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Item C14M C ounty of f Monroe ELj » °o � BOARD OF COUNTY COMMISSIONERS /� r i � �� Mayor George Neugent, District 2 The Florida. Ke Se y I Mayor Pro Tern David Rice, District 4 Danny L. Kolhage, District I Heather Carruthers, District 3 Sylvia J. Murphy, District 5 County Commission Meeting July 19, 2017 Agenda Item Number: C.14 Agenda Item Summary #3164 BULK ITEM: Yes DEPARTMENT: Social Services TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham (305) 292 -4510 N/A AGENDA ITEM WORDING: Approval of Alzheimer's Disease Initiative Program (ADI) Contract KZ -1797 between the Alliance for Aging, Inc., and Monroe County Board of County Commissioners/Monroe County Social Services In -Home Services for the contract year 2017 -2018 (07/01/2017- 06/30/2018) in the amount of $164,647.80. ITEM BACKGROUND: Approval of the ADI contract will enable Monroe County Social Services In -Home Services Program to continue providing personal services to Monroe County's elderly population under the Alzheimer's Disease Initiative Program. PREVIOUS RELEVANT BOCC ACTION: BOCC approval on 07/19/2017 of ADI Amendment #002 to Contract KZ -1697 between the AAA and Monroe County BOCC. CONTRACT /AGREEMENT CHANGES: None STAFF RECOMMENDATION: Approval DOCUMENTATION: ADI Contract 07 -03 -17 ADI Contract BACKUP 07 -03 -2017 FINANCIAL IMPACT: Effective Date: 07/01/2017 Expiration Date: 06/30/2018 Total Dollar Value of Contract: $164,647.80 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: Yes If yes, amount: $8,000.00 Grant: Yes County Match: 10% Cash Match Insurance Required: No Additional Details: Revenue produced is from client co- payments. 07/19/17 NEW COST CENTER ADDED 125- 6153617 $164,647.80 REVIEWED BY: Sheryl Graham Completed 06/29/2017 1:54 PM Pedro Mercado Completed 06/30/2017 1:47 PM Budget and Finance Completed 06/30/2017 3:59 PM Maria Slavik Completed 07/01/2017 7:46 PM Kathy Peters Completed 07/03/2017 1:36 PM Board of County Commissioners Pending 07/19/2017 9:00 AM (LWICOILO PWWOO IaV : IME) Lb PWWOO IaV WOMM44V 1q Pttra�ose of orttraet The purpose of this contract is to provide services in accordance with the terms and conditions specified in this contract including all attachments and exhibits, which constiftne the contract document. 2. Ls lttain tlac o]lMtE! The contract will incorporate attachments, proposabs), state plan(s)a grant agreements, relevant Department of Elder Affairs handbooks, manuals or desk books, as an integral part of the contract, except to the extent [list 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 doctiment(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 Contract Effective Date: This contract shall begin on July 1 2017 or on the date the contract has been signed by both parties, whichever is later. Delivery ofservices shall end at 11:59 PM, local time in Miami, FL on June 30, 200 The Alliance will not reimburse the provider for services pro ided alter this date. I looc% er. the parties recogni/e that they will need to perform continued activities relating to reporting. invoicing and paNinent in JUIN of 2017 to facilitate payment for services rendered b y the provider Linder this contract, 4.0 Contract Amount The Alliance agrees to pay for contracted services according to the terms and conditions ol'this contract in an amount not to exceed $164,647.80 funds her 27 clients, or the rate schedule, subject to the availability of funds. Any costs or services paid for under any other contract or finern any other source are not eligible for payment under this contract. (LWICOIL0 4 IaV : IME) Lb 4 IaV WOMM44V M M 11 10 M M Obligation to Pay The Alliance's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Legislature to the Department and funding received by the Alliance under its contract with the Department, Source of Funds The costs of services paid tinder any other contract or from any other source are not eligible for reimbursement Linder this contract. The funds awarded to the provider pursuant to this contract are in the state grants and aids appropriations and consists or the following: Program Title Year Funding Source CSFA# Fund Amounts dear F a Alzheimer Disease 2017- General Reventic 65004 $164,647,80 a Initiativ 2018 _ i,7 7 an TOTAL FUNDS CONTAINED IN THIS CONTDACT: $164,64.80 The parties shall re-evaluate the contract's reimbursement rates on an annual basis pursuant to DOEA's Notice or Policy Clarification: Service Cost Reports Notice #092815 -1 -PC- BS dated September 28 2015 and the approved Alliance's Reimbursement Rate Review Policy. In the event that contracts cannot be overtired prior to the July lit start date, the Alliance may, at its discretion. extend this Agreement upon written notice for LIP to 120 days to ensure continuity of service. Services provided tinder this extension at ill be paid liar out of the succeedina aureernent amount `Phis contract is executed and entered into in the State or Florida. and shall be construed, performed and enforced in all respects in accordance with the Florida law, including Florida provisions for conflict of laws. The Provider shall comply with requirements of s. 287,058, F.S. as amended. 6.2.4 The Provider shall allow public access to all documents, papers, letters, or other public records as defined in subsection 11 9,011(12), F. S,, made or received by the Provider in conjunction with this contract except for (LWICOILO 4:)eJ4uO:D IaV : IME) Lb 4:)eJ4uO:D IaV WOMM44V The Provider shall enSUre that the reqUirements of s. 430,040- and Chapter 435, F,S., as amended, are inct regarding baeUround screening for all personr o he meet the der ot'a direct service provider and who are riot exempt from the Department*s level 2 background screening pursuant to s. 4 R& The (LWICOILO 4:)eJ4uO:D IaV : V9W Lb 4:)eJ4uO:D IaV :4UGWt4 complaint on a complaint log. 9. Public Records anti Retention- 9.1 The Provider, subject to the terms of section 28?.058( 1 )(c). Florida Statutes, and any other applicable legal and equitable remedies, shall: a) Keep and maintain public records that ordinarily and nece-,scarily would be required by the public agency in order to perform the services. M Provide the public with access to public records on the same terms and conditions that the Department would provide the records and at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes, or as otherwise provided by law. c) Ensure that public records that are exempt or confidential and exempt frorn public records disclosure requirements are not disclosed except as authorized by la %4, d) Meet all requirements for retaining public records and transfer. at no cost, to the Alliance and the Department of Elder Afidirs; all public records in possession of the Provider upon termination or expiration this contract and destroy any duplicate public records that are exempt or confidential and exempt From public records disclosure requirernentq. All record, stored electronically 1T1U;t be provided to the Department in a format that is compatible with the inilormation technology system of the Department, 10.2 The Provider shall retain all client records, financial records, supporting docu ments, statistical records. and any other documents (including electronic storage media) pertinent to this contract for at period of six (6) years after completion of the contract or longer when required by lao. In the event an audit is rewired by this contract. records shall be retained for as rrammurn period of six (6J years after the audit report is issued or until resolution of any audit findings or litigation based on the terms orthis contract. at no additional cost to the Alliance, 10.3 Upon dernand, at no additional cost to the Alliance. the Provider shall facilitate the duplication and transfer I (LW/£0 /LO 4:MWOO IaV : IME) Lb 4:MWOO IaV WOMM44V as the Alliance may require within the period of this contract. 10.9 The provider shall submit management, program, and client identifiable data, as specified by the Department of Elder Affairs and / or the Alliance. The provider must record and submit program specific data in accordance with Elie Department's Client Inficti Registration and Tracking System (CIRTS) Policy Guidelines, 10.10 The Alliance for Aging, Inc. may unilaterally cancel this Contract. and any contract or agreement incorporating this Contract by reference. notwithstanding any other provisions of this Contract, for refusal by the Provider to comply with Section 9 of this Contract by not allowing public access to all clocurrients, papers, letters, or other material made or received by the Provider in conjunction with the contract or agreement incorporating this Contract by reference, unless the records are exempt from Section 24(a) of Article I of the State Constitution and Section 119,07(1 ), Florida Statutes. (LW/£0 /LO;:)ea;uoa IaV : IME) Lb-£0-LO ;:)ea;uoa IaV : ;uauay 444 15. Indemnification (LWICOILO 4:MWOO IaV : IME) Lb 4:MWOO IaV WOMM44V 17� Confidentiality of Information The Provider shall not use or disclose any information concerning a recipient of services tinder this contract ror any purpose prohibited by state or tederal law or regulations e%cepi vith the written consent of a person legally authorized to 9 ive that consent or when authorized by kov, 20. RBaannkKrERR(icKvIJNofifica Notification N (LW/£0 /LO;:)ea;uoa IaV : IME) Lb-£0-LO ;:)ea;uoa IaV : ;uauay 444 22. AalkaMMLs (LWICOILO 4:)eJ4uO:D IaV : IME) Lb 4:)eJ4uO:D IaV WOMM44V 25. Fundine ObliLations: 2 &1 The Alliance for Aging, Inc. acknowledges its obligation to pay Inc Provider for tire perfonmante of the I (LWICOILO 4:)eJ4uO:D IaV : V9W Lb 4:)eJ4uO:D IaV :4UGwt4 27.3 The Provider and Sub-providers shall provide Units or deliverables, including reports, findings. and drafts as specified in this contract to be received and accepted by the Contract Manager prior to payment, 28. Return of Funds 29, Data Int acity and So Lmardi a Information X 31. Conflict or interest (LW/£0 /LO 4 IaV : IME) Lb 4 IaV WOMM44V 32. Public Entiry Crime 33. Parch ' iMMUMM Procurement of ProdUCtS or Materials with Recycled Content: Reusable materials and products shall be used where economically technically feasible. 