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Agenda 09/10/2013 Item #16D 1 9/10/2013 16.D.1 . EXECUTIVE SUMMARY Recommendation to approve amendments to service agreements and corresponding budget amendments to reflect actual award of the Community Care for the Elderly, Alzheimer's Disease Initiative, and Home Care for the Elderly grants for the Collier County Services for Seniors program from the Area Agency on Aging for Southwest Florida, Inc., dba Senior Choices of Southwest Florida(Net Fiscal impact$64,742) OBJECTIVE: To reflect the difference in estimated and actual grant award that will allow uninterrupted support services to Collier County Services for Seniors (CCSS) frail, elderly clients through the Community Care for the Elderly (CCE), Home Care for the Elderly (HCE), and Alzheimer's Disease Initiative(ADI) grant programs. CONSIDERATIONS: Collier County Services for Seniors (CCSS), managed within the Housing, Human and Veteran Services (HHVS) Department, has provided support services to Collier County's qualified seniors for over 32 years through the CCE, HCE, and ADI grants. These grants are funded by the Florida Department of Elder Affairs (FDOEA), through the Area Agency on Aging of Southwest Florida, dba Senior Choices of Southwest Florida(Senior Choices). These grants enable CCSS to provide services to seniors and their caregivers, allowing them to remain in their homes and live with independence and dignity. On July 24, 2012, Item 16.D.15, the Board of County Commissioners approved the current service agreements for CCE, ADI, and HCE which end on June 30, 2014, and allow for two year renewals. Funding awards for the first year (2012-2013) ended June 30, 2013. In order to prevent a disruption in service, a budget amendment based upon the previous year's allocation in the amount of$777,105 was approved on May 28, 2013, item 16.D.14. The proposed amendments to the service agreements for the second program year (2013-2014) were received from the grantor agency in the amount of$835,142 and reflect an increase of$58,037. On May 28, 2013, Item 16.D.14, a budget was approved for client co-payments for the CCE and ADI grants, based upon prior year collection goals established by Senior Choices. A budget amendment is required for the difference between estimated and actual co-payment goals established, a$3,500 increase. The CCE grant has a 10% match requirement of $6,205, which will be partially met through the co- payments received ($3,000) and results in a net local match impact of$3,205. ADI and HCE have no matching requirements. The following table provides a detailed breakdown of the necessary adjustments to the award,co- payment and required local match budgets set forth in the proposed amendments: Current Increase/ Match Program Project Budget (Decrease) Revised Budget increase* Community Care for the Elderly(CCE) 33271 $661,357.00 $55,845.00 $717,202.00 $3,205.00 Alzheimer's Disease Initiative(ADI) 33272 $94,719.00 $10,242.00 $104,961.00 Home Care for the Elderly(HCE) 33273 $21,029.00 ($8,050.00) $12,979.00 Total $777,105.00 $58,037.00 $835,142.00 $3,205.00 Packet Page -1028- 9/10/2013 16.D.1. Current Co- Revised Co- Payment Increase/ Payment Program Project Budget (Decrease) Budget CCE Co-Payment Budget 33271 $17,000.00 $3,000.00 $20,000.00 ADI Co-Payment Budget 33272 $2,700.00 $500.00 $3,200.00 Total $19,700.00 $3,500.00 $23,200.00 Note: The HCE Basic Subsidy of $22,896.00 is retained by the grantor agency, and therefore is not included within this table,as it is not a part of the CCSS managed budget. Approval of the following documents by the County Manager is subject to formal ratification by the Board of County Commissioners. If the decision by the County Manager is not ratified by that Board,the document(s) shall be enforceable against Collier County only to the extent authorized by law in the absence of such ratification by that Board. FISCAL IMPACT: Budget amendments are required to reflect the difference between the estimated and actual grant awards, an increase of $58,037.00 for the FY13 CCE, ADI, and HCE grants to the Human Services Grant Fund (707), Projects 33271, 33272, and 33273. Budget amendments are also required for increased CCE local match requirement of $3,205, CCE Co-payment increase of $3,000 offsetting the remainder of the 10% match requirement, and for ADI Co-payment increase of$500, to Human Services Match Fund (708), Projects 33271 and 33723. Local match is available through carry forward in the Collier County Seniors Fund(123). GROWTH MANAGEMENT: There is no growth management impact from this recommendation. LEGAL CONSIDERATIONS: A standard form amendment provided by Senior Choices of Southwest Florida was used for each agreement. This item is approved as to form and legality, and requires majority vote for approval.