Agenda 03/28/2023 Item #16D4 (Uninterupted support services to the Collier County Services for Senior Program's elderly clients)16. D.4
03/28/2023
EXECUTIVE SUMMARY
Recommendation to approve an "After -the -Fact" agreement with the Area Agency on Aging for Southwest
Florida, Inc., American Rescue Plan Act funding under the Home -Based Community Services -Enhanced
Home Care for the Elderly grant program for the Collier County Services for Seniors Program and
authorize the necessary Budget Amendment in the amount of $334,665.56. (Human Service Grant Fund 707)
OBJECTIVE: To provide uninterrupted support services to the Collier County Services for Seniors Program's
(CCSS) elderly clients.
CONSIDERATIONS: The American Rescue Plan Act (ARPA) was signed into law on March 11, 2021 and
supports Home & Community Based Service (HCBS) beneficiaries to receive services in their own home or
community rather than institutions or other isolated settings. These programs serve a variety of targeted population
groups, and the Enhanced Home Care for the Elderly program (ENHCE) eligible individuals receive a proactive,
self -directed, and time -limited home modification, self -management support, and caregiver support for the purpose
of increasing function, independence and promote healthy living settings.
Collier County receives these funds through the Florida Department of Elder Affairs (DOEA) and is administered
by the Area Agency on Aging for Southwest Florida, Inc. (AAASWFL). The ENHCE program clients must be
sixty (60) years old or older, enrolled in Medicaid, or be at risk of nursing home placement. These ENHCE
Services will provide minor home improvements, material aid or technology, and other services for aging in place
and are capped at $6,000 per client.
The total grant award of $334,665.56 will be used to fund the program beginning November 1, 2022, or on the date
the contract is signed by the last party required to sign it, whichever is later and shall end on October 31, 2023.
The table below shows the award associated with this grant.
Program Component
Project
Number
Award
Total
ENHCE-Support Services
TBD*
$334,665.56
$334,665.56
Total
1
$334,665.56
1 $334,665.56
*The CSFA number has been requested from AAASWFL and the project and budget amendment are
contingent on the receipt of this number.
AAASWFL routinely sends CCSS agreements and amendments which require a 30-day turnaround time. This
timeframe makes it difficult to process the documents for the Board of County Commissioners' (Board) approval in
the time requested by AAASWFL. The Agreement for the ENHCE Agreement is being presented "After -the -Fact"
because Collier County received the ENHCE 203.23 grant agreement on February 24, 2023, with an effective
contract date of November 1, 2022. Consequently, pursuant to CMA #5330 and Resolution No. 2018-202, the
County Manager authorized the Public Services Department Head to sign the agreement. This agreement is being
presented for Board ratification.
The County's financial Grants Management System establishes Project Numbers and Budget Amendments through
the catalog number assigned to each program. This allows the County to track grant funding to meet audit and
financial requirements. At the time of this action, AAASWFL had not yet identified the Catalog of State (of
Federal) Financial Assistance (CSFA) pursuant Florida Statute 215.97 due to the newness of the grant program.
FISCAL IMPACT: A Budget Amendment is required to recognize grant revenue in the amount of $334,665.56 for
the FY23 ENHCE Program to Human Services Grant Fund (707). A project number will be established once
AAASWFL has provided the grant program catalog number. There is no match requirement.
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16. D.4
03/28/2023
GROWTH MANAGEMENT: There is no Growth Management impact.
LEGAL CONSIDERATIONS: This item has been approved as to form and legality and requires a majority vote
for Board approval. - DDP
RECOMMENDATIONS: To approve an "After -the -Fact" agreement with the Area Agency on Aging for
Southwest Florida, Inc., American Rescue Plan Act funding under the Home -Based Community Services -Enhanced
Home Care for the Elderly grant program for the Collier County Services for Seniors Program and authorize the
necessary Budget Amendment in the amount of $334,665.56.
Prepared By: Wendy Klopf, Grant Coordinator, Community and Human Services Division
ATTACHMENT(S)
1. (Linked) ENHCE 203.23 executed (PDF)
2. Resolution 2018-202 (PDF)
Packet Pg. 1693
16. D.4
03/28/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.13.4
Doe ID: 24827
Item Summary: Recommendation to approve an "After -the -Fact" agreement with the Area Agency on Aging for
Southwest Florida, Inc., American Rescue Plan Act funding under the Home -Based Community Services -Enhanced
Home Care for the Elderly grant program for the Collier County Services for Seniors Program and authorize the
necessary Budget Amendment in the amount of $334,665.56. (Human Service Grant Fund 707)
Meeting Date: 03/28/2023
Prepared by:
Title: Operations Coordinator — Community & Human Services
Name: Wendy Klopf
03/03/2023 10:40 AM
Submitted by:
Title: Manager - Federal/State Grants Operation — Community & Human Services
Name: Kristi Sonntag
03/03/2023 10:40 AM
Approved By:
Review:
Community & Human Services
Tami Bailey
Additional Reviewer
Community & Human Services
Kristi Sonntag
CHS Review
Office of Management and Budget
Blanca Aquino Luque Additional Reviewer
Operations & Veteran Services
Jeff Weir
Additional Reviewer
Public Services Department
Todd Henry
PSD Level 1 Reviewer
Public Services Department
Tanya Williams
PSD Department Head Review
County Attorney's Office
Derek D. Perry
Level 2 Attorney Review
Grants
Erica Robinson
Level 2 Grants Review
Office of Management and Budget
Debra Windsor
Level 3 OMB Gatekeeper Review
Grants
Therese Stanley
Additional Reviewer
County Attorney's Office
Jeffrey A. Klatzkow Level 3 County Attorney's Office Review
Office of Management and Budget
Christopher Johnson
Additional Reviewer
Corporate Compliance and Continuous Improvement
Megan Gaillard
County Manager's Office
Dan Rodriguez
Level 4 County Manager Review
Board of County Commissioners
Geoffrey Willig
Meeting Pending
Completed
03/03/2023 11:40 AM
Completed
03/03/2023 1:38 PM
Completed
03/06/2023 4:08 PM
Completed
03/06/2023 4:50 PM
Completed
03/07/2023 12:43 PM
Completed
03/14/2023 1:50 PM
Completed
03/14/2023 2:42 PM
Completed
03/20/2023 11:27 AM
Completed
03/20/2023 11:31 AM
Completed
03/20/2023 11:37 AM
Completed
03/20/2023 1:28 PM
Completed
03/20/2023 1:40 PM
Additional Reviewer
Completed
03/20/2023 8:11 PM
Completed
03/21/2023 3:57 PM
03/28/2023 9:00 AM
Packet Pg. 1694
Im
RESOLUTION NO. 2018- 2 0 2
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, REPEALING AND SUPERSEDING
RESOLUTION NO. 96-268 and 10-122 AND AUTHORIZING THE
COUNTY MANAGER OR HIS/HER DESIGNEE TO EXECUTE CERTAIN
STANDARD SOCIALISENIOR SERVICES GRANT APPLICATIONS
AND CONTRACT DOCUMENTS INCLUDING AMENDMENTS IN
COMPLIANCE WITH CMA #5330, GRANT COORDINATION.
WHEREAS, the Board of County Commissioners (Board) has the authority to apply for
and receive social/senior services grants including the Older American's Act Program (OAA),
Community Care for the Elderly Program (CCE), Alzheimer's Disease Initiative Program (ADI),
Medicaid Waiver Agreement, the Home Care for the Elderly program (HCE), and USDA
Nutritional Supplement Incentive Program, and Emergency Home Energy Assistance Program
(EHEAP); and
WHEREAS, in order for Collier County's social/senior services grant documents to be
submitted in a timely fashion, the Board adopted Resolution No. 96-268 and 10-122 authorizing
the County Manager or his/her designee to execute the required standard grant documents; and
WHEREAS, Collier County CMA 95330, Grant Coordination, provides authorization for
the County Manager or his/her designee to execute certain grant documents and return to the
Board of County Commissioners for after -the -fact approval; and
WHEREAS, the Board wishes to delegate signature authorization to the County Manager
or his/her designee for the above -referenced social/senior services grant programs and as it relates
to grant applications, standard contract documents, and major and minor amendments provided
that said submissions and contracts require no additional Collier County matching funds.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that the County Manager or his/her
designee is hereby authorized to execute grant applications, standard contract documents, and
"IN
(pa
Packet Pg. 1695
amendments in compliance with CMA H5330, Grant Coordination, for the Older American's Act
Program (OAA), Community Care for the Elderly Program (CCE), Alzheimer's Disease .Initiative
Program (ADI), Medicaid Waiver Agreement, the Horne Care for the Elderly program (HCE), and
USDA Nutritional Supplement Incentive Program, Emergency Home Energy Assistance Program
(EHEAP) provided said -submissions and contracts require no additional Collier County matching
funds.
BE IT FURTHER RESOLVED that this Resolution repeals and supersedes Resolution
No. 96-268 and No.10-122.
THIS RESOLUTION ADOPTED after motion, second, and majority vote favoring same
this j-1 day of J . , -Y , 2018.
ATTEST:
CRYSTAL K. KiNZEL CLERK
:s
s
By: By:
'A eSt as tp (;€t�PK%gTY CLERK
signature only,
Approval for form and legality:
3ennl r A. Belpedio
Assistant County Attorney
tiO
2
Packet Pg. 1696
16.D.5
03/28/2023
EXECUTIVE SUMMARY
Recommendation to authorize the Chairman to sign a mortgage satisfaction as a result of Collier Housing
Alternatives, Inc., meeting the 20-year loan term and full repayment and approve a Budget Amendment to
recognize $34,333.99 in program income for the State Housing Initiatives Partnership Program Fiscal Year
2022-2023 (SHIP Grant Fund 791).
OBJECTIVE: To continue to promote affordable housing strategies for low- to moderate -income persons through
the State Housing Initiatives Partnership (SHIP) Program.
CONSIDERATIONS: On July 7, 1992, the Florida legislature enacted the William E. Sadowski Affordable
Housing Act to provide additional funding to local communities to promote and advance affordable housing
initiatives. Funds are generated through documentary stamp tax on real estate transactions. Under the SHIP
Program, Collier County and the City of Naples receive funds from the State of Florida through the Florida
Housing Finance Corporation to undertake eligible homeownership and rental -related activities.
Program income in the amount of $34,333.99 was received from a combination of interest and SHIP loan
repayments. All SHIP rental loans issued in 2002 required principal payments along with interest annually.
The below table details the loan repayment on behalf of Collier Housing Alternatives, Inc. thus satisfying the
mortgage terms and satisfaction of mortgage.
Instrument Detail
SHIP Mortgage
SHIP Loan Payment
SHIP Interest
Total
Public Record
OR 3155/PG 0004 1
Term
End Date
09/ 1 /2022
Loan Loan & Interest
Amount Payments/Pay-off
Amount
$12,566.67 $628.40
$22,412.00
$11,293.59
$34,333.99
The proposed budget will be used to implement SHIP strategies and administrative support as identified in the
2022-2025 Local Housing Assistance Plan, approved on April 26, 2022, Agenda Item #16D3.
FISCAL IMPACT: The Budget Amendment recognizes $34,333.99 in program income of which five percent
(5%) will be used as administrative funds. The final loan payment from Collier Housing Alternatives satisfies the
payoff amount. Funds are available in SHIP Grant Fund (791), Project 33807. The proposed action does not have
an impact on the General Fund.
LEGAL CONSIDERATIONS: This item has been approved for form and legality and requires a majority vote for
Board approval. -DDP
GROWTH MANAGEMENT IMPACT: Acceptance of these funds will allow the County to expand affordable
housing opportunities for its citizens and further the goals of the Housing Element of the Collier County Growth
Management Plan.
RECOMMENDATION: To authorize the Chairman to sign a mortgage satisfaction and approve a Budget
Amendment to recognize $34,333.99 in program income for the State Housing Initiatives Partnership Program
Fiscal Year 2022-2023.
Prepared By: Lisa N. Carr, Grants Coordinator II, Community and Human Services Division
Packet Pg. 1697
16.D.5
03/28/2023
ATTACHMENT(S)
1. SOM (PDF)
2. Mortgage (PDF)
Packet Pg. 1698
16.D.5
03/28/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.13.5
Doe ID: 24728
Item Summary: Recommendation to authorize the Chairman to sign a mortgage satisfaction as a result of Collier
Housing Alternatives, Inc., meeting the 20-year loan term and full repayment and approve a Budget Amendment to
recognize $34,333.99 in program income for the State Housing Initiatives Partnership Program Fiscal Year 2022-
2023 (SHIP Grant Fund 791).
Meeting Date: 03/28/2023
Prepared by:
Title: Grants Coordinator — Community & Human Services
Name: Lisa Carr
02/17/2023 10:40 AM
Submitted by:
Title: Manager - Federal/State Grants Operation — Community & Human Services
Name: Kristi Sonntag
02/ 17/2023 10:40 AM
Approved By:
Review:
Community & Human Services Kristi Sonntag CHS Review
Community & Human Services Donald Luciano Additional Reviewer
Office of Management and Budget Blanca Aquino Luque Additional Reviewer
Communications, Government, and Public Affairs Lisa Weinmann
Operations & Veteran Services
Public Services Department
Grants
Public Services Department
County Attorney's Office
Office of Management and Budget
County Attorney's Office
Community & Human Services
Office of Management and Budget
Grants
County Manager's Office
Board of County Commissioners
Jeff Newman
Additional Reviewer
Todd Henry
PSD Level 1 Reviewer
Erica Robinson
Level 2 Grants Review
Tanya Williams
PSD Department Head Review
Derek D. Perry
Level 2 Attorney Review
Debra Windsor
Level 3 OMB Gatekeeper Review
Jeffrey A. Klatzkow Level 3 County Attorney's Office Review
Maggie Lopez
Additional Reviewer
Christopher Johnson
Additional Reviewer
Therese Stanley
Additional Reviewer
Dan Rodriguez
Level 4 County Manager Review
Geoffrey Willig
Meeting Pending
Completed
02/21/2023 1:03 PM
Completed
02/21/2023 2:33 PM
Completed
02/22/2023 10:28 AM
Additional Reviewer
Completed
02/22/2023
12:46 PM
Completed
02/24/2023 7:40 AM
Completed
02/27/2023 9:05 AM
Completed
02/27/2023 1:13 PM
Completed
03/01/2023 5:15 PM
Completed
03/07/2023 9:18 AM
Completed
03/07/2023 9:45 AM
Completed
03/07/2023 11:21 AM
Completed
03/07/2023 11:54 AM
Completed
03/07/2023 4:04 PM
Completed
03/17/2023 3:24 PM
Completed
03/22/2023 9:24 AM
03/28/2023 9:00 AM
Packet Pg. 1699
16.D.5.a
Prepared by: Lisa N. Carr
Collier County
Community and Human Services
3339 E. Tarniami Trail
Naples, FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Collier Housing Alternatives, Inc, to COLLIER COUNTY, dated Novembex• 14
2002 and recox•ded on November 15 2002 in Official Recox•ds Book 3155 Page 0004 of the Public
Records of Collier County, Florida, securing a principal sum of $12,566.67 and certain promises and
obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage.