34. Paten(s, Col Rovalties Ifthis contract is awarded state funding and ifany discovery. invention or copyrightable material is developed produced or for which ownership was purchased in the course or or its a result of work or services performed tinder this contract, the Provider shall refer the discovery, invention or material to the Alliance to be referred to the Department of State. Any and all patent rights or copyriiflits accrUin" Linder this contract are hereby reserved to the State of Florida in accordance with Chapter 286, F.S. 35. s (LWIC0 IL0 4:)e4U IaV : IV9W Lb 4:)e4U IaV :4UGWt4 37. PUR 1000 Form: 3& Use of State Funds to Purchase or ftonrove Real Pr operty Any state funds provided for the purchase ofor improvements to real property are contingent upon the Provider or political subdivision granting to the state a security interest in the property at least to the amount OF state funds provided for at least 5 years from the date Or purchase or the completion of the improvements or as Further required by law. 39. Dianute -Resolution Any dispute concerning performance of the contract shall be decided by the Contract Manager, who shall redLICC the decision to writing and serve a cop), on the Provider, 40. Corrective Action Plan a) Provider she'd] ensure 100% offlic deliverables identified in ATTACHMENT 1. Section 11 MANNER OF SERVICE PROVISION are perfortned pur-Riant to contract requirements. c) In the eventt. Provider bills to correct an identified deficiency v6ithin the approved time period specified in the CAR the Alliance shall deduct. from the payment for the im,oice of the ibliou ing month. 1 11 0 of the monthly value or the monthly invoiced funds in the contract for each dm the deficiency is not corrected. The Alliance shall also deduct. firorn the payment for the invoice of the (rillooino month, I% of the monthly value ofthe invoiced funds in the contract for each day the Provider fails to firriely submit a CAP. d) If Provider fails to timely submit a CAP, the Alliance shall deduct 1% of the monthly value Of the invoiced rands in the contract for each day the CAP is overdue, beginning the I l"' day after notification by the Alliance Contract khmager of the deficiency. The deduction will be made from the payment for the invoice of the following month. 0 (LWICOILO 4:)eJ4uO:D IaV : V9W Lb 4:)eJ4uO:D IaV :4UGWt4 4L Financial Conspauences of Non-Performance L Delivery of services to eligible clients as referenced in ATTACHMENT 1 Section 1 1.3 Section 11 2.1 of this contract Failure to ensure adherence to established assessment and prioritization criteria as evidenced in GIFTS reports will result in a reduction of payment eqUal to the percentage of new clients served who did not meet the criteria, compared to the total number of clients served. 2. Services and units of services as referenced in ATTACHMENT 1, Section 11 2.2 of this contract Failure to ensure the provision of services in accordance with the current DOEA Programs and Services Handbook, and ATTACHMENTS V11 and submission of required documentation will result in a 2% reduction of payment per business day any identified deficiency is not cured or satisfactorily addressed. 3. Performance Specifications as referenced in ATTACHMENT 1, Section 11, 2.6 ofthis contract Failure to perform the performance specifications and oversight of CCE Program operations will result in a 2°0 reduction of payment per bUsinces day an y identified deficiency in duties is not cured or satisfactorily addressed in accordance with ATTACHMENT I, Section 11 3. 6.3 4. Exceptions may be granted solely, in writing. by the DOER contract manager. If any dispute arises out ofthis contract. the venue OrSUCh legal recourse will be Iviianni-Dade County, Florida, 44. Entire Contract This contract contains all the terms an(] conditions agreed Upon by the Parties, Z� No oral aureernents or representations shall be %alid or binding upon the Alliance or the Prop ider unless expressly contained herein or by a written amendment to this contract signed by both Parties, 45, Force Em�care The Parties o,ill not be liable for an\ delays or finhires in performance Ale to circurnstances beyond their control. rovided the party experiencing the force majeure condition provides immediate written not P ification to the other party and takes all reasonable efforts to CUre the condition. 49 Severabillity Clause The Parties agree that if a Court of competent jurisdiction dearns any term or condition herein void or unenforceable; the other provisions are severable to that void provision and shall remain in full force and W U OZICOILO 4:)e4U IaV : V9W Lb 4:)e4U IaV :4UGWt4 47. Condition Precedent in Contract: - - as The Partiem agree that the Alliance's performance and obligation to pay tinder this contract is contingent upon an annual appropriation by than LegWaturc In the Department and a corresponding allocation tinder contract front the Department to the Alliance. 48. Addition/ Deletion The Parties agree that the Alliance reserves the right to add or to delete any of the services required under this contract when deemed to be in the State of Florida's best interest and reduced to a written amendment signed by both Parties. The Parties shall negotiate compensation for any additional services added. 49. Waiver The delay or failure by the Alliance to exercise or enforce any of its rights under this contract will not constitute or be deemed a waiver ofthe Alliances right thereafter to enforce those rights, nor will any single or partial exercise of any Such right preclude any other or further exercise thereof or the exercise of any other rid it, 50. CLona plia nee The Provider shall abide by all applicable current federal statutes, laves, rules and regulations Lis well as applicable current state statutes, laws. rules and regulations. 'File Parties agree that failure of the Provider to abide b these laws shall be deerned an event ofriefilUlt Of the Provider, and y d Subject the contract to inatiediate, unilateral cancellation of tire contract at the discretion of the Alliance, 51. Final Invoice The Provider shall submit the [trial invoice l payment to the Alliance as specified in Paragraphs 3A, 3.4,1 and .3.4.2 (date for Final request for payment) of ATTACHMENT 1. If the Provider fails to submit final request for payment by the deadline, then all rights to payment may be forfeited and the Alliance may not honor any requests submitted after the aforesaid time period, Any payment due under the terms of this ' contract may 1% withheld until all reports due from the Provider and necessary adjustments thereto have been approved by the Alliance. 524 Modifications g1odifications of than Provisions of this contract shall be valid only when they have been reduced to writinc— and duly signed by both parties. (LW/£0 /LO 4 IaV : IME) Lb 4 IaV WOMM44V any cancellation charges or lost profits. 54.2 In the event funds for payment pursuant to this contract become unavailable, the Alliance may terminate this contract upon no less than twenty-lour (24) hours' notice in writing to the Provider. Said notice shall be delivered by U.S. Postal Service or any expedited delivery service that provides verification of del very or by hand delivery to the Contract Manager or the representative of the Provider responsible for administration of the contract. I Alliance will be the final authority as to the availability and adequacy of funds, In the event of tennination of this contract, the Provider will be compensated for any work satisfactorily completed prior to the date of termination, 56.1 The Alliance's aLitliori7ation pursuant to this section does not authorize electronic transactions between the Provider and the Alliance, The Provider is authorized to conduct electronic transactions with the Alliance only Upon further written consent la} the Alliance. 56.2 I..Jpon request by the Alliance. the Provider shall provide the Alliance or DOEA with non - electronic (paper) copies of records. Nor - electronic (paper) LOPO pr , Y6:--lCd n% t Il - %'; i,l!! CC Ofau', (10CLIaleat that oaS or i"ina I k in electronic brow o,ith an electronic sionatore must indicate the person and the person's capacity %flio electronicalb, signed the document on any non - electronic copy of the document. 57. LSM-ecial _ The Provider agrees to the followincy provisions: 57.1 Investigation of Criminal Allegations: Any report that implies criminal intent on the part of the Provider or any sub-providers and referred to a governmental or investigatory agency must be sent to the Alliance. If the Provider has reason to believe that R (LW/£0 /LO 4OWWOO IaV : IME) Lb 4OWWOO IaV WOMM44V the allegations will be refierred to the State Attorney, a law enforcement agency, the United States Attorney's office, or other governments] a0ency, the Provider shall notify the contract manager, A copy of all documents, reports. notes or other written material concerning the 'investigation, whether in the possession of the Provider or SUb-providers, roust be sent to the Alliance's contract manager with a Rlmmary of the investigation and allegations. 