4th Amendment 10/05/2007
Amendment 004
CONTRACT AA-729
Page 1
THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereinafter referred
to as the "Alliance", and Monroe Connty Social Services.
The purpose of this amendment is to increase Title IIIB by $ 921 thereby increasing the OAA
Title IIIB contract amount to $ 110,490, increase Title C1 by $1,870 thereby increasing the
OAA Title C1 contract amount to $ 150,470, increase Title C2 by $963 thereby increasing the
OAA Title C2 contract amount to $ 200,806 and increase Title IIIE by $ 552 thereby increasing
the OAA Title IIIE contract amount to $ 54,657. The total OAA contract will be $516,423. The
unit rate is not amended therefore the provider must adjust the number of units of services
to be provided under the affected title, accordingly. An updated Unit Cost Methodology must
be submitted to the Alliance within 30 days after execution of this amendment.
1. Section II , Paragraph C, Sources of Funds, is hereby amended to read:
Tlhe funds awarded to the recipient are as follows:
Program Title Year Funding Source CFDA# Funds
Amounts
OAA Title II1B Support Services 2007 US Department of 93.044 $110,490
Health & Human
Services
OAA Title II1CI Congregate 2007 " 93.045 $150,470
Meals
OAA Title III C2 Home 2007 " 93.045 $200,806
Delivered Meals
OAA Title II1E Services 2007 " 93.052 $54,657
TOTAL FUNDS CONTAINED IN THIS AGREEMENT: $516,422
2. This amendment shall begin on July 1, 2007 or the date it has been signed by both parties,
whichever is earlier.
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 are hereby amended to conform with this amendment.
This amendment and all its attachments are hereby made a part of the contract.
IN WITNESS WHEREOF, the parties hereto have caused this amendment to be executed by their
undersigned officials as duly authorized.
PROVIDER:
SIGNED BY:
ALLIANCE FOR AGING, INC.
NAME:
Debbie Frederick
Deputy County Administrator
NAME:
(d{
SIGNED BY:
President & CEO
TITLE:
TITLE:
Amendment 004
CONTRACT AA-729
DATE:
/ o/7~r;
DATE:
Page 2
c ~ E 2007