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3rd Amendment 05/17/2000 1!lannp 1.. liolbagt BRANCH OFFICE 3117 OVERSEAS ffiGHWAY MARAmON, FLORIDA 33050 TEL. (305) 289-6027 FAX (305) 289-1745 CLERK OF THE CIRCUIT COURT MONROE COUNTY 500 WHITEHEAD STREET KEY WEST, FLORIDA 33040 TEL. (305) 292-3550 FAX (305) 295-3660 BRANCH OFFICE 88820 OVERSEAS ffiGHWA Y PLANTATION KEY, FLORIDA 33070 TEL. (305) 852-7145 FAX (305) 852-7146 MEMORANDUM DATE: May 26, 2000 TO: Louis Latorre, Director Social Services Division FROM: Tracy Threlkeld In Home Services Program Pamela G. Hanco(J. Deputy Clerk I \ ATTN: At the May 17, 2000, Board of County Commissioners meeting the Board granted approval and authorized execution of the following: Amendment 003 to 99-00 Community Care for the Elderly Contract #KG-971 between the Alliance for Aging, Inc., the area agency on Aging for Planning and Services Area 11 and Monroe County Board of County CommissionersIMonroe County Social Services (Monroe County In Home Service Program, the case management agency). Amendment 003 to 99-00 Home and Community Based Medicaid Waiver Spending Authority Contract #KS0012 between the Alliance for Aging, Inc., the area agency on Aging for Planning and Services Area 11 and Monroe ~ounty Board of County Commissioners/Monroe County Social Services (Monroe County In Home Service Program, the case management agency). Amendment 002 to 99-00 Home Care for the Elderly Contract #KH-972 between the Alliance for Aging, Inc., the area agency on Aging for Planning and Services Area 11 and Monroe County Board of County CommissionersIMonroe County Social Services (Monroe County In Home Service Program, the case management agency). ---- --~--- - ------- ------~~- --~--------- Amendment 003 to 99-00 Alzheimer's Disease Initiative Contract #KG-997 between the jAllianCe for Aging, Inc., the area agency on Aging for Planning and Services Area 11 and Monroe County Board of County CommissionersIMonroe County Social Services (Monroe County In Home Service Program, the case management agency). Enclosed please find three duplicate originals executed on behalf of Monroe County. Please be sure that the fully executed "Clerk's Orginals" are returned to our office as soon as possible. Should you have any questions, please do not hesitate to contact this office. Cc: County Administrator wlo document County Attorney Finance File CLERK'S ORIGINAi. AMENDMENT 003 CONTRACT KG 997 Page 1 THIS AMENDMENT, entered into between the Alliance for Aging, Inc., hereinafter referred to as the "Alliance", and Monroe County Board of Commissioners, hereinafter referred to as the "provider", amends contract KG 997. The purpose of this amendment is to amend contract clauses to extend the contract period, and to replace ATTACHMENT II. 1. Section I.,C. is hereby amended to read: C. Final Request for Payment 1. The provider must submit the final request for payment to the Alliance no later than September 15, 2000; if the provider fails to do so, all right to payment is forfeited, and the Alliance will not honor any requests submitted after the aforesaid time period. 2. 2. If the contract is terminated prior to the contract end date of September 30, 2000, then the provider must submit the final request for payment to the Alliance no more than 45 days after the contract is terminated; if the provider fails to do so, all right to payment is forfeited, and the Alliance will not honor any requests submitted after the aforesaid time period. ~ 0 g -r, :z.:)> r ;nn== 2 rr! Section 1/1., A. is hereby amended to read: ~~.~ z CJ n' r- ""'11 Oe?' 0'\ C) III. Provider and Alliance Mutually Agree: ~?Oo %a ::u ~nr- :J: ;0 A. Effective Date: ;:: oS: == ~ 1. This contract shall begin on July 1, 1999 or on the c:lWe ~ r ~ contract has been signed by both parties, whichever is later. r c 2. This contract shall end on September 30, 2000. 