,11 9192330935 Jiff: Rio-!ARDSON PAGE 03 ARTICLE Vl! Tbe followin~ persons shall constitute the initial Board or Directors of this corporat·ion to serve uotil the orgaolza~iooal mee~ins or until their successors are elected and qualified: (a) Ur. Alexander T. Davison, Route 4, B9x 526, Hillsborough, N. C. 27278 (b) Dr. Hollis J. Rogers, 420 East Radiance Drive, Oreenaboro, N. C, 27403 (c) Mrs.· Ruth Noonan, 412 Rosewood Drive·, Lexington, N. C. 27282 (d) Mrs. Hollis Wild, Route 1, Roaring Gap, N. C. 28668 ARTICLE VIII Tbe ... ddreaa of the inithl registered office of this corporation and the registered agent at such address shall be: Ur. Joe C. U&tthews 305 Government Center 8 Weat Third Street, Post Office Box &75 Winston-Salem, North Car9lina 27102 Forsyth County ARTICLE IX This corporation shall have all of those powers enumer- ated in North Carolina General Statutes, Section 6SA-l5 and 16 except that : No part of.the net earnings ot the corporation sball inure to the benefit of, or be distributable to, 1te m .~s, trustees, ot!icers or other private persons, except that tbe corporation sball be authorized and empowered to pay reason- able compensation for services rendered and to make payments and distributions in furtherance ~f th• purpoeos aut forth above. No substantial part of the activities ot the corpor- ation shall be the carry1ni on ot propa,anda or otherwise attempting to influonoe l•sialation and the corporation shall not participate in nor intervene in (including the publish- ing or distribution of statements) any political ca.mpaicn on behalf of any candidate for public office. Notwitbstandini any other ·provision of these Articles, the corporation shall not carry on any otnar activlties not permitted to be carried OD: (&) by a corporation exempt trom Federal InQOme Tax under Section 501 (c) (3) of the Internal Revenue Code 0% 1954 (or the corresponding provisions of any future United 5tates Revenue law). -2- I, CURRY 1IIY ATU.W rMAll lHIIT M, I.'-Utll 9192336935 JAi€ RI01ARDSON PAGE 64 deductible uuder Section 170 (c) (2) ot the Internal Revenue Code uf 19~4 (or ·the correspond1Di provisions or any !uture United States Internal Revenue law). ARTICLE X Upon dissolution of the r.nrporation, the Board of Directors shall, after payin, or making provisions for the payment of allot the 11ab1l1t1es of the corporation, d1s- poee of all the assets of the corporation in .compliance with Article 7 of Chapter 55A of the NCOS and in such manner, or to such oreanizat1on or orianizations oreanized a.nd operated exclusively for charitable, educational, literary or scien- titiu purpOlSes as shall at the time quality aa an exempt organization or organizations under Section 501 (c) (3) of the Internal Revenue Code of 1854 (or the corresponding provisions of any future United States ln~ernal Revenue law), a11 the Board of Direct.ors 11hall determine, ·any assets . not so diapused ot shall be depo&ited in the Ott1ce or ihe Clerk of Superior Court, of Forartb County, State ot North Carolina, to be distributed by him exclusively for such purpoaea or to such or1anizationa as the oourt ,ball deterllline, which are org&n1zed and operated exclusively for such purposes. ARTICLE XI The name and address of the incorporator is: Mr. Alexander T. Davison Route 4, Box 525 · · Hillsboruuiih, North Carolina 27278 IN WITNESS WHEREOF, I have hereunto set my band and seal this &"'IL day of tr',B:nfer·/~ tt'O ; Al~xJLOder T. Davison -3- N 8, COAR• QIIIIU AT LAIi ,n 1W1f'n1u· IOID, I. C. l!S'~ ~1~233093 5 NORTH CAROLINA ORANGE COUNTY JANE RIOIAROS(),I I, J..fdt,ta,J ,/, tlr.i•4bt -St-, a Notary Public PAGE 05 do hereby certify tha.t,.~-//.~.,c·~,~~~cJ.l!S&,i,acc..._~"t::.,__·-~L~~a.a:~c~i~e~·"'..._~~ personally appeared before me this ,.,C day of O.it;, 1978, and acknowled1ed tbe due execution o! the tor.- . I :' ~o1ng Articles o! Incorporation of .Friends o(~·s.tate P~rks, Inc. .N tary Pub C .. .' I My Commission Expi~es -4- Return to: John S. Curry, P. o. Box 130 , Carrboro, N. c. 27510 060319 HCBOC Page 112 ~Habitat ' for Humanity® of Harnett County Agenda Item 10 PO Box 2157 "' 101 West Harnett Street N Dunn, North carolina 28335 www.hchfh.com,..., 910-891-4500 May 20, 2019 Harnett County Board of Commissioners 420 Mckinney Parkway P.0.Box 759 Lillington, NC 27546 RE: Waiver of Fees Dear Chairman & Members of the Board: My name is Mike Blackmon and I am the Executive Director for Habitat for Humanity of Harnett County. Habitat is in the process of beginning construction on another house, this house will be located in Erwin