Backup Documents 05/28/2019 Item #16D4 1604
c,ot
Pufhic Services Division
Commwity&Human Services
Memorandum
To: Minutes & Records
CC:
From: Wendy Klopf, Grant Coordinator, Services for Seniors
Date: May 28, 2019
Subject: ATF-Executed Amendment OAA 203.19.002 with Area Agency on Aging of SWFIa
(AM)
CHS is providing executed Amendment 2 from Area Agency on Aging of SWFIa (AAA) on May 28, 2018.
• 16D4-0A3B 203.002
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
Coder County
1604
January—December 2019 OAA 203.19.002
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
OLDER AMERICANS ACT TITLE III
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 OAA 203.19.
The purpose of this amendment is to move$27,150 from IIIE to IIIES and revise ATTACHMENT II-Exhibit 2.
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 OAA 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 CS 4ISI,ONERSSOUTHWEST FLORIDA,INC.
SIGNED BY: 't�� / SIGNED BY: /Y/?41.(A0..,wne
NAME: Stephen Y Carnell NAME: MARIANNE G LORINI
TITLE: Public Services Department Head TITLE: PRESIDENT/CEO
DATE: 4-009 DATE:
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 12/31
Approved as to form and legality
Assistant Count Homey a
0
1604
January—December 2019 OAA 203.19.002
ATTACHMENT II-EXHIBIT 2
FUNDING SUMMARY
Note: Title 2 CFR§20033 Las revised,and Section 21597(5),Florida Statutes,require thatthe information about federal programs
andStateProjectsbeRovidedtotheRecipientandarestatedinTheFinancialAndComplianceAuditAttachment And Exhibit 1.
Financial And Compliance Audit Attachment,Exhibit 2-Funding Summary Provides Information Regarding theFunding Sources
Appl i cable to this contract,contained herein,is a prediction iffindingsmurcesand related amounts based on the contract budget.
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS
CONTRACT CONSIST OF THE FOLLOWING:
COLLIER COUNTY
GRANT AWARD (FAIN#): 19AAFLT3SS, 19AAFLT3CM, 19AAFLT3HD, 19AAFLT3PH, 19AAFLT3FC,
19AAFLNSIP
DUNS NUMBER :076997790 FEDERAL AWARD DATE: OCTOBER 20,2018
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
Older Americans Act Title IIIB—
Transportation U.S. Health and Human Services 93.044 $ 10,010.00
Support Services $ 380,753.00
Total MB $ 390,763.00
OAA Title IIIC 1 —Congregate Meals U.S. Health and Human Services 93.045 $ 339,117.00
Total IIIC1
OAA Title III C2—Home Delivered U.S. Health and Human Services 93.045 $ 297,790.00
Total IIIC2
Older Americans Act Title III E
Services (Title III E) $ 112,684.00
Supplement Services (Title III ES) U.S.Health and Human Services 93.052 $ 41,437.00
Grandparent Services (Title III EG) $ 6,145.00
Total HIE $ 160,266.00
NSIP U.S. Health and Human Services 93.053 $ 47,263.00
TOTAL FEDERAL AWARD $1,235,199.00
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO
THIS CONTRACT ARE AS FOLLOWS:
FEDERAL FUNDS:
2 CFR Part 200Uniform 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.
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
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Revised August 2007
Attestation Statement
Agreement/Contract Number OAA 203.19
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 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.
)411/ 1" ki/fg//9
Signatur o�Recipient—ontractor representative Date
Approved as to form and legality
Assistant Cou Attorney
G
Revised August 2007