Backup Documents 09/12/2023 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP b Q
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing,lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Wendy Klopf Community and Human 09/12/2023
Services
2. Derek Perry County Attorney cyR 1 J(i 123
3. Minutes & Records Clerk of Court's Office 6 (423
4.
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Wendy Klopf/CHS Phone Number 252-2901
Contact/ Department
Agenda Date Item was 09/12/2023 Agenda Item Number 16D2
Approved by the BCC
Type of Document AAA/OAA AMENDMENT 203.23.01 Number of Original 4-
Attached - Pc.)PC
1 .t CA-7 Documents Attached
PO number or account NA
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? NA
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be WK
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the NA
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's NA
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 09/12/2023 and all changes made during WK /l
the meeting have been incorporated in the attached document. The County �/
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the WK
BCC,all changes directed by the BCC have been made,and the document is ready for the 0
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
� 6U 2
January-December 2023 OAA 203.23.01
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
OLDER AMERICANS ACT
WHEREAS, the purpose of this Amendment is to authorize rollover dollars and increase funding to OAA Titles.
NOW THEREFORE,in consideration of the mutual covenants and obligations set forth herein,the receipt and sufficiency
of which are hereby acknowledged,the Parties agree to the following:
All provisions in the contract and any attachments thereto in conflict with this Amendment shall be and are hereby changed to
conform to this Amendment.
All provisions not in conflict with this Amendment are still in effect and are to be performed at the level specified in the
contract.
This Amendment and all its attachments are hereby made part of the contract.
IN WITNESS THEREOF, the Parties hereto have caused this amendment, to be executed by their officials as
duly authorized; and agree to abide by the terms, conditions and provisions of this amendment as amended. This
Amendment is effective on the last date the Amendment has been signed by both Parties.
IN WITNESS WHEREOF,the Parties hereto have caused this contract to be executed by their undersigned officials as duly
authorized.
CONTRACTOR: COLLIER COUNTY AREA AGENCY ON AGING FOR
BOARD OF COUNTY COMMISSIONERS SOUTHWEST FLORIDA,INC.
Digitally signed by Maricela
DigitallysignedbY07.3MamsTanya SIGNED BY: Maricela Morado'Morado
SIGNED BY: WilliamsTanya Date:2023.06.,106:33:42-04'00' Dale:2023.08.14 13:23:56-04'00'
NAME: Tanya R Williams NAME: Maricela Morado
TITLE: Public Service Department Head TITLE: Chief Executive Officer/President
DATE: 08.11.2023 DATE: 08.14.23
as designee of the County Manager,
pursuant to Resolution No. 2018-202.
Appr v d as to Form and Legality:
I,Crystal K.Kinzel,Cier' grz;e1Ort a;11 for Collier Count!
C)rt, f 4,4u flDddB. Deputy Clerk
do heavy r ertity that thee tpve Inslrumefif fs a true and correct
G, w I in(}Oter
Assistant County Attorney � By:
ens. +.4 r..�.:
��FR c�} tYil 4
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January 2023-December 2023 OAA 203.23.01
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.STANDARD CONTRACT 1 b D
THIS CONTRACT is entered into between the Area Agency on Aging for Southwest Florida, Inc. (Agency) and Collier
County Board of County Commissioners(Contractor),collectively referred to as the"Parties."The term Contractor for this
purpose may designate a Vendor, Subgrantee,or Subrecipient.
WITNESSETH THAT:
WHEREAS,the Agency has determined that it is in need of certain services as described herein; and WHEREAS,
the Contractor has demonstrated that it has the requisite expertise and ability to faithfully perform suchservices as an
independent Contractor of the Agency.
NOW THEREFORE,in consideration of the services to be performed and payments to be made,together with the
mutual covenants and conditions set forth herein,the Parties agree as follows:
1. Purpose of Contract:
The purpose of this contract is to provide services in accordance with the terms and conditions specified in this contract
including all attachments,forms,and exhibits which constitute the contract document.
2. Incorporation of Documents within the Contract:
The contract will incorporate attachments, proposal(s), state plan(s), grant agreements, relevant Agency 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 January 1, 2023 or on the date the contract
has been signed by the last party required to sign it, whichever is later. It shall end at eleven fifty-nine (11:59) P.M.,
Eastern Standard Time December 31,2023.
4. Contract Amount:
The Agency agrees to pay for contracted services according to the terms and conditions of this contract in an amountnot
to exceed$2,538,000.00,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.),the Agencymay
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 costsfor
the renewal may be charged. Any renewal is subject to the same terms and conditions as the original contract and
contingent upon satisfactory performance evaluations by the Agency and the availability of funds.
6. Compliance with Federal Law:
6.1 If this contract contains federal funds this section shall apply.
6.1.1 The Contractor shall comply with the provisions of 45 Code of Federal Regulations (CFR)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 the Agency.
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
Certification and Assurances Attachment,which must be completed and returned to the Contract Manager
prior to the execution of this contract. �0
G
Page 1 of 93
January 2023-December 2023 OAA 203.23.01
ATTACHMENT II -EXHIBIT 2-FUNDING SUMMARY L D 2
Note: Title 2 CFR§200331,as revised,and Section 215 97(5),F.S.,require that the information about federal programs and State Proj ects be
povidedto the Recipient and are stated in The Financial And Compliance Audit Attachment II,Exhibit 1 provided to the recipient. Information
contained herein is a prediction offindingsourcesand related amounts based on the contract budget.
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT CONSIST
OF THE FOLLOWING:
COLLIER COUNTY
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
Older Americans Act Title IIIB U.S.Health and Human Services 93.044 $ 350,000.00
Total IIIB
OAA Title IIIC1—Congregate Meals U.S. Health and Human Services 93.045 $ 1,000,000.00
Total HIC1
OAA Title III C2—Home Delivered Meals U.S.Health and Human Services 93.045 $ 800,000.00
Total IIIC2
Older Americans Act Title III E
Services(Title III E) $ 295,000.00
Supplement Services (Title III ES) U.S.Health and Human Services 93.052 $ 35,000.00
Grandparent Services(Title III EG) $ 6,000.00
Total HIE $ 336,000.00
Nutrition Services Incentive Program(NSIP) U.S.Health and Human Services 93.053 $ 52,000.00
TOTAL FEDERAL AWARD $2,538,000.00
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO
THIS CONTRACT ARE AS FOLLOWS:
FEDERAL FUNDS:
2 CFR Part 200Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards/
OMB Circular A-133—Audits of States,Local Governments,and Non-Profit Organizations
2. STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF
THE FOLLOWING.
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS
CONTRACT ARE AS FOLLOWS:
STATE FINANCIAl,ASSISTANCF
Section 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
C[11*O
Page 60 of 93
January 2023-December 2023 OAA 203.23.01
ATTACHMENT IX- 1 b 13 2
BUDGET SUMMARY
COLLIER COUNTY
1. Title III B Support Services $ 350,000.00
2. Title III Cl Congregate Meals $ 1,000,000.00
3. Title III C2 Home Delivered Meals $ 800,000.00
4. Title III E Services $ 295,000.00
5. Title III ES Services $ 35,000.00
6. Title III EG Services $ 6,000.00
7. NSIP $52,000.00
TOTAL $ 2,538,000.00
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Page 76 of 93