at 807 Rosemary Street. The partner family currently lives in the Erwin area and wishes to continue to live in that area. Habitat for Humanity is asking for your consideration to waive all the necessary fees associated with the lot preparation and construction of house. Below is a list of fees provided to me by Central Permitting in Harnett County. Single Family Dwelling Permit Fees $700.00 Plan Review Fee 25.00 Water Tap Fee $2825.00 Sewer Tap Fee $3525.00 Estimated lipping Fees for Tree Stumps $1500.00 Total Fees $ 8,575.00 Your Consideration would be greatly appreciated. Sincerely, Mike Blackmon Executive Director Habitat for Humanity of Harnett County -.ve offer a lumd"-up.., --"Not" liaru£--outt' HCHFH is a 501(cX3) corpo1'Cltlor, --.. all gifts are tax deductable 060319 HCBOC Page 113 COU NTY O F HA RNETT BUD GET OR DINANCE AMEN DM ENT Agenda Item ___ l_l_ BE IT OR DAINED by the Governing Boord of the County of Horneff. North Carolina. that the following amendment be mode lo the annual budget ordinance for the fiscal year ending June 30 . 2019 . Se ction 1. To amend th e General Capital Proj ect Fund , Govern m ent Complex South Project the appropriations are to be changed a s follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 4054230 553000 GCSTH CNSTR CONSTRU BALFOUR CONSTRUCTION $ 2,397,985 4054230 519060 GCSTH FEES ARCHT ARC HITECT ARCHITECTURE $ 125,000 4054230 587000 GCSTH OP ERT OTHERCOST FFE FURNITURE, FIXTURES. EQUIP $ 1,500,000 4054230 555000 GCSTH MMATER M TSUP MAT&SUPPL Y MA TE RIALS & SUPPLIES $ 20.058 4054230 599000 GCSTH CONTGCY CONTINGENC CONTINGENC C ONTINGENCY $ 384,330 4054230 519090 GCSTH PFRSV OTHERSVCS GEOTECHN GEOTECHNICAL $ 10 .000 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE 4053900 390910 GCSTH DEBT SERV OTHER LOAN LOAN PROCEEDS $ 3,745.000 4053900 390982 GCSTH INTERF OTHER SPREVENUE SPECIAL REVENUE $ 632,257 EXPLANATION : To adjust th e project budge t to th e reflect th e e stimated cost of $24 ,027,257 to c onstru ct the current DSS building addition along with the Harnett County Re sourc e C enter and library, a s pre se nted at the Board's May 14th work session . At that work session the Board agreed to finan cing $23,000,000 of the project cost and authorized County staff to seek altern a tive m ethods to fund in g the FF&E c ost of the proj ect. APPROVAL S: Dept Head (dote] Finance Officer !dote) County Manage r (dote) Section 2. Copies of this budget amendment shall be furni shed to the Clerk to the Boord, and to the Budget Officer and the Finance Officer for lheir direction. Adopted this ___ day of --:------~ • 20 Jj . Margaret Regino Wheeler. Clerk to the Boord Gordon Springle, Chairman Boord of Commissioners DECREASE 060319 HCBOC Page 114 Agenda Item _ _._J _..'11-------' Board Meeting Agenda Item MEETING DATE: June 3, 2019 TO: HARNETT COUNTY BOARD OF COMMISSIONERS SUBJECT: Former Boone Trail Elementary School Demolition Project REQUESTED BY: Barry A. Blevins REQUEST: General Services Director requests the Harnett County Board of Commissioners consider and approve the Project Ordinance to demolish the declared condemned former Boone Trail Elementary School. Anticipated expenses for the project is $239,000. The expenses for this project will be funded by the General Fund. FINANCE OFFICER'S RECOMMENDATION: COUNTY MANAGER'S RECOMMENDATION: C :\ U sers\apeele\App Data\Local\ Temp\agendafonn2019 _ 5184281\agendafonn2019 .docx l of l Page 060319 HCBOC Page 115 HARNETT COUNTY PROJECT ORDINANCE FORMER BOONE TRAIL ELEMENTARY SCHOOL DEMOLITION PROJECT BE IT ORDAINED by the Board of Commissioners of Hamett County, North Carolina, sitting as the governing board for Hamett County. Section l . Section 2. Section 3. Section 4 . Section 5. Section 6. Section 7. Section 8. Section 9. The County of Harnett is interested in demolishing the declared condemned former Boone Trail Elementary School, located at 8500 Old U.S. 421, Lillington, North Carolina. The officers of this unit are hereby directed to proceed with the capital project within the terms of the grant documents, loan documents, and the budget contained herein. The following amounts are hereby appropriated for this project: Former Boone Trail Demolition Project Demolition Environmental Clearing Asbestos Monitoring Total $ 225,000 $ 12,000 $ 2,000 $ 239,000 The following revenues are anticipated to be available to complete this project: General Fund $ 239,000 The Finance Officer is hereby directed to maintain within the Capital Project Fund sufficient specific detailed accounting records to satisfy