Backup Documents 11/15/2016 Item #16D 9 1609
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.
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July 2016—June 2017 CCE 203.16.002 61391
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
COMMUNITY 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 CCE 203.16.
The purpose of this amendment is to revise ATTACHMENT III—EKEIEBIT 2 by adding the DUNS Numbers and add
`Other' as a service in ATTACHMENT VI.
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 3 page amendment, to be executed by their
undersigned officials as duly authorized; and agree to abide by the terms, conditions and provisions of this CCE
contract as amended. This Amendment is effective on September 30, 2016.
Contractor: COLLIER COUNTY BOARD AREA AGENCY ON AGING FOR
OF COUNTY COMMISSIONERS SOUTHWEST FLORIDA,INC.
ON/
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SIGNED BY: al �' , SIGNED BY:V/(/4E kAP /iWzA
NAME: STEVE Y. CARNELL NAME: MARIANNE G LORINI
TITLE: PUBLIC SERVICES DEPARTMENT HEAD TITLE: PRESIDENT/CEO
DATE: OCTOBER 1 , 2016 DATE: iDf D-7/it,
Federal Tax ID: 59-6000558
Fiscal Year Ending Date: 09/30
Approved as to form and legality
J. . -►
Assistant County Attu
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July 2016—June 2017 CCE 203.16.002 1 6 D 9
ATTACHMENT III
EXHIBIT 2
FINANCIAL AND COMPLIANCE AUDIT ATTACHMENT
EXHIBIT 2-FUNDING SUMMARY
Note: Title 2 CFR§200.331,As Revised, and Section 215.97(5),Florida Statutes, Require That Information About Federal Programs
and State Projects Be Provided 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 Regarding the Funding Sources
Applicable to This Contract,Contained Herein,Is A Prediction of Funding Sources and Related Amounts Based on the Contract Budget.
• FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT
CONSIST OF THE FOLLOWING:
GRANT AWARD (FAIN#): N/A FEDERAL AWARD DATE:
DUNS NUMBER: 076997790
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
TOTAL FEDERAL AWARD
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT
TO THIS CONTRACT ARE AS FOLLOWS:
FEDERAL FUNDS:
2 CFR Part 200—Uniform Administrative Requirements, Cost Principles,and Audit Requirements for Federal Awards.
OMB Circular A-133,As amended—Audits of States,Local Governments, and Non-Profit Organizations
• 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
TOTAL STATE AWARD
STATE FINANCIAL ASSISTANCE SUBJECT TO Sec.215.97,F.S.
PROGRAM TITLE FUNDING SOURCE CSFA AMOUNT
Community Care for the Elderly General Revenue-Collier 65010 $ 802,100.00
TOTAL AWARD $ 802,100.00
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS
CONTRACT ARE AS FOLLOWS:
STATE FINANCIAL ASSISTANCE:
Section 215.97, F.S., Chapter 691-5, FL Admin Code, Reference Guide for State Expenditures, Other fiscal requirements set forth in
program laws,rules and regulations.
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July 2016 to June 2017 CCE 203.16.002
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ATTACHMENT VI
161) 9
COMMUNITY CARE FOR THE ELDERLY PROGRAM
ANNUAL BUDGET SUMMARY
for
Collier County Board of County Commissioners
Collier
CCE Services Allocations $ 802,100.00
RATE SUMMARY
for
Collier County Board of County Commissioners
Collier County Total Unit Cost Reimbursement Rate-90%
Case Management $60.00 $54.00
Case Aide $33.88 $30.50
Adult Day Care $12.83 $11.55
Chore $23.33 $21.00
Enhanced Chore $30.33 $27.30
Companion $23.33 $21.00
Skilled Nursing $42.00 $37.80
EARS $ 1.31 $ 1.18
Escort $21.67 $19.50
Home Delivered Meals $ 7.78 $ 7.00
Homemaking $21.50 $19.35
Personal Care $25.67 $23.10
Respite-in-Facility $12.83 $11.55
Respite-in-Home $25.67 $23.10
Home Improvement $ Cost Reimbursement 90% Cost Reimbursement
Material Aid $ Cost Reimbursement 90% Cost Reimbursement
Specialized Medical Equipment,
Service & Supplies $ Cost Reimbursement 90% Cost Reimbursement
Transportation $ Cost Reimbursement 90% Cost Reimbursement
Other $ Cost Reimbursement 90% Cost Reimbursement
3
1 6 0 9
Revised August 2007
Attestation Statement
Agreement/Contract Number: CCE 203.16
Amendment Number: 002
I,Steve 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 TO i , October 15 , 2016
Signature of 'ecipient/ ontractor representative Date
Approved as to form and legality
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Assistant County Ant my p
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Revised August 2007