3rd Amendment 02/15/2017KEVIN MADOK, CPA
MONROE COUN'T'Y CLERK OF THE CIRCUIT COURT & COMPTROLLER
DATE: March 1, 2017
TO: Sheryl Graliam, Director
Social Services
ATM: Lourdes Francis, Administrator
FROM: Pamela G. Hanc ck, C.
SUBJECT: February 15di BOCC Meeting
Enclosed are five (5) duplicate originals of Item C25, Amendment 0003 to Community Care
for Disabled Adults Contract KG -070 between the Florida Department of Children and Families and
Monroe County Board of County Commissioners/Monroe County Social Services/In -Home Services to
revise pricing terms for the contract year FYI resulting in no financial increase to the Contract, executed
on behalf of Monroe County for your handling.
Please be sure to return three duplicate originals once you have the fully executed copies back
from the state.
Should you have any questions, please feel free to contact me at ext. 3130. Tliank you.
cc: County Attorney
Fin
File e
Amendment #0003
Fully
Executed
-7
[§j ORIGINAL
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.
Amendment #0002 revised 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 added language to
EXHIBIT A- SPECIAL PROVISIONS, SECTION 6: PENALTIES, TERMINATION AND DISPUTE RESOLUTION, to allow
the Provider to terminate the contract. The revised pricing terms were retroactive to the effective date of this contract.
Payments made in excess of such pricing were deemed to be overpayments and are required to be promptly returned to
the Department as provided in Section 3.4 of the Standard Integrated Contract 2015.
The purpose of this Amendment #0003 is to revise contract rates to reflect pricing which is no less favorable to the
Department than for those similar services under any existing contract with any other party. Consistent with Section
216.0113, F.S., the rates in Amendment #0003 reflect the most favorable prices that the Provider offers to other parties.
Service
Original
Contract Rate
Amendment
#003 Rate
Homemaker
$23.47
$22.06
Case Management
$50.96
$50.48
Home Delivered Meals
$6.33
$6.33
Personal Care
$23.25
$23.25
1. Page 13, CF Standard Integrated Contract 2015, EXHIBIT A — SPECIAL PROVISIONS, SECTION 5: RECORDS,
AUDITS AND DATA SECURITY, is hereby added to read:
A -5.1. Each nonstate entity that expends a total amount of state financial assistance equal to or in excess of
$750,000.00 in any fiscal year of such nonstate entity shall be required to have a state single audit, or a project -
specific audit, for such fiscal year in accordance with the requirements of Section 215.97(2)(a), Florida Statutes.
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 -1.2 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.
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.
STANDARDICORE SERVICES
UNIT
RATE
Case Management
1 hour
$50.48
Home Delivered Meals
1 meal delivered
$6.33
Homemaker
1 hour
$22.06
Personal Care
1 hour
$23.25
CF1127
Effective July 2015
Monroe County Board of County Commissioners
(CF- 1127 -1516)
Amendment #0003
Contract No. KG070
3. Pages 38, CF Standard Integrated Contract 2015, EXHIBIT F1- MONTHLY REQUEST FOR PAYMENT AND
EXPENDITURE REPORT (Revised 11/0112016), is hereby deleted in its entirety and REVISED Exhibit F1- Monthly
Invoice (Revised 210112017), is inserted in lieu thereof and attached hereto.
This amendment shall begin on February 1. 2017 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 three (3) page amendment to be executed by their officials' thereunto duly authorized.
PROVIDER:
MONROE COUNTY ARD OF OU TY COMMIS TONERS
SIGNED BY:
NAME: George Neugent
TITLE: Monroe County Mayor
STATE OF FLORIDA
DEPARTMENT OF CHILDREN AND FAMILIES
SIGNED BY:
NAME: Bronwyn Stanford
TITLE: Regional Managing Director
DATE: S —O — a_ d 7
CF 1127
Ef dve July 2015
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Monroe County Board of County Commissioners
(CF- 1127 -1516)
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DATE: jJ U4,ft, IC Z017
Federal ID Number: 59.6000749
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MYF LF,AM I LI ES,COM
REVISED Exhibit F1
Monthly Invoice
Contract No. KG070
From 20_ To 20_
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
$6.33
Homemaker
$22.06
Personal Care
$23.25
TOTAL PAYMENT
REQUESTED
$
MATCH REQUIREMENT
$6,858.89 per FY Current Month Y -T -D
Beg inning Match Balance
Local Cash Match
Local In -Kind
Total Match
Remaining Match Balance
Less any financial consequences imposed as per Section F-4:
S
By signing this report, I certify 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, l certify that all reports supporting this invoice have been submitted to the Department in accordance with this agreement.
Authorizing Signature:
Title:
Date
CF Standard Integrated Contract 2015 38 Contract No. KG070
Revised 2/01/2017 Monroe County Board of County Commissioners