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Backup Documents 12/13/2016 Item #16D16 1 6 Li ,5 COMMUNITY AND HUMAN SERIVCES INTEROFFICE MEMORANDUM TO: Board Minutes and Records FROM: Lisa N. Carr, Grants Coordinator, CHS DATE: December 20, 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 December 13,2016 Item 16D 16, 16D 18 and 16D 19. Thank you for your assistance. ,mendment .005 OAA 203.16.005 AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC. 1 6 0 1b 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 decrease allocations for Collier County by$19,500 from OA3B Transportation,revise#4 Contract Amount and revise ATTACHMENT IH 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 $1,006,838.00 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. 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 4 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: l� � Ort SIGNED BY: 4.1.;:(1._ NAME: STEVE Y. CARNELL NAME: MARIANNE G LORINI TITLE: PUBLIC SERVICES DEPARTMENT HEAD TITLE: PRESIDENT/CEO DATE: November /0 ,2016 DATE: /1/2 9// Federal Tax ID: 59-6000588 / Fiscal Year Ending Date: 09/30 Approved as to form and legality 1 , Assistant County Attorney P j C Amendment .005 OAA 203.16.005 ATTACHMENT III 160 16 FUNDING SUMMARY Note: Title 2CFR.§200331,asrevised,and.Section 21597(5),Florida Statutes,require that the information about federal programs and State Projects be rrovidedtothe 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,isapredictionoffundingsourcesand 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 $ 0.00 Support Services $ 316,722.00 Total IIIB $ 340,296.00 OAA Title IIIC1 —Congregate Meals $ 293,000.00 Meals Screening U.S. Health and Human Services 93.045 Nutrition Education Outreach Total IIIC1 $ 293,000.00 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 $1,006,838.00 COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: 2 0 amendment .005 OAA 203.16.005 X601 6 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. 3 0 mendment .005 OAA 203.16.005 ATTACHMENT VII OLDER AMERICANS ACT BUDGET SUMMARY CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY 1. Title III B Support Services $ 340,296.00 2. Title III Cl Congregate Meals $ 293,000.00 3. Title III C2 Home Delivered Meals $ 250,832.00 4. Title III E Services $ 122,710.00 TOTAL $1,006,838.00 4 0 Revised August 2007 AttestationStatement 16 0 1 6 Agreement/Contract Number: OAA 203.16 Amendment Number 005 I, Steve V 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. November .1"D 2016 Signature of ecipient/ ontractor representative Date g P Approved as to form and legality Assistant County Attorney �O ).5z3) Qf Revised August 2007 0