Item C22County of Monroe
A
BOARD OF COUNTY COMMISSIONERS
Mayor George Neugent, District 2
IleOI1da Ke S
y
�4
Mayor Pro Tem David Rice, District 4
�r
Danny L. Kolhage, District I
Heather Carruthers, District 3
Sylvia J. Murphy, District 5
County Commission Meeting
January 18, 2017
Agenda Item Number: C22
Agenda Item Summary #2545
BULK ITEM: Yes DEPARTMENT: Social Services
TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham (305) 292 -4510
N/A
AGENDA ITEM WORDING: Approval of Ratification of Nutrition Services Incentive Program
(NSIP) Contract US -1751 between the Alliance for Aging, Inc., and Monroe County Board of
County Commissioners, Social Services /In -Home Services for the contract year 2017 (January 1,
2017- December 31, 2017) in the amount of $33,463.01.
ITEM BACKGROUND: The NSIP provides reimbursement for the purchase of United States
produced agriculture and other food commodities for use in nutrition projects operating under
approved Older Americans Act Title III contracts. NSIP funds allow for a reimbursement to Monroe
County for congregate and home - delivered meals provided to nutrition clients participating in OAA
grant funded programs.
PREVIOUS RELEVANT BOCC ACTION: BOCC approved Amendment 4001 to contract US-
1751 between the Alliance for Aging, Inc. and Monroe County BOCC /Social Services for the
contract year 2015 -2016 in the amount of $27,245.93 on 10/19/2016.
CONTRACT /AGREEMENT CHANGES:
Annual Contract Renewal
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
NSIP US -1751 Contract
NSIP Contract US 1651 Amend 001 (Backup)
FINANCIAL IMPACT:
Effective Date: 01/01/2017
Expiration Date: 12/31/2017
Total Dollar Value of Contract: $33,463.01
Total Cost to County: 10% cash match
Current Year Portion:
Budgeted:
Source of Funds: Grant
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: No If yes, amount:
Grant: Yes
County Match: 10% cash match
Insurance Required:
Additional Details:
01/18/17 NEW COST CENTER ADDED
125- 6153316
$33,463.01
REVIEWED BY:
Sheryl Graham
Completed
12/29/2016 4:13 PM
Pedro Mercado
Completed
12/29/2016 4:24 PM
Budget and Finance
Completed
12/30/2016 12:14 PM
Maria Slavik
Completed
01/04/2017 8:37 AM
Kathy Peters
Completed
01/04/2017 9:00 AM
Board of County Commissioners
Completed
01/18/2017 9:00 AM
Contract No. US-1751
�,� � �, ;,� t iktR
n "I
THIS CONTRACT is entered into between the Alliance for Aging, Inc. hereinafter referred to as the "Alliance", and
Monroe County Board of County Commissioners, Social Services/In-Home Services (Contractor), and collectively
referred to as the "Parties."
1. PurDose of Contrac
The purpose of this contract is to provide services in accordance with the terms and conditions specified in this contract
including all attachments, forms, exhibits and references incorporated, which constitute the contract document.
2. IncorDoration of Documents within the Contract
The contract will incorporate attachments, proposal(s), state plan(s), grant agreements, relevant Department handbooks,
manuals, as an integral part of the contract, except to the extent that the contract explicitly provides to the contrary. In
the event of conflict in language among any of the documents referenced above, the specific provisions and
requirements of the contract document(s) shall prevail over inconsistent provisions in the proposal(s) or other general
materials not specific to this contract document and identified attachments,
3. Term of Contra
.S
This contract shall begin at twelve (12:00) AM, EST on January 1, 2017 or on the date the contract has been signed by the last
party required to sign it, whichever comes later. It shall end at eleven fifty-nine (11:59) PM EST on December 31, 2017.
4. Contract Amount
The Alliance agrees to pay for contracted services according to the terms and conditions of this contract in an amount not to
exceed 533.463 1 or the rate schedule, subject to the availability of funds. Any costs or services paid for under any
other contract or from any other source are not eligible for payment under this contract.
Contract No. US -1751
6. Official Pavee and Representatives (Names Addresses, and Telephone Numbers):
7. All Terms and Conditions Included:
This contract and its Attachments, I, III, VII, X, and H and any exhibits referenced in said attachments, together
with any documents incorporated by reference, contain all the terms and conditions agreed upon by the Parties. There
are no provisions, terms, conditions, or obligations other than those contained herein, and this contract shall supersede
all previous communications, representations or agreements, either written or verbal between
IN WITNESS THEREOF, the Parties hereto have caused this contract, to be executed by their undersigned officials as
duly authorized.
ALLIANCE FOR AGING, INC.
SIGNED BY: ✓
NAME Max B. Rothman, JD. M.
TITLE: President and CEO
DATE:
`C i °i° L- ;
�, e. Packet Pg. 1051
Monroe County Board of County Commissioners,
The Contractor name, as shown on page 1 of
Social Services/In -Home Services
a.
this contract, and mailing address of the official
1100 Simonton Street, 2 nd Floor
payee to whom the payment shall be made is:
Key West, FL 33040
305- 292 -4510
Sheryl Graham
Monroe County Board of County Commissioners,
b '
The name of the contact person and street address
Social Services/In -Home Services
where financial and administrative records are
1100 Simonton Street, 2 Floor
maintained is:
Key West, FL 33040
305 -292 -4510
Sheryl Graham
The name, address, and telephone number of
Monroe County Board of County Commissioners,
C.
the representative of the Contractor responsible
Social Services /In -Home Services
for administration of the program under this
1100 Simonton Street, 2nd Floor
contract is:
Key West, FL 33040
305 -292 -4510
Fiscal Office
d
The section and location within the Alliance
Alliance for Aging, Inc.
where Requests for Payment and Receipt and
760 NW 107'` Avenue, Suite 214, 2 Floor
Expenditure forms are to be mailed is:
Miami, FL 33172
Contract Manager
e.
The name, address, and telephone number
,n Alliance for Aging, Inc. na
760 NW 107 Avenue, Suite 214, 2 Floor
of the Contract Manager for this contract is:
Miami, FL 32172
305 670 -6500
Upon change of representatives (names, addresses, telephone numbers) by either party, notice shall be
provided in writing to the other party and the notification attached to the originals of this contract.
7. All Terms and Conditions Included:
This contract and its Attachments, I, III, VII, X, and H and any exhibits referenced in said attachments, together
with any documents incorporated by reference, contain all the terms and conditions agreed upon by the Parties. There
are no provisions, terms, conditions, or obligations other than those contained herein, and this contract shall supersede
all previous communications, representations or agreements, either written or verbal between
IN WITNESS THEREOF, the Parties hereto have caused this contract, to be executed by their undersigned officials as
duly authorized.
ALLIANCE FOR AGING, INC.
SIGNED BY: ✓
NAME Max B. Rothman, JD. M.
