Backup Documents 03/08/2016 Item #16D 2 160 2
COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, CHS
DATE March 14, 2016
RE: Area Agency on Aging for Southwest Florida, Inc (Amendments)
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 March 8, 2016; Item 16.D.1
Recommendation to approve an after-the-fact Amendment to the Master Contract and
Attestation Statement with Area Agency on Aging of Southwest Florida, Inc. for Federal-
and State-fundedServices for Seniors programs (No Fiscal Impact).
BCC Approval on March 8„ 2016; Item: 16 D.2
Recommendation to approve an after-the-fact Amendment to the Older Americans Act
ProgramTitle III and Attestation Statement with Area Agency on Aging of Southwest
Florida, Inc. for Services for Seniors programs (No Fiscal Impact).
BCC Approval on March 8„2016; Item: 16 D.3
Recommendation to approve after-the-fact Amendment to the Home Care for the Elderly
Programand Attestation Statement with Area Agency on Aging for Southwest Florida,
Inc. for Services for Seniors programs (No Fiscal Impact).
Thank you for your assistance.
Amendment .001 OAA 203.16.001
160 2
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
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 203.16.
The purpose of this amendment is remove some sections that do not pertain to this contract regarding subcontracts/vendors
and revise ATTACHMENT VII Rate Summary by adding additional services to OA3ES.
1. Under II MANNER OF SERVICE PROVISION: A. Service Tasks: 4. Monitoring the Performance of its
Subcontracts:
Item b. Subcontractor Outreach Reporting Requirements should be deleted as it does not apply to vendors;
2. Under II MANNER OF SERVICE PROVISION: A. Service Tasks: 5. Grievance and Compliant
Procedures:
Item b. Legal Provider Grievance Procedures should be deleted as it does not apply to vendors;
3. Under II MANNER OF SERVICE PROVISION: B. Staffing Requirements: 3. Subcontractors—Use of
Subcontractors: d. "The Contractor shall require subcontractors to enter....." should be deleted as it does not apply
to vendors;
4. Under II MANNER OF SERVICE PROVISION: B. Staffing Requirements: 3. Subcontractors—Use of
Subcontractors: e. "The Contractor shall require subcontractors to run monthly CIRTS....." should be deleted as it
does not apply to vendors;
5. Under II MANNER OF SERVICE PROVISION: D. Deliverables: 2. Reports: a. Programmatic
Operations/Administration should be deleted as it does not apply to vendors.
6. Under II MANNER OF SERVICE PROVISION: D. Deliverables: 2. Reports: c. Surplus/Deficit Report:
(1) A list of all subcontractors and their current status regarding surplus/deficit; should be deleted as it does not apply
to vendors;
7. Under II MANNER OF SERVICE PROVISION: D. Deliverables: 2. Reports: c. Surplus/Deficit Report:
(5)Number of clients currently on APCL that receive a priority ranking score of 4 or 5; should be deleted as it does not
apply to vendors;
8. Under II MANNER OF SERVICE PROVISION: D. Deliverables: 2. Reports: c. Surplus/Deficit Report:
(6) Number of clients currently on the APCL designated as Imminent Risk; should be deleted as it does not apply to
vendors;
9. Revise ATTACHMENT VII Rate Summary by adding Material Aid, Chore, and Enhanced Chore to the services
listed under OA3ES.
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Amendment .001 OAA 203.16.001
• COLLIER COUNTY 160 2
IIIE,HIES,& IIIEG
Services Total Cost Reimbursement Rate
IIIE— Adult Day Care $ 12.83 $ 11.55
Direct Pay Respite $ 16.67 $ 15.00
Respite In-Facility $ 12.83 $ 11.55
Respite In-Home $25.67 $23.10
Screening&Assessment $ 60.00 $ 54.00
IIIES-- Chore $ 23.33 $ 21.00
Enhanced Chore $ 30.33 $ 27.30
Specialized Medical Equipment, Service& 100%Cost 90%of Cost
Supplies
Material Aid 100% Cost 90% of Cost
MEG- Child Day Care $ 16.67 $ 15.00
Screening/Assessment $ 60.00 $ 54.00
This amendment shall be effective on January 31,2016. 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 2 page amendment to be executed by their officials there unto
duly authorized.
Contractor• COLLIER COUNTY BOARD OF AREA AGENCY ON AGING FOR SOUTHWEST
• COUNTY COMMISSIONERS FLORIDA,INC.
�fl � D
SIGNED BY: � `�� SIGNED BY: o��ww
NAME: Stephen Y. Carrell NAME: MARIANNE G LORINI
TITLE: Public Services Department Head TITLE: PRESIDENT/CEO
DATE: February 5,2016 DATE:
Federal Tax ID: 59-60005 88
Fiscal Year Ending Date: 09/30
Approved as to form and legality
nt County A
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160 2
Revised August 2007
Attestation Statement
Agreement/Contract Number: OAA 203.16
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
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.
I,
February 5, 2016
Si `!/nature st Recipi nt/Contractor p representative Date
Approved as to form and leg .
r
Assisi' County Attom qk
II
Revised August 2007
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