3. A TTACHMENT I, Section 1/1, is hereby amended to include the following clause: F. Contract Amendments 1. The provider agrees to implement the distribution of funds as detailed in the Service Provider Application and the Budget Summary, ATTACHMENT III to this contract. Any changes in the amounts of the funds identified on the Budget Summary form require a contract amendment. AMENDMENT 003 CONTRACT KG 997 Page 2 2. This contract is for services provided during the 1999/2000 State Fiscal year beginning July 1, 1999 through June 30, 2000. However, the contract is in effect through September 30, 2000 in order to provide for maximization of resources and to allow for greater flexibility to pay for the services rendered by June 30, 2000. Services provided after June 30, 2000 cannot be reimbursed under this contract. 3. The provider will submit a draft closeout report by August 15, 2000. Any contract amendments after August 15, 2000 determined necessary by the Alliance will be based on the draft closeout reports. 4. The final expenditure report and request for payment will be due to the Alliance no later than September 15, 2000. No expenditure reports or requests for payment will be accepted after September 15,2000. 4. ATTACHMENT II, Contract Report Calendar, is hereby deleted and replaced with the revised Contract Report Calendar attached hereto. 5. This amendment shall begin on the date on which the amendment is signed by both parties. All provisions in the contract 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 contract and the Master Agreement. This amendment and all its attachments are hereby made a part of the contract. AMENDMENT 003 CONTRACT KG 997 IN WITNESS WHEREOF, the parties hereto have caused this 4 page amendment to be executed by their officials thereunto duly authorized. PROVIDER: MONROE COUNTY BOARD OF COMMISSIONERS ALLIANCE FOR AGING, INC. FOR DADE AND MONROE COUNTIES ~~NErcS~-F~ ~~N~~~ NAME: MARTY URRA NAME: Shit'" Ie-v ;::;'~U'YJeu--, I TITLE: 144."1)"" / Ct,4.I'v""..~ I TITLE: PRESIDENT DATE: 1-1..." '7. 2-000 I t .. 7; tJ(} DATE: FEDERAL ID NUMBER: 59-6000749 PROVIDER FISCAL YEAR ENDING DATE: ............':'......'. ..... 09/30 "'-. \\ '. .tf]V".': ./--2.~.A~l~... [;'1 ...J.- .- .' -' .r"' . " .... " ;/ APPROVED A AS TO FORM B ct ROBERT N DAT~ Page 3 AMENDMENT 003 Report Number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Legend: Note # 1: Note # 2: CONTRACT KG 997 Page 4 ALZHEIMER'S DISEASE INITIATIVE PROGRAM CONTRACT REPORT CALENDAR ADVANCE BASIS CONTRACT Month July August September October November December January February March April May June July Adv. Recon.** Aug. Adv. Recon. ** ** ** Based On Advance* Advance* July Expenditure Report August Expenditure Report September Expenditure Report October Expenditure Report November Expenditure Report December Expenditure Report January Expenditure Report February Expenditure Report March Expenditure Report April Expenditure Report May Expenditure Report June Expenditure Report Draft Closeout Report Final Expenditure and Request for Payment Report Final Closeout Report ATTACHMENT II Submit to Alliance On This Date July 1 July 1 August 15 September 15 October 15 November 15 December 15 January 15 February 15 March 15 April 15 May 15 June 15 July 15 August 15 September 15 September 30 Advance based on projected cash need. Submission of expenditure reports mayor may not generate a payment request. If final expenditure report reflects funds due back to the Alliance, payment is to accompany the report. * ** Report #1 for Advance Basis Contracts cannot be submitted to the Alliance prior to July 1 or until the contract with the Alliance has been executed. Actual submission of the vouchers to the DOEA is dependent on the accuracy of the expenditure report. The last two months of the provider's fiscal reports covering actual expenditures should reflect an adjustment repaying advances for the first two months of the contract.