the requirements of the grantor agency, the grant agreements, and federal regulations. Funds may be advanced from the General Fund for the purpose of making payments as due . Reimbursement request should be made to the grantor in an orderly and timely manner. The Finance Officer is directed to report, on a quarterly basis, on the financial status of each project element in Section 3 and on the total grant revenues received or claimed. The Budget Officer is directed to include a detailed analysis of past and future costs and revenues on this capita] project in every budget submission made to this Board. Copies of this capital project ordinance shall be furnished to the Clerk to the Governing Board, and to the Budget Officer and the Finance Officer for direction in carrying out this project. Duly adopted this __ day of ___ , 2019. Gordon Springle, Chairman Hamett County Board of Commissioners ATIEST: -------------- Margaret Regina Wheeler, Clerk to the Board, Hamett County Board of Commissioners 060319 HCBOC Page 116 Harnett ·~~,.,'COUNTY Development Services Department =-----NORTH CAROLINA ******Notice of Condemnation****** 05/17/2019 Harnett County Administration RE: Boone Trail School Building 8500 Old U.S. 421 Lillington, N .C. 27546 Harnett County Administration, www.harnett.org PO Box 65 108 E. Front St. Lillington, NC 27546 Ph: 910-893-7525 Fax: 910-814-8278 Due to a recent fire, and the imminent danger of collapse, this building is hereby condemned under NCGS 153A-366. It must be demolished as soon as legally allowed, and the site must remain secured from public access until such demolition has been completed. Brad Sutton Harnett County strong roo t s • new growth 060319 HCBOC Page 117Agenda Item 15 Harnett County DSS Monthly Report Totals 2018-19 .Jul)· A~1g11s;I SeF)tember October November Oecembe1· J•uary 2019 Febru~,ry Mard April May June Totnls Children's Services C'PS Reports Received 131 l 18 107 144 1:24 112 120 155 162 167 Repor1s Accepted 84 72 69 89 68 59 77 78 100 83 779 Total children on Pie/Custody 141 148 !48 148 157 156 157 158 151 146 f(' Money expe,,ded $ III0.008 82 111.859 00 113,052 W 114,400.65 $ 117.23419 $ l I 7.807 00 $ L 19,113.06 $ I 15,237.52 121,560 73 13(,,%0 83 $ 1,167,234.20 ,\dull Services APS Repon.s Received 16 21 14 lJ 14 11 19 13 20 15 156 # of tnps scheduled 1310 1455 1237 1521 1386 1241 1474 1374 1-15:! 1437 IJ887 Total Cases ~g(l 298 JOO 302 31: 291.J 283 282 291 280 Work First Energy Expenditures $J4,891 26 S\07,868.19 $94,974.77 $129.504 87 $116.845 59 $157,940.63 S184,400.00 $115,100 00 $63,800 00 $2,800.00 $0 00 $1.008.127 31 Total cases H6 ]57 367 364 367 373 375 137 144 136 Food & Nutrition Sen·ices Apps Approved 4.11 465 359 335 288 317 528 244 419 478 3864 Total Cases (households) 8,073 8102 9754 14,118 8.283 8.004 7,960 8,206 8,135 7,817 Benefits Issued $2.039,683 00 $2,054,689.00 S4.139,910 00 $2.180.584 00 $2,142.769 00 $2.049.752 00 $4,151.681 00 $1,626,0.14 00 $2_24(,.915 00 $2,048.774 00 S24.680. 79100 Adult Medicaid Apps Approved 96 l 19 72 171 118 69 161 115 104 85 1110 Total C'ases 9.141 8.715 8,519 8.532 8,(,51 10,133 10,206 11398 11444 11368 Family & Children's :\'ledicaid Apps Approved 192 233 184 237 134 169 257 210 189 188 199.1 Tota! Cases ll.557 12.164 12,265 15,890 15,959 16,003 17,108 16 983 17.170 17.258 Fraud Total Collections $9.948 60 $11_465 76 $7,659 J9 $9,289 98 $7,746 83 $ I 0.442.08 SJJ.926.011 S7)30.43 Sl4,68U5 $80.002.30 $172.492.72 ChildCarc Children Served 769 816 7Q2 788 782 788 820 788 814 988 rotai Expendtturc~ $329,708 00 $344,668 00 $306.701 00 $409.679 00 S457,354.00 $420,499.00 $460.689 00 $395.162 00 $444,976 00 $457,001 00 $4.02(,.43 7 00 Child Su ppor1 rotlll Collecttons $788,908 $781,629 $707,402 $79() .. "7~ $757.02100 $730,680.00 $74'1.5 78 00 $752.406 00 $1,027.108 00 $882. 751 00 $7.976.957 00 060319 HCBOC Page 118 COUNTY Of HARNETT BUDGET ORDINANCE AMENDMENT Agenda Item -~'~5~-- BE IT ORDAINED by 1he Governing Boord of 1he Cou nly of Hornell, North Carolina, that the fo ll owing amendment be mode to the annu al budget ordinance for the fiscal year ending June 30, 2019 . Section 1. To amend the General Fund, Aging, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK J08 DESCRIPTION OF CODE INCREASE DECREASE 1105160 526010 NUTRI OPERT MTSUP MATS !TE Office Supplies/SI TE SUPPLIES $600 1105160 526010 NUTRI OPERT M TSUP MAT&SUPPLY OFFICE SUPPLIES $600 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: To move funds in the Elderly Nutrition program to order supplies for the nutrition sites. Adopted this ___ doy of _______ , 20 _. Margaret Reg ina Wheeler, Clerk to the Board Gordon Springle , Chairman Board of Commissioners 131 l l 060319 HCBOC Page 119 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Boord of the Counfy of Hornell. North Corolino. fhot the following amendmenf be mode to the annual budget ordinance for fhe fiscal year ending June 30. 