4th Amendment 06/10/2015FA
AMY REAVILIN, CPA
CLERK OF CIRCUIT COURT &COMPTROLLER
xONRoe couxrr, FLORIDA
DATE: June 27, 2015
TO: Sheryl Graham, Director of Social Services
ATTN.• Lourdes Francis
Social Services
FROM: Cheryl Robertson Executive Aide to the Clerk of Courts & Comptroller Ofi &bxl al
At the June 10, 2015 Board of County Commissioner's meeting the Board granted approval and
authorized execution of Item C12 Ratification of Amendment #004 to the Alzheimer's Disease Initiative
Program (ADI) Contract #KZ1497 between the Alliance for Aging, Inc. (AAA) and Monroe County
Board of County Commissioners (Social Services /In Home Services) for the contract period of 7/1/14 to
6/30/15 to add facility -based respite services into the original contract, transfer funds within the contract,
and correct unit rates.
Enclosed is a duplicate original of the above - mentioned for your handling. Should you have any
questions, please feel free to contact my office.
cc: County Attorney
Finance
File
500 Whitehead Street Suite 101, PO Box 1980, Key West, FL 33040 Phone: 305 -295 -3130 Fax: 305 -295 -3663
3117 Overseas Highway, Marathon, FL 33050 Phone: 305 - 289 -6027 Fax: 305 -289 -6025
88820 Overseas Highway, Plantation Key, FL 33070 Phone: 852 -7145 Fax: 305- 852 -7146
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Amendment 004 CONTRACT NUMBER KZ -1497 Page 1
THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereinafter referred
to as the "Alliance ", and "Monroe County Board of Commissioners, Social Services/In -Home
Services "amends contract KZ -1497 for Fiscal Year 2014/2015.
The purpose of this amendment is to make the following changes to existing contract.
• Add Facility -Based Respite services to the 2014 -2015 original contract.
• Transfer $17.17 from In -Home Respite to Case Management.
• Case Management increase by $0.01 to correct the 2014 -2015 original allocation.
• Transfer $46,509.50 from In -Home Respite to Facility -Based Respite.
• Case Management service unit rate should read $50.51 instead of $50.48. f'`
• In -Home Respite service unit rate should read $24.13 instead of $24.03.
This amendment changes total contract funding from $56,746.00 to $145,693.21.
Section II, Contract Amount, is hereby amended to read:
Services to be Provided
Service
Unit Rate
Maximum
Units of
Service
Maximum Dollars
Case Management
$50.51
106
$5,353.98
Facility In Respite
10.70
4,347
$46,509.50
In -Home Respite
$24.13
3,889
$93,829.73
TOTAL FUNDS AND UNITS IN THIS CONTRACT: $145,693.21
D o
U
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
LLI
ter
ALLIANCE FOR AGING, INC.
SIGNED PY:
ax B. Rothman, JD, LL.M
NAME:
TITLE
DATE;
"Monroe County Board of
Commiss' ers, Social Services/In-
Hom is
SIGNED BY:
Roman Gastesi
NAME:
Monroe County Administrator
TITLE:
DATE:
SIGNED BY:
Dann olha
TITLE:
MAYoP-
DATE:
/ 0 / / S
LLI
ter
ALLIANCE FOR AGING, INC.
SIGNED PY:
ax B. Rothman, JD, LL.M
NAME:
TITLE
DATE;