Backup Documents 05/26/2009 Item #16D 1
16D 1
t
MEMORANDUM
Date:
May 29, 2009
To:
Debbie Maxon,
Human & Health Services
From:
Teresa Polaski, Deputy Clerk
Minutes and Records Department
Re:
OAA Contract Amendment #001
Contract #OAA 203.09
Enclosed is three (3) original contracts, as referenced above (Agenda
Item #1bJ)!) approved by the Board of County Commissioners on Tuesday,
May 26, 2009.
Please forward a fullv executed orhdnal to the Minutes and Records
Department for the Board's Records.
If you should have any questions, you may contact me at 252-8411.
Thank you,
Enclosures (3)
'\
Amendment 001
CONTRACT
Collier County Housin2 and Human Services
16D 1
Contract OAA 203.09
TIDS CONTRACT is entered into between Area Agency on Aging for Southwest Florida,
Inc., hereinafter referred to as the "Agency", and Collier County Housine: and Human
Services. hereinafter referred to as the "Vendor". This contract is subject to all provisions
contained in the CONTRACT executed between the Agency and the vendor, Contract No.
OAA 203.09, and its successor, incorporated herein by reference.
1. The purpose of this amendment is to revise the Attachment III, Exhibit-l and Budget
Summary, Attachment VII. The Collier County budget shall increase by the following
amounts:
a. Title 3B service funds increase by $68,000.00,
b. Title Cl funds increase by $3,000.00,
c. Title 3E funds increase by $2,999.00, and
d. Title 3ES funds increase by $4,000.00.
This amendment shall be effective on March 30,2009. All provisions in the contract and any
Attachments thereto in conflict with this amendment shall be 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 contract.
This amendment and all its attachments are herby made. a part of the agreement.
1
Amendment 001
16 D\1 ~
Contract OAA 203.09
IN WITNESS THEREOF, the parties hereto have caused this 4 page contract to be executed
by their undersigned officials as duly authorized.
VENDOR:
, ~Qi~i(D
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. ~-",~ .
..{~'-.
. . Clerk
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COLLIER COUNTY HOUSING
AND HUMAN SERVICES
By:
Date: May 26. 2009
AREA AGENCY ON AGING FOR
SOUTHWEST FLORIDA, INC.
SIGNED BY: ~~
/ v
NAME: John Koehler
TITLE: Immediate Past Board President
DATE: ,};Jfle II.;uxR
FEDERAL ID NUMBER: 59-6000558
FISCAL YEAR-END DATE: 9/30
2
10 01- f
Amendment 001
Contract OAA 203.09
ATTACHMENT m
EXHIBIT - 1
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO TmS
CONSIST
OF THE FOLLOWING:
..
Older Americans Act Title 2009 U~S. Health and 93.044
IIIB Human Services $ 50,000.00
CA/ CM/ SCAS/ INSC $ 75,000.00
Transportation $223,816.00
Su ort Services
Title III Cl Congregate Meals 2009 U.S. Health and Human 93.045 $205,354.00
Spending Authority Services
Title III C2 Home Delivered 2009 U.S. Health and Human 93.045 $228,705.00
Meals -Spending Authority Services
Older Americans Act Title 2009 U.S. Health and 93.052 $43,268.00
IIIE Human Services $19,330.00
Supplement Services $ 2,336.00
Grand arent Services
3
Amendment 001
OAABUDGETSUMMARY
1601
Contract OAA 203.09
ATTACHMENT VII
RECIPIENT: Collier County Housing and Human Services
1. Title In B Support Services
2. Title III C 1 Congregate Meals
3. Title III C2 Home Delivered Meals
4. Title III E Services
TOTAL
4
$ 348,816.00
$ 205,354.00
$ 228,705.00
$ 64,934.00
$847,809.00
16-D 1 ~
Attestation Statement
Agreement/Contract Number: OAA 203.09
Amendment Number: 001
I, Donna Fiala, Chairman, 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 and
Collier Countv Board of 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.
(L~, dA~
Signature of Recipient/Contractor representative
Mav 26. 2009
Date
~7Y7~
Assistant County Attorney
. ~ ~ I -; ~\' .'
DOEA Contract Manager to initial and date indicating signatures/initials appropriate on all
documents; ready for DOEA Secretary/designee signature
Initial date
Revised August 2007