Agenda 05/27/2025 Item #16D10 (Approve a Fourth Amendment to extend Agreement Number 18-7470, “Services for Seniors Program,” with Maranatha Home Care, Inc., d/b/a A Better Health Care)5/27/2025
Item # 16.D.10
ID# 2025-1819
Executive Summary
Recommendation to approve a Fourth Amendment to extend Agreement Number 18-7470, “Services for Seniors
Program,” with Maranatha Home Care, Inc., d/b/a A Better Health Care, and authorize the Chairman to sign the attached
amendment
OBJECTIVE: To extend the current vendor agreement to ensure uninterrupted comprehensive in-home and out-of-
home services to the elderly while new vendor solicitation is in process in keeping with the Quality of Place focus area
by improving access to health, wellness, and human services.
CONSIDERATIONS: The County’s Services for Seniors Program has been providing support services to Collier
County’s frail elderly for the past 30 years through the Older American’s Act (“OAA”), Community Care for the
Elderly (“CCE”), Home Care for the Elderly (“HCE”) and the Alzheimer’s Disease Initiative (“ADI”) programs. The
Collier County Services for Seniors Program is a comprehensive program offered to qualified seniors aged 60 and older,
who are in need of services to prevent, decrease or delay premature or inappropriate expensive placement in nursing
homes or other institutions. The goal of the program is to assist the elderly in living as independently as possible in their
own homes or in the homes of relatives or caregivers.
Lead Agencies are required to enter into their own contractual agreements with area service providers to administer
homemaking, personal care, respite, skilled nursing, and specialized medical equipment services and supplies. Annually,
services provided to program participants have cost approximately $2,000,000. The cost of those services is reimbursed
through agreements between the County and the Area Agency on Aging for Southwest Florida, Inc.
A requirement of the Agreement is for services to be contracted and procured competitively by the Lead Agency. The
current vendors were solicited and awarded in 2018 for a three-year term with three one-year extensions. Maranatha
Home Care, Inc. d/b/a A Better Health Care (“Maranatha”) is currently one of two of the largest providers of the
Services for Senior Program in Collier County; both accounting for approximately $1,327,000 of the $2,000,000 of
services rendered annually.
On July 9, 2024, the Procurement Services Division released notices for Request for Proposal No. 24-8280, Services for
Seniors, and received five proposals by the August 9, 2024, submission deadline. However, the above-mentioned vendor
was unaware of the solicitation and did not submit a proposal. This is not reflective of a lack of interest or capacity on
behalf of the vendor. Given Maranatha’s long-standing history of delivering high-quality, compliant, and cost-effective
healthcare services, awarding a temporary extension is in the best interest of the County and the populations we serve.
Due to the sensitive and specialized nature of the services provided by Maranatha the Community and Human Services
Division is seeking to amend Agreement No. 18-7470 to extend its current expiration date through and including June 9,
2026, or until a supplemental solicitation can be completed, whichever comes first. The proposed amendment will
ensure that the vulnerable elderly population currently benefiting from the Services for Senior Program will not have a
break in needed services by allowing additional time for the Community and Human Services and Procurement
Divisions to complete a supplemental solicitation to ensure that vendors are available to provide all necessary services.
This item supports the strategic plan by ensuring uninterrupted comprehensive services to the elderly in keeping with the
Quality of Place focus area by improving access to health, wellness, and human services.
FISCAL IMPACT: Funds for the Services for Seniors Programs are available in the Human Services Grant Fund
(1837), Projects 33928 (OAA, 3B), 33931 (OAA, 3E), 33904 (ADI), 33905 (CCE), 33906 (HCE) and future projects
that will be assigned when new awards are received.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this Executive
Summary.
LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board
Page 6670 of 7924
5/27/2025
Item # 16.D.10
ID# 2025-1819
approval. —SRT
RECOMMENDATIONS: Recommendation to approve the attached Fourth Amendment extending the term of
Agreement Number 18-7470, “Services for Seniors Program,” with Maranatha Home Care, Inc. d/b/a A Better Health
Care, through and including June 9, 2026, or until a supplemental solicitation can be completed, whichever comes first,
and authorize the Chairman to sign the amendment.
PREPARED BY: Dana Sebastian, Grants Manager for Community & Human Services
ATTACHMENTS:
1. 18-7470 Maranatha_Contract
2. 18-7470 Maranatha_Amend#1-FullyExec
3. 18-7470_Amend#2_Maranatha_FullyExec
4. 18-7470 Amend#3_Maranatha_FullyExec
5. 18-7470 Maranatha Extension
6. 18-7470 Fourth Amendment Maranatha CAO
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DocuSign Envelope ID: E5BE64E0-56F6-40D7-ACDC-93C5966C74FF2/2/2023Page 6718 of 7924
DocuSign Envelope ID: E5BE64E0-56F6-40D7-ACDC-93C5966C74FF2/2/2023Marshalina RamosCoo2/2/20232/6/2023Page 6719 of 7924
DocuSign Envelope ID: E5BE64E0-56F6-40D7-ACDC-93C5966C74FFPage 6720 of 7924
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Viviana Giarimoustas6/10/2025 - 6/9/2026Pending BCC approval.Letter of signature authority submitted.✔GiarimoustasVivianaDigitally signed by GiarimoustasVivianaDate: 2025.05.15 11:02:29 -04'00'Page 6722 of 7924
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