2019. Section 1. To amend the Board of Education Capital Fund, Benhaven Elementary School Project. the opproprlatlons ore to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 4705910 519060 BENHA PFRSV ARCHT HITE&ASSOC ARCHITECTURE $211,327 4705910 553000 BENHA CNSTR GENCT JIM THOMPSON CONS TRU CTION $211 ,327 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION : To move project sales tax. APPROVALS : ~ fty_,Jh<fL-£h.,)r~ Dept Head (dote) County Manager (dole) _ Section 2. Copies of this budget amendment shall be furnished to the Clerk to the Boord . and to the Budget Officer and the Finance O fficer for their direction. 2)/ ).1 c, Adopted this ___ day of ________ , 20 __ . Margaret Regino Wheeler. Clerk to the Boord Gordo n Springle. Chairman Boord of Commissioners 060319 HCBOC Page 120 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Govern ing Bo ord of the Count y of Ha rn ett. No rl h C aroli na . that th e foll owing amend me nt b e made to the a nn ua l b udget o rd inanc e for t he fi scal y ear e nd ing June 30, 2019 . Section 1. To amend the General Fund, Fleet Maintenance, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1104 250 526010 Office Suonlies $950 1104250 582000 Non-Cao Assest -Sma ll Equip $950 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE EXPLANATION: To increase t he Non-Cap Asse st -Small Equipment line 582000 within Fleet Maintenance budget to purc hase a 5-t on service jack fo r heavier weighte d count y vehicles that are maintained and serviced by e mpl o yees o f the Fl e e t Maintenance Department. APPROVALS : Adopted this ___ day of ________ . 20 _. Margaret Regina Wheeler, Clerk to th e Bo ard G o rd o n Sp ringle , C hairman Board o f Commissioners DECREASE 060319 HCBOC Page 121 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Govern ing Board of t he County of Harnett. North Carolina. tha t the following amendment be made to the annual budget ordinance for the fi scal year ending June 30 , 2019. Section 1. To amend the Information Technoloty Deportment, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1104290 5020 10 Part Time/Intern Position in GIS $ 2,000.00 1104290 502020 Port Time/Intern Position in GIS $2,000 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE EXPLANATION: GIS part time/intern position APPROVALS: ~/j ~ I<,&,,: ._J(d:: / Dept Head (date) Finance Officer ~)Ii() l County Manage~:) Section 2. Copies of this budget amendment shall be furn is hed to the Ce k to the Board , and to the BudgJ ', Officer and the Finance Officer for their direction . Adopted this ___ day of ________ , 20 __ . Margaret Regina Wheeler. Clerk to the Board Gordon Springle, Chairman Board of Commissioners DECREASE 060319 HCBOC Page 122 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Govern ing Boord of the County of Harnett, North Carolina, t ho! !he foll owing amendmen1 be made l o th e annuo l budge! ordinance for !he fisca l year ending June 30, 2019 . Section 1. To amend the Health Department General Fund, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1105 110 521030 Uniforms $270 1105 110 522010 Fo od & Pr o visions $270 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE EXPLANATION: To move funds in Healthy Communities to purchase uniform items. APPROVALS : 9f fhvvt Pa .. As-& ~r Dept Head (date) F1 ce Offic (dote) ~, l,o\~ County Monag~date) Section 2. Copies of th is budget amendment shall b e furnished t o t he C ler k to the Board, and to th e Bud~ 'l Officer and the Finance Officer fo r their direction. Adopted this ___ day of ________ , 20 Margaret Regino Wheeler. Clerk to t he Boord Gordon Springle . Cha irman Board of Commissioners DECREASE 060319 HCBOC Page 123 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett. North Carolina. that the following amendme nt be made to the annual budget ordinance for the fiscal year ending June 30, 2019. Section 1. To amend the Health Department General Fund, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1105110 522010 Food & Provisions $556 1105110 544095 Incentives $556 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: To move funds in the Family Planning TANF program to better meet the needs of the program. Adopted