Backup Documents 07/07/2015 Item #16D 3 1603
COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
TOIn
+ �� 15
FROM: Lisa N. Carr, Grants Coordinator, CHS V`v U, ; •
DATE: July 8, 2015 BY -��-
RE: Older Americans Act amendment between Area Agency on Aging for
Southwest Florida, Inc and Collier County: OAA 203.15.001
Please find attached one (1) each fully executed documents that were approved by the BCC on
the day listed below for recording in Minutes and Records. Feel free to contact me if you have
any questions.
BCC Approved on July 7, 2015, Item: 16.D.3:
Thank you for your assistance.
Amendment 01 OAA 203.15.001
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC. 16 0 3
OLDER AMERICANS ACT PROGRAM TITLE III
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
THIS AMENDMENT is entered into between the Area Agency on Aging for Southwest Florida, Inc., (Agency)
and Collier County Board of County Commissioners (Contractor) and amends contract OAA 203.15.
The purpose of this amendment is to increase Collier County allocations by $14,677, revise ATTACHMENT III and
ATTACHMENT VII Budget Summary and revise Paragraph 4. Contract Amount.
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 $686,469.00($346,722.00 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.
This amendment shall be effective on May 26, 2015. All provisions in the agreement and any attachments thereto in
conflict with this amendment shall be and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in
the agreement.
This amendment and all of its attachments are hereby made a part of this agreement.
IN WITNESS WHEREOF, the parties hereto have caused this 3 page amendment to be executed by their officials there unto
duly authorized.
Recipient: COLLIER COUNTY BOARD OF AREA AGENCY ON AGING FOR SOUTHWEST
COUNTY COMMISSIONERS FLORIDA,INC.
SIGNED BY: _41: 1 / ! '6 SIGNED BY: /1(67.4tatetoti pelLht�c
NAME: Stephen Y. Carnell NAME: MARIANNE G LORINI
TITLE: Department Head—Public Services TITLE: PRESIDENT/CEO v
DATE: 6— (3 — ( se'
DATE: (,//V/C
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30
Approved as to form and legality
Assistant County Attorney cx, C..,
1 i 'Yr,J
Amendment 01 OAA 203.1106 0 3
ATTACHMENT III
`1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT
CONSIST OF THE FOLLOWING:
COLLIER COUNTY
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
Older Americans Act Title IIIB—
CA/CM/SCAS $ 23,574.00
Transportation $ 31,000.00
U.S. Health and Human Services 93.044
$ 54,574.00
Support Services $ 346,722.00*
Total IIIB
OAA Title IIIC1 —Congregate Meals $ 258,853.00
Meals
Screening
Nutrition Counseling U.S. Health and Human Services 93.045
Nutrition Education
Outreach
Total IIIC1 $ 258,853.00
OAA Title III C2—Home Delivered Meals $ 250,832.00
Meals
Nutrition Education U.S. Health and Human Services 93.045
Screening
Total IIIC2 $ 250,832.00
Older Americans Act Title III E
CA/CM& Services (Title III E) 93.052 $ 92,608.00
Supplement Services (Title III ES) U.S. Health and Human Services $ 17,761.00
Grandparent Services(Title III EG) $ 11,841.00
Total HIE $ 122,210.00
TOTAL FEDERAL AWARD $ 686,469.00
In Home Services$346,722.00
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.
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT
TO THIS CONTRACT ARE AS FOLLOWS:
FEDERAL FUNDS:
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)
OMB Circular A-133—Audit Requirements
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO
THIS CONTRACT ARE AS FOLLOWS:
STATE FINANCIAL ASSISTANCE
Section 215.97,Fla. Stat.
Chapter 69I-5,Fla. Admin.Code
2
Amendment 01 OAA 203.15.001
ATTACHMENT VII 16 0 3
Budget and Rate Summary
OLDER AMERICANS ACT BUDGET SUMMARY
CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
1. Title III B Support Services $ 54,574.00*
2. Title III Cl Congregate Meals $ 258,853.00
3. Title III C2 Home Delivered Meals $ 250,832.00
4. Title III E Services $ 122,210.00
TOTAL $ 686,469.00
*In Home Services $346,722.00
In Home Services are funds to serve Collier County Clients. The Vendors are paid directly
by the Area Agency on
Aging for Southwest Florida,Inc. dba Senior Choices of Southwest Florida
0
3
Revised August 2007
16D3
Attestation Statement
Agreement/Contract Number OSA 203.15
Amendment Number 001
I, Stephen Y. Carnell ,attest that no changes or revisions have been made to the
(Recipient/Contractor representative)
content of the above referenced agreement/contract or amendment between the Area Agency on Aging for
Southwest Florida and
Department Head-Public Services
(Recipient/Contractor name)
The only exception to this statement would be for changes in page formatting,due to the differences in
electronic data processing media,which has no affect on the agreement/contract content.
i$ - (0-
Signature of Reci i ient/Contractor representative Date
Approved as to form and legality
Assistant County Attorney J
CO\
Revised August 2007
(ID