Backup Documents 12/11-12/2012 Item #16D14 Amendment 002 NSIP 203.002
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
dba SENIOR CHOICES OF SOUTHWEST FLORIDA `,
STANDARD CONTRACT
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NUTRITION SERVICES INCENTIVE PROGRAM l
THIS AMENDMENT is entered into between the Area Agency on Aging for Southwest Florida, Inc., dba Senior
Choices of Southwest Florida("Agency") and Collier County Board of County Commissioners, ("Contractor"), amends
agreement NSIP 203.12.
The purpose of this amendment is to increase allocation by $544, revise Attachment I-SECTION III—Method of
Payment and ATTACHMENT III Exhibit—L
The purpose of this amendment is to amend the following contract sections(Paragraphs and Attachments):
STANDARD CONTRACT:
Revise the Standard Contract with the following changes:
(1) Amend section 3; and
(2) Amend section 4.
CONTRACT ATTACHMENTS: (1) Amend section 3.2.1;and
(2) Revise Attachment III, Exhibit– 1.
Line denotes completion of above summary
STANDARD CONTRACT:
The Standard Contract is hereby revised as follows.
(1) Section 3 is amended to read:
3. This contract shall begin on October 1,2011 or on the date on which the contract has been signed by the last
party required to sign it,whichever is later. It shall end at midnight,local time in North Fort Myers, Florida,on
December 10,2012.
(2) Section 4 is hereby amended to read:
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 35,146.00,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.
CONTRACT ATTACHMENTS:
(1) ATTACHMENT I,3.2 REQUESTS FOR PAYMENT, Section 3.2.1 is amended to read:
3.2.1. Date for Final Request for Payment
(1) The final request for payment is due to the Agency no later than December 10.2012, This contract is
for services provided during the 2011 Federal Fiscal Year beginning October 1. 2011 through
September 30. 2012; however, the contract is in effect through December 10. 2012. The
additional three months (October 1. 2012 through December 10. 2012) are to allow rates to be
adjusted for the service period. This contract shall automatically terminate after the final rate for the
federal fiscal year has been established and the release of final payments are authorized by the
Agency.
(2) In the event that the final reimbursement rate is greater or less than the rate in ATTACHMENT
I, Section 3.1,then this contract shall be appropriately adjusted upon notice from the Contract Manager.
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Amendment 002 NSIP 203.002
, (3) In the event of a conflict between this paragraph and any other provisio i hepipn athis
section shall supercede. 1ILLJJII act
(2) Attachment III, Exhibit— 1 is hereby replaced with the revised Exhibit— 1 and attached hereto.
This amendment shall be effective on the last day this amendment is signed by both Parties.
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.
IN WITNESS WHEREOF, the parties hereto have caused this 4 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.DBA SENIOR CHOICES OF
SOUTHWEST FLORIDA
41 A
SIGNED BY: �PO : SIGNED BY:
NAME: Stephen Y. Camel! NAME: LEIGH A NOWAK
TITLE: Interim Public Services Administrator TITLE: B ARD PRESIDENT
DATE: / I f\4 (12, DATE: / i 3 //d'
Federal Tax ID: 59-6000558
Fiscal Year Ending Date: 09/30
Approved as to torm & legal SuMccy
Assistant County Attorney
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Amendment 002 16 D 1 4 NSIP 203.002
ATTACHMENT I
SECTION III: METHOD OF PAYMENT
3.1 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 $0.68
Home Delivered Meals
The prospective rate is based on the estimated OAA grant award.
COLLIER
Service to be Unit of Service Unit Rate Maximum Allocation
Provided Units
Eligible Congregate I unit= I meal $0.68 51,686 $ 35,146
and Home Delivered
Meals(Under OAA
and ARRA)
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Amendment 002 1601 4 NSIP 203.002
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
Nutrition Services Incentive Program Older Americans Act 93.053 $35,146.00
TOTAL FEDERAL AWARD $35,146.00
COLLIER
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
Nutrition Services Incentive Program Older Americans Act 93.053 $ 35,146.00
TOTAL FEDERAL AWARD $ 35,146.00
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Attestation Statement
Agreement/Contract Number NSIP 203.12
Amendment Number 002
I, Stephen Y.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 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.
► ,� _ Ai N (i' (j2
Stephen Carnell, terim Administrator Date
Collier County Public Services Division
ved as to form & legal Su ci tty
,tit_ nt County Attorney