57.3.2 In making any determination Under this provision the Alliance rna% rely upon the findings of another state or federal auency, or other regulatory bod Arr� clainns for darnauve's for breach of warn, contract or a 2 reement incorporating this Contract by reference are exempt from administrative proccedin',s and shall be brOLIght before the appropriate entity in the venue OfiVIiarni-Dade COLHIM 57.3.3 in the altemati%e, the -Mliance at :is ;:ile dlS ill acco %kith section 430,04. 1 take I i - d I ance immediate measures against the Provider. includin4r: correcti%c action, unannounced special monitoring, temporary aSSUMPUCIIII 01' the operation of one or more contractual services, placement of the Provider oil probationary stains, hoposing a moratorium on Pro ides action. imposing financial penalties for rioi,perfon car other zidministr,iti taw Cliapter 1- 5704 Use of Service Dollars: The Provider will optimize the use of contract funds by serving the maxiniurn possible number of individuals R (LWIC0 IL0 4 IaV : IV9W Lb 4 IaV :4UGWt4 LML 11c i aa IL 2 a n2 Re a n all R (Narnes. Addresses, and "I Numbers): Tile name, address, and telephone manber of the representative for the Alliance for this contract is: Max B. Rothman, JD. LL.VL President and CEO 760 NW 107"' Ave, Suite 214 M iami. Florida 33 172 (305) 670-65W Ext, 224 The nanie, address. and telephone number of the representative of the provider responsible for administration of the program Linder this contract is: ........................................................... U, ....................................................... .......................... ..................................................... .............................................................. The Provider narne, as shown on pa _a Le I of' this ........................................................................... ......................................................... ........................... Monroe County Board of County Commissioners, Social a. contract, and mailing address of the official payee Serviceonn-Horne Services to whom the payment shall be made is: 1100 Simonton Street, 2-257 .................... ............. ............................................................. Key West, FL 33040 .............................................. .......... .......................................................... ............... The name of the contact person and stree addrcx Slier) I Groaner, Senior Director b. where financial and administrative recra are Monroe County Board of County Commissioners, soci maintained is: Services/In-Home Services 1100 Simonton Street, 2-2S7 .......... ................................ ............... ...................................................... .................................................... ......................... Key West, Fl. 33040 ............. .......................................... ....................... ........................................................ ......................................................... The name. address. and telephone number of the c. representative of the Prw1der rcK:::"011 ihle =J r Sher-0 Grainier, Senior Director Monroe County Board of County Commissioners, Social achoinistration of the program Under'dik contract Services/in-Home Services Is: 1100 Simonton Street, 2-257 ................. ...................... .............................................................................. .......... ............................................................ ...................................................... ......................................................... Key West, FL 33040 ........................ ................................ .............. ........................................................ ............. The section and location within the AAA Micre Vice President for Finance d, Requests for payment and Receipt and - 60 NW 107th Avenue. SUite214 Expenditure forms are to be mailed i�., ..................................... ........................... ........................................................... ...................................................... ................ ................................. Miami, Florida 3' 172-' 15 .......................................................... ................... ........................................................... ................... Contract Monitor The name, addresw and telephone number of the Alliance for Aging. Inc, Contract Manager for the AAA for this contract is. 7 1 60 NW 107th Avenue, Suite 214 ...................................................... ............................................................ .............................................................. ................................................................. Nfiarni, Florida 33172 -31 - .................................................... ....................... ................................. .................................. In the event different representatives are deal noted by either party after exectr and address of the new representative will be rendered in writing to the other pillf originals of this contract. M UWZIC0 IL0 4 IaV : V9W Lb 4 IaV :4U 59. All Terris and Conditions Included This contract and its Attachments, I through X. A, B , E, F, G, and 1-1 and anv exhibits referenced in said attachments, together with any documents incorporated by reference, contain all the to 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 the Parties. By signing this contract, the Parties agree that they have read and agree to the entire contract, IN WITNESS THEREOF, the Parties hereto have concert this 66 pace contract, to be executed by their Undersigned ol fichus, as duly authorized. Monroe County Board of County Provider Commissioners, Social Se mices/In -Home Services SIGNED BY: 4� ALLIANCE FOR AGING, INC. 0 NAME: kez" (=5- a_kct NAME: MAX B. RO'FH1VIAN, JD, LL.M, T A . 11113: U DATE: TITLE: PRESIDENT AND CEO r �� is (LWZ 1£0 1L0 4Oe4u IaV: b9W Lb-£0-LO ;Oe4uOO IaV :4u8wt43e44V INDEX TO ATTACHMENTS Attachment I SERVICE PROVISIONS COMMUNITY CARE FOR THE ELDERLY Attachment 11 CERTIFICATION REGARDING LOBBYING CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND AGREEMENTS Attachment III FINANCIAL AND COMPLIANCE AUDIT Attachment IV CERTIFICATION REGARDING DATA INTEGRITY COMPLIANCE FOR AGREEMENTS, GRANTS, LOADS AND COOPERATIVE AGREEMENTS Attachment A CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION FOR LOWER TIER COVERED TRANSACTIONS Attachment VI ASSURANCES NON CONSTRUCTION PROGRAMS Attachment V11 BUDGET SUMMARY Attachment VIII INVOICE REPORT SCHEDULE Attachment IS REQUEST FOR PAYMENT FORM Attachment X RECEIPT AND EXPENDITURE REPORT Attachment A DOER HANDBOOK Attachment R CIVIL RIGHTS COMPLIANCE CHECKLIST Attachment C REFERRAL PROTOCOL AGING AND DISABILITY RESOURCE CENTER (ADRC) OUTSOURCED FUNCTIONS Attachment E BUSINESS ASSOCIATE AGREEMENT Attachment F VERIFICATION OF EMPLOYMENT STATUS CERTIFICATION Attachment A BACKGROUND SCREENING AFFADAVIT OF COMPLIANCE Attachment H CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS 19 (LWICOIL0 4 IaV : IV9W Lb 4 IaV :4U ATTACHMENT I ALZHEIMER'S DISEASE INITIATIVE PROGRAM SECTION 1. SERVICES TO BE PROVIDED I.L DEFINITIONS OF TERMS AND ACRONYMS 1.1.2 PROGRAM SPECIFIC TERMS Aging Out Clients: Individuals reaching 60 years of age who are being transitioned from the Department of Children and Families Services CommUnit) Care for Disabled Adults (CC DA) or 1-lome Care for Disabled Adults (HCD) services to the Department's community-based services, Memory Disorder Clinic: Research oriented programs created pursuant to Sections 4 and (2), FS., to provide diagnostic and referral services, conduct basic and service-related multidisciplinary research, and develop training materials and educational opportunities for lay and professional care or individuals %vith AD. Model Day Care. A program of therapeutic, social and health activities specific to clients with memory disorders. Services and activities include, but are not limited to, active and quiet games, reminiscence, validation therapy, pet therapy, water therapy and other failure free activities appropriate to the client's level of functioning. Model day care centers will also provide training for health care and social service personnel in the care of persons having AD or related memory disorders, 1.2 GENERAL DESCRIPTION 1.2.1 General Statement The primary purpose of the ADD program is to provide a continuum of services 0 addressing the special needs of individLiUlS with AD, their farm lies and caregivers. E (LWICOIL0 4 IaV : IV9W Lb 4 IaV :4U Alzheimer's Disease Initiative Mission Statement The ADI program ensures that per-sons afflicted With AD and other forms of de nerds are given essential 1.2.2 services to help them age in place in an elder - friendly environment with security, dignity. and purpose. The program also provides support to family members and caregivers of persons afflicted with AD. 1.2.3 Authority The relevant authority governing ADI program are: (1) Rule 58D-1, Florida Administrative Code (2) Sections 430.501 through 430.504, F.S. 1.2.4 The services to be provided are those described in the provider's service provider application and as described in this contract and the current DOER Programs and Services Handbook. 