Backup Documents 05/28/2013 Item #16D13 Amendment 001 OAA 203.13.001
ti AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
dba SENIOR CHOICES OF SOUTHWEST FLORIDA 16 C 1 3
OLDER AMERICANS ACT PROGRAM TITLE HI
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
THIS AMENDMENT is entered into between the Area Agency on Aging for Southwest Florida,Inc. dba Senior Choices
of Southwest Florida("Agency") and Collier County Board of County Commissioners, ("Recipient"), amends agreement
OAA 203.13.
The purpose of this amendment is to decrease the contract amount by$65,520.00 and decrease the level of services
accordingly. This amendment changes total contract funding from$706,053.00 to$640,533.00;and revise
ATTACHMENT III EXHIBIT—I and ATTACHMENT VII,Budget Summary.
This amendment shall be effective on April 11, 2013. All provisions in the agreement and any attachments thereto in
conflict with this amendment shall be and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the
agreement.
This amendment and all of its attachments are hereby made a part of this agreement.
IN WITNESS WHEREOF, the parties hereto have caused this 4 page amendment to be executed by their officials there
unto duly authorized.
Recipient: COLLIER COUNTY BOARD OF AREA AGENCY ON AGING FOR SOUTHWEST
• COUNTY COMMISSIONERS FLORIDA,INC.DBA SENIOR CHOICES OF
SOUTHWEST FLORIDA
SIGNED BY: '40' f;I'I co, Goa SIGNED BY: cry fr
NAME: Stephen Y. Carnell NAME: RONALD LUCCHINO, PhD
TITLE: Interim Public Services Administrator TITLE: BOARD PRESIDENT
DATE: �-}—2—‘' 13 DATE: ,8 3
Federal Tax ID: 59-6000588
Fiscal Year Ending Date: 09/30
A p1Ovad as to form & legal SuMoi$lity
. t County Attorney
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Amendment 001 OAA 203.13.001
ATTACHMENT III
EXHIBIT 1
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS AGREEMENT
OF THE FOLLOWING: COLLIER COUNTY 16013
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
Older Americans Act Title IIIB— $ 11,500.00
CA/CM/SCAS/INSC $ 65,000.00
Transportation U.S.Health and Human Services 93.044 $ 76,500.00
Support Services $ 282,693.00*
Total IIIB ($359,193.00)
OAA Title IIIC1 —Congregate Meals $ 231,103.00
Meals $ 6,692.00
Screening U.S.Health and Human Services 93.045 $ 1,975.00
Nutrition Education $ 432.00
Outreach $ 240,202.00
Total IIIC1
OAA Title III C2—Home Delivered Meals $ 216,917.80
Meals $ 19,125.00
Screening U.S. Health and Human Services 93.045 $ 2,430.00
Nutrition Education $ 43.20
Outreach $ 238,516.00
Total HIC2
Older Americans Act Title III E
CA/CM/Intake(Title III E) $ 4,500.00
Services(Title III E) U.S.Health and Human Services 93.052 $ 53,569.00
Supplement Services(Title III ES) $ 18,499.00
Grandparent Services(Title III EG) $ 8,747.00
Total HIE $ 85,315.00
TOTAL FEDERAL AWARD $ 640,533.00
*In Home Services$282,693.00
In Home Services are funds to serve Collier County Clients. The Vendors are paid directly by the Area Agency on
Aging for Southwest Florida,Inc. dba Senior Choices of Southwest Florida
2 Goo
Amendment 001 1613313.31
ATTACHMENT VII
Budget Summary
OLDER AMERICANS ACT BUDGET SUMMARY
CONTRACTOR: COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
1. Title III B Support Services $ 76,500.00*
2. Title III Cl Congregate Meals $ 240,202.00
3. Title III C2 Home Delivered Meals $ 238,516.00
4. Title III E Services $ 85,315.00
TOTAL $ 640,533.00
*In Home Services $282,693.00
In Home Services are funds to serve Collier County Clients. The Vendors are paid directly by the Area Agency on
Aging for Southwest Florida,Inc. dba Senior Choices of Southwest Florida
3
16013
• Attestation Statement
Agreement/Contract Number OAA 203.13
Amendment Number 001
I, Stephen 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 dba as Senior Choices of Southwest Florida and
Interim Public Services Administrator
(Signature of 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.
lip /
a � GAM Lf-z6 (3
Signature of Recipient/Contractor representative Date
Stephen Y. Carrell,Interim Administrator
Collier County Public Services Division
ApiliVeid as to form & legal Suilicioney
Ass- ont County Attorney
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