Backup Documents 02/11/2014 Item #16D 5 160 5 1
HOUSING HUMAN AND VETERIAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, HHVS
DATE: February 28, 2014
RE: Senior Choices OAA 203.14 Contract, Amendments OAA 20313.004 and 005
Senior Choices HCE Amendment 203.12.007
Please find attached one (1) each fully executed document that was approved by the BCC on the
days listed below for recording in Minutes and Records. Feel free to contact me if you have any
questions.
4/ February 11, 2014 Item 16.D.5:
Older American Act Program Title III—OAA 203.14
December 10,2013 Item 16.D.7:
OAA Amendment 203.13.004
December 10,2013 Item 16.D.9:
OAA Amendment 203.13.005
December 10, 2013:
HCE 203.12.007 and OAA 203.005
Thank you for your assistance.
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AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC. dba
Senior Choices of Southwest Florida
STANDARD CONTRACT
OLDER AMERICANS ACT PROGRAM TITLE III
THIS CONTRACT is entered into between the Area Agency on Aging for Southwest Florida, Inc., dba Senior Choices of
Southwest Florida(Agency) and Collier County Board of County Commissioners (Contractor)and collectively referred to
as the "Parties." The term contractor for this purpose may designate a vendor, subgrantee or subrecipient,the status to be
further identified in ATTACHMENT III,Exhibit-2 as necessary.
WITNESSETH THAT:
WHEREAS,the Agency has determined that it is in need of certain services as described herein; and
WHEREAS, the Contractor has demonstrated that it has the requisite expertise and ability to faithfully perform such
services as an independent contractor of the Agency.
NOW THEREFORE, in consideration of the services to be performed and payments to be made, together with the
mutual covenants and conditions hereinafter set forth,the Parties agree as follows:
1. Purpose of Contract:
The purpose of this contract is to provide services in accordance with the terms and conditions specified in this
contract including all attachments, forms and exhibits,which constitute the contract document.
1.1 Agency Mission.Vision and Values Statement:
The agency's mission: To help aging adults achieve greater independence through awareness of resources and access
qualified service providers. The agency's vision: To be the recognized leader in supporting older adults and their
families with access to trustworthy resources and services in their communities while empowering them to live with
independence and dignity. The agency's values: We believe residents of Southwest Florida are entitled to:
Comprehensive information about their choices of care; Timely access to resources and services; High standards of
quality and performance; and Personal and professional accountability from all stakeholders.
2. Incorporation of Documents within the Contract:
The contract will incorporate attachments, proposal(s), state plan(s), grant agreements, relevant Department
handbooks, manuals or desk books, as an integral part of the contract, except to the extent that the contract explicitly
provides to the contrary. In the event of conflict in language among any of the documents referenced above, the
specific provisions and requirements of the contract document(s) shall prevail over inconsistent provisions in the
proposal(s)or other general materials not specific to this contract document and identified attachments.
3. Term of Contract:
This contract shall begin on January 1, 2014 or on the date the contract has been signed by the last party required to
sign it, whichever is later. It shall end at midnight, Eastern Standard Time December 31, 2014.
4. Contract Amount:
The Agency agrees to pay for contracted services according to the terms and conditions of this contract in an
amount not to exceed $720,309.00($252,567.00 In-Home Services), subject to the availability of funds. Any costs
or services paid for under any other contract or from any other source are not eligible for payment under this contract.
5. Renewals:
By mutual agreement of the Parties, in accordance with s. 287.058(1)(g), F.S.,the Agency may renew the contract
for a period not to exceed three years, or the term of the original contract, whichever is longer. The renewal price, or
method for determining a renewal price, is set forth in the bid, proposal, or reply. No other costs for the renewal may
be charged. Any renewal is subject to the same terms and conditions as the original contract and contingent upon
satisfactory performance evaluations by the Agency and the availability of funds.
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6. Compliance with Federal Law:
6.1 If this contract contains federal funds this section shall apply.
6.1.1 The Contractor shall comply with the provisions of 45 CFR 74 and/or 45 CFR 92, and other applicable
regulations.
6.1.2 If this contract contains federal funds and is over $100,000.00, the Contractor shall comply with all
applicable standards, orders, or regulations issued under s. 306 of the Clean Air Act as amended (42
U.S.C. 7401, et seq.), s. 508 of the Federal Water Pollution Control Act as amended (33 U.S.C. 1251, et
seq.), Executive Order 11738, as amended, and where applicable Environmental Protection Agency
regulations 40 CFR 30. The Contractor shall report any violations of the above to the Department and/or
Agency..
6.1.3 The Contractor, or agent acting for the Contractor, may not use any federal funds received in connection
with this contract to influence legislation or appropriations pending before the Congress or any state
legislature. If this contract contains federal funding in excess of$100,000.00, the Contractor must, prior
to contract execution, complete the Certification Regarding Lobbying form, ATTACHMENT II. All
disclosure forms as required by the Certification Regarding Lobbying form must be completed and
returned to the Contract Manager prior to payment under this contract.
6.1.4 In accordance with Appendix A to 2 CFR 215, the Contractor shall comply with Executive Order 11246,
Equal Employment Opportunity, as amended by Executive Order 11375 and others, and as supplemented
in Department of Labor regulation 41 CFR 60 and 45 CFR 92, if applicable.
6.1.5 A contract award with an amount expected to equal or exceed $25,000.00 and certain other contract
awards will not be made to parties listed on the government-wide Excluded Parties List System, in
accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 and 12689,
"Debarment and Suspension." The Excluded Parties List System contains the names of parties debarred,
suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or
regulatory authority other than Executive Order 12549. The Contractor shall comply with these
provisions before doing business or entering into subcontracts receiving federal funds pursuant to this
contract. The Contractor shall complete and sign ATTACHMENT V prior to the execution of this
contract.
6.2 The Contractor shall not employ an unauthorized alien. The Agency will consider the employment of
unauthorized aliens a violation of the Immigration and Nationality Act (8 U.S.C. 1324a) and the Immigration
Reform and Control Act of 1986 (8 U.S.C. 1101). Such violation will be cause for unilateral cancellation of
this contract by the Agency.
6.3 If the Contractor is a non-profit provider and is subject to Internal Revenue Service (IRS) tax exempt
organization reporting requirements (filing a Form 990 or Form 990-N) and has its tax exempt status revoked
for failing to comply with the filing requirements of the Pension Protection Act of 2006 or for any other reason,
the Contractor must notify the Agency in writing within thirty (30) days of receiving the IRS notice of
revocation.
6.4 The Contractor shall comply with Title 2 CFR Part 175 regarding Trafficking in Persons.
6.5 Unless exempt under 2 CFR Part 170.110(b),the Contractor shall comply with the reporting requirements of the
Transparency Act as expressed in 2 CFR 170.
6.6 To comply with Presidential Executive Order 12989 and State of Florida Executive Order Number 11-116,
Contractor agrees to utilize the U.S. Department of Homeland Security's E-verify system to verify the
employment of all new employees hired by Contractor during the contract term. Contractor shall include in
related subcontracts a requirement that subcontractors performing work or providing services pursuant to the
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state contract utilize the E-verify system to verify employment of all new employees hired by the subcontractor
during the contract term. Contractors meeting the terms and conditions of the E-Verify System are deemed to
be in compliance with this provision.
7. Compliance with State Law:
7.1 This contract is executed and entered into in the State of Florida, and shall be construed, performed and
enforced in all respects in accordance with the Florida law, including Florida provisions for conflict of laws.
7.2 The Contractor shall comply with requirements of s. 287.058, F.S. as amended.
7.2.1 The Contractor shall provide units of deliverables, including various client services, and in some instances
may include reports, findings, and drafts, as specified in this contract, which the Contract Manager must
receive and accept in writing prior to payment in accordance with s. 215.971,F.S. (1)and(2).
7.2.2 The Contractor shall submit bills for fees or other compensation for services or expenses in sufficient
detail for a proper pre-audit and post-audit.
7.2.3 If itemized payment for travel expenses is permitted in this contract, the Contractor shall submit bills for
any travel expenses in accordance with s. 112.061, F.S., or at such lower rates as may be provided in this
contract.
7.2.4 The Contractor shall allow public access to all documents, papers, letters, or other public records as
defined in subsection 119.011(12), F.S., made or received by the Contractor in conjunction with this
contract except for those records which are made confidential or exempt by law. The Contractor's refusal
to comply with this provision will constitute an immediate breach of contract for which the Agency may
unilaterally terminate the contract.
7.3 If clients are to be transported under this contract, the Contractor shall comply with the provisions of Chapter
427, F.S., and Rule 41-2, F. A. C.
7.4 Subcontractors who are on the discriminatory vendor list may not transact business with any public entity, in
accordance with the provisions of s. 287.134, F.S.
7.5 The Contractor shall comply with the provisions of s. 11.062, F.S., and s. 216.347, F.S., which prohibit the
expenditure of contract funds for the purpose of lobbying the legislature,judicial branch or a state agency.
7.6 In accordance with s. 287.135 F.S., any contractor on the Scrutinized Companies with Activities in Sudan List
or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List(Lists), created pursuant
to s. 215.473 F.S., is ineligible to enter into or renew a contract with the Agency for goods or services of
$750,000.00 or more. Pursuant to s. 287.135 F.S., the Agency may terminate this contract if the Contractor is
found to have submitted a false certification of its status on the Lists or has been placed on the Lists. Further,
the Contractor is subject to civil penalties, attorney's fees and costs and any costs for investigations that led to
the finding of false certification. If this contract contains $750,000.00 or more, the Contractor shall complete
and sign ATTACHMENT H, Certification Regarding Scrutinized Companies Lists, prior to the execution of
this contract.
8. $ackground Screening:
The Contractor shall ensure that the requirements of s. 430.0402 and ch. 435, F.S., as amended, are met regarding
background screening for all persons who meet the definition of a direct service provider and who are not excepted
from the Department's level 2 background screening pursuant to s. 430.0402(2)-(3), F.S. The Contractor must also
comply with any applicable rules promulgated by the Department and the Agency for Health Care Administration
regarding implementation of s. 430.0402 and ch. 435, F.S.
8.1 Further information concerning the procedures for background screening is found at
http://elderaffairs.state.fl.us/doea/backgroundscreening.php.
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9. Grievance Procedures:
The Contractor shall develop, implement, and ensure that its subcontractors have established grievance procedures to
process and resolve client dissatisfaction with or denial of service(s), and address complaints regarding the
termination, suspension or reduction of services, as required for receipt of funds. These procedures, at a minimum,
will provide for notice of the grievance procedure and an opportunity for review of the subcontractor's
determination(s).
10. Public Records and Retention:
10.1 If , under this contract, the Contractor is providing services and is acting on behalf of the Agency as
provided under section 119.011(2), Florida Statutes, the Contractor, subject to the terms of section
287.058(1)(c), Florida Statutes, and any other applicable legal and equitable remedies, shall:
a) Keep and maintain public records that ordinarily and necessarily would be required by the public
agency in order to perform the services.
b) Provide the public with access to public records on the same terms and conditions that the
Agency would provide the records and at a cost that does not exceed the cost provided in Chapter
119, Florida Statutes, or as otherwise provided by law.
c) Ensure that public records that are exempt or confidential and exempt from public records disclosure
requirements are not disclosed except as authorized by law.
d) Meet all requirements for retaining public records and transfer, at no cost, to the Agency all
public records in possession of the Contractor upon termination or expiration of the contract and
destroy any duplicate public records that are exempt or confidential and exempt from public records
disclosure requirements. All records stored electronically must be provided to the Agency in a
format that is compatible with the information technology systems of the Agency.
10.2 The Agency may unilaterally cancel this contract, notwithstanding any other provisions of this contract, for
refusal by the Contractor to comply with Section 10 of this contract by not allowing public access to all
documents, papers, letters, or other material made or received by the Contractor in conjunction with the
contract, unless the records are exempt from Section 24(a) of Article I of the State Constitution and Section
119.07(1), Florida Statutes.
11. Audits.Inspections.Investigations:
11.1 The Contractor shall establish and maintain books, records and documents (including electronic storage media)
sufficient to reflect all assets, obligations, unobligated balances, income, interest and expenditures of funds
provided by the Agency under this contract. Contractor shall adequately safeguard all such assets and
assure they are used solely for the purposes authorized under this contract. Whenever appropriate, financial
information should be related to performance and unit cost data.
11.2 The Contractor shall retain and maintain all client records, financial records, supporting documents, statistical
records, and any other documents (including electronic storage media) pertinent to this contract for a period of
six (6) years after completion of the contract or longer when required by law. In the event an audit is required
by this contract, records shall be retained for a minimum period of six (6) years after the audit report is issued
or until resolution of any audit findings or litigation based on the terms of this contract, at no additional cost to
the Agency.
11.3 Upon demand, at no additional cost to the Agency, the Contractor shall facilitate the duplication and
transfer of any records or documents during the required retention period.
11.4 The Contractor shall assure that the records described in this section will be subject at all reasonable times to
inspection, review, copying, or audit by federal, state,or other personnel duly authorized by the Agency.
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11.5 At all reasonable times for as long as records are maintained, persons duly authorized by the Department
and/or Agency and federal auditors, pursuant to 45 CFR 92.36(i)(10), will be allowed full access to and the
right to examine any of the Contractor's contracts and related records and documents pertinent to this specific
contract, regardless of the form in which kept.
11.6 The Contractor shall provide a financial and compliance audit to the Agency as specified in this contract and
in ATTACHMENT III and ensure that all related third-party transactions are disclosed to the auditor.
11.7 The Contractor shall comply and cooperate immediately with any inspections, reviews, investigations, or
audits deemed necessary by the office of the Inspector General pursuant to s. 20.055, F.S.
12. Nondiscrimination-Civil Rights Compliance:
12.1 The Contractor shall execute assurances in ATTACHMENT VI that it will not discriminate against any person
in the provision of services or benefits under this contract or in employment because of age, race, religion,
color, disability, national origin, marital status or sex in compliance with state and federal law and regulations.
The Contractor further assures that all contractors, subcontractors, subgrantees, or others with whom it arranges
to provide services or benefits in connection with any of its programs and activities are not discriminating
against clients or employees because of age, race, religion, color, disability, national origin, marital status or
sex.
12.2 During the term of this contract, the Contractor shall complete and retain on file a timely, complete and accurate
Civil Rights Compliance Checklist(ATTACHMENT B).
12.3 The Contractor shall establish procedures pursuant to federal law to handle complaints of discrimination
involving services or benefits through this contract. These procedures will include notifying clients, employees,
and participants of the right to file a complaint with the appropriate federal or state entity.
12.4 If this contract contains federal funds, these assurances are a condition of continued receipt of or benefit from
federal financial assistance, and are binding upon the Contractor, its successors, transferees, and assignees for
the period during which such assistance is provided. The Contractor further assures that all subcontractors,
vendors, or others with whom it arranges to provide services or benefits to participants or employees in
connection with any of its programs and activities are not discriminating against those participants or employees
in violation of the above statutes, regulations, guidelines, and standards. In the event of failure to comply, the
Contractor understands that the Agency may, at its discretion, seek a court order requiring compliance with the
terms of this assurance or seek other appropriate judicial or administrative relief, including but not limited to,
termination of and denial of further assistance.
13. Monitoring by the Agency:
The Contractor shall permit persons duly authorized by the Agency to inspect and copy any records, papers,
documents, facilities, goods and services of the Contractor which are relevant to this contract, and to interview any
clients, employees and subcontractor employees of the Contractor to assure the Agency of the satisfactory
performance of the terms and conditions of this contract. Following such review, the Agency will provide a
written report of its findings to the Contractor, and where appropriate,the Contractor shall develop a corrective action
plan. The Contractor hereby agrees to correct all deficiencies identified in the corrective action plan in a timely
manner as determined by the Contract Manager.
14. Provision of Services:
The Contractor shall provide services in the manner described in ATTACHMENT I.
15. Coordinated Monitoring with Other Agencies:
If the Contractor receives funding from one or more of the State of Florida other human service agencies, in addition
to the Department of Elder Affairs and/or the Area Agency on Aging for Southwest Florida, Inc., dba Senior Choices
of Southwest Florida,then a joint monitoring visit including such other agencies may be scheduled. For
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the purposes of this contract, and pursuant to s. 287.0575, F.S. as amended, Florida's human service agencies shall
include the Department of Children and Families, the Department of Health, the Agency for Persons with Disabilities,
the Department of Veterans Affairs, and the Department of Elder Affairs. Upon notification and the subsequent
scheduling of such a visit by the designated agency's lead administrative coordinator, the Contractor shall comply and
cooperate with all monitors, inspectors, and/or investigators.
