Backup Documents 03/28/2017 Item #16D13 16013
COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, CHS
DATE: April 5, 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 March 28,2017 Item 16D6.
BCC Approved on March 28,2017 Item 16D13.
Thank you for your assistance.
Amendment 002 October 2015 —December 2016 NSIP 203.16.002
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AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC. IJ1
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 203.16.
The purpose of this amendment is to amend 4. Contract Amount with the final allocation for the 2015-2016 contract
year, SECTION IH: METHOD OF PAYMENT,and revise ATTACHMENT III.
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$58,983.12 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.
SECTION III: METHOD OF PAYMENT
GENERAL STATEMENT OF METHOD OF PAYMENT
This is a fixed rate contract. The Agency shall make payment to the Contractor for provision of services up to
a maximum number of units of service and at the prospective rate stated below:
Service to be Provided Unit of Service Unit Rate
Eligible Congregate and 1 unit= 1 meal $.72
Home Delivered Meals
The prospective rate is based on the estimated OAA grant award.
COLLIER
Service to be Provided Unit of Service Unit Rate Maximum Units Allocation
Eligible Congregate and 1 unit= 1 meal $.72 81,921 $58,983.12
Home Delivered Meals
This amendment shall be effective on December 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.
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Amendment 002 October 2015 —December 2016 NSIP 203.16.002
16013
IN WITNESS WHEREOF, the parties hereto have caused this 3 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.
SIGNED BY: ar `�► I SIGNED BY: 4uiu.
NAME: STEVE Y. CARNELL NAME: MARIANNE G LORINI
TITLE: PUBLIC SERVICES DEPARTMENT HEAD TITLE: PRESIDENT/CEO
DATE:March 3,2017 DATE: 3-167-77
Federal Tax ID: 59-6000558
Fiscal Year Ending Date: 09/30
Approved as to form and legality
Assistant County Attornc°y (12
A
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Amendment 002 October 2015 —December 2016 NSIP 203.16.002
ATTACHMENT III
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO 61113
THIS CONTRACT CONSIST OF THE FOLLOWING:
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
GRANT AWARD (FAIN#): 16AAFLNSIP
DUNS NUMBER :076997790 FEDERAL AWARD DATE: AMOUNT
OCTOBER 28, 2015
Nutrition Services Incentive Program Collier County FGTF 93.053 $58,983.12
TOTAL FEDERAL AWARD $58,983.12
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
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6-‘)
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Revised August 2007
16u1 II I
Attestation Statement
Agreement/Contract Number NSIP 203.16
Amendment Number 002
I, Steve 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.
10.40 � QA7 March 3, 2017
Signature of Reciplfent/Contractor representative Date
Approved as to form and legality
Assistant County Attorney
Revised August 2007