TITLE: President and CEO
DATE:
`C i °i° L- ;
�, e. Packet Pg. 1051
11 W
JOWWN "0211111—MiffluM Ow-
Contract No, US-1751
0
Contract No. US -1751
a (oleo W 04 33A Lei WIN
ATTACREMENT I
1.1.1 General Statement
The Nutrition Services Incentive Program (NSIP) is intended to provide incentives for the effective delivery of
nutritious meals to older individuals. NSIP allows programs to increase the number and/or the quality of
meals served. NSIP is a cash allotment or commodity program that supplements funding or food used in
meals served under the OAA. Florida has opted for cash payments in lieu of donated foods.
1.1.2 Authority
The relevant authority governing NSIP are:
(1) Catalog of Domestic Assistance No. 93.043, 93,044, 93.045, 93.052, and 93.053;
(2) Older Americans act of 1995, as amended 2016;
(3) Older Americans Act of 1995, as amended 2016, Section 311 (42 U.S.C. § 3030a);
(4) 42 U.S.C, 303a, 42 U.S.C. 604;
(5) Rule 58A-1, Florida Administrative Code (FAC);
(6) Section 430.101, Florida Statutes, and;
(7) Catalog of Federal Domestic Assistance (CFDA) 93.05.
1.1.3 Scope of Service
The Contractor is responsible for the programmatic, fiscal and operational management of the NSIP,
involving oversight of the nutrition service operations of its subcontracted providers. The program services
provided under this contract shall be provided in a manner consistent with and described in the Contractor's
current area plan update, which is incorporated by reference, and the current DOEA Program and Services
Handbook, which is also incorporated by reference.
1.2.3.1 In fulfilling the terms of this agreement, the Contractor's scope of services shall consist of completion of
the following service tasks: (1) Client Eligibility Determination; (2) Program Eligibility Compliance; (3)
Program Coordination and Oversight; (4) Ensuring Compliance with Prescribed Nutrition Requirements;
(5) Ensuring Compliance with Prescribed Food Origin Requirements; (6) Compliance with Program
Reporting and Records Management Requirements; and (7) Monitoring the Performance of Subcontractors.
1.2.3.2 The Contractor shall use the NSIP funding under this contract to supplement funding for food used in meals
served under the OAA.
1.2.5 Major Program Goals
The major goals of the NSIP program are as follows:
(1) To supplement funding for food used in meals served by OAA Nutrition Program Providers; and
(2) Provide incentives for the effective delivery of nutritious meals to older individuals.
EI
1.3.1 Congregate Meals
Client eligibility for congregate meals is as follows:
1.3.2 Home Delivered Meals
Client eligibility for congregate meals is as follows:
(1) Individuals age 60 or older who are homebound by reason of illness, disability or isolation;
(2) The spouse of a homebound eligible individual, regardless of age if the provision of the collateral meal
supports maintaining the homebound eligible individual at home;
(3) Individuals with a disability, regardless of age, residing at home with eligible individuals and are
dependent on them for care;
(4) Persons at nutritional risk having physical, emotional or behavioral conditions, which would make their
presence at the congregate site inappropriate; and
(5) Persons at nutritional risk who are socially or otherwise isolated and unable to attend a congregate
nutrition site.
1.3.3 Restrictions
Meals served to an elderly individual ffinded in whole or in part under the Medicaid Waiver, Home Care
for the Elderly or Community Care for the Elderly Programs or other means tested programs may not be
included in the NSIP count.
2.1 SERVICE TASKS
2.1.1 Client Eligibility Determination
The Contractor shall ensure that applicant data is evaluated to determine eligibility. Eligibility to become
a client is based on meeting the requirements described in this ATTACHMENT I, Section II 2,1.2 and
Section 11.3.1, 1.3.2, and 1.3.3.
2.1.2 Program Eligibility Requirements
Entities must meet the following criteria in order to be eligible for program participation:
(1) An agency that has received a grant under the OAA Title III (OAA section 311(42 U.S.C.3030a)); and
(2) A nutrition service provider that serves meals and is under the jurisdiction, control, management and
audit authority of the Area Agency on Aging and the Department of Elder Affairs.
2.1.3 Contractor's Nutrition Service Operations
The Contractor shall oversee the nutrition service operations of the provider to ensure that the requirements
of ATTACHMENT I are met, as well as any other applicable regulations and policies prescribed by the
Department of Health and Human Services, USDA, state and local health departments or any other agency
designated to inspect meal quality for the State.
Contract No. US-1751
Consistent with existing requirements of the Nutrition Services Incentive program, the Contractor and its
service providers may use NSIP cash to purchase foods of U.S. origin for their nutrition projects under Title
III of the OAA. NSIP funds must be used to expand meal services to older adults.
11", %, - I '
11 P 1 11111 A I III i '' i : 17-MITFINLTJ "m I I
2.1.7 Use of Subcontractors
If this contract involves the use of a Subcontractor or third party, then the Contractor shall not delay the
implementation of its agreement with the Subcontractor. If any circumstances occur that may result in a
delay for a period of 60 days or more of the initiation of the Subcontract or in the performance of the
Subcontractor, the Contractor shall notify the A11 i ance Contract Manager in writing of such delay.
The Contractor shall not permit a Subcontractor to perform services related to this agreement without
having a binding Subcontractor agreement executed. The Alliance will not be responsible or liable
for any obligations or claims resulting from such action.
The Contractor shall monitor at least once per year each of its Subcontractors, Subrecipients, Vendors
and/or Consultants paid from funds provided under this contract. The Contractor shall perform fiscal,
administrative and programmatic monitoring to ensure contractual compliance, fiscal accountability,
programmatic performance and compliance with applicable state and federal laws and regulations. The
Contractor shall monitor to ensure that time schedules are met, the budget and scope of work are
accomplished within the specified time periods and other performance goals stated in this contract are
achieved.
2.2 SERVICE TIMES
2.2.1 Service Times
The Contractor shall ensure the services listed in this contract are available at times appropriate to meet
client service needs, at a minimum, during normal business hours. Normal business hours are defined as
Monday through Friday, 8: 00am to 5: OOpm.
ON
Contract No. US -1751
ppnn���
2.31 Service Unit
The Contractor shall ensure the provision of the services described in the contract in accordance with
the current Department of Elder Affairs Programs and Services Handbook and the service tasks
described in
ATTACHMENT 1, SECTION 11 Part 2.1. The chart below lists the type of services allowed
and the unit of measurement:
sakim
Congregate Meals Meal
Home-Delivered Meals Meal
2.4 REPORTS
The Contractor shall respond to additional routine and/or special requests for information and reports required
by the Alliance in a timely manner as determined by the Contract Manager, The Contractor shall establish
due dates for any Subcontractors that permit the Contractor to meet the Alliance's reporting requirements.