16. Indemnification:
The Contractor shall indemnify, save, defend, and hold harmless the Agency and its agents and employees from
any and all claims, demands, actions, causes of action of whatever nature or character, arising out of or by reason of
the execution of this agreement or performance of the services provided for herein. It is understood and agreed that
the Contractor is not required to indemnify the Agency for claims, demands, actions or causes of action arising solely
out of the Agency's negligence.
16.1 Except to the extent permitted by s. 768.28, F.S., or other Florida law, this section 15 is not applicable to
contracts executed between the Agency and state agencies or subdivisions defined in s. 768.28(2), F.S.
17. Insurance and Bonding:
17.1 The Contractor shall provide continuous adequate liability insurance coverage during the existence of this
contract and any renewal(s) and extension(s) of it. By execution of this contract, unless it is a state agency or
subdivision as defined by subsection 768.28(2), F.S., the Contractor accepts full responsibility for identifying
and determining the type(s) and extent of liability insurance necessary to provide reasonable financial
protections for the Contractor and the clients to be served under this contract. The limits of coverage under
each policy maintained by the Contractor do not limit the Contractor's liability and obligations under this
contract. The Contractor shall ensure that the Agency has the most current written verification of
insurance coverage throughout the term of this contract. Such coverage may be provided by a self-insurance
program established and operating under the laws of the State of Florida. The Agency reserves the right to
require additional insurance as specified in this contract.
17.2 Throughout the term of this agreement, the Contractor shall maintain an insurance bond from a responsible
commercial insurance company covering all officers, directors, employees and agents of the Contractor
authorized to handle funds received or disbursed under all agreements and/or contracts incorporating this
contract by reference in an amount commensurate with the funds handled, the degree of risk as determined by
the insurance company and consistent with good business practices.
18. Confidentiality of Information:
The Contractor shall not use or disclose any information concerning a recipient of services under this contract for any
purpose prohibited by state or federal law or regulations except with the written consent of a person legally authorized
to give that consent or when authorized by law.
19. jlealth Insurance Portability and Accountability Act:
Where applicable, the Contractor shall comply with the Health Insurance Portability and Accountability Act (42 USC
1320d.), as well as all regulations promulgated thereunder(45 CFR 160, 162, and 164).
20. jpcident Reporting:
20.1 The Contractor shall notify the Agency immediately but no later than forty-eight (48) hours from the
Contractor's awareness or discovery of conditions that may materially affect the Contractor or subcontractor's
ability to perform the services required to be performed under this contract. Such notice shall be made orally
to the Contract Manager(by telephone)with an email to immediately follow.
20.2 The Contractor shall immediately report knowledge or reasonable suspicion of abuse, neglect, or exploitation
of a child, aged person, or disabled adult to the Florida Abuse Hotline on the statewide toll-free telephone
number (1-800-96ABUSE). As required by Chapters 39 and 415, F.S., this provision is binding upon both the
Contractor and its employees.
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21. New Contract(sl Reporting:
The Contractor shall notify the Agency within ten (10) days of entering into a new contract with any of the
remaining four (4) state human service agencies. The notification shall include the following information: (1)
contracting state agency; (2) contract name and number; (3) contract start and end dates; (4) contract amount; (5)
contract description and commodity or service; and (6) Contract Manager name and number. In complying with this
provision, and pursuant to s. 287.0575, F.S. as amended, the Contractor shall complete and provide the information in
ATTACHMENT D.
22. $ankruptcy Notification:
During the term of this contract, the Contractor shall immediately notify the Agency if the Contractor, its assignees,
subcontractors or affiliates file a claim for bankruptcy. Within ten (10) days after notification, the Contractor must
also provide the following information to the Area Agency on Aging for Southwest Florida, Inc., dba Senior Choices
of Southwest Florida: (1) the date of filing of the bankruptcy petition; (2) the case number; (3) the court name and the
division in which the petition was filed (e.g., Middle District of Florida, Fort Myers, FL); and (4) the name, address,
and telephone number of the bankruptcy attorney.
23. Sponsorship and Publicity:
23.1 As required by s. 286.25, F.S., if the Contractor is a non-governmental organization which sponsors a program
financed wholly or in part by state funds, including any funds obtained through this contract, it shall, in
publicizing, advertising, or describing the sponsorship of the program, state: "Sponsored by (Contractor's
name) and the Area Agency on Aging for Southwest Florida, Inc., dba Senior Choices of Southwest Florida
and State of Florida, Department of Elder Affairs." If the sponsorship reference is in written material,
the words "Senior Choices of Southwest Florida and The State of Florida, Department of Elder Affairs" shall
appear in at least the same size letters or type as the name of the organization.
23.2 The Contractor shall not use the words "Senior Choices of Southwest Florida and The State of Florida,
Department of Elder Affairs" to indicate sponsorship of a program otherwise financed, unless specific
authorization has been obtained by the Agency prior to use.
24. Assignments
24.1 The Contractor shall not assign the rights and responsibilities under this contract without the prior written
approval of the Agency, which shall not be unreasonably withheld. Any sublicense, assignment, or
transfer otherwise occurring without prior written approval of the Agency will constitute a material breach of
the contract.
24.2 The State of Florida is at all times entitled to assign or transfer, in whole or part, its rights, duties, or
obligations under this contract to another governmental agency in the State of Florida, upon giving prior
written notice to the Contractor. In the event the State of Florida approves transfer of the Contractor's
obligations, the Contractor remains responsible for all work performed and all expenses incurred in connection
with the contract.
24.3 This contract shall remain binding upon the successors in interest of either the Contractor or the Agency.
25. Subcontracts:
25.1 The Contractor is responsible for all work performed and for all commodities produced pursuant to this
contract, whether actually furnished by the Contractor or its subcontractors. Any subcontracts shall be
evidenced by a written document and subject to any conditions of approval the Agency deems necessary.
The Contractor further agrees that the Agency will not be liable to the subcontractor in any way or for any
reason. The Contractor, at its expense, shall defend the Agency against any such claims.
25.2 The Contractor shall promptly pay any subcontractors upon receipt of payment from the Agency or other
state agency. Failure to make payments to any subcontractor in accordance with s. 287.0585, F.S., unless
otherwise stated in the contract between the Contractor and subcontractor, will result in a penalty as provided
by statute.
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26. Independent Capacity of Contractor:
It is the intent and understanding of the Parties that the Contractor, or any of its subcontractors, are independent
contractors and are not employees of the Agency and shall not hold themselves out as employees or agents of the
Agency without specific authorization from the Agency. It is the further intent and understanding of the Parties
that the Agency does not control the employment practices of the Contractor and will not be liable for any wage and
hour, employment discrimination, or other labor and employment claims against the Contractor or its subcontractors.
All deductions for social security, withholding taxes, income taxes, contributions to unemployment compensation
funds and all necessary insurance for the Contractor are the sole responsibility of the Contractor.
27. payment:
Payments shall be made to the Contractor pursuant to s. 215.422, F.S., as services are rendered and invoiced by the
Contractor. The Contract Manager will have final approval of the invoice for payment, and will approve the invoice
for payment only if the Contractor has met all terms and conditions of the contract, unless the bid specifications,
purchase order, or this contract specify otherwise. The approved invoice will be submitted to the Agency's
finance section for budgetary approval and processing. Disputes arising over invoicing and payments will be resolved
in accordance with the provisions of s. 215.422 F.S. A Vendor Ombudsman has been established within the
Department of Financial Services and may be contacted at(850)413-5665.
28. Return of Funds:
The Contractor shall return to the Agency any overpayments due to unearned funds or funds disallowed and any
interest attributable to such funds pursuant to the terms and conditions of this contract that were disbursed to the
Contractor by the Agency. In the event that the Contractor or its independent auditor discovers that an overpayment
has been made, the Contractor shall repay said overpayment immediately without prior notification from the Agency.
In the event that the Agency first discovers an overpayment has been made, the Contract Manager will notify
the Contractor in writing of such findings. Should repayment not be made forthwith, the Contractor shall be
charged at the lawful rate of interest on the outstanding balance pursuant to s. 55.03, F.S., after Agency notification
or Contractor discovery.
29. Data Integrity and Safeguarding Information:
The Contractor shall ensure an appropriate level of data security for the information the Contractor is collecting or
using in the performance of this contract. An appropriate level of security includes approving and tracking all
Contractor employees that request system or information access and ensuring that user access has been removed from
all terminated employees. The Contractor, among other requirements, must anticipate and prepare for the loss of
information processing capabilities. All data and software shall be routinely backed up to ensure recovery from losses
or outages of the computer system. The security over the backed-up data is to be as stringent as the protection
required of the primary systems. The Contractor shall ensure all subcontractors maintain written procedures for
computer system backup and recovery. The Contractor shall complete and sign ATTACHMENT IV prior to the
execution of this contract.
30. Computer Use and Social Media Policy:
The Department of Elder Affairs has implemented a new Social Media Policy, in addition to its Computer Use Policy,
which applies to all employees, contracted employees, consultants, OPS and volunteers, including all personnel
affiliated with third parties, such as, but not limited to, Area Agencies on Aging and vendors. Any entity that uses the
Department's and/or Agency's computer resource systems must comply with the Department's and/or Agency's
policy regarding social media. Social Media includes, but is not limited to blogs, podcasts, discussion forums, Wikis,
RSS feeds, video sharing, social networks like MySpace, Facebook and Twitter, as well as content sharing networks
such as flickr and YouTube. This policy is available on the Department's website.
31. Conflict of Interest:
The Contractor shall establish safeguards to prohibit employees, board members, management and subcontractors
from using their positions for a purpose that constitutes or presents the appearance of personal or organizational
conflict of interest or personal gain. No employee, officer or agent of the Contractor or subcontractor shall participate
in selection, or in the award of an agreement supported by state or federal funds if a conflict of interest, real or
apparent, would be involved. Such a conflict would arise when: (a)the employee, officer or agent; (b)any member of
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his/her immediate family; (c) his or her partner; or (d) an organization which employs, or is about to employ, any of
the above, has a financial or other interest in the firm selected for award. The Contractor or subcontractor's officers,
employees or agents will neither solicit nor accept gratuities, favors or anything of monetary value from contractors,
potential contractors, or parties to subcontracts. The Contractor's board members and management must disclose to
the Agency any relationship which may be, or may be perceived to be, a conflict of interest within thirty (30)
calendar days of an individual's original appointment or placement in that position, or if the individual is serving as an
incumbent, within thirty (30) calendar days of the commencement of this contract. The Contractor's employees and
subcontractors must make the same disclosures described above to the Contractor's board of directors. Compliance
with this provision will be monitored.
32. Public Entity Crime:
Pursuant to s. 287.133, F.S., a person or affiliate who has been placed on the convicted vendor list following a
conviction for a public entity crime may not submit a bid, proposal, or reply on a contract to provide any goods or
services to a public entity; may not submit a bid, proposal, or reply on a contract with a public entity for the
construction or repair of a public building or public work; may not submit bids, proposals, or replies on leases of real
property to a public entity; may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant
under a contract with any public entity; and may not transact business with any public entity in excess of the threshold
amount provided in s. 287.017, F.S., for CATEGORY TWO for a period of 36 months following the date of being
placed on the convicted vendor list.
33. Purchasing:
33.1 The Contractor may purchase articles which are the subject of or are required to carry out this contract from
Prison Rehabilitative Industries and Diversified Enterprises, Inc., (PRIDE) identified under Chapter 946, F.S.,
in the same manner and under the procedures set forth in subsections 946.515(2)and (4), F.S. For purposes of
this contract, the Contractor shall be deemed to be substituted for the Agency insofar as dealings with
PRIDE. This clause is not applicable to subcontractors unless otherwise required by law. An abbreviated list
of products/services available from PRIDE may be obtained by contacting PRIDE, (800) 643-8459.
33.2 The Contractor may procure any recycled products or materials, which are the subject of or are required to
carry out this contract, in accordance with the provisions of s. 403.7065, F.S.
33.3 The Contractor may purchase articles that are the subject of, or required to carry out, this contract from a
nonprofit agency for the Blind or for the Severely Handicapped that is qualified pursuant to Chapter 413, F.S.,
in the same manner and under the same procedures set forth in s. 413.036(1) and (2), F.S. For purposes of this
contract, the Contractor shall be deemed to be substituted for the Agency insofar as dealings with such
qualified nonprofit agency are concerned. Additional information about the designated nonprofit agency and
the products it offers is available at http://www.respectofflorida.org. This clause is not applicable to
subcontractors unless otherwise required by law.
34. Patents.Copyrights.Royalties:
If this contract is awarded state funding and if any discovery, invention or copyrightable material is developed,
produced or for which ownership was purchased in the course of or as a result of work or services performed under
this contract, the Contractor shall refer the discovery, invention or material to the Agency to be referred to the
Department of State. Any and all patent rights or copyrights accruing under this contract are hereby reserved to the
State of Florida in accordance with Chapter 286, F.S. Pursuant to s. 287.0571 (5) (k) 1 and 2 as amended, the only
exceptions to this provision shall be those that are clearly expressed and reasonably valued in the contract.
34.1 If the primary purpose of this contract is the creation of intellectual property, the State of Florida shall retain an
unencumbered right to use such property, notwithstanding any agreement made pursuant to this section 33.
34.2 If this contract is awarded solely federal funding,the terms and conditions are governed by 2 CFR 215.36.
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35. Emergency Preparedness and Continuity of Operations:
35.1 If the tasks to be performed pursuant to this contract include the physical care and control of clients, or the
administration and coordination of services necessary for client health, safety or welfare, the Contractor shall,
within thirty (30) calendar days of the execution of this contract, submit to the Contract Manager verification
of an emergency preparedness plan. In the event of an emergency, the Contractor shall notify the Agency of
emergency provisions.
35.2 In the event a situation results in a cessation of services by a subcontractor, the Contractor shall retain
responsibility for performance under this contract and must follow procedures to ensure continuity of
operations without interruption.
36. equipment:
36.1 Equipment means: (a) an article of nonexpendable, tangible personal property having a useful life of more than
one year and an acquisition cost which equals or exceeds the lesser of the capitalization level established by the
organization for the financial statement purposes, or $5,000.00 [for federal funds], or (b); nonexpendable,
tangible personal property of a nonconsumable nature with an acquisition cost of$1,000.00 or more per unit,
and expected useful life of at least one year; and hardback bound books not circulated to students or the general
public, with a value or cost of $250.00 or more [for state funds].
36.2 Contractors and sub-contractors who are Institutions of Higher Education, Hospitals, and Other Non-Profit
Organizations shall have written property management standards in compliance with 2 CFR Part 215
Administrative Requirements (formerly OMB Circular A-110) that include: (a) a property list with all the
elements identified in the circular; and, (b) a procedure for conducting a physical inventory of equipment at
least once every two years. The property records must be maintained on file and shall be provided to the Agency
upon request.
36.3 The Contractor's property management standards for equipment acquired with Federal funds and federally-
owned equipment shall include accurately maintained equipment records with the following information:
(1) A description of the equipment;
(2) Manufacturer's serial number, model number, federal stock number, national stock number, or other
identification number;
(3) Source of the equipment, including the award number;
(4) Whether title vests in the Contractor or the federal government;
(5) Acquisition date(or date received, if the equipment was furnished by the federal government)and cost;
(6) Information from which one can calculate the percentage of federal participation in the cost of the
equipment(not applicable to equipment furnished by the federal government);
(7) Location and condition of the equipment and the date the information was reported;
(8) Unit acquisition cost; and
(9) Ultimate disposition data, including date of disposal and sales price or the method used to determine
current fair market value where a Contractor compensates the federal awarding agency for its share.
36.4 Equipment purchased with federal funds with an acquisition cost over $5,000.00 and equipment purchased with
state funds with an acquisition cost over $1,000.00 that is specifically identified in the area plan approved by
the Agency is part of the cost of carrying out the activities and functions of the grant awards and Title
(ownership) will vest in the Contractor, subject to the conditions of 2 CFR Part 215 Administrative
Requirements (formerly OMB Circular A-110), Subpart C, paragraph 34. Equipment purchased under these
thresholds is considered supplies and is not subject to property standards. Equipment purchased with funds
identified in the budget attachments to agreements covered by this contract, or identified in the sub-agreements
with sub-contractors (not included in a cost methodology), is subject to the conditions of section 273, F. S. and
60A-1.0017, F. A. C. or Title 45 CFR Part 74.
