Backup Documents 10/14/2014 Item #16D 9 160 9
HOUSING HUMAN AND VE TERIAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, HHVS
DATE: October 14, 2014
RE: Contract amendments between Area Agency on Aging for Southwest Florida, Inc
and Collier County: ADI 203.14.001, HCE 203.14.001 and NSIP 203.15
Contract
Please find attached one (1) each fully executed documents that were approved by the BCC on
the days listed below for recording in Minutes and Records. Feel free to contact me if you have
any questions.
BCC Approved on October 14, 2014:
Item: 16.D.9- ADI 203.114.001 and HCE 203.14.001
Item: 16.D.10- Contract NSIP 203.15
Thank you for your assistance.
Am?ridment 001 July 2014 to June 2015
1 /§I13.1491
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
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 agreement ADI 203.14.
The purpose of this amendment is to amend ATTACHMENT I, SECTION III: METHOD OF PAYMENT Paragraph
3.1 General Statement of Method of Payment and 3.5 Consequences for Non-Compliance; amend ATTACHMENT
K,SERVICE RATE REPORT; and increase the allocation by$132,683.00 and revise ATTACHMENT III and
ATTACHMENT VIII,ANNUAL BUDGET SUMMARY.
Line denotes completion of above summary
ATTACHMENT I:
Paragraph 3.1 and 3.5 of the Attachment I, is hereby amended to read:
3.1 General Statement of Method of Payment
The method of payment for this contract includes advances, and fixed rate for services. The Contractor shall
ensure fixed rates for services include only those costs that are in accordance with all applicable state and federal
statutes and regulations and are based on audited historical costs in instances where an independent audit is
required. The Contractor shall consolidate all requests for payment from Subcontractors and expenditure
reports that support requests for payment and shall submit to the Agency on forms 106Z(ATTACHMENT
IX)and 105Z(ATTACHMENT X).
3.5 Consequences for Non-Compliance
The Contractor shall ensure 100% of the deliverables identified in Section 1.2.3., Scope of Services are
performed pursuant to contract requirements, and as described in Section 2.3,
Deliverables in this contract. If at any time the Contractor is notified by the Agency's Contract Manager that it
has failed to correctly, completely, or adequately perform these major deliverables, the Contractor will have 10 days
to submit a Corrective Action Plan ("CAP") to the Contract Manager that addresses the identified deficiency and
states how the deficiency will be remedied within a time period approved by the Contract Manager.The Agency shall
assess a financial consequence for non-compliance on the Contractor for each deficiency identified in the CAP
which is not corrected pursuant to the CAP. The Agency may also assess a financial consequence for failure to
timely submit a CAP. In the event the Contractor fails to correct an identified deficiency within the approved time
period specified in the CAP, the Agency shall deduct, from the payment for the invoice of the following month, 1%
of the monthly amount billed for each day the deficiency is not corrected. The Agency may also deduct, from the
payment for the invoice of the following month, 1% of the monthly amount billed for each day the Contractor fails
to timely submit a CAP, beginning the 11th day after notification by the Contract Manager of the deficiency.
lf, or to the extent, there is any conflict between this paragraph and paragraphs 39 and 39.1 of Master Contract
HM014, this paragraph shall have precedence.
This amendment shall be effective July 1, 2014. 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
an
1609
Amendment 001 July 2014 to June 2015 ADI 203.14.001
IN WITNESS WHEREOF, the parties hereto have caused this 5 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: til ( SIGNED BY: 0,0.64tAtd oetkiitt,
/4ARiVnae. G. /..-0(0A)
NAME: Stephen Y. Carnell NAME: RONAt ±-UCCIIINO, P11B--
TITLE: Public Services Administrator TITLE: BOARD PRESIDENT
DATE September 5, 2014
DATE: 9 J c/2 6IY
Federal Tax ID: 59-6000558
Fiscal Year Ending Date: 09/30
Approved as to form and legality
Assistant County A 'hu,-y �J t9\
2
0
1609
Amendment 001 July 2014 to June 2015 ADI 203.14.001
ATTACHMENT III
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO
THIS CONTRACT CONSIST OF THE FOLLOWING:
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
TOTAL FEDERAL AWARD
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES
AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: N/A
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
$0
STATE FINANCIAL ASSISTANCE SUBJECT TO Sec. 215.97, F.S.
