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Item C31M C ounty of f Monroe ELj » °o � BOARD OF COUNTY COMMISSIONERS /� � Mayor David Rice, District 4 Th e Florida Keys Mayor Pro Tem Sylvia J. Murphy, District 5 Danny L. Kolhage, District 1 George Neugent, District 2 Heather Carruthers, District 3 County Commission Meeting January 17, 2018 Agenda Item Number: C.31 Agenda Item Summary #3785 BULK ITEM: Yes DEPARTMENT: Social Services TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham (305) 292 -4510 N/A AGENDA ITEM WORDING: Ratification of Standard Contract # AA -1829, Older Americans Act (OAA) between the Alliance for Aging, Inc., (AAA) and the Monroe County Board of County Commissioners/Monroe County Social Services /In -Home Services and Nutrition Programs for the contract period of 01/01/2018 through 12/31/2018 in the amount of $628,937.57. ITEM BACKGROUND: The OAA program is a Federal program initiative that provides assistance to older persons and caregivers and is the only Federal supportive services program directed solely toward improving the lives of older people and assisting them in remaining in their homes as opposed to premature institutionalization. PREVIOUS RELEVANT BOCC ACTION: Approval of Amendment #002 to Standard Contact AA -1729 between the AAA and the Monroe County Board of County Commissioners/Monroe County Social Services /In -Home Services and Nutrition Program on 11/14/2017. CONTRACT /AGREEMENT CHANGES: No significant changes STAFF RECOMMENDATION: Approval DOCUMENTATION: BACKUP - OAA Amendment 003 OAA1829 Replacement pages 18, 3 8, 43 FINANCIAL IMPACT: Effective Date: 01/01/2018 Expiration Date: 12/31/2018 Total Dollar Value of Contract: $628,937.57 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: No If yes, amount: Grant: Yes County Match: 10% Cash Match Insurance Required: Additional Details: 12/29/17 NEW COST CENTER ADDED 125- 6153418, 125- 6153018, 125- 6153118, 125- 6153218 $628,937.57 REVIEWED BY: Sheryl Graham Completed 12/29/2017 4:39 PM Pedro Mercado Completed 12/31/2017 2:10 PM Maria Slavik Completed 01/02/2018 7:22 AM Budget and Finance Completed 01/02/2018 11:47 AM Kathy Peters Completed 01/02/2018 11:56 AM Board of County Commissioners Pending 01/17/2018 9:00 AM AMENDMENT 003 CONTRACT AA - 1729 'r � i� 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 OAA contract funding due to projected surpluses. These funds are non - recurring. De- obligate Congregate Meals - C2 by: De- obllgate Home Delivered Meals (frozen) - C2 by: TOTAL This amendment changes the total OAA contract funding from: ($15,000.00) ($30,4300.00) ($45,000.00) Page 1 $539,103.68 to $594,103.68 The Budget Summary by Title for the whole Fiscal Year Uanuary 01- December 31. 20171 Is as follows: PROGRAM TITLE FUMING ZURCE CFDA AMOUNT Older American Act Administration Title IIIB - Support Services U.S. Health and Human Services 93.084 $115,639.09 Older American Act Administration Title RIC1-Congregate Meals U.S. Health and Human Services 93.045 $137,516.32 Older American Act Administration Title IIIC2- Home Delivered Meals U.S. Health and Human Services 93.045 $199,007.07 Older American Act Administration Title iii E- Caregiver Support Services U.S. Health and Human Services 93.052 $108,015.12 Title III ES-Caregiver Su port Services $33,92608 (ITAL FEDERAL AWARD $894,103.138 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 on page two: L) 0 Go c� 0 N 1 Prepared on 09128/2017 AMENDMENT 003 i ��1 I CONTRACT AA - 1729 Page 2 Service to be Provided Service Unit Rate Maximum Units of Prior Units Additional Service Total Maximum Dollars CHORE !NB $25.00 624 0 624 $15,589.42 Homemaker 1118 personal Care IIIE $24.87 1,938 0 1,938 $48,203.91 Screening & Assessment 1118 $29,00 $26.22 1,735 0 1,735 $50,307.70 Con r e Meals C1. $9.25 59 15,733 0 -1,564 59 14,169 $11538.06 $131062.72 Con re ate Meals Screen C1 $20.00 gg 0 96 $1,925.00 Nutrition Counseling Ind C1 $70,56 41 0 41 $2,891.60 Nutrition Education C1 $0.50 3,274 0 3,274 $ 637.00 Home Delivered Maki; Frozen C2 $6.53 32 -4,844 27,652 $180 65.85 Home Delivered Meals Not C2 $6.53 1,935 0 1 $12.638.22 Nutrition Counseling Ind C2 $70.56 3 0 3 $190,00 Nutrition Education C2 $0.50 724 0 724 $362.00 Screening & Assessment C2 $26.22 200 0 200 5,251.00 Respite In -Home IIIE $22.98 653 0 653 $15,000.00 Respite In-Facliffly IIIE $10.74 6,405 18 6,423 $68,986.84 Screening & Assessment IIIE $26,22 60 0 60 1,575.00 Care iverTralnin Support Group IIIE $100.901 71 0 71 7,151.26 Care fiver Trainin Su port Ind. IIIE $75,00 204 0 204 15,302.02 CHORE RTES $25.00 353 2 355 8 Housing Improvement/Material Aid IIIES Cost Relmb. Specialized Medical