2.4.1 Client Information and Registration Tracking System (CIRTS)
Reports
2.5 RECORDSAND
DOCUMENTATION
The Contractor shall ensure the collection and maintenance of client and service information on a monthly
basis from the CIRTS or any such system designated by the Department. Maintenance includes valid exports and
backups of all data and systems according to Department standards.
Contract No. US -1751
The Contractor shall ensure services provided under this contract are in accordance with the current
DOEA Programs and Services Handbook.
The Contractor shall timely submit to the Alliance all reports and information described in
ATTACHMENT 1, SECTION 112.4 and 2.5.
2.7.1 Program Guidance and Technical Assistance
The Alliance will provide the Contractor with guidance and technical assistance as needed to ensure the
successful fulfillment of the contract by the Contractor.
2.7.2 Contract Monitoring
(1) Desk reviews and analytical reviews
(2) Scheduled, unscheduled and follow-up on-site visits;
(3) Client visits;
(4) Review of independent auditor's reports:
(5) Review of third-party documents and/or evaluation;
(6) Review of progress reports;
(7) Review of customer satisfaction surveys;
(8) Agreed-upon procedures review by an external auditor or consultant;
(9) Limited-scope reviews; and
(1 0) Other procedures as deemed necessary.
SECTION III: METHOD OF PAYMENT
3.1 GENERAL STATEMENT OF METHOD OF PAYMENT
This is a fixed rate contract. The Alliance shall make payment to the Contractor for provision of services up to
a maximum number of units of service and at the prospective rate stated below:
Service to be Provided
Unit of Service
Unit Rate
Maximum
----Jjnit&-
Eligible Congregate and
, ILomLDghygred _Meals
I unit = I meal
S.72
43,476
The prospective rate is based on the estimated OAA grant award.
Contract No. US-1751
3.2.1 Request for Payment
The Contractor shall submit all requests for reimbursement in accordance with ATTACHMENT I. All
requests for reimbursement must include the following:
3.3.1 The Contractor shall maintain documentation to support payment requests that shall be available to
the Alliance or authorized individuals, such as the Alliance of Financial Services, upon request.
3.3.2 Any payment due by the Alliance under the terms of this contract may be withheld pending the receipt
and approval by the Alliance of complete and accurate financial and programmatic reports due from the
Contractor and any adjustments thereto, including any disallowance not resolved or pending
resolution.
3.3.3 The Contractor must enter all required data per (ATTACHIVIENT 1). The data must be entered
into the CIRTS before the Subcontractors submit their request for payment and expenditure reports to
the Contractor. The Contractor shall establish time frames to assure compliance with due dates for the
submission of requests for payment and expenditure reports to the Alliance.
3.3.6 If the Contractor fails to meet the prescribed quality standards for services, such services will not
be reimbursed under this contract. In addition, any nonconforming goods (including home delivered
meals) and/or services not meeting such standards will not be reimbursed under this contract. The
Contractor's signature on the request for payment form certifies maintenance of supporting
Contract No. US -1751
documentation and acknowledgement that the Contractor shall solely bear the costs associated with
preparing or providing nonconforming goods and/or services. The Alliance requires immediate notice
of any significant and/or systemic infractions that compromise the quality, security or continuity of
services to clients.
3.4 Financial Consequences of Non-Performance
3.4.1 If the Provider fails to meet the minimum level of service or performance identified in this agreement,
or that is customary for the industry, then the Alliance may apply financial consequences commensurate
with the deficiency as referenced in ATTACHMENT 1, Sec. 3.5. Financial consequences may also
include contract suspension, refusing payment, withholding payments until deficiency is cured,
tendering only partial payments, and/or cancellation of contract and reacquiring services from an
alternate source.
3.4.2 The Provider shall not be charged with financial consequences, when a failure to perform arises out of
causes that were the responsibility of the Alliance.
3.5 Remedies for Nonconforming Services
The Provider shall ensure that all goods and/or services provided under this contract are delivered timely,
completely and commensurate with required standards of quality. Such goods and/or services will only be
delivered to eligible program participants.
If the Provider fails to meet the prescribed quality standards for services, such services will not be reimbursed
under this contract. In addition, any nonconforming goods (including home delivered meals) and/or services not
meeting such standards will not be reimbursed under this contract. The Provider's signature on the request for
payment form certifies maintenance of supporting documentation and acknowledgement that the Provider shall
solely bear the costs associated with preparing or providing nonconforming goods and/or services. The Alliance
requires immediate notice of any significant and/or systemic infractions that compromise the quality, security or
continuity of services to clients.
3.5.2. Financial Consequences of Non-Performanec
Contract No. US-1751
The Alliance will withhold or reduce payment if the Contractor fails to perform the deliverables to the
satisfaction of the Contract according to the requirements referenced in ATTACHMENT 1, See. I and
See. 11 of this contract. The following financial consequences will be imposed if the deliverables stated
do not meet in part or in whole the performance criteria as outlined in ATTACHMENT 1, See. U of
this contract.
Contract No. US-1751
1 1 - T -
W10-19rej V-11W. 1XV930 1W 9-
The administration of resources awarded by the Alliance to the provider may be subject to audits and/or monitoring by the
Alliance and/or the Department as described in this section.
I. MONITORING
In addition to reviews of audits conducted in accordance with OMB Circular A-133, as revised, and Section 215,97, F.S., (see
"AUDITS" below), monitoring procedures may include, but not be limited to, on-site visits by the Alliance and/or the
Department staff, limited scope audits as defined by OMB Circular A-133, as revised, and/or other procedures. By entering into
this agreement, the Contractor agrees to comply and cooperate with any monitoring procedures/processes deemed appropriate
by the Alliance. In the event the Alliance and/or the Department determines that a limited scope audit of the Contractor is
appropriate, the Contractor agrees to comply with any additional instructions provided by the Alliance and/or the
Department to the Contractor regarding such audit. The Contractor further agrees to comply and cooperate with any
inspections, reviews, investigations, or audits deemed necessary by the Alliance and/or the Department.
V1110W
This part is applicable if the provider is a State or local government or a non-profit organization as defined in 01VIB Circular A-
133, as revised.
In the event that the Contractor expends $750,000.00 or more in federal awards during its fiscal year, the Contractor must
have a single or program-specific audit conducted in accordance with the provisions of OMB Circular A-133, as revised.
EXHIBIT 2 to this agreement indicates federal resources awarded through the Alliance by this agreement. In determining the
federal awards expended in its fiscal year, the Contractor shall consider all sources of Federal awards, including federal
resources received from the Alliance. The determination of amounts of Federal awards expended should be in accordance
with the guidelines established by OMB Circular A-133, as revised. An audit of the Contractor conducted by the Auditor
General in accordance with the provisions of OMB Circular A -133, as revised, will meet the requirements of this part.
