Backup Documents 03/12/2019 Item #16D 7 16D7
Coffer Countiy
Public Services Division
Community&Human Services
Memorandum
To: Clerks Recording
CC:
From: Wendy Klopf, Grant Coordinator, Services for Seniors
Date: 03.12.19
Subject: Executed Amendments with Area Agency on Aging of SWFIa (AAA)
CHS is providing executed Amendment from Area Agency on Aging of SWFIa (AAA) that was approved on
the Consent Agenda on 03.12.2019
• 16D7-CCE 203.17.002
• 16D7-ADI 203.17.002
• 16D7 HCE 203.17.003
Enclosed are the copies for Minutes and Records since they did not require the BCC signature due to
Resolution 2010-122, designating the Public Service Administrator authority to sign the amendments.
Let me know if you need anything.
Thanks
Wendy Klopf
Grant Coordinator-Services for Seniors
252-2901
Co i er County
July 2017—June 2018 CCE 203.17.002 i 6 D 7
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC.
COMMUNITY CARE FOR THE ELDERLY PROGRAM
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
THIS FINAL 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 203.17.
The purpose of this amendment is to increase the allocation for Collier County by$28,470.15, amend 4. Contract Amount,
ATTACHMENT III,Exhibit 2 and ATTACHMENT VIII,Annual Budget 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 $906,985.15, 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 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 CAA I S ONERS ,I� SOUTHWEST FLORIDA,INC.
441011''l / V e�/;ILl 4-1—
SIGNED BY: �r SIGNED BY:
NAME1c -1 NAME: MARIANNE G LORINI
TITLE:Q.‘0\v re evAr (Noc-- + ` TITLE: PRESIDENT/CEO
DATE: \ Z'17 ) I V DATE: t 13! l 5
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30 Approved as to form and legality
DUNS: 076997790
1 Assistant County Alitteey c>05)71/4'
July 2(117—June 2018 CCE 203.17.002 1 6 D 7
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 $ 906,985.15
TOTAL AWARD $ 906,985.15
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 2017— June 2018 CCE 203.17.002 1 6 0 7
ATTACHMENT VIII
COMMUNITY CARE FOR THE ELDERLY PROGRAM
ANNUAL BUDGET SUMMARY
for
Collier County Board of County Commissioners
Collier
CCE Services Allocations $ 906,985.15
3
July 2017—June 2018 ADI 203.17.002 1 6 D 7
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
ALZHEIMER'S DISEASE INITIATIVE PROGRAM STANDARD CONTRACT
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
THIS FINAL 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 203.17.
The purpose of this amendment is to increase the allocation for Collier County by $17,400.00; amend 4. Contract
Amount; and revise ATTACHMENT III and ATTACHMENT VIII.
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 $404,357.00, 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.
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 amendment,to be executed by their undersigned officials as
duly authorized; and agree to abide by the terms, conditions and provisions of this contract as amended. This amendment
is effective on the last date the amendment has been signed by both Parties.
Contractor: COLLIER COUNTY AREA AGENCY ON AGING FOR
BOARD OF COUNTY SOUTHWEST FLORIDA,INC.
COMMISSIONERS
SIGNED BY: 1 SIGNED BY: ViliVit;LAAL
NAME. Sv‘erC' y `.n Me I k NAME: MARIANNE G LORINI
TITLE:p,�n�L )1Ce°'. SectaYt't C\ \ TITLE: PRESIDENT/CEO
DATE: 12-1/71 I g DATE: //3//9
Federal Tax ID: 59-6000558
Fiscal Year Ending Date: 09/30 Approved as to form and legality
DUNS: 076997790
1
Assistant County Atto cy 052 `et"
July 2017—June 2018 ADI 203.17.002 1 6 0 7
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-Collier 65004 $ 404,357.00
TOTAL AWARD $ 404,357.00
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 2017—June 2018 ADI 203.17.002 1 6 D 7
ATTACHMENT VIII
ANNUAL BUDGET SUMMARY
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
for
Collier County Board of County Commissioners
Collier
ALLOCATION TOTAL $ 404,357.00
3
July 2Q17—June 2018 HCE 203.17.003 1 6 ® 7
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
HOME CARE FOR THE ELDERLY PROGRAM
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
THIS FINAL 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 203.17.
The purpose of this amendment is to increase the allocation for Collier County by$744.12 for services; amend
4. Contract Amount; and revise ATTACHMENT II,Exhibit 2 and ATTACHMENT VII.
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 $52,494.12, 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 amendment,to be executed by their undersigned officials as
duly authorized; and agree to abide by the terms,conditions and provisions of this 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 0 MMI IONERS SOUTHWEST FLORIDA,INC.
SIGNED BY: 41P- rII ✓ SIGNED BY: //(L! 2. ce
lo
b
,
NAME:*it.cien alale.,J NAME: MARIANNE G LORINI
1
TITLE: • k - tCk'4 lot" TITLE: PRESIDENT/CEO
.. - =1
DATE: a / r) /t fC DATE: //.V/1
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30 Approved as to form and legality
DUNS: 076997790 C
/ y2
1 Assistant County Itrrncy c0 (l'/
tZ\ �,
July 2P17—June 2018 HCE 203.17.003 1 6 0 7
AMENDMENT H
EXHIBIT 2
FUNDING SUMMARY
Note: Title 2 CFR&2 CFR Part 200, as revised, and Section 215.97(5),F.S.require that the information about
Federal Programs and State Projects included in Exhibit 1 be provided to the recipient. Information contained herein
is a prediction of funding sources and related amounts based on the contract budget.
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT
CONSIST OF THE FOLLOWING:
GRANT AWARD (FAIN#): 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 —Audits of States,Local Governments, and Non-Profit Organizations
2. 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
Home Care for the Elderly General Revenue-Collier 65001 $ 52,494.12
TOTAL AWARD $ 52,494.12
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,F.A.C,State Projects Compliance Supplement
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws,rules and regulations
2
July 2917—June 2018 HCE 203.17.003 1 6 D 7
ATTACHMENT VII
ANNUAL BUDGET SUMMARY
(2017-2018)
Collier County Board of County Commissioners
Collier
HCE Case Management/Case Aide $ 4,530.00
HCE Basic and Special Subsidies 47,964.12
Total $ 52,494.12
3
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