Backup Documents 07/14/2020 Item #16D 2160�
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines # 1 through #2 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
exception of the Chairman's signature, draw a line through routing lines # 1 through #2, complete the checklist, and forward to the Countv Attomev Office.
Route to Addressees (List in routing order)
Office
Initials
Date
1. Wendy Klopf
Community and Human
Services
Wk
07/14/2020
2. Minutes and Records
Clerk of Court's Office
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above, may need to contact staff for additional or missing information.
Name of Primary Staff
Wendy Klopf/CHS
Phone Number
252-2901
Contact / Department
Agenda Date Item was
07/14/2020
Agenda Item Number
16132
Approved by the BCC
Type of Document
AAA -Amendments CCE< ADI & HCE for
Number of Original
3
Attached
203.20 Agreements
Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is
Yes
N/A (Not
aonromiate.
Initial
Applicable)
1.
Does the document require the chairman's original signature?
NA
2.
Does the document need to be sent to another agency for additional signatures? If yes,
NA
rovide the Contact Information(Name; Agency; Address; Phone on an attached sheet.
3.
Original document has been signed/initialed for legal sufficiency. (All documents to be
WK
signed by the Chairman, with the exception of most letters, must be reviewed and signed
bv the Office of the County Attorney.
4.
All handwritten strike -through and revisions have been initialed by the County Attorney's
NA
Office and all other parties except the BCC Chairman and the Clerk to the Board
5.
The Chairman's signature line date has been entered as the date of BCC approval of the
NA
document or the fmal negotiated contract date whichever is applicable.
6.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
WK
sip -nature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
NA
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of our deadlines!
8.
The document was approved by the BCC on 07.14.20 and all changes made during
WK
the meeting have been incorporated in the attached document. The County
an'op
Attorne 's Office has reviewed the changes, if applicable.
ti
9.
Initials of attorney verifying that the attached document is the version approved by the
WK
BCC, all changes directed by the BCC have been made, and the document is ready for the
Chairman's signature.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12
1602,
July 2019 to June 2020
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC.
HOME CARL FOR THE ELDERLY
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
HCE 203,19.003
THIS AMENDMENT is entered into between the Area Agency on Aging for Southwest Florida, Inc., (Agency) and Collier
County Board of County Commissioners (Contractor) and amends contract HCE 203.19.
The purpose of this amendment is to (1) extend this contract for 60 days or until a new 2020 HCE 203.20 contract is executed,
whichever comes first.
This amendment shall be effective on July I, 2020,
RECITALS:
WHEREAS, on July 22, 2019, the parties entered into the Standard Contract for social services to be provided
to Collier County's frail and elderly seniors (hereinafter referred to as "Contract"); and
WHEREAS, on March 9, 2020, the parties entered into a First Amendment to the Contract;
WHEREAS, on May 22, 2020, the parties entered into a Second Amendment to the Contract; and
WHEREAS, Section 3 of the Contract provides that the agreement is to expire on June 30, 2020; and
WHEREAS, the funding source for a successor agreement for senior services is not yet available to the
Agency from the Florida Department of Elder Affairs;
WHEREAS, the Parties are satisfied with the arrangement that they currently enjoy under the Contract so that
both parties wish to extend the Contract to August 30, 2020 while they await notification of funding of successor
contract.
NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, the
receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree as follows:
1. The foregoing Recitals are true and correct and are incorporated by reference herein.
2. Both parties agree to extend the contract to August 30, 2020.
3. All other provisions of the Contract are to remain in effect and are to be performed at the level specified in
the agreement.
SIGNATURE PAGE TO FOLLOW
An
1602
,Vy 201910June 2m
?its 211319 OM
IN W11WESS WHEREOF, fffit parties hereto have caused this 2-pW mnendanent to be tXecua rd by their ofzeals there mno
duly authorized.
Cantrrnetnr. COLLIER COUNTY BOARD OF
COUNTY COMNUSSIOIYM
SIGNED : )Lkm H (��
•
r ► a ► �u ►Z a _:
10 1 • �t
Federal Tax 1D: 59-6000558
Fiscal Year Ending Date: 09I30
AREA AGENCY ON AGR9G FOR SOVMWEST
FLOMDA, INC.