In connection with the audit requirements addressed in Part I, paragraph 1, the Contractor shall fulfill the requirements relative
to auditee responsibilities as provided in Subpart C of OMB Circular A -133, as revised.
If the Contractor expends less than $750,000.00 in federal awards in its fiscal year, an audit conducted in accordance with the
provisions of OMB Circular A -133, as revised, is not required. In the event that the Contractor expends less than $750,000.00 in
federal awards in its fiscal year and elects to have an audit conducted in accordance with the provisions of OMB Circular A-
133, as revised, the cost of the audit must be paid from non-federal resources (i.e., the cost of such audit must be paid from
Contractor resources obtained from other than federal entities.)
An audit conducted in accordance with this part shall cover the entire organization for the organization's fiscal year.
Compliance findings related to agreements with the Alliance shall be based on the agreement's requirements, including any
rules, regulations, or statutes referenced in the agreement. The financial statements shall disclose whether or not the
matching requirement was met for each applicable agreement. All questioned costs and liabilities due to the Alliance and/or
the Department shall be fully disclosed in the audit report with reference to the Alliance agreement involved. If not
otherwise disclosed as required by Section .310(b)(2) of OMB Circular A-133, as revised, the schedule of expenditures of
federal awards shall identify expenditures by agreement number for each agreement with the Alliance in effect during the
audit period. Financial reporting packages required under this part must be submitted within the earlier of 30 days after receipt
of the audit report or 9 months after the end of the Contractor's fiscal year end.
PART II: STATE FUNDED
This part is applicable if the Contractor is a non-state entity as defined by Section 215.97(2), F.S.
Contract No. US-1751
In the event that the contractor expends a total amount of state financial assistance equal to or in excess of $750,000.00 in any
fiscal year of such Contractor (for fiscal years ending September 30, 2004 or thereafter), the Contractor must have a State single or
project-specific audit for such fiscal year in accordance with Section 215.97, F.S.; applicable rules of the Department of Financial
Services and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor
General. EXHIBIT 2 to this agreement indicates state financial assistance awarded through the All lance by this agreement. In
determining the state financial assistance expended in its fiscal year, the Contractor shall consider LH sources of state financial
assistance, including state financial assistance received from the Alliance, other state agencies, and other non-state entities. State
financial assistance does not include Federal direct or pass-through awards and resources received by a non-state entity for Federal
program matching requirements.
Inconnection with the audit requirements addressed in Part II, paragraph 1, the Contractor shall ensure that the audit complies with the
requirements of Section 215.97(8), F.S. This includes submission of a financial reporting package as defined by Section 215.97(2),
F. S., and Chapter 10.550 (local goverrimental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General.
If the Contractor expends less than $750,000.00 instate financial assistance in its fiscal year (for fiscal years ending September 30,
2004 or thereafter), an audit conducted in accordance with the provisions of Section2 15.97, F. S., is not required. In the event that
the Contractor expends less than $750,000.00 in state financial assistance in its fiscal year and elects to have an audit conducted
in accordance with the provisions of Section 215.97, F.S., the cost of the audit must be paid from the non-state entity's resources
(i.e., the cost of such an audit must be paid from the Contractor resources obtained from other than State entities).
An audit conducted in accordance with this part shall cover the entire organization for the organization's fiscal year.
Compliance findings related to agreements with the Alliance shall be based on the agreement's requirements, including any
applicable rules, regulations, or statutes. The financial statements shall disclose whether or not the snatching requirement was
met for each applicable agreement. All questioned costs and liabilities due to the Alliance shall be fully disclosed in the audit report
with reference to the Alliance agreement involved. If not otherwise disclosed as required by Rule 691-5.003, Fla. Admin. Code, the
schedule of expenditures of state financial assistance shall identify expenditures by agreement number for each agreement with
the Alliance in effect during the audit period. Financial reporting packages required under this part must be submitted within
45 days after delivery of the audit report, but-no later than 12 months after the Contractor's fiscal year end for local
governmental entities. Non-profit or for-profit organizations are required to be submitted within 45 days after delivery of the
audit report, but no later than 9 months after the Contractor's fiscal year end. Notwithstanding the applicability of this portion, the
Alliance retains all right and obligation to monitor and oversee the performance of this agreement as outlined throughout this
document and pursuant to law.
Copies of reporting packages for audits conducted in accordance with OMB Circular A-133, as revised, and required by PART I
of this agreement shall be submitted, when required by Section .320 (d), OMB Circular A -133, as revised, by or on behalf of the
Contractor directly each of the following:
The Alliance at each of the following addresses: Alliance for Aging, Inc.
Attn: Fiscal Department
760 NW 107` Avenue
Suite 214
Miami, FL 33172
The Federal Audit Clearinghouse designated in 01 Circular A-133, as revised (the number of copies required by Sections .320
(d)(1) and (2), OMB Circular A-133, as revised, should be submitted to the Federal Audit Clearinghouse), at the following
address:
Federal Audit Clearinghouse
Bureau oft a Census
1201 East 10"' Street
Jeffersonville, IN 47132
Other Federal agencies and pass-through entities in accordance with Sections .320 (e) and (0, OMB Circular A-133, as
revised.
Page 1 3 of 20
Contract No. US-1751
Pursuant to Sections .320(f), OIvM Circular A-133, as revised, the provider shall submit a copy of the reporting pack
described in Section .320(c), OMB Circular A-133, as revised, and any management letter issued by the auditor, to the
Alliance at each of the following addresses:
Alliance for Aging, Inc.
Attn: Fiscal Department
760 NW 107 Ih Avenue
Suite 214
Miami, FL 33172
Additionally, copies of financial reporting packages required by Part Hof this agreement shall be submitted by or on behalf of
the Contractor directly to each of the following:
The Alliance at the following address:
Alliance for Aging, Inc.
Attn: Fiscal Department
760 NW 107"' Avenue
Suite 214
Miami, FL 33172
Any reports, management letter, or other information required to be submitted to the Alliance pursuant to this agreement shall
be submitted timely in accordance with OISffl Circular A-133, F.S,, and Chapters 10.550 (local governmental entities) or
10.650 (nonprofit and for-profit organizations), Rules of the Auditor General, as applicable.
Contractors, when submitting financial reporting packages to the A 11 i a n c e for audits done in accordance with OMB
Circular A-133 or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of
the Auditor General, should indicate the date that the reporting package was delivered to the Contractor in correspondence
accompanying the reporting package,
The Contractor shall retain sufficient records demonstrating its compliance with the terms of this agreement for a period of
six (6) years from the date the audit report is issued, and shall allow the Alliance and the Department or its designee, the
CFO or Auditor General Access to such records upon request. The Contractor shall ensure that audit working papers are made
available to the Alliance and the Department, or its designee, CFO, or Auditor General upon request for a period of six (6)
years from the date the auditreport is issued, unless extended inwriting by the Alliance.
