Backup Documents 12/13/2016 Item #16D18 hS
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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.
Amendment .007 OAA 203.16.007
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC. 0 Li , ,
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 OA3EG allocations for Collier County by$6,512.00,revise#4 Contract Amount
and revise ATTACHMENT HI 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 $1,013,350.00 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: w J
SIGNED BY: o 1:LI •
s
NAME: Steve Y. Carnell NAME: MARIANNE G LORINI
TITLE: Public Services Department Head TITLE: PRESIDENT/CEO
DATE:November 22— ,2016 DATE: a9//6
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30
Approved as to form and legality
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Amendment .007 OAA 203.16.007
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ATTACHMENT III
FUNDING SUMMARY
Note: Title 2 CFR§200331,as revised,and Section 21597(5),Florida Statutes,require that the information about federal programs
and StateProjects beprovided tothe 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,isapredictioncffundingsourcesand 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 MB $ 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) $ 13,132.00
Total HIE $ 129,222.00
TOTAL FEDERAL AWARD $1,013,350.00
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED
PURSUANT TO THIS CONTRACT ARE AS FOLLOWS:
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Amendment .007 OAA 203.16.007
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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 .007 OAA 203.16.007
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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 S 293,000.00
3. Title III C2 Home Delivered Meals $ 250,832.00
4. Title III E Services $ 129,222.00
TOTAL $1,013,350.00
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Revised August 2007
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Attestation Statement
Agreement/Contract Number: OAA 203.16
Amendment Number 007
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.
4 ��1� 2-2 2016
AA) i"J r l.�Cs November ,
Signature of Recipient/Contractor representative Date
Approved as to form and legality
I'
Assistant County Atttiai
Revised August 2007