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Backup Documents 03/08/2016 Item #16D 1 160 1 COMMUNITY AND HUMAN SERI VCES INTEROFFICE MEMORANDUM TO: Board Minutes and Records FROM: Lisa N. Carr, Grants Coordinator, CHS DATE March 14, 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 March 8, 2016; Item 16.D.1. 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-fundedServices for Seniors programs (No Fiscal Impact). BCC Approval on March 8„2016; Item: 16 D.2 Recommendation to approve an after-the-fact Amendment to the Older Americans Act ProgramTitle III and Attestation Statement with Area Agency on Aging of Southwest Florida, Inc. for Services for Seniors programs (No Fiscal Impact). BCC Approval on March 8„ 2016; Item: 16 D.3 Recommendation to approve after-the-fact Amendment to the Home Care for the Elderly Programand Attestation Statement with Area Agency on Aging for Southwest Florida, Inc. for Services for Seniors programs (No Fiscal Impact). Thank you for your assistance. Amendment 004 HM203.14.004 160 AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC. 1 MASTER CONTRACT 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 correct language. Line denotes completion of above summary 1. Section 23.3 is hereby replaced: 23. Subcontracts: 23.3 Service Cost Reports — The Agency shall require Contractor to annually submit to the Agency 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 (74;\ Amendment 004 HM203.14.004 160 1 This amendment shall be effective January 1, 2016. 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. SIGNED BY: Pp SIGNED BY: 02 _ NAME: Stephen Y. Carnell NAME: MARIANNE G LORINI TITLE: Public Services Department Head TITLE: PRESIDENT/CEO DATE: February 5,2016 DATE: ..2//2//(, Federal Tax ID: 59-6000558 Fiscal Year Ending Date: 09/30 Approved as to form and legality Assis ant County mey 2 0 Revised August 2007 160 1 Attestation Statement Agreement/Contract Number HM014 Amendment Number 004 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. ,,l/(1 February 5,2016 Signature •f Recipi t/Contractor representative Date Approved as to form and legality u Assistant County Attonj Revised August 2007 0