Backup Documents 09/08/2015 Item #16D 2 1602
COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, CHS
DATE: September 8, 2015
RE: Agreements between Area Agency on Aging for Southwest Florida, Inc and
Collier County: CCE 203.14.004, ADI 203.14.003 and HCE 203.14.003
Please find attached one (1) of each fully executed document that was 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 September 8,2015, Item 16D2
Thank you for your assistance.
1602 + III
.Amen'.lent 004 CCE 203.14.004
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA
COMMUNITY CARE FOR THE ELDERLY PROGRAM
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
This AMENDMENT,entered into between the Area Agency on Aging for Southwest Florida hereinafter referred to
as the"Agency,"and Collier County Board of County Commissioners,hereinafter referred to as the"Contractor,"
collectively stated as the"Parties"which amends contract CCE 203.14.
This amendment shall be effective July 1, 2015.
RECITALS:
WHEREAS, on August 14, 2014,the parties entered into the Standard Contract for social services to be
provided to Collier County's frail and elderly seniors (hereinafter referred to as"Contract"); and
WHEREAS, on.November 12, 2014,. the parties entered into a First Amendment to the Contract; and
WHEREAS, on December 16, 2014, the parties entered into a Second Amendment to the Contract; and
WHEREAS, on May 4, 2015,the parties entered into a Third Amendment to the Contract; and
WHEREAS, Section 3 of the Contract provides that the agreement is to expire on June 30,2015; and
WHEREAS, the funding source for a successor agreement for senior services is not yet available to the
Agency from the Florida Department of Elder Affairs;
WHEREAS, the Parties are satisfied with the arrangement that they currently enjoy under the Contract so
that both parties wish to extend the Contract to August 30, 2015 while they await notification of funding of a
successor contract.
NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration,the
receipt and sufficiency of which is hereby mutually acknowledged,the Parties agree as follows:
I. The foregoing Recitals are true and correct and are incorporated by reference herein.
2. Both parties agree to extend the contract to August 30, 2015.
3. All other provisions of the Contract are to remain in effect and are to be performed at the level
specified in the agreement.
SIGNATURE PAGE TO FOLLOW
1 0
1602
Amend nient 004 CCE 203.14.004
IN WITNESS WHEREOF,the parties hereto have caused this Amendment to be executed by their
officials there unto duly authorized.
Collier County Board of County
Area Agency on Aging for Southwest Florida
Contractor: Commissioners
C(Ai(
SIGNED }p
SIGNED BY.• a gm, t) , BY: fk 1 a
NAME: Stephen Y. Carnell NAME: Marianne G Lorini
TITLE: Public Services Department Head TITLE: President/CEO
DATE: I (IA ( DATE: Yi iS
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30
Approved as to form and legality
Assistant CnInty A't^ri'-cY �!
2
Revised August 2007
1 6 0 2
Attestation Statement
Agreement/Contract Number 203.14
Amendment Number 004
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
Public Services Department Head .
(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.
A -s,
,t,
4, (..;,,,m
Signature f Recipi t/Contractor representative Date
Approved as to form and legality
______—
4 C �nrty n�• �3
ASSIS `+•, i'
Revised August 2007
l6fl2
Amendment 003 ADI 203.14.003
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
This AMENDMENT,entered into between the Area Agency on Aging for Southwest Florida hereinafter referred to
as the"Agency,"and Collier County Board of County Commissioners, hereinafter referred to as the"Contractor,"
collectively stated as the"Parties"which amends contract ADI 203.1.
This amendment shall be effective July 1, 2015..
RECITALS:
WHEREAS, on August 14, 2014, the parties entered into the Standard Contract for social services to be
provided to Collier County's frail and elderly seniors (hereinafter referred to as "Contract"); and
WHEREAS, on September 25, 2014, the parties entered into a First Amendment to the Contract; and
WHEREAS, on November 12, 2014, the parties entered into a Second Amendment to the Contract; and
WHEREAS, Section 3 of the Contract provides that the agreement is to expire on June 30, 2015; and
WHEREAS, the funding source for a successor agreement for senior services is not yet available to the
Agency from the Florida Department of Elder Affairs;
WHEREAS, the Parties are satisfied with the arrangement that they currently enjoy under the Contract so
that both parties wish to extend the Contract to August 30, 2015 while they await notification of funding of a
successor contract.
NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, the
receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree as follows:
1. The foregoing Recitals are true and correct and are incorporated by reference herein.
2. Both parties agree to extend the contract to August 30, 2015.
3. All other provisions of the Contract are to remain in effect and are to be performed at the level
specified in the agreement.
SIGNATURE PAGE TO FOLLOW
IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed by their
officials there unto duly authorized.
1
1 6 02
Amendment 003 ADI 203.14.003
Collier County Board of County
Area Agency on Aging for Southwest Florida
Contractor: Commissioners
I+ SIGNED Cls
SIGNED BY: ', *It , BY:
NAME: Stephen Y Camel! NAME: Marianne G Lorini
TITLE: Public Services Department Head TITLE: President/CEO
DATE: 47Z ltr 1S DATE: Yiy'115
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30
Approved a- ld legality
Assistant Counter Aft ._ .. O$ \‘5
7`
Revised August 20071 6 13
2
Attestation Statement
Agreement/Contract Number_203.14
Amendment Number 003
I, Stephen Y. Carvell ,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
Public Services Department Head
(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.
Signature i f Recipientkontractor reprientative Date
Approved as to r cm and legality
Assistant County " � `\5
Revised August 2007
1602
Amenument 003 HCE 203.14.003
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC.
HOME CARE FOR THE ELDERLY PROGRAM
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
This AMENDMENT,entered into between the Area Agency on Aging for Southwest Florida hereinafter referred to
as the "Agency,"and Collier County Board of County Commissioners, hereinafter referred to as the"Contractor,"
collectively stated as the"Parties"which amends contract HCE 203.14.
This amendment shall be effective July 1, 2015.
RECITALS:
WHEREAS, on August 14, 2014, the parties entered into the Standard Contract for social services to be
provided to Collier County's frail and elderly seniors (hereinafter referred to as "Contract"); and
WHEREAS, on September 25, 2014, the parties entered into a First Amendment to the Contract; and
WHEREAS, on November 12, 2014,the parties entered into a Second Amendment to the Contract; and
WHEREAS, Section 3 of the Contract provides that the agreement is to expire on June 30, 2015;
and
WHEREAS, the funding source for a successor agreement for senior services is not yet available to the
Agency from the Florida Department of Elder Affairs;
WHEREAS, the Parties are satisfied with the arrangement that they currently enjoy under the Contract so
that both parties wish to extend the Contract to August 30, 2015 while they await notification of funding of a
successor contract.
NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration,the
receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree as follows:
1. The foregoing Recitals are true and correct and are incorporated by reference herein.
2. Both parties agree to extend the contract to August 30, 2015.
3. All other provisions of the Contract are to remain in effect and are to be performedat the level
specified in the agreement.
SIGNATURE PAGE TO FOLLOW
IN WITNESS WHEREOF,the parties hereto have caused this Amendment to be executed by their
officials there unto duly authorized.
1
1 6 0 2
'Amendment 003 HCE 203.14.003
Collier County Board of County
Contractor:
Commissioners Area Agency on Aging for Southwest Florida
) SIGNED
SIGNED BY: 41,1i j�1 / BY: 5r✓�j°
64:,-,51.L.,
NAME: Stephen Y. Carrell NAME: Marianne G Lorini
TITLE: Public Services Department Head TITLE: President/CEO
DATE: 1 ft
I c DATE:
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30
tApproved as to form and legality
r
Assistant County Attorney \ca S
2
L
)A
in
Revised August 2007 K
Attestation Statement
Agreement/Contract Number 203.14
Amendment Number 003
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
Public Services Department Head
(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.
C(//vpf
V'44\ I 7 Ir
Signature o RecipieniI ontractor representative Date
,Approved as to form and legality
Assistant County Attorney
Revised August 2007