103 INDIVIDUALS TO BE SERVED General Eligibility The ADI Program addresses the special needs of individual w ith AD and their caregivers. 1.3.2 Individual Eligibility Those individuals eligible to receive services tinder this contract must meet the following conditions: (1) Be 18 years of age or older and have a diagnosis of AD or a related disorder. or be Suspected of having AD or a related disorder; and (2) Not be enrolled in a Medicaid capitated long-term care pro 1.3-2.1 Targeted Groups Priority for services provided under this contract shall be given to those eligible persons assessed to be at risk of placement in an institution. SECTION 11. MANNER OF SERVICE PROVISION 2.0 Conditions All Services under this contract will be provided in a manner consistent with the conditions set forth in the current Florida Department of Elder Affairs Programs and Services Hand book. e� Client access to services. assessment and eligibility determination must conform to the protocols listed in ATTACHMENT C. 2.1 Service Tasks To achieve the goals of the AD[ program. the Provider shall perform or ensure the performance of its Sub- Providers, the folloving tasks: (1) Client Eligibility Determination; (2) Assessment and Prioritization of Service Delivery for New Clients. (3) Delivem of Services to Flisible Clients: 241A Client Eligibility Determination Priority Criteria for Service Delivery ( Individuals in nursing homes under Medicaid who could be transferred to the community; 21 (LWIC0 IL0 4:)e4U IaV : IME) Lb 4:)e4U IaV WOMM44V 2.1.2.1 Priority Criteria for Service Delivery for Other Assessed IndiNkluals The assessment and provision Of Services should always consider the most cost effective means ofservice delivery, Functional impairment will be determined through Elie Department's runctional assessment form administered to each applicant. The most frail individuals not prioritized as described in this attachment, Paragraph 2,1.2. will receive services to the event Funding is available, 2.1.3 Delivery of Services to Eligible Clien is: The Provider shall ensure the provision of' a continuum of services addressing tire diverse needs of individuals with AD and their caregivers. The Provider shall ensure services are performed in accordance %%itll tile current Department ref Elder A fKairs Pro.-raull; and Services I hindboo-k. Services catetuiries include: ( I ) Caregiver Trainint'/SLIPPOrt-, ZP 2.1.3-1 Nlenlor� Disorder Clinics .)I (LWICOILO 4:)eJ4uO:D IaV : b9 Lb 4:)eJ4uO:D IaV :4UGWt4 2.1.3.2 Model Day Care Programs 2.2 SERVICE TIMES AND LOCATION 2. 2.1 Service Times The Provider shall ensure the provision of tile services listed in this contract is available at times appropriate to rneet client service needs at a minithUrn, during nonnal business hOUrs. Normal business hours are defined as Monday thrOU 9 h Friday, 8:00arn to 5:00prn. 2.3 Service Units Services will be reported in units as described in the DOEA Handbook, 23 (LWICOILO 4 IaV : IME) Lb 4 IaV WOMM44V Client Information and Registration Trackin ystern (CIRTS) Reports The Provider shall ensure timely input ol'ADI specific data into CIRTS, To ensure CIRT data accuracy, the Provider shall adhere to the Alliance's GIFT'S Data Integrity Policy and use C I Us -generated reports which include the following: 2.43 The provider shall provide the Alliance with an expenditure plan by July 15 or two weeks after this contract has been signed; a monthly update is due on the 15th'' day of each _r011o month. The expenditure plan and updates Must follow Elie format provided by the Alliance. 2.4.4 The provider shal I respond to surplus-detrcit inquiries and v� Hl provide ad-hoc reports as requested by the Alliance. 2,4 rLECTRONIC RECORDS AND DOCUNIE-NTATION I he provider will ensure the collection and maintenance ot'client and service inilormation on a monflih, basis Ref from the Client Information and Reistration Tracking S�y Ltern (C IRTS). 'Maintenance includes valid e . sports and backups of all data and systems according to Alliance and Department standards. 2. Timely Data Entry The provider must enter all required Affil data per the Department'; CIRTS Policy Guidelines for consumers and services in the CURT database. The data must be entered into GIRT S before the provider submits its request for payment and expenditure reports to the Al Hance as per ATTACHMENT Vill, 2.5.2 Data Accuracy W (LWICOIL0 Pe4U IaV : IV9W Lb Pe4U IaV :4UGWt4 The provider will run monthly GIRT S reports and verily client and service data in GIFTS is accurate. This report must be submitted to the Alliance orith the monthly reqUeit for payment and expenditure report and must be reviewed by the A] fiance before the provider's request ficr payment and expenditure reports can be approved by the Alliance, 2.5.3 Failure to Maintain GIFTS Database Failure to ensure the collection and maintenance of the GIFTS data may result in the Alliance enacting the - Enforcernent" Clause of this agreement in ATTACHMENT I, Section 2.7, inclodina delaying or withholding payment until the problem is corrected, 2.5.4 Computer System Backup and Recovery 2.6i Outcomes (4) Establish procedures for handling complaints concerning " adverse actions such as termination, suspension. or reduction in services, as per Section of'ofthe Contract, (5) Conduct client satis fact ion SUrVCVS to evaluate and improve service delivery. (6) Monitor and evaluate Subcontractors and vendors for programmatic and fiscal compliance, t6.2 The perforniance of the Pro ider in pro% idmir the wr, ice-, LIC','cribed in thi h contract ;hall be mcaw.kjred by the current strategies for the 1 criteria: (1) Percent of elders assessed vvith high or moderate risk environments who improved their envircurnent score; (LW/£0 /L0 4:)ea4uoa IaV : IME) Lb-£0-LO;:)ea;uoa IaV : ;uauay 444 249 ALLIANCE FORAGING RESPONSIBILITIES 2. 9,1 Program Guidance and Technical Assistance '2 6 (LWICOIL0 43W uoa IaV : b9W Lb 43WWoa IaV :4U8wt43e44V SECTION III. METHOD ) PAYMENT 3 General Statement of Method of Payment 304 Final Request for Payment: (LW/£0 /LO 4:MWOO IaV : IME) Lb - CO - LO 4:MWOO IaV WOMM44V 1- CO 1 ! tM (L 3.6 Remedies for Nonconforming Services as The Provider shall ensure that all goods and/or services provided under this contract are delivered timely, completely M 0. and commensurate with required standards of quality. Such goods arid/or services will only be delivered to eligible' I program participants, 3.6.1 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 huge 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 ininechate notice of any significant and/or systemic infractions that compromise the quality, Security or continuity of services to clients. 3.6.2 Financial Consequences of Surplus Provider shall ensure the provision of services to the projected number of clients in accordance with Alliance's forecasts and within the contract amount. The Provider shall ensure expenditure of 100% of the contract amount budgeted for services to clients at the unit rates established in this contract. In the event the Provider has a surplus of 1% or rnore at the end of the contract term, the Alliance will reallocate 1% ofthe budget for the next year contract term to other lead agencies found to be serving clients to the fullest extent of their allocated budgets, 3> a3 The Alliance reserves the right to adjust the total aoard as well as the contracted unit rate to reflect provider costs and utilization rates based on active clients enrolled in the program. The Alliance may withhold payment tinder the terms of this contract, pending the receipt and approval by the Alliance 3.6.4 of complete and ' accurate financial and programmatic reports due from the provider and any adjustments thereto. including any disallowance not resolved, (LWICOIL0 Pe4U IaV : IM0 Lb Pe4U IaV WOMM44V ATTACHMENT Ill CERTIFICATION REGARDING LOBBYING CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND AGREEMENTS (3) 'rhe undersigned shall require that the language of this certification be inclUded in the award documents for all SUb- awards at all tiers (including subcontracts, sub-grants, and contracts Linder grants, loans and cooperative agreements) and that all sub-providers shall certify and disclose accordingl This certification is a material representation of lust upon %%hich reliance %4as placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 314 US. Code, Any Person Min falls to file the reqUired certification shall be q1bject to a civil penalty of not less than $10.000 and not more than $ 100,000 for each such failure, Signature Date j(a j fa - M I -�- Gr 6 f v x Maine -x- o A'00rized Individual Mal Name and A���ra� )too 9%tMoW4-oa 6krelek 1 Application or Agyreement Number 5LA-L-1 a - Q51 It.-e- DO!"A I orm 103 (Rt: % ked Nei 21)0 2) 29 (LWICOILO 4:MWOO IaV : IME) Lb 4:MWOO IaV WOMM44V FINANCIAL AND COMPLIANCE AUDIT ATTACHMENT III The administration of resources awarded by the Alliance for Aging, Inc, to the provider may be subject to audits and -or monitoring by the Alliance or the Florida Department of Elder Affairs, as described in this section. PART 1: FEDERALLY FUNDED This part is applicable if the provider is a State or love] government or a non-profit organization as defined in OMB Circular A-] 33. as revised. M (LWICOIL0 4 IaV : V9W Lb 4 IaV :4UGwt4 PART TI: STATEFUNDED This part is applicable if the provider i. a non-state entity as del ined by SCCEion 21 Florida StaftaCS, PART III: REPORT SUBMISSION copies or reporting packages tlorau&7 condnctLd ill: zz� wcordance %kith OVIB GrCL1larA-1 13. as re�ked, and reqUired b% I PAR1 I ofthis alyreentent shall be submitted. %0 reqUired b% Se�t:on .'2i (d). 