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Agenda 06/23/2020 Item #16D11 (After-the-Fact Amendment)06/23/2020 EXECUTIVE SUMMARY Recommendation to approve an “After-the-Fact” amendment and attestation statement with the Area Agency on Aging for Southwest Florida, Inc., Older American Act grant program for the Collier County Services for Seniors to add Families First Act COVID-19 C1 in the amount of $91,668.32 and COVID-19 C2 in the amount of $170,293.92, add Shopping Assistance and Telephone Reassurance as an approved reimbursement cost, and approve supporting Budget Amendments. OBJECTIVE: To provide uninterrupted support services to Collier County Services for Seniors (CCSS) elderly clients. CONSIDERATIONS: The Older American Act (OAA) programs are federal program initiatives that provide assistance to older persons and caregivers and are the only federally funded support service programs directed solely toward improving the lives of older people. Collier County receives these funds through the Florida Department of Elder Affairs and administered by the Area Agency on Aging for Southwest Florida, Inc. (Agency). The current service agreement for OAA estimated funding was approved by the Board of County Commissioners (Board) on December 10, 2019 (Agenda Item #16D5) to prevent disruption in services and ensure compliance with the grant service agreement requirement . The fully-executed contract was presented to the Board on February 25, 2020, Agenda Item #16D1. The contracts have a one -year term, effective January 1, 2020 through December 31, 2020, with a three-year renewal option. The second Amendment went to the Board on April 28, 2020, Agenda Item #16D5, to correct FIEN & DUNS#. The proposed third amendment 203.20.003 includes the following changes: (a) add Family First Act COVID-19 Congregate Meals (C1) in the amount of $91,668.32 effective April 1, 2020 (b) add Family First Act COVID-19 Congregate Meals (C2) in the amount of $170,293.92 effective April 1, 2020 (c) add Shopping Assistance & Telephone Reassurance to all OAA programs effective March 23, 2020 Program Component Project Number Current Budget Revised Budget Increase/ Decrease Family First Act COVID-19 Congregate Meals 33676 0 $91,668.32 $91,668.32 Family First Act COVID-19 Home Delivered Meals 33677 0 $170,293.92 $170,293.92 Total $0 $261,962.24 $261,962.24 The Agency routinely sends CCSS amendments that require a 30-day turnaround time. This timeframe makes it impossible to process the documents for the Board’s approval in the time requested by the Agency. The amendment for the OAA Program is being presented “After -the-Fact” because Collier County received the grant amendment 203.20.003 on April 22, 2020. Consequently, pursuant to CMA 5330 and Resolution No. 2018-202, the County Manager authorized the Public Services Department Head to sign the agreement. This amendment is being presented for Board ratification. FISCAL IMPACT: Budget Amendments are required to recognize the Family First Act COVID-19 grant award of $261,962.24 in Human Services Grant Fund (707), projects 33676 (C1) and 33677 (C2). 16.D.11 Packet Pg. 1599 06/23/2020 There is no match requirement with the COVID-19 funds. GROWTH MANAGEMENT: There is no Growth Management impact associated with this recommendation. LEGAL CONSIDERATIONS: This Item is approved for form and legality and requires a majority vote for Board action. - JAB RECOMMENDATIONS: To approve an “After-the-Fact” amendment and attestation statement with the Area Agency on Aging for Southwest Florida, Inc., Older American Act grant program for the Collier County Services for Seniors to add Families First Act COVID-19 C1 in the amount of $91,668.32 and COVID-19 C2 in the amount of $170,293.92, add Shopping Assistance and Telephone Reassurance as an approved reimbursement cost; and approve supporting Budget Amendments. (Fiscal Impact $261,962.24) Prepared By: Wendy Klopf, Grant Coordinator, Community and Human Services Division ATTACHMENT(S) 1. OAA 203.20.003-Exec (PDF) 2. (Linked) OAA 203.20 Agreement Executed (PDF) 3. OAA 203.20.001 Executed (PDF) 4. OAA 203.20.002-Executed (PDF) 5. Resolution 2018-202 (PDF) 16.D.11 Packet Pg. 1600 06/23/2020 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.11 Doc ID: 12402 Item Summary: Recommendation to approve an “after-the-fact” amendment and attestation statement with the Area Agency on Aging for Southwest Florida, Inc., Older American Act grant program for the Collier County Services for Seniors to add Families First Act COVID-19 C1 in the amount of $91,668.32 and COVID-19 C2 in the amount of $170,293.92, add Shopping Assistance and Telephone Reassurance as an approved reimbursement cost, and approve supporting Budget Amendments. Meeting Date: 06/23/2020 Prepared by: Title: Operations Coordinator – Community & Human Services Name: Wendy Klopf 05/20/2020 11:35 AM Submitted by: Title: Manager - Federal/State Grants Operation – Community & Human Services Name: Kristi Sonntag 05/20/2020 11:35 AM Approved By: Review: Community & Human Services Blanca Aquino Luque Additional Reviewer Completed 05/26/2020 3:40 PM Community & Human Services Kristi Sonntag CHS Review Completed 05/28/2020 2:29 PM Operations & Veteran Services Kimberley Grant Level 1 Reviewer Completed 06/01/2020 1:30 PM Community & Human Services Maggie Lopez Additional Reviewer Completed 06/01/2020 9:31 PM Public Services Department Todd Henry Level 1 Division Reviewer Completed 06/03/2020 8:59 AM Grants Erica Robinson Level 2 Grants Review Completed 06/03/2020 2:59 PM County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 06/03/2020 4:03 PM Public Services Department Steve Carnell Level 2 Division Administrator Review Completed 06/04/2020 3:23 PM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 06/04/2020 4:22 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 06/08/2020 1:07 PM Grants Therese Stanley Additional Reviewer Completed 06/15/2020 9:05 AM Budget and Management Office Ed Finn Additional Reviewer Completed 06/15/2020 10:47 AM County Manager's Office Sean Callahan Level 4 County Manager Review Completed 06/15/2020 4:57 PM Board of County Commissioners MaryJo Brock Meeting Pending 06/23/2020 9:00 AM 16.D.11 Packet Pg. 1601 OAA 203.20 .003 AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC. OLDER AMERICANS ACT TITLE 111 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 203.20. The purpose of this amendment is to add Families First Act COVID-19 CJ & C2 funding by amending 4. Contract Amount, Collier County: increase allocations for COVJD-19 C 1 by$ 91,668.32, increase allocations for COVID-19 C2 by$ 170,293.92; add Shopping Assistance and Telephone Reassurance; include billing report documentation; and revise ATTACHMENT II-EXHIBIT 2- Funding Sumnrn1·y and revise ATTACHMENT IX BUDGET AND RATE SUMMARY. 4. Contract Amount; The Agency agrees to pay for contracted services accord ing to the terms and conditions of th is contract in an amount not to exceed $1,492,677.23 subject to the availability of funds. Any costs or services paid for under any other contract or from any other source are not el igible for payment under this contract. All provisions in the contract and any attachments thereto in conflict with this Amendment sha!I 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 leve l specified in the contract. This Amendment and all its attachments are hereby made part of the contract. IN WJTNESS 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. The Telephone Assurance and Shopping Assistance is effective as of March 23, 2020 and the Cl and C2 Meals are effective April 1, 2020 . Contractor: COLLIER COUNTY BOARD OF COUNTY B ONERS <;;fit SIGNED BY: ~• NAME: __ --"'S..,_T=E-'PH"'"'E=N:.,..,.:Y_C=A..a.R~N~E=LL...._ ___ _ TITLE: PUBLIC SERVICE DEPARTMENT HEAD DA TE; __ __,__04.._./ __ d.._1__.._12 ... 0=2 __ 0 ------ Federal Tax ID: 59-6000558 Fiscal Year Ending Date: 09/30 Duns: 076997790 AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC. SIGNED BY: ~l<M& J/ clt'¥11,;rJ , NAME: MARIANNE G LORlNl TITLE: PRESI DENT/CEO DA TE: Q 4-2 'I -2 D 2 Q Approved us to form and legality 16.D.11.a Packet Pg. 1602 Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) OAA 203.20.003 ATTACHMENT II-EXHIBIT 2 FUNDING SUMMARY Note: Title2CFR §200331,asrevised ,and Section 215.97(5), F.S., require thatthe information about federal programs and State Projects be p·ovided to the Recipient and a-estated in The Financial And Compliance Audit Attachment II, Exhibit I provided to the recipient. Information contained herein is a predictionoffmdings:mrcesand related amounts based on the contract budget. 1. FEDERAL RESOURCES AW ARD ED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE FOLLOWING: COLLIER COUNTY GRANT A WARD (FAIN#): 2001 FLO ASS, 2001 FLO ACM, 2001FLOAHD, 2001FLOAPH, 2001FLOAFC DUNS NUMBER :076997790 FEDERAL AW ARD DATE: OCTOBER 01, 2019 PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT Older Americans Act Title IIIB -Transportation U.S. Health and Human Services 93.044 $ 9,863.90 Support Services ~ 375,156.79 Total nm $ 385,020.69 OAA Title IIICI -Congregate Meals U.S. Health and Human Services 93.045 $ 341,322.29 Total IIICl OAA Title III C2 -Home Delivered Meals U.S. Health and Human Services 93.045 $ 301,442.67 Total IIIC2 Older Americans Act Title III E Services (Title Ill E) 93.052 $ 96,240.61 Supplement Services (Title Ill ES) U.S. Health and Human Services $ 53,951.15 Grandparent Services (Title III EG) $ 6,000.55 Total IIIE $ 156,192.31 Nutrition Services Incentive Program (NSIP) U.S. Health and Human Services 93.053 $ 46,737.03 Family First Act U.S. Health and Human Services 93.045 $ 91,668.32 COVID-19 Congregate Meals** Family First Act U.S. Health and Human Services 93.045 $ 170,293.92 COVID-19 Home Delivered Meals** TOTAL FEDERAL A WARD $1,492,677.23 **Effective April 1, 2020 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/ OivtB Circular AM 133 -Audits of States, Local Governments, and Non-Profit Organizations 2. STATE RESOURCES AW ARD ED TO THE RECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE FOLLOWING. COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AW ARD ED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: STATE FINANCIAL ASSISTANCE Section 215.97 & 215.971, F.S., Chapter 69!-5, F.A.C., State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set fo11h in program laws, rules, and regulations 2 16.D.11.aPacket Pg. 1603Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) ** ** ** OAA 203.20.003 ATTACHMENT IX BUDGET AND RATE SUMMARY OLDER AMERICANS ACT BUDGET SUMMARY CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY I. Title III B Suppm1 Services $ 385,020.69 2. Title III Cl Congregate Meals** $ 341,322.29 3. Title III C2 Home Delivered Meals** $ 301,442.67 4. Title lII E Services $ 156,192.31 5. NSIP $ 46,737.03 6. COVID-19 Cl** $ 91,668.32 7. COVID-19 C2** $ 170,293.92 TOTAL $ 1,492,677.23 Effective April I, 2020: All current Cl clients will be converted to the COVID-19 Cl funds for their meals. Effective Apl'il I, 2020: All current C2 clients will be converted to the COVID-19 C2 funds for their meals. Effective April I, 2020: All new clients will be added to the COVID-19 C2 funds for their meals. All new 60+ and Adults with disabilities receiving meals (Must have a 701C completed). 3 16.D.11.aPacket Pg. 1604Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) SERVICE CASE MANAGEMENT CHORE EMERGENCY ALERT RESPONSE HOMEMAKER HOUSING IMPROVEMENT MA TERI AL AID PERSONAL CARE RESPITE IN -HOME SKILLED NURSING SERVICES SPECIALIZED MEDICAL EQUIPMENT, SERVICES, TRANSPORTATION SHOPPING ASSISTANCE*** TELEPHONE REASSURANCE*** ***Effective March 23, 2020 ATTACHMENT IX BUDGET AND RATE SUMMARY COLLIER IIIB REIMBURSEMENT METHOD OF UNIT RATE PAYMENT $54.00 Fixed Fee/Unit Rate $22.29 Fixed Fee/Unit Rate $ 1.35 Fixed Fee/Unit Rate $22.55 Fixed Fee/Unit Rate Cost Reimbursement 90% of Cost Cost Reimbursement 90% of Cost $23.48 Fixed Fee/Unit Rate $23.27 Fixed Fee/Unit Rate $38.06 Fixed Fee/Unit Rate Cost Reimbursement 90% of Cost Cost Reimbursement 100% of Cost $34.12 Fixed Fee/Unit Rate $13.40 Fixed Fee/Unit Rate 4 OAA 203.20.003 UNIT TYPE HOURS HOURS DAYS HOURS EPISODE EPISODE HOURS HOURS HOURS EPISODE TRIPS ONE-WAY EPISODE 16.D.11.aPacket Pg. 1605Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) ATTACHMENT IX BUDGET AND RATE SUMMARY COLLIER COUNTY HIE, HIES, & IHEG SERVICE REIMBURSEMENT METHOD OF UNIT RATE PAYMENT HIE--ADULT DAY CARE $12.76 Fixed Fee/Unit Rate RESPITE IN-HOME $23.27 Fixed Fee/Unit Rate RESPITE IN-FACILITY $11.05 Fixed Fee/Unit Rate SCREENING & ASSESSMENT $55.17 Fixed Fee/Unit Rate SHOPPING ASSISTANCE*** $34.12 Fixed Fee/Unit Rate TELEPHONE REASSURANCE*** $13.40 Fixed Fee/Unit Rate HIES--CHORE $22.29 Fixed Fee/Unit Rate Specialized Medical Equipment, Cost Reimbursement 90% of Cost Service & Supplies MATERIAL AID Cost Reimbursement 90% of Cost IHEG--CHILD DAY CARE $15.00 Fixed Fee/Unit Rate SCREENING AND ASSESSMENT $55.17 Fixed Fee/Unit Rate SHOPPING ASSISTANCE*** $34.12 Fixed Fee/Unit Rate TELEPHONE REASSURANCE*** $ I 3.40 Fixed Fee/Unit Rate ***Effective March 23, 2020 5 OAA 203.20.003 UNIT TYPE HOURS HOURS HOURS HOURS ONE-WAY EPISODE HOURS EPISODE EPISODE HOURS HOURS ONE-WAY EPISODE 16.D.11.aPacket Pg. 1606Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) Cl C2 ATTACHMENT IX BUDGET AND RA TE SUMMARY C-1 & C-2 COLLIER COUNTY SERVICE REIMBURSEMENT UNIT RATE --CON GREGA TE MEALS $11.72 NUTRITION EDUCATION $ 1.59 CON GREGA TE MEAL SCREENING $28.00 OUTREACH $4.32 PER PERSON SHOPPING ASSISTANCE*** $34.12 TELEPHONE REASSURANCE*** $13.40 SERVICE REIMBURSEMENT UNIT RATE --HOME DELIVERED MEALS $ 8.07 NUTRITION EDUCATION $ 1.59 SCREENING & ASSESSMENT $48.76 OUTREACH $4.32 PER PERSON SHOPPING ASSISTANCE*** $34.12 TELEPHONE REASSURANCE*** $13.40 ***Effective March 23, 2020 6 OAA 203.20.003 UNIT TYPE MEALS PARTICIPANTS HOUR EPISODE ONE-WAY TRIPS EPISODE UNIT TYPE MEALS PARTICIPANTS HOUR EPISODE ONE-WAY TRIPS EPlSODE 16.D.11.aPacket Pg. 1607Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) CONGREGATE l\'IEALS*** FAMILIES ATTACHMENT IX BUDGET AND RATE SUMMARY FAMILIES FIRST ACT COLLIER COUNTY COVID-19 Cl & C2 Cost Cost Reimbursement Reimbursement FIRST ACT HOME DELIVERED MEALS*** Cost Reimbursement Cost Reimbursement ***Effective April 1, 2020 7 OAA 203.20.003 MEALS ivlEALS 16.D.11.aPacket Pg. 1608Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) OAA 203.20.003 Page 1 REQUEST FOR PAYMENT OLDER AMERICANS ACT TYPE OF REPORT: PROVIDER NAME. ADDRESS, PHONE & FED ID I Contract fl Advance Contract Period. Reimbursement Report Period Report fl PSA ----!Invoice# CERTIFICATION I hereby certify to the best of my kno1•/,ectge that this request conforms with the terms and the purposes set forth in the above contract. Prepared By. Date: Approved By. Date PART A: (1) (2) (3) (4) (5) (6) BUDGET SUMMARY IIIB IIIC1 IIIC2 IIIE NSIP TOTAL I. Approved Contract Amount 0.00 0.00 0.00 0.00 0.00 0.00 2. Previous Funds RECEIVED for Contract period 0.00 0.00 0.00 0.00 0.00 0.00 3. Contract Balance 0.00 0.00 000 0.00 0.00 0.00 {Line 1 minus line 2) 4. Previous Funds REQUESTED and Nol Received. 0.00 0.00 000 0.00 0.00 0.00 5. Contract Balance 0.00 0.00 000 0.00 0.00 0.00 ( Line 3 mlnus t,ne 4) PART B: FUNDS REQUESTED 1 1st-2nd Months Request Only 0.00 0.00 0.00 0.00 0.00 0.00 2. Net Expenditures For Month 0.00 0.00 0.00 0.00 0.00 0.00 3. Total 0.00 0.00 0.00 0.00 0.00 0.00 PART C: NET FUNDS REQUESTED: 1. Less: Over-Advance 0.00 0.00 0.00 0.00 0.00 0.00 2. Contract Funds are Hereby Requested 0.00 0.00 0.00 0.00 0.00 0.00 for Daae 1 C1 • COV/D19 C2. COV/019 3. Contract Funds are Hereby Requested 0.00 0.00 000 for page 2 GRAND TOTAL REQUESTED 0.00 0.00 0,00 0.00 0.00 o.oo List of Services/ Units I Rates provided • See attached report DOEA Use Only DOEA FORM 106A revised 4120120 8 16.D.11.aPacket Pg. 1609Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) OAA 203.20.003 Page 2 REQUEST FOR PAYMENT OLDER AMERICANS ACT PROVIDER NAME, ADDRESS, PHONE & FED !D Contract# Contract Period Report Period Report# Invoice# CERTIFICATION: I hereby certify to the best of my kno,V.edge that this request conforms \llilh the terms and the purposes set forth in the above contract Prepared By: Date-Approved By: Date: PART A: {1) {2) BUDGET SUMMARY !I\C1 -COVID19 IIIC2 -COV!D19 TOTAL L Approved Contract Amount 0.00 0.00 0.00 2. Previous Funds RECEIVED for Contract period 0.00 0,00 0.00 3. Contract Balance 0.00 0.00 0.00 (line 1 minus fine 2) 4. Previous Funds REQUESTED and Not Received. 0.00 0.00 0.00 5. Contract Balance 0.00 0.00 0.00 (line 3 minus line 4) PART B: FUNDS REQUESTED 1. 1st-2nd Mont'1s Request Onty 0.00 0.00 0.00 2 Net Expendi!Ufes For Month 0.00 0.00 0.00 3. Tota! 0.00 0.00 0.00 PART C: NET FUNDS REQUESTED: 1. Less: Over-Advance 0.00 0.00 0.00 2. Contract Funds are Hereby Requested 0.00 0.00 0.00 for oaae 2 List of Services I Units / Rates provided -See attached report OOEA Uso Only OOEA FORM \OOA re,,;sed <1120/20 9 16.D.11.aPacket Pg. 1610Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) PROVIDER NA.ME, ADDRESS, PHONE# ANO FEID# 0 0 0 0 0 0 0 0 0 RECEIPTS AND EXPENDITURE REPORT OLDER AMERICANS ACT PROGRAM FUNDING SOURCE: Title Ill 1118 PSA ---OAA 203.20.003 Contract# Contract Period: Report Period Report# lnwice # CERTIFICATION: l certify to the best of my knO\--Aedge and belief that this report is complete and all outlays herein are for purposes set forth in the contract. Prepared by : Date: Approl£d by : Date: PART A: BUDGETED lf\lCOME/ RECEIPTS 1. Approwd Budget 2. Actual Receipts 3. Total Receipts 4. Percent of For This Report Year to Date Appro-.ed Budget 1. Federal Funds $0.00 $0.00 $0.00 #DIV/0! 2. State Funds $0.00 $0.00 $0.00 #DIV/01 3. Program Income-Non Match $0.00 $0.00 $0.00 #OIV!Ol 4. Local Cash Match $0.00 $0.00 $0.00 #DIV/0! 5. SUBTOTAL: CASH RECEIPTS SO.DO $0.00 $0.00 #DIV/01 6. Local In-Kind Match $0.00 $0.00 $0.00 #DIV/01 7. TOTAL RECEIPTS $0.00 $0.00 $0,00 #DIV/01 PARTS: EXPENDllURES 1. Appro\ed Budget 2. Expenditures 3. Expenditures 4. Percent or For This Report Year to Date Appro\W Budget 1. AAA Direct Ser\1ces $0.00 $0.00 $0,00 #DIV/0! 2. Subcontractor $0.00 $0.00 $0.00 #DIV/0! 3. !118 Set Aside $0,00 $0.00 $0.00 #DIV/0! 4. 1118 Set Aside ORR (Disaster Recowry Reserw) $0.00 $0.00 $0.00 #DIV/0! 5. TOTAL EXPENOllURES $0.00 $0.00 $0.00 #DIV/0! PARTC: OTrER EXPENDllURES 1. Approwd Budget 2 Expenditures 3. Expenditures 4. Percent or (For Tracking Purposes only) For This Report Year to Date Approwd Budget 1. Match a. Olher and In-Kind $0.00 $0.00 $0.00 #DIV/0! b. Local Match $0.00 $0.00 $0.00 #DIV/0! 2. Program !ncorr.e $0.00 $0.00 $0,00 #DIV/0! 3. TOTAL OTHER $0.00 $0,00 $0.00 #DIV/0! PART D: INTEREST 1. Earned on Adwnces SO.OD 2. Return on Advances $0.00 3. Olher Earned $0.00 DOEA FORM 105as.ll18 rn1lsed 4120120 10 16.D.11.aPacket Pg. 1611Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) PROVIDER NAW,E, ADDRESS, PHONE# AND FEID# 0 0 0 0 0 0 0 0 0 RECEIPTS AND EXPENDITURE REPORT OLDER AMERICANS ACT PROGRAM FUNDING SOURCE: lllle Ill C1 PSA ---OAA 203.20.003 Contract# Contract Period: Report Period Report# Invoice# CERTIF!CAllON: ! certify to the best of my knov/.edge and belief that lhls report is complete and au outlays herein are for purposes set forth in the contract. Prepared by : Date ----Approwd by: Date: PART A: BUDGETED INCOW,E/ RECEIPTS 1. Approwd Budget 2. Actual Receipts 3. Total Receipts 4. Percent of For This Report Year lo Date Approwd Budget 1. Federal Funds SO.DO $0.00 $0.00 #DIV/0! 2. State Funds $0.00 $0.00 SO.DO #DIV/0! 3. Program Income -Non Match $0.00 $0.00 $0.00 #DIV/0! 4. local Cash W.atch $0.00 $0.00 $0.00 #DIV/0! 5. SUBTOTAL: CASH RECEIPTS $0.00 $0.00 SO.DO #DIV/0! 6. Local In-Kind Match $0.00 $0.00 $0.00 #DIV/0! 7. TOTAL RECEIPTS $0.00 $0.00 $0.00 #DIV/0! PART B: EXPENDITURES 1. Approved Budget 2. Expenditures 3. Expenditures 4 Percent of For This Report Year to Dale Approved Budget 1. Subcontractor $0.00 S0.00 $0.00 #DIV/0! 2. Ct Set Aside DRR (Disaster Recovery Reserve) $0.00 $0.00 $0.00 #D!V/0! 3. TOTAL EXPENDITURES S0.00 $0.00 $0.00 #D!V/0! PART C: OTHER EXPENDITURES 1. Approved Budget 2 Expenditures 3. Expenditures 4. Percent of (For Tracking Purposes only) For This Report Year lo Dale Approved Budget 1. Match a. Olher and In-Kind S0.00 $0.00 $0.00 #D!V/0I b. Local Match S0.00 $0.00 $0.00 #DIV/0! 2. Program Income $0.00 $0.00 $0.00 #DIV/0! 3. TOTAL OTI-IER $0.00 $0.00 $0.00 #DIV/0! PART D: INTEREST 1. Earned on Advances $0.00 2. Return on Advances $0.00 3. Other Earned $0.00 DOEA FORM 105as-CI re-/sed 4120/20 11 16.D.11.aPacket Pg. 1612Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) PROVIDER WIME. ADDRESS. PHO/\\'# AND FEID# 0 0 0 0 0 0 0 0 0 RECEIPTS AND EXPENDITURE REPORT OLDER AMERICANS ACT PROGRAM FUNDl~'G SOURCE: lit~ Ill C1 • COVID19 PSA ---OAA 203.20.003 Convact# Contract Period: Report Period Report# ln1,0ice # CERTIFICATION: l certify lo the best of my knOW.Sdge and belief that this report is complete and all outlays herein are for purposes set forth in the contract. Prepared by : Date: Appro\Sd by: Date: PART A: BUDGETED !~COME/ RECEIPTS 1. Approwd Budget 2. Actual Receipts 3. Total Receipts 4. Percent of For This Report Year to Date Approwd Budget 1. Federal Funds $0.00 S0.00 $0.00 #DIV/0I 2. Program !ncorr:e -Non f'kltch $0.00 $000 $0.00 #DIV/0! 3. SUBTOTAL: CASH RECEIPTS $0.00 S0.00 $0.00 #DIV/0! 4. TOTAL RECEIPTS $000 $0.00 $0.00 #DIV/0! PARTS : EXPENDITURES 1. Appro\-\:!d Budget 2. Expenditures 3. Expenditures 4. Percent of For This Report Year to Date Approwd Budget 1. Subcontractor $0.00 S0.00 S0.00 #DIV/0! 2. TOTAL EXPENDITURES $0.00 $000 $0.00 #DIV/0! PARTC : OTHER EXPENDITURES 1. Approwd Budget 2. Expenditures 3. Expenditures 4. Percent of (For Tracking Purposes Dno/) For This Report Year to Date Appro1<d Budget t Program lncorr:e $0.00 $0.00 $0.00 #DtV/0! 2. TOTAL OTHER $0.00 $0.00 $0.00 #DIV/0I OOEA FORM 105as-C1-CV rW.sed 4120/2020 12 16.D.11.aPacket Pg. 1613Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) PROVIDER NAME, ADDRESS, PHOl',.'E# AND FEID# 0 0 0 0 0 0 0 0 0 RECEIPTS AND EXPENDITURE REPORT OLDER AMERICANS ACT PROGRAM FU',JO!NG SOURCE: 11Ue HI C2 PSA ---OAA 203.20.003 Contract# Contract Period: Report Period Report# ln\Oice# CERT1FICA110.\I: I certify to the best of my knm•Jedge and beUef that this report is corrple\e and all ouUays herein are for purposes set forth ln the contract Prepared by : Date ---Approwd by: Date: PART A: BUDGE.TEO INCOV,E/ RECEIPTS 1. Approved Budget 2. Actual Receipts 3. Total Receipts 4. Percent of For This Report Year to Date Appro..ed Budget 1. Federal Funds SO.DO SO.OD $0.00 #DIV/01 2. Sta!e Funds SO.DO $0.00 $0.00 #DIV/0I 3. Program Income~ Non Match SOOD SO.OD $0.00 #DIV/01 4. Local Cash Mateh SO.OD SO.OD SO.DO #DIV/0! 5. SUBTOTAL: CASH RECEIPlS $0.00 SO.OD SO.OD #DIV/DI 6. Local In-Kind Match $0.00 SO.OD $0.00 #DIV/OI 7. TOTAL RECE!PlS $0.00 SO.OD SO.OD #DIV/01 PART 8 : EXPENDllURES 1. Appro\ed Budget 2. E>,penditures 3. E,,:penditures 4. Percent of For This Report Year to Date Appro'.€d Budget 1. Subcontractor $0.00 $0.00 $0.00 #DIV/01 2. C2 Set Aside ORR (Disaster Reco\€ry Reserw) $0.00 SO.OD $0.00 #DIV/0! 3. TOTAL EXPENJllURES $0.00 SO.DO $0.00 #DIV/0! PARTC : OlHER EXPENDITIBES 1. Appro'.€d Budget 2. Expenditures 3. Expenditures 4. Percent of (For Tracking Purposes on!y) For This Report Year to Date Appro'.€d Budget 1. Match a. other and In-Kind $0.00 SO.OD SO.OD #DlV/0! b. Local Maleh $0.00 SO.OD SO.OD #DlV/0! 2. Program Income SO.OD $0.00 $0.00 #DIV/01 3. TOTAL OlHER $0.00 $0.00 SO.OD #DlV/0! PART D: INTEREST 1. Earned on Advances $0.00 2. Return on Advances $0.00 3. other Earned $0.00 DOEA FORM 105as.C2 ie.ised 4120120 13 16.D.11.aPacket Pg. 1614Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) PROVJDER NAME, ADDRESS, PHONE# ANO FEID# 0 0 0 0 0 0 0 0 0 RECEIPTS AND EXPENDITURE REPORT OLDER AMERICANS ACT PROGRAM FUNDING SOURCE: 17\le Ill C2-COVID19 PSA ---OAA 203.20.003 Contract# Contract Period: Report Period Report# ln"'ice # CERTIFICATION: I certify to the best of my kno1•M!dge and belief that this report is complete and all ouUays herein are for purposes set forth in the contract. Prepared by : Date: Approwd by: Date: PART A: BUDGETED INCOME/ RECEIPTS 1. Approwd Budget 2. Actual Receipts 3. Total Receipts 4. Percent of For This Report Year to Date Approwd Budget 1. Federal Funds $0.00 $0.00 $0.00 #DIV/0! 2. Program Income -Non Match S0.00 $0.00 $0.00 #DIV/0! 3. SUBTOTAL: CASH RECEIPTS $0.00 $0.00 $0.00 #DIV/0! 4. TOTAL RECEIPTS $0.00 $0.00 $0.00 #DIV/0! PART B: EXPENOITIURES 1. Approwd Budget 2. Expenditures 3. Expendllures 4. Percent of For This Report Year to Date Approwd Budget 1. Subcontractor S0.00 $0.00 $0.00 #D!V/0! 2. TOTAL EXPENDITURES $0.00 $0.00 $0.00 #D!V/0! PARTC : OTIHER EXPENOITIURES 1. Approwd Budget 2. E>:penditures 3. Expenditures 4. Percent of {For Tracking Purposes only} For This Report Year to Date Approved Budget 1. Program Income $0.00 S0.00 $0.00 #DIV/0! 2. TOTAL OTHER $0.00 $0.00 $0.00 #DIV/0! DOEA FORM t05as-C2-CV re\1sed 4120/20 14 16.D.11.aPacket Pg. 1615Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) OAA 203.20.003 RECEIPTS AND EXPENDITURE REPORT OLDER AMERICANS ACT PROVIDER N<\ME, ADDRESS, PHONEtlAND FE1D# PROGRAM FUNDING SOURCE : Contract# 0 0 nue 111 Contract Period 0 0 lllE Report Period 0 0 PSA ~~~-Report# 0 0 ln\Oice # 0 CERTIFICATION: I certify to the best of my knOW.edge and belief that this report is corrp!ete and all outlays herein are for purposes set forth in the contract. Prepared by : Date: Approl.€d by : Date: PART A: BUDGETED INCC>r'v\EI RECEIPTS 1. Approwd Budget 2. Actual Receipts 3 Total Receipts 4. Percent of For This Report Year to Date Appro\ed Budget 1. Federal Funds S0.00 $0.00 SO.DO t/D!V/0! 2. State Funds $0.00 $0.00 $0.00 #D!V/0! 3. Program Income -f'.kln Match $0.00 $0.00 $0.00 1/0!V/0! 4. local Cash Match $0.00 $0.00 $0.00 #DtV/0! 5 SUBlOTAL CASH RECEIPTS $0.00 $0.00 $0.00 #DIV/0! 6. Local In-KJ nd Match $0.00 $0.00 $0.00 #DIV/0! 7. TOTAL RECEIPTS $0.00 $0.00 $0.00 #OIV/0! PART B : EXPENDITURES 1, Appro',00 Budget 2. Ei,:penditures 3. Ei,:penditures 4. Percent of For This Report Year to Date Appro\00 Budget 1. AAA rnrect Sefv!ces $0.00 $0.00 $0.00 #DIV/0! 2. Sub-Contracted Sefv!ces $0.00 $0.00 $0.00 #DIV/0! 3. TOTAL EXPENDITURES $0.00 $0.00 $0.00 #DIV/0! PARTC: OTHER EXPENOITIJRES 1. Appro\00 Budget 2. E>:penditures 3. Ei,:penditures 4. Percent of (For Tracking PurfX)Ses only) For This Report Year to Date Appro\00 Budget 1 Match a. Other and In-Kind $0.00 S0.00 $0.00 #DIV/01 b. Local Match $0.00 $0,00 $0.00 #OIV/0! 2. Program Income S0.00 S0.00 $0.00 t/DIV/0! 3. TOTAL OTHER $0.00 $0.00 $0.00 #DIV/0! PART O : EXPENDITURES ANALYSIS 1. Expenditures by Ser.ices Year to Date: 2. Units of Ser'-Aces Year to Date 3. Number of People Sel"\ed Year to Date 1. lnform3,tion .. $0.00 . ......................... _Q 2. Assistance .. $0.00 .......................... _Q 3. Counseling .. $0.00 .Q .....•............•.••.... _Q 4. Respite .. $0.00 5. Supplemental Services .. $0.00 6. TOTAL. $0.00 Part B Line 3, co!urrn 3 should be equal to this total. PARTE: GRANDPARENT SERVICES (reported by Federal Fiscal Year) FFY s FFY $ FFY $ Match S Match S Maleh S PART F: INTEREST 1. Earned on Advances S0.00 2. Returned on Advances SO.DO 3. Other Earned $0.00 DOEA FORM 105as•IIIE re,.;sed 4120120 15 16.D.11.aPacket Pg. 1616Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) OAA 203.20.003 RECEIPTS ANO EXPENDITURE REPORT OLDER AMERICANS ACT PROJIDER NAME, ADDRESS, PHONE#AND FEID# PROGfW.1 FUNDING SOURCE : Contract# 0 0 Title Ill Contract Period: 0 0 NSIP Report Period 0 0 PSA ---Report# 0 0 lmuice # 0 CERTIFICATION: I certify to the best of my kn01~fodge and belief that this report is comp!ete and an ou~ays herein are for purposes set forth in the con!fact Prepared by : Date: Approwd by: Date: PART A EXPENDITIJRE CO.\r1PUTATION YEAR TO DATE CURRENT MONlH CONGREGATE HOME DELIVERED CONGREGATE HOME DELIVERED 1. Number of Meals SeMd 0 0 0 0 2. Line 1 limes S . 