Backup Documents 12/09/2014 Item #16D 7 16 0 ?
HOUSING HUMAN AND VETERIAN SERI VCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, HHVS
DATE: December 9, 2014
RE: Contract amendments between Area Agency on Aging for Southwest Florida, Inc
and Collier County: ADI 203.14.002, HCE 203.14.002, CCE 203.14.001 and
HM203.14.001
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 December 92014:
Item: 16.D.8j- ADI 203.114.001, HCE 203.14.001 and CCE 203.14.001
Item: 16.D1- HM203.14.001
1
Thank you for your assistance.
Amendment 001 July 2014 to June 2015 HM203.14.001
1607
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
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 agreement HM203.14.
The purpose of this amendment is to change the effective due date of the Surplus/Deficit Report,the"Lead Agency
Spending Report."
Line denotes completion of above summary
Paragraph 54.6 of the Master Contract is hereby amended to read:
54.6 Surplus/Deficit Report:
The Contractor will submit a consolidated surplus/deficit report in a format provided by the Agency to the Agency's
Contractor Manager by the 18th of each month, "Lead Agency Spending Report." This report is for all contracts or
agreements incorporating this Master contract by reference between the Contractor and the Agency.
This amendment shall be effective September 17, 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.
IN WITNESS WHEREOF, the parties hereto have caused this 1 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: atr" "� 7tr 1 cGM SIGNED BY: 7Z6fAxaetA4
NAME: Stephen Y. Carrell NAME: MARIANNE G LORINI
TITLE: Public Services Administrator TITLE: PRESIDENT/CEO
DATE: t ( I1 f I L' DATE: ////Z//S/
Federal Tax ID: 59-6000558
Fiscal Year Ending Date: 09/30 ��
Approved as to formand legality
1 1 \\A
Assistant Coun y.mey
1607
Attestation Statement
Agreement/Contract Number HM014-203.14
Amendment Number 001
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 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.
4V10 Oe:f
Si nature f Reci int/Contractrepresentative Date
Approved as to form and legality
Assistant Conn ttorn-y' he
`Gj
an