011B Ch �-113 as re%ised, b% or on bellalforthe provider directly to each of the l`oIho,%jlj,, The Alliance (or Aging, Inc. at each ofthe following addresses: Alliance for Aging, Inc. L� Attn: Fiscal Monitor 760 NW 107"' Ave. Suite 214 Miami, FL. 3317 -3155 a (L�OZICOILO 4 IaV : IV9W Lb 4 IaV :4U Alliance for Aging, Inc. Attn: Fiscal I'vionitor 760 NW 107' Ave. Suite 214 Miami, FL. 33172-3155 The Auditor General's Office at the following address: State of Florida Auditor General Claude Pepper Building, Room 574 111 West N—ladison Street Tallahassee, Florida 32399-1450 as reports, management letter, or other information required to be SUbmitted to the Alliance for Aging. Inc, punitnint to this aureement shall be submitted tirneIN in accordance %%ith 0`v1B CircUlar A Horida StatUtCS, and Chapters 10.550 (local governmental entities) or 10,650 (nonprofit and for-profit organizations). RUICS Of the Auditor General. as applicable, Providers, When submitting financial reporting packag to the Alliance for Aging. Inc, for audits done in accordance Aging. with OMB Circular A-133 or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for - profit organizations), Roles of the Auditor General should indicate the date that the reporting package wass delivered to the provider in correspondence accompanying (lie reporting package, PART IV: RECORD RETENTION (LWZ1C01L0 4:)e4u IaV : V9W Lb 4:)e4u IaV :4u ATTACHMENT III EXHIBIT - 1 I FEDERAL RESOURCES AWARDED TO THE SUB RECIPIENT PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT TOTAL FEDERAL AWARD L - - - - -.- _ _ ._ COMPLIANCE REQUIRE- EVENTS 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 RESOURCES FOR F711PRAT, PPrtruArue: TOTAL AWARD mmomm COMPLIANCE REQUIREMENTS APPLICA13LE TO STATE RESOURCES AWARDED I'VURSUANJ'TO THIS AGREEMENT ARE AS FOLLOWS: State Financial Assistance Section 215.97 F.S. Chapter 691-5 Fla. Administrative Code .13 STATE FINANCIAL ASSISTANCE SUBJECT TO Sec. 20.97, F.S. . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ..... ................................... ... ... ... ... . ... ... ... ... ... .. ... ... ... ................................... "I'll, ...... . ............. *--l- ... ... ... ... ... ... ... ... ... ... ... ... . .......................... I ............... PROGRAM TITLE ............................... :: AMOUNT ... .................................... x .... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. . ... ... ... FUNDING SOURCE CSFA . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .... . . ........................ ......... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. Alzheirner'.:- Dil,� e a,�e Initiative . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . x ..................................... General Re %ewlie 65004 $164.647.80 . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . -111111 ... ... ... ... .. (L WICOILO 40e4u0a IaV : b9 W Lb 40e4u0a IaV :4u8wt43e44V PART It AUDIT RELATIONSHIP DETERMINATION NON-PROFIT ORGANIZATIONS NIUST FOLLOW: TT ACHMENT III 34 (L�OZICOILO 4 IaV : IV9W Lb 4 IaV :4u EDUCATIONAL INSTITUTIONS (EVEN IF A PART OF A STATE OR LOCAL GOVERNMENT) MUST FOLLOW: *Scare federal programs, may be exempted from compliance with the Cost Principles CirCUlars; as noted in the ONIB Circular A -133 Compliance Supplement, Appendix 1. STATE FINANCIAL ASSISTANCE. Providers who receive state financial assistance and who are determined to be a recipient/sub-recipient must comply with the f0howing fiscal laws. mice and regUlations: Section 2 13.97. Fla. Stat. Chapter 691-5, Fla. Adrmn, Code State Projects Compliance Supplement Reference Guide for State ExpenclitUres Other fiscal reqUirements set forth in program lays. roles and regulations THE REST OF THIS PAGE WAS LEFT BLANK INTENTIONALLY -35 (LWICOIL0 4 IaV : IV9W Lb 4 IaV :4U ATTACHMENT IV CERTIFICATION REGARDING DATA INTEGRITY COMPLIANCE FOR AGREEMENTS, GRANTS, LOANS AND COOPERATIVE AGREEMENTS The Undersigned, an authorized representative of the Provider named in the contract or agreement to which this forays is an attachment, hereby certifies that: (4) The Provider and any SUb-provider(s) of services tinder this contract warrant their policies and procedures include a disaster plan to provide For service delivery to continue in case of an ernergency including emergencies arising from data integrity compliance iSSUCS. The Provider shall rewire that the language ofthis certification be included in all sub-agreernents, sub-grants, and other agreements and that all sub-providers shall certify compliance accordingly. This certification is a material representation Of 1',ICt upon vhich reliance was placed when this transaction was made or entered into. SUbmission of this certification is a prerequisite for ranking or entering into this transaction imposed by OMB Circulars A-102 and 2 CFR Part 215 (llormerl� 0NlB Cimillar A-1 10), Monroe County Board Of Canary Commissioner%, Social Services/In-Horne Services Ac� Qo"� AIlilvd(Li4m4w. Title Name of A athoriced Signer W (LWZ1C01L0 Pe4u laV : IV9W Lb Pe4u laV :4u ATTACHMENT V CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION FOR LOWER TIER COVERED TRANSACTIONS (LWICOILO 4:)eJ4uO:D IaV : b9 Lb 4:)eJ4uO:D IaV :4uGwt4 ASS UJUNCES—NON-CONSTR UCTION PROGIUMS m ATTACHMENT VI U1,0ZICIDILID 4 312 4 1 - 10 0 IaV : IV91,0 Ll, 4 312 4 1 - 10 0 IaV :4 16, Will Comply with the Lead-Based Paint Poisonim Prevention Act (42 C,S,C. 480 1 et seq.), which prohibits the use of lead- based paint ill construction or rehabilitation of residence structures, 17, Will cause to be performed the required financial and compliance audits in accordance with the Sin -le Audit Act Amendments of 1996 and 0bll3 Orcular No. A-[ 33, Audits of States, Local Governments, and Non-Profit Organ izat ions Z 18, Will comply all applicable requirements of call other federal la%%s, executive orders, regulations and policies governing this program, SI(jN %U1 RI Of %t THORI/I D( I RTH N IN6 011 K 111 kPI't IC kN I ORGkN ]I\ I ]ON Gza.hcl O 1) X I I St M111 I I D Monroe Count Board of County Commissioners, Social SerN ices/in-Home Seri ices Gato Building, Board of County Commissioners (Otaa Izo /�- -19 (LWIC0 IL0 Pe4U IaV : V9W Lb Pe4U IaV :4U ATTACHMENT V11 ALZHEIMER'S DISEASE INITIATIVE PROGRAM BUDGET SUMMIARV The Alliance shall make pkvinent to the provider for provision of services Lip to a maxinaUrn number of Units ofsmice and at the rate(s) stated belcov: ...................... .......................... ........................ Service to be Provide d ........................ Service Maximum Units of . ............................ Maximum ............ ...................... ......................... Unit Rate Service Dollars Case Management . ...................... $50.51 .......................... 150 .............. .............. :$7,576.50 ................ ......................... ...................... Respite in facility ............. $10.70 .......................... 10,188 ........ .................................. $109,011-30 ............................ .......... ........... ................................. Respite In Home ................ $24,03 ........... I ............ ............. .......................... 2,000 $48,060,00 .......... .......................... .......................... TOTAL ........... ........................... ............ .............. ............................ ...... ..................... ............. ............. ..... ........ .......................... .................. ....... .. . ................ $164,647.80 ............. ............. 40 (LWICOIL0 4 3 W WOO IaV : IME) Lb 4 IaV WOW4 ALZHEIMER'S DISEASE INITIATIVE ATTACHMENT Vill INVOICE REPORT SCHEDULE Submit to Alliance on this Date I July Advance* 2 August Advance* 3 July Expenditure Report 4 August Expenditure Report 5 September Expenditure Report+ IM 0 advance reconciliation 6 October Expenditure Report+ 1110 advance reconciliation 7 November Expenditure Report + I110 advance reconciliation 8 December Expenditure Report + I110 advance reconciliation 9 January Expenditure Report+ 1110 advance reconciliation 10 February Expenditure Report + 1110 advance reconci I lotion I I March Expenditure Report + 1110 advance reconciliation 12 April Expenditure Report + 1110 advance reconcil union 13 May Expenditure Report -+- IM 0 advance reconciliation 14 June Expenditure Report+- Ifl 0 advance reconciliation 15 Final Expenditure and closeout Legend: * Advance based on projected cash need, July I July I August 10 September 10 October 10 November 10 December 10 January 10 February 10 March 10 April 10 May 10 June 10 July 10 July= 10 Note 1: All advance pay assents made to the Provider shall be returned to the Alliance as rollows: One-tenth of the advance payment received shall be reported as an advance recoupi on each Request for Payment. starting with report #5. The adjustment shall be recorded in Part C, Line I zr ofthe report (Attachment JX). Note 21 Subrnission co'expenditure reports may or maN not q as payment request, If final