36.5 The Contractor shall not dispose of any equipment or materials provided by the Agency, or purchased with
funds provided through this contract without first obtaining the approval of the Contract Manager. When
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disposing of property or equipment the Contractor must submit a written request for disposition instructions to
the respective Contract Manager. The request should include a brief description of the property, purchase
price, funding source, percentage of state or federal participation, acquisition date and condition of the
property. The request should also indicate the Contractor's proposed disposition (i.e., transfer or donation to
another agency that administers federal programs, offer the items for sale, destroy the items, etc.).
36.6 The Contract Manager will issue disposition instructions. If disposition instructions are not received within 120
days of the written request for disposition,the Contractor is authorized to proceed as directed in 2 CFR Part 215
Administrative Requirements(formerly OMB Circular A-110).
36.7 Real property means land (including land improvements), buildings, structures and appurtenances thereto, but
excludes movable machinery and equipment. Real property may not be purchased with state or federal funds
through agreements covered under this contract without the prior approval of the Agency. Real property
purchases from Older Americans Act funds are subject to the provisions of Title 42, Chapter 35, Subchapter III,
Part A., Sec. 3030b United States Code (USC). Real property purchases from state funds can only be made
through fixed capital outlay grants and aids appropriations and therefore are subject to the provisions of section
216.348, F. S.
36.8 Any permanent storage devices (e.g.: hard drives, removable storage media) must be reformatted and tested
prior to disposal to ensure no confidential information remains.
36.9 The Contractor must adhere to the Agency's procedures and standards when purchasing Information Technology
Resources (ITR) as part of any agreement(s) incorporating this contract by reference. An ITR worksheet is
required for any computer related item costing $1,000.00 or more, including data processing hardware, software,
services, supplies, maintenance, training, personnel and facilities. The completed ITR worksheet shall be
maintained in the LAN administrator's file and must be provided to the Agency upon request. The Contractor
has the responsibility to require any subcontractors to comply with the Agency's ITR procedures.
37. FUR 1000 Form:
The PUR 1000 Form is hereby incorporated by reference. In the event of any conflict between the PUR 1000 Form
and any terms or conditions of this contract the terms or conditions of this contract shall take precedence over the
PUR 1000 Form. However, if the conflicting terms or conditions in the PUR 1000 Form are required by any section
of the Florida Statutes,the terms or conditions contained in the PUR 1000 Form shall take precedence.
38. Use of State Funds to Purchase or Improve Real Property;
Any state funds provided for the purchase of or improvements to real property are contingent upon the Contractor or
political subdivision granting to the state a security interest in the property at least to the amount of state funds
provided for at least 5 years from the date of purchase or the completion of the improvements or as further required by
law.
39. Dispute Resolution:
Any dispute concerning performance of the contract shall be decided by the Contract Manager, who shall reduce the
decision to writing and serve a copy on the Contractor.
40. Financial Consequences of Non-Performance:
If the Contractor fails to meet the minimum level of service or performance identified in this agreement, or that is
customary for the industry, then the Agency must apply financial consequences commensurate with the
deficiency. Financial consequences may include, but are not limited to, contract suspension, refusing payment,
withholding payments until deficiency is cured, tendering only partial payments, and/or cancellation of contract and
reacquiring services from an alternate source.
40.1 The Contractor will not be charged with financial consequences, when a failure to perform arises out of causes
that were the responsibility of the Agency.
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41. No Waiver of Sovereign Immunity:
Nothing contained in this agreement is intended to serve as a waiver of sovereign immunity by any entity to which
sovereign immunity may be applicable.
42. Venue
If any dispute arises out of this contract,the venue of such legal recourse will be Lee County, Florida.
43. Entire Contract:
This contract contains all the terms and conditions agreed upon by the Parties. No oral agreements or representations
shall be valid or binding upon the Agency or the Contractor unless expressly contained herein or by a written
amendment to this contract signed by both Parties.
44. Force Majeure:
The Parties will not be liable for any delays or failures in performance due to circumstances beyond their control,
provided the party experiencing the force majeure condition provides immediate written notification to the other party
and takes all reasonable efforts to cure the condition.
45. Severability Clause:
The Parties agree that if a court of competent jurisdiction deems any term or condition herein void or unenforceable
the other provisions are severable to that void provision and shall remain in full force and effect.
46. Condition Precedent to Contract: Appropriations:
The Parties agree that the Agency's performance and obligation to pay under this contract is contingent upon an
annual appropriation by the Legislature.
47. Addition/Deletion:
The Parties agree that the Agency reserves the right to add or to delete any of the services required under this
contract when deemed to be in the State of Florida's best interest and reduced to a written amendment signed by both
Parties. The Parties shall negotiate compensation for any additional services added.
48. Waiver:
The delay or failure by the Agency to exercise or enforce any of its rights under this contract will not constitute or
be deemed a waiver of the Agency's right thereafter to enforce those rights, nor will any single or partial exercise of
any such right preclude any other or further exercise thereof or the exercise of any other right.
49. Compliance:
The Contractor shall abide by all applicable current federal statutes, laws, rules and regulations as well as applicable
current state statutes, laws, rules and regulations. The Parties agree that failure of the Contractor to abide by these
laws shall be deemed an event of default of the Contractor, and subject the contract to immediate, unilateral
cancellation of the contract at the discretion of the Agency.
50. Final Invoice:
The Contractor shall submit the final invoice for payment to the Agency as specified in section 3.5 (date for final
request for payment) of ATTACHMENT I. If the Contractor fails to submit final request for payment by the
deadline, then all rights to payment may be forfeited and the Agency may not honor any requests submitted after
the aforesaid time period. Any payment due under the terms of this contract may be withheld until all reports due
from the Contractor and necessary adjustments thereto have been approved by the Agency.
51. Renegotiations of Modifications:
Modifications of the provisions of this contract shall be valid only when they have been reduced to writing and duly
signed by both parties. The rate of payment and the total dollar amount may be adjusted retroactively to reflect price
level increases and changes in the rate of payment when these have been established through the appropriations
process and subsequently identified in the Agency's operating budget.
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52. Termination:
52.1 This contract may be terminated by either party without cause upon no less than thirty(30) calendar days notice
in writing to the other party unless a sooner time is mutually agreed upon in writing. Said notice shall be
delivered by U.S. Postal Service or any expedited delivery service that provides verification of delivery or by
hand delivery to the Contract Manager or the representative of the Contractor responsible for administration of
the contract.
52.2 In the event funds for payment pursuant to this contract become unavailable, the Agency may terminate this
contract upon no less than twenty-four (24) hours notice in writing to the Contractor. Said notice shall be
delivered by U.S. Postal Service or any expedited delivery service that provides verification of delivery or by
hand delivery to the Contract Manager or the representative of the Contractor responsible for administration of
the contract. The Agency will be the final authority as to the availability and adequacy of funds. In the
event of termination of this contract, the Contractor will be compensated for any work satisfactorily completed
prior to the date of termination.
52.3 This contract may be terminated for cause upon no less than twenty-four (24) hours notice in writing to the
Contractor. If applicable, the Agency may employ the default provisions in Rule 60A-1.006(3), F.A.C. Waiver
of breach of any provisions of this contract shall not be deemed to be a waiver of any other breach and shall not
be construed to be a modification of the terms and conditions of this contract. The provisions herein do not
limit the Agency's or the Contractor's rights to remedies at law or in equity.
52.4 Failure to have performed any contractual obligations with the Agency in a manner satisfactory to the Agency
will be a sufficient cause for termination. To be terminated as a contractor under this provision, the contractor
must have (1) previously failed to satisfactorily perform in a contract with the Agency, been notified by the
Agency of the unsatisfactory performance and failed to correct the unsatisfactory performance to the
satisfaction of the Agency; or(2)had a contract terminated by the Agency for cause.
52.5 Upon expiration or termination of the contract the Contractor(s) and Subcontractor(s) shall transfer all public
records in its possession to the Agency and destroy any duplicate public records that are exempt or confidential
and exempt from public records, disclosure requirements at no cost to the Agency. All electronically stored
records shall be provided to the Agency in a format that is compatible with the Agency's information technology
system(s).
53. Electronic Records and Signature:
The Agency authorizes, but does not require, the Contractor to create and retain electronic records and to use
electronic signatures to conduct transactions necessary to carry out the terms of this Agreement. A contractor that
creates and retains electronic records and uses electronic signatures to conduct transactions shall comply with the
requirements contained in the Uniform Electronic Transaction Act, s. 668.50, Fla. Stat. All electronic records must be
fully auditable; are subject to Florida's Public Records Law, ch. 119, Fla. Stat.; must comply with section 28, Data
Integrity and Safeguarding Information; must maintain all confidentiality, as applicable; and must be retained and
maintained by the Contractor to the same extent as non-electronic records are retained and maintained as required by
this Agreement.
53.1 The Agency's authorization pursuant to this section does not authorize electronic transactions between the
Contractor and the Agency. The Contractor is authorized to conduct electronic transactions with the Agency
only upon further written consent by the Agency.
53.2 Upon request by the Agency, the Contractor shall provide the Agency with non-electronic (paper) copies
of records. Non-electronic (paper) copies provided to the Agency of any document that was originally in
electronic form with an electronic signature must indicate the person and the person's capacity who
electronically signed the document on any non-electronic copy of the document.
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54. Official Payee and Representatives (Names,Addresses,and Telephone Numbers):
The Contractor name, as shown on page 1 of this Collier County Housing, Human and Veteran
contract, and mailing address of the official payee to Services
a. whom the payment shall be made is: 3339 E Tamiami Trail, Building H
Naples, FL 34112
Kimberly Grant, Director
Collier County Housing, Human and Veteran
b. The name of the contact person and street address where Services
financial and administrative records are maintained is: 3339 E Tamiami Trail, Building H
Naples, FL 34112
Kimberly Grant, Director
c The name, address, and telephone number of the Collier County Housing, Human and Veteran
representative of the Contractor responsible for Services
administration of the program under this contract is: 3339 E Tamiami Trail, Building H
Naples, FL 34112
(239) 252-2273
The section and location within the Agency where Delores Kadlec-Roussey, Chief Financial Officer
d. Requests for Payment and Receipt and Expenditure Area Agency on Aging for Southwest Florida, Inc.
forms are to be mailed is: d/b/a Senior Choices of Southwest Florida
15201 N. Cleveland Ave., Suite 1100
North Fort Myers, Florida 33903
(239) 652-6900
Marianne G. Lorini, President/CEO
e. The name, address, and telephone number of the 15201 N. Cleveland Ave.
Contract Manager for this contract is: Area Agency on Aging for Southwest Florida, Inc.
d/b/a Senior Choices of Southwest Florida
15201 N. Cleveland Ave., Suite 1100
North Fort Myers, Florida 33903
(239) 652-6900
Upon change of representatives (names, addresses, telephone numbers) by either party, notice shall be
provided in writing to the other party and the notification attached to the originals of this contract.
55. All Terms and Conditions Included
This contract and its Attachments, I — XI, A, B, D, G, H, and J and any exhibits referenced in said attachments,
together with any documents incorporated by reference, contain all the terms and conditions agreed upon by the
Parties. There are no provisions, terms, conditions, or obligations other than those contained herein, and this contract
shall supersede all previous communications, representations or agreements, either written or verbal between the
Parties.
By signing this contract,the Parties agree that they have read and agree to the entire contract.
IN WITNESS THEREOF, the Parties hereto have caused this 51 page contract, to be executed by their undersigned
officials as duly authorized.
Vendor: COLLIER COUNTY BOARD OF AREA AGENCY ON AGING FOR SOUTHWEST
COUNTY COMMISSIONERS FLORIDA,INC. dba SENIOR CHOICES OF
SOUTHWEST FLORIDA
SIGNED BY: ,,01 ( l SIGNED BY:
NAME: Stephen Y. Carrell NAME: RONALD LUCCHINO, PhD
TITLE: Public Services Administrator TITLE: BOARD PRESIDENT
DATE: ' — ■ ` 4 DATE: 'l`
Federal Tax ID: 59-6000558 Approved as to form and legality
Fiscal Year Ending Date: 9/30
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INDEX OF ATTACHMENTS
ATTACHMENT I
STATEMENT OF WORK 16
ATTACHMENT II
CERTIFICATION REGARDING LOBBYING CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND
AGREEMENTS 27
ATTACHMENT III
FINANCIAL AND COMPLIANCE AUDIT 28-30
EXHIBIT 1 31
EXHIBIT 2 32
ATTACHMENT IV
CERTIFICATION REGARDING DATA INTEGRITY COMPLIANCE FOR AGREEMENTS, GRANTS, LOANS AND
COOPERATIVE AGREEMENTS 33
ATTACHMENT V
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION
FOR LOWER TIER COVERED TRANSACTIONS 34
ATTACHMENT VI
ASSURANCES—NON-CONSTRUCTION PROGRAMS 35-36
ATTACHMENT VII
BUDGET SUMMARY.and RATE SUMMARY 37-38
ATTACHMENT VIII
INVOICE SCHEDULE 39
ATTACHMENT IX
REQUEST FOR PAYMENT 40
ATTACHMENT X
RECEIPTS AND EXPENDITURE REPORT 41
ATTACHMENT XI
RECEIPTS AND EXPENDITURE REPORT 42
ATTACHMENT A
DEPARTMENT OF ELDER AFFAIRS PROGRAMS&SERVICES HANDBOOK 43
ATTACHMENT B
STATE OF FLORIDA DEPARMENT OF ELDER AFFAIRS CIVIL RIGHTS COMPLAINCE CHECKLIST 44-45
INSTRUCTIONS FOR THE CIVIL RIGHTS COMPLIANCE CHECKLIST 46-47
ATTACHMENT D
PROVIDER'S STATE CONTRACTS LIST 48
ATTACHMENT G
BACKGROUND SCREENING 49
ATTACHMENT H
CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS 50
ATTACHMENT J
VERIFICATION OF EMPLOYMENT STATUS CERTIFICATION 51
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ATTACHMENT I
ATTACHMENT IAREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC. dba
SENIOR CHOICES OF SOUTHWEST FLORIDA
STATEMENT OF WORK
OLDER AMERICANS ACT PROGRAM TITLE III
SECTION I: SERVICES TO BE PROVIDED
1.1 DEFINITIONS OF TERMS AND ACRONYMS
1.1.1 CONTRACT ACRONYMS Area Agency
on Aging(AAA)Activities of Daily Living
(ADL)
Alliance of Information&Referral Systems (AIRS)Assessed
Priority Consumer List(APCL)
Adult Protective Services(APS)
Client Information and Registration Tracking System (CIRTS)
Information and Referral (I & R)
Instrumental Activities of Daily Living(IADL) Older
Americans Act(OAA)
Planning and Service Area(PSA)
1.1.2 PROGRAM SPECIFIC TERMS
Area Plan: A plan developed by the AAA outlining a comprehensive and coordinated service delivery system in
its PSA in accordance with the Section 306 (42 U.S.C. 3026) of the OAA and Department instructions.
Area Plan Update: A revision to the area plan wherein the AAA enters OAA specific data in CIRTS. An update
may also include other revisions to the area plan as instructed by the Department or Agency.
Child: An individual who is not more than 18 years of age or an individual with disability.
Family Caregiver: An adult family member, or another individual, who is an informal provider of in-home and
community care to an older individual.
Frail: When an older individual is unable to perform at least two ADLs without substantial human assistance,
including verbal reminding, physical cueing or supervision; or due to cognitive or other mental impairment,
requires substantial supervision because the individual behaves in a manner that poses a serious health or safety
hazard to the individual or to another individual.
Grandparent: A grandparent or step-grandparent of a child, or a relative of a child by blood, marriage or
adoption and who lives with the child; is the primary caregiver of the child because the biological or adoptive
parents are unable or unwilling to serve as the primary caregiver of the child; and has a legal relationship to the
child, such as legal custody or guardianship, or is raising the child informally.
1.2 GENERAL DESCRIPTION
1.2.1 General Statement
The OAA Program is a federal program initiative that provides assistance to older persons and caregivers and is
the only federal supportive services program directed solely toward improving the lives of older people. The
program provides a framework for a partnership among the different levels of government and the public and
private sectors with a common objective, improving the quality of life for all older individuals by helping them to
remain independent and productive. The primary purpose of the OAA program is to foster the development and
implementation of comprehensive and coordinated systems to serve older individuals. The OAA program uses
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these systems to assist older individuals to attain and maintain maximum independence and dignity in a home
environment and allows for the capability of self-care with appropriate supportive services.