72 cents per Meal $0.00 $000 $0.00 $0.00 Year To Date Total Meals 0 Current Month Total Meals 0 Year To Date Total fapenditures SO.GO Total Current E>µendilures $0.00 PART B: CONTRACT SUMMARY 1. Appro\~d Contract Amount $0.00 2 Actual E)llem!itures for tl1is Report $0.00 3. Total E:xpenditores Year to Date $0.00 4. Contract Balance $0.00 OOEA FORfJ 105os-NSIP rt"JSed 4/20/'20 16 16.D.11.aPacket Pg. 1617Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) OAA 203.20.003 Cost Reimbursement Summary PSA llllE: Ct· C0\11D19, ___ _ Conlract# ____ _ Contract Period: ___ _ C2 • C0\11D19, _____ _ Report Period ___ _ Report# ___ _ Budget Category Descrlntlon Number of units Amount C 0 i ·e " ~ TOTAL ADMINISTRATION $0.00 I • C • .lt TOTAL EXPENSES S0.00 17 16.D.11.aPacket Pg. 1618Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) Revised August 2007 Attestation Statement Agreement/Contract Number OAA 203.20 Amendment Number .. ,o ... o ... 3 __ _ I, Steuben Y Carnell , attest that no changes or revisions have been made to the (Recipient/Contractor representati,•e) content of the above referenced agreement/contract or amendment between the Arca Agency on Aging for Southwest Florida and Collier County 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. M 0.Gtfl Signature of Recipient/Contractor representative Appl'Ovcd as to form and legality Revised August 2007 16.D.11.aPacket Pg. 1619Attachment: OAA 203.20.003-Exec (12402 : AAA OAA COVID-19 C1 & C2) 16.D.11.cPacket Pg. 1620Attachment: OAA 203.20.001 Executed (12402 : AAA OAA COVID-19 C1 & C2) 16.D.11.cPacket Pg. 1621Attachment: OAA 203.20.001 Executed (12402 : AAA OAA COVID-19 C1 & C2) 16.D.11.dPacket Pg. 1622Attachment: OAA 203.20.002-Executed (12402 : AAA OAA COVID-19 C1 & C2) 16.D.11.dPacket Pg. 1623Attachment: OAA 203.20.002-Executed (12402 : AAA OAA COVID-19 C1 & C2) 16.D.11.dPacket Pg. 1624Attachment: OAA 203.20.002-Executed (12402 : AAA OAA COVID-19 C1 & C2) 16.D.11.e Packet Pg. 1625 Attachment: Resolution 2018-202 (12402 : AAA OAA COVID-19 C1 & C2) 16.D.11.e Packet Pg. 1626 Attachment: Resolution 2018-202 (12402 : AAA OAA COVID-19 C1 & C2) January — December 2020 CAA 203.20 AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC. STANDARD CONTRACT OLDER AMERICANS ACT THIS CONTRACT is entered into between the Area Agency on Aging for Southwest Florida, Inc, (Agency) and Collier County Board of County Commissioners (Contractor), collectively referred to as the "Parties." The term Contractor for this purpose may designate a Vendor, Subgrantee, or Subrecipient. WITNESSETH THAT: WHEREAS, the Agency has determined that it is in need of certain services as described herein; and WHEREAS, the Contractor has demonstrated that it has the requisite expertise and ability to faithfully perform such services as an independent Contractor of the Agency. NOW THEREFORE, in consideration of the services to be performed and payments to be made, together with the mutual covenants and conditions set forth herein, the Parties agree as follows: 1. Purpose of Contract The purpose of this contract is to provide services in accordance with the terms and conditions specified in this contract including all attachments, forms, and exhibits, which constitute the contract document. 2. Incomo•ation of Documents within the Contract: The contract will incorporate attachments, proposal(s), state plan(s), grant agreements, relevant Department handbooks, manuals and/or desk books, as an integral part of the contract, except to the extent that the contract explicitly provides to the contrary. In the event of conflict in language among any of the documents referenced above, the specific provisions and requirements of the contract doemnent(s) shall prevail over inconsistent provisions in the proposal(s) or other general materials not specific to this contract document and identified attachments. 3. Term of Contract: This contract shall begin at twelve (12:00) A.M., Eastern Standard Time January 1, 2020 or on the date the contract has been signed by the last party required to sign it, whichever is later. it shall end at eleven fifty-nine (11:59) P.M, Eastern Standard Time December 31, 2020, 4. Contract Amount: The Agency agrees to pay for com•acted services according to the terms and conditions of this contract in an amount not to exceed $1,230,714.99 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. 5. Renewals: By mutual agreement of the Parties, in accordance with Section 287.058(1)(g), Florida Statutes (['.S.), the Agency may renew the contract for a period not to exceed three years, or the term of the original contract, whichever is longer. The renewal price, or method for determining a renewal price, is set forth in the bid, proposal, or reply. No other costs for the renewal may be charged. Any renewal is subject to the same terms and conditions as the original contract and contingent upon satisfactory performance evaluations by the Agency and the availability of funds. 6. Compliance with Federal Law: 6.1 If this contract contains federal funds this section shall apply. 6.1.1 The Contractor shall comply with the provisions of 45 Code of Federal Regulations (CFR) 75 and/or 45 CFR Part 92, 2 CFR Part 200, and other applicable regulations. 6.1.2 If this contract contains federal funds and is over $100,000.00, the Contractor shall comply with all applicable standards, orders, or regulations issued under Section 306 of the Clean Air Act as amended (42 United States Code (U.S.C.) §7401, et seq.), Section 508 of the Federal Water Pollution Control Act as amended (33 U.S.C. § 1251, et seq.), Executive Order 11738, as amended, where applicable, Environmental Protection Agency regulations 2 CFR Part 1500. The Contractor shall report anyviolations of the above to the Agency. January — December 2020 OAA 203.20 6.1.3 Neither the Contractor nor any agent acting for the Contractor may not use any federal funds received in connection with this contract to influence legislation or appropriations pending before Congress or any state legislature. The Contractor must complete all disclosure forms as required, specifically the Certification and Assurances Attachment, which must be completed and returned to the Contract Manager prior to the execution of this contract. 6.1.4 In accordance with Appendix II to 2 CFR Part 200, the Contractor shall comply with Executive Order 11246, Equal Employment Opportunity, as amended by Executive Order 11375 and others, and as supplemented in Department of Labor regulations 41 CFR Part 60 and in Department of Health and Human Services regulations 45 CFR Part 92, if applicable. 6.1.5 A contract award with an amount expected to equal or exceed $25,000.00 and certain other contract awards will not be made to parties listed on the government -wide Excluded Parties List System, in accordance with the Office of Management and Budget (OMB) guidelines at 2 CFR 180 that implement Executive Orders 12549 and 12689, "Debarment and Suspension." The Excluded Parties List System contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549, The Contractor shall comply with these provisions before doing business or entering into subcontracts receiving federal funds pursuant to this contract. The Contractor shall complete and sign the Certifications and Assurances Attachment prior to the execution of this contract. 6.2 The Contractor shall not employ an unauthorized alien. The Agency will consider the employment of unauthorized aliens a violation of the Immigration and Nationality Act (8 U.S.C. § 1324a) and the Immigration Reform and Control Act of 1986 (8 U.S.C. § 1101). Such violation will be cause for unilateral cancellation of this contract by the Agency. 6.3 If the Contractor is a non-profit provider and is subject to Internal Revenue Service (IRS) tax exempt organization reporting requirements (filing a Fornn 990 or Form 990-N), and has its tax exempt status revoked for failing to comply with the filing requirements of the Pension Protection Act of 2006 or for any other reason, the Contractor must notify the Agency in writing within thirty (30) days of receiving the IRS notice ofrevocation. 6.4 The Contractor shall comply with Title 2 CFR Part 175 regarding Trafficking in Persons. 6.5 Unless exempt under 2 CFR § 170.110(b), the Contractor shall comply with the reporting requirements of the Transparency Act as expressed in 2 CFR Part 170, 6.6 To comply with Presidential Executive Order 12989, as amended, and State of Florida Executive Order Number 1 I-116, Contractor agrees to utilize the U.S. Department of Homeland Security's E-verify system to verify the employment of all new employees hired by Contactor during the contract term. Contractor shall include in related subcontracts a requirement that Subcontractors performing work or providing services pursuant to the state contract utilize the E-verify system to verify employment of all new employees hired by the Subcontractor during the contract term. Contractors meeting the terms and conditions of the E-Verify System are deemed to be in compliance with this provision. 7.1 This contract is executed and entered into in the State of Florida, and shall be conshued, performed, and enforced in all respects in accordance with Florida law, including Florida provisions fo conflict oflaws. 7.2 If this contract contains state financial assistance funds, the Contractor shall comply with Section 215,97, F.S., and Section 215.971, F.S., and expenditures must be in compliance with laws, rules, and regulations including, but not limited to, the Reference Guide for State Expenditures, 7.3 The Contractor shall comply with the requirements of Section 287.058, F.S., as amended. 7.3.1 The Contractor shall perform all tasks contained in Attachment I. 7.3.2 The Contractor shall provide units of deliverables, including repots, findings, and drafts, as specified in Attachment 1, to be received and accepted by the Area Agency Contract Manager prior to payment. 7.3.3 The Contractor shall comply with the criteria and final date by which such criteria must be met for completion of this contract as specified in Attachment I, Section III. Method of Payment. January — December 2020 OAA 203.20 7.3.4 The Contractor shall submit bills for fees or other compensation for services or expenses in sufficient detail for a proper pre -audit and post -audit. 7.3.5 If itemized payment for travel expenses is permitted in this contract, the Contractor shall submit invoices for any travel expenses in accordance with Section 112.061, F.S., or at such lower rates as may be provided in this contract. 7.3.6 The Contractor shall allow public access to all documents, papers, letters, or other public records as defined in Section 119.011(12), F.S., made or received by the Contractor in conjunction with this contract except for those records which are made confidential or exempt by law. The Contractor's refusal to comply with this provision will constitute an immediate breach of contract for which the Agency may unilaterally terminate this contract. 7.4 If clients are to be transported under this contract, the Contractor shall comply with the provisions of Chapter 427, F.S., and Rule Chapter 41-2, Florida Administrative Code (F.A.C). 7.5 Subcontractors who are on the Discriminatory Vendor List may not transact business with any public entity, in accordance with the provisions of Section 287.134, F.S. 7.6 The Cumactor shall comply with the provisions of Section 11.062, F.S., and Section 216.347, P.S., which prohibit the expenditure of contract funds for the purpose of lobbying the legislature, judicial branch or a state agency. 7.7 The Agency may, at its option, terminate the Contract if the Contractor is found to have submitted a false certification as provided under Section 287.135(5), F.S., has been placed on the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, the Scrutinized Companies with Activities in Sudan List, or the Scrutinized Companies that Boycott Israel List, or if the Contractor has been engaged in business operations in Cuba or Syria or is engaged in a boycott of Israel. t � r The Contractor shall ensure that the requirements of Section 430.0402 and Chapter 435, F.S., as amended, are met regarding background screening for all persons who meet the definition of a direct service provider and who are not exempt from the Department's level 2 background screening pursuant to Sections 430.0402(2)-(3), F.S. The Contractor must also comply with any applicable rules promulgated by the Agency and the Agency for Health Care Administration regarding implementation of Section 430.0402 and Chapter 435, F.S. To demonstrate compliance with this provision, Contractor shall submit the Background Screening Affidavit of Compliance (Screening Form) to the Agency within thirty (30) days of execution of this contract. Should the Agency have a completed Screening Form on file for the Contractor, a new Screening Form will be required every twelve (12) months. 8.1 Further information concerning the procedures for background screening may be found at http://elderaffairsstate.fl. us/doea/backeroundscreeningphu. 9. Grievance Procedures: The Contactor shall develop, implement, and ensure that its Subcontractors have established grievance procedures to process and resolve client dissatisfaction with, or denial of, services) and address canplaints regarding the termination, suspension or reduction of services, as required for receipt of funds. These procedures, at a minimum, will provide for notice of the grievance procedure and an opportunity for review of the Subcontractor's determination(s). 10.1 By execution of this contract, Contractor agrees to all provisions of Chapter 1 19, F.S., and any other applicable law, and shall: 10.1.1 Keep and maintain public records required by the Agency to perform the contracted services. 10.1.2 Upon request from the Agency's custodian of public records, provide the Agency a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in Chapter 119, F.S., or as otherwise provided by law. ;n� January — December 2020 OAA 203,20 10.1.3 Ensure that public records that are exempt, or confidential and exempt, from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract terns and following completion of the contract if the Contractor does not transfer the records to the Agency. 10.1.4 Upon completion of the contract, the Contractor will either transfer, at no cost to the Agency, all public records in possession of the Contractor to the Agency, or will keep and maintain public records required by the Agency. If the Contractor transfers all public records to the Agency upon completion of the contract, Contractor shall destroy any duplicate public records that are exempt, or confidential and exempt, from public records disclosure requirements. If the Contractor keeps and maintains public records upon completion of the contract, the Contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the Agency in a format that is compatible with the information technology systems of the Agency. 10.2 The Agency may unilaterally cancel this contract, notwithstanding any other provisions of this contract, for refusal by the Contractor to comply with Section 10 of this contract by not allowing public access to all documents, papers, letters, or other material made or received by the Contractor in conjunction with this contract, unless the records are exempt, or confidential and exempt, from Section 24(a) of Article I of the State Constitution and Section 119.07(I),F.S. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT: Public Records Coordinator Area Agency on Aging for Southwest Florida, Inc. 15201 N Cleveland Ave., Suite 1100 North Fort Myers, FL 33903 239-652-6900 10.3 Upon termination of this contract, whether for convenience o• for cause as detailed in section 53 of this contract, the Contractor and Subconh•actors shall, at no cost to the Agency, transfer all public records in their possession to the Agency and/or Department and destroy any duplicate public records that are exempt, or confidential and exempt, from public records disclosure requirements. All records stored electronically shall be provided to the Agency in a format that is compatible with the information technology systems of the Department. 11. ®edits. Insnections, Investigations: 11.1 The Contractor shall establish and maintain books, records and documents (including electronic storage media) sufficient to reflect all assets, obligations, unobligated balamces, income, interest and expenditures of funds provided by the Agency under this contract. Contractor shall adequately safeguard all such assets and assure they are used solely for the purposes authorized order this contract. Whenever appropriate, financial information should be related to performance and unit cost data. 11.2 The Contractor shall retain and maintain all client records, financial records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this contract for a period of six (6) years after completion of the contract, or longer when required by law. In the event an audit is required by this contract, records shall be retained for a minimum period of six (6) years after the audit repot is issued or until resolution of any audit findings or litigation based on the terms of this contract, at no additional cost to the Agency. 11.3 Upon demand, at no additional cost to the Agency, the Contractor shall facilitate the duplication and transfer of any records or documents during the required retention period. 11.4 The Contractor shall ensure that the records described in this section will be subject at all reasonable times to inspection, review, copying, or audit by federal, state, or other personnel duly authorized by the Agency. January — December 2020 OAA 203,20 11.5 At all reasonable times for as long as records are maintained, persons duly authorized by the Agency and federal auditors, pursuant to 45 CFR Part 75, shall be allowed full access to and the right to examine any of the Contractor's contracts and related records and documents pertinent to this specific contract, regardless of the form in which kept, 11.G The Contactor shall provide a Financial and Compliance Audit to the Agency as specified in this contract and ensure that all related third -party transactions are disclosed to the auditor. 119 Contractor agrees to comply with the Inspector General in any investigation, audit, inspection, review, or hearing performed pursuant to Section 20.055, F.S. Contractor further agrees that it shall include in related subcontracts a requirement that Subcontractors performing work or providing services pursuant to this contract agree to cooperate with the Inspector General in any investigation, audit, inspection, review, or hearing pursuant to Section 20.055(5), F.S. By execution of this contract the Contractor understands and will comply with this subsection, 12. Nmuliscrimination-Civil Rights Compliance: 121 The Ca7tractor shall execute Assurances as stated in the Assurances-Non-Consh•uction Programs Attachment that it will not discriminate against any person in the provision of services or benefits under this contract or in employment because of age, race, religion, color, disability, national origin, marital status, or sex in compliance with state and federal law and regulations. The Contractor further assures that all Contractors, Subcontractors, Sub -grantees, or others with whom it arranges to provide services a• benefits in connection with any of its programs and activities are not discriminating against clients or employees because of age, race, religion, color, disability, national origin, marital status, or sex. 12.2 During the term of this contract, the Contractor shall complete and retain on file a timely, complete, and accurate Civil Rights Compliance Checklist, attached to this contract, 12.3 The Contractor shall establish procedures pursuant to federal law to handle complaints ofdiscrimination involving services or benefits through this contract. These procedures shall include notifying clients, employees, and participants of the right to file a complaint with the appropriate federal or state entity. 12.4 If this contact contains federal funds, these assurances are a condition of continued receipt of or benefit from federal financial assistance, and are binding upon the Contractor, its successors, transferees, and assignees for the period during which such assistance is provided. The Contractor further assures that all Subcontractors, Vendors, or others with whom it arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in violation of the above statutes, regulations, guidelines, and standards. In the event of failure to comply, the Contractor understands that the Agency may, at its discretion, seek a court order requiring compliance with the termsof this assurance or seek other appropriate judicial or administrative relief including but not limited to, termination of the contract and denial of further assistance, MIMMMIMITZ The Contractor shall permit persons duly authorized by the Agency to inspect and copy any records, papers, docwnents, facilities, goods, and services of the Contractor which are relevant to this contract, and to interview any clients, employees, and Subcontractor employees of the Contractor to assure the Agency of the satisfactory performance of the terms and conditions of this contract. Following such review, the Agency will provide a written report of its findings to the Contractor and, where appropriate, the Contractor shall develop a Corrective Action Plan (CAP). The Contractor hereby agrees to correct all deficiencies identified in the CAP in a timely manner as determined by the Agency's Contract Manager, 14. Provision of Services: The Contractor shall provide services in the mariner described in Attachment I. 15. Indemnification: The Contractor shall indemnify, save, defend, and hold harmless the Agency and its agents and employees from any and all claims, demands, actions, and causes of action of whatever nature or character arising out of, or by reason of, January — December 2020 OAA 203.20 the execution of this contract or performance of the services provided for herein. It is understood and agreed that the Contractor is not required to indemnify the Agency for claims, demands, actions, or causes of action arising solely out of the negligence of the Agency. 15.1 Except to the extent permitted by Section 768.28, F.S., or other Florida law, this Section 15 is not applicable to contracts executed between the Area Agency and state agencies or subdivisions defined in Section 768.28(2), F.S. 16.1 The Contractor shall provide continuous adequate liability insurance coverage during the existence of this contract and any renewal(s) and extension(s) of it. By execution of this contract, unless it is a state agency or subdivision as defined by Section 768.28(2), F.S., the Contractor accepts full responsibility for identifying and determining the type(s) and extent of liability insurance coverage necessary to provide reasonable financial Protections for the Contractor and the clients to be served under this contract. The limits of coverage under each policy maintained by the Contractor do not limit the Contractor's liability and obligations under this contract. The Contractor shall ensure that the Agency has the most current written verification of insurance coverage throughout the term of this contract. Such coverage may be provided by a self-insurance program established and operating under the laws of the State of Florida. The Agency reserves the right to require additional insurance as specified in this contract. 16.2 Throughout the term of this contract, the Contractor shall maintain an insurance bond from a responsible commercial insurance company covering all officers, directors, employees, and agents of the Contractor authorized to handle funds received or disbursed under all agreements and/or contracts incorporating this contract by reference in an amount commensurate with the funds handled, the degree of risk as determined by the insurance company, and consistent with good business practices. mmmn The Contractor shall not use or disclose any information concerning a recipient of services under this contact for any purpose prohibited by state or federal law or regulations except with the written consent of a person legally authorized to give that consent or when authorized by law. a, 111111IMMMMMMMUM"m Where applicable, the Contactor shall comply with the Health Insurance Portability and Accowttability Act (42 USC § 1320d.), as well as all regulations promulgated thereunder (45 CFR Parts 16Q 162, and 19. Incident Re orn tine: 19.1 The Contractor shall notify the Agency immediately but no later than forty-eight (48) hours from the Contractor's awareness or discovery of conditions that may materially affect the Contractor's or Subcontractor's ability to perform the services required to be performed under this contract. Such notice shall be made orally to the Agency's Contract Manager (by telephone) with an email to immediately follow. 19.2 The Contractor shall immediately report knowledge or reasonable suspicion of abuse, neglect, or exploitation of a child, aged person, or disabled adult to the Florida Abuse Hotline on the statewide toll -free telephone number (1-800-96ABUSE). As required by Chapters 39 and 415, F.S., this provision is binding upon the Contractor, its Subcontractors, and their employees. The Cootracto• shall notify the Agency within ten (10) days of entering into a new contract with any of the remaining four (4) state human service agencies. The notification shall include the following infomation: (1) contracting state agency and the applicable office or program issuing the contract; (2) contract name and number; (3) contract start and end dates; (4) contract amount (5) contract description and commodity or service; (6) Contract Manager name and contact information. In complying with this provision, and pursuant to Section 287.0575, F.S., as amended, the Contractor shall complete the Contractor's State Contracts List (request copy from Area Agency). 21. Bankruptcy Notification: Dining the term of this contract the Contractor shall immediately notify the Area Agency on Aging for Southwest Florida, Inc. if the Contractor, its assignees, Subcontractors, or affiliates file a claim for bankruptcy. Within ten (10) days 6 January — December 2020 CAA 203.20 after notification, the Contractor must also provide the following information to the Agency: (1) the date of filing of the bankruptcy petition; (2) the case number; (3) the court name and the division in which the petition was filed (e.g., Middle District of Florida, Fort Myers Division); and (4) the name, address, and telephone number of the bankruptcy attorney. 22. wponsm shin and Publicity: 22.1 As required by Section 286.25, F.S., if the Contractor is a non -governmental organization which sponsors a program financed wholly or in pail by state funds, including any funds obtained through this contract, it shall, in publicizing, advertising, or describing the sponsorship of the program, state: "Sponsored by (Contractor's name) and the Area Agency on Aging for Southwest Florida, Inc. and/or State of Florida, Department of Elder Affairs." If the sponsorship reference is in written material, the words "Area Agency on Aging for Southwest Florida, Inc. and/or State of Florida, Department of Elder Affairs" shall appear in at least the same size letters or type as the name of the organization. 22.2 The Contractor shall not use the words "Area Agency on Aging for Southwest Florida, Inc. and/or State of Florida, Department of Elder Affairs" to indicate sponsorship of a program otherwise financed, unless specific written authorization has been obtained by the Agency prior to such use. 23. Assi¢nments: 23.1 The Contractor shall not assign the rights and responsibilities under this contt•act without the prior• written approval of the Agency. Any sublicense, assignment, or transfer otherwise occurring without prior written approval of the Agency shall constitute a material breach of the contract. In the event the Area Agency and/or the State of Florida approves assignment of the Contractor's obligations, the Contractor remains responsible for all work performed and all expenses incurred in connection with this contract. 