PROGRAM TITLE FUNDING SOURCE CSFA AMOUNT
Alzheimer's Disease Initiative General Revenue/TSTF-Collier 65004 $ 236,963.00
TOTAL AWARD $ 236,963.00
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
0
160 9
Amehdment 001 July 2014 to June 2015 ADI 203.14.001
ATTACHMENT VIII
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
ANNUAL BUDGET SUMMARY
For
Collier County Board of County Commissioners
Collier
ALLOCATION TOTAL $ 236,963
4
0
Amelidment 001 July 2014 to June 2015 l6I3.14.91
ATTACHMENT K
SERVICE RATE REPORT
HIGHEST METHOD OF
DELIVERABLES REIMBURSEMENT
UNIT RATE PAYMENTS
Case Aide: Collier $33.88 Fixed Fee/Unit Rate
Case Management: Collier $60.00 Fixed Fee/Unit Rate
Respite In-Facility: Collier $12.83 Fixed Fee/Unit Rate
Respite In-Home: Collier $25.67 Fixed Fee/Unit Rate
Specialized Medical Equipment, Services and Supplies Cost Reimbursement
5
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160 9
Attestation Statement
Agreement/Contract Number: ADI 203.14
Amendment Number 001
I, Stephen Y.Camel! ,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 Administrator
(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.
C/4/'
9/5/2014
Signature of Recipi nt/Contractor representative Date
Approved as to form and legality
Assistant Coun �I_'ttorney � 2�\��
160 9 _
Amendment 001 July 2014 to June 2015 HCE 203.14.001
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
HOME CARE FOR THE ELDERLY PROGRAM
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 agreement HCE 203.14.
The purpose of this amendment is to amend ATTACHMENT I, SECTION III: METHOD OF PAYMENT Paragraph
3.1 General Statement of Method of Payment and 3.4 Consequences for Non-Compliance,and correct the CSFA#
on ATTACHMENT III to 65001.
Line denotes completion of above summary
ATTACHMENT I:
Paragraph 3.1 and 3.4 of the Attachment 1, is hereby amended to read:
3.1 General Statement of Method of Payment
The method of payment for this contract includes advances, and fixed rate for services. The Contractor shall
ensure fixed rates for services include only those costs that are in accordance with all applicable state and federal
statutes and regulations and are based on audited historical costs in instances where an independent audit is
required. The Contractor shall consolidate all requests for payment from Subcontractors and expenditure
reports that support requests for payment and shall submit to the Agency on forms 106H(ATTACHMENT
IX)and 105H(ATTACHMENT X).
3.4 Consequences for Non-Compliance
The Contractor shall ensure 100% of the deliverables identified in Section 1.2.4., Scope of Services are
performed pursuant to contract requirements, and as described in Section 2.3, Deliverables in this contract. If
at any time the Contractor is notified by the Agency's Contract Manager that it has failed to correctly,
completely, or adequately perform these major deliverables, the Contractor will have 10 days to submit a
Corrective Action Plan ("CAP") to the Contract Manager that addresses the identified deficiency and states
how the deficiency will be remedied within a time period approved by the Contract Manager. The Agency shall
assess a financial consequence for non-compliance on the Contractor for each deficiency identified in the
CAP which is not corrected pursuant to the CAP. The Agency may also assess a financial consequence for
failure to timely submit a CAP. In the event the Contractor fails to correct an identified deficiency within the
approved time period specified in the CAP, the Agency shall deduct, from the payment for the invoice of the
following month, 1% of the monthly amount billed for each day the deficiency is not corrected. The Agency may
also deduct, from the payment for the invoice of the following month, 1% of the monthly amount billed for each
day the Contractor fails to timely submit a CAP, beginning the 11th day after notification by the Contract
Manager of the deficiency. If, or to the extent, there is any conflict between this paragraph and paragraphs 39
and 39.1 of Master Contract HM014, this paragraph shall have precedence.
ATTACHMENT III:
Correct the CSFA#to 65001.
This amendment shall be effective July 1, 2014. 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
tC,
160 9
Amendment 001 July 2014 to June 2015 HCE 203.14.001
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: V Of i SIGNED BY: 1/47L(lWu.- # Lii`2,cn i_
NAME: Stephen Y. Carnell NAME: MARIANNE G. LORINI
TITLE: Public Services Administrator TITLE: PRESIDENT/CEO
DATE: September 5, 2014
DATE: 9/2 520/Yf
Federal Tax ID: 59-6000558
Fiscal Year Ending Date: 09/30
Approved as to form and legality
Assistant County Atto (0\��
c12
2
160
Attestation Statement
Agreement/Contract Number: HCE 203.14
Amendment Number 001
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 Administrator
(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.
e,►•
' t 9/5/2014
Signature of Recipient Contractor representative Date
Approved as to form and legality G�
co
�►ssistant Cou ttorney
�9