1.2.2 Authority
The relevant authority references governing the OAA program are:
(1) Older Americans Act of 2006, as amended;
(2) Rule 58A-1, Florida Administrative Code; and
(3) Section 430.101, Florida Statutes.
1.2.2.1 Incorporation of Reference Memoranda
In accordance with Ch. 287 F.S., as amended, and Department of Financial Services' Chief Financial Officer
Memoranda,the following memoranda are provided for informational purposes and incorporated by reference:
(1) CFO Memo No. 02: Release date, October 3, 2012;
(2) CFO Memo No. 06: Release date,July 27, 2012;
(3) CFO Memo No. 01: Release date,July 26, 2012; and
(4) CFO Memo No. 04: Release date,June 30, 2006
1.2.3 Scope of Service
The Contractor is responsible for the programmatic, fiscal, and operational management of the Title IIIB, Title
IIIC1, Title II1C2 and Title IIIE programs of the OAA within its designated PSA. The scope of service includes
planning, coordinating and assessing the needs of older persons, and assuring the availability and quality of
services. The services shall be provided in a manner consistent with and described in the current
Contractor's Request for Proposal and the Agency's Area Plan Update, and the current Department of Elder Affairs
Programs and Services Handbook.
1.2.4 Major Program Goals
The major goals of the OAA program are to improve the quality of life for older individuals, preserve their
independence and prevent or delay more costly institutional care. These goals are achieved through the
implementation of a comprehensive and coordinated service system that provides a continuum of service
alternatives that meet the diverse needs of elders and their caregivers.
1.3 INDIVIDUALS TO BE SERVED
1.3.1 OAA Title III,General
Consumers shall not be dually enrolled in an OAA program and a Medicaid capitated long-term care program.
1.3.2 OAA Title IIIB, Supportive Services
Eligibility for OAA Title IIIB, Supportive Services, is as follows:
(1) Individuals must be age 60 or older; and
(2) Information and Referral/Assistance services are provided to individuals regardless of age.
1.3.3 OAA Titles IIIC1 and IIIC2,Nutrition Services, General
General factors that should be considered in establishing priority for Nutrition Services, both CI and C2, include
those older persons who meet the following:
(1) Cannot afford to eat adequately;
(2) Lack the skills or knowledge to select and prepare nourishing and well-balanced meals;
(3) Have limited mobility which may impair their capacity to shop and cook for themselves; or
(4) Have a disabling illness or physical condition requiring nutritional support or have been screened at a high
nutritional risk.
1.3.3.1 OAA Title IIIC1,Congregate Nutrition Services
In addition to meeting the general nutrition services eligibility requirements listed in ATTACHMENT I,
Paragraph 1.3.3, individuals must be mobile, not homebound and physically, mentally and medically able to attend
a congregate nutrition program. Individuals eligible to receive congregate meals include the following:
(1) Individuals age 60 or older; and
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(2) Any spouse(regardless of age)who attends the dining center with his/her eligible spouse;
(3) Persons with a disability, regardless of age, who reside in a housing facility occupied primarily by older
individuals where congregate nutrition services are provided;
(4) Disabled persons who reside at home with and accompany an eligible person to the dining center; and
(5) Volunteers, regardless of age, which provides essential services on a regular basis during meal hours.
1.3.3.2 OAA Title IIIC2,Home Delivered Nutrition Services
In addition to meeting the general nutrition services eligibility requirements listed in ATTACHMENT I,
Paragraphl.3.3, individuals must be homebound and physically, mentally or medically unable to attend a
congregate nutrition program. Individuals eligible to receive home delivered meals include the following:
(1) Individuals age 60 or older who are homebound by reason of illness, disability or isolation;
(2) The spouse of a homebound eligible individual, regardless of age, if the provision of the collateral meal
supports maintaining the person at home;
(3) Individuals with disabilities, regardless of age, who reside at home with eligible individuals and are
dependent on them for care; and
(4) Persons at nutritional risk who have physical, emotional or behavioral conditions, which would make their
presence at the congregate site inappropriate; and persons at nutritional risk who are socially or otherwise
isolated and unable to attend a congregate nutrition site.
1.3.4 OAA Title IIIE,Caregiver Support Services
Eligibility for OAA Title IIIE, Caregiver Support Services, is as follows:
(1) Family caregivers of individuals age 60 or older;
(2) Grandparents(age 55 or older)or older individuals(age 55 or older)who are relative caregivers;
(3) Priority will be given to family caregivers who provide care for individuals with Alzheimer's disease and
related disorders with neurological and organic brain dysfunction and for grandparents or older individuals
who are relative caregivers who provide care for children with severe disabilities; and
(4) For respite and supplemental services, a family caregiver must be providing care for an older individual who
meets the definition of the term"frail" in OAA, Section 102 Paragraph 22.
1.3.5 Targeted Groups
Preference shall be given to those with the greatest economic and social need, with particular attention to low-
income older individuals, including those that are low-income minorities, have limited English proficiency, and
older individuals residing in rural areas.
SECTION II—MANNER OF SERVICE PROVISION
2.1 SERVICE TASKS
In order to achieve the goals of the OAA program,the Contractor shall ensure the following tasks are performed:
(1) Client eligibility determination;
(2) Targeting and screening of service delivery for new clients;
(3) Delivery of services to eligible clients;
(4) Use of volunteers to expand the provision of available services;
(5) Monitoring the performance of its subcontractors;
(6) Information and Referral/Assistance Access Services(Elder Helplines); and
(7) Grievance and Complaint Procedures.
2.1.1 Client Eligibility Determination
The Contractor shall ensure that applicant data is evaluated to determine eligibility. Eligibility to become a client
is based on meeting the requirements described in this ATTACHMENT I, Section 1.3.
2.1.2 Targeting and Screening of Service Delivery for New Clients
The Contractor shall develop and implement policies and procedures consistent with OAA targeting and
screening criteria.
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2.1.3 Delivery of Services to Eligible Clients
The Contractor shall ensure the provision of a continuum of services that meets the diverse needs of elders and
their caregivers. The Contractor shall ensure the performance and report performance of the following services in
accordance with the current Department of Elder Affairs Programs and Services Handbook. The services funded
pursuant to this contract are in accordance with the OAA, Title III, sections 321, 331, 336, and 373 as follows:
(1) Section 321,Title IIIB Supportive Services;
(2) Section 331,Title IIICI Congregate Nutrition Services;
(3) Section 336,Title 111C2 Home Delivered Nutrition Services;
(4) Section 373,Title IIIE Caregiver Support Services; and
(5) Sections 321 and 373 —Information and Referral/Assistance Access Services(Elder Helplines)
2.1.3.1 Supportive Services
Supportive services include a variety of community-based and home-delivered services that support the quality of
life for older individuals by helping them remain independent and productive. Services include the following:
(1) Adult Day Care/Adult Day Health Care; (12) Recreation;
(2) Caregiver Training/Support; (13) Emergency Alert Response;
(3) Case Aid/Case Management; (14) Escort;
(4) Chore Services; (15) Health Support;
(5) Companionship; (16) Home Health Aid;
(6) Counseling(Gerontological and Mental Health); (17) Homemaker;
(7) Education/Training; (18) Housing Improvement;
(8) Legal Assistance; (19) Information;
(9) Material Aid; (20) Intake;
(10) Occupational Therapy; (21) Interpreter/Translating;
(11) Outreach; (22) Referral/Assistance;
(23) Personal Care; (28) Respite Services;
(24) Physical Therapy; (29) Screening/Assessment;
(25) Shopping Assistance; (30) Speech Therapy;
(26) Skilled Nursing; (31) Telephone Reassurance; and
(27) Specialized Medical Equipment, Services, and Supplies (32) Transportation
2.1.3.2 Congregate Nutrition Services
Nutrition services are provided in congregate settings and are designed to reduce hunger and food insecurity,
promote socialization and the health and well being of older individuals by assisting them to gain access to
nutrition and other disease prevention and health promotion services. Services include the following:
(1) Congregate meals;
(2) Congregate meals screening;
(3) Nutrition education and nutrition counseling; and
(4) Outreach.
2.1.3.3 Home Delivered Nutrition Services
In-home nutrition services are provided to reduce hunger and food insecurity; promote socialization and the health
and well being of older individuals by assisting such individuals to gain access to nutrition and other disease
prevention and health promotion services. Services include the following:
(1) Home delivered meals;
(2) Nutrition education and counseling; and
(3) Outreach.
2.1.3.4 Caregiver Support Services (IIIE Program)
The following services are intended to provide direct help to caregivers, assist in the areas of health, nutrition and
financial literacy and assist caregivers in making decisions and problem solving related to their caregiving roles
and responsibilities:
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(1) Adult Day Care/Adult Day Health Care; (7) Intake;
(2) Caregiver Training/Support; (8) Outreach;
(3) Counseling(Gerontological and Mental Health); (9) Referral/Assistance;
(4) Education/Training; (10) Respite Services;
(5) Financial Risk Reduction(Assessment and (11) Screening/Assessment; and
Maintenance); (12) Transportation.
(6) Information;
2.1.3.5 Caregiver Support Supplemental Services (IIIES Program)
At least 10 percent, but no more than 20 percent, of the total Title IIIE funds shall be used to provide
supplemental support services. The following services are provided to complement the care provided by
caregivers:
(1) Chore Services;
(2) Housing Improvement;
(3) Legal Assistance;
(4) Material Aid; and
(5) Specialized Medical Equipment, Services and Supplies.
2.1.3.6 Caregiver Support Grandparent Services (IIIEG Program)
At least 5 percent, but no more than 10 percent, of the total Title IIIE funds shall be used to provide support
services to grandparents and older individuals who are relative caregivers. Services for grandparents or older
individuals who are relative caregivers designed to help meet their caregiving obligations include the following:
(1) Caregiver Training/Support; (7) Outreach;
(2) Child Day Care; (8) Referral/Assistance;
(3) Counseling(Gerontological and Mental Health); (9) Screening/Assessment;
(4) Education/Training; (10) Sitter; and
(5) Information; (11) Transportation
(6) Legal Assistance;
2.1.4 Use of Volunteers to Expand the Provision of Available Services
2.1.4.1 The Contractor shall ensure the use of trained volunteers in providing direct services delivered to older
individuals and individuals with disabilities needing such services. If possible, the Contractor shall work in
coordination with organizations that have experience in providing training, placement, and stipends for volunteers
or participants (such as organizations carrying out federal service programs administered by the Corporation for
National and Community Service), in community service settings.
2.1.4.2 The Contractor shall submit a quarterly report of volunteer activities and services electronically on the internet in
a format provided by the Agency and/or Department's Office of Volunteer and Community Services. The
quarterly report schedule is as follows:
Report Period Report Due Dates
January 1 -March 31 April 15, 2014
April 1-June 30 July 15, 2014
July 1- September 30 October 15, 2014
October 1 -December 31 January 15, 2015
2.1.5 Use of Subcontractors
If this contract involves the use of a subcontractor or third party, then the Contractor shall not delay the
implementation of its agreement with the subcontractor. If any circumstances occur that may result in a delay for
a period of 60 days or more of the initiation of the subcontract or in the performance of the subcontractor, the
Contractor shall notify the Contract Manager and the Agency's Chief Financial Officer in writing of such
delay.
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The Contractor shall not permit a subcontractor to perform services related to this agreement without having a
binding subcontractor agreement executed. In accordance with section 24.1 of the Standard Contract, the Agency
will not be responsible or liable for any obligations or claims resulting from such action.
2.1.5.1 Monitoring the Performance of Subcontractors
The Contractor shall monitor at least once per year each of its subcontractors, subrecipients, vendors, and/or
consultants paid from funds provided under this contract. The Contractor shall perform fiscal, administrative and
programmatic monitoring to ensure contractual compliance, fiscal accountability, programmatic performance and
compliance with applicable state and federal laws and regulations. The Contractor shall monitor to ensure that
time schedules are met, the budget and scope of work are accomplished within the specified time periods and
other performance goals stated in this contract are achieved
2.1.6 Subcontractor Outreach Reporting Requirements
The Contractor shall document its oversight of subcontractor performance of outreach activities, by establishing a
uniform reporting format that includes the following: number and type of provider events or activities; date and
location; total number of participants at each event or activity; individual service needs identified; and referral
sources or information provided. The Contractor shall require subcontractors to use this format for reporting on
outreach activities at least semi-annually.
2.1.7 Grievance and Complaint Procedures
2.1.7.1 Grievance Procedures
The Contractor shall comply with and ensure subcontractor compliance with the Minimum Guidelines for
Recipient Grievance Procedures, Appendix D, Department of Elder Affairs Programs and Services Handbook, to
address complaints regarding the termination, suspension or reduction of services, as required for receipt of funds
2.1.7.2 Complaint Procedures
The Contractor shall develop and implement complaint procedures and ensure that subcontractors develop and
implement complaint procedures to process and resolve client dissatisfaction with services. Complaint
procedures shall address the quality and timeliness of services, provider and direct service worker complaints, or
any other advice related to complaints other than termination, suspension or reduction in services that require the
grievance process as described in Appendix D, Department of Elder Affairs Programs and Services Handbook.
The complaint procedures shall include notification to all clients of the complaint procedure and include tracking
the date, nature of complaint and the determination of each complaint.
2.2 SERVICE TIMES
The Contractor shall ensure the provision of the services listed in the contract during normal business hours unless
other times are more appropriate to meet the performance requirements of the contract, and it shall monitor its
subcontractors to ensure they are available to provide services during hours responsive to client needs and during
those times which best meet the needs of the relevant service community.
2.3 DELIVERABLES
2.3.1 Programmatic Operations/Administration
The Contractor shall ensure the provision of services outlined in Section 2.3.2 in accordance with Department of
Elder Affairs Programs and Services Handbook through its review of reports outlined in Section 2.4 of this
agreement at least as follows: A.) monthly review of subcontractors' surplus/deficit reports, and CIRTS data
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accuracy reports; B.) semi-annual review of service cost reports; and C.) at least annually and as needed to
correlate with applicable OAA service units, recording of manual units of service portions of the OAA
Annual Report.
2.3.2 Service Unit
The Contractor shall ensure the provision of the services described in the contract in accordance with the current
Department of Elder Affairs Programs and Services Handbook and the services tasks described in Section 2.1.
The chart below lists the services allowed and the units of measurement. Units of service will be paid pursuant to
the rate established in the 2014 Area Plan as updated in Attachment VII, and approved by the Agency.
Services Unit of Service
Adult Day Care/Adult Day Health Care Interpreter/Translating
Caregiver Training/Support Legal Assistance
Case Aid/Case Management Medication Management
Child Day Care Mental Health Counseling/Screening
Chore Services Nutrition Counseling
Companionship Occupational Therapy
Congregate Meals Screening Personal Care
Counseling Services Physical Therapy Hour
Escort Recreation
Financial Risk Reduction Services Respite Services
Health Support Screening/Assessment
Home Health Aide Sitter
Homemaker Skilled Nursing Services
Housing Improvement Speech Therapy
Intake
Emergency Alert Response Day
Education/Training
Information
Material Aid
Nutrition Education
Outreach Episode
Referral/Assistance
Specialized Medical Equipment, Services and Supplies
Telephone Reassurance
Escort
Shopping Assistance One-Way Trip
Transportation
Congregate and Home Delivered Meals Meal
2.4 REPORTS
The Contractor shall respond to additional routine and/or special requests for information and reports required by
the Agency in a timely manner as determined by the Contract Manager.
The Contractor shall establish due dates for any subcontractors that permit the Contractor to meet the
Agency's reporting requirements.
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2.4.1 Client Information and Registration Tracking System (CIRTS)Reports
The Contractor shall input OAA specific data into CIRTS to ensure CIRTS data accuracy. The contractor shall
use CIRTS generated reports which include the following:
(1) Client Reports;
(2) Monitoring Reports;
(3) Services Reports;
(4) Miscellaneous Reports;
(5) Fiscal Reports; and
(6) Outcome Measurement Reports.
2.4.2 Service Costs Reports
The Contractor shall require subcontractors to submit to the Contractor semi-annual service cost reports
(August 15, 2014 and February 15, 2015), which reflect actual costs of providing each service by program. This
report provides information for planning and negotiating unit rates.