—JAB RECOMMENDATIONS: Approve contract amendments and attestation statements between Collier County and the Area Agency on Aging for Southwest Florida, Inc. dba Senior Choices of Southwest Florida and authorize the budget amendments. Prepared by: Lisa N. Can, Grants Coordinator, Housing Human and Veteran Services Packet Page-1029- 9/10/2013 16.D.1. COLLIER COUNTY Board of County Commissioners Item Number: 16.16.D.16.D.1. Item Summary: Recommendation to approve amendments to service agreements and corresponding budget amendments to reflect actual award of the Community Care for the Elderly, Alzheimer's Disease Initiative, and Home Care for the Elderly grants for the Collier County Services for Seniors program from the Area Agency on Aging for Southwest Florida, Inc., dba Senior Choices of Southwest Florida (Net Fiscal impact$64,742) Meeting Date: 9/10/2013 Prepared By Name: CarrLisa Title: SHIP Program Coordinator 7/22/2013 1:45:25 PM Submitted by Title: SHIP Program Coordinator Name: CarrLisa 7/22/2013 1:45:26 PM Approved By Name: DeSearJacquelyn Title: Accountant,Housing,Human&Veteran Services Date: 7/22/2013 2:08:47 PM Name: GrantKimberley Title: Interim Director,HHVS Date: 7/22/2013 2:30:54 PM Name: GrantKimberley Title: Interim Director,HHVS Date: 7/22/2013 2:32:30 PM Name: AlonsoHailey Title: Operations Analyst,Public Service Division Packet Page-1030- 9/10/2013 16.D.1. Date: 7/22/2013 2:33:13 PM Name: Joshua Thomas Title: Grants Support Specialist, Date: 7/22/2013 2:46:16 PM Name: BelpedioJennifer Title: Assistant County Attorney,County Attorney Date: 7/22/2013 5:05:38 PM Name: CarnellSteve Title: Director-Purchasing/General Services,Purchasing Date: 7/22/2013 5:16:08 PM Name: FinnEd Title: Senior Budget Analyst,OMB Date: 8/12/2013 3:48:14 PM Name: KlatzkowJeff Title: County Attorney Date: 8/20/2013 10:31:45 AM Astok Name: StanleyTherese Title: Management/Budget Analyst, Senior,Office of Manage Date: 8/27/2013 11:41:53 AM Name: KlatzkowJeff Title: County Attorney Date: 8/27/2013 2:07:44 PM Name: OchsLeo Title: County Manager Date: 8/29/2013 5:08:49 PM Amok Packet Page-1031- Amendment 004 July 2012–June 2014 9/10/2013 16.D.1 . AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC. dba SENIOR CHOICES OF SOUTHWEST FLORIDA ALZHEIMER'S DISEASE INITIATIVE PROGRAM COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS This AMENDMENT,entered into between the Area Agency on Aging for Southwest Florida, Inc. dba Senior Choices of Southwest Florida, hereinafter referred to as the "Agency," and Collier County Board of County Commissioners, hereinafter referred to as the "Recipient,"amends contract ADI 203.12—July 2012-June 2014. The purpose of this amendment is to add an additional paragraph to Item#4. Contract Amount to read as follows: The Agency agrees to pay for contracted services according to the terms and conditions of this contract in an amount not to exceed $104,961 for year two, 2013 –2014, or the rate schedule, 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; and revise ATTACHMENT III Exhibit- 1 and ATTACHMENT VIII. This amendment shall be effective July 1,2013. 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, three pages, is hereby made a part of this agreement. IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed by their officials there unto duly authorized. Collier County Board of County Area Agency on Aging for Southwest Contractor: Commissioners Florida,Inc., dba Senior Choices of Southwest Florida SIGNED SIGNED BY: BY: NAME: Georgia A. Hiller, Esq. NAME: Ronald Lucchino,PhD TITLE: Chairwoman TITLE: Board President DATE: September 10, 2013 DATE: Federal Tax ID: 59-60005 88 Fiscal Year Ending Date: 09/30 Approved as to form and legality ATTEST: DWIGHT E. BROCK,Clerk Assistant Count orneY By: 1 Packet Page-1032- Amendment 004 July 2012—June 2014 9/10/2013 16.D.1. ATTACHMENT III EXHIBIT—1 1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT TOTAL FEDERAL AWARD COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS: 2. STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: MATCHING RESOURCES FOR FEDERAL PROGRAMS PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT TOTAL STATE AWARD STATE FINANCIAL ASSISTANCE SUBJECT TO Sec.215.97,F.S. PROGRAM TITLE FUNDING SOURCE CSFA AMOUNT Alzheimer's