Backup Documents 10/27/2015 Item #16D7 1607
COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, CHS
DATE: November 2, 2015
RE: Area Agency on Aging for Southwest Florida, Inc (Contrct and amendment)
Please find attached one (1) each fully executed documents that were approved by the BCC on
the day listed below for recording in Minutes and Records. Feel free to contact me if you have
any questions.
BCC Approved on October 27, 2015; Item: 16.D.7
Recommendation to approve an after-the-fact Amendment and Attestation Statement
with AreaAgency on Aging for Southwest Florida, Inc. for the Older Americans Act
Program Title Ill
programs and budget amendments to ensure continuous funding for FY 2015.
BCC Approval on October 27, 2015; Item: 16 D. 8
Recommendation to approve an after-the-fact contract, attestation statement and budget
amendment award for the Nutrition Services Incentive Program from Area Agency on
Aging for Southwest Florida, Inc. (Net Fiscal Impact$38,255.)
Thank you for your assistance.
Amendment 02 OAA 203.15.002 16 0 7
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
OLDER AMERICANS ACT PROGRAM TITLE HI
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS,
THIS AMENDMENT is entered into between the Area Agency on Aging for Southwest Florida, Inc., (Agency)
and Collier County Board of County Commissioners (Contractor) and amends contract OAA 203.15.
The purpose of this amendment is to increase Collier County allocations by $13,101.95, move $20,000 allocation from
OA3B to Cl, revise Paragraph 4. Contract Amount and add Paragraph 4.1 Rates, 6. Official Payee and Representatives
Contractor Name correction, add OA3B rates, and revise ATTACHMENT III and ATTACHMENT VII Budget and
Rate Summary.
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 $719,570.95 ($326,722.00 In-Home Services), 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.
4.1 Rates:
The Agency agrees to pay the new rates listed under OA3B effective November 1, 2015 or the 1st day of the billing
month when the Contractor assumes responsibility for the OA3B allocation.
6. Official Payee and Representatives(Names.Addresses..and Telephone Numbers):
The Contractor name, as shown on page 1 of this
Collier County Board of County Commissioners
a. contract, and mailing address of the official payee 3339 E Tamiami Trail,Building H
to whom the payment shall be made is: Naples,FL 34112
Kimberley Grant,Director
The name of the contact person and street address Collier County Board of County Commissioners
b' where financial and administrative records are do Community and Human Services
3339 E Tamiami Trail,Building H
maintained is: Naples,FL 34112
Kimberley Grant,Director
The name, address, and telephone number of the Collier County Board of County Commissioners
c c/o Community and Human Services
representative of the Contractor responsible for h'
administration of the program under this contract 3339 E Tamiami Trail,Building H
is: Naples, FL 34112
(239)252-2273
This amendment shall be effective on September 1,2015. All provisions in the agreement and any attachments thereto in
conflict with this amendment shall be and are hereby changed to conform with 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 agreement.
This amendment and all of its attachments are hereby made a part of this agreement.
1
0°V3
Amendment 02 OAA 203.15.002
6 7
.,
IN WITNESS WHEREOF, the parties hereto have caused this 4 page amendment to be executed by their officials there unto
duly authorized.
Contractor: COLLIER COUNTY BOARD OF AREA AGENCY ON AGING FOR SOUTHWEST
COUNTY COMMISSIONERS, FLORIDA,INC.