SIGNED BY:
NAME: MAMNN£ G LORIN]
TITLE: PRESIDENTICEO
DATE: &v 9 c� aj
Approved as to form and legality
Ass stunt County lorney
1602
Rnised August 2f7
Attestation Statement
AgreemenVContrac] Number IIC .2Q 12
Amendment Number_AD3
1, S7'l Pfllil� Y CARNIKLL . attest that no changes or revisions hnvc b=n -node to the
(Recipient/Conthartor represeata li-'e)
content of the above referenced ngreementiconirnct or ntnendmant beteeen the Area Agency ou Aging for
Southwest Florida marl
COLLIER COUNTY BOARD OF COMMISSIONERS.
(Retipient/Contraetor aam e)
The only exception to this statement mould be for changes in page formatting, due to the differences in
electronic dates processing media, -which has no affect on the ngreementhontract content.
Signaturetof RccipierlflContractor representntive
Approved as to form And legality
i
Assistant County A racy
Rev]sed August 2C07
1602
Amendment 04
ARM AGENCY ON AGING FOR SDIITiEI VEST FLORIDA, INC.
.A,i2371 VIERS ]DISEASE ItNMAI IVE PROGRAM
CDLi.Iilr.R C( LWff BOM1<2D OF COUNTY CO1IMMSSIIONERS
AOt 203.19.ID04
TR3S AMENDMENT is entered into between the Area Agency on Aging for So►rlhvrest Florida, Jnc.., (Agency) andCollier
County Hoard of County Commissioners (Contractor) and amen contrack AD] 203.19_
The purpose of this amendment is to (1) oE1wd this contract for 60 days or until a new 2020 AD! 203.20 ccnitmct is executed,
whichever comes Fuv.
This amendment shall be effective on July 1, 2020.
RECITALS:
WHEREAS, on July 22, 2019, the parties entered into the Standard Contract for social services to be provided
to Collier County's frail and elderly seniors (hereinafter referred to as "Contract'); and
WHERE -IS, on July 30, 2019, the parties entered into a First Amendment to the Contract;
WHEREAS, on March 9, 2020, the parties entered into a Second Amendment to the Contract;
WHEREAS, on May 15, 2020, the parties entered into a Third Amendment to the Contract; and
WHEREAS, Section 3 of the Contract provides that the agreement is to expire on June 30, 2020; and
WHEREAS, the funding source for a successor agreement for senior services is not yet available to the
Agency from the Florida Department of Elder Affairs;
WHEREAS, the Parties are satisfied with the arrangement that they currently enjoy under the Contract so that
both parties wish to extend the Contract to August 30, 2020 while they await notification of funding of a successor
contract.
NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, the
receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree as follows:
1. The foregoing Recitals are true and correct and are incorporated by reference herein.
2. Both parties agree to extend the contract to August 30, 2020.
3. All other provisions of the Contract are to remain in effect and are to be performed at the level specified in
the agreement.
SIGNATURE PAGE TO FOLLOW
16021,
Amendment 04
ADt 203.19_004
IN WITNESS WHEREOF, the parties bemo have caused this 2-p4g3e amendracat to be ccecu3ed by Their o icints there Lujjo
drily authorized.
Contrarinr: COLLIER COUNTY BOARD OF
COUNTY COD131ISMONERS
AREA AGENCY ON AGING FOR SOIMIWZST
FLOIU DA, INC,
SIGNED BY:
NAME: STEPHEN Y. CARNELL NAME:
TITLE: PUBLIC SERVICE DEPARTMENT HEAD TITLE:
DATE: 0616 ' /2020
DATE
Federal Tax ID: 59-6000558
Fiscal Year Ending Date: 09130
2
MARIANNF. G LORINI
PRESIDENT/CEO
& A 120 5--
Approved as to form onci leg.
