2nd Amendment 11/19/2014FULLY y -.
Amendment 002 0 BER KH -1472 ORIGINAL age -�
THIS AMENDMENT, 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 amends contract KH- 1472.
The purpose of this amendment is to change Attachment III of this Standard Contract, to
read Home Care For The Elderly instead of Community Care for the Elderly. See Attached.
Program Title
Year
Funding Source
CSFA#
Fund Amounts
Home Care For The
Elderly
2014-
2015
General Revenue
65010
$ 12,694
TOTAL FUNDS CONTAINED IN THIS CONTRACT:
$ 12,694
All provisions in the contract and any attachments thereto in conflict with this amendment
shall be and are hereby changed to conform to 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 is hereby made a part of the contract.
IN WITNESS WHEREOF, the parties hereto have caused this 1 -page amendment to be
executed by their undersigned officials as duly authorized.
PROVIDER
Monroe County Board of County
Commissioners, Social Services/In-
ices.
SIGNED BY: ¢� SIGNED BY:
NAME: SYLVIA MURPHY
TITLE: MAYOR
DATE: 11/19/14
NAME:
ALLIANCE FOR AGING, INC.
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President/CEO
TITLE:
DATE: !�
COU H EY
ASSISTANT '¢bUNTr' ATE 'RNEY
Date l 3
For Fiscal Year 2014/2015.
M E
CLEVK
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NAME:
ALLIANCE FOR AGING, INC.
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President/CEO
TITLE:
DATE: !�
COU H EY
ASSISTANT '¢bUNTr' ATE 'RNEY
Date l 3
Contract Number KH- 1472
ATTACHMENT III
EXHIBIT — 1
1. FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING:
PROG RAM TITLE FUNDING SOURCE I CFDA I AMOUNT
TOTAL FEDERAL AWARD 1-
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED
PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS:
2. STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST
OF THE FOLLOWING:
MATCHING RESO FOR FEDERAL PR OGRAMS
PROG RAM TITLE i FUNDING SOURCE I CFDA I AMOUNT
TOTAL STATE AWARD $0
STATE FINANCIAL ASSISTANCE SUBJECT TO Sec. 215.97_ F_C_
PROGRAM TITLE
FUNDING SOURCE
CSFA
AMOUNT
Home Care For The Elderly
General Revenue
65010
$12,694
TOTAL AWARD
$12,694
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO
THIS AGREEMENT ARE AS FOLLOWS:
30