expenditure report reflects funds due back to the Alliance. pay ment is to accompany the report. (LWIC0 IL0 Pe4u IaV : V9W Lb Pe4u IaV :4u ATTACHMENT IX REQU EST FOR PAYMENT ALZHEIMERS DISEASE INITIATIVE PROGRAM 'ANIE, RECR3-ff " INJE, ADDRESS, Pf"ICNEft and FEV* TvPE OF REPORT The Requed Pened psA 0 A lo-WellENT RECY-JEST 8 111DETFOE) OF wylvEtfl' Advance ?a; rneum e nne. 0 D F tLel l 6 C BRTF C Afl0f l l hege by cemfy In but =rid of mylbooAladge knot ev ;e; t ea t a, onov C l e an d co"t"d and carfarm , t1 e seirre and the 'r aNasof Vie ableve noricatrit prpowed by Dale A -tooved by to lb j 21 IQ:�Aj_ ------------- ed I Approv CartfactAmourc 0 OC 00 so C 2 lonvviousFuriols lA�cenved far ContraidPonad -0 so un 7ds 3 Conrad Balance line I minas ime 2) S oo em larow Furies Requested and Not Recovved for Dw o= Pen SO 00 SDO 5 Control Bakince (lim- 3 nines 4) so GO PAPTE SO 00 SON S001 2 flet E' as Lm falarith IS -a C, $000 (DOEAForrin 10-,'Z Pon 8, Lire 3'. ". T J .'CY Al- so 00 PARTC HE LvissAdvanceApp4ed N um so 0C 0C C - vV 0 F u od 5 aje H y Re qt i A 'r. y f Pan B re rvrus Pon C L It Cl UtaotSermes / R.alas pirmited - 5K aftac�, =d rapa rt OOEA C CCINI 1062 Rwavvj e4" I-' m (LW/£0 /L0 4:)ea4uoa IaV: b9W Lb-£0-LO ;:)ea;uoa IaV :4u8wt43e44V RECEIPTAND EXPENDITURE REPORT" ALZHEIMER ALZHEIMERS DISEASE INITIATIVE PROGRAM 43 (LWICOILO PWWOO IaV : IV9W Lb PWWOO IaV :4uGwt4 ATTACHMENT A Title: Department of" Elder Afiltairs Programs & Services Handbook 0 Department of Elder Affairs Programs & Services Handbook 1111 ---- (see Providers/Program DoCLIments) or of instructions) 44 (LWIC0 IL0 Pe4u IaV : IME) Lb Pe4u IaV WOMM444 3, STAITCURRENTLYIENIRL 5�4 While bars alp. So Disablod 4- CLI -NTS CURRERTLY EN its Dtsab ed Over 41 ING BOARD, 11 APPLICABLE, (60 remale Dusa blvd C-) PAR TM USEA SEPARATE SLICE TOF 11 WER FOR M 1 xm kN % des HE.Qj lR1vG 1101?[,, Nj$ %Cl,'. 6, is Sara Assurance ofCompliance on file with D(')EA' IFNA or NO, explain. N A YES NO 7, Compare the staff oomposition to the population, Is staff representative ofthe population? I f N/A or NO, explainv N A YES NO 8, Compare the client corapendti t the population, -kre race= and sex characteristics representative of the population? If NIA or NO, cxplain N A YES NO — — -- - - -- — - — - ... 1:1 M El 9. Are clig requirements for services applied to clients and appliCants ivithoul rcgard to race, color, natiotialorigin,s-,% aid C,reli-ioiiordisaLbilitv? IFNA air \O,t-xillain, N A YES NO ............................ ''I'll'' ....... .............................. ............................. . Li El 10, .%real: henct eni:u lof hl: loapp i�-Jnl, 'I J ill all Ili eff'e0k," elantlCr rc` llaf ::,!. � .1 t� C\, , A explak �7 a-Qe, MIN,111li a or * \ k YE S ................. .............. ........................ ......................... .......... 1:3 11, For in-patient services, are room assignments ulade wilhout regard to race, color, n, or disabili(y? If A or NO, explain, N A YES NO .. . . . . . ............... ............. . .............. ---- ..................... ---- ........................ uun ..................... . . . . ............ 9 C. 0 Rey see 41 (LWIC0 IL0 Pe4u IaV : IM0 Lb Pe4u IaV WOMM444 12, Is the pro-ram/facility accessible to noll-f speaking clients? If N A or NO, explain N. A YES NO El 9 C1 15° Is the prop U fa physically accessible to nicibility, hearing, and sight-impaired individuals? 11' N!A or NO, explain, N A YES NO 11 1 9 El PARTI I 1:111EFOLLO'A IN QI I' %1 1 01�R(gAlk %IS l,NI) I tt t % I - I I I c Mt: RE EMPLOIFES, 16, HaS a self-.-valuadon been conducted to idernift any barriers cc) ser%im- disabled individuals, and tc) make any necessary nusdifications? If NO. expl' sat, YES NO $� 10 20. Are auxiliary s a lab aid vai cc to ns-Sure accu of service4 it) hearing and sightAirnpaired individuals? JFNOexjflain, YES NO PUIT IN: FORPROGRANTSORI- Wil ITIES`IIII, oft %1()Rr FNIPU)l 14 k%D I' I• 01 1 -1, Do )ou have a written affirmative action plan IfNO.esplam, YES NO Revmcd I u Pact'! 0 46 (LW/£0 /L0 4 IaV : IME) Lb-£O-LO ;0e4u0a IaV :; OW43e4W INSTRUCTIONS 1 COMPLIANCE CHECKLIST (LWICOILO PWWOO IaV : IME) Lb PWWOO IaV WOMM44V 19, COutinkling Steps must be taken to notitN ernplo ees and the Public ol'the prograrn/1'scilivy's policy or u0ndiscrinnination on [lie basis ca' disability, Tfiis inclUdes recruitment material, notices - for hearings, n n Z� ewspaper ads, and other appropriate o,ritten COMMLIIIiCalion� -;5 CFR 84.8 (a). 20. Pro grams/tac i I i ties that ernploy [5 or more persons MUSI, provide appropriate auxiliary aids to persons with impaired sensory, marmai or speaking skills where necessary, Auxiliary aids may inClUde, but are not limited to, interpreters per hearing impaired individuals. taped or Braille materials, or arty alternative reSOUrces that can be used to provide equally effective services, 45 CFR 84,52 (d), UWZIC0 IL0 Pe4u IaV : IME) Lb Pe4u IaV WOMM444 I 1. Prograrns;Tacilities with 50 or more employees and $50,000.00 in f contracts must develop, implement and maintain a written affirmative action compliance program in accordance with Executive Order 11246, 41 CFR60and Title VI ol'ilieCivil Rights Act of` 1964, as amended, DOEA Form R)1 -E3 Re wd '%I L - :11.1 2- 'i .: TI IE REST OF TI IIS P WAS IATT BLANK INTILN FIONALLY 40 UWZIC0 IL0 4:MWOD IaV : IM0 Lb 4:MWOD IaV :4UGWt4 Al"FACHMENT C ADRC OUISOURCED FUNC'r10NS Under this Contract, the provider agrees to the following, A. Perform ADRC ClUtsourced functions in accordance %vidi policies and procedures developed by the Alliance for ging, Rcfcr to the M following attachments.- Attachment C EXHIBIT 1: Policies and ProccdUreS for OUtSwurced Function- Screening Attachment C EXHIBIT 2 Policies and Procedures for 0111SOUrced Function- Termination firorn Waidist-Client Services jjiv Attachment C EXHIBIT 3: Policies and Procedures For Triage iv, Attachment C EXHIBIT 4 Policies and Procedures flor Activation from Waitlist- Client Services G. Ensure that services provided are in the clients' best interest, are the most cost ell'ecti% o l'i l i g h quality. and are responsive and appropriate to the assessed needs, The Assessed Priority Consumer List (APCL) is maintained w horl set Funded by the department are last available. Contracted providers of registered services for Alzheimer's Disease Initiative (ADI). Older American's Act (OAA and Contracted Services (CS) maintain waiting lists in the CIRTS database for Z: registered services when Funding is riot a% ailable. Note: OAA3E is an exempt funding SOUrcc for, DRC Wait List purposes, For services provided through 0AA ) E. no CI RTS cl ient data eran is require(!, Registered Services for the above l isted pro-rarris are as to] lo" s: Adult DzP Care (ADC). Adult Dav I lealth Care (ADHC). Chore (CHO). Escort (ESQ�I Health Aide 0111A). Homemaker (I­VVIK). Mode'l Da-, Care (MDC), Personal Care (PECA), Facifit Respire (RESF). m4 Ionic Respite (RESP). I U11,0ZIC0 IL0 4 IaV : V911,C) L11, 4 IaV :4UGWt4 ATTACHMENTC Exhibit I Alliance for Aging, Inc. Aging, Aging & Disability Resource Center/Ekler Helpline Policy and Procedure for Oulsourced function - Screening Creation Date: March 5. 2008 Revision Date: May 2017 Review Date: April 2014 Objective: 'ro ensure that a comprehensive list ofelients irl need of serv is maintained in CIRTS by appropriate funding source and that the ADRC i5 thereby able to effectively gauge the level ofelder service need in Miami-Dade and Monroe Counties. Policy: To obtain necessary information from clients in order to -assist in determining level of need and eligibility for rezistered services bladed through ADL OAA, and I -SP pro rams. Procedure: I ADRC Contracted Providers will collect information from callers find conduct a 7 10 IS assessmant. Alternatively. if a 701 A( B) aq�essnwnl alreadN gist, or is pro ided from another Source (i.e. CARES) the infra rtnabo'n from the 701 IS can be utilized. Based oil the information provided -, is the 701 A(B) assessment, the ADRC Contracted Provider will make a determination as to tile services that the caller is in need ofreccivine. The ADRC Contracted Provider %g ill determine tile appropriate fiunding source(z) that provides the needed services, 4. ifthe caller is in need of a services) that is not prolided bN the ADRC Contracted Pro%.ider. tile ADRC Contracted Provider %4 III refer caller to the ADRC Eider 1-felpline utilizing the ADEC Referral Forin and. or to an ADRC Contracted Pros ides that pro~ ides the needed service, The caller will be provided with general information regarding the ADRC as well as Elie ADRC I-Ider Helpline contact number. I lie caller sill be intbri oftLe er% ces and kinding sources that thc} are being placed oil the -.%cut list for fit CIRTS. being non-case managed programs. rarns. the. ADRC Contracted Provider will create a client record in CIRTS (ifthere is no existin,:, record} Li;id enter the serN cc-; needed for the caller by ftirlding source and service. [if there is an existing record in CIRTS, the appropriate fields will be updated]. 