5th Amendment 01/20/2016 AMENDMENT 005 CONTRACT AA -1529 L Page 1
ORIGINAL
THIS AMENDMENT is entered into between the Alliance of Aging, Inc. hereinafter referred to as the
"Alliance ", and Monroe County Board of County Commissioners, Social Services /In -Home Services,
hereinafter referred to as the "Contractor ", and collectively referred to as the "Parties."
The purpose of this amendment is to make the following changes to the existing contract for IIIB, C1, C2,IIIE,
and IIIES funding of the OAA contract.
4 To de- obligate $2,405 from IIIB Chore Services. This is a one -time de- obligation.
4 To de- obligate $2,213.98 from IIIES Chore Services. This is a one time de- obligation.
4 To de- obligate $24,000 in congregate C1 meals. This is a one time de- obligation.
4 To transfer $2,000 in C2 from Frozen Meals to Hot Meals. This is a one -time transfer.
-4 To transfer $15,000 IIIE from In -Home Respite to Facility Based Respite. This is a on -time transfer.
This amendment changes the total OAA contract funding from $462,507.23 to $433,888.25
The Budget Summary by Title for the whole Fiscal Year (January 01- December 31, 2015) is as follows:
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
Older American Act Administration
Title IIIB - Support Services U.S. Health and Human Services 93.044 $14,591.01
Older American Act Administration
Title IIIC1 - Congregate Meals U.S. Health and Human Services 93.045 $133,568.46
Older American Act Administration
Title IIIC2- Home Delivered Meals U.S. Health and Human Services 93.045 $225,998.04
Older American Act Administration
Title III E- Caregiver Support Services U.S. Health and Human Services 93.052 $59,730.74
Title III ES- Caregiver Support Services $0.00
TOTAL FEDERAL AWARD $433,888.25
The Alliance shall make payment to the provider for the provision of services up to a maximum number
of units of service and at the rate(s) stated below:
Service to be Provided Service Unit Rate Maximum Units of Service Maximum
Prior Units Additional Total Dollars
CHORE 111131 $22.00 292 -109 183 54,017.38
Homemaker /Psnal Care IIB $22.00 453 0 453 $9,966.63
Screening & Assessment IIIB $25.00 24 0 24 $607.00
Congregate Meals C1 $9.25 16,657 -2,595 14,063 $130,080.46
Congregate Meals Screen C1 $20.00 96 0 96 $1,925.00
Nutrition Counseling Ind C1 $47.50 19 0 19 $926.00
Nutrition Education C1 $0.20 3,185 0 3,185 $637.00
Home Dlvd Meals Frozen C2 $6.00 34,870 -333 34,537 $207,222.68
Home Dlvd Meals Hot C2 $6.00 1,845 333 2,179 $13,072.36
Nutrition Counseling Ind C2 $47.50 4 0 4 $190.00
Nutrition Education C2 $0.20 1,810 0 1,810 $362.00
Screening & Assessment C2 $25.00 206 0 206 $5,151.00
Respite In -Home IIIE $20.00 999 -750 249 $4,974.00
Respite In- Facility IIIE $10.50 3,687 1,429 5,115 $53,712.74
Screening & Assessment IIIE $25.00 42 0 42 1,044.00
CHORE IIIES $22.00 101 -101 0 0.00
CONTRACT TOTAL AS AMENDED 1 $433,888.25
AMENDMENT 005 • CONTRACT AA -1529 Page 2
J A
All provisions in the contract and any attachments thereto in conflict with this amendment shall be
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: ALLIANCE FOR AGING, INC.
Monroe County Board of County
Commissioners, Social Services /In -Home
Services
SIGNED BY: SIGNED BY: i /1: ‘47
NAME: SHERYL GRAHAM NAME: Max B. Rothman, J i, LL.M.
TITLE: ACTING COUNTY ADMINISTRATOR TITLE: President & CEO
DATE: 12/18/2015 DATE: /y /Z7)(.i
SIGNED BY:
NAME: MAYOR HEATHER CARRUTHERS ' , , C _ LERK
TITLE: MAYOR OF MONROE COUNTY ATI r O s �6 1
�s - - t ' , J CLERK
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