this ___ day of ________ , 20 Margaret Regina Wh eeler. Clerk t o the Board Gordon Springle. Chairman Board o f Commissioners 060319 HCBOC Page 124 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by fhe Governing Boord of i h e C o un1y o f Harn ett. North Carolina. thai 1he fo llowing amendmen t be made to the annual budgef o rdinance for the fiscal year ending June 30, 2019. Section 1. To amend the Health Department General Fund, the appropriotions are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB 1105110 522010 1105110 523040 1105110 526010 REVENUE ORG OBJECT PROJECT TASK SUB-TASK JOB EXPLANATION: To move State funds in the Mini Grant to better utilize. c/f'fe1 . 'ti~ Dept Heod (dote) Section 2. Copies of this budget amendment shall be furnished to Officer and the Finance Officer for their d irection. DESCRIPTION OF CODE INCREASE DECREASE Food & Provisions $697 Medical Sunnlies $798 Office Suppli es $10 1 AMOUNT DESCRIPTION OF CODE INCREASE DECREASE R, + d-~ St:c A, ,.JlvJ: ~ County Manager (date) 0 t0 .Y '.lc-1 he lerk ~ the Board, and lo the Budget ~ Adopted this ___ day of ________ , 20 _ . Margorel Regina Wheeler. Clerk to t he Boord Gordan Springle , Chairman Board of Commiss ioners 060319 HCBOC Page 125 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Hornet!. North Carolina , that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30 , 2019 . Section 1. To amend the General Fund, Animal Shelter . the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1104512 532030 Cellular $100 1104512 534010 PrintinQ $123 1104512 523070 Animal Service Sunnlies $223 REVENUE AMOUNT ORG I OBJECT I PROJECT I TASK I SUB-TASK I JOB DESCRIPTION OF CODE INCREASE l DECREASE I I I I I I I I I I I I EXPLANATION: Increase accounts due to unexpected expenses. APPROVAlS: ~u'~-?'-4'~, 'epl Head (date) ~k.~1 talCc,.,f:' tt County Managerdate) . 2D fl ~--Jo. ""1 't Section 2 . Copies of this budget amendment shall be furnished to the Clerk to the Board , and to the Budget Officer and the Finance Officer for their direction. Adopted this ___ day of Margaret Regina Wheeler, Clerk ta the Board ------, 20 _. Gordon Springle, Chairman Board of Commissioners 0E353i 060319 HCBOC Page 126 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett. North Carolina . t hat the following amendment be made to the annual budget ordinance far the fiscal year ending June 30, 2019. Section 1. To amend the General Fund, Animal Control, the appropriations ore to be changed as follows: EXPENDITURE A.MOUNT ORG OBJECT PROJECT TASK SUB-TASK JOI DESCRIPTION Of CODE INCREASE DECREASE 1104510 534010 Printing $23 1104510 548000 Dues & Subscriotion $125 1104510 543010 Rental Copier $500 1104510 526010 Office Suoolies $148 1104510 525010 Gas $500 REVENUE AMOUNT ORG l OBJECT I PROJECT I TASK I SUB -TASK I JOB DESCRIPTION OF CODE INCREASE I DECREASE I I I I I I I I I I I I EXPLANATION: Increase occounts due to unexpected expenses and fund new account. APPROVALS: ~#-? ~ -/;? PY-\.d4 J+.e 1,-r: Dept Head (date) · once Offic (dot~ -I l 2J Ii) County Mano~o~- Section 2. Copies of this budget amendment shall be furnished to the Clerk to the Board, and to the Budget -i ' Officer and the Finance Officer for their direction. Adopted this ___ day of _______ , 20 _. Margaret Regina Wheeler. Cleric to the Board Gordon Springle, Chairman Board of Commissioners 060319 HCBOC Page 127 COUNTY OF HARNETI BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett. North Caroli na. that the following amendment be mode to the annual budget ordinance tor the fiscal year ending June 30, 2019 . Section 1. To amend the General Fund. Airport, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION Of CODE INCREASE DECREASE 1104650 544050 Software Main! & Suooort $945 1104650 584000 Non-Cap Assets -Info Techno $945 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: Fund the coffed account code for softwore maintenance ond support of new fuel terminal. APPROVALS: Adopted this ___ day of ______ _ Margaret Regina Wheeler, Clerk to the Board ,20~. Gordon Springle, Chairman Board of Commissioners 060319 HCBOC Page 128 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED b y 1he Governing Board of 1he Counl y o f Harnelt. North Carolina. that t he f o ll owing amendme nt be m a d e lo the ann ual budget ord inance for lhe fisca l ye ar e nding June 30 , 2019 . Section 1. To amend the Communications Fund, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 5 144591 55 1000 Cooit ol O ut lay -La nd $43 ,992 5 144 59 1 598500 Trans fe r t o Capita l Rese rv e $43 ,992 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION : To budget partial purchase of land for communications tower. APPROVALS: ~ir)~ S,17-fj Dept Head (dote) r (dote ) 1 -t7J Sec t io n 2 . Copie s of th is b ud g e t amendment shall be fu rn ish e d to t he Offi c er and the Fina nc e Officer fo r th e ir direc ti o n . Adopted this ___ day of ________ , 20 _. Margare t Regina Wh e el e r, C lerk to the Boo rd ~uk,.,~(uk 14 ounty Manag e r (date) S,-)o ..