2.4.3 Surplus/Deficit Report
The Contractor will submit a surplus/deficit report to the Agency by the 18th of each month. This report is
for all agreements and/or contracts between the Contractor and the Agency. The report shall include the
following:
(1) The Contractor's detailed plan on how the surplus/deficit spending
exceeding the threshold specified by the Agency will be resolved;
(2) Recommendations to transfer funds to resolve surplus/deficit spending;
2.4.4 Background Screening Affidavit of Compliance
To demonstrate compliance with section 8 of the Standard Contract,the Contractor shall submit ATTACHMENT
G, Background Screening Affidavit of Compliance annually, by January 15th.
2.5 RECORDS AND DOCUMENTATION
The Contractor will ensure the collection and maintenance of client and service information on a monthly basis
from the CIRTS or any such system designated by the Agency. Maintenance includes valid exports and
backups of all data and systems according to Agency standards.
2.5.1 Each Contractor and subcontractor, among other requirements, must anticipate and prepare for the loss of
information processing capabilities. The routine backing up of all data and software is required to recover from
losses or outages of the computer system. Data and software essential to the continued operation of contractor
functions must be backed up. The security controls over the backup resources shall be as stringent as the
protection required of the primary resources. It is recommended that a copy of the backed up data be stored in a
secure, offsite location.
The Contractor shall maintain written policies and procedures for computer system backup and recovery and shall
have the same requirement in its contracts and/or agreements with subcontractors. These policies and procedures
shall be made available to the Agency upon request.
2.6 PERFORMANCE SPECIFICATIONS
2.6.1 Outcomes
(1) The Contractor shall ensure services provided under this contract are in accordance with the current DOEA
Programs and Services Handbook.
(2) The Contractor shall timely submit to the Agency all reports described in ATTACHMENT I,Paragraph
2.4 REPORTS.
(3) The Contractor shall timely submit to the Agency all information described in ATTACHMENT I,
Paragraph 2.5 RECORDS AND DOCUMENTATION.
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2.7 CONTRACTOR'S FINANCIAL OBLIGATIONS
2.7.1 Matching,Level of Effort,and Earmarking Requirements
The Contractor shall provide match of at least 1 0 percent of the federal funds received. The
Contractor's match will be made in the form of cash, general revenue administrative funds and/or in-kind
resources. The Contractor will assure, through a provision in subcontracts, a match requirement of at least 10
percent of the cost for all services funded through this contract. The subcontractor's match will be made in the
form of cash and/or in-kind resources. The Contractor shall report match by title each month. At the end of the
contract period,the Contractor must properly match all OAA funds.
2.7.2 Consumer Contributions
Consumer contributions are to be used under the following terms:
(1) The Contractor assures compliance with Section 315 of the OAA as amended in 2006, in regard to consumer
contributions;
(2) Voluntary contributions are not to be used for cost sharing or matching;
(3) Accumulated voluntary contributions are to be used prior to requesting federal reimbursement; and
(4) Voluntary contributions are to be used only to expand services.
2.7.3 Use of Service Dollars and Management of the Assessed Priority Consumer List
The Contractor is expected to spend all federal, state and other funds provided by the Agency for the purpose
specified in the contract. The Contractor must manage the service dollars in such a manner so as to avoid having
a wait list and a surplus of funds at the end of the contract period, for each program managed by the Contractor.
If the Agency determines that the Contractor is not spending service funds accordingly, the Agency may
transfer funds to other Contractors during the contract period and/or adjust subsequent funding allocations
accordingly, as allowable under state and federal law.
2.7.4 The Contractor agrees to distribute funds as detailed in Budget Summary, ATTACHMENT VII to this
contract. Any changes in the amounts of federal or general revenue funds identified on the Budget Summary form
require a contract amendment.
2.7.5 Title III Funds
The Contractor assures compliance with Section 306 of the OAA, as amended in 2006, that funds received under
Title III will not be used to pay any part of a cost (including an administrative cost) incurred by the Contractor to
maintain a contractual or commercial relationship that is not carried out to implement Title III.
2.8 AGENCY RESPONSIBILITIES
2.8.1 Program Guidance and Technical Assistance
The Agency will provide to the Contractor guidance and technical assistance as needed to ensure the
successful fulfillment of the contract by the Contractor.
2.8.2 Contract Monitoring
The Agency will review and evaluate the performance of the Contractor under the terms of this contract.
Monitoring shall be conducted through direct contact with the Contractor through telephone, in writing, or an on-
site visit. The Agency's determination of acceptable performance shall be conclusive. The Contractor agrees to
cooperate with the Agency in monitoring the progress of completion of the service tasks and deliverables.
The Agency may use, but is not limited to, one or more of the following methods for monitoring:
(1) Desk reviews and analytical reviews;
(2) Scheduled, unscheduled and follow-up on-site visits;
(3) Client visits;
(4) Review of independent auditor's reports;
(5) Review of third-party documents and/or evaluation;
(6) Review of progress reports;
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(7) Review of customer satisfaction surveys;
(8) Agreed-upon procedures review by an external auditor or consultant;
(9) Limited-scope reviews; and
(10) Other procedures as deemed necessary.
SECTION III: METHOD OF PAYMENT
3.1 General Statement of Method of Payment
The method of payment for this contract includes advances, cost reimbursement for administration costs, and
fixed rate for services. The Contractor shall ensure fixed rates for services include only those costs that are in
accordance with all applicable state and federal statutes and regulations and are based on audited historical costs
in instances where an independent audit is required. The Contractor shall consolidate all requests for payment
from subcontractors and expenditure reports that support requests for payment and shall submit to the Agency on
forms 106A (ATTACHMENT IX), 105AS (ATTACHMENT X),and 105AE(ATTACHMENT XI).
3.1.1 The Contractor agrees to distribute funds as detailed in the area plan update and the Budget Summary,
ATTACHMENT VII to this contract. Any changes in the total amounts of the funds identified on the Budget
Summary form require a contract amendment.
3.2 Advance Payments
The Contractor may request up to two months of advances at the start of the contract period, if available, to cover
program administrative and service costs. The payment of an advance will be contingent upon the sufficiency and
amount of funds released to the Agency by the State of Florida ("budget release"). The Contractor shall
provide the Contract Manager documentation justifying the need for an advance and describing how the funds
will be distributed.
3.2.1 The Contractor's requests for advance require the approval of the Contract Manager. If sufficient budget is
available,the Agency will issue approved advance payments after January 1, 2014.
3.2.2 All advance payments made to the Contractor shall be returned to the Agency as follows: one — twelfth of the
advance payment received shall be reported as an advance recoupment on each request for payment, starting with
report number three, in accordance with the Invoice Schedule,ATTACHMENT VIII to this contract.
3.2.3 Interest earned on advances must be identified separately by source of funds, state or federal. Contractors shall
maintain advances of federal funds in FDIC interest bearing accounts unless otherwise exception is made in
accordance with 45 CFR 74.22(k). Earned interest must be returned to the Agency at the end of each quarter of
the contract period.
3.3 Invoice Submittal and Requests for Payment
All requests for payment and expenditure reports submitted to support requests for payment shall be on DOEA
forms 106A (ATTACHMENT IX) , 105AS (ATTACHMENT X), and 105AE (ATTACHMENT XI). The
Contractor shall include with its request for payment documentation of services provided, the units of services
provided, and the rates for the services provided in conformance with the requirements as described in the
deliverables and service tasks.
3.3.1 Remedies for Nonconforming Services
The Contractor shall ensure that all goods and/or services provided under this contract are delivered timely,
completely and commensurate with required standards of quality. Such goods and/or services will only be
delivered to eligible program participants. If the Contractor fails to meet the prescribed quality standards
for services, such services will not be reimbursed under this contract. In addition, any nonconforming
goods (including home delivered meals) and/or services not meeting such standards will not be reimbursed
under this contract.The Contractor's signature on the request for payment form certifies maintenance of
supporting documentation and acknowledgement that the Contractor shall solely bear the costs associated
with preparing or providing nonconforming goods and/or services. The agency requires immediate notice
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of any significant and/or systemic infractions that compromise the quality, security or continuity of
services to clients.
3.3.2 Financial Consequences
Contractor shall ensure the provision of services to the projected number of clients in accordance with
the 2014 RFP and within the contract amount. The Contractor shall ensure expenditure of 100% of the contract
amount budgeted for services to clients at the unit rates established in the RFP. In the event the Contractor has a
surplus of 1% or more at the end of the of the contract term,the Agency will reallocate an amount equal to 1%
reverted carry forward amount in the next contract term to other area contractors found to be serving clients to the
fullest extent of their allocated budgets.
3.3.3 All payment requests shall be based on the submission of actual monthly expenditure reports beginning with the
first month of the contract. The schedule for submission of advance requests(when available)and invoices is
ATTACHMENT VIII to this contract.
3.3.4 Payment may be authorized only for allowable expenditures,which are in accordance with the limits specified in
ATTACHMENT VII,Budget Summary and Rate Summary.
3.3.5 Any payment due by the Agency under the terms of this contract may be withheld pending the receipt and
approval by the Agency of all financial and programmatic reports due from the Contractor and any
adjustments thereto, including any disallowance not resolved as outlined in Section 26 of this contract.
3.3.6 Final requests for budget revisions or adjustments to contract funds based on expenditures for services provided
between January 1, 2014 and December 31, 2014, must be submitted to the Contract Manager no later than
December 15, 2014.
3.4 Consequences for Noncompliance
Contractor shall ensure 100% of the deliverables identified in Section 1.2.3 Scope of Services are performed
pursuant to contract requirements, and as described in Section 2.3.1 are identified as major deliverables in this
contract.
If at any time the Contractor is notified by the Agency's Contract Manager that it has failed to correctly,
completely, or adequately perform these major deliverables,the Contractor will have 10 days to submit a
Corrective Action Plan ("CAP")to the Contract Manager that addresses the deficiencies and states how the
deficiencies will be remedied within a time period approved by the Contract Manager. The Agency shall assess a
Financial Consequence for Non-Compliance on the Contractor for each deficiency identified in the CAP which is
not corrected pursuant to the CAP. The Agency will also assess a Financial Consequence for failure to timely
submit a CAP.
If, or to the extent, there is any conflict between this paragraph and paragraphs 4 0 and 4 0.1 of the
standard contract,this paragraph shall have precedence.
3.5 Dates for Final Request for Payment
The Contractor shall submit the final request for payment to the Agency no later than February 15, 2015.
3.6 Documentation for Payment
3.6.1 The Contractor must enter all required data per the Department's CIRTS Policy Guidelines for clients and
services in the CIRTS database. The data must be entered into CIRTS before they submit their request for
payment and expenditure reports to the Agency. The Agency shall establish time frames to assure compliance with
due dates for the requests for payment and expenditure reports..
3.6.2 The Contractor must run monthly CIRTS reports and verify client and service data in CIRTS is accurate.This
report must be submitted to the Agency with the monthly request for payment and expenditure report and must be
reviewed by the Agency before the request for payment and expenditure reports can be approved by the Agency.
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ATTACHMENT II
CERTIFICATION REGARDING LOBBYING
CERTIFICATION FOR CONTRACTS, GRANTS,LOANS AND AGREEMENTS
The undersigned certifies,to the best of his or her knowledge and belief,that:
(1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for
influencing or attempting to influence an officer or employee of any state or federal agency, a member of congress, an
officer or employee of congress, an employee of a member of congress, or an officer or employee of the state
legislator, in connection with the awarding of any federal grant, 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-ELL, "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 sub-
awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans and cooperative agreements)
and that all subcontractors 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 $10,000.00 and not more than $100,000.00 for each such failure.
IWIY1 CA7W 1 —
Signature Date
Stephen Y. Camel!, Public Services Administrator OAA 203.14
Name of Authorized Individual Application or Agreement Number
Collier County, Government-Housing Human and Veteran Services
3339 Tamiami Trail East Room 211,Naples FL 34112
Name and Address of Organization
Approved as to form and legality
AIistant County rney
\\ `iS\\L\
DOEA Form 103
(Revised Nov 2002)
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ATTACHMENT III
FINANCIAL AND COMPLIANCE AUDIT
The administration of resources awarded by the Area Agency on Aging for Southwest Florida, Inc. dba Senior Choices of
Southwest Florida to the Contractor may be subject to audits and/or monitoring by the Agency, as described in this section.
Monitoring
In addition to reviews of audits conducted in accordance with OMB Circular A-133, as revised, and Section 215.97, F.S.,
(see "AUDITS" below), monitoring procedures may include, but not be limited to, on-site visits by the Agency staff,
limited scope audits as defined by OMB Circular A-133, as revised, and/or other procedures. By entering into this
agreement, the Contractor agrees to comply and cooperate with any monitoring procedures/processes deemed appropriate
by the Area Agency on Aging for Southwest Florida, Inc. dba Senior Choices of Southwest Florida. In the event the
Agency determines that a limited scope audit of the Contractor is appropriate, the Contractor agrees to comply with
any additional instructions provided by the Agency to the Contractor regarding such audit. The Contractor further
agrees to comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Chief
Financial Officer(CFO)or Auditor General.
AUDITS
PART I: FEDERALLY FUNDED
This part is applicable if the Contractor is a state or local government or a non-profit organization as defined in OMB
Circular A-133, as revised.
In the event that the Contractor expends $500,000.00 or more in federal awards during its fiscal year, the Contractor must
have a single or program-specific audit conducted in accordance with the provisions of OMB Circular A-133, as revised.
EXHIBIT 1 to this agreement indicates federal resources awarded through the Department of Elder Affairs by this
agreement. In determining the federal awards expended in its fiscal year, the Contractor shall consider all sources of
federal awards, including federal resources received from the Department of Elder Affairs. The determination of amounts
of federal awards expended should be in accordance with the guidelines established by OMB Circular A-133, as revised.
An audit of the Contractor conducted by the Auditor General in accordance with the provisions of OMB Circular A-133,
as revised, will meet the requirements of this part.
In connection with the audit requirements addressed in Part I, paragraph 1, the Contractor shall fulfill the requirements
relative to auditee responsibilities as provided in Subpart C of OMB Circular A-133, as revised.
If the Contractor expends less than $500,000.00 in federal awards in its fiscal year, an audit conducted in accordance with
the provisions of OMB Circular A-133, as revised, is not required. In the event that the Contractor expends less than
$500,000.00 in federal awards in its fiscal year and elects to have an audit conducted in accordance with the provisions of
OMB Circular A-133, as revised, the cost of the audit must be paid from non-federal resources (i.e., the cost of such audit
must be paid from Contractor resources obtained from other than federal entities.)
An audit conducted in accordance with this part shall cover the entire organization for the organization's fiscal year.
Compliance findings related to agreements with the Department of Elder Affairs shall be based on the agreement's
requirements, including any rules, regulations, or statutes referenced in the agreement. The financial statements shall
disclose whether or not the matching requirement was met for each applicable agreement. All questioned costs and
liabilities due to the Department of Elder Affairs shall be fully disclosed in the audit report with reference to the
Department of Elder Affairs agreement involved. If not otherwise disclosed as required by Section .310(b)(2) of OMB
Circular A-133, as revised, the schedule of expenditures of federal awards shall identify expenditures by agreement
number for each agreement with the Department of Elder Affairs in effect during the audit period. Financial reporting
packages required under this part must be submitted within the earlier of 30 days after receipt of the audit report or 9
months after the end of the Contractor's fiscal year end.
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PART II: STATE FUNDED
This part is applicable if the Contractor is a nonstate entity as defined by Section 215.97(2), Florida Statutes.
In the event that the Contractor expends a total amount of state financial assistance equal to or in excess of$500,000.00 in
any fiscal year of such Contractor (for fiscal years ending September 30, 2004 or thereafter), the Contractor must have a
State single or project-specific audit for such fiscal year in accordance with Section 215.97, Florida Statutes; applicable
rules of the Department of Financial Services; and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and
for-profit organizations), Rules of the Auditor General. EXHIBIT I to this agreement indicates state financial assistance
awarded through the Department of Elder Affairs by this agreement. In determining the state financial assistance
expended in its fiscal year, the Contractor shall consider all sources of state financial assistance, including state financial
assistance received from the Department of Elder Affairs, other state agencies, and other nonstate entities. State financial
assistance does not include federal direct or pass-through awards and resources received by a nonstate entity for federal
program matching requirements.