Contract No. US-1751
ATTACHMENT III
[FINANCIAL, AND COMPLIANCE AUDIT ATTACHMENT
EXHIBIT I
Contractors who receive state or federal resources may or may not be subject to the audit requirements of 2 CFR Part §200.500,
and/or Section 215.97, Fla. Stat. Contractors who are determined to be recipients or subrecipients of federal awards and/or
state financial assistance may be subject to the audit requirements if the audit threshold requirements set forth in Part I and/or
Part II of Exhibit I is met. C o nt ra ct o r s who have been determined to be vendors are not subject to the and it requirements
of2 CFR Part §200.38, and/or Section 215.97, Fla. Stat. Regardless of whether the audit requirements are met, Contractors
who have been determined to be recipients or subrecipients of Federal awards and/or state financial assistance must comply with
applicable programmatic and fiscal compliance requirements.
In accordance with 2 CFR Part §200 and/or Rule 691-5.006, FAC, Contractor has been determined to be:
Vendor not subjeetto 2 CFR Part §200.38 and/or Section 215.97, F.S.
Recipient/subrecipient subject to 2 CFR Part §200.86 and §200.93 and/or Section 215.97, F.S.
Exempt organization not subject to 2 CFR Part §200 and/or Section 215,97, F.S. For Federal awards, for-profit
organizations are exempt; for state financial assistance projects, public universities, community colleges, district school
boards, branches of state (Florida) government, and charter schools are exempt. Exempt organizations must comply
with all compliance requirements set forth within the contract or award document.
NOTE: If a Contractor is determined to be a recipient/subrecipient of federal and or state financial assistance and has been
approved by the, Alliance to subcontract, they must comply with Section 215.97 (7), F.S., and Rule 69I- .5006, FAC [state
financial assistance] and 2 CFR Part §200.330 [federal awards].
FEDERAL AWARDS OR STATE MATCHING FUNDS ON FEDERAL AWARDS. Contractors who receive Federal
awards, state maintenance of effort funds, or state matching funds on Federal awards and who are determined to be a
subrecipient must comply with the following fiscal laws, rules and regulations:
STATES, LOCAL GOVERNMENTS AND INDIAN TRIBES MUST FOLLOW:
2 CFR Part §200.416- Cost Principles*
2 CFR Part §200.201- Administrative Requirements"
2 CFR Part §200.500- Audit Requirements
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
NON-PROFIT ORGANIZATIONS MUST FOLLOW:
2 CFRPart §200.400-.41 I-CostPrinciples*
2 CFR Part §200,100 -Administrative Requirements
2 CFR Part §200,500- Audit Requirements Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
EDUCATIONAL INSTITUTIONS (EVEN IF A PART OF A STATE OR LOCAL GOVERNMENT) MUST
FOLLOW:
2 CFR Part §200.418- Cost Principles*
2 CFR Part §200.100 - Administrative Requirements
2 CFR Part §200.500 -Audit Requirements Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
*Some Federal programs may be exempted from compliance with the Cost Principles Circulars as noted inthe 2 CFR Part
§200.400(5) (c).
**For funding passed through U.S. Health and Human Services, 45 CFR 92; for funding passed through U.S. Department
of Education, 34 CFR 80.
Page 15 of 20
Contract No. US-1751
STATE FINANCIAL ASSISTANCE. Contractors who receive state financial assistance and who are determined to be
a recipient/subrecipient must comply with the following fiscal laws, rules and regulations:
Section 215.97, Fla. Stat.
Chapter 691-5, Fla. Admin. Code
State Projects Compliance Supplement Reference Guide
for State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
Contract No. US -1751
ATTACHMENT III
FINANCIAL, AND COMPLIANCE AUDIT ATTACHMENT
EXHIBIT 2-FUNDING SUMMARY
Title 2 CFR § 200.331, As Revised, and Section 215.97(5), Florida Statutes, Require That Information About Federal Programs and State
Projects Be Provided to the Recipient and Are Stated in the Financial and Compliance Audit Attachment and Exhibit 1. Financial and
Compliance Audit Attachment, Exhibit 2- Funding Summary Provides Information Regarding the Funding Sources Applicable to This
Contract, Contained Herein, Is APrediction of Funding Sources and Related Amounts Based on the Contract Budget.
FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT CONSIST
OF THE FOLLOWING:
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO
THIS CONTRACT ARE AS FOLLOWS:
FEDERAT, FTTNDS:
2 CFR Part 200- Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. OMB
Circular A -133, as amended- Audits of States, Local Governments, and Non- Profit Organizations
STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE
FOLLOWING:
MATCHING RESOUCES FOR FEDERAL PROGRAMS
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
TOTAL STATE AWARD
STATE FINANCIAL ASSITANCE SUBJECT TO sec. 215.97,1^.5.
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
TOTAL AWARD
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS
CONTRACT ARE AS FOLLOWS:
S�'ATF.FTNAN TA , ASSTSTANCF.:
Section 215.97, F. S., Chapter 69I -5, FL Admin Code, Reference Guide for State Expenditures, Other fiscal requirements set forth in program
laws, rules and regulations.
Contract No. US-1751
ATTACHMENT X11 I
REQUEST FOR REIMBURSEMENT
Nutrition Services Incentive Program
PROVIDER NAME, ADDRESS, PHONEXand FEW
TYPE OF REPORT:
THIS REQUEST PERIOD:
Payment Request:
Front_ TO
Regular Fin tit
Report or
Corltractl-adod To
CorlraLt#
PSX
CERTIFICATION: I hereby certify that to the best! Or my knowledge the information In iN s report is accurate ervJ complete and that aft outlays reported herein were for purposes
set forth In the contract documents.
prepared Date: Approved by: Dole
PART A: REIMELIRSENIENT COMPUTATION
YEAR TO DATE
CURRENTMONTH
CONGREGATE
HOME DELIVERED
CONGREGATE
HOME DIELIVEREO
1, Number of Meals Sorvad
a
0
a
a
2. Line I Times $32 cents per Moot
S0.60
90.00
$0.00
$0.012
Year To Date Total Meals 0
Current Month Total Meals
Year To Data Total Reimbursed 97.00
Total Robibursomwnt Requested $0.00
PART 13: CONTRACT SUMMARY
1. Approved ConlrodAmourd
97.00
It. PrWous Reimbursements Requested
SOAD
3. Contract Balance
50.Q0
4. Amount to be Reimbursed • This Report
SOAD
S. Contract alliance
$0.00
Page 1 8 of 20
Contract No. U -1751
ATTACHMENT
R 1! • R r R
i M, ■ R #
eport Number
Based On
Submit to Alliance
On This Date
1
January Advance*
January 1
2
February Advance*
January 1
3
January Expenditure Report
February 5
4
February Expenditure Report
March 5
5
March Expenditure Report
April 5
6
April Expenditure Report
May 5
7
May Expenditure Report
June 5
8
June Expenditure Report
July 5
9
July Expenditure Report
August 5
10
August Expenditure Report
September 5
11
September Expenditure Report
October 5
12
October Expenditure Report
November 5
13
November Expenditure Report
December 5
14
December Expenditure Report
January 5
15
Final Expenditure and Request for Payment
February 15
16
Close Out Report
February 29
Legend: * Advance based on projected cash need.
