Backup Documents 11/15/2016 Item #16D 8 1 608
COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, CHS
DATE: December 5, 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 November15, 2016 Item 16D7, 16D8, 16D9 and 16D10.
Thank you for your assistance.
".mendment .003 OAA 203.16.003
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AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA, INC.
OLDER AMERICANS ACT PROGRAM TITLE III
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 for Collier County by $6,000 carry-forward money, decrease
allocations by$11,000(-$11,500 transportation and+$500 0A3EG), revise#4 Contract Amount and revise
ATTACHMENT III by showing the FAIN#'s for the Grant Award and the DUNS Number for the county as well as the
new allocation, and ATTACHMENT VII and change language in ATTACHMENT I,MANNER OF SERVICE
PROVISION, D Deliverables, 2. Reports, a. Programmatic Operations/Administrative-(2)Annual review of service cost
reports; Service Cost Reports.
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 $1,024,338.00 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.
ATTACHMENT I
MANNER OF SERVICE PROVISION
D. Deliverables
2. Reports
a. Programmatic Operations/Administration- The Contractor shall ensure the provision of services, as
outlined in this contract, are in accordance with the Agency and/or the Department of Elder Affairs
Programs and Services Handbook through its review of reports as outlined below:
(1) Monthly review of subcontractors' surplus/deficit reports,and CIRTS data accuracy reports;
(2) Annual review of service cost reports: The Contractor shall respond to additional routine or special
requests for information and reports required by the Agency in a timely manner as determined by the
Contract Manager. The Contractor shall establish reporting due dates for Subcontractors that permit the
Contractor to meet the Agency's reporting requirements.
Service Cost Reports
a.The Agency shall require the Contractor to submit Annual Service Cost Reports, which reflect actual
costs of providing each service by program. Service Cost Reports for all contracts are due by
February 15, 2017 for the prior calendar year.
b. Unit Cost Methodology worksheets must be submitted by August 1 of each year, if a rate increase is
being requested for any contract in the next calendar year.
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Amendment .003 OAA 203.16.003 16 EJ 8
All provisions in the contract and any attachments thereto in conflict with this Amendment shall be and are hereby
changed to conform to 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 contract.
This Amendment and all its attachments are hereby made part of the contract.
IN WITNESS THEREOF, the Parties hereto have caused this 5 page amendment, to be executed by their
undersigned officials as duly authorized; and agree to abide by the terms, conditions and provisions of this OAA
contract as amended. This Amendment is effective on the last date the Amendment has been signed by both
Parties.
Contractor: COLLIER COUNTY BOARD OF AREA AGENCY ON AGING FOR SOUTHWEST
COUNTY COMMISSIONERS FLORIDA,INC.
SIGNED BY: I IP: , `sem/1/1' SIGNED BY: AftaliA:t
NAME: STEVE Y. CARNELL NAME: MARIANNE G LORINI
TITLE: PUBLIC SERVICES DEPARTMENT HEAD TITLE: PRESIDENT/CEO
DATE: October /tr, 2016 DATE: j OP-//6
Federal Tax ID: 59-60005 88
Fiscal Year Ending Date: 09/30
Approved as to form and legality
Assistant County Attorney
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Amendment .003 OAA 203.16.003 6 0 8
ATTACHMENT III
FUNDING SUMMARY
Note: Title 2CFR§200331,asrevised,and Section 215.97(5),Florida Statutes,require that the information about federal programs
and State Projects be lrovided to the Recipient and are stated in The Financial And Compliance Audit Attachment And Exhibit 1.
Financial And Compliance Audit Attachment,Exhibit 2-Funding Summary Provides Information RegardingtheFunding Sources
Applicable to this contract,contained herein,isapredictionoffundingpurees and related amounts based on the contract budget.
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT
CONSIST OF THE FOLLOWING:
COLLIER COUNTY
GRANT AWARD (FAIN#): 16AAFLT3SS, 16AAFLT3CM, 16AAFLT3HD, 16AAFLT3PH, 16AAFLT3FC
DUNS NUMBER: 076997790 FEDERAL AWARD DATE: OCTOBER 20,2015
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 $ 19,500.00
Support Services $ 316,722.00
Total IIIB $ 359,796.00
OAA Title IIIC1 —Congregate Meals $ 291,000.00
Meals
Screening U.S. Health and Human Services 93.045
Nutrition Education
Outreach
Total IIIC1
$ 291,000.00
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) $ 6,620.00
Total IIIE $ 122,710.00
TOTAL FEDERAL AWARD $1,024,338.00
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED
PURSUANT TO THIS CONTRACT ARE AS FOLLOWS:
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Amendment .003 OAA 203.16.003 1 6 [3 8
FEDERAL FUNDS:
2 CFR Part 200Uniform Administrative Requirements, Cost Principles,and Audit Requirements for Federal Awards/
OMB Circular A-133—Audits of States, Local Governments,and Non-Profit Organizations
2. STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF
THE FOLLOWING.
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO
THIS CONTRACT ARE AS FOLLOWS:
STATE FINANCIAL ASSISTANCE
Section 215.97,F.S.,Chapter 69I-5,FL Admin Code,Reference Guide for State Expenditures,Other fiscal requirements set forth in
program laws,rules and regulations.
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Amendment .003 i..6 as03.16.003
ATTACHMENT VII
OLDER AMERICANS ACT BUDGET SUMMARY
CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY
1. Title III B Support Services $ 359,796.00
2. Title III Cl Congregate Meals $ 291,000.00
3. Title III C2 Home Delivered Meals $ 250,832.00
4. Title III E Services $ 122,710.00
TOTAL $ 1,024,338.00
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Revised August 2007 i 6 08
Attestation Statement
Agreement/Contract Number: OAA 203.16
Amendment Number 003
I, Steve 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.
_kelea7 v October i g , 2016
Signature of Recipient/Contractor representative Date
Approved as to form and legality
Assistant County Attorney
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Revised August 2007
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