In connection with the audit requirements addressed in Part II, paragraph 1, the Contractor shall ensure that the audit
complies with the requirements of Section 215.97(8), Florida Statutes. This includes submission of a financial reporting
package as defined by Section 215.97(2), Florida Statutes, and Chapter 10.550 (local governmental entities) or 10.650
(nonprofit and for-profit organizations), Rules of the Auditor General.
If the Contractor expends less than $500,000.00 in state financial assistance in its fiscal year (for fiscal years ending
September 30, 2004 or thereafter), an audit conducted in accordance with the provisions of Section 215.97, Florida
Statutes, is not required. In the event that the Contractor expends less than $500,000.00 in state financial assistance in its
fiscal year and elects to have an audit conducted in accordance with the provisions of Section 215.97, Florida Statutes, the
cost of the audit must be paid from the nonstate entity's resources (i.e., the cost of such an audit must be paid from the
Contractor resources obtained from other than state entities).
An audit conducted in accordance with this part shall cover the entire organization for the organization's fiscal year.
Compliance findings related to agreements with the Department of Elder Affairs shall be based on the agreement's
requirements, including any applicable rules, regulations, or statutes. The financial statements shall disclose whether or
not the matching requirement was met for each applicable agreement. All questioned costs and liabilities due to the
Department of Elder Affairs shall be fully disclosed in the audit report with reference to the Department of Elder Affairs
agreement involved. If not otherwise disclosed as required by Rule 691-5.003, Fla. Admin. Code, the schedule of
expenditures of state financial assistance shall identify expenditures by agreement number for each agreement with the
Department of Elder Affairs in effect during the audit period. Financial reporting packages required under this part must
be submitted within 45 days after delivery of the audit report, but no later than 12 months after the Contractor's fiscal year
end for local governmental entities. Non-profit or for-profit organizations are required to be submitted within 45 days
after delivery of the audit report, but no later than 9 months after the Contractor's fiscal year end. Notwithstanding the
applicability of this portion, the Department of Elder Affairs retains all right and obligation to monitor and oversee the
performance of this agreement as outlined throughout this document and pursuant to law.
PART III: REPORT SUBMISSION
Copies of reporting packages for audits conducted in accordance with OMB Circular A-133, as revised, and required by
PART I of this agreement shall be submitted, when required by Section .320 (d), OMB Circular A-133, as revised, by or
on behalf of the Contractor directly to each of the following:
The Area Agency on Aging for Southwest Florida, Inc. dba Senior Choices of Southwest Florida at each of the following
addresses:
Area Agency on Aging for Southwest Florida,Inc. dba
Senior Choices of Southwest Florida
Attn: Marianne G. Lorini,President/CEO
15201 N Cleveland Ave.,Suite 1100
North Fort Myers,FL 33903
The Federal Audit Clearinghouse designated in OMB Circular A-133, as revised (the number of copies required by
Sections .320 (d)(1) and (2), OMB Circular A-133, as revised, should be submitted to the Federal Audit Clearinghouse), at
the following address:
29
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January 2014 Contract#OAA 203.14
Federal Audit Clearinghouse
Bureau of the Census
1201 East 10th Street
Jeffersonville,IN 47132
Other federal agencies and pass-through entities in accordance with Sections .320 (e) and (f), OMB Circular A-133, as
revised.
Pursuant to Sections .320(f), OMB Circular A-133, as revised, the Contractor shall submit a copy of the reporting package
described in Section .320(c), OMB Circular A-133, as revised, and any management letter issued by the auditor, to the
Area Agency on Aging for Southwest Florida, Inc. dba Senior Choices of Southwest Florida at each of the following
addresses:
Area Agency on Aging for Southwest Florida,Inc. dba
Senior Choices of Southwest Florida
Attn: Marianne G. Lorini,President/CEO
15201 N Cleveland Ave.,Suite 1100
North Fort Myers,FL 33903
Additionally, copies of financial reporting packages required by Part II of this agreement shall be submitted by or on
behalf of the Contractor directly to each of the following:
The Area Agency on Aging for Southwest Florida, Inc. dba Senior Choices of Southwest Florida at the following
address:
Area Agency on Aging for Southwest Florida,Inc. dba
Senior Choices of Southwest Florida
Attn: Marianne G. Lorini,President/CEO
15201 N Cleveland Ave.,Suite 1100
North Fort Myers,FL 33903
The Auditor General's Office at the following address:
State of Florida Auditor General
Claude Pepper Building,Room 574
111 West Madison Street
Tallahassee,Florida 32399-1450
Any reports, management letter, or other information required to be submitted to the Department of Elder Affairs pursuant
to this agreement shall be submitted timely in accordance with OMB Circular A-133, Florida Statutes, and Chapters
10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General, as
applicable.
Contractors, when submitting financial reporting packages to the Department of Elder Affairs for audits done in
accordance with OMB Circular A-133 or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit
organizations), Rules of the Auditor General, should indicate the date that the reporting package was delivered to the
Contractor in correspondence accompanying the reporting package.
PART IV: RECORD RETENTION
The Contractor shall retain sufficient records demonstrating its compliance with the terms of this agreement for a period
of six years from the date the audit report is issued, and shall allow the Area Agency on Aging for Southwest Florida, Inc.
dba Senior Choices of Southwest Florida or its designee, the CFO or Auditor General access to such records upon request.
The Contractor shall ensure that audit working papers are made available to the Area Agency on Aging for Southwest
Florida, Inc. dba Senior Choices of Southwest Florida, or its designee, CFO, or Auditor General upon request for a period
of six years from the date the audit report is issued, unless extended in writing by the Area Agency on Aging for Southwest
Florida, Inc. dba Senior Choices of Southwest Florida.
30
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January 2014
Contract#OAX 203.1
ATTACHMENT III
EXHIBIT 1
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS AGREEMENT CONSIST
OF THE FOLLOWING:
COLLIER COUNTY
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
Older Americans Act Title IIIB—
CA/CM/SCAS/INSC $ 30,000.00
Transportation U.S. Health and Human Services 93.044 $ 31,000.00
Support Services $ 61,000.00*
TotaIIIIB $ 252,567.00
OAA Title IIIC 1 —Congregate Meals
Meals $ 268,370.60
Screening $ 6,300.00
Nutrition Education U.S. Health and Human Services 93.045 $ 1,897.40
Outreach $ 432.00
TotalIlICl $ 277,000.00
OAA Title III C2—Home Delivered Meals
Meals $ 236,016.00
Screening $ 23,512.50
Nutrition Education U.S. Health and Human Services 93.045 $ 2,428.30
Outreach $ 43.20
TotalIIIC2 $ 262,000.00
Older Americans Act Title III E
SCAS (Title III E) $ 9,900.00
Services(Title III E) U.S. Health and Human Services 93.052 $ 80,551.00
Supplement Services(Title III ES) $ 19,067.00
Grandparent Services(Title III EG) $ 10,791.00
Total HIE $ 120,309.00
TOTAL FEDERAL AWARD $ 720,309.00
*In Home Services$252,567.00
In Home Services are funds to serve Collier County Clients. The Vendors are paid directly by the Area Agency on
Aging for Southwest Florida,Inc. dba Senior Choices of Southwest Florida
31
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January 2014
ContractOAA 2114
ATTACHMENT III
EXHIBIT 2
PART I: AUDIT RELATIONSHIP DETERMINATION
Providers who receive state or federal resources may or may not be subject to the audit requirements of OMB Circular A-133,as
revised,and/or Section 215.97,Fla. Stat. Providers who are determined to be recipients or subrecipients of federal awards and/or state
financial assistance may be subject to the audit requirements if the audit threshold requirements set forth in Part I and/or Part II of
Exhibit 1 are met. Providers who have been determined to be vendors are not subject to the audit requirements of OMB Circular A-
133, as revised,and/or Section 215.97,Fla. Stat. Regardless of whether the audit requirements are met,providers who have been
determined to be recipients or subrecipients of Federal awards and/or state financial assistance,must comply with applicable
programmatic and fiscal compliance requirements.
In accordance with Sec.210 of OMB Circular A-133 and/or Rule 691-5.006,FAC,provider has been determined to be:
Vendor or exempt entity and not subject to OMB Circular A-133 and/or Section 215.97, F.S.
X Recipient/subrecipient subject to OMB Circular A-133 and/or Section 215.97,F.S.
NOTE: If a provider is determined to be a recipient/subrecipient of federal and or state financial assistance and has been approved by
the Department to subcontract,they must comply with Section 215.97(7),F.S.,and Rule 691-.006(2),FAC [state financial assistance]
and Section 400 OMB Circular A-133 [federal awards].
PART II: FISCAL COMPLIANCE REQUIREMENTS
FEDERAL AWARDS OR STATE MATCHING FUNDS ON FEDERAL AWARDS. Providers who receive federal awards or
state matching funds on federal awards and who are determined to be a subrecipient,must comply with the following fiscal laws,rules
and regulations:
STATES,LOCAL GOVERNMENTS AND INDIAN TRIBES MUST FOLLOW:
2 CFR Part 225 Cost Principles for State,Local and Indian Tribal Governments(Formerly OMB Circular A-87)*
OMB Circular A-102—Administrative Requirements
OMB Circular A-133—Audit Requirements
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws,rules and regulations
NON-PROFIT ORGANIZATIONS MUST FOLLOW:
2 CFR Part 230 Cost Principles for Non-Profit Organizations(Formerly OMB Circular A-122—Cost Principles)*
2 CFR Part 215 Administrative Requirements(Formerly OMB Circular A-110—Administrative Requirements)
Requirements)
OMB Circular A-133—Audit Requirements
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws,rules and regulations
EDUCATIONAL INSTITUTIONS(EVEN IF A PART OF A STATE OR LOCAL GOVERNMENT)MUST
FOLLOW:
2 CFR Part 220 Cost Principles for Educational Institutions OMB(Formerly Circular A-2I —Cost Principles)*
2 CFR Part 215 Administrative Requirements(Formerly OMB Circular A-110—Administrative Requirements)
OMB Circular A-133—Audit Requirements
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws,rules and regulations
*Some federal programs may be exempted from compliance with the Cost Principles Circulars as noted in the OMB Circular
A-133 Compliance Supplement,Appendix 1.
STATE FINANCIAL ASSISTANCE. Providers who receive state financial assistance and who are determined to be a
recipient/subrecipient,must comply with the following fiscal laws,rules and regulations:
Section 215.97,Fla. Stat.
Chapter 69I-5,Fla.Admin. Code
State Projects Compliance Supplement
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws,rules and regulations
32
Ja+nuar Y 2014 Cont1 6
ract#DAA 2034
ATTACHMENT IV
CERTIFICATION REGARDING DATA INTEGRITY COMPLIANCE FOR AGREEMENTS,GRANTS,
LOANS AND COOPERATIVE AGREEMENTS
The undersigned, an authorized representative of the Contractor named in the contract or agreement to which this form is
an attachment,hereby certifies that:
(1) The Contractor and any subcontractors of services under this contract have financial management systems capable of
providing certain information, including: (1) accurate, current, and complete disclosure of the financial results of each
grant-funded project or program in accordance with the prescribed reporting requirements; (2) the source and
application of funds for all agreement supported activities; and (3) the comparison of outlays with budgeted amounts
for each award. The inability to process information in accordance with these requirements could result in a return of
grant funds that have not been accounted for properly.
(2) Management Information Systems used by the Contractor, subcontractor(s), or any outside entity on which the
Contractor is dependent for data that is to be reported, transmitted or calculated, have been assessed and verified to be
capable of processing data accurately, including year-date dependent data. For those systems identified to be non-
compliant, contractor(s)will take immediate action to assure data integrity.
(3) If this contract includes the provision of hardware, software, firmware, microcode or imbedded chip technology, the
undersigned warrants that these products are capable of processing year-date dependent data accurately. All versions
of these products offered by the Contractor (represented by the undersigned) and purchased by the state will be
verified for accuracy and integrity of data prior to transfer.
In the event of any decrease in functionality related to time and date related codes and internal subroutines that
impede the hardware or software programs from operating properly, the Contractor agrees to immediately make
required corrections to restore hardware and software programs to the same level of functionality as warranted herein,
at no charge to the state, and without interruption to the ongoing business of the state,time being of the essence.
(4) The Contractor and any subcontractor(s) of services under this contract warrant their policies and procedures include a
disaster plan to provide for service delivery to continue in case of an emergency including emergencies arising from
data integrity compliance issues.
The Contractor shall require that the language of this certification be included in all subagreements, subgrants, and other
agreements and that all subcontractors shall certify compliance 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
OMB Circulars A-102 and 2 CFR Part 215 (formerly OMB Circular A-110).
\ M
:'.� � �i�� Public Services Administrator I - 1 u "1 LI
Signa ure Title Date
Stephen Y. Camel!
Name of Authorized Signer
Approved as to form and legality
(Revised June 2008) `�
Assistant County Atto
33
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January 2014 Contract#0AA 203.14
ATTACHMENT V
CERTIFICATION REGARDING DEBARMENT, SUSPENSION,INELIGIBILITY AND VOLUNTARY
EXCLUSION FOR LOWER TIER COVERED TRANSACTIONS
(1) The Contractor certifies, by signing this certification, neither it nor its principals are presently debarred,
suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this
transaction by any federal department or agency.
(2) Where the Contractor is unable to certify to any of the statements in this certification, such prospective
participant shall attach an explanation to this certification.
Aptil
ct/iP
Sign-are Date
Public Services Administrator Collier County Government
Title Agency/Organization
(Certification signature should be same as Contract signature.)
Instructions for Certification
1. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction,"
"person," "primary covered transaction," and "voluntarily excluded," as used herein, have the meanings set out
in the sections of rules implementing Executive Order 12549. (2 CFR 180.5-180.1020, as supplemented by 2
CFR 376.10-376.995). You may contact the Contract Manager for assistance in obtaining a copy of those
regulations.
2. This certification is a material representation of facts upon which reliance was placed when the parties entered
into this transaction. If it is later determined that the Contractor knowingly rendered an erroneous certification,
in addition to other remedies available to the federal government, the Department may pursue available
remedies, including suspension and/or debarment.
3. The Contractor will provide immediate written notice to the Contract Manager if at any time the Contractor
learns that its certification was erroneous when submitted or has become erroneous by reason of changed
circumstances. The Contractor may decide the method and frequency by which it determines the eligibility of
its principals. Each participant to a lower tier covered transaction may, but is not required to, check the
Excluded Parties List System(EPLS).
4. The Contractor will include a "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion - Lower Tier Covered Transaction" in all its lower tier covered transactions and in all solicitations
for lower tier covered transactions.
5. The Contractor agrees that it shall not knowingly enter into any lower tier covered transaction with a person
who is debarred, suspended, determined ineligible or voluntarily excluded from participation, unless otherwise
authorized by the federal government.
6. If the Contractor knowingly enters into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies
available to the federal government, the Department may pursue available remedies, including suspension,
and/or debarment.
7. The Contractor may rely upon a certification of a prospective participant in a lower tier covered transaction that
it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows
that the certification is erroneous.
Approved as to form and legality
• � 7r�
(Revised June 2008) (
34 Asses ant County A tu ey
6
203. 4 1 r ct#11 January 2014 Contract
ATTACHMENT VI
ASSURANCES—NON-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing
the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden,to the Office of Management and Budget. Paperwork Reduction Project
(0348-0043), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND
BUDGET, SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
Note: Certain of these assurances may not be applicable to your project or program. If you have questions please contact the
awarding agency. Further, certain federal awarding agencies may require applicants to certify to additional assurances. If
such is the case,you will be notified.
1. Has the legal authority to apply for federal assistance, and the institutional, managerial and financial capability (including funds
sufficient to pay the non-federal share of project cost) to ensure proper planning, management, and completion of the project
described in this application.
2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized
representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a
proper accounting system in accordance with generally accepted accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest,or personal gain.
4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency.
5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. -1r[4728-4763)relating to prescribed standards for merit
systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit
System of Personnel Administration(5 C.F.R. 900, Subpart F).
6. Will comply with all federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil
Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the
Education Amendments of 1972, as amended(20 U.S.C. C_l P 1681-1683, and 1685-1686), which prohibits discrimination on the basis
of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. P794), which prohibits discrimination on the basis
of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), which prohibits discrimination on the
basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the
basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970
(P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) 523 and 527 of the Public
Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee 3), as amended, relating to confidentiality of alcohol and drug abuse
patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to nondiscrimination
in the sale, rental or financing of housing; (i)any other nondiscrimination provisions in the specific statute(s)under which application
for federal assistance is being made; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the
application.