-JC, !e rk to the Bo ard . and t o the Budget Gord o n Sp ringle. C hairm a n Board of C ommis sio ners 060319 HCBOC Page 129 COUNTY OF HARNETI BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett, North Carolina, that the following amendment be mode to the annual budget ordinance for the fiscal year ending June 30, 2019. Section 1. To amend the General Fund. Youth Services , the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1105870 523010 Books. Media, & Publications $350 1105870 528010 Athletic & Program Suoolies $350 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: To correct conversion of funds to the more appropriate account code. APPROVALS : Adopted this ___ doy ot _______ , 20 _ . Margaret Regino Wheeler, Clerk ta the Board Gordon Springle. Chairman Boord of Commissioners 060319 HCBOC Page 130 COUNTY OF HARNETI BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Ha rnett, North Carolin a. that t he fo llowing amendment be mode to the a nn ual budget ordinance for the fiscal year ending June 30, 2019 . Section 1. To amend the Health Department General Fund, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1105110 531030 Lodaina $1,600 1105110 504010 Expense All owance $1.700 1105110 544000 Contract Se rvices $3 ,300 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: To move funds in the PCM program for employee travel. APPROVALS: 9t /hvvJ.. ~11d1 Dept Head [date) ~ ·+d',,~~t. -t: County Manager oteJ;-'- .:),,,-)-0 4" Section 2. Copies of this budget amendment shall be furn ished to the Clerk to the Boord, and t o the Budget Officer and the Finance Officer for their direction . Adopted this ___ day of ________ , 20 __ . Margaret Regino Wheeler. Clerk to the Board Gordon Springle, Chairman Boo rd of Commissioners 060319 HCBOC Page 131 COUNTY OF HARNETI BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Boord o f the County of Harnett. North Carolina, thot the following amendment be mode to the annual budget ord inance for the fisca l year ending June 30, 2019 . Section 1. To amend the Health Department General Fund. the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1105110 584000 Non Capital Asset-IT $3 ,000 1105110 544000 Contract Services $3,000 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: To move funds to purchase KnowBe4. APPROVALS : f/J) )/Cj 9tfhvv2. . ')'-~ P~Jre. ->wt- Dept Head (date) Finance Offi \. r (d~& ~ A County Manager (datS--.l.o Section 2. Copies of this budget amendment shall be furnis hed to the Clerk t o the Board. and to the Budget '1C\ Officer and the Fi nan ce Officer for their direction . Adopted this ___ day of ______ , 20 _ . Margaret Regina Wheeler, Clerk to the Board Gordon Springle, C hairman Bo ard of Commissioners 060319 HCBOC Page 132 COUNTY OF HARNETI BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by lhe Govern ing Boord of t he County of Harn et t, No rth Caro lina , that th e fo llo wi ng ame ndment b e m o de to the ann ual b ud get o rdina nce for t he fisc al year end ing June 30, 2019. Section 1. To amend the Public Ufllltles Admlnlsratlon Budget, the appropriations are to be changed 05 follows: ORG 6107 121 6107 121 ORG EXPLANATION: EXPENDITURE OBJECT PROJECT TASK SUB-TASK JOB 523090 544000 REVENUE OBJECT PROJECT TASK SUB-TASK JOB To Increase Online Servlce5 until the end of budget year. Adopted this ___ doy ol _______ , 20 _. Margaret Regina Wheeler, Clerk to the Board AMOUNT DESCRIPTION Of CODE INCREASE DECREASE CHEMI C ALS SULPHA $24,576 CHEMICALS SULPHA $24,576 AMOUNT DESCRIPTION OF CODE INCREASE Gordon Springle , Chairman Board of Commissioners DECREASE 060319 HCBOC Page 133 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Boord of the County of Harnett. North Carolina. that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30. 2019. Section 1. To amend the General Fund, Facllfties Matntenance, the appropriations ore to be changed as fallows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 5004230 533070 Sanitation $2,800 5004230 524010 M&R Supplies -Building $2.800 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: Move monies to pay Waste Management Invoices through June, 2019. APPROVALS: Section 2. Copies of this budget amendment shall be furnished to the and the Finance Officer for their direction. Adopted this ___ day of ______ ,20 ~. Margaret Regino Wheeler. Clerk to the Board ~~t,'.