23.2 The Area Agency and/or the State of Florida is, at all times, entitled to assign or transfer, in whole or part, its rights, dirties, or obligations under this contract to another governmental agency in the State of Florida, upon giving prior written notice to the Contractor 23.3 This contract shall remain binding upon the successors in interest of the Contractor and the Agency. 24. Subcontracts: 24.1 The Cartractor is responsible for all work performed and for all conunodities produced pm•suant to this contract, whether actually fwI ed by the Contractor or its Subcontractors. Any subcontracts shall be evidenced by a written document and subject to any conditions of approval the Agency deems necessary. The Contractor further agrees that the Agency will not be liable to the Subcontractor in any way or for any reason. The Contractor, at its expense, shall defend the Agency against any such claims. 24.2 The Contractor shall promptly pay any Subcontractors upon receipt of payment from the Agency or other state agency. Failure to make payments to any Subcontractor in accordance with Section 287.0585, F.S., unless otherwise stated in the contract between the Contractor and Subcontractor, will result in a penalty as provided by statute. [t is the intent and understanding of the Parties that the Conh•actor and any of its Subcontractors are independent Contractors and are not employees of the Agency, and that they shall not hold themselves out as employees or agents of the Agency without prior specific authorization from the Agency. It is the further intent and understanding of the Parties that the Agency does not control the employment practices of the Contractor and will not be liable for any wage and hour, employment discrimination, or other labor and employment claims against the Contractor or its Subcontractors. All deductions for social security, withholding taxes, income taxes, contributions to unemployment compensation funds, and all necessary insurance for the Contractor are the sole responsibility of the Contractor. 26. Payment Payments shall be made to the Contractor for all completed and approved deliverables (units of service) as defined in Attachment I. The Area Agency Conb•act Manager will have final approval of the Contractor's invoice submitted for payment and will approve the invoice for payment only if the Contractor has met all terms and conditions of the contract, unless the bid specifications, purchase order, or this contract specify otherwise. The approved invoice will be January — December 2020 OAA 203.20 submitted to the Agency's finance section for budgetary approval and processing. Disputes arising over invoicing and payments will be resolved in accordance with the provisions of Section 215.422, F.S. A Vendor Ombudsman has been established within the Florida Department of Financial Services and may be contacted at 800-342-2762. 21. BernI n Of Tnm(ise The Contractor shall return to the Agency any overpayments one to unearned funds or funds disallowed, and any interest attributable to such funds pursuant to the terms and conditions of this contract, that were disbursed to the Contractor by the Agency. in the event that the Contractor or its independent auditor discovers that an overpayment has been made, the Contractor shall repay said overpayment immediately without prior notification from the Agency. In the event that the Agency first discovers an overpayment has been made, the Area Agency Contract Manager will notify the Contractor in writing of such findings. Should repayment not be made forthwith, the Contractor shall be charged at the lawful rate of interest on the outstanding balance pursuant to Section 55.03, F.S., after Agency notification or Contractor discovery. The Contractor shall ensure an appropriate level of data security for the information the Contractor is collecting or using in the performance of this contract. An appropriate level of security includes approving and tracking all Contractor employees that request system or information access and ensuring that user access has been removed from all terminated employees. The Contractor, among other requirements, must anticipate and prepare for the loss of information processing capabilities. All data and software shall be routinely backed up to ensure recovery from losses or outages of the computer system. The security over the backed -up data is to be as stringent as the protection required of the primary systems. The Contractor shall ensure all Subcontractor maintain written procedures for computer system backup and recovery. The Contractor shall complete and sign the Certification Regarding Data integrity Compliance for Agreements, Grants, Loans, and Cooperative Agreements prior to the execution of this contract. ,r. r M,. tL• 'r The Department has implemented a Social Media Policy, in addition to its Computer Use Policy, which applies to all employees, contracted employees, consultants, Other Personal Services (OPS) employees and volunteers, including all personnel affiliated with third parties, such as, but not limited to, contactor and subcontractors. Any entity that uses the Department's computer resource systems must comply with the Department's policy regarding social media. Social Media includes, but is not limited to, blogs, podcasts, discussion forums, Wikis, RSS feeds, video sharing, social networks like MySpace, Facebook and Twitter, as well as content sharing networks such as flickr and YouTube. This policy is available on the Department's website at: http://elderaffairs.state.fl.us/doea/financial.phn. 30. Conflict of Interest: The Contractor shall establish safeguards to prohibit employees, board members, management, and Subcontractors from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest or personal gain. No employee, officer, or agent of the Contractor or Subcontractor shall participate in the selection or in the award of a contract supported by state or federal funds if a conflict of interest, real or apparent, would be involved. Such a conflict would arise when: (a) the employee, officer or agent; (b) any member of his/her immediate family; (c) his or her partner; or (d) an organization which employs, or is about to employ, any of the above individuals, has a financial or other interest in the firm being selected for award. The Contractor's or Subcontractor's officers, employees, or agents will neither solicit nor accept gratuities, favors, or anything of monetary value from Contractors, potential Contractors, or parties to Subcontracts. The Contractor's or Subcontractor's board members and management must disclose to the Agency any relationship which may be, or may be perceived to be, a conflict of interest within thirty (30) calendar days of an individual's original appointment or placement in that position, or, if the individual is serving as an incumbent, within thirty (30) calendar days of the commencement of this contract. The Contractor's employees and Subcontractors must make the same disclosures described above to the Contractor's board of director. Compliance with this provision will be monitored. 31. Public Entity Crime: Pursuant to Section 287.133, F.S., a person or affiliate who has been placed on the Convicted Vendor List following a conviction for a public entity crime may not submit a bid, proposal, o• reply on a conVact to provide any goods o services to a public entity; may not submit a bid, proposal, or reply on a contract with a public entity for the construction or repair of a public building or public work; may not submit bids, proposals, or replies on leases of real property to a January — December 2020 Ix��z�x�el�l public entity; may not be awarded or perform work as a Contractor, Supplier, Subcontractor, or Consultant under a contract with any public entity; and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, F.S., for CATEGORY TWO for a period of thirty six (36) months following the date of being placed on the Convicted Vendor List, 32. Purchasing: 32.1 The Contractor may purchase articles which are the subject of, aare required to carry out, this contract from Prison Rehabilitative Industries and Diversified Enterprises, Inc., (PRIDE) identified under Chapter 946, F.S., in the same manner and under the procedures set forth in Sections 946.515(2) and (4), F.S. For purposes of this contract, the Contractor shall be deenned to be substituted for the Agency insofar as dealings with PRIDE. This clause is not applicable to Subcontractors unless otherwise required by law. An abbreviated list of products/services available from PRIDE may be obtained by contacting PRIDE at 800-643-8459. 32.2 The Contractor may procure any recycled products or materials which are the subject of or are required to carry out this contract in accordance with the provisions of Section 403.7065, F.S. 32.3 The Contractor may purchase articles that are the subject of or are required to carry out this contract fi'otn a nonprofit agency for the Blind or for the Severely Handicapped that is qualified pursuant to Chapter 413, F.S., in the same manner and under the same procedures set forth in Sections 413.036(1) and (2), F.S. For purposes of this contract, the Contractor shall be deemed to be substituted for the Agency insofar as dealings with such qualified nonprofit agency are concerned. Additional information about the designated nonprofit agency and the products it offers is available atlnttp://www.respectofflorida.og. This clause is not applicable to Subcontractors unless otherwise required by law. &FTIMT FWIFTINMI tr If this contract is awarded state funding and if any discovery, invention, or copyrightable material is developed or produced in the course of or as a result of work or services performed under this contract or in any way connected with this contract, or if ownership of any discovery, invention, or copyrightable material was purchased in the course of or as a result of work or services performed under this contract, the Contractor shall refer the discovery, invention, or copyrightable material to the Agency to be referred to the Department of State. Any and all patent rights or copyrights accruing under this contract are hereby reserved to the State of Florida in accordance with Chapter 286, F.S. Pursuant to Section 287.0571(5)(k), F.S., the only exceptions to this provision shall be those that are clearly expressed and reasonably valued in this contract. 33.1 If the primary put -pose of this contact is the creation of intellectual property, the Agency and/or State of Flm•ida shall retain an unencunbered right to use such property, notwithstanding any agreement made pursuant to this Section 34. 33.2 If this contract is awarded solely federal funding, the terms and conditions are governed by 2 CFR § 200.315 or 45 CFR § 75.322, as applicable. 33.3 Notwithstanding the foregoing provisions, if the Contractor or one of its Subcontractors is a university and a member of the State University System of Florida, then Section 1004.23, F.S., shall apply, but the Agency shall retain a perpetual, fully -paid, nonexclusive license for its use and the use of its Contractors, Subcontractor, o' Assignees of any resulting patented, copyrighted, o' trademarked work products. �oJRL742aSL�` s]4Tdtii�iLi[ r � r Y� r r 34.1 If the tasks to be performed pursuant to this contract include the physical care and control of clients, or the administration and coordination of services necessary for client health, safety, or welfare, the Contractor shall, within thirty (30) calendar days of the execution of this contract, submit to the Agency's Contract Manager, verification of an Emergency Preparedness Plan. In the event of an emergency, the Contractor shall notify the Agency of emergency provisions. 34.2 In the event a situation results in a cessation of services by a Subcontractor, the Contractor shall remain responsible for performance under this contract and must follow procedures to ensure continuity of operations without interruption. January — December 2020 35. Rauimment: OAA 203.20 35.1 Equipment means: (a) tangible personal property (including information technology systems) having a useful life of more than one year and a per -unit acquisition cost which equals or exceeds the lesser of the capitalization level established by the organization for the financial statement purposes, or $5,000.00 [for federal funds - 2 CFR § 200.33 and 45 CFR § 75.2, as applicable], or (b); nonexpendable, tangible personal property of a non- consumable nature with an acquisition cost of $1,000.00 or more per unit, and expected useful life of at least one (1) year; and hardback bound books not circulated to students or the general public, with a value or cost of $250.00 or more [for state funds]. 35.2 Contractors and Subcontractors who are histitutions of Higher Education, Hospitals, and Other Non -Profit Organizations shall have written property management standards in compliance with 2 CFR Part 200 Administrative Requirements (formerly OMB Circular A-I10) that include: (a) a property list with all the elements identified in the circular; (b) a procedure for conducting a physical inventory of equipment at least once every two (2) years; (c) a control system to insure adequate safeguards to prevent loss, damage, or theft of the equipment; and (d) maintenance procedures to keep the equipment in good condition. The property records must be maintained on file and shall be provided to the Agency upon request. The Contractor shall promptly investigate, fully document, and notify the Agency's Contract Manager of any loss, damage, or theft of equipment. The Contractor shall provide the results of the investigation to the Agency's Contract Manager. 35.3 The Contractor's property management standards for equipment (including replacement equipment), whether acquired in whole or in part with federal funds and federally -owned equipment shall, at a minimum, meet the following requirements and shall include accurately maintained equipment records with the following information: 35.3.1 Property records must be maintained that include a description of the equipment; 35.3.2 Manufacturer's serial number, model number, federal stock number, national stock number, or other identification number; 35.3.3 Source of funding for the equipment, including the federal award identification number; 35.3.4 Whether title vests in the Contractor or the federal government; 35.3.5 Acquisition date (or date received, if the equipment was furnished by the federal government); 35.3.6 Information fi om which one can calculate the percentage of federal participation in the cost of the equipment (not applicable to equipment furnished by the federal government); 35.3.7 Location, use and condition of the equipment and the date the information was reported; 35.3.8 Unit acquisition cost; and 35.3.9 Ultimate disposition data, including date of disposal and sales price or the method used to determine current fair market value where a Contractor compensates the federal awarding agency for its share. 35.3.10 A physical inventory must be taken and the results reconciled with the property records at leastonce every two (2) years. 35.3.11 A control system must be developed to ensure adequate safeguards to prevent loss, damage, or theft of the property. Any loss, damage, or theft must be investigated. 45 CFR § 75.320(d)(3). 35.3.12 Adequate maintenance procedures must be developed to keep the property in good condition. 35.3.13 If the Contractor is authorized or required to sell the equipment, proper sales procedures must be established to ensure the highest possible return. 35.4 Equipment purchased with federal funds with an acquisition cost over $5,000.00 and equipment purchased with state funds with an acquisition cost over $1,000.00 is part of the cost of carrying out the activities and functions of the grant awards and title (ownership) will vest in the Contractor [for federal funds see 2 CFR § 200.313(a) and 45 CFR § 75320(a), as applicable], subject to the conditions of 2 CFR Part 200 and/or 45 CFR Part 75. Equipment purchased under these thresholds is considered supplies and is not subject to property standards. 10 January — December 2020 OAA 203.20 Equipment purchased with funds identified in the budget attachments to agreements covered by this contract or identified in the sub -agreements with Subcontractors (not included in a cost methodology), is subject to the conditions of Chapter 273, F.S., rule 60A-1.017, F. A. C., and 2 CFR Part 200 and/or 45 CFR Part 75. 35.5 The Contractor shall not dispose of any equipment or materials provided by the Agency or purchased with fiords provided through this contract without first obtaining the approval of the Agency's Contract Manager. When disposing of property or equipment the Contractor must submit a written request for disposition instructions to the Agency's Contract Manager. The request should include a brief description of the property, purchase price, funding source, and percentage of state or federal participation, acquisition date and condition of the property. The request should also indicate the Contractor's proposed disposition of the property (i.e., transfer or donation to another agency that administers federal programs, offer of the items for sale, destroy the items, etc.). 35.6 The Agency's Contract Manager will issue disposition instructions. If disposition instructions are not received within one hundred twenty (120) days of the written request for disposition, the Contractor is authorized to proceed as directed in 2 CFR § 200.313 or 45 CFR § 75.320, as applicable. 35.7 Real property means land (including land improvements), buildings, structures and appurtenances thereto, but excludes movable machinery and equipment. Real property may not be purchased with state or federal funds through agreements covered under this contract without the prior approval of the Agency. Real property purchases from Older Americans Act funds are subject to the provisions of Title 42, Chapter 35, Subchapter 111, Part A., Section 3030b United States Code (U.S.C.). Real property purchases from state funds can only be made through fixed capital outlay grants and aids appropriations and therefore are subject to the provisions of Section 216.348, F.S. 35.8 Any permanent storage devices (e.g.: hard drives, removable storage media) must be reformatted and tested prior to disposal to ensure no confidential information remains. 35.9 The Contractor must adhere to the Agency's procedures and standards when purchasing Information Technology Resources (ITR) as part of any agreement(s) incorporating this contract by reference. An ITR worksheet is required for any computer related item costing $1,000.00 or more, including data processing hardware, software, services, supplies, maintenance, training, personnel, and facilities. The completed ITR worksheet shall be maintained in the LAN administrator's file and must be provided to the Agency upon request. The Contractor has the responsibility to require any Subcontractors to comply with the Agency's ITR procedures. I 111 UM The PUR 1000 Form is hereby incorporated by reference and available at http://www.myflorida.com/apes/vbs/adoe/F7740 PUR1000.pddf In the event of any conflict between the PUR 1000 Form and any terms or conditions of this contract, the terms or conditions of this contract shalt take precedence over the PUR ]000 Form. However, if the cstflicting terms or conditions in the PUR 1000 Form are required by any section of the Florida Statutes, the terms or conditions contained in the PUR 1000 Form shall take precedence. Any state funds provided fa• the purchase of or improvements to real property are contingent upon the Contracts' or political subdivision granting to the state a security interest in the property at least to the amount of state funds provided or at least five (5) years from the date of purchase or the completion of the improvements or as further required by law. Any dispute concerning performance of the csrtract shall be decided by the Agency's Conu•act Manager, who shall reduce the decision to writing and serve a copy on the Contracts•. ]f the Contractor fails to meet the minimum level of service or performance identified in this contract, the Agency will shall impose financial consequences as stated in Attachment 1. January — December 2020 40. No Waiver of Sovereign Immunity: OAA 203.20 Nothing contained in this contract is intended to serve as a waiver of sovereign immunity by any entity to which sovereign immunity may be applicable. 41. Ye„ue: If any dispute arises out of this contract, the venue of such legal recourse shall be Lee County, Florida. 42.) ntiA Contract: This contract contains all the terms and conditions agreed upon by the Parties. No oral agreements or representations shall be valid on• binding upon the Agency or the Contractor unless expressly contained herein or by a written amendment to this contract signed by both Parties. 43. Fm•ce Majeure: The Parties will not be liable for any delays or failures in performance due to circumstances beym7d their contlol9 provided the party experiencing the force majeure condition provides immediate written notification to the other party and takes all reasonable efforts to cure the condition. 44. Severability Clanse: The Patties agree that if a court of competent jurisdiction deems any term or condition herein void or unenforceable, the other provisions are severable to that void provision and shall remain in full force and effect. The Parties agree that the Agency's performance and obligation to pay under this cattract are contingent upon an annual appropriation by the Legislature. 46. Addition/Deletion: The Parties agree that the Agency reserves the right to add or to delete any of the services required under this contract when deemed to be in the State of Florida's best interest and reduced to a written amendment signed by both Patties. The Parties shall negotiate compensation for any additional services added. 47. Waiver: The delay or failure by the Agency to exercise ot• enforce any of its rights under this contract will not constitute or be deemed a waiver of the Agency's right thereafter to enforce use rights, not will any single or partial exercise of any such right preclude any other or further exercise thereof or the exercise of any other right. 48. Compliance: The Contractor shall abide by all applicable current federal statutes, laws, rules, and regulations as well as applicable current state statutes, laws, rules and regulations. The Parties agree that failure ofthe Contractor to abide by these laws shall be deemed an event of default of the Contractor and subject the contract to immediate unilateral cancellation of the contract at the discretion of the Agency. 49. Final Invoice: The Conh•acta• shall submit the final invoice for payment to the Agency no later than thirty (30) days after the contract ending date unless otherwise specified in Attaclunent I. If the Contractor fails to do so, al] right to payment is forfeited and the Agency shall not honor any requests submitted after the aforesaid time period. Any payment due under the terms of this contract shall be withheld until all required documentation and reports due from the Contractor and necessary adjustments thereto have been approved by the Agency. tit`i6Sit[I[iFiirim Modifications of the provisions of this contract shall be valid only when they have been reduced to writing and duly signed by both patties. The rate of payment and the total dollar amount may be adjusted rett•oactively to reflect price level increases and changes in the rate of payment when these have been established through the appropriations process and subsequently identified in the Agency's operating budget. lia January — December 2020 51. Suspension of Work: OAA 203,20 The Agency may, in its sole discretion, suspend any or all activities under the contract or purchase order, at any time, when in the best interest of the State to do so. The Agency shall provide the Contractor written notice outlining the particulars of suspension. Examples of the reason for suspension include, but are not limited to, budgetary constraints, declaration of emergency, or other such circumstances. After receiving a suspension notice, the Contractor shall comply with the notice and shall not accept any purchase orders. Within ninety (90) days, or any longer period agreed to by the Contractor, the Agency shall either: (1) issue a notice authorizing resumption of work, at which time activity shall resume, or (2) terminate the contract or purchase order. Suspension of work shall not entitle the Contractor to any additional compensation. 52. Termination: 52.1 Termination fm• Convenience. The Agency, by written notice to the Contractor, may terminate this contract in whole or in part when the Agency determines in its sole discretion that it is in the State's interest to do so. The Contractor shall not furnish any product after it receives the notice of termination, except as necessary to complete the continued portion of this contract, if any. The Contractor shall not be entitled to recover any cancellation charges or lost profits. 52.2 Termination for Cause. The Agency may terminate this contract if the Contractor fails to: (1) deliver the product within the time specified in the contract or any extension, (2) maintain adequate progress, thus endangering performance of the contract, (3) honor any term of the contract, or (a) abide by any statutory, regulatory, or licensing requirement. Rule 60A-1.006(3), F.A.C., governs the procedure and consequences of default. The Contractor shall continue work on any work not terminated. Except foil defaults of Subcontractors at any tier, the Contractor shall not be liable for any excess costs if the failure to perform the contract arises from events completely beyond the control, and without the fault of negligence, of the Contractor. If the failure to perform is caused by the default of a Subcontractor at any tier, and if the cause of the default is completely beyond the control of both the Contractor and the Subcontractor, and without the fault or negligence of either, the Contractor shall not be liable for any excess costs foil failure to perform, unless the subcontracted products were obtainable from other sources in sufficient time foil the Contractor to meet the required delivery schedule. If, after termination, it is determined that the Contractor was not in default, or that the default was excusable, the rights and obligations of the Parties shall be the same as if the termination had been issued for the convenience of the Agency. The rights and remedies of the Agency in this clause are in addition to any other rights and remedies provided by law or under the contract. The Agency authorizes, but does not require, the Contractor to create and retain electronic records and to use electronic signatures to conduct transactions necessary to carry out the terms of this contract. A Contractor that creates and retains electronic records and uses electronic signatures to conduct transactions shall comply with the requirements contained in the Uniform Electronic Transaction Act, Section 668.50, F.S. All electronic records must be fully auditable; are subject to Florida's Public Records Law, Chapter 119, F.S.; must comply with contract Section 29, Data inegrity and Safeguarding Information; must maintain all confidentiality, as applicable; and must be retained and maintained by the Contractor to the same extent as non -electronic records are retained and maintained as required by this contract. 53.1 The Agency's authorization pursuant to this section does not authorize electronic transactions between the Conu•acto• and the Agency. The Contractor is authoized to conduct electronic transactions with the Agency only upon further written consent by the Agency. 53.2 Upon request by the Agency, the Contractor shall provide the Agency with non -electronic (paper) copies of records. Non -electronic (paper) copies provided to the Agency of any document that was originally in electronic form with an electronic signature must identify the person and the person's capacity who electronically signed the document on any non -electronic copy of the document. 