7. Will comply, or has already complied, with the requirements of Titles II and III of the uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or
whose property is acquired as a result of federal or federally assisted programs. These requirements apply to all interests in real
property acquired for project purposes regardless of federal participation in purchases.
8. Will comply, as applicable, with the provisions of the Hatch Act (5 U.S.C. 1501-1508 and 7324-7328), which limit the political
activities of employees whose principal employment activities are funded in whole or in part with federal funds.
9. Will comply,as applicable, with the provisions of the Davis-Bacon Act(40 U.S. C.276a-7),the Copeland Act(40 U.S.C.
276c and 18 U.S.C. [ _]874)and the Contract Work Hours and Safety Standards Act(40 U.S.C. 327-333),regarding labor standards
for federally assisted construction subagreements.
35
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160 5
•
January 2014 Contract#OAA 203.14
10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act
of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase
flood insurance if the total cost of insurable construction and acquisition is $10,000.00 or more.
11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental
quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514;
(b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of
flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State
management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. 1451 et seq.); (f) conformity of
federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42
U.S.C. 'i L17401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974,
as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended,
(P.L. 93-205).
12 Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1-11721 et seq.) related to protecting components or
potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as
amended (16 U.S.C. L1470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic
Preservation Act of 1974(16 U.S.C. :_I.1469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related
activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. ❑❑2131 et seq.) pertaining to
the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award
of assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.), which prohibits the use of lead- based
paint in construction or rehabilitation of residence structures.
17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments
of 1996 and OMB Circular No. A-133,Audits of States, Local Governments,and Non-Profit Organizations.
18. Will comply with all applicable requirements of all other federal laws, executive orders, regulations and policies governing this
program.
SIGNATURE OF AUTHORIZED CERTIFYING TITLE
OFFICIAL //;14J Public Services Administrator
APPLICANT OR ANIZATION DATE SUBMITTED
Collier County Government/Housing Human and Veteran Services _ ■ L -
Approved as to form and legality
Assistant County 'Iii rney
•
36
16D 5
January 2014 Contract#OAA 203.14
ATTACHMENT VII
Budget and Rate Summary
OLDER AMERICANS ACT BUDGET SUMMARY
CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
1. Title III B Support Services $ 61,000.00*
2. Title III Cl Congregate Meals $ 277,000.00
3. Title III C2 Home Delivered Meals $ 262,000.00
4. Title IIl E Services $ 120,309.00
TOTAL $ 720,309.00
*In Home Services$252,567.00
In Home Services are funds to serve Collier County Clients. The Vendors are paid directly by the Area Agency on
Aging for Southwest Florida,Inc. dba Senior Choices of Southwest Florida
37
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January 2014 Contract#OAA 203.14
OLDER AMERICANS ACT
RATE SUMMARY
CONTRACTOR: COLLIER COUNTY
IIIB, IIIE, IIIES & IIIEG
Services Total Cost Reimbursement Rate
IIIB
Case Management $ 55.00 $ 49.50
Intake-EHEAP Only $ 30.00 $ 27.00
Screening/Assessment $ 55.00 $ 49.50
Transportation 100%Cost 90%of Cost
Services Total Cost Reimbursement Rate
IIIE,IIIES and IIIEG
IIIE- Respite In-Home $ 21.66 $ 19.50
Respite In-Facility $ 12.00 $ 10.80
Direct Pay Respite $ 16.66 $ 15.00
Adult Day Care $ 12.00 $ 10.80
Screening/Assessment $ 55.00 $ 49.50
IIIES- Specialized Medical Equipment, Service& 100%Cost 90%of Cost
Supplies
IIIEG-Child Day Care $ 16.67 $ 15.00
Screening/Assessment $ 55.00 $ 49.50
C-1 & C-2
COLLIER COUNTY
Services Total Cost Reimbursement Rate
Cl
Congregate Meals $ 9.88 $ 8.90
Nutrition Counseling $58.88 $53.00
Nutrition Education $ 1.80 $ 1.62
_
Nutrition Screening $31.11 $28.00
Outreach $4.80 per person $4.32 per person
C2
Home Delivered Meals $ 9.77 $ 8.80
Nutrition Counseling $58.88 $53.00
Nutrition Education $ 1.80 $ 1.62
Nutrition Screening $55.00 $49.50
Outreach $4.80 per person $4.32 per person _
38
16D 5 4
January 2014 Contract#OAA 203.14
ATTACHMENT VIII
INVOICE SCHEDULE
ADVANCE BASIS CONTRACT
Report Number Based On Submit to State
On This Date
1 January Advance* January 1
2 February Advance* January 1
3 January Expenditure Report February 9 *See Note#4*
4 February Expenditure Report March 9
5 March Expenditure Report April 9
6 April Expenditure Report May 9
7 May Expenditure Report June 9
8 June Expenditure Report July 9
9 July Expenditure Report August 9
10 August Expenditure Report September 9
11 September Expenditure Report October 9
12 October Expenditure Report November 9
13 Report Advance Refund/Recoupment November 9
14 November Expenditure Report December 9
15 December Expenditure Report January 9
16 Final Expenditure and Request for Payment February 15
17 Closeout Report March 1
Legend: * Advance based on projected cash need.
Note # 1: Report#1 for Advance Basis Agreements cannot be submitted to the Agency prior to January 1 or
until the agreement with the Agency has been executed.
Note # 2: Report numbers 3 through 14 shall reflect an adjustment of one-twelfth of the total advance amount,
on each of the reports, repaying advances issued the first two months of the agreement. The
adjustment shall be recorded in Part C, 1 of the report(ATTACHMENT IX).
Note#3: Submission of expenditure reports may or may not generate a payment request. If final expenditure
report reflects funds due back to the Agency, payment is to accompany the report.
Note#4: ALL Expenditure Reports are due by 12:00 p.m. on the 9th of each month. IF the 9th falls on a
Saturday,then the report will be due by the 8th by 12:00 p.m. AND IF the 9th falls on a Sunday,the
report will be due by the 10th by 12:00 p.m. Actual submission of the vouchers to Dept. of Elder
Affairs is dependent on the accuracy of the expenditure report which is verified and paid by CIRTS
data only.
39
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, .January 2014 Contract#0AA 203.14
ATTACHMENT IX
REQUEST FOR PAYMENT
OLDER AMERICANS ACT
PROVIDER NAME ADDRESS.PHONE AND FED ID NUMBER TYPE OF REPORT' THIS REQUEST PERIOD.
na A��A Report#
P imt,Irecmcnf Agreement #:
Agreement Period:
PSA:
CERTIFICATION' I hereby certify to the hest of my knowledoe that this reouest conforms with the terms and the numoses set forth in the ahove agreement
Prenared By- Date' Annrowd By Date
PART A: I (1( I (21 I (31 I (41 I (71 I (6
BUDGET SUMMARY AMAIN_ III B 11101 1 11102 Title IIIE TOTA
I. Aooroved I II I
Anreement Amount 0 001 0 001 O ad 0 ad 0 001 0 oc
2 Previous Funds
RECEIVED for I I
Aareement neriod a 0d 0 0d 0 00j 0 00 0 00 O Or
3.Aoreement Balance O.od o od 0.0 I o.od o.00l o oc
4 Previous Funds I I I
REQUESTED and 1 I
Not Received. 0.0 0.00 0 00 0.00 0.00. 0 O
5 Aoreement Balance 0 0 0 od o od 0 od 0 001 0 oc
PART B:
S REQUESTED 1 I I I
1 1st-2nd Months
Request Only O Od 0 01 O Od O od O.od O Oq
2 Net Exnenditures I I I
For Month 0 001 I 0.0 o.ad__ 0 od o.00l o.00
3 Additional i 1
Cash Needs (Attach Doc.1 0 0 0 0 0 od 0 001 0 001 0 OC
4 Total 0 01 0 00 0 00 0 001 0 01 0 Or
PART C:
NFT FUNDS REQUESTED. I I
1 Less' Cher-Advance 0 od 0 od a od a 001 0 01 a or
2.Aoreement Funds are I 1 1 I I
Hereby Requested For 0 00 0.001 0.001 0.001 0.001 0 OC
I I I I
DOEA FORM 106A revised 5/10
40 ,� )
5 .
5
. 1605
January 2014 Contract#OAA 203.14
ATTACHMENT X
RECEIPTS AND EXPENDITURE REPORT
OLDER AMERICAN ACT
PROVIDER NAME, ADDRESS, PHONE#AND FEID# Program Funding Source : THIS REPORT PERIOD
FROM: TO:
IIIB IIIC1
CONTRACT
111C2 PERIOD:
CONTRACT#
DCO(1DT M
CERTIFICATION : I certify to the best of my knowledge and belief that this report is complete and all outlays herein are for purposes set forth
in the contract.
Prepared by: Date: Approved by: Date:
PART A: BUDGETED INCOME/ RECEIPTS 1.Approved 2.Actual Receipts 3.Total Receipts 4. Percent of
Budget For This Report Year to Date Approved Budget
1. Federal Funds $0.00 $0.00 $0.00 %
2. State Funds $0.00 $0.00 r $0.00
3. Program Income $0.00 $0.00 $0.00 %
4. Local Cash Match (CCE, HCE and Other) $0.00 $0.00 $0.00 %
5. SUBTOTAL: CASH RECEIPTS $0.00 $0.00 $0.00 %
6. Local In-Kind Match $0.00 $0.00 $0.00 %
PART B : EXPENDITURES 1.Approved 2. Expenditures 3. Expenditures 4. Percent of
Budget For This Report Year to Date Approved Budget
1. Meals/Meal Agreements $0.00 $0.00 $0.00 %
2. Service Subcontractor $0.00 $0.00 $0.00 %
3. Other $0.00 $0.00 $0.00 %
4. Indirect Cost $0.00 $0.00
$0.00
5.TOTAL EXPENDITURES $0.00 $0.00
PART C: OTHER EXPENDITURES
(For Tracking Purposes only)
1. Match
a. Other and In-Kind $0.00 $0.00 $0.00 %
b. Local Match $0.00 $0.00 $0.00 %
2. USDA Cash Received $0.00 $0.00 $0.00 %
3.TOTAL OTHER $0.00 $0.00 $0.00
PART D: OTHER REVENUE AND EXPENDITURES 2.Addition Cost Alternative Program Income 3. Interest
1. Program Income (PI) a.Approved Budgets a. Earned on GR Advances $
a. OAA Unbudgeted PI Receipts YTD b. Received YTD
b. Return of GR Advance $
$ c. Expenditures
c. Other Earned $
DOEA FORM 105as revised 11/09
41 -,�
. . 160 5
January 2014 Contract#OAA 203.14
ATTACHMENT XI
RECEIPTS AND EXPENDITURE REPORT
OLDER AMERICAN ACT
PROVIDER NAME, ADDRESS, PHONE#AND FEID# Program Funding Source: THIS REPORT PERIOD
FROM TO
CONTRACT
Ttle III E PERIOD:
CONTRACT#
'RFPORT#
CERTIFICATION : I certify to the best of my knowledge and belief that this report is complete and all outlays herein are for purposes set forth in
the contract.
Prepared by: Date: Approved by: Date:
PART A:BUDGETED INCOME/ RECEIPTS 1.Approved 2.Actual Receipts 3.Total Receipts 4. Percent of
Budget For This Report Year to Date Approved Budget
1.Federal Funds $0.00 $0.00 $0.00 %
2. State Funds $0.00 $0.00 $0.00 %
3. Program Income $0.00 $0.00 $0.00 %
4.Local Cash Match $0.00 $0.00 $0.00 %
5.SUBTOTAL: CASH RECEIPTS $0.00 $0.00 $0.00 yo
6.Local In-Kind Match $0.00, $0.00 $0.00 %
PART B:EXPENDITURES 1.Approved 2.Expenditures 3.Expenditures 4. Percent of
Budget For This Report Year to Date Approved Budget
A:Direct Services
1.Personnel $0.00 $0.00 $0.00 %
2.Travel $0.00 $0.00 $0.00 %
3.Building Space $0.00 $0.00 $0.00
4.Communication/Utilities $0.00 $0.00 $0.00 %
5.Printing/Supplies $0.00 $0.00 $0.00 %
6.Equipment $0.00 $0.00 $0.00
7.Other $0.00 $0.00 $0.00 yo
B:Agreement Services
8.Services Subcontracted $0.00 $0.00 $0.00
9.TOTAL EXPENDITURES $0.00 $0.00 $0.00 yo
10. DEDUCTIONS
a.Total Local Match $0.00 $0.00 $0.00
b.Program Income Used $0.00 $0.00 $0.00
PART C:EXPENDITURES ANALYSIS
2.Units of Services Year to Date 3.Number of People Served Year to Date
A. Expenditures by Services Year to Date:
1. Information,. ... $0.00 ........................ $0.00 ...._...._.._.......... 0.00
2.Assistance..................... $0.00 ........................ $0.00 .._......._....__ 0.00
3.Counseling..................... $0.00 ........._...._._.... $0.00 ......................_. 000
4. Respite._.._.__..._....__ $0.00 ..._._._._.......... $0.00 .......................... 0.00
5.Supplemental Services,.... $0.00 ..._......._.......... $0.00 'F ...........................0.00
6.TOTAL.......................... $0.00
PART D:GRANDPARENT SERVICES(reported by Federal Fiscal Year)
FFY $ FFY $ FFY $
Match$ Match$ Match$_
DOEA FORM 105AE revised 12/08
42
• - • 160 5 14
January 2014 Contract#OAA 203.14
ATTACHMENT A
DEPARTMENT OF ELDER AFFAIRS PROGRAMS & SERVICES HANDBOOK
Department of Elder Affairs Programs & Services Handbook is available at the Department's Internet site under
"Notices". The link below is the current Programs and Services Handbook.
http://elderaffairs.state.fl.us/does/notices/July13/NOl%20for%202013%20P S%20Handbook.pdf
43
16D 5
January 2014 Contract#OAA 203.14
ATTACHMENT B
STATE OF FLORIDA DEPARMENT OF ELDER AFFAIRS
CIVIL RIGHTS COMPLAINCE CHECKLIST
Program/Facility Name: Collier County Housing Human and County: Collier AAA/Contractor
Veteran Services Senior Choices of SW Florida
Address Completed By: Lisa N. Carr
3339 Tamiami Trail E, Room 211
City, State,Zip Code: Naples, FL 34112 Date: 1/6/14 Telephone: 239-252-2339
PART I: READ THE ATTACHED INSTRUCTIONS FOR ILLUSTRATIVE INFORMATION WHICH WILL HELP YOU COMPLETE
THIS FORM.
1. Briefly describe the geographic area served by the program/facility and the type of service provided:
Collier County is situated over a 2,300 square mile area. Collier County Services for Seniors provides in-home care, facility
adult day care, case management and nutritional services to frail, elderly residents of Collier County.
2. POPULATION OF AREA SERVED. Source of data:
Total# %White %Black %Hispanic %Other %Female
330,076 94.6% 2.4% 6.8% 0% 53.5%
3. STAFF CURRENTLY EMPLOYED. Effective date:
Total# %White %Black %Hispanic %Other %Female %Disabled
11 40% 20% 30% 10% 80% 0%
4. CLIENTS CURRENTLY ENROLLED OR REGISTERED. Effective date:
Total# %White %Black %Hispanic %Other %Female %Disabled %Over 40
443 68% 10% 28% 21% 65% 0% 100%
5. ADVISORY OR GOVERNING BOARD, IF APPLICABLE.
Total# %White %Black %Hispanic %Other %Female %Disabled
5 100% 0% 0% 0% 40% 0%
PART II: USE A SEPARATE SHEET OF PAPER FOR ANY EXPLANATIONS REQUIRING MORE SPACE.
6. Is an Assurance of Compliance on file with DOEA? IF N/A or NO EXPLAIN. N/A YES NO
❑ • ❑
7. Compare the staff composition to the population. Is staff representative of the population?
IF N/A or NO EXPLAIN. N/A YES NO
❑ • ❑
8. Compare the client composition to the population. Are race and sex characteristics representative of N/A YES NO
the population? IF N/A or NO EXPLAIN.
