Backup Documents 05/10/2016 Item #16D6 1 606
COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, CHS
DATE: May 24, 2016
RE: Agreements between Area Agency on Aging for Southwest Florida, Inc and
Collier County: Older Americans Act Program Title III Amendment 203.15.005
Please find attached a 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 May 10, 2016, Item 16D6
Thank you for your assistance.
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;Amendment 005 OAA 203.15.005
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 203.15.
The purpose of this amendment is to amend 4. Contract Amount with the final allocation for the 2014-2015 contract year,
and revise ATTACHMENT III and ATTACHMENT VII.
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 $703,807.28 ($296,089.30 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 December 31, 2015. All provisions in the agreement and any attachments thereto in
conflict with this amendment shall he 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.
Contractor: COLLIER COUNTY BOARD OF AREA AGENCY ON AGING FOR SOUTHWEST
COUNTY COMMISSIONERS, FLORIDA,INC.
SIGNED BY: fir‘ " i SIGNED BY -11101WD4ILL 4.A ;
NAME: STEPHEN Y. CARNELL NAME: MARIANNE G LORINI
TITLE: PUBLIC SERVICES DEPARTMENT HEAD TITLE: PRESIDENT/CEO
DATE:April 12, 2016 DATE:
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30 Approved as to form and legality
1
Assistant County Attorney �
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Amendment 005 OAA 203.15.005
1 6 DF6CHMENT 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/SCAB $ 24,750.00
Transportation U.S. Health and Human Services 93.044 $ 30,118.56
Support Services $ 54,868.56*
Total MB $ 296 089.30
OAA Title IIIC1 —Congregate Meals $ 284,745.16
Meals
Screening
Nutrition Counseling U.S. Health and Human Services 93.045
Nutrition Education
Outreach
Total IIIC1 $ 284,745.16
OAA Title III C2—Home Delivered
Meals $ 231,884.26
Meals
Nutrition Education U.S. Health and Human Services 93.045
Screening
TotalIIIC2 $ 231,884.26
Older Americans Act Title III E
CA/CM& Services(Title III E) 93.052 $ 94,116.98
Supplement Services(Title III ES) U.S. Health and Human Services $ 18,594.07
Grandparent Services (Title III EG) $ 19,598.25
Total HIE $ 132,309.30
TOTAL FEDERAL AWARD $ 703,807.28
*In Home Services$296,089.30
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 691-5,Fla.Admin.Code
2
0
-Amendment 005
6ca 6.15.005
ATTACHMENT VII
CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
OLDER AMERICANS ACT BUDGET SUMMARY
COLLIER COUNTY
1. Title III B Support Services $ 54,868.56*
2. Title III Cl Congregate Meals $ 284,745.16
3. Title III C2 Home Delivered Meals $ 231,884.26
4. Title III E Services $ 132,309.30
TOTAL $ 703,807.28
*In Home Services $296,089.30
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.
3
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Revised August 2007
Attestation Statement
Agreement/Contract Number OAA 203.15
Amendment Number 005
I, Stenhen V.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.
co/0-7qr I
April 12,2016
Signature of 'ecipient/C ractor representative Date
Approved as to form and legality
Assistant County Attorney
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Revised August 2007