2nd Amendment 05/16/2001
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
BRANCH OFFICE
MARATHON SUB COURTHOUSE
3117 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 289-6027
FAX (305) 289-1745
MONROE COUNTY COURTHOUSE
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
FAX (305) 295-3663
BRANCH OFFICE
PLANTATION KEY
GOVERNMENT CENTER
88820 OVERSEAS HIGHWAY
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-7145
FAX (305) 852-7146
MEMORANDUM
DATE:
June 7,2001
TO:
Louis Latorre, Director
Social Services Division
Pamela G. Hanco~
Deputy Clerk lY
FROM:
At the May 16, 2001, Board of County Commissioners meeting the Board granted
approval and authorized execution of the following:
/ Amendment 002 to Contract KZ097 to Alzheimer's Disease Initiative Contract between
Alliance for Aging, Inc., and the Monroe County Board of County CommissionerslMonroe
County Social Services (Monroe County In Home Service Program, the Case Management
Agency).
Amendment 003 to Contract KS-0112 to Home and Community Based Medicaid Waiver
Spending Authority between Alliance for Aging, Inc., and the Monroe County Board of County
CommissionersIMonroe County Social Services (Monroe County In Home Service Program, the
Case Management Agency).
Enclosed are two duplicate originals of each of the above, executed on behalf of Monroe
County, for your handling. Please be sure to return the fully executed "Clerk's Original" as
soon as possible. Should you have any questions please feel free to contact our office.
Cc: County Administrator wlo document
County Attorney
Finance
File ,,/
ClERK-S ORIGINAl
AMENDMENT 002
CONTRACT KZ 097
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 KZ 097.
The purpose of this amendment is to decrease the total contract amount by $9,261.00 in order
to avoid a surplus.
1. Section II, Contract Amount, is hereby amended to read:
To pay for contracted services according to the conditions of Attachment I in an
amount not to exceed $56,348.00, subject to the availability of funds. The Alliance's
performance and obligation to pay under this contract is contingent upon an annual
appropriation by the Legislature. The costs of services paid under any other contract or
from any other source are not eligible for reimbursement under this contract. The
schedule of funds awarded to the provider pursuant to this contract is in state grants and
aids appr@priations and consists of the following:
Program Title Year Funding Source CSFA# Fund
Amounts
Alzheimer's 2000 General Revenue 65004 $56,348.00
Disease Initiative
TOTAL FUNDS CONTAINED IN THIS CONTRACT: $56,348.00
2. Attachment I, Section III, D., Method of Payment, is hereby amended to read:
The Alliance shall make payment to the provider for provision of services up to a
maximum number of units of service and at the rate(s) stated below:
Service to be
Provided
Unit of
Service
Unit
Rate
Maximum
Units
Maximum
Dollars
In-Home Respite
1 client hr.
$21.86~9\fut5~~W~J~i:;.>' '
1~'tHlm1 ..1 ): .
$56,348
3.
ATTACHMENT III, Budget Summary, is helrdb~w.4ndE!tllnfi:l t~placed as per the
attached version.
(~i '-: t-., r=I.'l '" ~
l.\-,]U~_J~....;
AMENDMENT 002
CONTRACT KZ 097
Page 2
4. 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.
IN WITNESS WHEREOF, the parties hereto have caused this 3 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
~({-~ ~~cf ~9PLL
NAME: &; f1)f2e; (~ f'I~()0tiN T
NAME: KATE CALLAHAN, RN, PH.D.
TITLE:
JV\ft'fbR
. ")
.5//?~/
I I
I
TITLE: PRESIDENT
DATE:
DATE:
60.?-/o /
I / /
.A.?P'et)VED AS TO FORtI'
,t, ~<::.'. , SUFFI ,
C/fJ;:NN. .
- ~&
FEDERAL ID NUMBER:
PROVIDER FISCAL YEAR ENDING OAT
AMENDMENT 002
PSA 11
CONTRACT KZ 097
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
BUDGET SUMMARY
AGENCY: Monroe County Board of Commissioners
1.
Respite
2.
MOdel Day Care
Total
3.
Page 3
ATTACHMENT III
Original
Amendment 002
$56,348
$
o
$56,348