COLLIER COUNTY hereby acknowledges satisfaction of said Mortgage, and surrenders the same as
cancelled, and hereby directs the Clerk of said Circuit Court to cancel the saute of record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on this 28"' day
of March 28, 2023, Agenda Item No. 16.D.
ATTEST:
CRYSTAL K. KINZEL, CLERK
I:
, DEPUTY CLERK
Approval for form and legality:
Derek D. Perry
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORIDA
RICK LOCASTRO, CHAIRMAN
c
m
E
a
Packet Pg. 1700
3079851 OR, 3155 PG; 0004
RICORDID in 0111CIA1 RICORDS of COLIIIR COU17Y, 11
1111i12002 at, 01:59K DRIG" I. fond, Call
I 16.D.5.b I
Prepared by:
Collier Counly
Housing and Urban Improvement Dept,
Mr. Cortnac Giblin, HUI Manager
2800 N. Horseshoe Dr.
Naples, FL 34104
941-403-2330
Karat:
1II1A>lCIA1 ADNII it IOEISIRG
IIT11011ICl
li"N: 11111111 IIARD(03.2331)
XORTGhaz
Security Instrument
011,11 12561,61
01L1 11516.61
nc in 19,50
DOC-135 14.10
COPIIS 4.00
THIS SPACE I OR RECORDING
THIS SECURITY,i[V rOM NT Is given on November IN , 2002. The Borrower Is:
,. .
.1� Coalisr Housing Alternatives, inc.
(`Borrower'). Thla Secud"I 1 r41Q1 le glven to Collier County � ('Lender), which is organized
and existing under the laws of the.Ur#ligd States of America, and whose address is 2800 North Horasshos
Drive. Naples, win it a 3101,E . Borrower owes Lender the sum of T"Iver Thousand ]rive
Hundrod gist -sis Dollars.- ozd Sixty —sown Conte (U,S. i, 12, 566. 67 ), This debt is
evidenced by Borrowers Note date4(h8-s4 date as this Security Instrument which provides lot monthly payments, with
the full debt. If not paid earner, due acid payable on 8s tamer 1p 2022. This Seoudly Instrument secures to
Lender; (a) the repayment of the dst('Jdenced by the Note, with Interest, and all renewals, extensions and modifications;
(b) the payment of all other sums, with Interfij�tiiv, roved under paragraph 7 to protect the security of the Security
Instrument; and (o) the perfomtance of Soird" oft �ovonants and agreements under this Security Instrument and the Nola.
For this purpose, Borrower dose hanky setwt sMNo ge, grant and Convey to Lender the following described property
loceled In Collier County, Florida.;,` .
As more particufsrly described In Attachment A. (L of p scripilon) and which has tho address ol;
('Property Address'): 4121 Tharsdoinl>jriy:, Niplp1aa, FL 34112
TOGETHER WITH a€1 the Improvements now or he a tur,g9rebled on the property, and all easements, rights,
appurtenances, rents, royalllaa, mineral, oil and gas rights a profft3 "W4ter rights and stock and all fixtures now or
hereafter apart of the property. All replacements and additlons shall alr9.600vered by the Security Instnxnent. All of the
foregoing is referred to In this Security Instrument as the 'Property
BORROWER COVENANTS that Borrower is lawfully sa1zate hereby conveyed and has the right to
mortgage, grant and Convey the Property and that the Property Is urrehc rnperad except for oncumbrances of record,
Borrower warrants and will defend generally the title lv the Property again 6tj,efar and demands, subject to any
encumbrances of reCord.
THIS SECURITY INSTRUMENT combines uniform covenants for rLati " I use and non unllomt covenants with
limited variation by jurisdiction to constitute a uniform security instrument covering real property.
UNIFORM COVENANTS, Borrower and Lender covenant and agree as lv7s:
1. Paymsnl of Principal and Intsrsd; Prapeyment and Lots Charpil. p LLr shall promptly pay when due
the principal of and Interest on the debt evidenced by the Note, w1:'' .-
2. Taxes. The Mortgagor will pay all taxes, assessments, sewar rents or wets fates or to the accrual of any
penalties or Interest thereon.
The Mortgagor shall pay or cause to be pold, as the same respectively become°due;%(!�(� j'; It taxes Mi.
governmental charges of any hind whatsoever whicti may at any time be lawfully assessed 6r.A ed�gpinst or with respect
to the Property, (2) all utility and other charges, Including 'service charges', Incurred or Imposed Ida tli� robon,
maintenance, use, occupancy, upkeep and Improvement of the Property, and (3) all assessments or other governmental
charges that may lawfully be paid In Installments over a period of years, the Mortgagor shalt be 0"610 —urider the
Mortgage to pay or cause to be pald only such Installments as are required to be paid during the term of the Mortgage, and
shall, promptly after the payment of any of the foregoing, torvrard to Mortgagee evidence of such payment,
3, Appiteallon of Poymerds, Unless applicabio law provkles othemise, all payments received by Lender shall be
applied; first, to Interest due; and, to principal due; and last, to any late charges due under the Note.
4. Char(tsa; Lions, Borrower shall pay all taxes, assessments, charges, fines and irrpos€lions attributable to the
Property which may attain priority over this Security Instrument, and teasehold payments or ground rents, If any. Borrower
shall promptly furnish to Londer all notices of amounts to be paid under this paragraph, and all receipts evidencing the
payments.
Borrower shall promptly discharge any lion which has priority over this Security Instrument unless Borrower: (a)
agrees In writing to the payment of the obligation secured by the lien in a mariner acceptable to Lender, (b) contests In good
faith the lion by, or defends against enforcement of the lien In, legal proceedings which In the Lenders opinion operate to
prevent the enforcement of the lien; or (c) secures from the holder of the lien an agraement satisfactory to Lender
subordinating the lion to this Security Instrument, if Lender determines that any part of the Property Is subject to a lien
which may attaln priority over the Security lostrumeni, Landor may give Borrower a notice Identifying the ran. Borrower
shall satisfy the Ilan or take one or more of the actions set forth above within 10 days of the giving o1 notice,
6. Protection of Londsr's Rights In the Prop", If Borrower falls to perform the covenants and agreements
contained In this Security Instrument, or there Is a legal proceeding that may significantly affect Lender's rights in the
Property (such as a proceeding In bankruptcy, probate, for condemnation or forfeiture or to enforce laws or regulations),
then Lender may do and pay for whatever Is necessary to protect the value of the Property and Lender's rights In the
Property, Lender's actions may Include paying any sums secured by a lion which has priority over this Security Instrument,
appearing In court, paying reasonable attorneys' feea and entering on the Property to make ropairs. Although Lender may
lake action under this paragraph 7, Lender does not have to do so. Any amounts disbursed by Lender under this paragraph
7 shelf become additlonal debt of Borrower secured by this Security Instrument. Unless Borrower and Lander agree to other
terms of payment, these amounts shall bear Interest from the date of disbursement at the Note rate and shall be payable,
with Interest, upon nollce from Lender to Borrower requesting payment,
Packet Pg. 1701 1
OR; 3155 PG; 0005
I 16.D.5.b I
6, Inittpeotlon, Lender or its agent may make reasonable entries upon and inspections of the Property, Lender
shall give Borrower notice at the time of or prior to an inspection specifying reasonable cause for the inspection,
7, Condemnation. The proceeds Of any award or claim for damages, direct or consequential, in connection with
any condemnation or other taking of any part of the Property, or for conveyance in lieu of condemnation, are hereby
assigned and shall be paid to Lender. In the event of a total taking of the Property, the proceeds shall be applied to The
sums secured by this Security Instrument, whether or not then due, with any excess paid to Borrower. in the event of a
partial taking of the Properly, to which the fair market value of the Property immediately before the taking is equal to or
greater than the amount of the sums secured by this Security Instrument immediately before the taking, unless Borrower
and Lender otherwise agree in writing, the sums secured by this Security Instrument shatf be reduced by the amount of the proceeds multiplied by the following fraction; (a) the total amount Of the sums secured immediately before the taking, divided by (b) the fair market value of the Property immediately before the taking, Any balance shall be paid to Borrower. In The
event of a partial taking of the Property in which the fair market value of the Property immediately before the taking is less
than the amount of the sums secured immediately for the taking, unless Borrower and Lender otherwise agree in writing or
unless applicable law otherwise provides, the proceeds shall be applied to the sums secured by this Security Instrument
whether or not the sums are than due. Unless Lender and Borrower olherwiso agree in writing, any application of proceeds
to principal shall not extend or postpone the due date of the monthly payments referred to in paragraphs 1 or change the
amount of such payments.
B, Borrower Not Released, Forbearance By Lender Not a Waiver. Extension of the lime for payment or
modilicallon of amortization of the sums secured by this Security #nslrumeni granted by Lender to any successor in interest
of Borrower shall not operate to release the liability of the original Borrower or Borrower's successors in interest, Lender
shall not be required to commence proceedings against any successor in interest or refuse to extend time forpaymenl or
otherwise modify amnrttrggt#on of Ifte sums secured by this Security Instrument by reason of any demand made by ilia
odginai Borrower,or. vorrbw is 5MCOssors in interest, Any forbearance by Lender in exercising any right or remade shall
not be a waiver ol,ogr�cl de the exercise of any right or remedy.
9. 9ueeersqri'Atttd. elgns Bound; Joint and Several Liability; Co-Sfgners. The covenants and agreements
of this Security lnslnr nen) a I Ind and benefit the successors and assigns of Lender and Borrower, subject to the
Provisions Of paragrapFiBo ower's covenants and agreements shall be joint and several. Any Borrower who cosigns
(his Security Instrument bet:dt�5 ho), xecute the Note; (a) is co-signing this Security instrument only to mortgage, grant and
convey that Borrower's Interest ih W0,0roperty under the terms of this Security Instrument: (b) is not personally obligated to
Pay the sums secured by this 86# ur#ty Instrument; and (c) agrees that Lender and any other Borrower may agree to extend,
modify, forbear or make any accommodations with regard to the terms of this Security Instrument or the Note wilhor,t that
Borrower's consent, i /�
10, Loan Charges, If the loan cured by this Securily Instrument is subject to a law which sets maximum loan
charges, and that law Is finally Inlerprotp&&&&&& so that, the interest or other loan charges collected or to be collected in co*lnecl#an
with the loan exceed the permitted limits, lherj: ) ny such loan charge shaff be reduced by the amount necessary to reduce the charge to the permitted limit; ari`d tin sums already collected from Borrower which exceeded permitted limits
Will be refunded to Borrower, Lender may'0 e,fO' 6 Ili#s refund by reducing the principal owed under the Note or by
making a direct payment to Borrower. If a reit)t, 'r tlileas principal, the reduction will be treated as a partial prepayment
Without any prepayment charge under the Note.:
11. Notices, Any notice to Bonower melting It by first class mail unless applicafirOiideii los I�t this Security Instrument shall be given by delivering it or by
ble law regy3rHdl s$$;of another method. The notice shall be directed to the
Properly Address or any other address Borrower desig6l1ii s' -' lice to Lender. Any notice to Lender shall be given to
Borrower or Lender when given as provided in this pi eph." .
12, Governing Law; Severabillfy. This Secvdit ii(Tty ,d f stsall be governed by federal law and the law of the
Jurisdicilon in which the property is located. In the event that anypMvfs#on or clause of this Security Instrument or the Note
conflicts with applicable law, such conflict shall not affect olhef j(bvls(p(t�,of this Security Instrument or the Note which can
be given al(ect without the conBfcling provision. To this end the pr64isJprtg f ibis
declared to be severable.Secur ty Instrument and the Note are
,
13, Sorrowar's Copy. Borrower shall be given one conli d cQRy:of the Note and of this Security Instrument.
14. Transfer of the Property or a Beneficial Intereef to rq-mo=;,)fall or any part of the Property or any
interest in it is sold or transferred (or if a beneficial interest in Borrower'1S'�spld,or, (r'ensferred and Borrower is not a natural
person) without Lenders prior written consent. Lender may, at its option; rqueiht diate payment in full of all sums
secured by this Security InslrVmenl. However, this option shall not be exercised by ender if exercise is prohibited by
federal law as of the date 01 this Security Instrument.
If Lender exercised this option, Lender shall give Borrower notice of acceleration. The notice shall provide a
less than 30 days from the date the notice Is delivered or mailed within which Borrow f mush pay all sums seperiod
cured by this
Security Instrument. If Borrower fails to pay these sums prior to the expiration of ibis� eqddl Lender may invoke any
remedias permitted by this Security instrument without further notice or demand on Barrdvr rr..
15. Borrower's Flight to Reinstate. If Borrower meets certain conditions, Boir�wer. § � If have the right to have
enforcement of this Security instrument discontinued at any time prior to the eadier of : [d);5-d " (ri?ysuch other period as
applicable taw may specify for reinstatement) before sale of the Property pursuant to any poTye(ofoat contained in this
Security instrument; or (b) entry of a judgment enforcing this Security Instrument. Those cor(ditiort ti)at Borrower. (a)
pays Lender all sums which then would be due under this Security Instrument and iha Note as if no acceleration had
occurred; (b) cures and default of any other covenants or agreements; (e) pays Will expenses incurred In ear f }Ding this
Security Instrument, Including, but not limited to, reasonable attorney's fees; and (d) lakes such ac(ign as Lender may
reasonably require to assure that the lien of this Security Instrument, Lender's rights in the Property and Borrower's
Obligation to pay the sums secured by this Security Instrument shall continue unchanged. Upon reinstatement by Borrower,
this Security Instrument and the obligations secured hereby shall remain fully effective as it no acceleration had occurred,
However, this right to reinstate shall not apply In the case of acceleration under paragraph 17.