,lity
411ista"I Count
r
Y A ncy
s/aa jzaa0
1602
krrisnd Augio 2307
Attestation Statement
Agrrement/a::ouirmcl Niunber ADI 203.19
Amendtneml Numbrr .04
1, , Attest that mo changes or m-isions have been made to the
(Rccipient/Canlractor mpranrlulive)
conlenl of the above referenced agreement/contract or amendment between the Ares Agency on Aging for
Southn-m-t Fforidn and
COLLIER COUNTY BOARD OF COMMISSIONERS.
(RecipientlContradar nnme)
The only exception to this statement would be for changes in page fornsatting, due to the differences in
electronic dntn praceming medin, which has no affect on the ngreement/contract content.
�q . CY QS"t! Zd
of Recip UContractor representative Date
Approved as to form And legality
istunt aCcounly A xncy
Revised August 2007
I60Z
July 2019 to June 2020
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC.
COMMUNITY CARE FOR THE ELDERLY
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
CCE 203.19.003
THIS AMENDMENT is entered into between the Area Agency on Aging for Southwest Florida, Inc., (Agency) and Collier
County Board of County Commissioners (Contractor) and amends contract CCE 203.19,
The purpose of this amendment is to (1) extend this contract for 60 days or until a new 2020 CCE 203.20 contract is executed,
whichever cones firs(.
This amendment shall be effective on July 1, 2020.
RECITALS:
WHEREAS, on July 22, 2019, the parties entered into the Standard Contract for social services to be provided to
Collier County's frail and elderly seniors (hereinafter referred to as "Contract"); and
WHEREAS, on March 9, 2019, the parties entered into a First Amendment to the Contract;
WHEREAS, on May 22, 2019, the parties entered into a Second Amendment to [lie Contract; and
WHEREAS, Section 3 of the Conti -act provides that the agreement is to expire on June 30, 2020; and
WHEREAS, the funding source for a successor agreement for senior services is not yet available to the Agency from
the Florida Department of Elder Affairs;
WHEREAS, the Parties are satisfied with the arrangement that they currently enjoy under the Contract so that both
parties wish to extend the Contract to August 30, 2020 while they await notification of funding of a successor contract.
NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, (lie receipt and
sufficiency of which is hereby mutually acknowledged, the Parties agree as follows:
1. The foregoing Recitals are true and correct and are incorporated by reference herein.
2. Both parties agree to extend the contract to August 30, 2020.
3. All other provisions of the Contract are to remain in effect and are to be perforated at the level specified in
Ilse agreement.
SIGNATURE PAGE TO FOLLOW
1602
July 2019 to tune 2D2t1 CCf 21D3 19.003
IN W t�`,S.S WHEREOF, the dies hereto Bare caused this 2-page amerrdmenl to be executed bb' their officials Usere junto
daly xutlrmiztd.
Contra lor. COLUER COUNTY BOARD OF
COUNTY 'COMMISSIONERS
AREA AGENCY ON ACING FOR SOUTHIV E.ST
FLORIDA, INC
SIGNED BY:.
NAME-- STEPHEN Y. CARNELL NAME: MARIANNE G LORINI
TITLE: PUBLIC SERVICE DEPARTMENT HEAD TITLE: PRESIDEJNUCED
DATE:JUNE�5 2020 DATE-G / 1 /
Federal Tax ID: 59-6000558
Fiscal Year Ending Date: 09130
2
Approved as to form and legality
A •s unt County Atlul�y
5/a9lao-70
! +60�
Revised Angtet 2VU7
Attestation Statement
Agreemen7/Contrpca Nnmtur SCE 203.14 _
Amendment Number ..003
!, , attcsl that no changes nr r Misions h3rr been made to the
(RrciipiunVCmnImrlor reprrsentulire)
content of -the abm,e referenced ngreement/conirnct or amendment between the Area Agency on Aging for
Soatlnwrst Sorida and
COLLIER COUi+Tii'Y BOARD OF 1COi1 MISS1ONERS.
(RrripieaVContraciar nnnic)
The only exception to this statement would be for changes in page formatting, dur to the differences in
circironic data processing merlin, which has no affect on the ngreement/conlract conlent.
6lslzao
of ReciplentlContraclnr representative pate
Approved as to fonn and legality
Assistant County urnC Y
-- ADRO
Revised August 2007