13 January — December 2020 54. Contract Manager: OAA 203.20 The Agency may substitute any Agency employee to serve as the Area Agency Contract Manager, REMAINDER OF THE PAGE INTENTIONALLY LEFT 6LANIC t4 tt ••• 20t 55. Offlcial Payee and Representatives (Names. Addresses, and Telephone Numbers), The Contractor name, as shown on page 1 of this Collier County Board of County Commissioners 3339 E Tamiami Trail, Building H a4 contract, and mailingaddress of the official payee to p Y Naples, FL 34112 whom the payment shall be made is: The name of the contact person and street address Kristi Sonntag, Director Collier County Board of County Commissioners b. where financial and administrative records are %Community and Human Services maintained is: 3339 E Tamiami Trail, Building H Naples, FL 34112 Kristi Sountag, Director The name, address, and telephone number of the Collier County Board of County Commissioners e' representative of the Contractor responsible for %Community and Human Services administration of the program under this contract is; 3339 E Tamiami Trail, Building H Naples, FL 34112 239 252-2273 Area Agency on Aging for Southwest Florida, Inc. do The section and location within the Agency where 15201 North Cleveland Avenue, Suite 1100 Requests for Payment and Receipt and Expenditure North Fort Myers, FL 33903 forms are to be mailed is: Linda Howard, Director of Program & Planning e. The name, address, and telephone number of the Area Agency on Aging for Southwest Florida, Inc. Contract Manager for this contract is: 15201 North Cleveland Avenue, Suite 1100 North Fort Myers, FL 33903 239 652-6900 Upon change of representatives (names, addresses, telephone numbers) by either party, notice shall be provided in writing to the other party. 56. All Terms and Conditions Included: This contract and its Attachments, I — XVII including any exhibits referenced in said attachments, together with any documents incorporated by reference, contain all the terms and conditions agreed upon by the Parties. There are no provisions, terms, conditions, or obligations other than those contained herein, and this contract shall supersede all previous communications, representations, or agreements, either written or verbal, between the Parties. By signing this contract, the Parties agree that they have read and agree to the entire contract. IN WITNESS WHEREOF, the Parties hereto have caused this contract to be executed by their undersigned officials as duly authorized. CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY CO SSI NERS SIGNED BY: 1 NAME: STEPHEN Y CARNELL TITLE: PUBLIC SERVICES DEPARTMENT HEAD DATE: 1 1 1� 1 �U Federal Tax ID: 59-6000588 Fiscal Year• Ending Date: 09/30 Duns: 188277693 AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC. SIGNED BY: NAME: MARIANNE G LORNI TITLE: PRESIDENT/CEO DATE: �I glablC7 Approved as to form and legality 15 � 9 0 Assrstanl County onay t � 31202 January — December 2020 OAA 203.20 INDEX OF ATTACHMENTS ATTACHMENTI............................................................................................................................................................... 17 STATEMENT OF hVORK ATTACHMENTII............................................................................................................................................................. 35 FINANCIAL AND COMPLIANCE AUDIT ATTACHMENTIII....................................................................................................................................................................42 CERTIFICATIONS AND ASSURANCES ATTACHMENTIV....................................................................................................................................................................47 ASSURANCES —NON -CONSTRUCTION PROGRAMS ATTACHMENTV............................................................................................................................................................. 49 FLORIDA DEPARTMENT OF ELDER AFFAIRS CIVIL RIGHTS COMPLIANCE CHECKLIST ATTACHMENTVII.......................................................................................................................................................... 53 BACKGROUND SCREENING ATTACHMENTIX....................................................................................................................................................................54 BUDGF.TAND RATE SUAGIIARY ATTACHMENTX............................................................................................................................................................. 58 INVOICE SCHED ULE ATTACHMENTXI............................................................................................................................................................ 59 REQUEST FOR PAI MENT ATTACHMENT XII—Exhibit 1....................................................................................................................................... 60 RECEIPTS AND EXPENDITURE REPORT (1HB) ATTACHMENT XII—Exhibit 2....................................................................................................................................... 61 RECEIPTS AND EXPENDITURE REPORT (1HCI) ATTACHMENTXII—Exhibit 3....................................................................................................................................... 62 RECEIPTS AND EXPENDITURE REPORT (IIIC2) ATTACHMENT XII—Exhibit 4....................................................................................................................................... 63 RECEIPTS AND EXPENDITURE REPORT (HIE) ATTACHMENT XII—Exhibit 5....................................................................................................................................... 64 RECEIPTS AND EXPENDITURE REPORT (NSIP) ATTACHMENTXVI......................................................................................................................................................... 65 OAA ANNUAL VOLUNTEER ACTIVITY REPORT SPECIFICATIONS ATTACHMENTXVII....................................................................................................................................................... 67 OAA ANNUAL VOLUNTEER ACTIVITY REPORT January — December 2020 ATTACHMENTI STATEMENT OF WORK /. SER DICES ALLOWED UNDER THE OAA CONTRACT.• OAA 203,20 DisCJabnei. Allowed Services under dais contract, may or may not be contracted with. For cosh acted services for each lead agency, please seethe ATTACHMENT regarding the BUDGET and RATE Summary. A. Definitions of Terms 1. ConU•act Acronyms Area Agency on Aging (AAA) Activities of Daily Living (ADL) Administration on Aging (AoA) Administration on Community hiving (ACL) Alliance of Information & Referral Systems (AIRS) Assessed Priority Consumer List (APCL) Adult Protective Services (APS) Client Information and Registration Tracking System (CIRTS) Chronic Disease Self -Management Education (CDSME) Chronic Disease Self -Management Program (CDSMP) Dietary Reference Intake (DRI) Evidence -Based Disease Prevention and Health Promotion (EBDPHP) Florida Department of Business and Professional Regulations (DBPR) Florida Department of Elder Affairs (DOEA or Department) Florida Department of Health (DOH) Information and Referral (I&R) Instrumental Activities of Daily Living (IADL) National Council on Aging (NCOA) Nutrition Services Incentive Program (NSIP) Older Americans Act (OAA) Planning and Service Area (PSA) State of Florida (State) Statewide Medicaid Managed Care Long -Term Care (SMMC LTC) United States Department of Agriculture (USDA) United States Department of Health and Human Services (USDHHS) 2. Program Specific Terms Adult Child with a llisability: A child who is age 18 or older and is financially dependent on an older individual who is a parent of the child and has a disability. Area Plat: A plan developed by the AAA outlining a comprehensive and coordinated service delivery system in its PSA in accordance with Section 306 of the OAA [42 United States Code (U.S.C.) § 3026] and Agency instructions. 17 January — December 2020 OAA 203,20 Area Plan Update: A revision to the Area Plan wherein the AAA enters OAA specific data in CIRTS. An update may also include other revisions to the Area Plan as instructed by the Agency and/or Department. Child: An individual who is not more than eighteen (18) years of age or an individual with a disability. Criteria: A standard which the Administration on Aging(AoA)/Adminisit atioil for Coimnunity Living(ACL) set for the Title IIID Program. AoA/ACL's standard criterion consists of three tiers: Minimal Criteria, Intermediate Criteria, and Highest- Level Criteria. Family Caregiver: An adult family member, or another individual, who is an informal provider of in -home and community care to an older individual. trail: When an older individual is (1) determined to be unable to perform at least two activities of daily living without substantial human assistance, including verbal reminding, physical cueing, or supervision or (2) unable to perform at least three such activities without such assistance; or, (3) due to a cognitive or other mental impairment, requires substantial supervision because the individual behaves in a manner that poses a serious health or safety hazard to the individual or to another individual. Grandparent: A grandparent or step -grandparent of a child, or a relative of a child by blood, marriage or adoption, who: (1) lives with the child, (2) is the primary caregiver of the child because the biological or adoptive parents are unable or unwilling to serve as the primary caregiver of the child, and (3) has a legal relationship to the child, such as legal custody or guardianship, or is raising the child informally. B. General Description 1. General Statement The primary purpose of the OAA Program is to foster the development and implementation of comprehensive and coordinated systems to serve older individuals. These systems assist older individuals to attain and maintain maximum independence with supportive services. The NSIP provides incentives for the effective delivery of nutritious meals to older individuals. NSIP allows programs to increase the Manber and/or the quality of meals served. NSIP is a cash allotment or cawnodity program that supplements funding or food used in meals served under the OAA. Florida has opted for cash payments in lieu of donated foods. 2. Authm•ity All applicable federal laws, regulations, action h•ansmittals, program instructions, review guides and similar documentation related to the follo�aing: a. Catalog of Federal Domestic Assistance Nos. 93.043, 93.044, 93.045, 93.052, and 93.053; b. Older Americans Act of 1965, as amended 2016; c. Section 311 of the Older Americans Act of 1965, as amended 2016 (42 U.S.C. § 3030a); d. 42 U.S.C. § 303 and§ 604; e. Rule 58A-1, Florida Administrative Code (F.A.C.); f. Section 430.101, Florida Statutes (F.S.); and g. DOEA Programs and Sewices Handbook, which is hereby incorporated by reference, to include any subsequent revisions thereof. 3. Scope of Service The Conh•actor is responsible for the programmatic, fiscal, and operational management of the OAA Title IIIB, Title IIICI, Title IIIC2, and Title IIIE Programs and NSIP, within its designated service area. The program services shall be provided in a manner consistent with the Agency's current Area Plan, as updated and hereby incorporated by reference, and the current DOEA Programs and Services Handbook. The Contractor shall use the NSIP funding to supplement funding for food used in meals served by OAA N t It 14 ition Program Providers. January — December 2020 4. Major Program Goals OAA 203,20 The major goals of the CAA Program are to improve older individuals' quality of life, preserve their independence, and prevent or delay their need for costlier institutional care. These goals are achieved through the implementation of a comprehensive and coordinated service system that provides a continuum of service alternatives and effective delivery of nutritious meals that meet the diverse needs of elders and their caregivers. C. Clients to Ue Served 1. General Description The OAA Program gives preference to older individuals with greatest economic need and older individuals with greatest social need (with particular attention to low-income older individuals, including low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas), 2. Client Eligibility it. OAA Title III Consumers shall not be dually enrolled in an OAA Program and a Medicaid capitated Loing-Term Care Program, except consumers in need of OAA Legal Assistance services and OAA Congregate Nutrition Services, including transportation to and from congregate meal sites. b. NSIP Meals served to an elderly individual, funded in whole or in part under the SMMC LTC, (Statewide Medicaid Managed Care Long -Term Care). Home Care for the Elderly, Community Care for the Elderly Programs, or other means tested programs may not be included in the NSIP count. OAA-funded congregate meals provided to SMMC LTC clients may be included inthe NSIP count. c. OAA Title IIIB, Supportive Services i. Individuals must be age sixty (60) o• older; and I. MR(Infornnation and Referral)/Assistance services are provided to individuals regardless of age. d. OAA Titles IIICl and IIIC2, NuU•ition Services, General General factors that shall be considered in establishing priority for the receipt of nutrition services include those older persons who: i. Cannot afford to eat adequately; ii. Lack the skills or knowledge to select and prepare nourishing and well-balanced meals; iii. Have limited mobility which may impair their capacity to shop and cook forthemselves; iv. Have a disabling illness or physical condition requiring nutritional support; o• v. Have been screened at a high nutritional risk. e. OAA Title IIICI, Congregate Nu i on Services In addition to meeting the general nutrition services eligibility requirements listed in Section LC.2.d. above, individuals must be mobile, not homebound, and physically, mentally, and medically able to attend a congregate nutrition program. Individuals eligible to receive congregate meals include the following: i. Individuals age sixty (60) or older; ii. Any spouse (regardless of age) who attends the dining center with his/her eligible spouse; iii. Persons with a disability, regardless of age, who reside in a housing facility occupied primarily by older individuals where congregate nutrition services are provided; iv. Disabled persons who reside at home with and accompany an eligible person to the dining center; and v. Volunteers, regardless ofwho provide essential services on a regular basis during meal hours. 19 January — December 2020 OAA 203.20 f. "AA Title IIIC2, Home Delivered Nutrition Services In addition to meeting the general nutrition services eligibility requirements as listed in Section LC.2.d., individuals most be homebound and physically, mentally, or medically unable to attend a congregate nutrition program. hndividuals eligible to receive home delivered meals include the following: i. Individuals age sixty (60) or older who are homebound because of illness, disability, or isolation; ii. The spouse of a homebound eligible individual, regardless of age, if the provision of the collateral meal supports maintaining the person at home; iii. Individuals with disabilities, regardless of age, who reside at home with eligible individuals and are dependent on them for care; and iv. Persons at nutritional risk who have physical, emotional, or behavioral conditions which would make their presence at congregate nutrition sites inappropriate; and v. Persons at nutritional risk who are socially or otherwise isolated and unable to attend a congregate nutrition site. g. OAA Title IIIF,, Caregiver Suppm•t Services Eligibility for OAA Title IIIE, Caregiver Support Services, is as follows: i. Eligible individuals include: (1) Family caregivers of individuals age silty (60) or older; and (2) Grandparents [age fifty-five (55) or older] or older individuals [age fifty-five (55) or older] who are relative caregivers. ii. For respite and supplemental services, a family caregiver must be providing care for an older individual who meets the definition of the term "frail" as defined above. iii. Priority will be given to family caregivers who provide care for individuals with AlzheimePs disease and related disorders with neurological and organic brain dysfunction and to grandparents or older individuals who are relative caregivers who provide care for children with severe disabilities. II. M�tNNER OF SERVICE PROVISION A. Service Tasks To achieve the goals of the OAA Program, the Contractor shall ensure performance of the following tasks: I. Client Eligibility Determination The Contractor shall ensure that applicant data is evaluated to determine eligibility. Eligibility to become a client is based on meeting the requirements described in Section LC.2. 2. Targeting and Screening New Clients for Service Delivery The Contractor shall develop and implement policies and procedures consistent with OAA targeting and screening criteria for new clients. 3. Program Services The Contactor shall ensure the provision of program services is consistent with the Agency's current Area Plan, as updated and approved by the Department, and the current DOEA Programs and Services Ilandbook. 4. Program Eligibility Requirements a. 1•,ligibility Criteria To be eligible for program participation, an entity must: Bean agency that has received a grant under OAA Title III [OAA section 311(42 U.S.C. § 3030a)]; and January — December 2020 OAA 203.20 ii. Partner with a nutrition service provider that serves meals and is under the Jul indiction, control, management, and audit authority of the Area Agency on Aging and the Florida Department of Elder Affairs. b. Providers Nutrition Service Operations The Contractor shall ensure that the nutrition service operations of the provider meet the requirements of this contract, as well as any other applicable regulations and policies prescribed by the current DOEA Programs and Services Handbook, USDHHS, USDA, DOH and local health departments, DBPR, or any other agency designated to inspect meal quality for the State. c. Prescribed NutritimralRequirements The Contractor shall ensure that each meal provided under this contract meets the following criteria: i. Complies with the current Dietary Guidelines for Americans, published by the Secretaries of the USDHHS and USDA; and ii. Provides a minimum of thirty-three and a third percent (33 1/3%) of the dietary reference intakes/adequate intakes for a female age seventy (70) or older as established by the Food and Nutrition Board of the National Academy of Sciences. d. P•ood Origin and Commodities Requirements Consistent with existing requirements of the NS[P, the Contractor and its service providers may use NSIP cash to purchase foods of U.S. origin for their nutrition projects under Title Ill of the OAA. NSIP funds must be used to expand meal services to older adults. B. Use of Subcontractors If this contact involves the use of a subcontractor or third party, then the Contactor shall not delay the implementation of its agreement with the Subcontractor. If any circumstance occurs that may result in a delay for a period of sixty (60) days or more of the initiation of the subcontract or the performance of the Subcontractor, the Contractor shall notify the Area Agency Contract Manager and/or the Agency's Chief Financial Officer in writing of such delay. The Contractor shall not permit a Subcontractor to perform services related to this contract without having a binding Subcontractor agreement executed. The Agency will not be responsible or liable for any obligations or claims resulting from such action. 1. Copies of Subcontracts The Contractor shall submit copies of all subcontracts to the Agency Contact Manager within thirty (30) days of executimt of each subcontract agreement. 2. Monitm•ing the Performance of Subcontractors The Contactor shall monitor, at least once per year, each of its subcontractors, sub -recipients, vendors, and/or consultants paid from funds provided under this contract. The Contractor shall perform fiscal, administrative, and programmatic monitoring to ensure contractual compliance, fiscal accountability, programmatic performance, and compliance with applicable state and federal laws and regulations. The Contractor shall monitor its subcontractors to ensure that the budget and scope of work are accomplished within the specified time periods, and that all performance goals stated in this contract are achieved. a. The Contractor shall enter all required data per the Agency's and Department's CIRTS Policy Guidelines for clients and services into the CIRTS database. The data must be entered into the CIRTS database before the Contractor submits their Request for Payment and Receipts and Expenditure Reports to the Agency. The Agency shall establish time frames to ensure compliance with due dates for the Requests for Payment and Receipts Expenditure Reports to the Agency. b. The Contractor shall run monthly CIRTS reports and to verify that the client and service data in the CIRTS database is accurate. This report must be submitted to the Agency with the monthly Request for Payment and Receipts and Expenditure Report. 21 January — December 2020 OAA 203,20 c. The Agency shall require Contractors to report on outreach activities at least semi-annually using a uniform reporting format established by the Agency. Contractor reports must include the total number of outreach events or activities performed as well as the following information for each event or activity: date, location, type of event or activity, total number of participants, individual service needs identified, and referral sources or information provided to participants. C. Staffing Requirements 1. Staffing Levels The Contractor shall assign its own administrative and support staff as needed to perform the tasks, responsibilities, and duties under this contract and ensure that subcontractors dedicate adequate staff accordingly. 2. Professional Qualificatimts The Contractor shall ensue that the staff responsible fm' performing any duties or functions within this contract have the qualifications specified in the DOEA Programs and Services Handbook. 3. Service Times The Contractor shall ensure the availability of services listed in this contract at times appropriate to meet client service needs, including, at a minimum, during normal business hours. Normal business hours are defined as Monday through Friday, 8:00 a.m. to 5:00 p.m. local time. D. Deliverables The following section provides the specific quantifiable units of deliverables and the source documentation required to evidence the completion of the tasks specified in this contract. The Contractor must submit all required documentation in the time and manner specified for the minimum performance levels to be met. Each deliverable must be accepted in writing by the Agency Contract Manager based on the requirements for each deliverable before the Contractor submits an invoice requesting payment. 1. Delivery of Services to Eligible Clients The Contractor shall ensure the provision of a continuum of services that meets the diverse needs of elders and dneir caregivers. Documentation of service delivery must include a report consisting of the following: number of clients served, number of service units provided by service, and rate per service unit with calculations that equal the total invoice amount. The Contractor shall ensure the performance and reporting of the following types of services, in accordance with the Agency's current Area Plan, the current DOEA Programs and Services Handbook, and Section II.A. Disclaimer: Services that full under these categories may or may not Ge contracted with each lead agency. For contracted services for each lead agency, please see the BI/DCET and RATE Soinatary ATTACHMENT. a. Supportive Services (IIIB Program) Supportive services include a variety of community -based and home -delivered services that support older individuals' quality of life by helping them remain independent and productive. Services include the following: January — December 2020 OAA 203.20 i. Adult Day Care/Adult Day Health Care; xviii. Material Aid; ii. Caregiver Training/Support; xix. Occupational Therapy; iii. Case Aid/Case Management; xx. Outreach; iv. Chore and Chore (Enhanced); xxi. Personal Care; v. Companionship; xxii. Physical Therapy; vi. Counseling (Gerontological and Mental xxiii. Recreation; Health/Screening); xxiv. Referral/Assistance; vii. Education/Training; xxv. Respite Services (In -Home and Facility Based); viii. Emergency Alert Response; xxvi. Screening/Assessment; ix. Escort; xxvii. Shopping Assistance; x. Health Support; xxviii. Skilled Nursing; xi. Home Health Aid; xxix. Specialized Medical Equipment, Services, and xii. Homemaker; Supplies; xiii. Housing Improvement; X%X. Speech Therapy; xiv. Information; xxxi. Telephone Reassurance; and xv. Intake; xxxii. Transportation. xvi. Interpreter/Translating; xvii. Legal Assistance; b. Cmrgregate Nutrition Services (IIICl Program) Nutrition services are provided in congregate settings and are designed to reduce hunger and food insecurity and to promote socialization and the health and well-being of older individuals through access to nutrition and other disease prevention and health promotion services. Services include the following: i. Congregate meals; I. Congregate meals screening; iii. Nutrition education and nutrition counseling; and iv. Outreach. c. Home Delivered Nutrition Services (IIIC2 Program) hrhome nutrition services are provided to reduce hunger and food insecurity; promote socialization and the health and well-being of older individuals by assisting such individuals to gain access to nuh ition and other disease prevention and health promotion services. Services include the following: i. Home delivered meals; ii. Nutrition education and counseling; iii. Outreach; and iv. Screening/Assessment. d. Disease Prevention and Health Promotion Services (Title IIID Program) —AAA administers Evidence -Based Disease Prevention and Health Promotion (EBDPHP) services have been demonstrated through evaluation to be effective for improving health and wellbeing or reducing disease, disability, and/or injury among older adults. The ACL defines EBDPHP services as meeting highest -level criteria. Only services that meet the highest -level criteria are allowable under the IIID Program. EBDPHP services must be delivered per the requirements of the program and ensure program fidelity. EBDPHP services include the following: i. A Matter of Balance; iv. Arthritis Foundation Tai Chi Program (Tai ii. Active Living Every Day; Chi for Arthritis); iii. Arthritis Foundation Exercise Pt•oaram; v. Arthritis Self -Management Program; 23 January — December 2020 OAA 203.20 vi. Brief Intervention & Treatment xx. Physical Fitness; for Elders (BRITE); xxi. Powerful Tools for Caregivers; vii. Chronic Disease Self- xxii, program to Encourage Active Management Program; Rewarding Lives for Seniors vill. Chronic Pain Self- (PEARLS); Management program; xxill, Program de Manejo Personal de la ix. Diabetes Empowerment Artritis; Education Program (DEEP); xxty. Programa de Manejo Personal de la x. Diabetes Self -Management Program; Diabetes; I. Disease Information; xxv. Stepping On; xii. Enhance Fitness; xxvi. Stay Active and Independent for Life xiii. Enhance Wellness; (SAIL); xiv. Fit and Strong!;xxvii. Tai Chi/Tai Ji Quail Moving for Better " Balance (F lighest-Level); sv. Healthy Eating Every Day; xxviii. Tomando Control de so Salud; svi. Healthy Ideas; xxii, Un Asunto de Equilibrio; and xvii. Healthy Moves for Aging Well; sxs. Walk with Ease. xviii. Home Injury Control; xix. HomeMeds; e. Caregiver Support Services (IIIE Program) The following services are intended to provide direct aid to caregivers in the areas of health, nutrition, and financial literacy, and to assist them with decision -making and problem -solving related to their caregiving roles and responsibilities, Services include the following: i. Adult Day Care/Adult Day Health Care; viii. Outreach; ii. Caregiver Training/Support; ix. Powerful Tools for Caregivers; III. Counseling (Gerontological and x. Referral/Assistance; Mental Health/Screening); xi. Respite Services (In -Home and Facility Based); iv. Education/Training; xii. Screening/Assessment; and v. Financial Risk Reduction (Assessment and Maintenance); xur. Transportation. vi. Information; vii. Intake; January — December 2020 CAA 203.20 (1) Caregiver Support Supplemental Services (IIIES Program) At least ten percent (10°/u), but no more than twenty percent (20%), of the total Title IIIE funds shall be used to provide supplemental support services. The following services are provided to complement the care provided by caregivers. Services include the following: (a) Chore and Chore (Enhanced); (b) Housing Improvement (c) Legal Assistance; (d) Material Aid; and (e) Specialized Medical Equipment, Services and Supplies. (2) Caregiver Support Grandparent Services (IIIEG Program) At least five percent (5%), but no more than ten percent (10%), of the total Title 111E funds shall be used to provide support services to grandparents and older individuals who are relative caregivers. Services for grandparents or older individuals who are relative caregivers that are designed to help them meet their caregiving obligations include the following. Services include the following: (a) Caregiver Training/Support; (b) Child Day Care; (c) Counseling (Gerontological and Mental Health/Screening); (d) Education/Training; (e) Legal Assistance; (f) Outreach; (g) Referral/Assistance; (h) Screening/Assessment; (i) Sitter; and Q) Transportation. f. Provision of Services The Agency and/or Contractor shall ensure the provision of the services described in this contract are in accordance with the current DOEA Programs and Services Handbook, the Agency's Department - approved Area Plan, and the tasks described in Section ILA. g. Complaint Procedures The Agency and/or Contractor shall develop and implement complaint procedures and ensure that subcontractors develop and implement complaint procedures to process and resolve client dissatisfaction with services. Complaint procedures shall address the quality and timeliness of services, provider and direct service worker complaints, and all other issues except the termination, suspension, or reduction of services, which shall be addressed through the grievance process as described in Appendix D of the DOEA programs and Services Handbook. Complaint procedures shall include notification to all clients of the complaint procedure and include tracking the date, nature, and disposition of each complaint. E. Reports The Contractor shall respond to additional, routine, or special requests for information and reports required by the Agency in a timely manner as determined by the Agency Contract Manager. The Contractor shall establish reporting deadlines and due dates for subcontractors that permit the Contractor to review and validate the data and meet the Agency's reporting requirements. 