16. Sale of Note; Change of Loan Servicer. The Note or a partial interest in the Note (together with this Security
Instrument) may be sold one or more times without prior notice to Borrower, A sale may result in a change in the entity
(known as the 'Loan Servicer*) that collects monthly payments due under the Note and this Security Instrument. There also
may be one or more changes of the Loan Servicer unrelated to a sale of the Note. If there is a change of the Loan Servicer.
Borrower will be given written notice of the change In accordance with paragraph 14 and applicable law. The notice will
state the name and address of the new Loan Servicer and the address to which payments should be made, The notice will
also contain any other information required by applicable law.
17. Hazardous Substances, Borrower she€1 not cause or permit the presence, use, disposal, storage, or re'easo
of any Hazardous Substances on or in the Property. Borrower shall not do, not allow anyone else to do, anything affecting
the property that is In violation of any Environmental Law. The preceding two sentences shall not apply to the presence,
use, or storage on the Properly of small quantities of Hazardous Substances that are generally recognized to be appropriale
to normal residential uses and to maintenance of the Property.
Borrower shall promptly give Lender written notice for any investigation, claim, demand, iawsuil or other action by any
governmental or regulatory agency or private party involving the Property and any Hazardous Substance or Environmental
Law of which Borrower has actual knowledge. if Borrower learns, or Is notified by any govemmental or regulatory authority,
that any removal or other remedialfon of any Hazardous Substance affecting the property is necessary, Borrower shall
Promptly lake all necessary remedial actions in accordance with Environmental Law.
As used In this paragraph 20, 'Hazardous Substances" are those substances defined as toxic or hazardous substances by
Environmental Law and the following substances; gasoline, kerosene, other flammable or toxic petroleum products, toxic
Pesticides and herbicides, volatile solvents, materials eonlaining asbestos or formaldehyde, and
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radioactive materials, As used In this paragraph 20, 'Environmental Raw' means federal laws and laws of the jurisdiction
where the Property Is located that relale to health, safety or environmental protection.
10. Acceleration; Remedies. Lender shall give notice to Borrower prior to acceleration following Borrower's
breach of any covenant or agreement In this Security instrument (but not prior to acceleration under paragraph 17 unless
applicable law provides otherwise). The notice shalt specify, ia) the default; (b) the action required to cure the default; (0) a
dale, not less then aO days from the date the notice Is given to Borrower, by which the default must be cured; and (d) that
failure to cure the default on or before the date specilied in the notice may result in acceleration of the sums secured by this
Security Instumenl, foreclosure by judicial proceeding and sale of the Property, The notice shall further inform Borrower of
the right to reinstate aftef acceleration and the right to assert In the foreclosure proceeding the non-existence of a default or
any other defense of Borrower to acceleration and foreclosure. if the default is not cured on or before the dale specified in
the notice, Lender, at its option, may require immediate payment in full of aft sums secured by this Security Instrument
without further demand and may loreclose this Security Instrument by judicial proceeding. Lender shall be entitled to collect
all expenses incurred in pursuing the remedies provided in this paragraph 2t, including, but not limited to, reasonable
attorney's fees and costs of the title evidence.
19, Release, Upon payment of all sums secured by this security Instrument, Lender shall release this Security
fnstrumenL without charge, to Borrower. Borrower shall pay any recordation costs.
20, Attorneys' Fees. As used in this Securly Instrument and the Nola. 'attorneys' lees' shall include any
attorneys' leos awarded by an appellate court.
SIGNING BELOW, Botr wer accepts and agrees to the terms and covenants contained In this Security Instrument and in
any rider(s) exepule ., b A r(ower and recorded with it.
Signed, sealed and;d IId In the presence of:
Wilnessf✓ 1: C� f'tf t" Jr� Signature: _ cp
Borrower. Fred Richards, Director
Signature: Collier Housing Alternatives, Inc.
STATE OF Florida �.
COUNTY OF Collier
The foregoing Mortgage was do
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Address:
this r�! �Z by Fred Richards of Collier
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4
(November 2022 — September 2023) ENHCE 203.23
AAASWFL
ENHANCED HOME CARE FOR THE ELDERLY
STANDARD CONTRACT
THIS CONTRACT is entered into between Area Agency on Aging for Southwest Florida, Inc. (AAASWFL) 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 Department 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 Department.
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. Incorporation 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 document(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 November 1, 2022 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 October 31, 2023.
4. Contract Amount:
The Agency agrees to pay for contracted services according to the terms and conditions of this contract in an amount not to
exceed $334,665.56, 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 (F.S.), AAASWFL 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 AAASWFL 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) Part 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, and, where applicable,
Environmental Protection Agency regulations 2 CFR Part 1500. The Contractor shall report any violations
of the above to AAASWFL.
6.1.3 Neither the Contractor nor any agent acting on behalf of the Contractor may 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
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ENHCE 203.23
Certification and Assurances Attachment, which must be completed and returned to AAASWFL 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 Part 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. AAASWFL 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 AAASWFL.
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 Form 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 AAASWFL in writing within thirty (30) days of receiving the IRS notice of revocation.
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
11-116, 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 Contractor 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. Compliance with State Law:
7.1 This contract is executed and entered into in the State of Florida, and shall be construed, performed, and enforced
in all respects in accordance with Florida law, including Florida provisions for conflict of laws.
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 reports, findings, and drafts, as specified in
Attachment I, to be received and accepted by AAASWFL 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.
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.
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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 AAASWFL 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.Q.
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 Contractor shall comply with the provisions of Section 11.062, F.S., and Section 216.347, F.S., which prohibit
the expenditure of contract funds for the purpose of lobbying the legislature, judicial branch or a state agency.
7.7 AAASWFL 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.
7.8 Board members shall have access to records of the organization in accordance with Chapter 617, Florida Statutes.
Board members shall not have unfettered access to records and/or protected or confidential information of clients
(recipients of services) unless specifically authorized by law. Protected health information and/or confidential
information (e.g., information involving a victim of abuse, sexual assault, crime) should not be shared with Board
members, or any other individuals, unless such disclosure is specifically authorized by law and necessary to the
performance of their specific duties.
7.9 Areas that intake or store protected health information and/or confidential information shall have restricted access
limited to those employees/volunteers who are authorized by law to access such information.
7.10 The Contractor shall secure all protected and/or confidential information and shall implement appropriate
safeguards to protect unauthorized disclosure of such information in accordance with this Agreement.
7.11 The Contractor's Board shall hold all meetings in accordance with Chapters 286, Florida Statutes. No formal
actions shall be considered binding except as taken or made at a meeting that has been properly noticed.
7.12 The Contractor shall notice all Board meetings on their respective websites and in the Florida Administrative
Register (FAR). To set up an account with FAR, send an email to administrativecode@DOS.myflorida.com.
7.13 The Contractor shall also provide a notice, agenda and copies of any related meeting materials to AAASWFL
7.14 The Contractor shall comply with all applicable Florida and federal laws, including but not limited to, Chapters
119, 286, and 617, Florida Statutes.
8. Background Screening:
The Contractor shall ensure that the requirements of Section 430.0402 and Chapter 435, F.S., are met regarding
background screening for all contractor's and direct service providers' employees; administrators or similarly titled
persons who are responsible for the day-to-day operation of the direct service provider; financial officers or similarly
titled individuals who are responsible for the financial operation of the licensee or direct service provider; any persons
who have a controlling interest; managers; supervisors; and volunteers, and as provided herein. The Contractor and its
direct service providers, must also comply with any applicable rules promulgated by the Department and the Agency
for Health Care Administration regarding implementation of Section 430.0402 and Chapter 435, F.S. Contractor shall
submit the Background Screening Attestation of Compliance -Employer (Screening Form) to AAASWFL within thirty
(30) days of execution of this contract. Should AAASWFL have a completed Screening Form on file for the Contractor,
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ENHCE 203.23
a new Screening Form shall be submitted to AAASWFL every twelve (12) months, and the Contractor shall also
maintain copies of the new screening forms for its direct service providers as required herein. The Contractor hereby
agrees to correct all background screening deficiencies identified by AAASWFL within thirty (30) days upon
notification.
8.1 Further information concerning the procedures for background screening may be found at
http://elderaffairs.state.fl.us/doea/backgroundscreening.php.
9. Grievance Procedures:
The Contractor shall develop, implement, and ensure that its Subcontractors have established grievance procedures to
process and resolve client dissatisfaction with, or denial of, service(s) and to address complaints 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. Public Records and Retention:
10.1 By execution of this contract, Contractor agrees to all provisions of Chapter 119, F.S., and any other applicable
law, and shall:
10.1.1 Keep and maintain public records required by AAASWFL to perform the contracted services.
10.1.2 Upon request from AAASWFL provide 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.
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 term and
following completion of the contract if the Contractor does not transfer the records to AAASWFL.
10.1.4 Upon completion of the contract, the Contractor will either transfer, at no cost to AAASWFL, all public
records in possession of the Contractor to AAASWFL or will keep and maintain public records required by
AAASWFL. If the Contractor transfers all public records to AAASWFL 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 AAASWFL in a format that is compatible
with the information technology systems of AAASWFL.
10.2 AAASWFL 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(1), 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 AAASWFL AT:
AAASWFL
Richard Cocchieri, CFO
2830 Winkler Ave, Suite 112
Ft. Myers, Florida 33916
10.3 Upon termination of this contract, whether for convenience or for cause as detailed in section 53 of this contract,
the Contractor and Subcontractors shall, at no cost to AAASWFL, transfer all public records in their possession to
AAASWFL 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 AAASWFL in a format that
is compatible with the information technology systems of AAASWFL.
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11. Audits, Inspections, Investigations:
ENHCE 203.23
11.1 The Contractor shall establish and maintain books, records, and documents (including electronic storage media)
sufficient to reflect all assets, obligations, unobligated balances, income, interest, and expenditures of funds
provided by AAASWFL under this contract. Contractor shall adequately safeguard all such assets and ensure
that they are used solely for the purposes authorized under 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 report is issued or
until resolution of any audit findings or litigation based on the terms of this contract, at no additional cost to
AAASWFL.
11.3 Upon demand, at no additional cost to AAASWFL, 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 AAASWFL.
11.5 At all reasonable times for as long as records are maintained, persons duly authorized by AAASWFL 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.
11.6 The Contractor shall provide a Financial and Compliance Audit to AAASWFL as specified in this contract and
ensure that all related third -party transactions are disclosed to the auditor.
11.7 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.
11.8 In accordance with Executive Order 20-44 which requires executive agencies to submit a list of entities named
in statute with which a state agency must form a sole -source, public -private agreement or an entity that, through
contract or other agreement with the state, annually receives 50% or more of their budget from the State or from
a combination of State and Federal funds. Any Contractor that meets one or both of the criteria listed must submit
an annual report, including the most recent IRS Form 990, detailing the total compensation for the entities'
executive leadership teams within thirty (30) days of execution of this contract.
11.8.1 The report must include total compensation including salary, bonuses, cashed -in leave, cash equivalents,
severance pay, retirement benefits, deferred compensation, real -property gifts, and any other payout.
11.8.2 The Contractor shall inform the agency of any changes in total executive compensation between the
annual reports as those changes occur.
11.8.3 All compensation reports must indicate what percent of compensation comes directly from the State or
Federal allocations to the contracted entity.
12. Nondiscrimination -Civil Rights Compliance:
12.1 The Contractor shall execute Assurances as stated in the Assurances -Non -Construction 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 or 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.
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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 of discrimination 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 contract 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 any statutes, regulations, guidelines, and standards. In the event of failure to comply, the Contractor
understands that AAASWFL may, at its discretion, seek a court order requiring compliance with the terms of this
assurance or seek other appropriate judicial or administrative relief including, but not limited to, termination of
the contract and denial of further assistance.
13. Monitoring by AAASWFL:
The Contractor shall permit persons duly authorized by AAASWFL to inspect and copy any records, papers, documents,
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 AAASWFL of the satisfactory performance of the
terms and conditions of this contract. Following such review, AAASWFL 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 AAASWFL.
14. Provision of Services:
The Contractor shall provide services in the manner described in Attachment I.
15. Coordinated Monitoring with Other Agencies:
If the Contractor receives funding from one or more State of Florida human service agencies, in addition to AAASWFL,
then a joint monitoring visit including such other agencies may be scheduled. For the purposes of this contract, and
pursuant to Section 287.0575, F.S., as amended, Florida's human service agencies shall include AAASWFL, the
Department of Children and Families, the Department of Health, the Agency for Persons with Disabilities, and the
Department of Veterans' Affairs. Upon notification and the subsequent scheduling of such a visit by the designated
agency's lead administrative coordinator, the Contractor shall comply and cooperate with all monitors, inspectors,
and/or investigators.
16. New Contract(s) Reporting:
The Contractor shall notify AAASWFL 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 information: (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; and (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 attached to this contract.
17. Indemnification:
The Contractor shall indemnify, save, defend, and hold harmless AAASWFL 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,
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 AAASWFL for claims, demands, actions, or causes of action arising solely out
of the negligence of AAASWFL.
17.1 Except to the extent permitted by Section 768.28, F.S., or other Florida law, this Section 17 is not applicable to
contracts executed between AAASWFL and state agencies or subdivisions defined in Section 768.28(2), F.S.
18. Insurance and Bonding:
18.1 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
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ENHCE 203.23
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 AAASWFL 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. AAASWFL reserves the right to require additional insurance
as specified in this contract.
18.2 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.
19. Confidentiality of Information:
The Contractor shall not use or disclose any information concerning a recipient of services under this contract 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.
20. Health Insurance Portability and Accountability Act:
Where applicable, the Contractor shall comply with the Health Insurance Portability and Accountability Act of 1996,
Public Law 104-191, as well as all regulations promulgated thereunder (45 CFR Parts 160, 162, and 164).
