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Backup Documents 04/26/2016 Item #16D 7 160 7 COMMUNITY AND HUMAN SERIVCES INTEROFFICE MEMORANDUM TO: Board Minutes and Records FROM: Lisa N. Carr, Grants Coordinator, CHS DATE May 2, 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 April 26, 2016; Item 16.D.7 Recommendation to approve an "after-the-fact" amendment, attestation statement and budget amendment award for the Nutrition Services Incentive Program from Area Agency on Aging for Southwest Florida, Inc. (Net Fiscal Impact $6,574.30) BCC Approval on April 26, 2016; Item: 16 D.8 Recommendation to approve after-the-fact Amendment to the Community Care for the Elderly and the Home Care for the Elderly Programs and Attestation Statements with Area Agency on Aging for Southwest Florida, Inc. for Services for Seniors programs (No Fiscal Impact). Thank you for your assistance. Amendment 001 October 2014— September 2015 NSIP 203.15.001 160 7 AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC. NUTRITION SERVICES INCENTIVE PROGRAM 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"),amends agreement NSIP 203.15. The purpose of this amendment is to amend 4. Contract Amount with the final allocation for the 2014-2015 contract year,revise ATTACHMENT III. Line denotes completion of above summary 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$44,829.30. 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 September 30, 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 2 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. 1 C(///, SIGNED BY: Al�• � I J SIGNED BY: cernA,1L. NAME: STEPHEN Y. CARNELL NAME: MARIANNE G LORINI TITLE: PUBLIC SERVICES DEPARTMENT HEAD TITLE: PRESIDENT/CEO DATE: March 21,2016 DATE: 3/ca 9//b Federal Tax ID: 59-6000558 Fiscal Year Ending Date: 09/30 Approved as to form and legality 1 ^sista ©n 11 Amendment 001 October 2014—September 2015 NSIP 2 f S.0 16ti }10 ATTACHMENT III 1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE FOLLOWING: PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT Nutrition Services Incentive Program Collier County FGTF 93.053 $44,829.30 TOTAL FEDERAL AWARD $44,829.30 COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: N/A FEDERAL FUNDS: 2 CFR Part 200 Uniform Administrative Requirements,Cost Principles,and Audit Requirement for Federal Awards. STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE FOLLOWING: MATCHING RESOURCES FOR FEDERAL PROGRAMS PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT $0 STATE FINANCIAL ASSISTANCE SUBJECT TO Sec.215.97,F.S. PROGRAM TITLE FUNDING SOURCE CSF AMOUNT TOTAL AWARD COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: N/A 2 160 ? Attestation Statement Agreement/Contract Number: NSIP 203.15 Amendment Number 001 I, Stephen Y. Camel! ,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 Denartment Head (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. � cat," March 21, 2016 Signature ofP 'eci ientl"Contractor representative Date Approved as to form and legality jz-t Assistant CountyA onney