SIGNED BY: 4411C14/ SIGNED BY: 2
NAME: Stephen Y. Carvell NAME: MARIANNE G LORINI
TITLE: Public Services Department Head TITLE: PRESIDENT/CEO
DATE: CI ` S DATE: /o/o 57/5`
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30
Approved as to form and legality
0-1
Assistant County A ey \�5
2 Qi,jo
Amendment 02 OAA 203.15.002 16 7
ATTACHMENT III
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— $ 23,574.00
CA/CM/SCAS $ 31,000.00
Transportation U.S.Health and Human Services 93.044 $ 54,574.00
Support Services $ 326,722.00*
Total IIIB
OAA Title IIIC 1 —Congregate Meals $ 290,097.00
Meals
Screening
Nutrition Counseling U.S. Health and Human Services 93.045
Nutrition Education
Outreach
Total IIIC1 $ 290,097.00
OAA Title III C2—Home Delivered $ 250,835.03
Meals
Meals U.S. Health and Human Services 93.045
Nutrition Education
Screening $ 250,835.03
Total IIIC2
Older Americans Act Title III E
CA/CM& Services(Title III E) 93.052 $ 92,608.00
Supplement Services(Title III ES) U.S. Health and Human Services $ 17,761.00
Grandparent Services(Title III EG) $ 13,695.92
Total IIIE $ 124,064.92
TOTAL FEDERAL AWARD $ 719,570.95
*In Home Services$326,722.00
In Home Services are funds to serve Collier County Clients. The Vendors are paid directly by the Area Agency on
Aging for Southwest Florida,Inc.
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT
TO THIS CONTRACT ARE AS FOLLOWS:
FEDERAL FUNDS:
2 CFR Part 230 Cost Principles for Non-Profit Organizations(Formerly OMB Circular A-122—Cost Principles)*
2 CFR Part 215 Administrative Requirements(Formerly OMB Circular A-110—Administrative Requirements)
OMB Circular A-133—Audit Requirements
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO
THIS CONTRACT ARE AS FOLLOWS:
STATE FINANCIAL ASSISTANCE
Section 215.97,Fla. Stat.
Chapter 69I-5,Fla.Admin.Code
3 � �
Amendment 02 OAA 203.15.002 1607
ATTACHMENT VII
CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
OLDER AMERICANS ACT BUDGET SUMMARY
COLLIER COUNTY
1. Title III B Support Services $ 54,574.00*
2. Title III Cl Congregate Meals $ 290,097.00
3. Title III C2 Home Delivered Meals $ 250,835.03
4. Title III E Services $ 124,064.92
TOTAL $ 719,570.95
*In Home Services$326,722.00
In Home Services are funds to serve Collier County Clients. The Vendors are paid directly by the Area Agency on
Aging for Southwest Florida,Inc.
OLDER AMERICANS ACT RATE SUMMARY
COLLIER COUNTY
IIIB
Services Total Cost Reimbursement Rate
Adult Day Care 12.83 11.55
Case Aide 33.89 30.50
Case Management 55.00 49.50
Chore 20.00 18.00
Chore(Enhanced) 26.00 23.40
Companionship 23.33 21.00
Emergency Alert Response 1.31 1.18
Escort 21.66 19.50
Homemaker 21.50 19.35
Housing Improvement 100% Cost 90%of Cost
Information 9.00 8.10
Intake 27.50 24.75
Material Aid 100% Cost 90%of Cost
Personal Care 25.67 23.10
Referral/Assistance 25.00 22.50
Respite In-Facility 12.83 11.55
Respite In-Home 25.67 23.10
Screening and Assessment 55.00 49.50
Shopping Assistance 21.00 18.90
Skilled Nursing Services 42.00 37.80
Specialized Medical Equipment, Services,and Supplies 100%Cost 90%of Cost
Transportation 100% Cost 90%of Cost
Revised August 2007 16 D 7
Attestation Statement
Agreement/Contract Number OAA 203.15
Amendment Number 002
I, Stephen Y. Carnell ,attest that no changes or revisions have been made to the
(Recipient/Contractor representative)
content of the above referenced agreement/contract or amendment between the Area Agency on Aging for
Southwest Florida and
Public Services Department Head
(Recipient/Contractor name)
The only exception to this statement would be for changes in page formatting,due to the differences in
electronic data processing media,which has no affect on the agreement/contract content.
71
Signature a Recipient/ ontractor representative Date
Approved as to form and legality
C: ' Sam
Asshta�ht CountyAtt ey
a3 �15
Revised August 2007