21. Incident Reporting:
21.1 The Contractor shall notify AAASWFL 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
AAASWFL (by telephone) with an email to immediately follow.
21.2 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.
22. Bankruptcy Notification:
During the term of this contract, the Contractor shall immediately notify AAASWFL if the Contractor, its assignees,
Subcontractors, or affiliates file a claim for bankruptcy. Within ten (10) days after notification, the Contractor must
also provide the following information to AAASWFL: (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., Northern District of Florida,
Tallahassee Division); and (4) the name, address, and telephone number of the bankruptcy attorney.
23. Sponsorship and Publicity:
23.1 As required by Section 286.25, F.S., if the Contractor is a non -governmental organization which sponsors a
program financed wholly or in part 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), AAASWFL and the State of Florida, Department of Elder Affairs." If the sponsorship reference is in
written material, the words "AAASWFL and State of Florida, Department of Elder Affairs" shall appear in at
least the same size letters or type as the name of the organization.
23.2 The Contractor shall not use the words "AAASWFL or State of Florida, Department of Elder Affairs" to indicate
sponsorship of a program otherwise financed, unless specific written authorization has been obtained by
AAASWFL prior to such use.
24. Subcontracts:
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25.1 The Contractor is responsible for all work performed and for all commodities produced pursuant to this contract,
whether actually furnished by the Contractor or its Subcontractors. Any subcontracts shall be evidenced by a
written document and subject to any conditions of approval AAASWFL deems necessary. The Contractor
further agrees that AAASWFL will not be liable to the Subcontractor in any way or for any reason. The
Contractor, at its expense, shall defend AAASWFL against any such claims.
25.2 The Contractor shall promptly pay any Subcontractors upon receipt of payment from AAASWFL 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.
25. Independent Capacity of Contractor:
It is the intent and understanding of the Parties that the Contractor and any of its Subcontractors are independent
Contractors and are not employees of AAASWFL, and that they shall not hold themselves out as employees or agents
of AAASWFL without prior specific authorization from AAASWFL. It is the further intent and understanding of the
Parties that AAASWFL 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. AAASWFL's Fiscal Department 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 submitted
to AAASWFL'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.
27. Return of Funds:
The Contractor shall return to AAASWFL any overpayments due 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 AAASWFL. 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 AAASWFL.
In the event that AAASWFL first discovers an overpayment has been made, AAASWFL 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 AAASWFL notification or Contractor
discovery.
28. Data Integrity and Safeguarding Information:
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 Subcontractors 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.
29. Social Media and Personal Cell Phone use:
30.1 Inappropriate use of social media and personal cell phones may pose risks to AAASWFL and DOEA's
confidential and proprietary information and may jeopardize compliance with legal obligations. By signing this
contract, Contractor agrees to the following social media and personal cell phone use requirements.
30.2 Social Media Defined. The term Social Media and /or personal cellular communication includes, but is not
limited to, social networking websites, blogs, podcasts, discussion forums, RSS feeds, video sharing, SMS
(including Direct Messages (DMs), iMessages, text messages, etc.); social networks like Instagram, TikTok,
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ENHCE 203.23
Snapchat, Google Hangouts, WhatsApp, Signal, Facebook, Pinterest, and Twitter; and content sharing networks
such as Flickr and YouTube. This includes the transmission of social media through any cellular or online
transmission via any electronic, internet, intranet, or other wireless communication.
30.3 Application to any direct or incidental DOEA, AAASWFL or other state business. This contract applies to
any DOEA, AAASWFL or other state business conducted on any of the Contractor's, Subcontractor's, or their
employees' social media accounts or through personal cellular communication.
30.4 Application to AAASWFL and Contractors Equipment. This contract applies regardless of whether the social
media is accessed using AAASWFL's IT facilities and equipment or equipment belonging to Contractor,
Subcontractor, or their respective employees. Equipment includes, but is not limited to, personal computers,
cellular phones, personal digital assistants, smart watches, or smart tablets.
30.5 Florida Government in the Sunshine, Florida Public Records Law, and HIPAA. Contractor acknowledges
that any DOEA, AAASWFL or other state business conducted by social media or through personal cellular
communication is subject to Florida's Government in the Sunshine Law, Florida's Public Records Law (Chapter
119, Florida Statutes), and the Health Insurance Portability and Accountability Act (HIPAA). Compliance with
these laws and other applicable laws are further detailed in the contract.
30.6 Prohibited or Restricted Postings. Any social media posts which include photos, videos, or names of clients,
volunteers, staff, or other affiliates of AAASWFL may only be posted when authorized by law and when any
required HIPAA authorizations and any other consents or authorizations required pursuant to federal or state law
are on file with the contractor's records.
30.7 Assist AAASWFL with Communications. Contactors may be asked periodically to assist in distributing certain
AAASWFL communications through their social media outlets. Any such requests should be posted in adherence
to the social media requirements herein and the other provisions of this contract.
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 board members and management must disclose to
AAASWFL 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 directors. 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, or reply on a contract to provide any goods or
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
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. Purchasin2:
32.1 The Contractor shall procure products and/or services required to perform this contract in accordance with section
413.036, F.S.
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32.1.1 IT IS EXPRESSLY UNDERSTOOD AND AGREED THAT ANY ARTICLES THAT ARE THE
SUBJECT OF, OR REQUIRED TO CARRY OUT, THIS CONTRACT SHALL BE PURCHASED FROM
A NONPROFIT AGENCY FOR THE BLIND OR FOR THE SEVERELY HANDICAPPED THAT IS
QUALIFIED PURSUANT TO CHAPTER 413, FLORIDA STATUTES, IN THE SAME MANNER AND
UNDER THE SAME PROCEDURES SET FORTH IN SECTION 413.036(1) AND (2), FLORIDA
STATUTES; AND FOR PURPOSES OF THIS CONTRACT THE PERSON, FIRM, OR OTHER
BUSINESS ENTITY CARRYING OUT THE PROVISIONS OF THIS CONTRACT SHALL BE
DEEMED TO BE SUBSTITUTED FOR THE STATE AGENCY INSOFAR AS DEALINGS WITH
SUCH QUALIFIED NONPROFIT AGENCY ARE CONCERNED.
32.1.2 Pursuant to sections 413.036(1) and (4), F.S., the Contractor shall not be required to procure a product or
service from RESPECT if. (a) the product or service is not available within a reasonable delivery time, (b)
the Contractor is required by law to procure the product or service from any agency of the state, or (c) the
Contractor determines that the performance specifications, price, or quality of the product or service is not
comparable to the Contractor's requirements.
32.1.3 This act shall have precedence over any law requiring state agency procurement of products or services
from any other nonprofit corporation unless such precedence is waived by AAASWFL in accordance with
its rules.
32.1.4 Additional information about the designated nonprofit agency and the products it offers is available at
http://www.respectofflorida.org.
33.2 The Contractor shall procure any recycled products or materials which are the subject of, or are required to carry
out, this contract when AAASWFL determines that those products are available, in accordance with the
provisions of section 403.7065, F.S.
33.3 The Contractor shall procure products and/or services required to perform this contract in accordance with
section 946.515, F.S.
33.3.1 IT IS EXPRESSLY UNDERSTOOD AND AGREED THAT ANY ARTICLES WHICH ARE THE
SUBJECT OF, OR REQUIRED TO CARRY OUT, THIS CONTRACT SHALL BE PURCHASED FROM
THE CORPORATION IDENTIFIED UNDER CHAPTER 946, F.S., IN THE SAME MANNER AND
UNDER THE SAME PROCEDURES SET FORTH IN SECTION 946.515(2) AND (4), F.S.; AND FOR
PURPOSES OF THIS CONTRACT THE PERSON, FIRM, OR OTHER BUSINESS ENTITY CARRYING
OUT THE PROVISIONS OF THIS CONTRACT SHALL BE DEEMED TO BE SUBSTITUTED FOR
THIS AGENCY INSOFAR AS DEALINGS WITH SUCH CORPORATION ARE CONCERNED.
33.3.2 The corporation identified is Prison Rehabilitative Industries and Diversified Enterprises, Inc. (PRIDE).
Additional information about PRIDE and the commodities or contractual services it offers is available at
https://pride-enterprises.org/.
33.4 The Contractor shall provide a Certified Minority Business Subcontractor Expenditure (CMBE) Report
summarizing the participation of certified suppliers for the current reporting period and project to date. The
CMBE Report shall include the names, addresses, and dollar amount of each certified participant, and a copy
must be forwarded to AAASWFL and must accompany each invoice submitted to AAASWFL. The CMBE
Report is attached to this contract.
34. Patents, Copyrights, Royalties:
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 AAASWFL 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.
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34.1 If the primary purpose of this contract is the creation of intellectual property, the State of Florida shall retain an
unencumbered right to use such property, notwithstanding any agreement made pursuant to this Section 34.
34.2 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.
34.3 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 AAASWFL shall
retain a perpetual, fully -paid, nonexclusive license for its use and the use of its Contractors, Subcontractors, or
Assignees of any resulting patented, copyrighted, or trademarked work products.
35. Emergency Preparedness and Continuity of Operations:
35.1 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 AAASWFL, verification of an
Emergency Preparedness Plan. In the event of an emergency, the Contractor shall notify AAASWFL of
emergency provisions.
35.2 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.
36. Equipment:
36.1 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 $5,000.00 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].
36.2 Contractors and Subcontractors who are Institutions 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-110) 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 AAASWFL upon request. The Contractor shall promptly
investigate, fully document, and notify AAASWFL of any loss, damage, or theft of equipment. The Contractor
shall provide the results of the investigation to AAASWFL.
36.3 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:
36.3.1 Property records must be maintained that include a description of the equipment;
36.3.2 Manufacturer's serial number, model number, federal stock number, national stock number, or other
identification number;
36.3.3 Source of funding for the equipment, including the federal award identification number;
36.3.4 Whether title vests in the Contractor or the federal government;
36.3.5 Acquisition date (or date received, if the equipment was furnished by the federal government);
36.3.6 Information from which one can calculate the percentage of federal participation in the cost of the
equipment (not applicable to equipment furnished by the federal government);
36.3.7 Location, use and condition of the equipment and the date the information was reported;
36.3.8 Unit acquisition cost; and
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36.3.9 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.
36.3.10 A physical inventory must be taken, and the results reconciled with the property records at least once
every two (2) years.
36.3.11 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).
36.3.12 Adequate maintenance procedures must be developed to keep the property in good condition.
36.3.13 If the Contractor is authorized or required to sell the equipment, proper sales procedures must be
established to ensure the highest possible return.
36.4 Equipment purchased with federal funds with an acquisition cost over $5,000.00 and equipment purchased with
state funds with an acquisition cost over $5,000.00 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 § 75.320(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.
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.
36.5 The Contractor shall not dispose of any equipment or materials provided by AAASWFL or purchased with funds
provided through this contract without first obtaining the approval of AAASWFL. When disposing of property
or equipment the Contractor must submit a written request for disposition instructions to. 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.).
36.6 AAASWFL 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.
36.7 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 AAASWFL. Real property
purchases from Older Americans Act funds are subject to the provisions of Title 42, Chapter 35, Subchapter III,
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.
36.8 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.
36.9 The Contractor must adhere to AAASWFL'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 AAASWFL upon request. The Contractor has
the responsibility to require any Subcontractors to comply with AAASWFL's ITR procedures.
37. PUR 1000 Form:
The PUR 1000 Form is hereby incorporated by reference and available at:
http://dms.myflorida.com/purchasing
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 shall take precedence over the PUR 1000 Form. However, if the conflicting 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.
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38. Use of State Funds to Purchase or Improve Real Property:
ENHCE 203.23
Any state funds provided for the purchase of or improvements to real property are contingent upon the Contractor or
political subdivision granting to the state a security interest in the property at least to the amount of state funds provided
for at least five (5) years from the date of purchase or the completion of the improvements or as further required by law.
39. Dispute Resolution:
Any dispute concerning performance of the contract shall be decided by AAASWFL, who shall reduce the decision to
writing and serve a copy on the Contractor.
40. Financial Consequences:
If the Contractor fails to meet the minimum level of service or performance identified in this contract, AAASWFL shall
impose financial consequences as stated in Attachment I.
41. No Waiver of Sovereign Immunity:
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.
42. Venue:
If any dispute arises out of this contract, the venue of such legal recourse shall be Duval County, Florida.
43. Entire Contract:
This contract contains all the terms and conditions agreed upon by the Parties. No oral agreements or representations
shall be valid or binding upon AAASWFL or the Contractor unless expressly contained herein or by a written
amendment to this contract signed by both Parties.
44. Force Maieure:
The Parties will not be liable for any delays or failures in performance due to circumstances beyond their control,
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.
45. Severability Clause:
The Parties 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.
46. Condition Precedent to Contract Appropriations:
The Parties agree that AAASWFL's performance and obligation to pay under this contract are contingent upon an
annual appropriation by the Legislature.
47. Addition/Deletion:
The Parties agree that AAASWFL 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 Parties.
The Parties shall negotiate compensation for any additional services added.
48. Waiver:
The delay or failure by AAASWFL to exercise or enforce any of its rights under this contract will not constitute or be
deemed a waiver of AAASWFL's right thereafter to enforce those rights, nor will any single or partial exercise of any
such right preclude any other or further exercise thereof or the exercise of any other right.
49. 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 of the 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 AAASWFL.
50. Final Invoice:
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The Contractor shall submit the final invoice for payment to AAASWFL no later than thirty (30) days after the contract
ending date unless otherwise specified in Attachment I. If the Contractor fails to do so, all right to payment is forfeited
and AAASWFL 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 AAASWFL.
51. Renegotiations of Modifications:
Modifications of the provisions of this contract shall be valid only when they have been reduced to writing and duly
signed by both parties. The rate of payment and the total dollar amount may be adjusted retroactively 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 AAASWFL's operating budget.
52. Suspension of Work:
AAASWFL may, in its sole discretion, suspend any or all activities under the contract or purchase order, at any time,
when in the interest of the State to do so. AAASWFL 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, AAASWFL 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.
53. Termination:
53.1 Termination for Convenience. AAASWFL, by written notice to the Contractor, may terminate this contract in
whole or in part when AAASWFL 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.
