2nd Amendment 11/22/2016 AMY HEAVILIN CPA
CLERK OF CIRCUIT COURT & COMPTROLLER
MONROE COUNTY,FLORIDA
4101.4.77
DATE: December 21, 2016
TO: Sheryl Graham, Director
FROM: Cheryl Robertson Executive Aide to the Clerk of Court& Comptroller e/ej
At the November 22, 2016 Board of County Commissioner's meeting the Board granted approval and
authorized execution of item F34 Approval of Amendment #0002 to Community Care for Disabled
Adults (CCDA) Contract # KG-070 between the Florida Department of Children and Families (DCF)
and Monroe County Board of County Commissioners (BOCC)/Monroe County Social Services/In-
Home Services to revise pricing terms for the contract year FYl6 resulting in no financial increase to
the contract.
The enclosures are not fully executed; they need to be sign by the State of Florida Department of
Children and Families and forward to the Clerk for finalization.
500 Whitehead Street Suite 101,PO Box 1980,Key West,FL 33040 Phone:305-295-3130 Fox:305-295-3663
3117 Overseas Highway,Marathon,FL 33050 Phone:305-289-6027 Fox:305-289-6025
88820 Overseas Highway,Plantation Key,FL 33070 Phone:852-7145 Fax:305-852-7146
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Amendment 80002 Executed Contract No.KG070
THIS AMENDMENT, entered into between the State of Florida, Department of Children and Families, hereinafter
referred to as the"Department," and Monroe County Board of County Commissioners, hereinafter referred to as the
"Provider,"amends Contract No. KG070.
Amendment #0001 replaced the CF Standard Contract 2014, Exhibits A-F and Attachments 1-2 with the CF Standard
Integrated Contract 2015, Exhibits A-F and Attachments 1-2. Furthermore,the amendment decreased the contract funding
to align with the AOB; revised the Deliverables; added required language pursuant to Section 215.97, F.S.; and corrected
the additional financial consequences language.
The purpose of this Amendment #0002 is to revise the unit rates for Homemaker, Case Management, Home Delivered
Meals, and Personal Care services pursuant to Section 216.0113, F.S. in compliance with the Preferred Pricing Clause
identified on Page 10, Standard Integrated Contract 2015, Section 7.6, Preferred Pricing Affidavit. This amendment also
adds language to EXHIBIT A-SPECIAL PROVISIONS, SECTION 6: PENALTIES, TERMIATION AND DISPUTE
RESOLUTION, to allow the Provider to terminate the contract.
The revised pricing terms shall be effective with this Amendment#0002 retroactively to the effective date of this contract.
Payments made in excess of such pricing are deemed to be overpayments and any overpayment shall be promptly
returned to the Department as provided in Section 3.4 of the Standard Integrated Contract 2015.
Department of Alliance for
Service Children and Families Alliance for Aging/Older Unit Rate
Contract Rate Aging Rate American Act Difference
Rate
Homemaker $23.47 $22.06 $22.00 $1.47
Case Management $50.96 $50.48 N/A $0.48
Home Delivered Meals $6.33 N/A $6.00 $0.33
Personal Care $23.25 $28.67 $22.00 $1.25
1. Page 12, CF Standard Integrated Contract 2015, EXHIBIT A-SPECIAL PROVISIONS, SECTION 6: PENALITIES,
TERMIATION AND DISPUTE RESOLUTION, Paragraph A-6.2.5, is hereby amended to add:
SECTION 6: PENALTIES,TERMINATION AND DISPUTE RESOLUTION
A-6.2.5 This Contract may be terminated by the Provider upon no less than thirty(30)calendar days' notice in
writing to the Department unless a sooner time is mutually agreed upon in writing.
2. Page 36, CF Standard Integrated Contract 2015, EXHIBIT F- METHOD OF PAYMENT (Revised 0110112016),
Section F•1.2, is hereby amended to read:
F.12 Service Unit
A Service Unit is defined in CFOP 140-8, Community Care for Disabled Adults Operating Procedures, and
listed in Sections C-1.2 and D-1.
CF 1127
EffectiveJ l 2015 1 Monroe County Board of County Commissioners
(CF-1121-1516)
Amendment 80002 Contract No. KG070
F-1.2.1 The Department shall make payments to the Provider for the provision of services at the units and rates
shown below, in accordance with the client's care plan.
STANDARD/CORE SERVICES UNIT RATE
Case Management 1 hour $50.48
Home Delivered Meals 1 meal delivered $6.00
Homemaker 1 hour $22.00
Personal Care 1 hour $22.00
3. Pages 38, CF Standard Integrated Contract 2015, EXHIBIT F1-MONTHLY REQUEST FOR PAYMENT AND
EXPENDITURE REPORT (Revised 01/0112016), is hereby deleted in its entirety and REVISED Exhibit 81-Monthly
Invoice(Revised 11-01.2016),is inserted in lieu thereof and attached hereto.
THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK
CF1127
EffectiveJuly 2015 2 Monroe County Board of County Commissioners
(CF-1127-1516)
Amendment#0002 Contract No.KG070
This amendment shall begin on November 1,2016 or the date on which the amendment has been signed by both Parties,
whichever is later
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.
This amendment and all its attachments are hereby made a part of the contract. IN WITNESS THEREOF, the parties
hereto have caused this four(4)page amendment to be executed by their officials'thereunto duly authorized.
PROVIDER: STATE OF FLORIDA
MONROE COUNTY RD OF COUy7\y�JCOMMISS DEPARTMENT OF CHILDREN A q�(1IIDIES
SIGNED BY: E5 �' SIGNED BY: (-)�L��!
NAME: George. Neu5en4 NAME: Bronwyn Stanford
TITLE: Monroe County Mayor TITLE: Regional Managingng Director
DATE: 1212-1 12L 14. DATE: 43 6 7/l fr
Federal ID Number: 59-6000749
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cF1127
effective July 2015 3 Monroe County Board of County Commissioners
(CF-1121-1516)
oernury
ti, REVISED Exhibit Fl
Monthly Invoice
= Contract No. KG070
vaR''N AN e' From 20_ To 20_
MY FI.FAMI L I ESCOM
PROVIDER NAME: Monroe County Board of County Commissioners
ADDRESS: 500 Whitehead Street VENDOR NUMBER: 59-6000749
Key West,Florida 33040
STANDARDICORE SERVICES RATE of UNITS _ AMOUNT DUE
Case Management $50.48
•
Home Delivered Meals $6.00
•
Homemaker $22.00
Personal Care $22,00
•
TOTAL PAYMENT REQUESTED $
MATCH REQUIREMENT
$8,858.88 per FY Current Month Y-T-D
Beginning Match Balance
Less any financial consequences Imposed as per Section FA
Local Cash Match
Local In-Kind $
Total Match
Remaining Match Balance
By signing this report, I certiy to the best of my knowledge and belief that the report is true, complete and accurate and the expenditures,disbursements and
cash receipts are for the purposes and objectives set forth in the terms and conditions of this agreement. I am aware that any false,fictitious,or fraudulent
information or the omission of any material fact,may subject me to criminal,civil or administrative penalties for fraud,false statements,false claims,or
otherwise.Additionally,I certify that all reports supporting this invoice have been submitted to the Department in accordance with this agreement,
Authorizing Signature:
Date
Title'.
CF Standard Integrated Contract 2015 38 Contract No. KG070
Revised 11-01-2016 Monroe County Board of County Commissioners