25 January — December 2020 2, OAA Annual Volunteer Activity Repot OAA 203,20 The Contractor shall submit an OAA Annual Volunteer Activity Repot electronically, to Area Agency Programs Department at the following email address: Program s R a a a s w f l . o r g, per the report specifications provided in Attachment XVI. The Annual Volunteer Activity Report must be completed and submitted to the Agency by January 10, 2020. The form is Attachment XVII. 3. CIRTS Repots a. Contractor shall input OAA-specific and NSIP-specific data into CIRTS. To ensure CIRTS data accuracy, the Contractor shall use CIRTS-generated reports which include the following: i. Client Reports; ii. Monitoring Reports; iii. Services Reports; iv. Miscellaneous Reports; v. Fiscal Repots; and vi. Outcome Measurement Repots. b. CIRTS Data Entries for Contractors The Agency must require Contractors to enter all required data for clients and services in the CIRTS database per the DOEA Programs and Services Handbook and the CIRTS User Manual — Aging Provider Network users (located in Documents on the CIRTS Enterprise Application Services). Contractors must enter this data into the CIRTS database prior to submitting their Requests for Payment and Receipts and Expenditure Reports to the Agency. The Agency shall establish deadlines for completing CIRTS data entry to ensure compliance with due dates for the Requests for Payment and Receipts and Expenditure Reports that Contractor must submit to the Agency. c. Contractor must run monthly CIRTS reports and verify that client and service data in the CIRTS database is accurate. is report must be submitted to the Agency with the monthly Request for Payment and Receipts and Expenditure Reports, The Agency will review and approve the Contractor's Request for Payment and Receipts and Expenditure Reports. 4. Annual Service Cost Repots 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, oi• 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 I of each year, if a rate increase is being requested. 5. Surplus/Deficit Report The Contractor shall submit a Consolidated Surplus/Deficit Report, Lead Spending Report, in a format provided by the Agency, to the Agency's Contract Manager by the 18th of each month. This Consolidated Surplus/Deficit Repot is foil all agreements and/or contracts between the Contractor and the Agency and must include the following: January — December 2020 OAA 203.20 a. A list of all Subcontractors and their status regarding surplus/deficit b. The Conbacha s detailed plan on how the surplus/deficit spending which exceeds the threshold specified by the Agency will be resolved; c. Recommendations to transfer funds to resolve surplus/deficit spending; d, Input from the Contractor's Board of Directors on resolution of spending issues, ifapplicable; e. Number of clients currently on APCL that receive a priority ranking score of four (4) or five (5); and f. Number of clients currently on the APCL designated as Imminent Risk. 6. OAA National Aging Program Information System (NAPIS) Repot Data required for the OAA NAPIS Report that is not recorded in CIRTS will be provided to the Agency Contract Manager in the format and on the date established by the Agency. 7. Program Highlight Nan•atives The Contractor shall submit brief written narratives to the Agency for publication in the Program Highlighrt sections of the Agency's Summary of Programs and Services, which is hereby incorporated by reference, to include any subsequent revisions thereof. The narratives shall reference specific events that have occurred since the last submission of Program Highlight narratives, including new success stories, quotes, testimonials, or human -interest vignettes. The narratives shall be written for a general audience, with no acronyms or technical terms. For all agencies or organizations that are referenced in the narratives, the Contractor shall provide a brief description of their mission or role. The active tense shall be consistently used in the narratives to identify the specific individuals or entities that performed the activities described in the narratives. The Contractor shall review and edit narratives for clarity, readability, relevance, specificity, human interest, and grammar prior to submitting them to the Agency. S. Congregate Meal Site and Food Service Vendor Verification Report The Agency shall conduct monthly reviews of the PSA's congregate meal site information to verify the accuracy of the information on Inc. Congregate meal site information includes, but may not be limited to, the address of the meal site, meal service time, name of caterer/vendor, and days of meal service. Any changes to congregate meal site information must be submitted to the Agency Contract Manager. Any changes to this information that the Contractor is made aware of prior to the Contractor's monthly report submission shall be commmnicated to the Agency Contract Manager within 48 hours of the change (or in advance as appropriate). F. Records and Documentation I. The Contractor agrees to make available to Agency staff and any party designated by the Agency all contract related records and documentation. The ConU•actoa• shall ensure the collection and maintenance of all program related information and documentation on any system designated by the Agency. Maintenance includes valid exports and backups of all data and systems according to Agency standards. Data must be usable and must be maintained in a format that is readable to the Agency. 2. CIRTS Data and Maintenance The Contractor shalt ensure monthly collection and maintenance of client and service information in CIRTS o any other system designated by the Agency. Maintenance includes ensuring that all data is accurate and current and performing valid exports and backups of all data and systems according to Agency standards. 3. Policies and Procedures for Records and Documentation The Contractor shall maintain written policies and procedures for computer system backup and recovery and shall have the same requirement of its subcontractors. These policies and procedures shall be made available to the Agency upon request. 27 January — December 2020 4. CIRTS Address Validation OAA 203.20 The Contractor shall work with the Agency to ensure that client addresses are correct in CIRTS for disaster preparedness efforts. At least annually, and more frequently as needed, the Agency will provide direction on how to validate CIRTS addresses to ensure they can be mapped. The Contractor will receive a list of unmatched addresses that cannot be mapped, and the Contractor will be responsible for working with the local service providers to correct addresses and send a list to the Agency with confirmed addresses. The Agency will use this information to update maps, client rosters, and unmatched addresses and disseminate this information to the local service providers. G. Performance Specifications I. Outcomes and Outputs (Performance Measures) At a minimum, the Contractor shall: a. Ensure the provision of the services described in this contract are in accordance with the DOEA Programs and Services Handbook, the current Agency's Department -approved Area Plan, and Section ILA. b. Timely and accurately submit to the Agency all documentation and reports described in Attachment I, Section ILE. c. Timely and accurately, per Attachment X, submit to the Agency Attachments XI -Exhibits I-5 (whichever reports pertain to the Contractor's specific contract). d. Develop and document strategies to support the Agency's Area Plan to support the Agency's standard of performance achievement, including increases in the following: i. Percentage of most frail elders who remain at home or in the community instead of going into a nursing home; it. Percentage ofAPS referrals who need immediate services to prevent further harm who are served within seventy-two (72) hours; iii. Percentage of active clients eating two or more meals per day; iv. Percentage of new service recipients whose ADL assessment score has been maintained or improved; v. Percentage of new service recipients whose IADL assessment score has been maintained orimproved; vi. Percentage of caregivers who, after service intervention, self -report being very confident about their ability to continue to provide care; and vii. Percentage of customers who are at imminent risk of nursing home placement who are served with community -based services. 2. The Contractor's performance of the measures in G1, above, will be reviewed and documented in the Agency's Annual Programmatic Monitoring Reports. 3. Monitoring and Evaluation Methodology The Agency will review and evaluate the performance of the Contractor under the terms of this contract. Monitoring shall be conducted through direct contact with the Contractor via telephone, in writing, or an on - site visit. The primary, secondary, or signatory of the contract must be available for any on -site programmatic monitoring visit. The Agency reserves the right to conduct an on -site visit unannounced by persons duly authorized by the Agency. The Agency's determination of acceptable performance shall be conclusive. The Contractor agrees to cooperate with the Agency in monitoring the progress of completion of the service tasks and deliverables. The Agency may use, but is not limited to, one or more of the following methods for monitoring: a. Desk reviews and analytical reviews; b. Scheduled, unscheduled, and follow-up on -site visits; P33 January — December 2020 c. Client visits; d. Review of independent auditor's reports; e. Review of third -party documents and/or evaluation; L Review of progress reports; g. Review of customer satisfaction surveys; h. Agreed -upon procedures review by an external auditor or consultant; i. Limited -scope reviews; and j. Other procedures as deemed necessary by the Agency. 4. Perfm•mance Definitions OAA 203.20 "Work day" shall mean a provider's staff member's eight (8) hour work period, wiles specifically noted otherwise. "Day" shall mean a calendar day, unless specifically noted otherwise. H. Contractor Responsibilities 1. Contractor Unique Activities All tasks listed above in Section 11. are solely and exclusively the responsibility of the Contractor and are tasks for which, by execution of this contract, the Contractor agrees to be held accountable. 2. Coordination with Other Providers and/ore Entities Notwithstanding that services for which the Contractor is held accountable involve coordination with other entities in performing the requirements of this contract, the failure of other providers or entities does not alleviate the Contractor from any accountability for tasks or services that the Contractor is obligated to perform pursuant to this contract. I. Agency Responsibilities 1. Agency Obligations The Agency may, within its resources, provide technical support and/or assistance to the Contracto• to assist the Contractor in meeting the requirements of this contract. The Agency's support and assistance, or lack thereof, shall not relieve the Contractor from full performance of contract requirements. 2. Agency Determinations The Agency reserves the exclusive right to make certain determinations in the tasks performed by the Contractor and the approaches used by the Contractor to perform those tasks. The absence of the Agency setting forth a specific reservation of rights does not mean that all other areas of the contract are subject to mutual agreement. III. METHOD OF PAYMENT A. Payment Method Used The method of payment for this contract is a combination of Fixed-Fee/Unit Rate, Cost Reimbursement, and Advance Payments subject to the availability of funds and Contractor performance. The Agency will pay the Contractor upon satisfactory completion of the Tasks/Deliverables, as specified in the attachment regarding the budget and rate summary and in accordance with all other terms and conditions of this contract. B. Unit of Service 1. Fixed Fee/Unit Rate Contractor must meet the minimum level of performance stated in the contract to receive payment. Payments for Fixed Fee/Unit Rates shall not exceed amounts established in Attachment IX. 29 January — December 2020 2. Fixed Rates for NSIP Program OAA 203.20 Payments for NSIP Fixed rate shall not exceed the unit rate of service identified below: Service to be Provided Unit of Service Unit Rate Eligible Congregate and Home Delivered Meals II unit = 1 meal $.72 CK�]��ItN1;7 Service to be Provided Unit of Service Unit Rate Maximum Units Allocation Eligible Congregate and 1 unit = I meal $.72 64,912 $46,737.03 Home Delivered Meals 3. Cost Reimbursement Payment shall only be authorized for allowable expenditures, per the limits specified in the Budget Summary (Attachment IX). All cost reimbursement Requests for Payment must include the actual Receipts and Expenditure Reports, beginning with the first month of the contract. The Contractor must meet the minimum level of performance stated in the contract to receive payment. The Contractor agrees to distribute funds as detailed in the Agency's Area Plan Update and the Budget Summary (Attachment IX). Any change in the total amounts of the funds identified on the Budget Summary form requires a contract amendment. C. Advance Payments The Contractor may request up to two (2) months of advances at the start of the contract period to cover program administration, outreach, and service costs. The payment of an advance will be contingent upon the sufficiency and amount of funds released to the Agency by the State of Florida (budget release). The Contractor's requests for advance payments require the written approval of the Agency's Contract Manager. For the first month's advance request, the Contractor shall provide the Agency's Contract Manager documentation justifying the need for an advance and describing how the funds will be distributed. If the Contractor is requesting two (2) months of advances, documentation must be provided reflecting the cash needs of the Contractor within the initial two (2) months and should be supported through a cash -flow analysis or other information appropriate to demonstrate the Contractor's financial need for the second month of advances. If sufficient budget is available, and the Agency's Contract Manager, in his or her sole discretion, has determined that there is ajustifred need for an advance, the Agency will issue approved advance payments after January Ist of the contract year. Advance payments will not be issued forNSIP. 1. Any advance payments the Contactor requests for subcontractors must be distributed within seven (7) days of receipt of payment from the Agency. The Contractor shall submit to the Agency documentation to support full distribution of advanced finds with Request for Payment, report number 5, due to the Agency on April 09, 2020, in accordance with Invoice Schedule (Attachment X). 2. All advance payments retained by the Contractor must be fully expended no later than March 31, 2020. Any portion of advanced payments not expended must be recouped on the Request for Payment, report number 5, due to the Agency on April 09, 2020, in accordance with the Invoice Schedule (AttachmentX). 3. All advance payments made to the Contractor shall be reimbursed to the Agency as follows: one —tenth of the advance payment received shall be reported as an advance recoupment on each Request for Payment, starting with report number 5, in accordance with the Invoice Schedule (Attachment X). 4. Interest earned on advances must be identified separately by source of funds (state or federal). Contractors shall maintain advanced payments of federal funds in FDIC interest bearing accounts unless an exception is made in accordance with 45 CFR § 75.305. Earned interest must be returned to the Agency at the end of each quarter of the contract period. 30 January — December 2020 D. Invoice Instructions OAA 203.20 Payment shall be made upon the Contractor's presentation of an invoice subsequent to the acceptance by the Agency of the deliverables shown on the invoice. The form and substance of each invoice submitted by the Contractor shall be as follows: 1. The invoice shall include a "Remit to" address that corresponds exactly to the remittance address identified in the MyFloridaMarketPlace (MFMP) registration. 2. The monthly invoice shall include the units of services established in the Agency's Department -approved Area Plan, per the requirements in the DOEA Programs and Services Handbook, at the rates established in Attachment IX, Service Rate Report. Documentation of service delivery shall include a report consisting of the following: number of clients served, number of service units provided by service, and rate per service unit, with calculations that equal the total invoice amount. Any change to the Agency's Department -approved budget after the execution of this contract shall require approval from the Agency's Contract Manager prior to being made. Any change to the total contract amount requires a contract amendment. 3. The Contractor shall consolidate requests for payment from subcontractors and receipts and expenditure reports that support the requests for payment and shall submit to the Agency Requests for Payment (Attachment XI), and Receipt and Expenditure Reports (Attachment XII-Exhibits 1-5 according to Contractor's contract). 4. The Contractor shall include with the Fixed Fee/Unit Rate portion of its invoice the units of services provided based on rates established in Attachment IX, number of clients, and the rates for the services provided per the requirements described in the deliverables and service tasks. The Contactor shall clearly state the provider name, the report month, and the invoice number on the invoice. 5. All Requests foil Payment shall be based on the submission of actual monthly Receipts and Expenditure Reports beginning with the first month of the contract. The schedule for submission of advanced payment requests (when available) and invoices can be found in the Invoice Schedule (Attachment X). 6. Final contract invoices must be submitted to the Agency no later than February 15, 2021. 1;. Payment Withholding Any payment due by the Agency under the terms of this contract may be withheld pending receipt and approval by the Agency of all financial and programmatic reports due from the Contractor and any adjustments thereto, including any disallowance not resolved. F. Corrective Action Plan 1. Contractor shall ensure 100% of the deliverables identified in Sectiai ILD. are performed pursuant to contract requirements. 2. If at any time the Contractor is notified by the Agency Contract Manager that it has failed to correctly, completely, or adequately perform contract deliverables identified in Section ILD., the Contractor will have ten (10) days to submit a Corrective Action Plan (CAP) to the Agency Contract Manager that addresses the deficiencies and states how the deficiencies will be remedied within a time period approved by the Agency Contract Manager. The Agency shall assess a financial consequence for non-compliance on the Contractor as referenced in Section III.G, foil each deficiency identified in the CAP which is not corrected pursuant to the CAP. The Agency will also assess a financial consequence for failure to timely submit a CAP to the Agency. 3. If the Contractor fails to correct an identified deficiency within the Agency -approved period specified in the CAP, the Agency shall deduct the percentage established in Section III G. from the payment for the invoice of the following month. 4. If the Contractor fails to timely submit a CAP to the Agency, the Agency shall deduct the percentage established in Section IILG. foil each day the CAP is overdue. The deduction will be made from the payment for the invoice of the following month. 31 January — December 2020 G. Financial Consequences OAA 203.20 The Agency will withhold or reduce payment if the Contractor fails to perform the deliverables to the satisfaction o£ the Agency according to the requirements referenced in Section II.D. The following financial consequences will be imposed if the deliverables stated do not meet in part or in whole the performance criteria as outlined in Section II.D.: 1. Delivery of services to eligible clients as referenced is Section ILA.2. and Section ILD.1. of this contract — Failure to comply with established assessment and prioritization criteria, as evidenced by CIRTS reports, will result in a 2% reduction of payment per business day. The reduction of payment will begin on the first business day following the Agency's notification to the Contractor that the identified deficiency was not cured or satisfactorily addressed in accordance with the Agency -approved CAP. 2. Services and units of services as referenced in Section ILD.2. of this contract —Failure to provide services in accordance with the current DOEA Programs and Services Handbook, the service tasks described in Section II.A., and Attachment IX, or failure to submit required documentation will result in a 2% reduction of payment per business day. The reduction of payment will begin the first business day following the Agency's notification to the Contractor that the identified deficiency is not cured or satisfactorily addressed in accordance with the Agency -approved CAP, 3. Administrative duties as referenced in Section ILD.3. of this contract —Failure to perform management and oversight of program operations will result in a 2% reduction of payment per business day. The reduction of payment will begin the first business day following the Agency's notification to the Contractor that the identified deficiency was not cured or satisfactorily addressed in accordance with the Agency approved CAP. 4. Timely submission of a CAP —Failure to timely submit a CAP within ten (10) business days after notification of a deficiency by the Agency Contract Manager will result in a 2% reduction of payment per business day the CAP is not received. The reduction of payment will begin with the subsequent invoice received from the Contractor and shall be prorated for each day the CAP was late following the due date specified by the Agency and shall remain in effect until the contractor complies with the submission requirement. 5. Exceptions may be granted solely, in writing, by the Agency Contract Manager. IY. SPRCIAL PROVISIONS A. Final Budget and Funding Revision Requests Final requests for budget revisions or adjustments to contract funds based on expendittn•es for provided services must be submitted to the Agency Contract Manager in writing no later than December 31, 2020; email requests are considered acceptable. B. Contractor's Financial Obligations t. Matching, Level of Effort, and Earmarking Requirements The Contractor will assure, through a provision in subcontracts, a match requirement of at least ten percent (10%) of the cost for services funded through this contract. Ti Contracto'r's and/or subcontractor's match will be made in the form of cash and/or in -kind resources. The Contractor shall report match funds by title each month. At the end of the contract period, the Contractor must properly match OAA funds that require a match. 2. Consumer Contributions Consumer contributions are to be used under the following terms: a. The Contractor assures compliance with Section 315 of the OAA, as amended in 2016, regarding consumer contributions; b. Voluntary contributions are not to be used for cost sharing or matching; c. Voluntary contributions are to be used only to expand services; and d. Accunndated voluntary contributiats are to be used prior to requesting federal reimbursement. 32 January — December 2020 OAA 203.20 3. Use of Service Dollars and Management of the Assessed Priority Consumer List The Contractor is expected to spend all federal, state, and other funds provided by the Agency for the purpose specified in this contract. For each program managed by the Contractor, the Contractor must manage the service dollars in such a manner as to avoid having a wait list and a surplus of fiords at the end of the contract period. If the Agency determines that the Contractor is not spending service funds accordingly, the Agency may transfer funds to other Lead Agencies during the contract period and/or adjust subsequent finding allocations as allowable under state and federal law. 4. Title III Funds The Contractor assures compliance with Section 306 of the OAA, as amended in 2016, and will not use funds received under Title III to pay any part of a cost (including an administrative cost) incurred by the Contractor to maintain a contractual or commercial relationship that is not carried out to implement Title III, C. Remedies for Nonconforming Services I. The Contractor shall ensure that all goods and/or services provided under this contract are delivered timely, completely, and commensurate with required standards of quality. Such goods and/or services will only be delivered to eligible program participants. 