Note # 1: Report #1 for Advance Basis Agreements cannot be submitted to the Department of
Financial Services (DFS) prior to January 1 or until the agreement with the Alliance has
been executed and a copy sent to DFS. Actual submission of the vouchers to DFS is
dependent on the accuracy of the expenditure report.
Note # 2: Report numbers 5 through 14 shall reflect an adjustment of one -tenth of the total advance
amount, on each of the reports, repaying advances issued the first two months of the
agreement. The adjustment shall be recorded in Part C, 1 of the report (ATTACHMENT
IX).
Note #3: Submission of expenditure reports may or may not generate a payment request. If final
expenditure report reflects funds due back to the Alliance payment is to accompany the
report.
Contract No. US -1751
FWVIA��
The undersigned, an authorized representative of the Contractor named in the contract or agreement to which this
form is an attachment, hereby certifies that:
(1) The Contractor understands that pursuant to s. 287,135 F.S., any company at the time of bidding or submitting
a proposal for a new contract or renewal of an existing contract, that is on the "Scrutinized Companies with
Activities in Sudan List" or the "Scrutinized Companies with Activities in the Iran Petroleum Sector List
(collectively, "the Lists") is ineligible for, and may not bid on, submit a proposal for, or enter into or renew a
contract with the Department of Elder Affairs (Department) for goods or services of $1 million or more.
(2) The Contractor understands that, pursuant to s. 287.135 F.S., any company that submits a false certification
to the Department is subject to civil penalties, attorney's fees and costs and any costs for investigations that
led to the finding of false certification.
(3) The Contractor understands that the contract to which this form is an attachment may be terminated by the
Department if the Contractor submits a false certification or has been placed on the Lists.
This certification, required by Florida law, is a material representation of fact upon which reliance was placed
when this transaction was made or entered into. Submission of this certification is a prerequisite for making or
entering into this transaction.
r 1�2i2
Signa
IU
(Same 7s 'contract signature)
ZJ?-1 120 1 G,
D I
Title
06roe-
Company Name
STAFF RECOMMENDATION: Approval
I a WE'Urej 1F.11 all
Effective Date: 10/01/2015
Expiration Date: 02/15/2017
Total Dollar Value of Contract: $42,766.48
Revenue Producing: No If yes, amount:
Grant:
County Match: 10% cash match
Insurance Required:
ILTIrlmr, M11 11MMIM
10/19/16 125-6153315 -NUTRITION SVS INC PRGNS $15,520.55
Sheryl Graham
Completed
10/03/2016 3:48 PM
Pedro Mercado
Completed
10/03/2016 4:05 PM
Budget and Finance
Completed
10/04/2016 10:29 AM
Maria Slavik
Completed
10/04/2016 10:31 AM
Kathy Peters
Completed
10/04/2016 11:06 AM
Board of County Commissioners
Completed
10/19/2016 9:00 AM
Full
m,
Contract # US1651, Amendment 001 Ex ecue d
CONTRACT AMENDMENT ONE
BETWEEN
ALLIANCE FOR AGING, INC.
m, t�
im
AND
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, SOCIAL SERVICES /IN -HOME SERVICE!
WHEREAS, on September 30, 2015, the Alliance for Aging, hereinafter referred to as the (Alliance) and
Monroe County Board of County Commissioners, Social Services/ Services, (Contractor), entered into
original contract US -1651 for the provision of Nutritional Service Incentive Program; and
NOW THEREFORE, the parties agree to the following:
1. The purpose of this Amendment is to increase the service and funding, and replace attachments and
contractual language of the contract. The additional funding for this Amendment is $15,520.55
therefore the new total contract amount is $42,766.48.
2. ATTACHMENT I, SECTION 1.2.4 is hereby replaced.
1.2.4 Term of Provision of Services
The term of this contract for the delivery of services shall be October 1, 2015 through December 31, 2016
3. ATTACHMENT ISection 3.1 is hereby replaced
GENERAL STATEMENT OF METHOD OF PAYMENT
This is a fixed rate contract. The Alliance shall make payment to the Contractor for provision of services up to
a maximum number of units of service and at the prospective rate stated below:
Service to be Provided
Unit of Service
Unit Rate
Maximum
Units
Eligible Congregate and
Home Delivered Meals
1 unit = 1 meal
$.72
59,398
4. ATTACHMENT I, Section 3.2.1 is hereby replaced
3.1.1 Date for Final Request for Payment
(1) The final request for payment is due to the Alliance no later than February 15, 2017 This contract i
for services provided during the 2015 -2016 Federal Fiscal Year beginning October 1, 2015_ throug:
December 31, 2016. This contract shall automatically terminate after the final rate for the feden
fiscal year has been established and the release of final payments are authorized by the Alliance.
(2) In the event that the final reimbursement rate is greater or less than the rate in ATTACHMENT l
Section 3.1, then this contract shall be appropriately adjusted upon notice from the Contract Manager.
(3) In the event of a conflict between this paragraph and any other provision in the contract, thi
section shall supersede.
5. ATTACHMENT I, Section 3.2.2.3 is hereby replaced
The final request for reimbursement is due no later than January 15, 2017
6. ATTACHMENT III is hereby replaced
IN WITNESS THEREFORE, the Parties have executed this Amendment by the undersigned officials a:
duly authorized.
r`
Pagel
Contract # US1651, Amendment 001
Fully
Executed
C.22.b
[Ij H �,
0
rd
LO
U)
U)
z
LO
Page2
Contract # US1651, Amendment 001
FINANCIAL AND COMPLIANCE AUDIT
ATTACHMENT II
The administration of resources awarded by the Alliance to the provider may be subject to audits and /or monitoring by the Alliance and/or the
Department as described in this section.
I. MONITORING
In addition to reviews of audits conducted in accordance with OMB Circular A -133, as revised, and Section 215.97, F.S., (see "AUDITS"
below), monitoring procedures may include, but not be limited to, on -site visits by the Alliance and /or the Department staff, limited scope
audits as defined by OMB Circular A -133, as revised, and /or other procedures. By entering into this agreement, the Contractor agrees to
comply and cooperate with any monitoring procedures /processes deemed appropriate by the Alliance. In the event the Alliance and /or the
Department determines that a limited scope audit of the Contractor is appropriate, the Contractor agrees to comply with any additional
instructions provided by the Alliance and /or the Department to the Contractor regarding such audit. The Contractor further agrees
to comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Alliance and /or the
Department.