❑ • ❑
9. Are eligibility requirements for services applied to clients and applicants without regard to race, color,
national origin, sex, age, religion or disability? IF N/A or NO EXPLAIN. N/A YES NO
❑ U ❑
10. Are all benefits, services and facilities available to applicants and participants in an equally effective
manner regardless of race, sex, color, age, national origin, religion or disability? IF N/A or NO EXPLAIN. N/A YES NO
❑ • ❑
11. For in-patient services, are room assignments made without regard to race, color, national origin or
or disability? IF N/A or NO EXPLAIN. N/A YES NO
• ❑ ❑
44
16051
January 2014 Contract#OAA 203.14
12. Is the program/facility accessible to non-English speaking clients? IF N/A or NO EXPLAIN. N/A YES NO
13. Are employees, applicants and participants informed of their protection against discrimination? If
❑ • ❑
YES, how? Verba❑Written 1 Poster x IF N/A or NO EXPLAIN. N/A YES NO
• ❑
14. Give the number and current status of any discrimination complaints regarding services or employment
filed against the program/facility. N/A NUMBER
15. Is the program/facility physically accessible to mobility, hearing, and sight-impaired individuals? N/A YES NO
IF N/A or NO EXPLAIN.
❑ • ❑
PART III:THE FOLLOWING QUESTIONS APPLY TO PROGRAMS AND FACILITIES WITH 15 OR MORE EMPLOYEES.
16. Has as a self-evaluation been conducted to identify any barriers to serving disabled individuals, and to
make any necessary modifications? YES NO
❑ ❑
17. Is there an established grievance procedure that incorporates due process in the resolution of complaints?
IF NO,EXPLAIN.
YES NO
18. Has a person been designated to coordinate Section 504 compliance activities? IF NO,EXPLAIN. YES NO
❑ ❑
19. Do recruitment and notification materials advise applicants, employees and participants of
nondiscrimination on the basis of disability? IF NO,EXPLAIN. YES NO
u ❑
20. Are auxiliary aids available to assure accessibility of services to hearing and sight-impaired individuals? YES NO
IF NO,EXPLAIN. ❑ ❑
PART IV:FOR PROGRAMS OR FACILITIES WITH 50 OR MORE EMPLOYEES AND FEDERAL CONTRACTS OF$50,000.00 OR MORE.
21. Do you have a written affirmative action plan? If NO, explain. YES NO
DOEA USE ONLY
Reviewed By In Compliance: YES ❑ NO* ❑
Program Office *Notice of Corrective Action Sent
/ /
Date Telephone Response Due _/ _/
On-Site Desk Review Response Received / _/
Revised August 2010, Page 2 of 2
45
• 16D
Janua r y 2014 Contract#0AA 203.14
INSTRUCTIONS FOR THE CIVIL RIGHTS COMPLIANCE CHECKLIST
1. Describe the geographic service area such as a district, county, city or other locality. If the program/facility
serves a specific target population such as adolescents, describe the target population. Also, define the type of
service provided.
2. Enter the percent of the population served by race and sex. The population served includes persons in the
geographical area for which services are provided such as a city, county or other regional area. Population
statistics can be obtained from local chambers of commerce, libraries, or any publication from the 1980 Census
containing Florida population statistics. Include the source of your population statistics. ("Other" races include
Asian/Pacific Islanders and American Indian/Alaskan Natives.)
3. Enter the total number of full-time staff and their percent by race, sex and disability. Include the effective date of
your summary.
4. Enter the total number of clients who are enrolled, registered or currently served by the program or facility, and
list their percent by race, sex and disability. Include the date that enrollment was counted.
5. Enter the total number of advisory board members and their percent by race, sex, and disability. If there is no
advisory or governing board, leave this section blank.
6. Each recipient of federal financial assistance must have on file an assurance that the program will be conducted in
compliance with all nondiscriminatory provisions as required in 45 CFR 80. This is usually a standard part of the
contract language for DOEA recipients and their sub-grantees,45 CFR 80.4 (a).
7. Is the race, sex, and national origin of the staff reflective of the general population? For example, if 10% of the
population is Hispanic, is there a comparable percentage of Hispanic staff?
8. Where there is a significant variation between the race, sex or ethnic composition of the clients and their
availability in the population, the program/facility has the responsibility to determine the reasons for such
variation and take whatever action may be necessary to correct any discrimination. Some legitimate disparities
may exist when programs are sanctioned to serve target populations such as elderly or disabled persons, 45 CFR
80.3 (b) (6).
9. Do eligibility requirements unlawfully exclude persons in protected groups from the provision of services or
employment? Evidence of such may be indicated in staff and client representation (Questions 3 and 4) and also
through on-site record analysis of persons who applied but were denied services or employment, 45 CFR 80.3 (a)
and 45 CFR 80.1 (b) (2).
10. Participants or clients must be provided services such as medical, nursing and dental care, laboratory services,
physical and recreational therapies, counseling and social services without regard to race, sex, color, national
origin, religion, age or disability. Courtesy titles, appointment scheduling and accuracy of record keeping must be
applied uniformly and without regard to race, sex, color, national origin, religion, age or disability. Entrances,
waiting rooms, reception areas,restrooms and other facilities must also be equally available to all clients, 45 CFR
80.3 (b).
11. For in-patient services, residents must be assigned to rooms, wards, etc., without regard to race, color, national
origin or disability. Also, residents must not be asked whether they are willing to share accommodations with
persons of a different race, color, national origin, or disability, 45 CFR 80.3 (a).
12. The program/facility and all services must be accessible to participants and applicants, including those persons
who may not speak English. In geographic areas where a significant population of non-English speaking people
46
A ..
• 1605 '
January 2014 Contract#OAA 203.14
live, program accessibility may include the employment of bilingual staff. In other areas, it is sufficient to have a
policy or plan for service, such as a current list of names and telephone numbers of bilingual individuals who will
assist in the provision of services, 45 CFR 80.3 (a).
13. Programs/facilities must make information regarding the nondiscriminatory provisions of Title VI available to
their participants, beneficiaries or any other interested parties. This should include information on their right to
file a complaint of discrimination with either the Florida Department of Elder Affairs or the U.S. Department of
HHS. The information may be supplied verbally or in writing to every individual, or may be supplied through the
use of an equal opportunity policy poster displayed in a public area of the facility, 45 CFR 80.6 (d).
14. Report number of discrimination complaints filed against the program/facility. Indicate the basis, e.g., race, color,
creed, sex, age, national origin, disability, retaliation; the issues involved, e.g., services or employment,
placement, termination, etc. Indicate the civil rights law or policy alleged to have been violated along with the
name and address of the local, state or federal agency with whom the complaint has been filed. Indicate the
current status, e.g., settled,no reasonable cause found, failure to conciliate, failure to cooperate, under review, etc.
15. The program/facility must be physically accessible to disabled individuals. Physical accessibility includes
designated parking areas, curb cuts or level approaches, ramps and adequate widths to entrances. The lobby,
public telephone, restroom facilities, water fountains, information and admissions offices should be accessible.
Door widths and traffic areas of administrative offices, cafeterias, restrooms, recreation areas, counters and
serving lines should be observed for accessibility. Elevators should be observed for door width, and Braille or
raised numbers. Switches and controls for light, heat, ventilation, fire alarms, and other essentials should be
installed at an appropriate height for mobility impaired individuals.
16. Section 504 of the Rehabilitation Act of 1973 requires that a recipient of federal financial assistance conduct a
self-evaluation to identify any accessibility barriers. Self-evaluation is a four step process:
a. With the assistance of a disabled individual/organization, evaluate current practices and policies which do
not comply with Section 504.
b. Modify policies and practices that do not meet Section 504 requirements.
c. Take remedial steps to eliminate any discrimination that has been identified.
d. Maintain self-evaluation on file. (This checklist may be used to satisfy this requirement if these four steps
have been followed.), 45 CFR 84.6.
17. Programs or facilities that employ 15 or more persons must adopt grievance procedures that incorporate
appropriate due process standards and provide for the prompt and equitable resolution of complaints alleging any
action prohibited by Section 504.45 CFR 84.7 (b).
18. Programs or facilities that employ 15 or more persons must designate at least one person to coordinate efforts to
comply with Section 504.45 CFR 84.7 (a).
19. Continuing steps must be taken to notify employees and the public of the program/facility's policy of
nondiscrimination on the basis of disability. This includes recruitment material, notices for hearings, newspaper
ads, and other appropriate written communication, 45 CFR 84.8 (a).
20. Programs/facilities that employ 15 or more persons must provide appropriate auxiliary aids to persons with
impaired sensory, manual or speaking skills where necessary. Auxiliary aids may include, but are not limited to,
interpreters for hearing impaired individuals, taped or Braille materials, or any alternative resources that can be
used to provide equally effective services, 45 CFR 84.52 (d).
21. Programs/facilities with 50 or more employees and $50,000.00 in federal contracts must develop, implement and
maintain a written affirmative action compliance program in accordance with Executive Order 11246, 41 CFR 60
and Title VI of the Civil Rights Act of 1964, as amended.
47
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DE PA RTM ENT OF.. 16 D 5
BACKGROUND SCREENING
ELDER.
AFFAIRS. Affidavit of Compliance - Employer
STATE OF FLORIDA
AUTHORITY: This form is required annually of all employers to comply with the attestation
requirements set forth in section 435.05(3), Florida Statutes.
D. The term "employer" means any person or entity required by law to conduct background screening,
including but not limited to, Area Agencies on Aging, Aging Resource Centers, Aging and Disability
Resource Centers, Lead Agencies, Long-Term Care Ombudsman Program, Serving Health Insurance Needs
of Elders Program, Service Providers, Diversion Providers, and any other person or entity which hires
employees or has volunteers in service who meet the definition of a direct service provider. See §§
435.02,430.0402, Fla.Stat.
D A direct service provider is "a person 18 years of age or older who, pursuant to a program to provide
services to the elderly, has direct, face-to-face contact with a client while providing services to the client
and has access to the client's living area, funds, personal property, or personal identification information
as defined in s. 817.568. The term includes coordinators, managers, and supervisors of residential
facilities;and volunteers." §430.0402(1)(b), Fla.Stat.
ATTESTATION:
As the duly authorized representative of Collier County Housing Human and Veteran Services
Employer Name
located at 3339 Tamiami Trail E. Room 211 Naples, FL 34112
Street Address City State ZIP code
I, Kimber Grant, Director do hereby affirm under penalty of perjury
Name of Representative
that the above named employer is in compliance with the provisions of Chapter 435 and section
430.0402, Florida Statutes, regarding level 2 background screening.
11114
Signature of Representative Date
STATE OF FLORIDA, COUNTY OF Collier
Sworn to (or affirmed) and subscribed before me this 2 day of Jiw1 , 20 I , by
ili 61 (IL/ (jrlt 14""- (Name of Representative)who is personally known
to m: _______ ;' as proof of identification.
+ PRISCILLA DORIA
■ ■ :+'= MY COMMISSION 1 EE 8
,u 76607 ..
Print,TVe; fri p eendullbeitItteillIfOrlindinfitilie f Public Notary Public
DOEA Form 235,Affidavit of Compliance-Employer,Effective April 2012 Section 435.05(3),F.S.
Form available at:http://elderaffairs.state.fl.us/english/backgroundscreenin.php
49
... . 16051
January 2014 Contract#OAA 203.14
ATTACHMENT H
CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS
The undersigned, an authorized representative of the Contractor named in the contract or agreement to which this
form is an attachment, hereby certifies that:
(1) The Contractor understands that pursuant to s. 287.135 F.S., any company at the time of bidding or submitting
a proposal for a new contract or renewal of an existing contract, that is on the "Scrutinized Companies with
Activities in Sudan List" or the "Scrutinized Companies with Activities in the Iran Petroleum Sector List
(collectively, "the Lists") is ineligible for, and may not bid on, submit a proposal for, or enter into or renew a
contract with the Area Agency on Aging for Southwest Florida, Inc. dba Senior Choices of Southwest Florida
(Agency) for goods or services of$1 million or more.
(2) The Contractor understands that, pursuant to s. 287.135 F.S., any company that submits a false certification to
the Agency is subject to civil penalties, attorney's fees and costs and any costs for investigations that led to the
finding of false certification.
(3) The Contractor understands that the contract to which this form is an attachment may be terminated by the
Agency if the Contractor submits a false certification or has been placed on the Lists.
This certification, required by Florida law, 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.
k , CG�M' , - - k
Signat e Date
(Same as contract signature)
Public Services Administrator
Title
Collier County Government
3339 Tamiami Trail E Room 211
Naples, FL 34112
Agency Name and Address alit
Approved as to form and legality
A 4Pistant Coun Q,orney \\
50 �`1
._ • 1605 '
January 2014 Contract#OAA 203.14
•
ATTACHMENT J
VERIFICATION OF EMPLOYMENT STATUS CERTIFICATION
As a condition of contracting with the Area Agency on Aging for Southwest Florida, Inc., dba Senior Choices of
Southwest Florida, Collier County Board of County Commissioners, hereby referred to as Contractor, certifies the
use of the U.S. Department of Homeland Security's E- verify system to verify the employment eligibility of all
new employees hired by Contractor during the contract term to perform employment duties pursuant to this
Agreement and that any subcontracts include an express requirement that subcontractors performing work or
providing services pursuant to this Agreement utilize the E- verify system to verify the employment eligibility of
all new employees hired by the subcontractor during the contract term.
igna re ✓ Date
(Same as contract signature)
Public Services Administrator
Title
Collier County Government
3339 Tamiami Trail E Room 211
Naples,FL 34112
Agency Name and Address
Approved as to form and legality
istant County rney
l `g , L.-k
51
160 5 1
Attestation Statement
Agreement/Contract Number: OAA 203.14
Amendment Number n/a
I, Stephen Y.Carnell.Public Services Administrator ,attest that no changes or revisions have been
(Recipient/Contractor representative)
made to the content of the above referenced agreement/contract or amendment between the Area Agency on
Aging for Southwest Florida dba as Senior Choices of Southwest Florida and
(Signature of Recipient/Contractor name)
The only exception to this statement would be for changes in page formatting,due to the differences in
electronic data processing media,which has no affect on the agreement/contract content.
Gi 1 6g/174 ) - ) c -- 1
Signature of Recipient/Contractor representative Date
Approved as to form and legality
Astant Coun ty A ey
,' 160 51
VERIFICATION OF EMERGENCY PREPAREDNESS PLAN
Contract # OAA 203.14
I, Stephen Y. Carnell certify that Collier County Govenment
(Name of authorized contractor representative) (Name of contractor)
has a current and properly maintained Emergency Preparedness Plan. Assurance is given that
the plan will be made available to the Area Agency on Aging for Southwest Florida, Inc. dba
Senior Choices of Southwest Florida, upon request.
jaCip‘111 ( ' iliii
Signature of autho ized contractor representative
Public Services Administrator
Title
Date
Collier County Government
Company
Approved as to form and legality
istant County orney
October 2008
160 5
January 2014 Contract#OAA 203.14
OLDER AMERICANS ACT
RATE SUMMARY
CONTRACTOR: COLLIER COUNTY
IIIB, IIIE,IIIES & IIIEG
Services Total Cost Reimbursement Rate
IIIB
Case Management $ 55.00 $ 49.50
Intake-EHEAP Only $ 30.00 $ 27.00
Screening/Assessment $ 55.00 $ 49.50
Transportation 100% Cost 90% of Cost
Services Total Cost Reimbursement Rate
IIIE,IIIES and IIIEG
IIIE- Respite In-Home $ 21.66 $ 19.50
Respite In-Facility $ 12.00 $ 10.80
Direct Pay Respite $ 16.66 $ 15.00
Adult Day Care $ 12.00 $ 10.80
Screening/Assessment $ 55.00 $ 49.50
IIIES- Specialized Medical Equipment, Service& 100% Cost 90% of Cost
Supplies
IIIEG-Child Day Care $ 16.67 $ 15.00
Screening/Assessment $ 55.00 $ 49.50
C-1 & C-2
COLLIER COUNTY
Services Total Cost Reimbursement Rate
Cl
Congregate Meals $ 9.88 $ 8.90
Nutrition Counseling $58.88 $53.00
Nutrition Education $ 1.80 $ 1.62
Outreach $4.80 per person $4.32 per person
C2
Home Delivered Meals $ 9.77 $ 8.80
Nutrition Counseling $58.88 $53.00
Nutrition Education $ 1.80 $ 1.62
Nutrition Screening $55.00 $49.50
Outreach $4.80 per person $4.32 per person
38