2. Ifthe Contractor fails to meet the prescribed quality standards for services, such services will not be reimbursed under this contract. In addition, any nonconforming goods (including home delivered meals) and/or services not meeting such standards will not be reimbursed under this contract. The Contractor's signature on the Request for Payment Form certifies maintenance of supporting documentation and acknowledgement that the Contractor shall solely bear the costs associated with preparing or providing nonconforming goods and/or services. The Agency requires immediate notice of any significant and/or systemic infractions that compromise the quality, security, or continuity of services to clients. D. Ltcident Reporting The Contractor shall notify the Agency immediately but no later than forty-eight (48) hours from the Contractor awareness or discovery of changes that may materially affect the Contractor or any subcontractor's ability to perform the services required to be performed under this contract. Such notice shall be made orally to the Agency Contract Manager (by telephone) with an entail to immediately follow, including the Contractor's plan for provision of services required by contract. This plan must detail the Contractor's anticipated plan for ensuring a continuity in services for each client impacted by and for the duration of the incident. Following submission of the plan, the Contractor's is expected to provide the Agency updates in a frequency determined by the Agency as appropriate until the incident is resolved. >✓. Volunteers The Contractor shall ensure the use of trained volunteers in providing direct care services delivered to older individuals and those individuals with disabilities needing such services. If possible, the Contractor shall work in coordination with organizations that have experience in providing training, placement, and stipends for volunteers or participants (such as the Senior Community Service Employment Program or organizations carrying out federal service programs administered by the Corporation for National and Community Service). F. );nforcement In accordance with Section 430.04, F.S., the Agency/and o' Department shall rescind designation of a lead agency or take intermediate measures against the Contractor, including corrective action, unannounced special monitoring, temporary assumption of operation of one or more programs by the Agency, placement on probationary status, imposing a moratorium on Contractor action, imposing financial penalties for nonperformance, or other administrative action pursuant to Chapter 120, F.S., if the Agency and/or Department finds that any of the following have occurred: a. An intentional or negligent act of the Contractor has materially affected the health, welfare, or safety of clients, or substantially and negatively affected the operation of an aging services program. 33 January — December 2020 OAA 203.20 b. The Contractor lacks financial stability sufficient to meet contractual obligations or that contractual funds have been misappropriated. c. The Contractor has committed multiple or repeated violations of legal and regulatory requirements or Agency and/or Department standards. d. The Contractor has failed to continue the provision or expansion of services after the declaration of a state of emergency. e. The Contractor has exceeded its authority or otherwise failed to adhere to the terms of this contract with the Agency and/or Department or has exceeded its authority or otherwise failed to adhere to the provisions specifically provided by statute or rule adopted by the Agency. f. The Contractor has failed to properly determine client eligibility as defined by the Agency or efficiently manage program budgets. g. The Contractor has failed to implement and maintain an Agency -approved client grievance resolution procedure. 2. hi making any determination under this provision the Agency may rely upon findings of another state or federal agency, or other regulatory body. Any claims for damages for breach of contract are exempt 5•om administrative proceedings and shall be brought before the appropriate entity in the venue of Lee County, Florida. In the event the Agency initiates action to rescind a lead agemcu designation, the Agency shall follow the procedures set forth in 42 U.S.C. § 3025(b). G. Lvestigation of Criminal Allegatimrs Any report that implies criminal intent on the part of the Contractor m• any subcontractors and referred to a governmental or investigatory agency must be sent to the Agency. If the Contractor has reason to believe that the allegations will be referred to the State Attorney, a law enforcement agency, the United States Attorney's office, or governmental agency, the Contractor shall notify the Area Agency and/or Inspectors General at the Department immediately. A copy of all documents, repots, notes, or other written material concerning the investigation, whether in the possession of the Contractor or subcontractors, must be sent to the Area Agency's and/or Department's Inspector General with a summary of the investigation and allegations. REMAINDER OF PAGE INTENTIONALL P LEET 73LAN7C 34 January — December 2020 ATTACHMENT II FINANCIAL AND COMPLIANC) AUDIT OAA 203.20 The administration of resources awarded by the Agency to the Contractor may be subject to audits and/or monitoring by the Area Agency on Aging for Southwest Florida, Inc., as described in this section. MONITORING In addition to reviews of audits conducted in accordance with 2 CFR Part 200 (formerly OMB Circular A-133 as revised), and Section 215.97, F.S., (see "AUDITS" below), monitoring procedures may include, but not be limited to, on -site visits by the Agency staff, limited scope audits as defined by OMB Circular A-133, as revised, and/or other procedures. By entering into this contract, the Contractor agrees to comply and cooperate with any monitoring procedures/processes deemed appropriate by the Agency. In the event the Agency determines that a limited scope audit of the Contractor is appropriate, the Contractor agrees to comply with any additional instructions provided by the Agency to the Contractor regarding such audit. The Contractor further agrees to comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Chief Financial Officer (CFO) or Auditor General, AUDITS PART I: FFDI;RALLY FUNDiiD This part is applicable if the Contactor is a State or local government or anon -profit organization aSdefined in 2 CFR Part 200, Subpart A. In the event that the Contractor expends $750,000.00 or more in federal awards during its fiscal year, the Contractor must have a single or program -specific audit conducted in accordance with the provisions of 2 CFR Part 200. Financial and Compliance Audit Attachment, Exhibit 2 indicates federal resources awarded through the Agency by this contract. In determining the federal awards expended in its fiscal year, the Contractor shall consider all sources of Federal awards, including federal resources received from the Agency. The determination of amounts of Federal awards expended should be in accordance with 2 CFR Part 200. An audit of the Contractor conducted by the Auditor General in accordance with the provisions of 2 CFR Part 200 will meet the requirements of this part. hi connection with the audit requirements addressed in Part I, paragraph I, the Contractor shall fulfill the requirements relative to auditee responsibilities as provided in 2 CFR § 200.508. If the Contractor expends less than $75Q000.00 in federal awards in its fiscal year, an audit conducted in accordance with the provisions of 2 CFR Part 200 is not required. hi the event that the Catt•actor expends less than $75Q000.00 in federal awards in its fiscal year and elects to have an audit conducted in accordance with the provisions of 2 CFR Part 200, the cost of the audit must be paid from non-federal resources (i.e., the cost of such audit must be paid from Contractor resources obtained from other than federal entities.) An audit conducted in accordance with this part shall cover the entire organization for the M•ganization's fiscal year. Compliance findings related to contracts with the Agency shall be based on the contract's requirements, including any rules, regulations, or statutes referenced in the contract. The financial statements shall disclose whether or not the matching requirement was met for each applicable contract. All questioned costs and liabilities due to the Agency shall be fully disclosed in the audit report with reference to the Area Agency on Aging for Southwest Florida, Inc. contract involved. If not otherwise disclosed as required by 2 CFR § 200.510 the schedule of expenditures of federal awards shall identify expenditures by contract number for each contract with the Agency in effect during the audit period. Financial reporting packages required under this part Must be submitted within the earlier of 30 days after receipt of the audit report or 9 Months after the end of the Contractor's fiscal year end. 35 January — December 2020 PART II: STATE I'UNDED OAA 203,20 This part is applicable if the Contractor is a non -state entity as defined by Section 215.97(2), F.S. hi the event that the Con0actor expends a total amount of state financial assistance equal to or in excess of 5750,000.00 in any fiscal year of such Contractor, the Contractor must have a State single or project -specific audit for such fiscal year in accordance with Section 215.97, F.S.; applicable rules of the Department of Financial Services; and Chapter 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit organizations), Rules of the Auditor General. Financial Compliance Audit Attachment, Exhibit 2 indicates state financial assistance awarded through the Agency by this contract. In determining the state financial assistance expended in its fiscal year, the Contractor shall consider all sources of state financial assistance, including state financial assistance received from the Agency, other state agencies, and other non - state entities. State financial assistance does not include Federal direct or pass -through awards and resources received by a non -state entity for Federal program matching requirements. In connection with the audit requirements addressed in Part II, paragraph 1, the Contractor shall ensure that the audit complies with the requirements of Section 215.97(8), F.S. This includes submission of a financial reporting package as defined by Section 215.97(2), F.S., and Chapter 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit organizations), Rules of the Auditor General. If the Contractor expends less than $750,000.00 in state financial assistance in its fiscal year, an audit conducted in accordance with file provisions of Section 21597, F.S., is not required. In the event that the Contractor expends less than $750,000.00 in state financial assistance in its fiscal year and elects to have an audit conducted in accordance with the provisions of Section 215.97, F.S., the cost of the audit must be paid from the non -state entity's resources (i.e., the cost of such an audit must be paid from the Contractor resources obtained from other than State entities). An audit conducted in accordance with this part shall cover the entire organization for the organization's fiscal year. Compliance findings related to contracts with the Agency shall be based on the contract's requirements, including any applicable rules, regulations, or statutes. The financial statements shall disclose whether or not the matching requirement was met for each applicable contract. All questioned costs and liabilities due to the Agency shall be fully disclosed in the audit report with reference to the Agency contract involved. If not otherwise disclosed as required by Rule 691- 5.003, F.A.C., the schedule of expenditures of state financial assistance shall identify expenditures by contract number for each contract with the Agency in effect during the audit period. For local governmental entities, financial reporting packages required under this pail must be submitted within 45 days after delivery of the audit report, but no later than 12 months after the Contractor's fiscal year end. For non-profit or for -profit organizations, financial reporting packages required under this part must be submitted within 45 days after delivery of the audit report, but no later than 9 months after the Contractor's fiscal year end. Notwithstanding the applicability of this portion, the Agency retains all right and obligation to monitor and oversee the performance of this contract as outlined throughout this document and pursuant to law. PART III: REPORT SUBMISSION Copies of financial reporting packages for audits conducted in accordance with 2 CFR Part 200 and required by Part I of this Financial Compliance Audit Attachment, shall be submitted, when required by 2 CFR § 200.512 by o• on behalf of the Contractor directly to each of the following: Federal Audit Clearinghouse Bureau of the Census 1201 East 10" Street Jeffersonville, IN 47132 Pursuant to 2 CFR § 200.512, all other Federal agencies, pass -through entities and others interested in a reporting package and data collection form must obtain it by accessing the Federal Audit Clearinghouse. Rb'! January — December 2020 OAA 203.20 The Contractor shall submit a copy of any management letter issued by the auditor, to the Area Agency on Aging for Southwest Florida, Inc. at the following address: Area Agency on Aging for Southwest Florida, Inc. Attn: Ken Carr, CFO 15201 N Cleveland Ave., Suite 1100 North Fort Myers, FL 33903 Additionally, copies of financial reporting packages required by this contract's Financial Compliance Audit Attachment, Part 11, shall be submitted by or on behalf of the Contractor directly to each of the following: The Area Agency on Aging for Southwest Florida, Inc. at the following address: Area Agency on Aging fm• Southwest Florida, Inc. Attn: Ken Carr, CFO 15201 N Cleveland Ave., Suite 1100 North Fort Myers, FL 33903 The Auditor General's Office at the following address: State of Florida Auditor General Claude Pepper Building, Room 574 111 West Madison Sheet Tallahassee, Florida 32399-1450 Any reports, management letters, or other information required to be submitted to the Agency pursuant to this contract shall be submitted timely in accordance with 2 CFR Part 200, F.S., and Chapter 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit organizations), Rules of the Auditor General, as applicable. Contractors, when submitting financial reporting packages to the Agency for audits done in accordance with 2 CUD Part 200 or Chapter 10.550 (local governmental entities) o' 10.650 (nonprofit and for -profit organizations), Rules of the Auditor General, should indicate the date that the reporting package was delivered to the Contractor in correspondence accompanying the reporting package. PART IV: RECORD RETENTION The Contractor shall retain sufficient records demonstrating its compliance with the terms of this contract for a period of six (6) years from the date the audit report is issued, and shall allow the Agency or its designee, the CFO, or Auditor General access to such records upon request. The Contractor shall ensure that audit working papers are made available to the Agency or its designee, CFO, or Auditor General upon request for a period of six (6) years from the date the audit report is issued, unless extended in writing by the Agency. 37 January — December 2020 OAA 203.20 ATTACHMENT II -EXHIBIT 1 PART I: AUDIT RELATIONSHIP DETERMINATION Contractors who receive state or federal resources may or may not be subject to the audit requirements of 2 CFR Pan 200 and/or Section 215.97, F.S. Contractors who are determined to be recipients or sub -recipients of federal awards and/or state financial assistance may be subject to the audit requirements if the audit threshold requirements set forth in Part I and/or Part Il of Exhibit I are met. Contractors who have been determined to be vendors are not subject to the audit requirements of 2 CFR § 200.38, and/or Section 215.97, F.S. Regardless of whether the audit requirements are met, Contractors who have been determined to be recipients or sub -recipients of Federal awards and/or state financial assistance must comply with applicable programmatic and fiscal compliance requirements. In accordance with 2 CFR Part 200 and/or Rule 691-5.006, F.A.C., Contractor has been determined to be: Vendmnot subject to 2 CFR § 200.38 and/m• Section 215.97, F.S. X Recipient/sub-recipient subject to 2 CFR § 200.86 and § 200.93 and/or Section 215.97, F.S. Exempt organization not subject to 2 CFR Part 200 and/or Section 215.97, F.S. For Federal awards, for -profit organizations are exempt; for state financial assistance projects, public universities, community colleges, district school boards, branches of state (Florida) government, and charter schools are exempt. Exempt organizations must comply with all compliance requirements set forth within the contract or award document. NOTE: If a Contactor is determined to be a recipient/sub-recipient of federal and/or state financial assistance, and has been approved by the Agency to subcontract, they must comply with Section 21597(7), F.S., and Rule 691-5.006, F.A.C. [state financial assistance] and/or 2 CFR § 200.330[federal awards]. PART II: FISCAL COMPLIANCE REQUIREMENTS FEDERAL AWARDS OR STATE MATCHING FUNDS ON FEDERAL AWARDS. Contractors who receive Federal awards, state maintenance of effort funds, or state matching fwnds on Federal awards and who are determined to be a sub - recipient must comply with the following fiscal laws, rules, and regulations: STATES, LOCAL GOVERNMENTS AND INDIAN TRIBES MUST FOLLOW: 2 CFR § 200.416 - § 200.417 —Special Considerations for States, Local Governments and Indian Tribes* 2 CFR § 200.201 — Administrative Requirements** 2 CFR § 200 Subpart F — Audit Requirements Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules, and regulations NON-PROFIT ORGANIZATIONS MUST FOLLOW: 2 CFR § 200.400 - §200.41 I —Cost Principles* 2 CFR § 200.100 — Administrative Requirements 2 CFR § 200 Subpart F — Audit Requirements Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules, and regulations EDUCATIONAL INSTITUTIONS (EVEN IF A PART OF A STATE OR LOCAL GOVERNMENT) MUST FOLLOW: 2 CFR § 200,418 — § 200.419 — Special Considerations for Institutions of Higher Education* 2 CFR § 200.100 — Administrative Requirements 2 CFR § 200 Subpart F — Audit Requirements Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules, and regulations m January — December 2020 OAA 203.20 Some Federal programs may be exempted from compliance with the Cost Principles Circulars as noted in 2 CPR § 200.400(5)(c). *For funding passed through U.S. Health and Human Services, 45 CFR Part 75; for funding passed through U.S. Department of Education, 34 CF12 Part 80, STATC FINANCIAL ASSISTANCE. Conuactors who receive state financial assistance and who are determined to be a recipient/sub-recipient must comply with the following fiscal laws, rules and regulations: Sections 215.97 & 215.971, F.S. Chapter 691-5, F.A.C. State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rides, and regulations 39 January — December 2020 ATTACHMENT II -EXHIBIT 2 FUNDING SUMMARY Note: TitIe2CFR§200331,asrevised,andSection215.97(5),F.S.,requirethatthevtformalionaboutfederalprogramsandStateProjectsbe povided tothe Recipient and are stated inTlieFinancial And Compliance Audit Attachment 11, Exhibit I provided tothe recipient, information contained herein is a pied ictionoffutdijig sourcesand related amounts based on the contract budget. 1. FEDERAL RESOURCES AWARDEll TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE FOLLOWING: COLLIER COUNTY GRANT AWARD FAIN# : 2001FLOASS, 2001 FLOACM, 2001FLOAHD, 2001FLOAPH, 2001FLOAFC DUNS NUMBER :076997790 FEDERAL AWARD DATE: OCTOBER 01, 2019 PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT Older Americans Act Title IIIB — Transportation $ 95863,90 Support Services U.S. Health and Human Services 93,044 $ 375,156,79 Total IIIB $ 3851020,69 OAA Title RIC I — Congregate Meals U.S. Health and Human Services 93,045 $ 341,322,29 Total IIICI OAA Title III C2—Home Delivered Meals U.S. Health and Human Services 93,045 $ 3015442,67 Total I IIC2 Older Americans Act Title III E Services (Title III E) $ 1365240,61 Supplement Services (Title III ES) U.S. Health and Human Services 93,052 $ 13,951.15 Grandparent Services (Title III EG) $ 6,000.55 Total HIE $ 15619231 Nutrition Services Incentive Program (NSIP) U.S. Health and Human Services 93,053 $ 46,737,03 TOTAL FEDERAL AWARD $192309714699 40 January — December 2020 OAA 203,20 COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: FEDERAL FUNDS: 2 CFR Part 2000niform 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 & 215.971, F.S., Chapter 691-5, F.A.C., State Projects Compliance Supplement Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules, and regulations 41 January — December 2020 ATTACHMENT III CERTIFICATIONS AND ASSURANCES OAA 203,20 Agency will not award this contract unless Contractor completes this CERTIFICATIONS AND ASSURANCES. In performance of this contract, Contractor provides the following certifications and assurances: 1 r, r rtore ri C•�, r 1 � r r •t _r. ,r. MENrrr r C. �,. r r• r r_ _ C• r A. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS — PRIMARY COVERED TRANSACTION. The undersigned Contactor certifies, to the best of its knowledge and belief, that it and its principals: 1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded fio n covered transactions by a Federal department or agency; 2. Have not within a three-year period preceding this contract been convicted or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; 3. Are not presently indicated or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph A.2. of this certification; and/or 4. Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State, or local) terminated for cause of default. The undersigned shall require that language of this certification be included in the documents for all subcontracts at all tiers (including subcontracts, sub -grants, and contacts under grants, loans, and cooperative agreements) and that all sub -recipients and contractors shall provide this certification accordingly. B. CERTIFICATION REGARDING LOBBYING —CERTIFICATION FOR CONTRACTS, GRANTS, LOANS, AND COOPERATIVE AGREEMENTS. The undersigned Contractor 42 certifies, to the best of its knowledge and belief, that: No Federal appropriated funds have been paid or will be paid, by a on behalf of the w7dersigned, to any person for influencing or attempting to influence an officer or employee of Congress or an employee of a Member of Congress in January — December 2020 OAA 203,20 connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 1f any f n s other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or employee of a Member of Congress in connection with a Federal contract, grant, loan, or cooperative agreement, the undersigned shall also complete and submit Standard Form — LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The undersigned shall require that language of this certification be included in the documents for all subcontracts atall tiers (including subcontracts, sub -grants, and contracts under grants, loans, and cooperative agreements) and that all sLib-recipients and contractors shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this contract was made or entered into. Submission of this certification is a prerequisite for making or entering into this contract imposed by 31 U.S.C. § 1352, Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. C. NON- DISCRIMINATION & 1;QUAL OPPORTUNITY ASSURANC>✓ (29 CFR PART 37 AND 45 CFR PART 80). - As a condition of the Contract, Contractor assures that it will comply fully with the nondiscrimination and equal opportunity provisions of the following laws: 1. Section 188 of the Workforce Investment Act of 1998 (WIA), (Pub. L. 105-220), which prohibits discrimination against all individuals in the United States on the basis of race, color, religion, sex, national origin, age, disability, political affiliation, or belief, and against beneficiaries on the basis of either citizenship/status as a lawfully admitted immigrant authorized to work in the United States or participation in any WIA Title I -financially assisted program or activity. 2. Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 CFR Part 80), to the end that, in accordance with Title VI of that Act and the Regulation, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Agency. 3. Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 CPR Part 84), to the end that, in accordance with Section 504 of that Act and the Regulation, no otherwise qualified handicapped individual in the United States shall, solely by reason of his handicap, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Agency. 4. The Age Discrimination Act of 1975 (Pub. L. 94-135), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 CFR Part 91), to the end that, in accordance with the Act and the Regulation, no person in the United States shall, on the basis of age, be denied the benefits of, be excluded from participation in, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Agency. 5. Title IX of the Education Amendments of 1972 (Pub. L. 92-318), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 CFR Part 86), to the end that, in accordance with Title IX and the Regulation, no person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any education program or activity for which the Applicant receives Federal financial assistance from the Agency. 6. The American with Disabilities Act of I990 (Pub. L. 101-336), which prohibits discrimination in all employment practices including job application procedures, hiring, firing, advancement, compensation, training, and other terms, conditions, and privileges of employment. It applies to recruitment, advertising, tenure, layoff, leave, fringe benefits, and all other employment -related activities. 43 Ianuary — December 2020 OAA 203,20 7. Contractor also assures that it will comply with 29 CFR Part 37 and all other regulations implementing the laws listed above. This assurance applies to Contractor's operation of the WIA Title I — financially assisted program or activity, and to all contracts Contractor makes to carry out the WIA Title I — financially assisted program or activity. Contractor understands that the Agency and/or DOEA and the United States have the right to seek judicial enforcement of the assurance. The undersigned shall require that language of this assurance be included in the documents for all subcontracts at all tiers (including subcontracts, sub -grants, and contracts under grants, loans, and cooperative agreements) and that all sub -recipients and contractors shall provide this assurance accordingly. D. CERTIFICATION REGARDING PUBLIC ENTITY CRIMES, SECTION 287.133, F.S. Contractor hereby certifies that neither it, nor any person or affiliate of Contractor, has been convicted of a Public Entity Crime as defined in section 287.133, F.S., nor placed on the convicted vendor list. Contractor understands and agrees that it is required to inform Agency immediately upon any change of circumstances regarding this status, E. ASSOCIATION OF COMMUNITY ORGANIZATIONS FOR REFORM NOW (ACORN) FUNDING RESTRICTIONS ASSURANCE (Pub. L. 111-117). As a condition of the Contract, Contractor assures that it will comply fully with the federal funding restrictions pertaining to ACORN and its subsidiaries per the Consolidated Appropriations Act, 2010, Division E, Section 511 (Pub. L. I I I-117). The Continuing Appropriations Act, 2011, Sections 101 and 103 (Pub. L. 111-242), provides that appropriations made under Pub, L. I I 1-117 are available under the conditions provided by Pub. L. 111-117. The undersigned shall require that language of this assurance be included in the documents for all subcontracts at all tiers (including subcontracts, sub -grants and contracts under grants, loans and cooperative agreements) and that all sub - recipients and contractors shall provide this assurance accordingly. F. SCRUTINIZED COMPANIES LISTS AND NO BOYCOTT OF ISRAEL CERTIFICATION, SECTION 287,135, F.S, In accordance with section 287.135, F.S„ Contractor hereby certifies that it has not been placed on the Scrutinized Companies that Boycott Israel List and that it is not engaged in a boycott of Israel. If this contract is in the amount of $1 million or more, in accordance with the requirements of section 287.135, F.S., Contractor hereby certifies that it is not listed on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List and that it is not engaged in business operations in Cuba or Syria. Contractor understands that pursuant to section 287.135, F.S., the submission of a false certification may result in the Agency terminating this contract and the submission of a false certification may subject Contractor to civil penalties and attorney fees and costs, including any costs for investigations that led to the finding of false certification. If Contractor is unable to certify any of the statements in this certification, Contractor shall attach an explanation to this contract. G. CERTIFICATION REGARDING DATA INTEGRITY COMPLIANCE FOR CONTRACTS, AGREEMENTS, GRANTS, LOANS, ANll COOPERATIVE AGREEMENTS 1. The Contractor and any Subcontractors of services under this contract have financial management systems capable of providingcertain information, including: (1) accurate, current, and complete disclosure of the financial results of each grant -funded project or program in accordance with the prescribed reporting requirements; (2) the source and application of funds for all contract supported activities; and (3) the comparison of outlays with 44 January — December 2020 C�7:1:f4I17t�dli budgeted amounts £or each award. The inability to process information in accordance with these requirements could result in a return of grant funds that have not been accounted for properly. 