Backup Documents 11/14/2017 Item #16D18 16018
COMMUNITY AND HUMAN SERI VES
INTEROFFICE MEMORANDUM
TO: Martha Verg•ra, Board Minutes and Records
FROM: Jody Pale rants Coordinator, CHS
DATE: November 9, 2017
RE: Amendments between Area Agency on Aging for Southwest Florida, Inc and
Collier County (2016 & 2017 HCE, CCE & ADI & 2017 OAA)
Please find attached a 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 November 14, 2017 Item 16D1 48
Thank you for your assistance.
Louu3
Amendment .03 HCE 203.16.003
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
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 4. Contract Amount with the final allocation for the 2016-2017 contract year,
and revise ATTACHMENT HI and ATTACHMENT VI ANNUAL BUDGET SUMMARY.
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 $49,933.92 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.
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 3 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 CO I S/ ONERS SOUTHWEST FLORIDA,INC.
SIGNED BY: ��j . SIGNED BY: >04zWiLA-4— 5e/oC.44,c...
NAME: Steve Y. Carnell VVV NAME: MARIANNE G LORINI
TITLE: Public Services Department Head TITLE: PRESIDENT/CEO
DATE: (Q(7i1 (17 DATE: /4/30/7
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30
Approved as to form and legality
Assistant Count tturney
�,
O
1 601 8
COMMUNITY AND HUMAN SERI VCES
INTEROFFICE MEMORANDUM
TO: Martha Verg• ra, Board Minutes and Records
FROM: Jody Pale rants Coordinator, CELS
DATE: November 9, 2017
RE: Amendments between Area Agency on Aging for Southwest Florida. Inc and
Collier County (2016 & 2017 [ICE, CCE & ADI & 2017 OAA)
Please Find attached a 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 November 14,2017 Item 164
Thank you for your assistance.
1. 618
8
July 2016—June 2017 ADI 2v3.16. 2
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
ALZHEIMER'S DISEASE INITIATIVE 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 ADI 203.16.
The purpose of this amendment is to amend 4. Contract Amount with the final allocation for the 2016-2017 contract year,
and revise ATTACHMENT III and ATTACHMENT VIII ANNUAL BUDGET SUMMARY.
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$312,362.80, 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.
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
agreement.
This Amendment and all of its attachments are hereby made a part of this contract.
IN WITNESS WHEREOF, the parties hereto have caused this 3 page amendment to be executed by their undersigned
officials there unto duly authorized; and agree to abide by the terms, conditions and provisions of this ADI contract as
amended. This Amendment is effective on the last date the Amendment has been signed by both parties.
Recipient: COLLIER COUNTY BOARD OF AREA AGENCY ON AGING FOR SOUTHWEST
COUNTY COMMISSIONERS FLORIDA,INC.
1!
SIGNED BY: e SIGNED BY:
NAME: Steve Y. Carrell NAME: MARIANNE G LORINI
TITLE: Public Services Department Head TITLE: PRESIDENT/CEO
DATE: (O (IZC'tDATE: //36/,
Federal Tax ID: 59-6000- 58
Fiscal Year Ending Date: 09/30
Approved as to form and legality
Assis nt County urney ce097 t71
1 ��
July 2016 —June 2017 42§.1P06/
ATTACHMENT III
EXHIBIT 2
FINANCIAL AND COMPLIANCE AUDIT ATTACHMENT EXHIBIT 2-FUNDING
SUMMARY
Note: Title 2 CFR § 200.331, As Revised, and Section 215.97(5), Florida Statutes, Require That Information About Federal Programs
and State Projects Be Provided to the Recipient and Are Stated in the Financial and Compliance Audit Attachment and Exhibit 1.
Financial and Compliance Audit Attachment, Exhibit 2-Funding Summary Provides Information Regarding the Funding Sources
Applicable to This Contract,Contained Herein,Is A Prediction of Funding Sources and Related Amounts Based on the Contract Budget.
• FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT
CONSIST OF THE FOLLOWING:
GRANT AWARD (FAIN#): N/A FEDERAL AWARD DATE:
DUNS NUMBER: 076997790
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
TOTAL FEDERAL AWARD
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT
TO THIS CONTRACT ARE AS FOLLOWS:
FEDERAL FUNDS:
2 CFR Part 200—Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
OMB Circular A-133,As amended—Audits of States,Local Governments, and Non-Profit Organizations
• 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
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-Collier 65004 $312,362.80
TOTAL AWARD $312,362.80
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS
CONTRACT ARE AS FOLLOWS:
STATE FINANCIAL ASSISTANCE:
Section 215.97, F.S., Chapter 69I-5, FL Admin Code, Reference Guide for State Expenditures, Other fiscal requirements set forth in
program laws,rules and regulations.
2
July 2016—June 2017 ADI 203.16.002
1 6 018
ATTACHMENT VIII
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
ANNUAL BUDGET SUMMARY
for
Collier County Board of County Commissioners
Collier
ALLOCATION TOTAL $ 312,362.80
3
1 6 0 1 8
Revised August 2007
Attestation Statement
Agreement/Contract Number: ADI 203.16
Amendment Number: 002
I,Steve 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
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.
[40 fit C
Signatur• of Recipi t/Contractor representative ate
Approved as to form and legality
Assistant County Qtj,rncy
Revised August 2007
1 6 0 1 8
COMMUNITY AND HUMAN SERI VCES
INTEROFFICE MEMORANDUM
TO: Martha Vere ra, Board Minutes and Records
FROM: Jody Paley, rants Coordinator, CHS
DATE: November_!9, 2017
RE: Amendments between Area Agency on Aging for Southwest Florida, Inc and
Collier County (2016 & 2017 [ICE, CCE & ADI & 2017 OAA)
Please find attached a 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 November 14,2017 Item 16D1
Thank you for your assistance.
July 201'6—June 2017CCE 203.16.003 1 6118
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
COMMUNITY 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 CCE 203.16.
The purpose of this amendment is to amend 4. Contract Amount with the fmal allocation for the 2016-2017 contract year,
and revise ATTACHMENT III and ATTACHMENT VI ANNUAL BUDGET SUMMARY.
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 $803,548.47 or the rate schedule, subject to the availability of funds. Any costs or services paid for
payment under any other contract or from any other source are not eligible for payment under this contract.
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 3 page amendment, to be executed by their
undersigned officials as duly authorized; and agree to abide by the terms, conditions and provisions of this CCE
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 Ca III I : ONERS SOUTHWEST FLORIDA,INC.
1014 D
SIGNED BY: .14 41,E , (j4"i'Vf/ SIGNED BY: �d5/t�c.i
NAME: Steve Y. Carnell NAME: MARIANNE G LORINI
TITLE: Public Services Department Head TITLE: PRESIDENT/CEO
DATE: 10 la y 117 DATE: /d/3 0/. 7
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30 Approved as to form and legality
Assistant County Attorney
0
1
July 2016—June 2017. CCE 203.16.003
16E113
ATTACHMENT III
EXHIBIT 2
FINANCIAL AND COMPLIANCE AUDIT ATTACHMENT
EXHIBIT 2-FUNDING SUMMARY
Note: Title 2 CFR§200.331,As Revised, and Section 215.97(5),Florida Statutes, Require That Information About Federal Programs
and State Projects Be Provided to the Recipient and Are Stated in the Financial and Compliance Audit Attachment and Exhibit 1.
Financial and Compliance Audit Attachment, Exhibit 2-Funding Summary Provides Information Regarding the Funding Sources
Applicable to This Contract,Contained Herein,Is A Prediction of Funding Sources and Related Amounts Based on the Contract Budget.
• FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT
CONSIST OF THE FOLLOWING:
GRANT AWARD (FAIN#): N/A FEDERAL AWARD DATE:
DUNS NUMBER: 076997790
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
TOTAL FEDERAL AWARD
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT
TO THIS CONTRACT ARE AS FOLLOWS:
FEDERAL FUNDS:
2 CFR Part 200—Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards.
OMB Circular A-133,As amended—Audits of States,Local Governments, and Non-Profit Organizations
• 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
TOTAL STATE AWARD
STATE FINANCIAL ASSISTANCE SUBJECT TO Sec.215.97,F.S.
PROGRAM TITLE FUNDING SOURCE CSFA AMOUNT
Community Care for the Elderly General Revenue-Collier 65010 $ 803,548.47
TOTAL AWARD $ 803,548.47
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS
CONTRACT ARE AS FOLLOWS:
,STATE FINANCIAL ASSISTANCE:
Section 215.97, F.S., Chapter 69I-5, FL Admin Code, Reference Guide for State Expenditures, Other fiscal requirements set forth in
program laws,rules and regulations.
2
8 July 2016—June 2017 CCE 203.16.003 1 6 0 1
ATTACHMENT VI
COMMUNITY CARE FOR THE ELDERLY PROGRAM
ANNUAL BUDGET SUMMARY
for
Collier County Board of County Commissioners
Collier
CCE Services Allocations $ 803,548.47
RATE SUMMARY
for
Collier County Board of County Commissioners
Collier County Total Unit Cost Reimbursement Rate-90%
Case Management $60.00 $54.00
Case Aide $33.88 $30.50
Adult Day Care $12.83 $11.55
Chore $23.33 $21.00
Enhanced Chore $30.33 $2730
Companion $23.33 $21.00
Skilled Nursing $42.00 $37.80
EARS $ 1.31 $ 1.18
Escort $21.67 $19.50
Home Delivered Meals $ 7.78 $ 7.00
Homemaking $21.50 $19.35
Personal Care $25.67 $23.10
Respite-in-Facility $12.83 $11.55
Respite-in-Home $25.67 $23.10
Home Improvement $ Cost Reimbursement 90% Cost Reimbursement
Material Aid $ Cost Reimbursement 90% Cost Reimbursement
Specialized Medical Equipment,
Service& Supplies $Cost Reimbursement 90% Cost Reimbursement
Transportation $Cost Reimbursement 90% Cost Reimbursement
Other $Cost Reimbursement 90% Cost Reimbursement
3
1 6 D 1 8
Revised August 2007
Attestation Statement
Agreement/Contract Number: CCE 203.16
Amendment Number: 003
I,Steve Carnell ,attest that no changes or revisions have been made to the
(Recipient/Contractor representative)
content ofthe 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.
•
7/1.7
„i , (0/(z
Signature ' ipient o actor representative ate
Approved as to form and legality
Assistant County Attorney &P
.d
Revised August 2007
1 6 0 1 8
COMMUNITY AND HUMAN SERI VCES
INTEROFFICE MEMORANDUM
TO: Martha Verg•ra, Board Minutes and Records
FROM: Jody Pale rants Coordinator, CHS
DATE: November 9, 2017
RE: Amendments between Area Agency on Aging for Southwest Florida, Inc and
Collier County (2016 & 2017 [ICE, CCE & ADI & 2017 OAA)
Please find attached a 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 November 14, 2017 Item 16D11(
Thank you for your assistance.
July 201'6—June 2017 CCE 203.16.003 1 6 0 1 8
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
COMMUNITY 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 CCE 203.16.
The purpose of this amendment is to amend 4. Contract Amount with the final allocation for the 2016-2017 contract year,
and revise ATTACHMENT III and ATTACHMENT VI ANNUAL BUDGET SUMMARY.
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 $803,548.47 or the rate schedule, subject to the availability of funds. Any costs or services paid for
payment under any other contract or from any other source are not eligible for payment under this contract.
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 3 page amendment, to be executed by their
undersigned officials as duly authorized; and agree to abide by the terms, conditions and provisions of this CCE
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 I U i . ONERS SOUTHWEST FLORIDA,INC.
