Backup Documents 03/28/2017 Item #16D 6 1 6 D6
COMMUNITY AND HUMAN SERIVCES
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records
FROM: Lisa N. Carr, Grants Coordinator, CHS
DATE: April 5, 2017
RE: Agreement 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 March 28, 2017 Item 16D6.
BCC Approved on March 28,2017 Item 16D13.
Thank you for your assistance.
Amendment.008 OAA 203.16,008 1 / i .
1 0
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 to amend 4. Contract Amount with the final allocation for the 2016 contract year,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 $1,098,350.93 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 December 31,2016. All provisions in the agreement and any attachments thereto in.
conflict with this am endment 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.
1 a 7.
SIGNED BY. - •, !� SIGNED BY: �J C
NAME: 1 e j e. y. C G '(fl e l I NAME: MARIANNE G LOR INI
TITLE:` )(4bl iC, Sec j c.e S Depirtroneit t TITLE: PRESIDENT/CEO
DATE: PA Q.CC,(n 8j 2.0 CI- DATE: 3- /5- /-7
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30
1 Approved as to form and legality
Assistant County Attorney •
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Amendment.008 OAA 203.16.008
ATTACHMENT III
FUNDING SUMMARY
Note: Title 2 CFR§ 200.331,as revised,and Section 215.97(5),Florida Statutes,require that the 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.
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
Transportation U.S. Health and Human Services 93.044
Support Services
Total IIIB $ 355,098.43
OAA Title IIIC 1 —Congregate Meals
Meals
Screening U.S. Health and Human Services 93.045
Nutrition Education
Outreach
Total IIIC 1 $ 313,624.70
OAA Title III C2—Home Delivered
Meals
Meals
Nutrition Education U.S. Health and Human Services 93.045
Screening
Outreach
Total IIIC2 $ 280,435.16
Older Americans Act Title III E
CA/CM& Services (Title III E) 93.052 $ 117,424.42
Supplement Services (Title III ES) U.S. Health and Human Services $ 18,528.77
Grandparent Services (Title III EG) $ 13,239.45
Total IIIE $ 149,192.64
TOTAL FEDERAL AWARD $1,098,350.93
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED
PURSUANT TO THIS CONTRACT ARE AS FOLLOWS:
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Amendment .008 OAA 203.16.008
I. 6 L3 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.
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Amendment .008 OAA 203.16.008
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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 $ 355,098.43
2. Title III Cl Congregate Meals $ 313,624.70
3. Title III C2 Home Delivered Meals $ 280,435.16
4. Title III E Services $ 149,192.64
TOTAL $1,098,350.93
4
Revised August 2007
1 41 0 6
r.
Attestation Statement
Agreement/Contract Number: OAA 203.16
Amendment Number 008
I, Steve Y Camel! ,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.
r r March 3,2017
Signature t Recip ent/Contractor representative Date
Approved as to form and legality
Assistant County Attorney
Revised August 2007
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