2. Management Information Systems used by the Contractor, Subcontractors, or any outside entity on which the Contractor is dependent for data that is to be reported, transmitted, or calculated have been assessed and verified to be capable of processing data accurately, including year -date dependent data. For those systems identified to be non -compliant, Contractors will take immediate action to assure data integrity. 3. If this contract includes the provision of hardware, software, firmware, microcode, oi• imbedded chiptechnology, the undersigned warrants that these products are capable of processing year -date dependent data accurately. All versions of these products offered by the Contractor (represented by the undersigned) and purchased by the state will be verified for accuracy and integrity of data prior to transfer. 4. In the event of any decrease in functionality related to time and date related codes and internal subroutines that impede the hardware or software programs from operating properly, the Contractor agrees to immediatelymake required corrections to restore hardware and software programs to the same level of functionality as warranted herein, at no charge to the state, and without interruption to the ongoing business of the state, time being of the essence. 5. The Contractor and any Subcontractors of services under this contract warrant that [heir policies and procedures include a disaster plan to provide for service delivery to continue in case of an emergency, including emergencies arising from data integrity compliance issues. H. VI;RIP'ICATION OF 1;MPLOYMI;NT STATUS C>;12TIFICATION As a condition of contracting with the Agency, Contractor certifies the use of the U.S. Department of Homeland Security's E-verify system to verify the employment eligibility of all new employees hired by Contractor during the contract term to perform employment duties pursuant to this contract, and that any subcontracts include an express requirement that Subcontractors performing work or providing services pursuant to this contract utilize the E-verify system to verify the employment eligibility of all new employees hired by the Subcontractor during the entire contract term. The Contractor shall require that the language of this certification be included in all sub -agreements, sub -grants, and other agreements/contracts and that all Subcontractors shall certify compliance accordingly. This certification is a material representation of fact upon which reliance was placed when this contract was made or entered into. Submission of this certification is a prerequisite for making or entering into this contract imposed by Circulars A-102 and 2 CFR Part 200 and 215 (formerly OMB Circular A -I 10), I. RI';CORDS AND DOCUMI;NTATTON The Contractor agrees to make available to Agency staff and/or any party designated by the Agency any and all contract related records and documentation. The Contractor shall ensure the collection and maintenance of all program related information and documentation on any such system designated by the Agency. Maintenance includes valid exports and backups of all data and systems according to Agency standards. J. C1;RTIFICATION RI•;GARDING INSPT✓CTION OF PUBLIC RI'iCORDS I, In addition to the requirements of Section 10 of the Standard Contract, sections 119.0701(3) and (4) F.S., and any other applicable law, if a civil action is commenced as contemplated by section 119.0701(4), F.S., and the Agency is named in the civil action, Contractor agrees to indemnify and hold harmless the Agency for any costs incurred by the Agency and any attorneys' fees assessed or awarded against the Agency from a Public Records Request made pursuant to Chapter 119, F.S., concerning this contract or services performed thereunder. a. Notwithstanding section 119.0701, F.S., or other Florida law, this section is not applicable to contracts executed between the Agency and state agencies or subdivisions defined in section 768.28(2), F.S. 45 January — December 2020 OAA 203.20 2. Section 119.01(3), F.S., states if public funds are expended by an agency in payment of dues or membership contributions for any person, corporation, foundation, trust, association, group, or other organization, all the financial, business, and membership records of such an entity which pertain to the public agency (Area Agency on Aging for Southwest Florida, Inc.) are public records. Section 119.07, F.S, states that every person who has custody of such a public record shall permit the record to be inspected and copied by any person desiring to do so, under reasonable circumstances. Additionally, I certify this organization does _x_ does not provide for institutional memberships. Contractor's signature below attests that records pertaining to the dues or membership application by the Agency are available for inspection if applicable, as stated above. By execution of this contract, Contractor must include these provisions (A-J) in all related subcontract agreements (if applicable). By signing below, Contractor certifies that the representations outlined in parts A through J above are true and correct. Signature and Title of Authorized Representative STEPHEN Y CARNELL, PUBLIC SERVICE DEPARTMENT HEAD Street Address: 3339 TAMIAMI TRAIL E SUITE 211 COLLIER COUNTY BOARD OF COMMISSIONERS NAPLES, FL 34112 Contractor I Date City, State, Zip code January — December 2029 OAA 203,20 ATTACHMENT IV ASSURANCES--NON-CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average forty-five (45) minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget. Paperwork Reduction Project (0348-0043), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET, SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.. Note: Certain of these assurances may not be applicable to yom• project or program. If you have questions please contact the awarding agency. Further, certain federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. 1. Has the legal authority to apply fo' federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-federal share of project cost) to ensure proper planning, management, and completion of the project described in this application. 2. Will give the awarding agency, the Comph•oller General of the United States, and if appropriate, the state, tlu•oughany authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes, or presents the appearance of, personal or organizational conflict of interest or personal gain. 4. Will initiate and complete the work within the applicable time frame aRer receipt of approval of the awa•dingagency. 5. Will comply with the Intergovernmental Personnel Act of 1970 Al U.S.C. §§ 4728-4763) relating to prescribed standards for merit systems for programs funded under one of the 19 statutes of regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will comply with all federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color• or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§ 1681-1683 and §§ 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616)3 as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§ 290 dd-3 and 290 ee 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title Vlll of the Civil Rights Act of 1968 (42 U.S.C. § 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for federal assistance is being made; and 0) the requirements of any other nondiscrimination statue(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Titles 11 and III of the uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treabnent of persons displaced or whose property is acquired as a result of federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of federal participation in purchases. 47 January — December 2020 OAA 203.20 8. Will comply, as applicable, with the provisions of the Hatch Act (5 U.S.C. §§ 15014508 and §§ 7324-7328), which limit the political activities of employees whose principal employment activities are funded in whole or in part with federal funds. 9. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. §§ 276a to 276a-7), the Copeland Act (40 U.S.C. § 276c and 18 U.S.C. § 874) and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§ 327-333), regarding labor standards for federally assisted construction sub -contracts. 10, Will comply, if applicable, with flood insurance purchase requirements of Section ]02(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000.00 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. § 1451 et seq.); (f) conformity of federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. § 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and (h) protection of endangered species raider the Endangered Species Act of 1973, as amended (P.L, 93-205). 12 Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. § 1721 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. § 4I ), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. § 469a4 et seq.). 14. Will comply with P.L. 93-348 regardingthe protection of human subjects involved in research, development, and related activities supported by this award of assistance. I5. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. § 2131 et seq.) pertaining to the care, handling, and treatment ofwarm-blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. § 4801 et seq.), which prohibits the use of lead- based paint in construction a• rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and 2 CFR Part 200. 18. Will comply with all applicable requirements of all other federal laws, executive orders, regulations, and policies governing this program, SI TU OF AUT RIZED ERTIFYING OFFICIAL TITLE PUBLIC SERVICE DEPARTMENT HEAD STEPHEN Y CAARNELL APPLICANT ORGANIZATION DATE SUBMITTED COLLIER COUNTY BOARD OF COMMISSIONERS I 48 Approved as to form and legality cAo Ass' tantCounty Vmrcy t\3\QO40 January — December 2020 OAA 203,20 ATTACHMENT V FLORIDA DEPARTMENT OF ELDER AFFAIRS CIVIL RIGHTS COMPLIANCE CHECKLIST Program/Faci lity Name County AAA/Contractor Address Completed By City, State, Zip Code Date Telephone PART I: READ THE ATTACHED INSTRUCTIONS FOR ILLUSTRATIVE INFORMATION WHICH WILL HELP YOU COMPLETE 'PHIS FORM. 1. Briefly describe the geographic area served by the program/facility and the type of service provided: For questions 2-5 please indicate the follL 2. Population of area served !3. Staff currently employed '.4. Clients currently enrolle(Viegistered 5. Advisory/Governing Board if applicable roving: Total # White Black Hispanic Other Female Disabled Over 40 Source of data: Effective date: Effective date: PART II: USE r\SEPARATE SHEET OP PAPER FOR ANY EXPLANATIONS REQUIRING MORE SPACE. IF N/A at, NO, EXPLAIN 6. Is an Assurance of Compliance on file with DOEA? N/A ❑ YES ❑ NO ❑ 7. Compare the staff composition to the population. Is staff representative of the population? N/A ❑ YES ❑ NO ❑ 8. Are eligibility requirements for services applied to clients and applicants without regard to race, color, national origin, sex, age, religion, or disability? N/A ❑ YES ❑ NO ❑ 9. Are all benefits, services and facilities available to applicants and participants in an equally effective manner regardless of race, sex, color, age, national origin, religion, or disability? N/A ❑ YES ❑ NO ❑ 10. For in -patient services, are room assignments made without regard to race, color, national origin or disability? N/A YES NO ❑ ❑ ❑ 11. Is the program/facility accessible to non-English speaking clients? N/A YES NO ❑ ❑ ❑ 12. Are employees, applicants and participants informed of their protection against discrimination? If YES, how? Verbal ❑ Written ❑ Poster ❑ N/A ❑ YES ❑ NO ❑ 49 January — December 2020 OAA 203.20 13. Give the number and current status of any discrimination complaints regarding services or employment filed N/A NUMBER against the program/facility. ❑ 14. Is the program/facility physically accessible to mobility, hearing, and sight -impaired individuals? N/A YES NO ❑ ❑ ❑ PART III: THE FOLLOWING QUESTIONS APPLY TO PROGRAMS AND FACILITIES WITH 15 OR MORE EMPLOYEES. IF NO, EXPLAIN, 15. Flas as a self -evaluation been conducted io identify any barriers to serving disabled individuals and to make any YES NO necessary modifications? ❑ ❑ 16. Is there an established grievance procedure that incorporates due process in the resolution ofcomplaints? YES NO ❑ ❑ 17. Has a person been designated to coordinate Section 504 compliance activities? YES NO ❑ ❑ 18, Do recruitment and notification materials advise applicants, employees, and participants of nondiscrimination YES NO on the basis of disability? ❑ ❑ 19. Are auxiliary aids available to ensure accessibility of services to hearing and sight -impaired individuals? YES NO PART IV: FOR PROGRAMS OR FACILITIES N4TH 50 OR MORE EMPLOYEES AND FEDERAL CONTRACTS OF S501000.00 OR MORE, 20. Do you have a written affirmative action plan? If NO, explain. YES NO ❑ ❑ 1ra Reviewed by In Compliance: YES NO* Program Office *Notice of Corrective Action Sent_/_/_ Date Tele hone Response Due On -Site Lj Desk Review Response Received_/_/_ 50 January — December 2020 OAA 203.20 ATTACHMENT V INSTRUCTIONS FOR THE CIVIL RIGHTS COMPLIANCE CHECKLIST l . Describe the geographic service area such as a district, county, city, or other locality. if the program/facility serves a specific target population such as adolescents, describe the target population. Also, define the type of service provided. 2. Enter the percent of the population served by race, sex, disability, and over the age of 40. "I'he population served includes persons in the geographical area for which services are provided such as a city, county or other regional area. Population statistics can be obtained from local chambers of commerce, libraries, or any publication from the 1980 Census containing Florida population statistics. Include the source of your population statistics. ("Other" races include Asian/Pacific Islanders and American Indian/Alaskan Natives.) 3. Enter the total number of full-time staff and their percent by race, sex, disability, and over the age of 40. Include the effective date of your summary. 4. Enter the total number of clients who are enrolled, registered or currently served by the program or facility, and list their percent by race, sex, disability, and over the age of 40. Include the date that enrollment was counted. a. Where there is a significant variation between the race, sec, or ethnic composition of the clients and their availability in the population, the program/facility has the responsibility to determine the reasons for such variation and take whatever action may be necessary to correct any discrimination. Some legitimate disparities may exist when programs are sanctioned to serve target populations such as elderly or disabled persons. 5. Enter the total number of advisory board members and their percent by race, sex, disability, and over the age of 40. If there is no advisory or governing board, leave this section blank. 6. Each recipient of federal financial assistance must have on file an assurance that the program will be conducted in compliance with all nondiscriminatory provisions as required in 45 CFR Part 80. This is usually a standard part of the contract language fa• Area Agency and/or DOEA Recipients and their Sub -grantees. 45 CFR § 80.4 (a). 7. Is the race, sex, and national origin of the staff reflective of the general population? For example, if 10% of the population is Hispanic, is there a comparable percentage of Hispanic staff? 8. Do eligibility requirements unlawfully exclude persons in protected groups from the provision of services or employment? Evidence of such may be indicated in staff and client representation (Questions 3 and 4) and also through on -site record analysis of persons who applied but were denied services om• employment. 45 CFR § 80.3 (a) and 45 CFR § 80.1. 9. Participants m• clients must be provided services such as medical, nursing, and dental care, laboratory services, physical and recreational therapies, counseling, and social services without regard to race, sex, color, national origin, religion, age, or disability. Courtesy titles, appointment scheduling, and accuracy of record keeping must be applied uniformly and without regard to race, sex, color, national origin, religion, age, or disability. Entrances, waiting rooms, reception areas, restrooms, and other facilities must also be equally available to all clients. 45 CFR § 80.3 (b). 10. For in -patient services, residents must be assigned to rooms, wards, etc., without regard to race, color, national origin, or disability. Also, residents must not be asked whether they are willing to share accmnmodations with persons of a different race, color, national origin, or disability. 45 CFR § 80.3 (a). 1 I. The program/facility and all services must be accessible to participants and applicants, including those persons who may not speak English. In geographic areas where a significant population of non-English speaking people live, program accessibility may include the employment of bilingual staff. In other areas, it is sufficient to have a policy or plan for service, such as a current list of names and telephone numbers of bilingual individuals who will assist in the provision of services. 45 CFR § 80.3 (a). 12. Programs/facilities must make information regarding the nondiscriminatory provisions of Title VI available to their participants, beneficiaries, or any other interested parties. 45 CFR § 80.6(d). This should include information on 51 January — December 2020 OAA 203,20 their right to file a complaint of discrimination with either the Area Agency on Aging for Southwest Florida, Inc. and/or Florida Department of Elder Affairs or the U.S. Department of Health and Human Services. The information may be supplied verbally or in writing to every individual or may be supplied through the use of an equal opportunity policy poster displayed in a public area of the facility. 13. Report number of discrimination complaints filed against the program/facility. Indicate the basis (e.g. race, color, creed, sex, age, national origin, disability, and/or retaliation) and the issues involved (e.g, services or employment, placement, termination, etc.). Indicate the civil rights law or policy alleged to have been violated along with the name and address of the local, state, or federal agency with whom the complaint has been filed. Indicate the current status of the complaint (e.g. settled, no reasonable cause found, failure to conciliate, failure to cooperate, under review, etc.). 14. The program/facility must be physically accessible to mobility, hearing, and sight -impaired individuals. Physical accessibility includes designated parking areas, curb cuts or level approaches, ramps, and adequate widths to entrances. The lobby, public telephone, restroom facilities, water fountains, and information and admissions offices should be accessible. Door widths and traffic areas of administrative offices, cafeterias, restrooms, recreation areas, counters, and serving lines should be observed for accessibility. Elevators should be observed for door width and Braille or raised numbers. Switches and controls for light, heat, ventilation, fire alarms, and other essentials should be installed at an appropriate height for mobility impaired individuals. 15. Section 504 of the Rehabilitation Act of 1973 requires that a recipient of federal financial assistance conduct aself- evaluation to identify any accessibility barriers. Self -evaluation is a four -step process: a. Evaluate, with the assistance of disabled individual(s)/organization(s), current practices and policies that do not comply with Section 504; Ill Modify policies and practices that do not meet Section 504 requirements; c. Take remedial steps to eliminate the effects of any discrimination that resulted from adherence to these policies and practices; and d. Maintain self -evaluation on file, including a list of the interested persons consulted, a description of areas examined, and any problems identified, and a description of any modifications made and of any remedial steps taken 45 CFR § 84.6. (This checklist may be used to satisfy this requirement if these four steps have been followed). 16. Programs or facilities that employ 15 or more persons shall adopt grievance procedures that incorporate appropriate due process standards and that provide for the prompt and equitable resolution of complaints alleging any action prohibited by Part 84 of Title 45, CFR § 84.7(b). l7. Programs or facilities that employ 15 0• more persons shall designate at least one person to coordinate its efforts to comply with Part 84 of Title 45, CFR. 45 CFR § 84.7(a). 18. Programs o• facilities that employ 15 or more persons must provide appropriate initial and continuing steps to notify participants, beneficiaries, applicants, and employees that the program/facility does not discriminate on the basis of handicap in violation of Section 504 and part 84 of Title 45, CFR. Methods of initial and continuing notification may include the posting of notices, publication in newspapers and magazines, placement of notices in publications of the programs or facilities, and distribution of memoranda or other written communications. 45 CFR § 84.8(a). 19. Programs or facilities that employ 15 or more persons shall provide appropriate auxiliary aids to persons with impaired sensory, manual, or speaking skills where necessary to afford such persons an equal opportunity to benefit from the service in question. Auxiliary aids may include, but are not limited to, brailed and taped materials, interpreters, and other aids for persons with impaired hearing or vision. 45 CFR § 84.52(d). 20. Programs/facilities with 50 or more employees and $50,000.00 in federal contracts must develop, implement, and maintain a written affirmative action compliance program in accordance nvith Executive Order 11246, 41 CFR 60 and Title VI of the Civil Rights Act of 1964, as amended. 52 DEPARTMENToF ELDER AFFAIRS STATE OF FLORIDA BACKGROUND SCREENING Affidavit of Compliance = Employer AUTHORITY: This form is required annually of all employers to comply with the attestation requirements set forth in section 435.05(3), Florida Statutes, D The term "employer" means any person or entity required by law to conduct background screening, including but not limited to, Area Agencies on Aging, Aging Resource Centers, Aging and Disability Resource Centers, Lead Agencies, Long -Term Care Ombudsman Program, Serving Health Insurance Needs of Elders Program, Service Providers, Diversion Providers, and any other person or entity which hires employees or has volunteers in service who meet the definition of a direct service provider. See §§ 435.02, 430.0402, Fla. Stat. ➢ A direct service provider is "a person 18 years of age or older who, pursuant to a program to provide services to the elderly, has direct, face -to -fate contact with a client while providing services to the client and has access to the client's living area, funds, personal property, or personal identification information as defined In s. 817.568. The term includes coordinators, managers, and supervisors of residential facilities; and volunteers." § 430.0402(1)(b), Fla. Stat, ATTESTATION: As the duly authorized representative of COLLIER COUNTY BOARD OF COMMISSIONERS Employer Nome located at 3339 TAMIAMI TRAIL EAST #211 NAPLES FL 34112 Street Address City State ZIP code I, STEPHEN Y CARNELL do hereby affirm under penalty of perjury Name of Representative that the above named employer is in compliance with the provisions of Chapter 435 and section 4 Florida Statutes ,regardinglevel 2 backgroundscreening. TVA (J iIV gna r of Representativ(/,� Date (ICJ STATE OF FLORIDA, COUNTY OF 1i Sworn to (or affirmed) and subscribed before me this US, day of RV\�ACt 20 2P by I CiaJu'le- (Name of Representative) who is ersonally known torMeoroduc d as proof of identification. NOUry Pub11c Slate ar Fbritls A Wendy Klopf tiesae1 Pri ,T dLQ6 Sta e'b J 0 R o f o a ublic Notary Public DOEA Form 235, Affidavit of Compliance- Employer, Effective April 2012 Ajljfrovedasio fomf%Mlipltjlfitjo F.S. Form available at: httoi//elderaffairs state fl us/enelish/backeroundscreenine.oho Assl unt County AH ney January — December 2020 OAA 203.20 ATTACHMENT IX BUDGET AND RATE SUMMARY OLDER AMERICANS ACT BUDGET SUMMARY CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY 1. Title III 6 Support Services $ 385,020,69 2. Title III Cl Congregate Meals $ 341,322.29 3. Title III C2 Home Delivered Meals $ 301,442.67 4. Title III F. Services $ 156,192.31 5. NSIP $ 46,737.03 TOTAL $1,230,714.99 54 January — December 2020 ATTACHMENT IX BUDGET AND RATE SUMMARY COLLIER IIIB OAA 203.20 SERVICE REIMBURSEMENT UNIT RATE METHOD OF PAYMENT UNIT TYPE CASE MANAGEMENT $54,00 Fixed Fee/Unit Rate HOURS CHORE $22,29 Fixed Fee/Unit Rate HOURS EMERGENCY ALERT RESPONSE $ 1,35 Fixed Fee/Unit Rate DAYS HOMEMAKER $22,55 Fixed Fee/Unit Rate HOURS HOUSING IMPROVEMENT Cost Reimbursement 90% of Cost EPISODE MATERIAL AID Cost Reimbursement 90% of Cost EPISODE PERSONAL CARE $23,48 Fixed Fee/Unit Rate HOURS RESPITE IN - HOME $23,27 Fixed Fee/Unit Rate HOURS SKILLED NURSING SERVICES $38,06 Fixed Fee/Unit Rate HOURS SPECIALIZED MEDICAL EQUIPMENT, SERVICES, Cost Reimbursement 90% of Cost EPISODE TRANSPORTATION Cost Reimbursement 100% of Cost TRIPS 55 January — December 2020 ATTACHMENT IX BUDGET AND RATE SUMMARY COLLIER COUNTY IIIE, IIIES, &IIIEG OAA 203.20 SERVICE REIMBURSEMENT UNIT RATE METHOD OF PAYMENT UNIT TYPE IIIE-- ADULT DAY CARE $12.76 Fixed Fee/Unit Rate HOURS RESPITE IN -HOME $23.27 Fixed Fee/Unit Rate HOURS RESPITE IN -FACILITY $11.05 Fixed Fee/Unit Rate HOURS SCREENING & ASSESSMENT $55.17 Fixed Fee/Unit Rate HOURS IIIES-- CHORE $22.29 Fixed Fee/Unit Rate HOURS Specialized Medical Equipment, Service & Supplies Cost Reimbursement 90%of Cost EPISODE MATERIAL AID Cost Reimbursement 90% of Cost EPISODE IIIEG--CHILD DAY CARE $15.00 Fixed Fee/Unit Rate HOURS SCREENING AND ASSESSMENT $55.17 Fixed Fee/Unit Rate HOURS 56 January — December 2020 /:YWII:Cfl1 u1�1►Yr►/ BUDGET AND RATE SUMMARY COLLIER COUNTY OAA 203.20 SERVICE REIMBURSEMENT UNIT RATE U NIT TYPE Cl -- CONGREGATE MEALS $11.72 MEALS NUTRITION EDUCATION $ 1.59 PARTICIPANTS CONGREGATE MEAL SCREENING $28.00 14OUR OUTREACH $4.32 PER PERSON EPISODE SERVICE REIMBURSEMENT UNIT RATE UNIT TYPE C2 -- HOME DELIVERED MEALS $ 8.07 MEALS NUTRITION EDUCATION $ 1.59 PARTICIPANTS SCREENING & ASSESSMENT $48.76 HOUR OUTREACH $4.32 PER PERSON EPISODE 57 January — December 2020 ATTACHMENT X INVOICE SCHEDULE Repro t Number Based On' January Advance* 2 February Advance* 3 January Expenditure Report 4 February Expenditure Report 5 March Expenditure Report 6 April Expenditure Report 7 May Expenditure Report 8 June Expenditure Report 9 July Expenditure Report 10 August Expenditure Report 1 1 September Expenditure Report 12 October Expenditure Report l3 November Expenditure Report 14 December Expenditure Report 15 Final Expenditure and Request for Payment OAA 203.20 Submit to Agency On This Date January 1 January 1 February 9 *See Note #4* March 9 April 9 May 9 June 9 July 9 August 9 September 9 October 9 November 9 December 9 January 9 February 15 Legend: *Advance based on projected cash teed as supported by a cash -flow analysis or other information appropriate to demonstrate the contractor's financial need for the advance. Note # I: Report #I for Advance Basis Agreements cannot be submitted to the Agency prior to January I or until the agreement with the Agency has been executed. Note #2: Report numbers 5 through 14 shall reflect an adjusUnent of one -tenth of the total advance amount, on each of the reports, repaying advances issued the first two months of the agree- ment. The adjustment shall be recorded in Part C, I of the report (ATTACHMENT XI). Note # 3: Submission of expenditure reports may or may not generate a payment request [f final expendiuue report reflects funds due back to the Agency, payment is to accompany the report. Note 44: ALL Expenditure Reports are due by 12:00 p.m. on the 91h of each month. IF the 9"' falls on a Saturday, then the report will be due by the 8"' by 12:00 p.m. AND IF the 9" falls on a Sunday, the report will be due by the 10°i by 12:00 p.m. Actual submission of the vouchers to Dept. of Elder Affairs is dependent on the accuracy of the expenditure report, which is verified and paid by CIRTS data only. AFTER Billing submitted, DO NOT ADD any additional units (retro or next billing period) until after the 15"' of the month. m January — December 2020 ATTACHMENT XI REQUEST FOR PAYMENT OAA 203,20 TYPE OF REPORT. PROVIDER NAME, ADDRESS. PHONES FED ID NUMBER Contract Advance_,___ iConted Period Reumburserl Report Penod I ]ReportIF Invoiceir CERTIFICATION. I hereby comfyy relie beat of my cur Unit this —quest conferees -Wm the terms ed the purposes set fel int—he aboveconVact.Tothe - best of my of ery Mnovded9e, all GISTS is accurate and correct Prepared BY Approved BY Dale PART A. (t) (2) (3) (4) (s) (s( (T) (e) BUDGET SUMMARY ADMIN. Ina it IIIC2 IM IHE NSIP TOTAL. L Approved Contract Amount 0,00 0,00 000 o 000 0 ODI 000 000 2. Previous Funds RECEIVED for Contract period 000 0.00 0.00 0,00 0.00 0 0 000 Balance Full 0 0 0 000 0,00 0,001 o 000 Ihmin z) 4. Previous Funds REQUESTED and Not Received. 