1
SIGNED BY: *41 b, 5:411 SIGNED BY: �dS/Lvc.i
NAME: Steve Y. Carnell NAME: MARIANNE G LORINI
TITLE: Public Services Department Head TITLE: PRESIDENT/CEO
DATE: 10 j2H I g 1 DATE: /0/3 0t.
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30 Approved as to form and legality
Assistant County AUorncy
0
1
July 2016—June 2017. CCE 203.16.003
16 D
ATTACHMENT III
EXHIBIT 2
FINANCIAL AND COMPLIANCE AUDIT ATTACHMENT
EXHIBIT 2-FUNDING SUMMARY
Note: Title 2 CFR§200.331,As Revised, and Section 215.97(5),Florida Statutes, Require That Information About Federal Programs
and State Projects Be Provided to the Recipient and Are Stated in the Financial and Compliance Audit Attachment and Exhibit 1.
Financial and Compliance Audit Attachment, Exhibit 2-Funding Summary Provides Information Regarding the Funding Sources
Applicable to This Contract,Contained Herein,Is A Prediction of Funding Sources and Related Amounts Based on the Contract Budget.
• FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT
CONSIST OF THE FOLLOWING:
GRANT AWARD (FAIN#): N/A FEDERAL AWARD DATE:
DUNS NUMBER: 076997790
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
TOTAL FEDERAL AWARD
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT
TO THIS CONTRACT ARE AS FOLLOWS:
FEDERAL FUNDS:
2 CFR Part 200—Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards.
OMB Circular A-133,As amended—Audits of States,Local Governments, and Non-Profit Organizations
• 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
TOTAL STATE AWARD
STATE FINANCIAL ASSISTANCE SUBJECT TO Sec.215.97,F.S.
PROGRAM TITLE FUNDING SOURCE CSFA AMOUNT
Community Care for the Elderly General Revenue-Collier 65010 $ 803,548.47
TOTAL AWARD $ 803,548.47
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS
CONTRACT ARE AS FOLLOWS:
STATE FINANCIAL ASSISTANCE:
Section 215.97, F.S., Chapter 69I-5, FL Admin Code, Reference Guide for State Expenditures, Other fiscal requirements set forth in
program laws,rules and regulations.
2
8 July 2016—June 2017 CCE 203.16.003 1 6 0
ATTACHMENT VI
COMMUNITY CARE FOR THE ELDERLY PROGRAM
ANNUAL BUDGET SUMMARY
for
Collier County Board of County Commissioners
Collier
CCE Services Allocations $ 803,548.47
RATE SUMMARY
for
Collier County Board of County Commissioners
Collier County Total Unit Cost Reimbursement Rate-90%
Case Management _ $60.00 $54.00
Case Aide $33.88 _ $30.50
Adult Day Care $12.83 $11.55
Chore $23.33 $21.00
Enhanced Chore $30.33 $27.30
Companion $23.33 $21.00
Skilled Nursing $42.00 $37.80
EARS $ 1.31 $ 1.18
Escort $21.67 $19.50
Home Delivered Meals $ 7.78 $ 7.00
Homemaking $21.50 $19.35
Personal Care $25.67 $23.10
Respite-in-Facility $12.83 $11.55
Respite-in-Home $25.67 $23.10
Home Improvement $Cost Reimbursement 90% Cost Reimbursement
Material Aid $Cost Reimbursement 90% Cost Reimbursement
Specialized Medical Equipment,
Service& Supplies $ Cost Reimbursement 90% Cost Reimbursement
Transportation $ Cost Reimbursement 90% Cost Reimbursement
Other $ Cost Reimbursement 90% Cost Reimbursement
3
1 6 0 1 8
Revised August 2007
Attestation Statement
Agreement/Contract Number: CCE 203.16
Amendment Number: 003
I,Steve 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
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.
,ir ilk 4 CO Z
Signature r ' ipient/'Co actor representative ate
Approved as to form and legality
Assistant County Attorney
cap,\\
,v
Revised August 2007