*,~ '5-.2,l-')-O ltounty Manager (da~..-J 81 q lerk to the Board. and to the Budget Officer Gordon Springle, Chairman Boord of Commissioners 060319 HCBOC Page 134 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett. North Caroli na. that the following amendment be mode to !he annual budget ordinance for the fiscal year ending June 30, 2019 . Section 1. To amend the General Fund, Youth Services, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1105870 539090 other Services $7,500 1105870 547030 lndemnitv Payments $7,500 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: To correct conversion of funds to the more app(oprlate account code. APPROVALS: ~-~afr;'r~~ ept Head (date} ( ate] i;;: ~ County Manager (date)("' -J -l 1 ')_..o M _y ).o -,<t Section 2 . Copies of this budget amendment shall be furnished to the Clerk to the Boord. and to the Budget Officer and the Finance Officer for their direction. Adopted this ___ day of ________ . 20 _ . Margaret Regino Wheeler. Clerk to the Boord Gordon Springle. Chairman Board of Commissioners 5~ l i 060319 HCBOC Page 135 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the Counly of Harneft, North Carolina. tho! the tallowing amendment be made to the annual budget ordinance for the fiscal year ending June 30, 2019 . Section 1. To amend the Solid Waste Fund , the appropriations are to be changed as follows: EXPENDITURE ORG OBJECT PROJECT TASK SUB-TASK JOB 6607410 551000 6607410 598500 REVENUE ORG OBJECT PROJECT TASK SUB-TASK JOB EXPLANATION: To budget partial purchase of land for convlenence site . Adopted this ___ day of ________ , 20 _. Margaret Reg ina Whee ler, Clerk to the Board AMOUNT DESCRIPTION Of CODE INCREASE DECREASE Capitol Outlay -Land $71,487 Transfer to Capital Reserve $71.487 AMOUNT DESCRIPTION OF CODE INCREASE DECREASE Gordon Springle, Chairman Board of Commissioners 060319 HCBOC Page 136 BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett, North Carolina, that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30, 2019: Section 1. To amend the Tax Department, the appropriations are to be changed as follows: EXPENDITURE AMOUNT AMOUNT CODE NUMBER DESCRIPTION OF CODE INCREASE DECREASE 1104140-526010 Office Supplies $443.00 1104140-58700 Non-Cap Assest-Office Furnit $443 .00 REVENUE AMOUNT AMOUNT CODE NUMBER DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION : Transfer funds from Office Supplies to new account Non-Cap Assest Office Furn it. APPROVALS : ,~J-tHi / D€part~ad{date) ate) 1-17-s--)a-iC, Section 2. Copies of this budget amendment shall be furnished to the Clerk to the Board, and to the Budget Officer and the Finance Officer for their direction . Adopted this day of Margaret Regina Wheeler, Clerk to the Board I 2018, Gordon Springle, Chairman Harnett County Board of Commissioners 060319 HCBOC Page 137 BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett, North Carolina, that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30, 2019: Section 1. To amend the Tax Department, the appropriations are to be changed as follows: EXPENDITURE AMOUNT AMOUNT CODE NUMBER DESCRIPTION OF CODE INCREASE DECREASE 1104140-532010 Telephone Service $25,000 1104140-532050 Postage $25,000 REVENUE AMOUNT AMOUNT CODE NUMBER DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: Transfer funds from Telephone Service 110-4140-532010 to new account Postage 1104140- 532050 . APPROVALS: /f(~lb--2 J-;,;1~1 J Department Head (date) L~Ftr. JCMJ-:: County Manager (date) 5--.l.o---1 "\ Section 2. Copies of this budget amendment shall be furnished to the Clerk to the Board, and to the Budget Officer and the Finance Officer for their direction. Adopted this day of Margaret Regina Wheeler, Clerk to the Board , 2018. Gordon Springle, Chairman Harnett County Board of Commissioners 060319 HCBOC Page 138 BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett, North Carolina, that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30, 2019: Section 1. To amend the Tax Department, the appropriations are to be changed as follows: EXPENDITURE AMOUNT AMOUNT CODE NUMBER DESCRIPTION OF CODE INCREASE DECREASE 1104140-544000 Contracted Services $40,000 1104140-532050 Postage $40,000 REVENUE AMOUNT AMOUNT CODE NUMBER DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION: Transfer funds from Contracted Services 110-4140-544000 to new account Postage 1104140- 532050. ( MO\le -hmds ~e, -to l\tw So·~ (Cf\\Jer..