Backup Documents 09/10/2019 Item #16D 1 •
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Amendment .003 OAA 203.18.003
AREA AGENCY ON AGING FOR SOUTHWEST FLOI J ,,INc.
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OLDER AMERICANS ACT TITLE III
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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 203.18.
The purpose of this amendment is to amend Contract Amount with the final allocation for the 2018 contract year
by increasing allocations for Collier County by$14,479.83, and revise ATTACHMENT II-Exhibit 2 and
ATTACHMENT IX-Budget and Rate Summary and amend contract
language regarding: 3. Annual Service Cost Reports.
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 $1,227.300.06 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.
3. Annual Service Cost Reports
The Agency shall require Contractors to annually submit to the Agency service cost reports,which reflect
actual costs of providing each service. This Annual Service Cost Report will be due by February 25, of each
year. The report will include actual costs for performing all services during the preceding calendar year.
Supporting documentation must accompany the report,which will include General Ledger, Trial Balance
and/or Statement of Revenue and Expenditures along with a narrative explanation and justification of rate
differences.
Any multi-year contracts entered into with service providers on or after the effective date of this
contract shall contain a provision requiring the contract's parties to re-evaluate the contract's
reimbursement rates on an annual basis. The Contractor may annually renegotiate rates based on
factors including but not limited to a review of sustainability, the respective consumer price index, or
current market conditions. However, it is the intent of the Department and/or Agency that the quality
of services provided to current program recipients not be reduced. Unit Cost Methodology
worksheets, along with supporting documentation and narrative explanation, must be submitted by
August 1 of each year, if a rate increase is being requested.
This amendment shall be effective on December 31, 2018. 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 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.
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Amendment .003 OAA 203.18.003
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 OF AREA AGENCY ON AGING FOR
COUNTY COMMISSIONERS SOUTHWEST FLORIDA,INC.
SIGNED BY: ..gSIGNED BY: rnLija i
NAME: STEPHEN Y CARNELL NAME: MARIANNE G LORINI
TITLE:PUBLIC SERVICE DEPARTMENT HEAD TITLE: PRESIDENT/CEO
DATE: i 5 ) I`,i DATE: 7/9//9
Federal Tax ID: 59-60000588
Fiscal Year Ending Date: 09/30
Duns: 076997790
Approved as to form and legality
Assistant County At 414•y gpY `\'"1
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Amendment .003 OAA 203.18.003
ATTACHMENT II-EXHIBIT 2
FUNDING SUMMARY
Note: Title 2 CFR, as revised, and Section 215.97,F.S.require that the information about Federal Programs and State
Projects included in Attachment II,Exhibit 1 be provided to the recipient. Information 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:
COLLIER COUNTY
GRANT AWARD (FAIN#): 18AAFLT3SS, 18AAFLT3CM, 18AAFLT3HD, 18AAFLT3PH, 18AAFLT3FC
DUNS NUMBER : 076997790 FEDERAL AWARD DATE: OCTOBER 20,2017
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
Older Americans Act Title IIIB—
Transportation U.S. Health and Human Services 93.044
Support Services $ 361,465.05
Total IIIB
OAA Title IIIC 1 —Congregate Meals U.S.Health and Human Services 93.045 $ 360,670.00
Total IIIC1
OAA Title III C2—Home Delivered Meals
Total IIIC2 U.S. Health and Human Services 93.045 $ 302,972.70
Older Americans Act Title III E
Services(Title III E) $ 136,992.61
Supplement Services(Title III ES) U.S.Health and Human Services 93.052 $ 17,128.39
Grandparent Services(Title III EG) $ 6,145.00
Total IIIE $ 160,266.00
NSIP U.S. Health and Human Services 93.053 $ 41,926.31
TOTAL FEDERAL AWARD $ 1,227,300.06
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:
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Amendment .003 OAA 203.18.003
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.
ATTACHMENT IX
BUDGET and RATE SUMMARY
OLDER AMERICANS ACT BUDGET SUMMARY
CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY
1. Title III B Support Services $ 361,465.05
2. Title III Cl Congregate Meals $ 360,670.00
3. Title III C2 Home Delivered Meals $ 302,972.70
4. Title III E Services $ 160,266.00
5. NSIP $ 41,926.31
TOTAL $1,227,300.06
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Revised August 2007
Attestation Statement
Agreement/Contract Number OAA 203.18
Amendment Number DU
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.
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tI1it410
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Signatur of Recipien Contractor representative Date
Approved as to form and legality
Assistant County .hoey og) `SCA
Revised August 2007
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