Backup Documents 02/23/2016 Item #16D 4 COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM 1 6 rj 4
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, CHS
DATE March 7, 2016
RE: Area Agency on Aging for Southwest Florida, Inc (Amendments)
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 February 23, 2016; Item 16.D.4
Recommendation to approve an after-the-fact Amendment to the Master Contract and
Attestation Statement with Area Agency on Aging of Southwest Florida, Inc. for Federal-
and State-funded Services for Seniors programs (No Fiscal Impact).
BCC Approval on February 23, 2016; Item: 16 D.5
Recommendation to approve Services for Seniors, after-the-fact, Standard Contract and
Attestation Statement with Area Agency on Aging for Southwest Florida, Inc., and to
authorize associated budget amendments for the FY16 Older Americans Act Title Ill
Program in the amount of$23,102 and local match funding of$2,567.
Thank you for your assistance.
Amendment 003 HM203.14.003
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
MASTER CONTRACT 6
FOR FEDERAL AND STATE PROGRAMS
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"), amends Master Contract HM203.14.
The purpose of this amendment is to add language.
Line denotes completion of above summary
1. Section 23.3 is hereby replaced:
23. Subcontracts:
23.3 Service Cost Reports — The Contractor shall require Subcontractors to annually submit to the Contractor
service cost reports, which reflect actual costs of providing each service. The report will be due by
February 15, of each year. The report will include actual costs for performing all services during the
preceding calendar year. Supporting documentation must accompany the report which will include
General Ledger, Trial Balance and/or Statement of Revenue and Expenditures.
Any multi-year contracts entered into with service providers on or after the effective date of this contract shall
contain a provision requiring the contract's parties to re-evaluate the contract's reimbursement rates on an
annual basis. The Contractor may annually renegotiate rates based on factors including but not limited to
a review of sustainability, the respective consumer price index, or current market conditions. However, it is
the intent of the Department and/or Agency that the quality of services provided to current program recipients
not be reduced. Unit Cost Methodology worksheets must be submitted by August 1 of each year, if a rate
increase is being requested. Supporting documentation will include General Ledger, Trial Balance and/or
Statement of revenue and expenditures, along with narrative explanation and justification of increases.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
1
(112)
Amendment 003 HM203.14.003
1604 4
This amendment shall be effective December 16, 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.
IN WITNESS WHEREOF, the parties hereto have caused this 2 page amendment to be executed by their officials there
unto duly authorized.
Recipient: COLLIER COUNTY BOARD OF AREA AGENCY ON AGING FOR SOUTHWEST
COUNTY COMMISSIONERS FLORIDA,INC.
i ( �Jf
SIGNED BY: !E ��; ,, ` SIGNED BY: lt:4Vt1-- ,CJ b nA.,
NAME: STEPHEN Y. CARNELL NAME: MARIANNE G LORINI
TITLE: PUBLIC SERVICES DEPARTMENT HEAD TITLE: PRESIDENT/CEO
DATE: January 8,2016 DATE: ° /. /
Federal Tax ID: 59-6000558
Fiscal Year Ending Date: 09/30
Approved as to for and legality
Assistant County Attorney
2
(1112
160x.
Attestation Statement
Agreement/Contract Number HM014-203.14
Amendment Number 003
1, 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
(Signature of 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.
p January 8,2015
Signature .f Recipi t/Contractor representative Date
Approved as to form and legality
Assistant County Attorney
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