53.2 Termination for Cause. AAASWFL 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 (4) 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 for 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 or 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 for failure to perform, unless the subcontracted products were obtainable from
other sources in sufficient time for 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 AAASWFL. The
rights and remedies of AAASWFL in this clause are in addition to any other rights and remedies provided by law
or under the contract.
54. Electronic Records and Signature:
AAASWFL 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 Integrity 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.
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Page 14 of 57
(November 2022 — September 2023) ENHCE 203.23
54.1 AAASWFL's authorization pursuant to this section does not authorize electronic transactions between the
Contractor and AAASWFL. The Contractor is authorized to conduct electronic transactions with AAASWFL
only upon further written consent by AAASWFL.
54.2 Upon request by AAASWFL, the Contractor shall provide AAASWFL with non -electronic (paper) copies of
records. Non -electronic (paper) copies provided to AAASWFL 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.
55. Contract Manaeer:
AAASWFL may substitute any AAASWFL employee to serve as the AAASWFL Contract Manager.
REMAINDER OF THE PAGE INTENTIONALL Y LEFT BLANK
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Page 15 of 57
(November 2022 — September 2023)
56. Official Pavee and Renresental
The Contractor name, as shown on page 1 of this
a. � contract, and mailing address of the official payee to
whom the payment shall be made is:
The name of the contact person and street address
b. where financial and administrative records are
maintained is:
The name, address, and telephone number of the
C.
representative of the Contractor responsible for
administration of the program under this contract is
The section and location within AAASWFL where
d. Requests for Payment and Receipt and Expenditure
forms are to be mailed is:
I The name, address, and telephone number of the
e' Contract Manager for this contract is:
ENHCE 203.23
Kristi Sonntag, Director
Collier County Board of County
Commissioners
3339 E Tamiami Trail, Building H Naples, FL
34112
Kristi Sonntag, Director
Collier County Board of County
Commissioners
3339 E Tamiami Trail, Building H Naples, FL
34112
Kristi Sonntag, Director
Collier County Board of County
Commissioners
3339 E Tamiami Trail, Building H Naples, FL
34112
Area Agency on Aging for Southwest Florida,
Inc.
2830 Winkler Ave, Suite 112
Ft. Myers, Florida 33916
Richard Cocchieri, CFO
2830 Winkler Ave, Suite 112
Ft. Myers, Florida 33916
Upon change of representatives (names, addresses, telephone numbers) by either party, notice shall be provided
in writing to the other party.
57. All Terms and Conditions Included:
This contract and its Attachments 1— IX, 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 fifty-seven (57) page contract to be executed by their
undersigned officials as duly authorized.
CONTRACTW.jW8MST,,A
0g0�ITy, AREA AGENCY ON AGING FOR SOUTHWEST
Commissioners ams anya FLORIDA, INC.
Date: 2023.03.02
SIGNED BY: a nya 12:20:21-05'00' SIGNED BY: ,
NAME: Tanya R Williams
TITLE: Public Service Department Head
DATE: 03.02.2023
As designee of the County Manager, pursuant to
R olutionto No. 2018-202.
pr ved a/%Fr�m an gality
Derek D. Perry
Assistant County Attorney
NAME: Maricela Morado
TITLE: President & Chief Executive Officer
DATE: ().3. 6a . ),7 - — — —
Page 16 of 57
(November 2022 — September 2023) ENHCE 203.23
INDEX OF ATTACHMENTS
ATTACHMENTI................................................................................................................................................
18
STATEMENTOF WORK...................................................................................................................................
18
ATTACHMENTH..............................................................................................................................................
28
FINANCIAL AUDIT AND COMPLIANCE.......................................................................................................
28
ATTACHMENTH..............................................................................................................................................
31
EXHIBIT1............................................................................................................................................................
31
EXHIBIT2............................................................................................................................................................
33
FUNDINGSUMMARY(2022-2023)..................................................................................................................
33
ATTACHMENTIII.............................................................................................................................................
34
CERTIFICATIONS AND ASSURANCES.........................................................................................................
34
ATTACHMENTIV..............................................................................................................................................
39
ASSURANCES —NON -CONSTRUCTION PROGRAMS.................................................................................
39
ATTACHMENTV...............................................................................................................................................
41
FLORIDA DEPARTMENT OF ELDER AFFAIRS CIVIL RIGHTS COMPLIANCE CHECKLIST ...............
41
ATTACHMENTV...............................................................................................................................................
43
INSTRUCTIONS FOR THE CIVIL RIGHTS COMPLIANCE CHECKLIST ...................................................
43
ATTACHMENTVI..............................................................................................................................................
45
CONTRACTOR'S STATE CONTRACT LIST..................................................................................................
45
ATTACHMENTVII............................................................................................................................................
46
BACKGROUNDSCREENING...........................................................................................................................
46
ATTACHMENTVIII...........................................................................................................................................
47
CERTIFIED MINORITY BUSINESS SUBCONTRACTOR EXPENDITURES (CMBE FORM) ...................
47
ATTACHMENTIX..............................................................................................................................................
49
ENHANCED HCE INFORMED CONSENT FORM..........................................................................................
49
ATTACHMENTX...............................................................................................................................................
50
PROPERTY OWNER AUTHORIZATION
(MINOR IMPROVEMENTS/REPAIRS)............................................................................................................
50
ATTACHMENTXI..............................................................................................................................................
51
PROPERTY OWNER AUTHORIZATION
(NON-STRUCTURAL HOME IMPROVEMENTS/MODIFICATIONS)..........................................................
51
ATTACHMENTXII............................................................................................................................................
52
ENHANCED HCE DEMOGRAPHIC INFORMATION....................................................................................
52
ATTACHMENTXUI...........................................................................................................................................
53
ENHANCED HCE SERVICES INFORMATION...............................................................................................
53
ATTACHMENTXIV...........................................................................................................................................
54
REQUESTFOR PAYMENT...............................................................................................................................
54
ATTACHMENTXV.............................................................................................................................................
55
RECEIPT AND EXPENDITURE REPORT........................................................................................................
55
ATTACHMENTXVI...........................................................................................................................................
56
COST REIMBURSEMENT SUMMARY...........................................................................................................
56
ATTACHMENTXVII..........................................................................................................................................
57
BUDGET SUMMARY SUMMARY...................................................................................................................
57
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Page 17 of 57
(November 2022 — September 2023)
ATTACHMENT
ENHCE 203.23
STATEMENT OF WORK
I. SERVICES TO BE PROVIDED:
1. Definition of Terms and Contract Acronyms
a. AAA or Contractor - Area Agency on Aging
b. AHCA or Agency - Agency for Health Care Administration.
c. ARPA - American Rescue Plan Act
d. CAP -Corrective Action Plan
e. CMS - Centers for Medicare & Medicaid
f. DOEA or Department - Department of Elder Affairs
g. DSP — Direct Service Provider
It. eCIRTS - Enterprise Client Information and Registration Tracking System
i. HCBS - Home and Community -Based Services
j. HCE - Home Care for the Elderly
k. Licensed contractor or subcontractor — As defined by the Florida Department of Business and
Professional Regulation
1. PSA — Planning and Service Area
m. 701B- DOEA Form 701B Comprehensive Assessment
B. General Description
1. General Statement
The American Rescue Plan Act (ARPA) of 2021 provides the opportunity for state Medicaid programs to
receive an increased, ten (10) percentage point enhancement, Federal Medical Assistance Percentage (FMAP)
to support Home and Community -Based Services (HCBS).
The Agency is responsible for the distribution and reporting of the state share of funds appropriated pursuant
to the ARPA. The Agency understands the importance of investing in aging in place programs that allow
Florida's seniors to continue to thrive within a home -based setting over institutional or nursing home care. The
Agency, in collaboration with the DOEA will contract with Area Agencies on Aging (the Contractor) to
determine eligibility and make payments for home modifications and caregiver support based on the Agency's
criteria as authorized by the Centers for Medicare and Medicaid Services (CMS). In the Enhanced HCE program
eligible individuals will receive proactive, client -directed, and time -limited home modifications, self -
management support, and caregiver support for the purposes of increasing function, increasing independence,
and promoting healthy living in home settings.
2. Authority
The relevant state statutes and governing rules are:
a. Sections 430.601-430.608, Florida Statutes (F.S.)
b. Chapter 58H-1, Florida Administrative Code (F.A.C.)
c. H.R. 1319, Section 9817
d. Title XIX of the Social Security Act.
e. 42 Code of Federal Regulations (CFR), Parts 431.10,
f. Department of Elder Affairs Programs and Services Handbook
C. Client Eligibility
1. To be eligible for Enhanced HCE the client must be sixty (60) years old or older and either:
0;
Page 18 of 57
(November 2022 — September 2023) ENHCE 203.23
a. Enrolled in Florida Medicaid; or
b. Beat risk of nursing home placement based on a 701B assessment.
II. MANNER OF SERVICE PROVISION
A. AAASWFL Responsibilities
1. Manage the Enhanced HCE program and provide primary oversight on the Contractor's administration of the
Enhanced HCE program.
2. Establish guidelines for determining the home modifications, self -management support, and caregiver support
services in the Enhanced HCE program as approved in the State's ARPA HCBS Spending Plan and Narrative.
3. Establishing criteria for prioritization process of Enhanced HCE participants to receive services in accordance
with state statute governing the HCE program and the State's ARPA HCBS Spending Plan and Narrative.
4. Ensure that Enhanced HCE program services are paid for in accordance with this Contract and are additive and
not duplicative of services for participants who are enrolled in Florida Medicaid health plans.
5. Develop in coordination with the Agency evaluation tools, surveys, and other materials related to services
provided in accordance with this Contract.
6. Review and approve all monthly deliverables as outlined in Table 2, Deliverable Schedule, of this Contract.
7. Work with the Agency and the Contractors to quantify the impact of the Enhanced HCE program on participant
and caregiver outcomes. Compile data to send AHCA survey results within 15 days following the end of each
quarter.
8. Monitor the Contractors' expenditures of the distributed funds to ensure compliance with applicable state and
federal requirements.
9. Review and evaluate the performance of the Contractor under the terms of this contract. Monitoring shall be
conducted through direct contact with the Contractor through telephone, in writing, and/or on -site visit(s). The
primary, secondary, or signatory of the contract must be available for any on -site programmatic monitoring
visit. AAASWFL's determination of acceptable performance shall be conclusive. AAASWFL reserves the
right to conduct an on -site visit unannounced by persons duly authorized by AAASWFL. AAASWFL 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;
c. Client visits;
d. Review of independent auditor's reports;
e. Review of third -party documents and/or evaluation;
f. 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 AAASWFL.
10. Track expenditures and services in the Enhanced HCE program in accordance with this Contract.
11. All unused funds and disallowed costs from the Contractors shall be returned to the Agency in accordance with
this Contract.
12. Provide the Agency with all necessary information required to fulfill federal reporting requirements. This
information must be reported quarterly, 15 days following the end of each quarter.
13. Provide technical assistance to the Contractors on Enhanced HCE.
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ENHCE 203.23
a. AAASWFL agrees to comply with the following responsibilities when Agency data is utilized:
Comply with the Department of Health and Human Services Privacy Regulations in the CFR, Title 45,
Sections 160 and 164, regarding disclosure of protected health information as specified in Attachment II,
Business Associate Agreement.
b. Ensure all services provided under this Contract will be performed within the borders of the United States
and its territories and protectorates. State-owned Data (data collected or created for or provided by the
Agency) will be processed and stored in data centers that are located only in the forty-eight (48) contiguous
United States. AAASWFL shall ensure that call centers, Information Technology (IT) help desks or any
other type of customer support provided directly under this Contract, shall be located only in the forty-eight
(48) contiguous United States.
c. To not subcontract, assign, or transfer any work identified under this Contract, without prior written consent
of the Agency. Changes to approved subcontracts and/or subcontractors require approval in writing by the
AAASWFL prior to the effective date of any subcontract.
d. Ensure its employees, subcontractors and agents provide immediate notice to AAASWFL in the event it
becomes aware of any security breach and any unauthorized transmission or loss of any or all of the data
collected or created for or provided by the Agency.
e. Conform to current and updated publications of the principles, standards, and guidelines of the Federal
Information Processing Standards (FIPS), the National Institute of Standards and Technology (MIST)
publications, including but not limited to Cybersecurity-Framework and NIST.SP.800-53.
f. The Agency may conduct an initial IT security rating score scan on AAASWFL, as well as periodic or
continuous security monitoring through an information security rating service, at the Agency's expense, to
enable the Agency to effectively measure AAASWFL's security risks. The security rating service scan
employs only passive, non-invasive techniques centered on AAASWFL's publicly -accessible systems that
can be observed from the internet. AAASWFL will work with the Agency's Security Rating Score Provider
to define the relevant AAASWFL assets providing Agency services. AAASWFL shall maintain a minimum
security rating of 8.0 out of 10 or higher as determined by the Agency's security rating service. Scores
lower than the minimum security rating will be remediated in partnership.
B. Contractor Responsibilities
1. Ensure that applicant data is evaluated to determine eligibility. Eligibility for Enhanced HCE is based on
meeting the requirements described in Section I.C.1.
2. Ensure the following criteria are used to prioritize new clients in the sequence below for service delivery. It is
not the intent of AAASWFL to remove existing clients from services to serve new clients being assessed and
prioritized for service delivery.
a. Imminent Risk individuals: Individuals in the community whose mental or physical health condition has
deteriorated to the degree that self -care is not possible, there is no capable caregiver, and nursing home
placement is likely within one (1) month or very likely within three (3) months.
b. Aging Out individuals: Individuals receiving CCDA and HCDA services through DCF's Adult Services
transitioning to community -based services provided through AAASWFL when DCF's services are not
currently available.
c. Service priority for individuals not included in a. or b. above, regardless of referral source, will be
determined through the Department's functional assessment administered to each applicant, to the extent
funding is available. The Contractor shall ensure that priority is given to applicants at the higher levels of
frailty and risk of nursing home placement. For individuals assessed at the same priority and risk of nursing
home placement, priority will be given to applicants with the lesser ability to pay for services.
3. Obtain signed Informed Consent (Attachment IX) on all participants prior to any services being rendered.
Obtain signed Home Modification Authorizations if necessary (Attachment X and XI).
