Backup Documents 02/28/2017 Item #16D 5 160 5
COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, CHS
DATE: March 3, 2017
RE: Agreement between Area Agency on Aging for Southwest Florida, Inc and
Collier County
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 February 28,2017 Item 16D5.
Thank you for your assistance.
July 2016 to June 2017 HCE 203.16.2
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
16 0 5
HOME CARE FOR THE ELDERLY 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 HCE 203.16.
The purpose of this amendment is to amend ATTACHMENT I,IH: METHOD OF PAYMENT,A.Payment Methods
Used by adding#3. Caregiver Direct Deposit Payment language,which was omitted from the contract and changing the
item number to#4. Advance Payments.
ATTACHMENT I
HI. METHOD OF PAYMENT
A. Payment Methods Used
3. Caregiver Direct Deposit Payment
All enrolled caregivers will receive payment via direct deposit. Any client,whose caregiver is not set up
for direct deposit after one(1)month of enrollment,will not be eligible to receive HCE services.
4. Advance Payments(language stays same just item#changes)
All provisions in the contract and any attachments thereto in conflict with this Amendment shall be and are
hereby changed to conform to 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 contract.
This Amendment and all its attachments are hereby made part of the contract.
IN WITNESS THEREOF, the Parties hereto have caused this 1 page amendment, to be executed by their
undersigned officials as duly authorized; and agree to abide by the terms, conditions and provisions of this
HCE contract as amended. This Amendment is effective on the last date the Amendment has been signed by
both Parties.
Contractor: COLLIER COUNTY BOARD AREA AGENCY ON AGING FOR
OF COUNTY COMM SIONERS SOUTHWEST FLORIDA,INC.
SIGNED BY: 4 1t SIGNED BY: i, , o'
NAME: STEVE Y. CARNELL NAME: MARIANNE G LORINI
TITLE: PUBLIC SERVICES DEPARTMENT HEAD TITLE: PRESIDENT/CEO
DATE: January 25. 2017 DATE: °2/8)�'/
Federal Tax ID: 59-6000558 Approved as to form and legality
Fiscal Year Ending Date: 09/30 1110I Alp-..411Assistant County A 416y
Revised August 2007 1 6 a 5
Attestation Statement
Agreement/Contract Number HCE 203.16
Amendment Number 02
I, Steve 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
Collier County Board of County Commissioners .
(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.
, ..#://11 /
1
�/;►�� ( � January 25,2017
Signatu e • Recipient/ ontractor representative Date
Approved as to form and legality
l I
As taut County Ant
Revised August 2007