9. If the ADRC Contracted Provider determines that the caller may qualify for more than one program for which the provider is funded, ADRC Contracted Provider is encouraged to enter the appropriate information under Multiple funding sources, [if there is an existing client record in CIRTS, the client record in CIRTS will be updated with appropriate information], a UWZICOILO 4:)eJ4uO:D IaV : IME) Lb 4:)eJ4uO:D IaV :4uGwt4 9. ADRC Contracted Provider will info rin caller that they %vi H receive an annual re-assessment based on DOEA Wait List Reassessment Standards and encOUra caller to contact the ADD C Elder Helpline with any questions. � I (LWIC0 IL0 43W OD IaV : V9W Lb 4 IaV :4UGWt4 ATTACHMENTC Exhibit 2 Alliance far Aging, Inc. in & Disability Resource Center/Elder Helpline Policy and Procedure for Termination From Wait List — CI ien ts/Sery ices Creation Date: March 5. 2008 Revision Date: February 2013 Review Date: May 2017 Objective: To ensure that the comprehensive list of clients in need of services in CIRTS is appropriately maintained by funding Source and that the ADRC is thereby able to cfficcjivejy gaL1tYC the Current level of elder service need in Miami-Dade and Monroe Counties, Policy: ADRC will maintain an sections, and current fist ol'clients in need ofelder services in Miarni-Dade and Monroe Counties with the assistance ref f the ADRC Contracted Providers, Procedure: I ADRC Contracted Provider will re-screen clients which the ADRC Contracted Provider initially placed on the CIRTS wait list for services based on DOER Reassessment Standards. 1 The re-screening tatty be in the form of a phone screening or a home visit depending on the clients status (Le, active /pending) ADRC Contracted Provider will determine ifthe client is no longer in need (or eligible) for any ofthe services they were wait listed for. 4 ADRC Contracted Provider v, ill terminate the client front the oait list {entirel by specific service) rising the appropriate CIRTS termination code for any services or flunding source for which the client C is determined to no longer be eligible for or no lori in need of', ADRC Contracted Provider o ill infisrin the client of'any services. fundin SOUrCe that they are being removed firron the wait list for 9 6, ADRC Contracted Provider will inform client of their ability to be re-added to the wait list il'their level of need should change. AAEC Contracted Provider will inflarin client to contact the ADRC Elder Helpline ifthcy have any questions or concerns regarding their wait list status. & Reference DOEA Notice of` Instruction: Assessed Priority Consumer List#:062906-1 -I-OVCS as applicable. Ull,OZICOILO 4 IaV : V911,C) L11, 4 IaV :4UGWt4 ATI'ACHMENTC Exhibit 3 Alliance for Aging, Inc, in & Disability Resource Center/Eider Helpline Policy and Procedure far ClUtsourced function - Triage Creation Date: March 5, 2008 Revision Date: May 2017 Review Date: April 2014 Objective: To ensure that clients in need a' DOEA funded services receive services based on the highest level of' need. fi rst, as funding becomes available. Policy: To assist clients in obtaining DOEA funded services as funding becomes available, based oil level, of need as detenoined by a CiRTs priority score, Procedure: I ADRC Contracted Provider %vill Conduct annual reassessments based on DOER Wait List Reassessment Standards, 2, If there is no Current 70 I t A or B in CIRTS. the provider will conduct the annual reassessment (701 S) as appropriate. Based on the information provided via the 701 S: (B) assessment, the ADRC Contracted Provider will update the client information in CiRTS specifically as it pertains to level of need for services by funding source Tile ADRC Contracted Provider will ensure that the GIRT S prioritization score isaccuraleiv maintained, according to DOER Standards. 11'a significant change has occurred prior to the ' annual re- screening. the Contracted Provider must rc-�creen, Dcflnhionw and cearnples of significaut cha are documented in tile DOER Prol & Services Manual Cliapter 2, I f the caller is in need of it ser% ice(s"t that i; not prw, ided b% tile ADRC Contracted Provider, the ADRC Contracted Provider will refin caller to tile ES C' Elder I lelpline utilizing the ADRC Referral Form and. or to art ADRC Contracted Provider that pro% ides the needed service. Tile caller will be informed of the services and funding Sources that tl_ey remain oil tile visit list for nand: or have been removed from the aait list for, 5, ADRC Contracted Provider I,% Ill rei i iind cl -- :cut ol'the ADRC Elkier I lelp Line contact number and to contact the ADRC Elder I lelp Line %i, ith an-, . question or concerns. As funding It , becomes available. ADRC Contracted Provider o,illt run CIRTs Prioritization Report and activate clients according to DOF A Standards {refer to ADRC Client Activation Policies and Procedures). The Contracted Provider will apply targeting criteria, as appropriate, to prioritized clients to ensure activations meet programmatic requirements. ; 4 UWZIC0 IL0 4 IaV : V9W Lb 4 IaV :4UGWt4 ATTACHMENT C Exhibit 4 Alliance for Aging, Inc. Aging & Disability Resource Center/Eider Helpline Policy and Procedure for Activation From Wait List — Clients/ Services Creation Date: March 5, 2008 Revision Date: February 20I 3 ) Review Date: Mav 2017 Objective: To ensure that elders in need of DOE A funded services in Mianni-Dade and Monroe Counties and on the CIRTS wait list begin to receive services as funding becomes available, 0 Policy: ADRC will work with ADRC Contracted Providers to ensure that clients waiting 6or DOEA funded services begin to receive those services as funding becomes available, -- Procedure: I ADRC Contracted Provider will activate clients on CIRTS wait list based oil DOEA prioritization polices and funding availability, U11,0ZIC0 ILO PWWOO IaV : V911,C) L11, PWWOO IaV :4UGwt4 ATTACHMENT E Alliance for Aging, Inc. Business Associate Agreement This Business Associate Agreement is dated . ......... -- ........... . --' by me Alliance for Aging, Inc. ("Covered Entity") and Monroe County Board of County Commissioners, Social Serviceslin-Home Services, ("Business Associate"), a not-for-profit Florida corporation, 1,0 Background, E (LWIC0 IL0 Pe4U IaV : IME) Lb Pe4U IaV WOMM444 2.6 Breach. Tile Unauthorized acquisition. access, use, or disclosure of PH I which compromises the security or privacy Of Such information. 17 Compromises the Security. Posing individuals, . a significant risk of' Financial, repUtationale or other harm to 2.13 Malicious software. Software. for e a %i designed to damage or disrupts a systern. M (LWICOILO 4 IaV : IME) Lb 4 IaV WOMM44V 2,25 Unsecured PHI. Protected health information that is not secured through the use of technology or methodology specified by the Secretary in gUiclance issued under 4 LJ,S,C. section I 7932(h)(2). (a) Implement policies and procedures to prevent, detect, contain and Correct Security violations in accordance with 45 CVR § 164,306; (b) Prevent use or disclosure of the 1 other than as provided for by this Agreement or as required by law; (c) Reasonably and appropriately protect the confidentiality. integrity, and availability of the ePHI that the Business Associate creates, receives, mai mains, or transmits on behall'of the Covered Entity; and (d) Comply with the SccuritN Rule requirements including the Administrative Sal guards, Physical �afeguards, Technical Safeguards, and policies and procedures and documentation requirements set Forth in 45 CFR §§ 164-308, 164,310, 164,131 2, and 164, ) 16, 13 Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to Business Associate of a use or disclosure of 1 by Business Associate in violation of the requirements of this Agreement. (a) Identification of any individual Whose Unsecured P1 [I has been, or is reasonably believed b Business Associate to have been. accessed, acquired, or disclosed during such security breach, and ' (b) All inforniation required for the Votice to of Bi-each ey Unv,!curetf Proweical Health hoo'rnzaflon 3,6 Business Associate agrees to ensure that any � agent. includint, a subcontractor, to whom it pro%ides 1 t� Z received from. or created or received by Business Associate on behalf ofCovered EntitN, agrees to the same restrictions and conditions that apply through this Agreement to Business Associate ' oith respect to Such inforrnation. CP 3.7 It'Business Associate has PHI in a Designated Record Set: (a) Business Associate agrees to provide access at the request of Covered Entity during regular business hours, to PFIl in a Designated Record Set, to Covered Entity or, as directed by Entity, to an individual in order to meat le requirements under 4.5 CFR § 164.524; and M (LWICOIL0 4 IaV : IM0 Lb 4 IaV WOMM44V (b) Business Associate agrees to make any amendment(s) to PHI in a Designated Record Set that the Covered Entity directs or agrees to pursuant to 45 CFI § 164.526 at the request of Covered Entity or an Individual within 10 business clays of'receiving the request, 18 Business Associate agrees to make internal practices, books. and records, including policies and procedures and PHI, relating to tile use and disclosure of PHI received fincon, or created or received by Business Associate on behalf ofCovered Entity, available to the Covered Entity or to the Secretary upon request of either for purposes of determining Covered Entity's compliance with the Privacy Rule, 3,11 Business Associate specifically agrees to L19C security measures that reasonably and appropriately protect the confidentiality, integrity, and availability of Pill in electronic or any other form, that it creates, receives, maintains. or transmits on behalf of the Covered EntiLv. 