AUDITS
PART 1: FEDERALLY FUNDED
This part is applicable if the provider is a State or local government or a non -profit organization as defined in OMB Circular A -133, as
revised.
In the event that the Contractor expends $750,000.00 or more in federal awards during its fiscal year, the Contractor must have a single or
program- specific audit conducted in accordance with the provisions of OMB Circular A -133, as revised. EXHIBIT 2 to this agreement
indicates federal resources awarded through the Alliance by this agreement. In determining the federal awards expended in its fiscal year, the
Contractor shall consider all sources of Federal awards, including federal resources received from the Alliance. The determination of
amounts of Federal awards expended should be in accordance with the guidelines established by OMB Circular A -133, as revised. An
audit of the Contractor conducted by the Auditor General in accordance with the provisions of OMB Circular A -133, as revised, will
meet the requirements of this part.
In connection with the audit requirements addressed in Part I, paragraph I, the Contractor shall fulfill the requirements relative to auditee
responsibilities as provided in Subpart C of OMB Circular A -133, as revised.
If the Contractor expends less than $750,000.00 in federal awards in its fiscal year, an audit conducted in accordance with the provisions of
OMB Circular A -133, as revised, is not required. In the event that the Contractor expends less than $750,000.00 in federal awards in its fiscal
year and elects to have an audit conducted in accordance with the provisions of OMB Circular A -133, as revised, the cost of the audit must
be paid from non - federal resources (i.e., the cost of such audit must be paid from Contractor resources obtained from other than federal
entities.)
An audit conducted in accordance with this part shall cover the entire organization for the organization's fiscal year. Compliance
findings related to agreements with the Alliance shall be based on the agreement's requirements, including any rules, regulations, or statutes
referenced in the agreement. The financial statements shall disclose whether or not the matching requirement was met for each applicable
agreement. All questioned costs and liabilities due to the Alliance and /or the Department shall be fully disclosed in the audit report with
reference to the Alliance agreement involved. If not otherwise disclosed as required by Section .310(b)(2) of OMB Circular A -133, as
revised, the schedule of expenditures of federal awards shall identify expenditures by agreement number for each agreement with the
Alliance in effect during the audit period. Financial reporting packages required under this part must be submitted within the earlier of 3C
days after receipt of the audit report or 9 months after the end of the Contractor's fiscal year end.
PART II: STATE FUNDED
This part is applicable if the Contractor is a non -state entity as defined by Section 215.97(2), F.S.
In the event that the contractor expends a total amount of state financial assistance equal to or in excess of $750,000.00 in any fiscal year of
such Contractor (for fiscal years ending September 30, 2004 or thereafter), the Contractor must have a State single or project-specific audit for
such fiscal year in accordance with Section 215.97, F.S.; applicable rules of the Department of Financial Services; and Chapters 10.550 (local
governmental entities) or 10.650 (nonprofit and for - profit organizations), Rules of the Auditor General. EXHIBIT 2 to this agreement indicates stal
financial assistance awarded through the Alliance by this agreement. In determining the state financial assistance expended in its fiscal year, t1
Contractor shall consider all sources of state financial assistance, including state financial assistance received from the Alliance, other state agencie,
and other non -state entities. State financial assistance does not include Federal direct or pass- through awards and resources received by a non -state
entity for Federal program matching requirements.
r
Page3
Contract # US1651, Amendment 001
Inconnection with the audit requirements addressed in Part II, paragraph 1, the Contractor shall ensure that the audit complies with the requirements
of Section 215.97(8), F.S. This includes submission of a financial reporting package as defined by Section 215.97(2), F.S., and Chapter 10.550
(local governmental entities) or 10.650 (nonprofit and for- profit organizations), Rules of the Auditor General.
If the Contractor expends less than $750,000.00 in state financial assistance in its fiscal year (for fiscal years ending September 30, 2004 or
thereafter), an audit conducted in accordance with the provisions of Section215.97, F.S., is not required. In the event that the Contractor expends
less than $750,000.00 in state financial assistance in its fiscal year and elects to have an audit conducted in accordance with the provisions of
Section 215.97, F.S., the cost of the audit must be paid from the non -state entity's resources (i.e., the cost ofsuch an audit must be paid from the
Contractor resources obtainedfrom otherthan State entities).
An audit conducted in accordance with this part shall cover the entire organization for the organization's fiscal year. Compliance findings
related to agreements with the Alliance shall be based on the agreement's requirements, including any applicable rules, regulations, or statutes.
The financial statements shall disclose whether or not the matching requirement was met for each applicable agreement. All questioned costs
and liabilities due to the Alliance shall be fully disclosed in the audit report with reference to the Alliance agreement involved. If not otherwise
disclosed as required by Rule 69I- 5.003, Fla. Admin. Code, the schedule of expenditures of state financial assistance shall identify expenditures by
agreement number for each agreement with the Alliance in effect during the audit period. Financial reporting packages required under this
part must be submitted within 45 days after delivery of the audit report, but -no later than 12 months after the Contractor's fiscal year end for
local governmental entities. Non -profit or for -profit organizations are required to be submitted within 45 days after delivery of the audit
report, but no later than 9 months after the Contractor's fiscal year end. Notwithstanding the applicability of this portion, the Alliance retains all
right and obligation to monitor and oversee the performance ofthis agreement as outlined throughout this document and pursuant to law.
II. PART III: REPORT SUBMISSION
Copies of reporting packages for audits conducted in accordance with OMB Circular A -133, as revised, and required by PART I of this
agreement shall be submitted, when required by Section .320 (d), OMB Circular A -133, as revised, by or on behalf of the Contractor directly to
each of the following:
The Alliance at each of the following addresses: Alliance for Aging, Inc.
Attn: Fiscal Department
760 NW 107 Avenue
Suite 214
Miami, FL 33172
The Federal Audit Clearinghouse designated in OMB Circular A -133, as revised (the number of copies required by Sections .320 (d)( I) and
(2), OMB Circular A -133, as revised, should be submitted to the Federal Audit Clearinghouse), at the following address:
Federal Audit Clearinghouse
Bureau of the Census
1201 East 10 "' Street
Jeffersonville, IN 47132
Other Federal agencies and pass - through entities in accordance with Sections .320 (e) and (f), OMB Circular A -133, as revised
Pursuant to Sections .320(f), OMB Circular A -133, as revised, the provider shall submit a copy of the reporting package described in
Section .320(c), OMB Circular A -133, as revised, and any management letter issued by the auditor, to the Alliance at each of the
following addresses: Alliance for Aging, Inc.
Attn: Fiscal Department
760 NW 107 Avenue
Suite 214
Miami, FL 33172
Additionally, copies of financial reporting packages required by Part 11 of this agreement shall be submitted by or on behalf of the Contractor
directly to each of the following:
The Alliance at the following address:
Alliance for Aging, Inc.