0 0 0 0 0 0,00' 000 000 S. Contrast Balance O.OD 0.00 0.00 0 0 0 0 0.00 (Line 3 minus Into 4) PART B FUNDS REl ' SQUESTED t. tl1. Request Only ODD OSO 0D0 000 0 SON1 0 0.00 2, Net Expenditures For Month O.OD 0.00 0.00 0,00 0.00 000 0 000 3, Total —.._... 000 __...._. 0 — 0SO o 0100 0100I 000 000 R CD. T FUNDS REQUESTED: I. Less . OverAdvance(too 000 0 (Foo 0 SW 000 000 Contract Requested 0.00 0.00 0.00 000 0.00 0,00, 0,00 0.00 ❑er of Services I Units I Rates Prnvlded- See attached report. DORA Use Only FAFOR'.t IN A re,aed INIDNe �Y] January - December 2020 ATTACHMENT XII EXHIBIT 1 RECEIPTS AND EXPENDITURE REPORT OAA 203.20 PROVIDER NAME, ADDRESS, PHONE# AND FEID# PROGRAM FUNDING SOURCE: Contract# Title III Contract Period: IIIB ReportPeriod PSA Report# Invoice# CERTIFICATION : I certify to the best of my knowledge and belief that this report is complete and all outlays herein are for purposes set forth in the contract. To the best of my knowledge, all CIRTS is accurate and correct. Prepared by: Date: Approved by: Dale: PART A: BUDGETED INCOME/ RECEIPTS 1. Approved Budget 2. Actual Receipts 3. Total Receipts 4. Percent of For This Report Year to Date Approved Budget 1. Federal Funds $0.00 $0.00 $0.00 #DIV/0! 2. State Funds $0.00 $0.00 $0.00 #DIV/01 3. Program Income - Non Match $0.00 $0.00 $0.00 #DIV/01 4. Local Cash Match $0.00 $0.00 $0.00 #DIV/01 5. SUBTOTAL: CASH RECEIPTS $0.00 $0.00 $0.00 #DIV/01 6. Local In -Kind Match $0.00 $0.00 $0.00 #DIV/01 7. TOTAL RECEIPTS $0.00 $0.00 $0.00 #DIV/01 PART B : EXPENDITURES 1. Approved Budget 2. Expenditures 3. Expenditures 4. Percent of For This Report Year to Date Approved Budget 1, AAA Direct Services $0.00 $0.00 $0.00 #DIV/01 2. Subcontractor $0.00 $0.00 $0.00 #DIV/0! 3. IIIB Set Aside $0.00 S0.00 $0.00 #DIV/01 4. IIIB Set Aside DRR(Disaster Recovery Reserve) $0.00 $0.00 $0.00 #DIV/01 5. TOTAL EXPENDITURES $0.00 $0.00 $0.00 #DIV/01 PART C : OTHER EXPENDITURES 1. Approved Budget 2. Expenditures 3. Expenditures A. Percent of (For Tracking Purposes only) For This Report Year to Date Approved Budget 1. Match a. Otherand In -Kind $0.00 $0.00 $0.00 r #DIV/0! b. Local Match $0.00 $0.00 $0.00 #DIV/0! 2. Program Income $0.00 $0.00 $0.00 #DIV/01 3. TOTAL OTHER $0.00 $0.00 $0.00 #DIV/01 PART D: INTEREST 1. Earned on Advances $0.00 2. Return on Advances 50.00 3. Other Earned $0.00 DOFA FORM IOSas-IIIB reNsetl 10119118 60 January - December 2020 OAA 203,20 ATTACHMENT XII EXHIBIT 2 RECEIPTS AND EXPENDITURE REPORT PROVIDER NAME, ADDRESS, PHONE# AND FEID# PROGRAM FUNDING SOURCE: Contract # Title III Contract Period: C1 Report Period PSA Report # Invoice# CERTIFICATION: I certify to the best of my knowledge and belief that this report is complete and all outlays herein are for purposes set forth in the contract To the best of my knowledge, all CIRTS is accurate and correct. Prepared by : Date: -Approved by : Date PART A: BUDGETED INCOME/ RECEIPTS 1. Approved Budget 2. Actual Receipts 3. Total Receipts 4. Percent of For This Report Year to Date Approved Budget 1. Federal Funds $0.00 $0.00 $0.00 #DIV/0! 2. State Funds $0.00 MOB $0.00 #DIV/0! 3. Program Income - Non Match $0.00 $0.00 $0.00 #DIV/01 4. Local Cash Match $0.00 $0.00 $0.00 #DIV/01 5. SUBTOTAL: CASH RECEIPTS $0.00 $0.00 $0.00 #DIV/0! 6. Local In -Kind Match $0.00 $0.00 $0.00 #DIV/01 7. TOTAL RECEIPTS $0.00 $0.00 $0.00 #DIV/01 PART B : EXPENDITURES 1. Approved Budget 2. Expenditures 3. Expenditures 4. Percent of For This Report Year to Date Approved Budget 1. Subcontractor $0.00 $0.00 $0.00 #DIV/0! 2. C1 Set Aside DRR (Disaster Recovery Reserve) $0.00 $0.00 $0.00 #DIV/01 3. TOTAL EXPENDITURES $0.00 $0.00 $0.00 4DIV/01 PART C : OTHER EXPENDITURES 1. Approved Budget 2. Expenditures 3. Expenditures 4. Percent of (For Tracking Purposes only) For This Report Year to Date Approved Budget 1. Match a. Other and In -Kind $0,00 $0.00 $0.00 #DIV/0! b. Local Match $0.00 $0.00 $0.00 #DIV/01 2. Program Income $0.00 $0.00 $0.00 #DIV/0! 3. TOTAL OTHER $0.00 $0.00 $0.00 #DIV/0! PART D: INTEREST 1. Earned on Advances $0,00 2. Return on Advances $0.00 3. Other Earned $0,00 DOFA FDRAi I05as-C1 revised 10I19118 61 January - December 2020 OAA 203,20 ATTACHMENT XII EXHIBIT 3 RECEIPTS AND EXPENDITURE REPORT PROVIDER NAME, ADDRESS, PHONE#AND FEID# PROGRAM FUNDING SOURCE: Contract# Title III Contract Period: C2 ReportPeriod PSA Report# Invoice# CERTIFICATION: I certify to the best of my knowedge and belief that this report is complete and all outlays herein are for purposes set forth in the contract. To the best of my knowledge, all CIRTS is accurate and correct. Prepared by: Dale: Approvedby: Date: PART A: BUDGETED INCOME/ RECEIPTS 1. Approved Budget 2. Actual Receipts 3. Total Receipts 4. Percent of For This Report Year to Date Approved Budget 1. Federal Funds $0.00 $0.00 $0.00 #DIV/OI 2. State Funds $0.00 $0.00 $0.00 #DIV/0! 3. Program Income - Non Match $0.00 $0.00 $0.00 #DIV/01 4. Local Cash Match $0.00 $0.00 $0.00 #DIV/01 5. SUBTOTAL: CASH RECEIPTS $0.00 $0.00 $0.00 #DIV/01 6. Local In -Kind Match $0.00 $0.00 $0.00 #DIV/O! 7. TOTAL RECEIPTS $0.00 $0.00 $0.00 #DIV/O! PART B : EXPENDITURES 1. Approved Budget 2. Expenditures 3. Expenditures 4. Percent of For This Report Year to Date Approved Budget 1. Subcontractor $0.00 $0.00 $0.00 #DIV/01 2. C2 Set Aside DRR (Disaster Recovery Reserve) $0.00 $0.00 $0.00 #DIV/01 3. TOTAL EXPENDITURES $0.00 $0.00 $0.00 #DIV/01 PART C: OTHER EXPENDITURES 1. Approved Budget 2. Expenditures 3. Expenditures A. Percent of (For Tracking Purposes only) For This Report Year to Dale Approved Budget 1. Match a. Olherand In -Kind $0.00 $0.00 $0.00 4DIV/0! b. Local Match $0.00 $0.00 $0.00 #DIV/O! 2. Program Income $0.00 $0.00 $0.00 #DIV/0! 3. TOTAL OTHER $0.00 $0.00 $0.00 #DIV/01 PART D: INTEREST 1. Earned on Advances $0,00 2. Return on Advances $0.00 3. Other Earned $0,00 OOEA feftM 105as-C2 revised 10/19118 62 January - December 2020 OAA 203,20 I:YWwavw0lu mkow&mgl >i nlI IT 4 RECEIPTS AND EXPENDITURE REPORT PROVIDER NAME. ADDRESS. PHONEfI AND FEIGN PROGRAM FUNDING SOURCE: Contract# Title III Coneact Period: IIIE ReportPeriod PSA Report# Invoicolf CERTIFICATION: I certify to the best of my knowledge and belief that this report is complete and all outlays herein are for purposes set forth in the contract. To the best of my knowledge, all CIRTS Is accurate and correct. Prepared by: -Date : Approved by: Date: PART A : BUDGETED INCOME/ RECEIPTS 1. Approved Budget 2. Actual Receipts 3. Total Receipts 4. Percent of For This Report Year to Dale Approved Budget 1. Federal Funds $0.00 $0.00 $0.00 #DIV/01 2. State Funds $0.00 $0.00 $0.00 #DIV/01 3. Program Income - Non Match $0.00 $0.00 $0.00 4DIV/01 4. Local Cash Match $0.00 $0.00 $0.00 #DIV/01 5. SUBTOTAL: CASH RECEIPTS $0.00 $0.00 $0.00 #DIV/01 6. Local In -Kind Match $0.00 $0.00 $0.00 4DIV/01 ]. TOTAL RECEIPTS $0.00 $0.00 $0.00 #DIV/01 PART B : EXPENDITURES 1. Approved Budget 2. Expenditures 3. Expenditures 4. Percent of For This Report Year to Date Approved Budget 1. AAA Direct Services $0.00 S0.00 $0.00 #DIV/0I 2. Sub -Contracted Services $0.00 $0.00 $0.00 9DIV/0I 3. TOTAL EXPENDITURES $0.00 $0.00 $0.00 #DIVI01 PART C : OTHER EXPENDITURES 1. Approved Budget 2. Expenditures 3. Expenditures 4. Percent of (For Tracking Purposes only) For This Report Year to Dale Approved Budget 1. Match a. Other and In -Kind $0.00 $0.00 $0.00 #DIV/01 b. Local Match $0.00 S0.00 $0.00 #DIV/01 2. Program Income $0.00 Sum $0,00 #DIV/01 3. TOTAL OTHER Who $0.00 S0.00 #DIV/OI PART D : EXPENDITURES ANALYSIS 1. Expenditures by Services Year to Date: 2. Units of Services Year to Date 3. Number of People Served Year to Date 1. Information ..................... 0.00 ........................0 .... _....................0 2. Assistance ...................... 0.00 ........ I...... I........ 0 ....... I...... I...........0 3. Counseling ..................... 0.00 ........................ 0 ..........................0 4. Respite ......................... 0.00 ........................ 0 ..........................0 5. Supplemental Services....., Wind ....... I...............10 ...........................0 6. TOTAL... ............... ....... 0.00 Pad B Line 3, column 3 should be equal to this total. PART E : GRANDPARENT SERVICES (reported by Federal Fiscal Year) FFY $ IFFY $ FFY $ Match $ Match S Match $ PART F: INTEREST 1. Earned on Advances $000 2. Returned on Advances $0.00 3. Other Earned __$0.00 63 January — December 2020 OAA 203,20 ATTACHMENT XII EXHIBIT 5 12ECEIPTS AND EXPENDITURE REPORT PROVIDER NAME, ADDRESS, PHONE#AND FEID# PROGRAM FUNDING SOURCE: Contract# Tltle III Contract Period: NSIP Report Period PSA Repod# Invoice# CERTIFICATION: I certify to the bestof my knowledge and belief that this report is complete and all outlays herein are for purposes set forth in the contract. To the best of my knowledge, all CIRTS is accurate and correct. Prepared by: Date: Approved by: Date: _ PART A: EXPENDITURE COMPUTATION YEARTODATE CURRENT MONTH 1. Number of Meals Served 0 0 0 0 2. Line 1 Times $ .72 cents per Meal $0.00 $0.00 $0.00 $0.00 Year To Date Total Meals 0 Current Month Total Meals 0 Year To Date Total Expenditures $0.00 Total Current Expenditures $0.00 PART B: CONTRACT SUMMARY 1. Approved Contract Amount $0.00 2. Actual Expenditures for this Report $0.00 3. Total Expenditures Year to Date $0.00 4. Contract Balance $0.00 DOEA FORM 105asNeiP revised 10119110 January — December 2020 OAA 203,20 ATTACHMENT XVI OAA ANNUAL VOLUNTEER ACTIVITY REPORT SPECIFICATIONS I Crrmgoi s & UerniliOils Direct Volunteers: Volunteers who have person -to -person contact with clients (e.g. I&R specialists, SFIINE counselors, and individuals providing respite and companionship). Indirect Volunteers: Volunteers who coordinate, manage, or participate in specific services, programs, or activities that assist paid staff in planning, implementing, and evaluating the goals and objectives of an organization (e.g. speaker's bureau volunteer, data entry, board members, etc.). Episodic Volunteers: Volunteers who participate in a specific, one-time event for a limited time, regardless of direct or indirect volunteers. NOTE: A volunteer can only be counted once. Select the category (direct, indirect, or episodic) that best describes the individual volunteer and his/her volunteer work. Unduplicated direct or indirect volunteers: Number of volunteers who perform service activities. IL Survey Questions User input: Email address User input: Survey questions l . Number of unduplicated direct service volunteers. 1. Number of unduplicated indirect service volunteers. 2. Number of episodic volunteers engaged during the contract year. 3. Total number of direct volunteer hours served. 4. Total number of indirect volunteer hours served. 5. Total number of episodic volunteer hours served. 6. Number of clients served by volunteers. 7, Number of volunteers age 60 or older. 8. Number of volunteers under age 60, III. Service Categories Groupings for reporting the number of volunteers providing services during the data collection period (January 1 —December 31). ]f there ne no activities during the year, enter zero. Adult Day Care: Non-residential facility specializing in providing activities for elderly individuals or individuals with disabilities. Operates ten to twelve (10 — 12) hours per day and provides steals, social or recreational outings, and general supervision. Advisory Council/Board Membership: Group of experts and leaders in an industry who share knowledge, contacts, and leadership skills to benefit an organization; comprised of people who have no material interests in the organization other than their directorship and who are responsible for a fiduciary role within the organization. AmeriCorps: Network of national service programs that engage members and community volunteers in intensive service to meet needs in education, public health, and the environment. This service produces volunteers who will provide direct services to clients. AmeriCorps Vista: VISTA members commit to serve full-time for a year at a nonprofit organization or local government agency, working to fight illiteracy, improve health services, create businesses, strengthen community groups, and much more. This service produces volunteers who will provide direct services to clients. Clerical/Administration: Complex work tasks performed under direction in support of one or more persons serving in an administrative or professional capacity; completion of routine administrative tasks directly related to the work of supervisor(s). Companionship Programs: Programs that help elders to help other elders with their daily lives. Tasks may include grocery shopping, household chores, going out to lurch, or simply visiting the elders to keep them company. Congregate Meals: Meal service in a group setting to individuals who cannot prepare or obtain nutritionally adequate meals themselves. Meals assist individuals to maintain a nutritious diet. 65 January — December 2020 OAA 203,20 Consumer Education/Counseling: Enhances the capacity of mature consumers to navigate the increasingly complex marketplace. Consumer education programs provide significant benefits, including identification of market information, compliant and consumer redress procedures, and understanding of a technology -based consumer environment. Disaster Preparation/Recovery: Services provided in coordination with American Red Cross, FEMA, and local task forces in response or in preparation of a disaster. Education: Community outreach program of an academic institution that offers educational and cultural programs specifically designed to foster and support lifelong learning. Foster Grandparents: Provides a way for volunteers age 55 and older to stay active by serving children and youth in their communities, through tutoring and nictitating. Fundraising: Any service directly related to the solicitation of contributions for a committee, program, or organization. Health Promotion: Programs specifically for older adults in the areas of health education, physical activity, coordinated screening, and mental health. Horne Delivered Meals: Meal service delivered to the homes to individuals who cannot prepare or obtain nutritionally adequate meals for themselves. Meals assist individuals to maintain a nutritious diet. Homemaker Programs: Programs provide in -home services to elders at -risk of premature placement in a nursing home. Clients must be 60 years of age or older. Home Repair: Home improvement, remodeling, or handyman work, including small odd jobs, and routine tasks. Information and Referral: One-to-one services directing elders to appropriate programs and resources based on elders' needs and specialized knowledge of aging services within the community. Intergenerational: Activities or programs that increase cooperation, interaction, or exchange between any two or more generations. Legal Assistance: Legal services to elders age 60 and older that deal with issues such as property taxes, mobile home, and other landlord tenant issues, advance directives, Medicaid eligibility, Social Security denial, and state and local welfare benefit denials. RSVP: Retired Senior Volunteer Program includes a network for individuals age 55 and older who use their skills and talents in volunteer activities such as home repairs, tutoring and mentoring, and assisting victims of natural disasters. Recreation: Programs for older adults including health education, physical activity, and coordinated screening for physical and mental health. RELIEF: Respite for Elders Living in Everyday Families offers respite services to caregivers of frail elders and those with Alzheimer's disease and related dementia. Respite: Service that provides a temporary break for a family member from daily caregiving responsibilities. Safety Education Programs: Programs on home safety, driver's safety fall prevention, and other general safety educational topics provided by a volunteer to the aging network. Senior Companions: Volunteers provide services to elders at risk of institutionalization due to chronic illness, disability, or isolation. Services may include transportation to medical appointments, shopping assistance, meal preparation, companionship, and advocacy, as well as respite for caregivers. Elder Abuse Prevention Programs: Prevention strategies for elder abuse neglect, and exploitation, fraud, scams, identify theft, and programs on home safety. SHINE and Florida SHINE/SMP: The SHINE Program provides free and unbiased counseling through a dedicated network of volunteers, empowering Florida seniors to make informed decisions. Through the SHINE Program, SHINE volunteers help Medicare beneficiaries, [heir families, and caregivers through education, counseling and assistance. Through the SHINE/SMP (Senior Medicare patrol) Program, volunteers also educate beneficiaries to protect, detect and report potential errors, and, and abuse with their Medicare Coverage Specinl Events: Time -limited events. Speakers' Bureau: Service that provides the right professional speaker for every type of event. 'Pelephone Reassurance: Scheduled telephone calls to check on homebound elders, which may include a friendly visit from law enforcement or volunteers. Transportation: Service provided for older adults and individuals with disabilities including lift -equipped vehicles for wheelchair transport and medical transportation for appointments, dialysis, and chemotherapy. 6( January — December 2020 OAA 203.20 Area Agency on Aging • FOR SOUTHWEST FLORIDA i6in tint and plaablilly Resew" Confer j ATTACHMENT XVII 2020 Annual Volunteer Report Category 1st 2nd 3rd 4th Quarter Quarter Quarter Quarter Number of unduplicated direct service volunteers Number of unduplicated indirect service volunteers Number of episodic volunteers engaged this quarter Total number of direct volunteer hours served Total number of indirect volunteer hours served Total number of episodic volunteer hours served Number of clients served by volunteers Number of volunteers 60 or older Adult Daycare A non-residential facility specializing in providing activities for elderly and/or handicapped individuals. Operate 10 - 12 hours per day and provide meals, social/recreational outings, and general supervision. Advisory Council/Board Membership A group of assorted experts and leaders in a particular industry that share knowledge, contacts, and leadership skills for the betterment of a growing organization. Is comprised of people who have no material interests in the organization other than their directorship and are responsible for fiduciary role within the organization. AmeriCorps A network of national service programs that engage members and community volunteers in intensive service to meet critical needs in education, public health, and the environment. AmeriCorps Vista VISTA members commit to serve full-time for a year at a nonprofit organization or local government agency, working to fight illiteracy, improve health services, create businesses, strengthen community groups, and much more. 67 January — December 2020 OAA 203.20 Clerical/Adm inistration Under direction, performs complex clerical and administrative work tasks in support of one or more persons serving in an administrative or professional capacity,# completes routine administrative tasks directly related to the work of their supervisor(s); and performs other related work as required. Companionship Programs A program, that helps senior citizens find persons to help them with their daily lives. Tasks may include grocery shopping, household chores, going out to lunch, or simply visiting the senior's house orALF to keep them company. Congregate Meals An individually designed service which provides meals to waiver participants who cannot prepare or obtain nutritionally adequate meals for themselves, or when the provision of such meals will decrease the need for more costly supports to provide in -home meal preparation. These meals will assist the waiver participant to maintain a nutritious diet. Consumer Education/Counseling Highlights the role of consumer education in enhancing the capacity of mature consumers to navigate the increasingly complex marketplace. Consumer education programs can provide significant benefits, including identification of market information, complaint and consumer redress procedures, and understanding a more technology -based consumer environment. Disaster Preparation/Recovery Services in coordination with American Red Cross, FEMA, & local task forces, in response or in preparation of a disaster. Education A community outreach program of an academic institution that offers educational and cultural programs specifically designed to foster and support lifelong learning. Fundraising Performs any service directly related to the solicitation of contributions for a committee, program or organization. January — December 2020 OAA 203.20 Health Promotion Programs specifically for older adults in the areas of health education, physical activity, coordinated screening and mental health. Home Delivered Meals (e.g. Meals on Wheels); an individually designed service which provides meals to waiver participants who cannot prepare or obtain nutritionally adequate meals for themselves, or when the provision of such meals will decrease the need for more costlysupports to provide in -home meal preparation. Homemaker Programs The program provides in -home services to senior citizens. Services are available to eligible clients who are at -risk of premature placement in a nursing home due to a medical, emotional or psychological impairment. Clients of the homemaker program must be 60 years of age or older and homebound. Home Repair Home improvement, remodeling or handyman work. Small or odd jobs; and routine tasks. Information & Referral Provides in-depth information and referral services directing seniors to appropriate programs and resources based on specialized knowledge of aging services and seniors' needs within their community. I ntergenerationa I Activities or programs that increase cooperation, interaction or exchange between any two or more generations. m January — December 2020 OAA 203.20 Legal Assistance Offers free civil legal services to senior citizens age 60 and older with no income eligibility requirements. The issues that are dealt with may include: property tax problems, mobile home and other landlord tenant issues, advance directives and Medicaid eligibility, help with social security denial, and help with state and local welfare benefit denials. Recreation Programs specifically for older adults in the areas of health education, physical activity, coordinated screening and mental health. RELIEF Respite for Elders Living in Everyday Families- Offers respite services to caregivers of frail elders and those with Alzheimer's disease and related dementia. Respite Provides a temporary break for o family member from daily care -giving responsibilities. Senior Companion Volunteers provide services to elders at risk of institutionalization due to chronic illness, disability or isolation. Services include such things as transportation to medical appointments, shopping assistance, meal preparation, companionship and advocacy, as well as respite for caregivers Senior Prevention/Fraud/Abuse Programs Elder abuse prevention, Medicare fraud and abuse, identity theft safety education and prevention strategies including programs on home safety etc. SHINE Provides educational materials and free, unbiased insurance counseling to Florida elders, caregivers and family members. 70 January — December 2020 OAA 203.20 Special Events/Time Limited Speaker's Bureau (list topics below) A service that provides the right professional speaker for every type of event. Telephone Reassurance Scheduled telephone calls to check on homebound seniors who may include a friendly visit via law enforcement or volunteers. Transportation Programs specifically for older adults in the areas of public transportation and specialized transportation for disabled individuals may include lift -equipped vehicles for wheelchair transport and medical transportation for appointments, dialysis, and chemotherapy. Revised August 2007 Attestation Statement Agreement/Contract Number OAA 203.20 Amendment Number na [, STRPHAN Y CARNF.Li. ,attest that no changes m• revisions have been made to the (Recipient/Contractor representative) content of the above referenced agreement/contract o• amendment between the Area Agency on Aging for Southwest Florida and Collier County 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. Signatw•e of Recipient/Contractor representative Approved as to form anJ legality Assistant Count) torney Revised August 2007 VERIFICATION OF EMERGENCY PREPAREDNESS PLAN Contrail H OAA 203.20 I, STEPHEN Y CARNELL certify that .COLLIE$ COUNTY BOARf) OF COMMISSIONERS (Name of authorized contractor representative) (Name of contractor) has a current arrd properly malnta)ned Emergency Preparedness Plan. Assurance is given that the plan will be made available to the Department of Elder Affairs (DOEA) upon request. Signature of authorized contractor representative PUBLiC SERVICE DEPARTMENT HEAD Tine 1 b Date DOEA Contract Manager's Review October 2008 Approved as to form and legality Asststunt County A ncy