3,12 Business Associate agrees to implement security measures to secure passwords used to access ePI-II that it accesses, maintains, or transmits as part of this Aureernent from malicious software and other man- made and natural vulnerabilities to assure the availability, integrity, and confidentiality of such information, 3.13 Business Associate agrees to implement ,securi to safeguard cPHI that it accesses. maintains, or transmits as part of this agreement from malicious software and other man-made and natural vulnerabilities to assure the availability, integrity, and confidentiality Of SUCII information, 3.14 Business Associate agrees to comply ckith: (a) ARRA § 13404 (Application ofKnowledL, ,a Elements Associated O,ith Contracts)-, (b) ARRA § 0405 (Restrictions on Certain DiICIO�Lirc-; and Sales of health IMbrination): and (c) ARRA § 1 3406 (Conditions on Certain Contacts as part of I lealth Care Operations), 4,0 Permitted Uses and Disclosures by Business Associate, I xcept a otheroise limited in this Agreement or any related agreement, Business Associate may use or disclose PI 11 to perform functions. activities, or services for. or on behalf of Covered Entity as specified in any and all contracts %vith Covered Entity provided that Such use or disclosure would not violate the Privacy Rule ifdone by Covered Entity or the minim ncce�-ar� politic, .aid 1 11 x;} CI'L!d .1 'I.It". 3.0 Specific Use and Disclosure Provisions. 5,1 Except as otherwise limited in this agreement or an,. for Elie proper manag m� ement and admitratmn of responsibilities of the Business Associate, related a-mernent. Business Associate rnac use PHI the Business Associate or to carry Out the legal 5,2 Except as otherwise limited in this agreement or any related agreement, Business Associate may disclose PHI for the proper management and administration of the Business Associate, provided that disclosures are Required By Law, or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as Required By 59 (LWIC0 IL0 4 WOO IaV : IME) Lb 4 IaV WOMM44V Law or for tile purpose far which it was disclosed to tile person. arid the person notifies the Business Associate of any instances of which it is aware in which [fie confidentiality of the information has been breached, &0 Effective Date anti Termination. The Parties hereby agree that this agreement amends. restates and replaces any other Business Associate Agreement currently in effect between Covered Entity and Business Associate' and that tile provisions of this agreement shall be effective as bellows: (a) 'rhese Business Associate Agreement provisions, with the excepti o f , the electronic Security L ' provisions and the provisions mandated by ARRA, HITECH and Part I shall be affective upon the later ol'April 14. 200j, or the effective date ol� the earliest contract entered into betocen Business Associate and Covered Entity that involves tile use Of PFIL M The electronic security provisions hereof shall be effective the later of April 21, 200; or the effective date of the earliest contract entered into between Business Associate arid Covered En that involves tile use Of PHI: ar ( Provisions hereof mandated ll� ARRA, HffECI I arid or Part I shali be ell'senve ti l o f FebrUan 17, 20 10 or tile eft ecti% e el ate le ofthe earliest contract entered into betoeen co%ered entity and business associate that in--volves the use 001 or ePI ll. K2 Termination for Cause, Upon Catered Enfit%'s knooledge of a material breach by Business Associate, Covered Entity shall either, (a) Provide an opportunin, for Business Associate to Care (lie breach or end the violation and terminate this agreement if Business Associate does riot cure the breach or end the violation within the time specified by Covered Entit Y (b) Immediately terminate this agreement il"business Associate has breached as material term of this 0 Agreement and care is not possible; or N UWZICOILO 4 IaV : V9W Lb 4 IaV :4UGWt4 (c) It' neither termination no[ Care is feasible, Covered Entity shall report the violation to the Secretary, 9.0 Regulatory References, A reference in this agreement to a section in the Privacy Rule or Security Rule means the section then in effect or as may be amended in the future. 10,0 Amendment. The Parties agree to take such action as is necessary to amend this agreement from time to time as is necessary for Covered Fnfity to comply with the requirements of the Privacy Rule, the SCCUritv Rule and the Health Insurance Portability and ACCOUntability ACE 01' 1996, Polls. L No. 1, 11.0 Survival. Any terra, condition, covenant or obligation which requires performance by either party hereto subsequent to tile termination of this agreement shall riannin enforceable a-ainst such party Subsequent tai such termination. 0 12.0 Interpretation. Any ambi(7LIitV in this agreement shall be resolved to permit Covered Entity to comply I I With tile Privacy Rule and Security RUIC, 13,0 Incorporation by reference, Any future new reqUirementfs), chan as or deletion(s) enacted in federal a lav which create new or different obligations with respect to I HPAA privac or security. shall be automatically incorporated by reference to this Business Associate Agmernent'on the respective effective date(s). To Covered Entity: Alliance bir Aging, Inc. Attention: f4ax Rothman 760 N W 107 Avenue Miami, Florida 33172 To Business Associate: Monroe County Board of County Commissioners, Social Services/In-Home Services 1100 Simonton 2-257 Key West, FL 33040 Is (LWICOILO PWWOO IaV : V9W Lb PWWOO IaV :4U Any Such notice shall be deemed delivered upon actual receipt. If any notice cannot be delivered or delivery thereof is refused, delivery will be deemed to have Occurred on the date such delivery was attempted, 15,O Governing Law. The laws of State offlorida. Without giving effect to principles orconflict of laws, govern all matters arising tinder this agreement. 16,0 Severability. If any provision in this agreement is unenforceable to any extent, the remainder of this agreement. or application of that provision to any persons or circumstances other than those as to which it is held unenforceable, will not be af by that Linen rorceability and will be enforceable to the fullest extent permitted by law, 17.0 Successors. Any successor to Business Associate (whether by direct or indirect or by purchase, merger, consolidation, or otherwise) is required to assume Business Associate's obligations Linder this agreement and agree to perform them in the same manner and to the same extent that Business Associate would have been required to if that succession had not taken place. This assumption by the successor of the Business Associate*s obligations shad be by written agreement satisfactory to Covered Entity. 18,0 Entire Agreement. This agreement constitutes the entire movement of the parties relating to tile Subject matter of this agreement and Supersedes all other oral or written agreements or policies relating thereto, except that this agreement does not lit the amendment or this agreement in accordance with section 1 0,0 o this agreement. I Covered Entity: Alliance for Aging, Inc. M M Business Associate: Monroe County Board of County Commissioners, Social Services/In-Home Services By: {simlat = rin�goviol�mims Foor Date: W?& jav } 4 61- (LW/£0 /LO ;yeaWOO IaV: b9W Lb-£0-LO ;yeaWOO IaV :4UGwt43e44V ATTACHMENT F Verification Employment tatus Certificatio . t Ties j I U 1 l %OC 0 x�r r L 'r ..:,...::...... xr.. 0 (LWIC0 IL0 Pe4u IaV : IME) Lb Pe4u IaV :4uGWt4 ATTACIMENT C HIC 9c 1al 'emaskeyer' mittan ON paq- , af 't by Lav t- c 3 fackllgn Oferive, AW bW SO NUM W "a A& n" co ky% a as WOU . as Q Apag am Rywity Of Fidef-, paliss4ui r4iec pOwItteg.. nargwa Fen �Aiv and any -owl preann In runny v hwh Mar" Finpictimmscm 0mawn- awl is ante rown lwtpa a Is'01" .1 is).N'02� F la, ssat A A Act =Ar pmWV h '4 p-, In a ", q Fa ,,air am h Me Cleta'S IMnlizOea, lund: Pfn' PIC Of tef nn'QT OF delld a L BUSE Me k. NWM wa,"afts, as ,etasdad laciltiv% and wAsea"I a 4 V, Vaq!jyj ; U %a KIM= I As [ h duta autfic, mal faMmile atative cu D r NUA un occ t !ccoled at 110b 9XIC�tJ SY 2-7W) 1027 1 r-4, 1! 2 2 I-A STAIE'Llf t LOPHDA, COUNIrs'COF 10 Wr Bfin find iubsmbis-1 betoee -,de aaaa 2L' L Of .—TuLie 2 0 if i:. H ne y k' �kvn - ---------- _ --------- as pmof f dentd�'-a ...... --------------- A EM UD try Pubo 713807 XPAS I A ME (L WICOILO 40e4u0a IaV : b9 W Lb 40e4u0a IaV :4u8wt43e44V ATTACHMENT H CERTIFICATION REGARDING SCRUTINIZED COMPANIES LIST o r s 65 (LW/£0 /LO;:)ea;uoa IaV : IME) Lb-£0-LO ;:)ea;uoa IaV : ;uauay 444 6 G AMENDMENT 002 — 06NfiRACT KZ -x.697 Page 1 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 -Rome 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 ADI Contract for fiscal year July 02, 2026 - June 30, 2017. Increase Facility Respite Services: 7,050.00 Total Increase 7,050,00 This amendment changes the total ADI contract funding from $ 164,647.80 to $171,697.80 These funds are non - recurring. Service to be Provided Service Unit Rate Maximum Units of Service Maximum Dollars Prior Units I ncrease (Decrease) Total Case Management $ 50.51 120 (0) 120 $ 6,050.53 Respite In- Facility $ 10.70 9,118 659 9,777 $ 104,610.35 Respite In -Home $ 24.03 2,540 0 1 2,540 S 61,036.92 Total Contract Amount 171,697.80 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. undersigned officials as duly authorized. Monroe County Board of County Commissioners, Social Services/ In -Home Services SIGNED BY: ALLIANCE FOR AGING, INC. SIGNED BY / `jam _,` NAME: SHERYL GRAHAM TITLE: ACTING COUNTY ADMINISTRATOR NAME: Max B. Rothman, JD, LL.M. TITLE: President & CEO DATE: 6/22/2017 DATE: �GP• I Preparetl vn 06 /21/2917 �' yJ' /r/i r' � � / • �