Backup Documents 07/12/2016 Item #16D 6 X6 06
COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, CHS
DATE: July 13, 2016
RE: Agreements between Area Agency on Aging for Southwest Florida, Inc and
Collier County
Please find attached a fully executed document that was 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 July 12,2016, Item 16D3, 16D4, 16D5 and 16D6
Thank you for your assistance.
Amendment .002 OAA 203.16.002
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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 203.16.
The purpose of this amendment is increase allocations by $6,147 for Collier County; change reimbursement percentage of
OA3B Transportation; revise#4 Contract Amount and revise ATTACHMENT III and ATTACHMENT VII.
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 $1,029,338.00 or the rate schedule, subject to the availability of funds. Any costs or services paid for payment under
any other contract or from any other source are not eligible for payment under this contract.
This amendment shall be effective on May 18, 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 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: r SIGNED BY: aZ
NAME: STEPHEN Y CARNELL NAME: MARIANNE G LORINI
TITLE: PUBLIC SERVICES DEPARTMENT HEAD TITLE: PRESIDENT/CEO
DATE: June 10, 2016 DATE: (o/jG/G
Federal Tax ID: 59-60005 88
Fiscal Year Ending Date: 09/30
1 Approved as to form and legality
vU7
Assistant County Attorney C 0Q\
� 5�
Amendment .002 OAA 203.16.002
ATTACHMENT III
1 D
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—
CA/CM/SCAS $ 23,574.00
Transportation U.S. Health and Human Services 93.044 $ 31,000.00
Support Services $ 316,722.00
Total IIIB $ 371,296.00
OAA Title IIIC1 —Congregate Meals $ 285,000.00
Meals
Screening U.S. Health and Human Services 93.045
Nutrition Education
Outreach
Total IIIC1
$ 285,000.00
OAA Title III C2—Home Delivered
Meals $ 250,832.00
Meals
Nutrition Education U.S. Health and Human Services 93.045
Screening
Outreach $ 250,832.00
Total IIIC2
Older Americans Act Title III E
CA/CM & Services (Title III E) 93.052 $ 97,755.00
Supplement Services (Title III ES) U.S. Health and Human Services $ 18,335.00
Grandparent Services (Title III EG) $ 6,120.00
Total IIIE $ 122,210.00
TOTAL FEDERAL AWARD $1,029,338.00
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.
2
Amendment .002 OAA 203.16.002
ATTACHMENT VII 1 6 0 6
OLDER AMERICANS ACT BUDGET SUMMARY
CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY
1. Title III B Support Services $ 371,296.00
2. Title III Cl Congregate Meals $ 285,000.00
3. Title III C2 Home Delivered Meals $ 250,832.00
4. Title III E Services $ 122,210.00
TOTAL $1,029,338.00
3
Amendment .002 OAA 203.16.002
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ATTACHMENT VII
OLDER AMERICANS ACT RATE SUMMARY
CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY
IIIB
Services Total Cost Reimbursement Rate
Adult Day Care 12.83 11.55
Case Aide 33.89 30.50
Case Management 60.00 54.00
Chore 23.33 21.00
Chore (Enhanced) 30.33 27.30
Companionship 23.33 21.00
Emergency Alert Response 1.31 1.18
Escort 21.67 19.50
Homemaker 21.50 19.35
Housing Improvement 100% Cost 90% of Cost
Material Aid 100% Cost 90% of Cost
Personal Care 25.67 23.10
Respite In-Facility 12.83 11.55
Respite In-Home 25.67 23.10
Screening and Assessment 60.00 54.00
Shopping Assistance 21.00 18.90
Skilled Nursing Services 42.00 37.80
Specialized Medical Equipment, Services, and 100% Cost 90% of Cost
Supplies
Transportation 100% Cost 100% of Cost
4
Revised August 2007
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Attestation Statement
Agreement/Contract Number: OAA 203.16
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.
011
'1 Q June 10, 2016
Signature of Recipient/ ' ntractor representative Date
Approved as to form and legality
Assistant County Attorney C NN(C.
Revised August 2007