Attn: Fiscal Department
760 NW 107 Avenue
Suite 214
Miami, FL 33172
Any reports, management letter, or other information required to be submitted to the Alliance pursuant to this agreement shall be submitted
timely in accordance with OMB Circular A -133, F.S., and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit
organizations), Rules of the Auditor General, as applicable.
r
Page4
Contract # US1651, Amendment 001
Contractors, when submitting financial reporting packages to the A I I i a n c e for audits done in accordance with OMB Circular A -133 or
Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit organizations), Rules of the Auditor General, should
indicate the date that the reporting package was delivered to the Contractor in correspondence accompanying the reporting package.
Ill. PART IV: RECORD RETENTION
The Contractor shall retain sufficient records demonstrating its compliance with the terms of this agreement for a period of six (6) years
from the date the audit report is issued, and shall allow the Alliance and the Department or its designee, the CFO or Auditor General
Access to such records upon request. The Contractor shall ensure that audit working papers are made available to the Alliance and the
Department, or its designee, CFO, or Auditor General upon request for a period of six (6) years from the date the audit report is issued,
unless extended in writing by the A l l i a n c e.
L
0
LO
CL
LO
LO
rd
04
Pages
Contract # U51651, Amendment 001
FINANCIAL, AND COMPLIANCE AUDIT ATTACHMENT
PART 1: AUDIT RELATIONSHIP DETERMINATION
ATTACHMENT II EXHIBIT
Contractors who receive state or federal resources may or may not be subject to the audit requirements of 2 CFR Part §200.500, and /o
Section 215.97, Fla. Star. Contractors who are determined to be recipients or subrecipients of federal awards and /or state tinancia
assistance may be subject to the audit requirements if the audit threshold requirements set forth in Part I and /or Part II of Exhibit I is met
Contractors who have been determined to be vendors are not subject to the and it requirements oft CFR Part §200.38, and /or Sectior
215.97, Fla. Star. Regardless of whether the audit requirements are met, Contractors who have been determined to be recipients o
subrecipients of Federal awards and /or state financial assistance must comply with applicable programmatic and fiscal compliance
requirements.
In accordance with 2 CFR Part §200 and/or Rule 691 - 5.006, FAC, Contractor has been determined to be:
Vendor not subjeetto 2 CFRPart §200.38 and/or Section 2l 5.97, F.S.
Recipient /subrecipient subject to 2 CFR Part §200.86 and §200.93 and /or Section 215.97, F.S.
Exempt organization not subject to 2 CFR Part §200 and /or Section 215.97, F.S. For Federal awards, for - profit organizations are
exempt; for state financial assistance projects, public universities, community colleges, district school boards, branches of state
(Florida) government, and charter schools are exempt. Exempt organizations must comply with all compliance requirements set
forth within the contract or award document.
NOTE: If a Contractor is determined to be a recipient/subrecipient of federal and or state financial assistance and has been approved by
the Alliance to subcontract, they must comply with Section 215.97(7), F.S., and Rule 69I- .5006, FAC [state financial assistance] and 2 CFR
Part §200.330 [federal awards].
PART II: FISCAL COMPLIANCE REQUIREMENTS
FEDERAL AWARDS OR STATE MATCHING FUNDS ON FEDERAL AWARDS. Contractors who receive Federal awards, state
maintenance of effort funds, or state matching funds on Federal awards and who are detennined to be a subrecipient must comply with the
following fiscal laws, rules and regulations:
STATES, LOCAL GOVERNMENTS AND INDIAN TRIBES MUST FOLLOW:
2 CFR Part §200.416- Cost Principles*
2 CFR Part §200.201- Administrative Requirements **
2 CFR Part §200.500- Audit Requirements
Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
NON- PROFIT ORGANIZATIONS MUST FOLLOW:
2 CFRPart §200.400- .411 -Cost Principles*
2 CFR Part §200.100 - Administrative Requirements
2 CFR Part §200.500- Audit Requirements Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
EDUCATIONAL INSTITUTIONS (EVEN IF A PART OF A STATE OR LOCAL GOVERNMENT) MUST FOLLOW:
2 CFR Part §200.418- Cost Principles*
2 CFR Part §200.100- Administrative Requirements
2 CFR Part §200.500 -Audit Requirements Reference Guide for State Expenditures
Other fiscal requirements set forth in program laws, Hiles and regulations
*Some Federal programs may be exempted from compliance with the Cost Principles Circulars as noted in the 2 CFR Part §200.400(5) (c).
* *For funding passed through U.S. Health and Human Services, 45 CFR 92; for funding passed through U.S. Department of Education,
34 CFR 80.
STATE FINANCIAL ASSISTANCE. Contractors who receive state financial assistance and who are determined to be a
recipient /subrecipient must comply with the following fiscal laws, rules and regulations:
Section 215.97, Fla. Stat.
Chapter 691 -5, Fla. Admin. Code
State Projects Compliance Supplement Reference Guide for
State Expenditures
Other fiscal requirements set forth in program laws, rules and regulations
r
Page6
Contract # US1651, Amendment 001
ATTACHMENT Il EXHIBIT 2
FINANCIAL, AND COMPLIANCE AUDIT ATTACHMENT
FUNDING SUMMARY
Note: Title 2 CFR § 200.331, As Revised, and Section 215.97(5), Florida Statutes, Require That Information About Federal Programs
and State Projects Be Provided to the Recipient and Are Stated in the Financial and Compliance Audit Attachment and Exhibit 1.
Financial and Compliance Audit Attachment, Exhibit 2- Funding Summary Provides Information Regarding the Funding Sources
Applicable to This Contract, Contained Herein, Is A Prediction ofFunding Sources and Related Amounts Based on the Contract Budget.
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT CONSIST
OF THE FOLLOWING:
GRANT AWARD (FAIN #): N/A
FEDERAL AWARD DATE: 10!1/2015
DUNS NUMBER: 073876757
PROGRAM TITLE
FUNDING SOURCE
CFDA
AMOUNT
Nutrition Services Incentive Program
FGTF
93.053
$42,766.48
T OTAL FEDERAL AWARD
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT
TO THIS CONTRACT ARE AS FOLLOWS:
FEDERAL FUNDS:
2 CFR Part 200- Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards
OMB Circular A -133, As amended- Audits of States, Local Governments, and Non-Profit Organizations
2. STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE
FOLLOWING:
MATCHING RESOUCES FOR FEDERAL PROGRAMS
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
TOTAL STATE AWARD
STATE FINANCIAL. ASSITANCF. SI TRIFCT Tn sPn 91507 F S
PROGRAM TITLE FUND SOURCE CFDA AMOUNT
TOTAL AWARD
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS
CONTRACT ARE AS FOLLOWS:
STATEFINANCIAL ASSISTANCE:
Section 215.97, F.S., Chapter 691 -5, FL Admin Code, Reference Guide for State Expenditures, Other fiscal requirements set forth in
program laws, rules and regulations.
Pagel