Disease Initiative General Revenue/TSTF 65004 $104,961.00 TOTAL AWARD $104,961.00 COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS: 2 CA Packet Page -1033- Amendment 004 July 2012—June 2014 9/10/2013 16.D.1 . ATTACHMENT VIII ALZHEIMER'S DISEASE INITIATIVE PROGRAM BUDGET SUMMARY for Collier County Board of County Commissioners 1. Respite $103,611.00 2. Case Management and Case Aide Allocation 1,350.00 3. Total $104,961.00 RATE SUMMARY for Collier County Board of County Commissioners SERVICES UNIT RATE Case Management $55.56 Case Aide $30.00 In-Home Respite $24.44 Respite Facility $12.22 Specialized Medical Equipment, Services and Supplies 100% Reimbursement III 3 CA Packet Page-1034- 9/10/2013 16.D.1. Attestation Statement Agreement/Contract Number: ADI 203.12 Amendment Number 004 I, Georgia A.Hiller.Esq. ,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 dba as Senior Choices of Southwest Florida and Collier County Board of Commissioners (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. 9/10/2013 Signature of Recipient/Contractor representative Date Approved as to form and legality ATTEST DWIGHT E. BROCK, Cl tk Assistant C ty Attorney Anak Packet Page-1035- Amendment 005 July 2012–June 2014 9/10/2013 16.D.1 . AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC. dba SENIOR CHOICES OF SOUTHWEST FLORIDA' COMMUNITY CARE FOR THE ELDERLY PROGRAM COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS This AMENDMENT,entered into between the Area Agency on Aging for Southwest Florida, Inc. dba Senior Choices of Southwest Florida,hereinafter referred to as the "Agency," and Collier County Board of County Commissioners, hereinafter referred to as the "Recipient,"amends contract CCE 203.12— July 2012-June 2014. The purpose of this amendment is to add an additional paragraph to Item#4. Contract Amount to read as follows: The Agency agrees to pay for contracted services according to the terms and conditions of this contract in an amount not to exceed $717,202.00 for year two, 2013 –2014, or the rate schedule, 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; revise ATTACHMENT III Exhibit- 1 and ATTACHMENT VIII, and add Home Delivered Meals. This amendment shall be effective July 1, 2013. 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,three pages, is hereby made a part of this agreement. IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed by their officials there unto duly authorized. Collier County Board of County Area Agency on Aging for Southwest Recipient: Commissioners Florida, Inc., dba Senior Choices of Southwest Florida SIGNED BY: SIGNED BY: NAME: Georgia A. Hiller, Esq. NAME: Ronald Lucchino,PhD TITLE: Chairwoman TITLE: Board President DATE: September 10,2013 DATE: Federal Tax ID: 59-6000588 Fiscal Year Ending Date: 09/30 Approved as toofform and legality y E ice: DWIGHT E. BROOK,;Clerk Ass istant County Attorney By: __. 1 (1) Packet Page-1036- Amendment 005 July 2012—June 2014 9/10/2013 16.D.1 . ATTACHMENT HI EXHIBIT—1 Amok 1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT TOTAL FEDERAL AWARD COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS: 2. STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: MATCHING RESOURCES FOR FEDERAL PROGRAMS PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT Asow TOTAL STATE AWARD STATE FINANCIAL ASSISTANCE SUBJECT TO Sec.215.97,F.S. PROGRAM TITLE FUNDING SOURCE CSFA AMOUNT Community Care for the Elderly Program General Revenue-Collier 65010 $ 717,202.00 TOTAL AWARD $ 717,202.00 COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS: Amok 2 � Packet Page-1037- � Amendment 005 July 2012—June 2014 9/10/2013 16.D.1. ATTACHMENT VIII COMMUNITY CARE FOR THE ELDERLY PROGRAM BUDGET SUMMARY for Collier County Board of Commissioners Collier County 1. CCE Spending Authority $612,202.00 2. Case Management and 105,000.00 Case Aide Total $717,202.00 RATE SUMMARY for Collier County Board of Commissioners Collier County _ Collier County Total Unit Cost Reimbursement Rate-90% - Case Management $55.56 $50.00 Case Aide _ $30.00 $27.00 Adult Day Care $12.22 $11.00 Chore _ $22.22 $20.00 Enhanced Chore $28.89 $26.00 _ Companion $22.22 $20.00 Skilled Nursing $40.00 $36.00 EARS $ 1.24 $ 1.12 Homemaking $21.11 $19.00 Personal Care $24.44 $22.00 Respite-In Home $24.44 $22.00 Home Delivered Meals $7.78 $7.00 Specialized Medical Equipment, Services&Supplies $Cost Reimbursement $90%Cost Reimbursement Transportation $Cost Reimbursement $90%Cost Reimbursement 3 n Packet Page -1038- 9/10/2013 16.D.1. Attestation Statement Agreement/Contract Number: CCE 203.12 Amendment Number 005 I, Georgia A.Hiller.Esq. ,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 dba as Senior Choices of Southwest Florida and Collier County Board of Commissioners • (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. 