\Of'I) APPROVALS: ~.r-N-lj R,., .J~~ .Jevr = County Manager (date) 5.,,J.,g 1 'J Section 2. Copies of this budget amendment shall be furnished to the Clerk to the Board, and to the Budget Officer and the Finance Officer for their direction. Adopted this day of Margaret Regina Wheeler, Clerk to the Board , 2018. Gordon Springle, Chairman Harnett County Board of Commissioners 060319 HCBOC Page 139 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett. North Carolina . that t he fol lowing amendment be mode to the annual budget ordinance for the fiscal year ending June 30, 2019 . Section 1. To amend the General Fund. Aging, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1105160 526010 RSVP OPERT MTSUP OFFSUP OFFICE SUPPLIES $385 1105160 519090 RSVP OPERT PROFS PROFS PROFESSIONAL SERVICES $385 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE EXPLANATION : To move funds In the RSVP program to better utilize . APPROVALS: ~.__, JL>k.e) "4.,..\- icer (date) r_:)~, 2.0 )~ County Manager (date) v; S-.>..~-,~ Section 2. Copies of this budget amendment shall be furnished to he Clerk to the Board , and to the Budget Officer and the Finance Officer for their direction. Adopted this ___ day of _______ , 20 _. Margaret Regina Wheeler. Clerk to the Board Gordon Springle, Chairman Board of Commissioners 060319 HCBOC Page 140 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Boord of the County of Hornell. North Carolina . that the following amendment be mode to the annual budget ordinance for the fiscal year ending June 30, 2019. Section 1. To amend the General Fund, Transportation, the appropriations are to be chonged as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1104610 544050 Software Moint & Suooort $1,300 1104610 544000 Contracted Services $1,300 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE EXPLANATION: Mave monies Into Transportation's software maintenance and support expense account to cover the odded cost for the amended software license and services agreement thot adds the Medicaid billing module. APPROVALS: DECREASE ~~fi.f~,1" eO , date) CountyManage,(date) ~ f,~~" 5,~,,-, 1 Section 2. Copies of this budget amendment shall be furnished to the Clerk to the Board, and to the Budget Officer and the Finance Officer for their direction. Adopted this ___ day of Margaret Regina Wheeler, Clerk to the Board ,20 __ . Gordon Springle, Chairman Boord of Commissioners 060319 HCBOC Page 141 COUNTY OF HARNETT BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by 1he G o verning Bo ord of the County of Harnet t, North Caro lina, !hot the followi ng amendment be mod e t o th e annu a l bud ge! ordinance f or the fiscal year ending June 30, 2019. Section 1. To amend the General Fund, Aging, the appropriations are to be changed as follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1105160 526010 RSVP OPERT MTSUP OFFSUP Office Suppli es $200 1105160 534010 RSVP OPERT PR INTING PRINTING Printino and Bindino $200 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE EXPLANATION: To move funds in the RSVP program to better utilize. APPROVALS: )--)i ~ 9)~~ ~ L-/<-H:c...lc...t:: DeptHe{dat e) ~inanc~8 County Manager (date) Section 2. Copies of this budget amendment shall be furnished to the Clerk to the Board. and to the Bu~fo ,5 Officer and the Finance Officer for their direction. Adopted this ___ day of ________ . 20 __ . Margaret Regina Wheeler. Clerk to the Board Gordon Springle . Chairman Board of Commissioners DECREASE 060319 HCBOC Page 142 COUNTY OF HARNETI BUDGET ORDINANCE AMENDMENT BE IT ORDAINED by the Governing Board of the County of Harnett. North Carolina, that the following amendment be made to the annual budget ordinance for the fiscal year ending June 30, 2019. Section 1. To amend the General Fund, Fleet Maintenance, the appropriations are to be changed os follows: EXPENDITURE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE DECREASE 1104250 535030 R & M -Vehicles $5,000 1104250 525020 Vehicle Surmlies -Tires $5,000 REVENUE AMOUNT ORG OBJECT PROJECT TASK SUB-TASK JOB DESCRIPTION OF CODE INCREASE EXPLANATION : To increase the Vehicle Supplies -Tire lin e 525020 within Fleet Maintenance budget to pay invoices for tire purchases for county vehicles in the Fleet Maintenance Department. APPROVALS : Adopted this ___ day of ________ , 20 _. Margaret Regino Whee le r, Clerk to the Board Gordon Sp ringle, C hairman Board of Commissioners DECREASE