4. Ensure completion of a client -centered, home -based needs assessment that is evidence -based or aligned with
best practices. The needs assessment shall include, but not be limited to, the following: the participant's
physical living space (e.g., home modifications, weathering the home, infestation control, prevention of falls,
burns, and injuries), access to technology (e.g., senior -friendly hardware devices), and connection to additional
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ENHCE 203.23
services such as caregiver support, community support, and care planning, which may include advanced care
planning, if needed. Occupational therapy, nursing, case management, home safety, and/or licensed
contractor/subcontractor services shall be provided in an amount up to $6,000 per participant as indicated on
the needs assessment. If the participant is enrolled in a Statewide Medicaid Managed Care (SMMC) health plan,
then the Contractor will communicate with the enrollee's health plan case manager and coordinate health plan
contribution to home modifications. The amount spent by the SMMC plan shall be recorded by the Contractor
but not counted in the $6,000 per participant cap. All services are to be completed within six months of the
needs assessment. Services are to be prioritized based on clients' needs, and to optimally increase function and
independence for healthy living in home settings. All expenditures are to be reasonable and allowable.
5. Complete 701B assessments on all participants within 45 days prior to any services and complete 701B
assessments between fifteen (15) and forty-five (45) days after completing last services. The Vendor shall
upload 701B assessment data into eCIRTS.
6. Ensure the provision of program services is consistent with the current DOEA Handbook.
7. 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.
8. Ensure that the staff responsible for performing any duties or functions within this contract have the
qualifications as specified in the current DOEA Handbook.
9. 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.
10. If a subcontractor or third party is used, then the Contractor shall:
a. 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 AAASWFL's Contract Manager and AAASWFL's Finance
Department 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 prior to the
subcontractor's performance. AAASWFL will not be responsible or liable for any obligations or claims
resulting from such action.
b. Submit a copy of all subcontracts to AAASWFL within thirty (30) days of the subcontract being executed.
c. Monitor, at least once per year, each of its subcontractors, subrecipients, 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 to ensure that the budget is met, the scope of work is accomplished within the specified time
periods, and all other performance goals stated in this contract are achieved. The expenditures are
appropriate and properly supported.
d. Forward a copy of all subcontractor monitoring reports to AAASWFL within thirty (30) days of the report
being issued to the subcontractors, subrecipients, vendors, and/or consultants.
11. Provide local management and oversight of Enhanced HCE Program operations in accordance with the current
DOEA Handbook. Management and oversight of Enhanced HCE Program operations include the following:
a. Developing a competitive solicitation process for allocated Enhanced HCE funds, including appeal
procedures for handling disputes involving local service providers;
b. Designating appropriate and capable local service providers and establishing vendor/recipient agreements
at the Contractor level, when applicable for local service providers and services according to manuals, rules,
and agreement procedures of AAASWFL;
c. Providing technical assistance and training to local service providers, subcontractors, and vendors to ensure
provision of quality services;
d. Monitoring and evaluating local service providers, subcontractors, and vendors for fiscal, administrative,
and programmatic compliance;
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e. Appropriately and timely submitting payments to subcontractors;
ENHCE 203.23
L Establishing procedures for handling recipient complaints and ensuring 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 any other issues related to complaints (other than termination, suspension, or reduction in
services) that require the grievance process as described in Appendix D of the current DOEA Handbook.
The complaint procedures shall include notification to all clients of the complaint procedure and include
tracking the date, nature of complaint, and the determination of each complaint;
g. Ensuring compliance with eCIRTS regulations;
h. Monitoring performance objective achievements in accordance with targets set by AAASWFL; and
i. Conducting client satisfaction surveys to evaluate and improve service delivery 60 days after completion
of service and provide the survey results to AAASWFL.
12. Respond within ten (10) business days, or within deadlines established by AAASWFL request for routine and/or
special requests for information or ad hoc reports. The Contractor must establish due dates for any subcontractor
in order to meet AAASWFL's reporting requirements.
13. Submit a Consolidated Surplus/Deficit Report, to AAASWFL, by the 12' of each month. This Consolidated
Surplus/Deficit Report must include the following:
a. A list of all subcontractors and their current status regarding surplus/deficit;
b. The Contractor's detailed plan on how the surplus/deficit spending exceeding the threshold specified by the
Department will be resolved;
c. Recommendations to transfer funds within the PSA or to other Contractors to resolve surplus/deficit
spending;
d. Number of clients with completed services.
e. Number of clients currently receiving services.
14. Submit a completed Cost Analysis for Non -Competitively Procured Contracts in Excess of Category II to
AAASWFL.
15. Submit Program Highlights referencing specific events that occurred in preceding SFY/FFY by September 15
each year of this contract period to the AAASWFL. The Contractor shall provide a new success story, quote,
testimonial, or human -interest vignette. The highlights shall be written for a general audience, with no acronyms
or technical terms. For all agencies or organizations that are referenced in the highlight, the Contractor shall
provide a brief description of their mission or role. The active tense shall be consistently used in the highlight
narrative, to identify the specific individual or entity that performed the activity described in the highlight. The
Contractor shall review and edit Program Highlights for clarity, readability, relevance, specificity, human
interest, and grammar, prior to submitting them to AAASWFL.
16. Maintain documentation to support Requests for Payment that shall be available to AAASWFL or other
authorized individuals, upon request.
17. Ensure monthly collection and maintenance of client and service information in eCIRTS or any such system
designated by AAASWFL.
18. Submit monthly deliverables for review and approval to AAASWFL in accordance with Table 1, Deliverable
Requirements, and Table 2, Deliverable Schedule, of this Contract.
19. Submit monthly invoices for review and preliminary approval to AAASWFL within fifteen (15) calendar days
of AAASWFL's approval of all monthly deliverables.
20. Anticipate and prepare for the loss of information processing capabilities. The routine backing up of all data
and software is required to recover from losses or outages of the computer system. Data and software essential
to the continued operation of the Contractor functions must be backed up. The security controls over the backup
resources shall be as stringent as the protection required of the primary resources. A copy of the backed -up data
shall be stored in a secure, offsite location.
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ENHCE 203.23
a. Maintain written policies and procedures for computer system backup and recovery and shall have the same
requirement of subcontractors. These policies and procedures shall be made available to AAASWFL upon
request.
21. Agree to cooperate with AAASWFL in monitoring the progress of completion of the service tasks and
deliverables.
22. The Contractor shall ensure the provision of a continuum of services that meets the diverse needs of functionally
impaired elders and their caregivers. The Contractor shall ensure that performance and reporting of the
following services are in accordance with the current DOEA Handbook, and Section II.A. L-2. Of this contract.
Documentation of service delivery must include but is not limited to 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 services include the following categories:
23. The Contractor agrees to comply with the following responsibilities when AAASWFL, Department or Agency
data is utilized:
a. Comply with the Department of Health and Human Services Privacy Regulations in the CFR, Title 45,
Sections 160 and 164, regarding disclosure of protected health information as specified in Attachment II,
Business Associate Agreement.
b. Ensure all services provided under this Contract will be performed within the borders of the United States
and its territories and protectorates. State-owned Data (data collected or created for or provided by
AAASWFL, Department and/or Agency) will be processed and stored in data centers that are located only
in the forty-eight (48) contiguous United States. The Contractor shall ensure that call centers, Information
Technology (IT) help desks or any other type of customer support provided directly under this Contract,
shall be located only in the forty-eight (48) contiguous United States.
c. To not subcontract, assign, or transfer any work identified under this Contract, without prior written consent
of the Agency. Changes to approved subcontracts and/or subcontractors require approval in writing by
AAASWFL prior to the effective date of any subcontract.
d. Ensure its employees, subcontractors and agents shall provide immediate notice to AAASWFL in the event
it becomes aware of any security breach and any unauthorized transmission or loss of any or all of the data
collected or created for or provided by AAASWFL, Department and/or Agency.
e. Conform to current and updated publications of the principles, standards, and guidelines of the Federal
Information Processing Standards (FIPS), the National Institute of Standards and Technology (MIST)
publications, including but not limited to Cybersecurity-Framework and NIST.SP.800-53.
C. Deliverables Section
The Contractor shall submit monthly deliverables for review and approval to AAASWFL in accordance with Table
1, Deliverable Requirements, and Table 2, Deliverable Schedule, below:
TABLE 1— DELIVERABLE REQUIREMENTS
73E
o.Deliverable
Supporting Documentation
Due Date
Signed consent forms from each
Completed and signed
participant in the enhanced HCE
Attachment IX in PDF files or
The third (3rd) calendar day o
1
program that acknowledges the
other electronic format files with
each month
rogram's limited scope and duration
legally binding attestation from
of services.
the HCE participant.
Report providing the aggregate
umber of participants enrolled into
Excel spreadsheet showing per
2
he enhanced HCE program, their
person information on
The third (3rd) calendar day o
demographics (e.g., age, sex, race,
Attachment XII.
each month.
ethnicity, AHCA region), and their
health insurance carrier.
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ENHCE 203.23
Report documenting all home
modifications and Enhanced HCE
Excel spreadsheet showing per
The third (3') calendar day o
3
services rendered, their costs, and
person information on
each month
dates of service per person served and
Attachment XIII
Provider Name.
Consolidated Surplus/Deficit Report
Completed and signed report in
4
in accordance with the requirements
PDF file or other electronic
th
The twenty-fifth (12 )
listed in Attachment I, Section 1, Sub-
format file
calendar day of each month.
Section F, Item 13.
701B assessment data that will be
5used
by the Agency to quantify the
Assessment results in electronic
As requested by the Agency
impact of services on participant and
format.
caregiver conditions
Program Highlights referencing a new
PDF completed in accordance
6
success story, quote, testimonial, or
with Attachment 1, Section 1,
September 15, 2023
human -interest vignette that occurred
Sub -Section F, Item 15.
in preceding SFY/FFY.
TABLE 2 — DELIVERABLE SCHEDULE
Source Documentation/Reporting
Due Date
•
November Demographic Information
•
November Services Information
December 3, 2022
•
November Informed Consents
•
Invoice for November Services
•
November Surplus/Deficit Report
December 12, 2022
•
December Demographic Information
•
December Services Information
January 3, 2023
•
December Informed Consents
•
Invoice for December Services
•
December Surplus/Deficit Report
January 12, 2023
•
January Demographic Information
•
January Services Information
February 3, 2023
•
January Informed Consents
•
Invoice for January Services
•Quarterly
Survey Results(November, December, January)
February 8, 2023
•
January Surplus/Deficit Report
February 12, 2023
•
February Demographic Information
•
February Services Information
March 3, 2023
•
February Informed Consents
•
Invoice for February Services
•
February Surplus/Deficit Report
March 12, 2023
•
March Demographic Information
•
March Services Information
April 3, 2023
•
March Informed Consents
•
Invoice for March Services
•
March Surplus/Deficit Report
Aril 12, 2023
•
April Demographic Information
•
April Services Information
May 3, 2023
•
April Informed Consents
•
Invoice for April Services
•Quarterly
Survey Results (February, March, April)
May 8, 2023
in
Page 24 of 57
(November 2022 — September 2023)
ENHCE 203.23
•
Aril Surplus/Deficit Report
May 12, 2023
•
May Demographic Information
•
May Services Information
June 3, 2023
•
May Informed Consents
•
Invoice for May Services
•
May Surplus/Deficit Report
June 12, 2023
•
June Demographic Information
•
June Services Information
July 3, 2023
•
June Informed Consents
•
Invoice for June Services
•
June Surplus/Deficit Report
July 12, 2023
•
July Demographic Information
•
July Services Information
August 3, 2023
•
July Informed Consents
•
Invoice for July Services
•Quarterly
Survey Results (May, June, Jul
August 8, 2023
•
July Surplus/Deficit Report
August 12, 2023
•
August Demographic Information
•
August Services Information
September 3, 2023
•
August Informed Consents
•
Invoice for August Services
•
August Surplus/Deficit Report
September 12, 2023
•
Program Highlights
September 15, 2023
•
September Demographic Information
•
September Services Information
October 3, 2023
•
September Informed Consents
•
Invoice for September Services
•
September Surplus/Deficit Report
October 12, 2023
III. METHOD OF PAYMENT
A. Payment Methods Used
The method of payment for this contract is cost reimbursement based on monthly invoicing from the Contractor to
the Agency, subject to the availability of funds and Contractor performance. The Agency will pay the Contractor
upon satisfactory completion of the Tasks/Deliverables, and in accordance with other terms and conditions of this
contract.
B. Monthly Payments
The Contractor shall submit all invoices to AAASWFL for preliminary approval within fifteen (15) calendar days
of completion and approval of deliverables(s). The Agency will pay the invoiced amount for services completed
each month and after all deliverables are submitted and approved.
TABLE 3
PAYMENT SCHEDULE
#
State Fiscal Year
Number
Deliverable / Service Description
Unit Cost
- SFY
of Units
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ENHCE 203.23
Year 1 Operations
(December 1, 2022 — June 30, 2023)
The Vendor shall provide proactive, client -
Per Monthly
directed, time -limited home modifications,
Invoiced Amount for
1
SFY 2022/2023
self -management support, and caregiver
Services Delivered
7
support in accordance with the terms in this
Contract. The required reports are the
supporting documentation the Agency will
use to verify the completion of services.
Year2 Operations
(July 1, 2023 — September 30, 2023)
The Vendor shall provide proactive, client-
per Monthly
directed, time -limited home modifications,
Invoiced Amount for
2
SFY 2023/2024
self -management support, and caregiver
Services Delivered
3
support in accordance with the terms in this
Contract. The required reports are the
supporting documentation the Agency will
use to verify the completion of services.
C. Method of Invoice Payment
All requests for payment shall all be submitted using Attachment XIV. Payment may be authorized for all allowable
expenditures to complete the tasks identified in and required by this Contract.
Any payment due under the terms of this contract may be withheld pending the receipt and approval by AAASWFL
of all deliverables due from the Contractor and any adjustments thereto, including any disallowance not resolved.
Payment shall be made upon the Contractor presentation of an invoice subsequent to the acceptance and approval
by AAASWFL of the deliverables shown on the invoice. The form and substance of each invoice packet submitted
by the Contractor shall be as follows:
1. Have a Remittance Address that corresponds exactly to the "Remit To" address provided to
MyFloridaMarketPlace (MFMP) during registration.