9/10/2013 ' Signature of Recipient/Contractor representative Date ' F,:.S T: Approved as to form and legality DWIGHT E. BROCK, Clerk - t�j Assistant Conn Attorney ossik Packet Page -1039- Amendment 005 July 2012—June 2014 9/10/2013 16.D.1 . AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC. dba SENIOR CHOICES OF SOUTHWEST FLORIDA HOME CARE FOR THE ELDERLY PROGRAM COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS This AMENDMENT, entered into between the Area Agency on Aging for Southwest Florida, Inc. dba Senior Choices of Southwest Florida, hereinafter referred to as the "Agency," and Collier County Board of County Commissioners, hereinafter referred to as the "Recipient,"amends contract BCE 203.12 July 2012-June 2014. The purpose of this amendment is to add an additional paragraph to Item#4. Contract Amount to read as follows: The Agency agrees to pay for contracted services according to the terms and conditions of this contract in an amount not to exceed$35,875 for year two, 2013 —2014, or the rate schedule, 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; and revise ATTACHMENT III Exhibit- 1 and ATTACHMENT VIII. This amendment shall be effective July 1, 2013. 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.three pages. is hereby made a part of this agreement. IN WETNESS WHEREOF, the parties hereto have caused this Amendment to be executed by their officials there unto duly authorized. Collier County Board of County Area Agency on Aging for Southwest Contractor: Commissioners Florida,Inc., dba Senior Choices of Southwest Florida SIGNED SIGNED BY: BY: NAME: Georgia A. Hiller,Esq. NAME: Ronald Lucchino,PhD TITLE: Chairwoman TITLE: Board President DATE: September 10,2013 DATE: Federal Tax ID: 59-6000588 Fiscal Year Ending Date: 09/30 Approved as to form and legality ATTEST: 1' c1`,,�� DWIGHT E. BROOK, Clerk Assistant Countyittorney By: 1 Packet Page -1040- Amendment 005 July 2012—June 2014 9/10/2013 16.D.1 . ATTACHMENT III EXHIBIT—I 1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT TOTAL FEDERAL AWARD COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS: 2. STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: MATCHING RESOURCES FOR FEDERAL PROGRAMS PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT Amok TOTAL STATE AWARD STATE FINANCIAL ASSISTANCE SUBJECT TO Sec.215.97,F.S. PROGRAM TITLE FUNDING SOURCE CSFA AMOUNT Home Care for the Elderly Program General Revenue 65001 $35,875.00 TOTAL AWARD $35,875.00 COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS: 2 cwt- Packet Page-1041- Amendment 005 July 2012—June 2014 9/10/2013 16.D.1 . ATTACHMENT VIII HOME CARE FOR THE ELDERLY PROGRAM BUDGET SUMMARY Collier County Board of Commissioners HCE Case Management $ 2,768.00 HCE Basic Subsidies 14— 18 HCE Clients 22,896.00 HCE Special Subsidies 10,211.00 Total $35,875.00 HOME CARE FOR THE ELDERLY PROGRAM RATE SUMMARY Collier County SERVICES REIMBURSEMENT RATE Payments to the Lead Agency Collier Case Management(CMV) $55.56 Case Aide(CAV) $30.00 Homemaker(HMKV) $21.11 Personal Care(PECV) $24.44 Respite(RESV) $24.44 Specialized Medical Equipment, Services and Supplies(SCSV) Total Cost Background Screening(OTHBKV) Total Cost Payments to the Caregiver Respite(RESP) Total Cost Specialized Medical Equipment, Services and Supplies(SCSM) Total Cost Transportation(TRS) Total Cost 3 c��1 Packet Page -1042- 9/10/2013 16.D.1. Attestation Statement Agreement/Contract Number: HCE 203.12 Amendment Number 005 Georgia A.Ailler.Esq. ,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 dba as Senior Choices of Southwest Florida and Collier County Board of Commissioners (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. 9/10/2013 Signature of Recipient/Contractor representative Date Approved as to form and legality DWIGHT E. BROCK, Clerk Assistant County A � rner Asmilk Packet Page-1043- 9/10/2013 16.D.1 . PSA 8 -Area Agency on Aging for Southwest Florida d.b.a. Senior Choices of Southwest Florida 2013-2014 CCE and ADI COPAY GOALS ADI GOAL CCE GOAL 13-14 13-14 CHARLOTTE $ 1,300.00 $ 17,200.00 COLLIER $ 3,200.00 $ 20,000.00 DESOTO $ 450.00 $ 7,500.0() GLADES $ 300.00 $ 3,000.00 HENDRY $ 184.00 $ 4,500.00 LEE $ 5,000.00 $ 35,000.00 SARASOTA $ 5,400.00 $ 33,500.0() PSA GOAL TOTALS $ 15,834.00 $ 120,700.0() Packet Page-1044-