Backup Documents 05/14/2024 Item #16D 3 160 3
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Joshua Thomas, Grants Coordinator Community & Human 05/14/24
Services
2. Derek D. Perry County Attorney Office
DC1,4 s/Ic/2 y
3. Minutes and Records Clerk of Court's Office 04 /v�l�(
514/ /
PRIMARY CONTACT INFORMATIO
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 Joshua Thomas/CHS Operations Grants Phone Number 239-252-8995
Contact/ Department Coordinator
Agenda Date Item was May 14,2024 Agenda Item Number 16 D3
Approved by the BCC
Type of Document CCE 203.23 Amendment 1 Number of Original 1
Attached Documents Attached
PO number or account N/A
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?STAMP is OK N/A
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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 JT
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 N/A
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 N/A
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's N/A
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JT
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 05/14/24 and all changes made during JT NCA ise�f
the meeting have been incorporated in the attached document. The County option o
Attorney's Office has reviewed the changes,if applicable, this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not an
BCC,all changes directed by the BCC have been made,and the document is ready for the j option for
�JJ11
Chairman's signature. '' this line.
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
16D 3
July 2023-June 2024 CCE 203.23.01
AMENDMENT ONE
BETWEEN
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
This Amendment,entered into between Collier County Board of County Commissioners and Area Agency on
Aging for Southwest Florida.Inc. (Contractor),hereby amends contract CCE 203.23.
WHEREAS.the purpose of this Amendment is to decrease finding to CCE services by S50,000.00.
NOW THEREFORE,in consideration of the mutual covenants and obligations set forth herein, the receipt and
sufficiency of which are hereby aclalowledged,the Parties agree to the following:
1. Section 4 of Page One is hereby replaced:
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 S1,071,000.00.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.
2. Attachment IX,Budget Summary.is hereby replaced.
3. Attachment II.Exhibit 2,Funding Summary is hereby replaced.
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 have caused this four (4)page Amendment to be executed by their officials as
duly authorized, and agree to abide by the terms. conditions and provisions of Contract CCE 203.23, as amended. This
Amendment is effective on the last date the Amendment has been signed by both Parties.
AREA AGENCY ON AGING FOR SOUTHWEST COLLIER COUNTY BOARD OF COUNTY
FLORIDA,INC. _ COMMISSIONERS
SIGNED: i SIGNED:
Prot 0.
WiliiamsTanya oaga2o2ao�3o,3aa29-0a000,
NAME: MORADO NAME:TANYA R.WILLIAMS
aricela Morado
TITLE: PRESIDENT/CEO TITLE: PUBLIC SERVICES DEPARTMENT HEAD
As Designee of the County Manager Pursuant to
DATE: DATE: Resolunon No.2018-202
O4. 3) . 214 04/30/2024
A r+ oved as to forma le i :
Federal Tax ID:59-6000558
40
Fiscal Ycar Ending Date,09t30
DUNS:076997790
Derek D.Perry 0
Assistant County Attorney Page 1 of 4 GQ'
D�
16D 3 1
(July 2023—June 2024) CCE 203.23.01
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
STANDARD CONTRACT
THIS CONTRACT is entered into between the Area Agency on Aging for Southwest Florida, Inc.d/b/a 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 AAASWFL 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 AAASWFL.
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 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 July 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.,Eastem
Standard Time June 30,2024.
4. Contract Amount:
The AAASWFL agrees to pay for contracted services according to the terms and conditions of this contract in an amount
not to exceed$1,071,000.00,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 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 the 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 the AAASWFL.
6.13 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
Page2of4 C O
Page 1 of 60
16D 3
(July 2023—June 2024) CCE 203.23.01
ATTACHMENT II
EXHIBIT 2
FUNDING SUMMARY(2023-2024)
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
Community Care for the Elderly General Revenue 65.010 $1,071,000.00
TOTAL AWARD $1,071,000.00
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
Page 3 of 4 G�O
Page 38 of 60
16D 3
(July 2023—June 2024) CCE 203.23.01
ATTACHMENT IX
ANNUAL BUDGET SUMMARY
1. CCE Services $1,071,000.00
Total $1,071,000.00
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Page 54 of 60