2. Request payment monthly for the services provided in conformance with the requirements as described in the
current DOEA Handbook and in accordance with the Payment Schedule in Table 3 above, at the rates
established in Attachment 1 Section II.A.1 and II.A.2. Documentation of service delivery must include a report
consisting of the following: name of each client served, all home modifications and services provided with their
cost and dates of service, with calculations that equal the total invoice amount (Attachment XIII).
Reimbursement amounts for administrative costs must be reflected on the Cost Reimbursement Summary form
(Attachment XVI) and include only items contained on the Contractor's Cost Analysis form. Any requested
changes to the approved budget subsequent to the execution of the contract must be submitted to AAASWFL
for written approval. Any change to the total contract amount requires a formal contract amendment.
3. The Contractor shall consolidate all subcontractors' Requests for Payment and Receipt and Expenditure Reports
that support Requests for Payment and shall submit the consolidated information to AAASWFL using the
Request for Payment (Attachment XIV), Receipt and Expenditure Report (Attachment XV), and Cost
Reimbursement Summary (Attachment XVI) forms for services and administrative expenses, which must
include itemized expenditure categories.
4. All Requests for Payment shall be based on the submission of monthly Receipt and Expenditure Reports
beginning with the first month of this contract.
5. The Contractor shall submit monthly invoices to AAASWFL for review and processing for payment.
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ENHCE 203.23
6. Invoices received and deemed inappropriate for payment shall be returned to the Contractor explaining the basis
for non-payment by the entity making the non-payment determination. The parties hereto understand that all
payments are subject to the final review processing by AAASWFL prior to payment.
C. Return of Funds
The Contractor shall be permitted to encumber an amount of $6,000.00 per person who has given informed consent
to participate. The Contractor shall be permitted to unencumber any amount of funds as needed. Encumbered funds
must be encumbered no later than June 30, 2023. Any unencumbered funds by June 30, 2023 shall be returned to
the Agency by July 30, 2023. AAASWFL will provide the Contractor with details on the process for returning
unencumbered funds.
D. Payment Withholding
Any payment due under the terms of this contract may be withheld pending the receipt and approval by AAASWFL
of all financial and programmatic reports due from the Contractor and any adjustments thereto, including any
disallowance not resolved.
E. Final Invoice Instructions
The Contractor shall submit the final Request for Payment to AAASWFL no later than 45 days after contract period
ends.
F. Documentation for Payment
The Contractor shall maintain documentation to support payment requests to AAASWFL or authorized individuals,
such as AAASWFL's Fiscal Department, upon request.
G. Financial Consequences
The Contractor shall ensure 100% of the deliverables identified in Attachment I, Statement of Work are performed
pursuant to contract requirements. AAASWFL will assess a financial consequence of $100 per business day beyond
the due date for deliverables that are not submitted on time, unless otherwise agreed to by AAASWFL.
H. Contractor's Financial Obligations
The Contractor shall only use the funds provided through this contract for the specified purposes.
IV. SPECIAL PROVISIONS
A. Contract Modifications — If any extenuating circumstances arise AAASWFL has the authority to modify and/or
extend any contractually identified deadline (e.g., deliverable) listed throughout this contract documents. All
requests for modification by Contractor must be made, in writing prior to the required deadline, to AAASWFL. All
approvals for modification and/or extension must be communicated, in writing, by AAASWFL to Contractor and
are subject to the discretion of AAASWFL. The requests and the approval must occur prior to the established
deadline.
B. Monitoring - The primary, secondary or signatory of the contract must be present for any on -site programmatic
monitoring visit. AAASWFL reserves the right to conduct an on -site visit unannounced by persons duly authorized
by AAASWFL.
END OFATTACHMENT
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ATTACHMENT II
FINANCIAL AND COMPLIANCE AUDIT
The administration of resources awarded by AAASWFL to the Contractor may be subject to audits and/or monitoring by
AAASWFL, as described in this section.
lU to] 0I1Ice] .710to]
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 Department staff, limited scope audits and/or other procedures. By entering into this contract, the Contractor agrees
to comply and cooperate with any monitoring procedures/processes deemed appropriate by AAASWFL. In the event
AAASWFL determines that a limited scope audit of the Contractor is appropriate, the Contractor agrees to comply with any
additional instructions provided by AAASWFL to the Contractor regarding such audit. The Contractor further agrees to
comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by AAASWFL.
AUDITS
PART I: FEDERALLY FUNDED
This part is applicable if the Contractor is a State or local government or a non-profit organization as defined 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 AAASWFL 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 AAASWFL. The determination of amounts of Federal awards expended should
be in accordance with 2 CFR Part 200. An audit of the Contractor conducted by AAASWFL in accordance with the
provisions of 2 CFR Part 200 will meet the requirements of this part.
In connection with the audit requirements addressed in Part 1, paragraph 1, the Contractor shall fulfill the requirements
relative to auditee responsibilities as provided in 2 CFR § 200.508.
If the Contractor expends less than $750,000.00 in federal awards in its fiscal year, an audit conducted in accordance with
the provisions of 2 CFR Part 200 is not required. In the event that the Contractor expends less than $750,000.00 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 organization's fiscal year.
Compliance findings related to contracts with the Department 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 Department shall be fully
disclosed in the audit report with reference to the Department 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 Department 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.
PART II: STATE FUNDED
This part is applicable if the Contractor is a non -state entity as defined by Section 215.97(2), F.S.
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In the event that the Contractor expends a total amount of state financial assistance equal to or in excess of $750,000.00 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 Department 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 Department, 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 the provisions of Section 215.97, 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 Department 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 Department shall be fully disclosed in
the audit report with reference to the Department contract involved. If not otherwise disclosed as required by Rule 69I-
5.003, F.A.C., the schedule of expenditures of state financial assistance shall identify expenditures by contract number for
each contract with the Department in effect during the audit period. For local governmental entities, financial reporting
packages required under this part 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 Department 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 or on behalf of the
Contractor directly to each of the following:
AAASWFL
Richard Cocchieri, CFO
2830 Winkler Ave, Suite 112
Ft. Myers, Florida 33916
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.
The Contractor shall submit a copy of any management letter issued by the auditor directly to AAASWFL.
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AAASWFL
ENHCE 203.23
Richard Cocchieri, CFO
2830 Winkler Ave, Suite 112
Ft. Myers, Florida 33916
Additionally, copies of financial reporting packages required by this contract's Financial Compliance Audit Attachment,
Part II, shall be submitted by or on behalf of the Contractor directly to each of the following:
The Department at the following address:
AAASWFL
2830 Winkler Ave, Suite 112
Ft. Myers, Florida 33916
Any reports, management letters, or other information required to be submitted to the Department 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 Department for audits done in accordance with 2 CFR Part
200 or Chapter 10.550 (local governmental entities) or 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 Department 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 Department 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 Department.
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ATTACHMENT II
ENHCE 203.23
EXHIBIT I
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 Part 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 II of Exhibit 1 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 69I-5.006, F.A.C., Contractor has been determined to be:
Vendor not subject to 2 CFR § 200.38 and/or 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 Contractor is determined to be a recipient/sub-recipient of federal and/or state financial assistance, and has been
approved by the department to subcontract, they must comply with Section 215.97(7), F.S., and Rule 69I-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 funds 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 - § 200.411 — 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
*Some Federal programs may be exempted from compliance with the Cost Principles Circulars as noted in 2 CFR
§200.400(5)(c).
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ENHCE 203.23
"For funding passed through U.S. Health and Human Services, 45 CFR Part 75; for funding passed through U.S.
Department of Education, 34 CFR Part 80.
STATE FINANCIAL ASSISTANCE. Contractors 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 69I-5, F.A.C.
State Projects Compliance Supplement
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules, and regulations
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ATTACHMENT II
ENHCE 203.23
EXHIBIT 2
FUNDING SUMMARY (2022-2023)
Note: Title 2 CFR, as revised, and Section 215.97, F.S., require that the information about Federal Programs and State
Projects included in Attachment II, Exhibit 1, be provided to the recipient. Information contained herein is a prediction of
funding sources and related amounts based on the contract budget.
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT
CONSIST OF THE FOLLOWING:
GRANT AWARD (FAIN#):
FEDERAL AWARD DATE:
DUNS NUMBER:
PROGRAM TITLE
FUNDING SOURCE
CFDA
AMOUNT
TOTAL FEDERAL AWARD
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT
TO THIS CONTRACT ARE AS FOLLOWS:
FEDERAL FUNDS:
2 CFR Part 200 — Uniform 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:
MATCHING RESOURCES FOR FEDERAL PROGRAMS
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
TOTAL STATE AWARD
STATE FINANCIAL ASSISTANCE SUBJECT TO SECTION 215.97, F.S.
PROGRAM TITLE
FUNDING SOURCE
CSFA
AMOUNT
ARP Enhanced FMAP
Medical Care Trust Fund
$334,665.56
TOTAL AWARD
$334,665.56
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS
CONTRACT ARE AS FOLLOWS:
STATE FINANCIAL ASSISTANCE
Sections 215.97 & 215.971, F.S., Chapter 69I-5, F.A.C., State Projects Compliance Supplement
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules, and regulations
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ATTACHMENT III
ENHCE 203.23
CERTIFICATIONS AND ASSURANCES
AAASWFL will not award this contract unless Contractor completes this CERTIFICATIONS AND ASSURANCES. In
performance of this contract, Contractor provides the following certifications and assurances:
A. Debarment and Suspension Certification (29 CFR Part 95 and 45 CFR Part 75)
B. Certification Regarding Lobbying (29 CFR Part 93 and 45 CFR Part 93)
C. Nondiscrimination & Equal Opportunity Assurance (29 CFR Part 37 and 45 CFR Part 80)
D. Certification Regarding Public Entity Crimes, section 287.133, F.S.
E. Association of Community Organizations for Reform Now (ACORN) Funding Restrictions Assurance
(Pub. L. 111-117)
F. Scrutinized Companies Lists and No Bovcott of Israel Certification, section 287.135. F.S.
G. Certification Regarding Data Integrity Compliance for Contracts, Agreements, Grants, Loans, and
Cooperative Agreements
H. Verification of Employment Status Certification
I. Records and Documentation
J. Certification Regarding Inspection of Public Records
A. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY
MATTERS — PRIMARY COVERED TRANSACTION.
The undersigned Contractor 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 from
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 indicted 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 contracts 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 certifies, to the best of its knowledge and belief, that:
No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for
influencing or attempting to influence an officer or employee of Congress or an employee of a Member of Congress in
connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan,
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ENHCE 203.23
the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification
of any Federal contract, grant, loan, or cooperative agreement.
If any funds 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 at all
tiers (including subcontracts, sub -grants, and contracts under grants, loans, and cooperative agreements) and that all
sub -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 & EQUAL OPPORTUNITY ASSURANCE (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
Department.
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 CFR 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 Department.
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 Department.
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 Department.
6. The American with Disabilities Act of 1990 (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.
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.
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Contractor understands that AAASWFL 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 AAASWFL 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. 111-117). The Continuing Appropriations Act, 2011, Sections 101 and 103 (Pub. L. 111-242), provides that
appropriations made under Pub. L. 111-117 are available under the conditions provided by Pub. L. I I 1-117.
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
Department 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, AND COOPERATIVE AGREEMENTS
1. The Contractor and any Subcontractors of services under this contract have financial management systems
capable of providing certain 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
budgeted amounts for 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.
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(November 2022 — September 2023)
ENHCE 203.23
3. If this contract includes the provision of hardware, software, firmware, microcode, or imbedded chip technology,
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 immediately make
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 their 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. VERIFICATION OF EMPLOYMENT STATUS CERTIFICATION
As a condition of contracting with the Department, 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-110).
I. RECORDS AND DOCUMENTATION
The Contractor agrees to make available to Department staff and/or any party designated by the Department 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 Department. Maintenance
includes valid exports and backups of all data and systems according to Department standards.
J. CERTIFICATION REGARDING INSPECTION OF PUBLIC RECORDS
1. 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 Department is
named in the civil action, Contractor agrees to indemnify and hold harmless the Department for any costs incurred by
the Department and any attorneys' fees assessed or awarded against the Department 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 Department and state agencies or subdivisions defined in section 768.28(2), F.S.
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 (Florida Department of
Elder Affairs) 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.
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(November 2022 — September 2023) ENHCE 203.23
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 Department 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).
BWilrlamsolr
lContra,.,�fj����,h�-�ir�iflns outlined in parts A through J above are true and correct.
WilliamsTanya
Date: 2023.03.02
a n a
Y
12:21:39-05'00'
3339 Tamiami Trail E #213
Signature and Title of Authorized Representative
Street Address
Tan a R Williams
03.02.2023
I Collier County Board of
County Com
Naples, FL 34112
Contractor
Date
City, State, Zip code
As designee of the County Manager, pursuant to
Resolution No. 2018-202.
App ed as to Form and Legality:
Derek D. Perry
Assistant County Attorney
Page 38 of 57
0;
(November 2022 — September 2023)
ATTACHMENT IV
ENHCE 203.23
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 your 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 for 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 Comptroller General of the United States, and if appropriate, the state, through any
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 after receipt of approval of the awarding agency.
Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§ 4728-4763) relating to prescribed
standards for merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of
OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F).
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), as amended,
relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Sections523 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 VIII 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 statute(s) which may apply to the application.
7. Will comply, or has already complied, with the requirements of Titles II 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 treatment 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.
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(November 2022 — September 2023) ENHCE 203.23
8. Will comply, as applicable, with the provisions of the Hatch Act (5 U.S.C. §§ 1501-1508 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 102(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 under 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. § 470), EO 11593 (identification and protection of historic properties), and the
Archaeological and Historic Preservation Act of 1974 (16 U.S.C. § 469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related
activities supported by this award of assistance.
15. 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 of warm 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 or 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
X/%*F1 flrttl L9T-a Digitally signed by
V V IIIIcAl 1 IV 1 %.A
SIGNATURE OF AUTHORIZELt�I202S L TITLE
nva 12:22:13-05'00'
T a R Williams Public Service De artment Head
APPLICANT ORGANIZATION DATE SUBMITTED
03.02.2023
Collier County Board of County Commissioners
Appr -e asto F n �agdPL�g iry:
DemkD.Pary
Assistant County Attorney
As designee of the County Manager, pursuant to
Resolution No. 2018-202.
0;
Page 40 of 57
(November 2022 — September 2023) ENHCE 203.23
ATTACHMENT V
FLORIDA DEPARTMENT OF ELDER AFFAIRS CIVIL RIGHTS COMPLIANCE CHECKLIST
Program/Facility 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
THIS 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 fol
2. Population of area served
3. Staff currently employed
4. Clients currently enrolled/registered
5. Advisory/Governing Board if applicable
lowing:
Total #
%
White
%
Black
ova
Hispanic
%
Other
%
Female
ova
Disabled
%
Over 40
Source of data:
Effective date:
Effective date:
PART II: USE A SEPARATE SHEET OF PAPER FOR ANY EXPLANATIONS REQUIRING MORE SPACE. IF N/A or NO, EXPLAIN.
6.
Is an Assurance of Compliance on file with AAASWFL?
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
N/A
YES
NO
origin, sex, age, religion, or disability?
❑
❑
❑
9.
Are all benefits, services and facilities available to applicants and participants in an equally effective manner
N/A
YES
NO
regardless of race, sex, color, age, national origin, religion, or disability?
❑
❑
❑
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?
N/A
YES
NO
Verbal ❑ Written ❑ Poster ❑
❑
❑
❑
Page 41 of 57
(November 2022 — September 2023) ENHCE 203.23
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. Has as a self -evaluation been conducted to 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 of complaints?
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 on
YES
NO
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 WITH 50 OR MORE EMPLOYEES AND FEDERAL CONTRACTS OF $50,000.00 OR MORE.
20. Do you have a written affirmative action plan? If NO, explain.
YES
NO
❑
❑
AAASWFL
Reviewed by
In Compliance: YES ❑ NO* ❑
Program Office
*Notice of Corrective Action Sent
Date Telephone
Response Due
On -Site ❑ Desk Review ❑
Response Received
C �p
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(November 2022 — September 2023) ENHCE 203.23
ATTACHMENT V
INSTRUCTIONS FOR THE CIVIL RIGHTS COMPLIANCE CHECKLIST
1. 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. The 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, sex, 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 for 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 or employment. 45 CFR § 80.3(a) and 45 CFR
§ 80.1.
9. Participants or 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 accommodations with persons of a
different race, color, national origin, or disability. 45 CFR § 80.3(a).
11. 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 their
right to file a complaint of discrimination with either the Department 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,
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(November 2022 — September 2023) ENHCE 203.23
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 a self -
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 policies and practices that do not or
may not comply with Section 504;
b. 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, CFR45 CFR § 84.7(b).
17. Programs or facilities that employ 15 or 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 or facilities that employ 15 or more persons shall take 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 or 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 with Executive Order 11246, 41 CFR Part 60
and Title VI of the Civil Rights Act of 1964, as amended.
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owl
V
o �
a w U
A
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0
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(November 2022 — September 2023)
ATTACHMENT VII
ENHCE 203.23
BACKGROUND SCREENING
Ron DeSantis
Governor
Dcpartmcnt of
ELDER AFFAIRS Michelle Branham
STATE OF FLORIDA Secretary
BACKGROUNDSCREENING
Attestation of Compliance - Employer
AUTHORITY: This form is required annually of all employers to comply with theattestation
requirements set forth in section 435.05(3), Florida Statutes.
➢ The term "employer" means any person or entity required by law to conduct background
screenings, including but not limited to, Area Agencies on Aging/Aging and Disability
ResourceCenters, Lead Agencies, and Service Providers that contract directly or indirectly
with the Department of Elder Affairs (DOEA), 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-face 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
Employer Name
located at
Street Address City State ZIP code
I, do hereby affirm under penalty of
Name of Representative
perjury that the above- n a in e d employer is in compliance with the provisions of Chapter
435 and section 430.0402, Florida Statutes, regarding level 2 background screening.
Signature of Representative Date
DOEA Form 235, Attestation of Compliance - Employer, Effective January 19, 2021
F.S. Form available at: htto://elderaffairs.state;fl.us/englishlbackgroundscreeningphn
Section 435.05(3),
Page 46 of 57 GAO
(November 2022 — September 2023) ENHCE 203.23
ATTACHMENT VIII
CERTIFIED MINORITY BUSINESS SUBCONTRACTOR EXPENDITURES (CMBE FORM)
CMBE FORM MUST A CCOMPANY INVOICES SUBMITTED TO AAASWFL
CONTRACTOR NAME:
AAASWFL CONTRACT NUMBER:
*REPORTING PERIOD -FROM: TO:
*(DATE RANGE OF RENDERED SERVICES, MUST MATCH INVOICE SUBMITTED TO
AAASWFL)
AAASWFL CONTRACT MANAGER:
REPORT ALL EXPENDITURES MADE TO CERTIFIED MINORITY BUSINESS (SUBCONTRACTORS).
CONTACT AAASWFL CONTRACT MANAGER FOR ANY QUESTIONS.
SUBCONTRACTOR NAME
SUBCONTRACTOR'S
CMBE
EXPENDITURES
FEID
AAASWFL USE ONLY -- REPORTING ENTITY (DIVISION, OFFICE, ETC)
SEND COMPLETED FORMS VIA INTEROFFICE MAIL TO: TRINA NULLET
If unsure if subcontractor is a certified minority sUplier, click on the hyperlink below. Enter the name of the supplier, click
"search". Only Certified Minority Business Entities will be displace
https:Hosd.dms.myflorida.com/directories
Page 47 of 57 CQp
(November 2022 — September 2023)
ENHCE 203.23
(A) ENTER THE COMPANY NAME AS IT APPEARS ON YOUR AAASWFL CONTRACT.
(B) ENTER THE AAASWFL CONTRACT NUMBER.
(C) ENTER THE SERVICE PERIOD MATCHING THE CURRENT INVOICE'S SERVICE PERIOD.
(D) ENTER ALL CERTIFIED MINORITY BUSINESS EXPENDITURES FOR THE TIME PERIOD COVERED BY
THE INVOICE:
1. ENTER CERTIFIED MINORITY BUSINESS NAME.
2. ENTER THE CERTIFIED MINORITY BUSINESS FEID NUMBER.
3. ENTER THE CERTIFIED MINORITY BUSINESS CMBE NUMBER.
4. ENTER THE AMOUNT EXPENDED WITH THE CERTIFIED MINORITY BUSINESS FOR THE TIME
PERIOD COVERED BY THE INVOICE.
(E) MBE FORM MUST ACCOMPANY INVOICE PACKAGE SUBMITTED TO AAASWFL'S FINANCIAL
ADMINISTRATION FOR PROCESSING.
(F) FINANCIAL ADMINISTRATION WELL FORWARD ALL COMPLETED CMBE FORMS TO CONTRACT
ADMINISTRATION & PURCHASING OFFICE.
Page 48 of 57 CQ p
(November 2022 — September 2023)
ATTACHMENT IX
ENHCE 203.23
ENHANCED HCE INFORMED CONSENT FORM
Name
Street Address/PO Box
City, State, Zip Code
Enhanced HCE Informed Consent
ENROLLEE NAME:
DATE OF BIRTH:
As part of participation in the Enhanced HCE Program, I consent to the following:
• I agree to a client -centered and home -based assessment to determine my living situation needs within the limited
scope of program. I agree to a re -assessment after the home improvements are completed.
• I understand and agree that the contracted occupational therapist, contracted nurse, direct service provider, or
Area Agency on Aging (AAA) staff member may need to talk to my doctor, case manager, or other health care
professional about my health and living situation. I also understand that they may need to interview my family
members, close friends, or social services professionals about my health and living situation.
• I understand that this home improvement program is only good for a limited amount of time and will end after
four months.
• I agree to allow authorized individuals access to my property to complete recommended home improvements and
to verify that work has been completed.
• This authorization will remain in effect, unless revoked in writing, for the duration of participation in the
program.
• I understand that home improvement services may improve my function and independence, which may affect my
place on the wait list for Medicaid coverage.
• I understand that if I am not the property owner of my residence, I am required to get written authorization from
the property owner prior to any home repair, home renovation and/or maintenance are performed on the property.
• It is my responsibility to notify the HCE program that I am not the property owner, and to request the necessary
form for the property owner to execute.
• I further understand that the property owner can refuse to authorize home improvements to be made to the
property where I reside.
Signature of Enrollee or Enrollee's Representative
Relationship (if representative signs)
Date
O
Page 49 of 57 GA
(November 2022 — September 2023)
ATTACHMENT X
ENHCE 203.23
Property Owner Name:
Daytime Telephone:
Address:
Email Address:
PROPERTY OWNER AUTHORIZATION
(MINOR IMPROVEMENTS/REPAIRS)
Nighttime Telephone:
I/We, , certify that Uwe am/are the owner(s) of the property
located at:
I/We authorize the following work to be performed on the property listed above to include but not limited to, cleaning and/or
minor repairs to the residence for the current tenant(s)
In the event non-structural modifications are to be made, Uwe will be provided with notification prior to the commencement
of any work to be performed, and Uwe will be required to provide written authorization.
Signature of Property Owner
Signature of Property Owner
Date
Date
Page 50 of 57 CQp
(November 2022 — September 2023)
ATTACHMENT XI
ENHCE 203.23
PROPERTY OWNER AUTHORIZATION
(NON-STRUCTURAL HOME IMPROVEMENTS/MODIFICATIONS)
Property Owner Name:
Daytime Telephone:_
Address:
Email Address:
FWe,
located at:
Nighttime Telephone:
certify that Uwe am/are the owner(s) of the property
Uwe authorize the following non-structural home improvements/modifications to be made to the property listed above for
the benefit of the current tenant(s) and at no cost to me:
Signature of Property Owner
Signature of Property Owner
Date
Date
Page 51 of 57 CQp
(November 2022 — September 2023)
ATTACHMENT XII
ENHCE 203.23
ENHANCED HCE DEMOGRAPHIC INFORMATION
Enhanced HCE Demographic Information
Date of PSA/AHCA Health Insurance
Client Name Birth Sex Race Ethnici Region Carrier
Page 52 of 57 Cep
(November 2022 — September 2023) ENHCE 203.23
ATTACHMENT XIII
ENHANCED HCE SERVICES INFORMATION
F—ME TEnhanced HCE Services Information
Service Completed
Client Name DOB Provider Name Service Rendered Cost Date of Service Service?
Y/N
Page 53 of 57 Cep
(November 2022 - September 2023)
ATTACHMENT XIV
ENHCE 203.23
REQUEST FOR PAYMENT
HOME CARE FOR THE ELDERLY PROGRAM
RECIPIENT NAME, ADDRESS, PHONE# and FEID#
Contract#
TYPE OF PAYMENT:
Contract Period
Regular
Report Period
Advance
Report #
PSA #
Invoice #
CERTIFICATION: I hereby certify to the best of my knowledge that this request is complete and correct and conforms with the terms and the purposes of the above contract.
Prepared by: Date: Approved by: Date:
PART A: BUDGET SUMMARY
AAA Admin.
Services
TOTAL
1. 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 (line 1 minus line 2)
$0.00
$0.00
$0.00
4. Previous Funds Requested and Not Received for Contract Period
$0.00
$0.00
$0.00
5. CONTRACT BALANCE (line 3 minus line 4)
$0.00
$0.00
$0.00
PART B: CONTRACT FUNDS REQUEST
1. Anticipated Cash Need (1 st - 2nd months)
$0.00
$0.00
$0.00
2. Net Expenditures For Month
$0.00
$0.00
$0.00
(DOEA Form 105H, Part B, Line 3)
3. TOTAL
$0.00
$0.00
$0.00
PART C: NET FUNDS REQUESTED
1. Less Advance Applied
$0.00
$0.00
$0.00
2. TOTAL FUNDS REQUESTED (Part B Line 3, minus Part C Line 1)
$0.00
$0.00
$0.00
List of Services / Units / Rates provided - See attached report.
DOEA FORM 106H
Revised 03/23/18
Page 54 of 57 CEO
(November 2022 - September 2023)
ATTACHMENT XV
ENHCE 203.23
RECEIPT AND EXPENDITURE REPORT
PROVIDER NAME, ADDRESS, PHONE # and FElD#
Program Funding :
Contract#
Contract Period
AAA Admin.
Report Period
Report #
Services
Invoice #
PSA #
CERTIFICATION: I certify to the best of my knowledge and belief that the report is complete and correct and all outlays
herein are for purposes set forth in the contract.
Prepared by : ____Date Approved by : ---------Date
PART A : BUDGETED INCOME/ RECEIPTS
1. Approved
2. Actual Receipts
3. Total Receipts
4. Percent of
Budget
For This Report
Year to Date
Approved Budget
1. State Funds
$0.00
$0.00
$0.00
#DIV10!
2. TOTAL RECEIPTS
$0.00
$0.00
$0.00
#DIVIO!
PART B : EXPENDITURES
1. Approved
2. Expenditures
3. Expenditures
4. Percent of
Budget
For This Report
Year to Date
Approved Bud et
1. AAA Program Administration
$0.00
$0.00
$0.00
#DIVIO!
2. Services
$0.00
$0.00
$0.00
#DIV10!
3. TOTAL EXPENDITURES
$0.00
$0.00
$0.00
#DIV10!
PART C : OTHER REVENUE AND EXPENDITURES
I. Interest:
II. Advance Recoupment
1. Earned on GR Advance $
2. Return of GR Advance $
1. Advance Recouped $
3. Other Earned $
❑OEA FORM 105H
Revised 03.+23.M
Page 55 of 57 CIN
(November 2022 — September 2023)
ATTACHMENT XVI
ENHCE 203.23
COST REIMBURSEMENT SUMMARY
Contra at #
Report (invoice) Number:
Budget
Number of
Category Description
units
Service Date
Amount
C
O
p
lG
V!
C
E
Q
TOTAL ADMI NI S TRA11 O N $0_00
d
c
a
K
w
TI
I
L
TOTAL EXPENSES $0.00
O
Page 56 of 57 GA
(November 2022 — September 2023) ENHCE 203.23
ATTACHMENT XVII
BUDGET SUMMARY SUMMARY
Services $334,665.56
Page 57 of 57 CQp