Equipment IIIES Cost Reimb, 16,991.00 CONTRACT TOTAL AS AMENDED 8,OS6.03 $S9R403.68 AN provisions in the contract and any attachments thereto in conflict with this amendment shalt 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 performe 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 undersigned officials as duly authorized. Monroe County Board of County Commissioners, Social Services /in -Home Services SIGNED BY-, UW wr , • ♦ y. ALLIANCE FOR AGING, INC. SIGNED NAME: Max B. Rothman, JD TITLE: President & CEO DATE: �) 2' Z' f� Go U 0 Go c� 0 U 0 CD CD �a E (D CL L) d E ALLIANCE FOR AGING, INC. STANDARD CONTRACT OLDER AMERICANS ACT PROGRAM TITLE III THIS CONTRACT is entered into between the Alliance for Aging, Inc.. hereinafter referred to as the and Monroe County Board of County Commissioners, Social Services/In-Home Services, hereinafter referred to a's the "Provider", and collectively referred to as the "'Parties." The term contractor for this purpose may designate a vendor, sub-grantee or sub-recipient, the status to be further identified in ATTACHMENT 111. Exhibit-2 as necessary. 1. Purpose of Contract 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 constitute the contract document. 3. Incorporation of Documents within the Contract The contract incorporates by reference attachments. proposal(s), solicitation(s), Provider's Service Provider Application. and the Current DOEA Programs and Services Handbook. Any and all contracts or agreements executed between the Provider and the Alliance during the effective period of this contract shall be governed in accordance with the applicable laws and statutes. L) 0 4- 0) C4 cr 00 0 L) 0 a) 04 Co 0 as E 5. Term of Contract This contract shall begin on January. 1, 2018 or on the date on which the contract has been signed by the last party required to sign it, whichever is later. It shall end at midnight, local firne in Miami, Florida, on December 31, 2018 unless renewed or extended as provided hercin. 6. Contract Amount he Alliance agrees to pay for contracted services according to the terms and conditions of this contract in an arnount riot to exceed S �628 .93i5i subject to the availability of funds. Any costs or services paid for under any other contract or from any other source are riot eligible for payment Under this contract. The parties shall re-evaluate the contract's reimbursement rates on an annual basis pursuant to DOE A's Notice of Policy Clarification. Service Cost Reports' otice #092815-1 -PC -SCBS dated September 28"', 1-0 and the approved Alliance's Reimbursement Rate Review Policy, This contract may be extended upon mutual agreement for one extension period riot to exceed six months to ensure continuity of service. Services provided under this extension will be paid for out of the succeeding agreement amount. 8. Compliance %vith Federal Law 9.1 This contract contains federal funds, The following shal I apply: L) 0 4- 0) C4 ca 00 0 L) 0 a) 04 Co 0 Q E 8Z The Provider shall not employ an unauthorized alien. The Alliance shall consider the employment of unauthorized aliens a violation of the Immigration and Nationality Act (8 U.S.C. 1324 a) and the Immigration Reform and Control Act of 1986 (8 U,S.C. 1101). Stich violation shall be cause for unilateral cancellation of this contract by the Alliance. 8.3, If the Provider is a non-profit provider and is subject to Internal Revenue Service (IRS) tax exempt CO organization reporting requirements (filing a Form 990 or Form 990-N) and has its tax exempt status revoked for failing to comply with the filing requirements of the 2006 Pension Protection Act or for any other reason, L) the Provider inust notify Elie Alliance in writing within thirty (3 0) days of receiving the IRS notice of L- L- 1 0 revocation. 4- 9.4. The Provider shall comply with Title 2 CFl Part 175 regardirn Trafficking in Persons, 8,5, Unless exempt tinder 2 CFR Part 170.1 10(b), the Provider shall comply with the reporting requirements of the Transparency Act as expressed in 2 CFR 170, 9. Compliance with State Law 9.1. This contract is executed and entered into in the State of Florida, and shall be construed, performed and enforced in all respects in accordance with the Florida law, including Florida provisions for conflict oflaws. 9,2, 'The Provider shall comply with the requirements ofs. 287.058, F.S. as amended. 0) N 00 0 U 0 a) 04 CO 0 as E contract except for those records which are made confidential or exempt by law. The Provider's refusal to comply with this provision shall constitute an immediate breach of'contract for which the Alliance for A in g, Inc, may unilaterally terminate the contract, e� - 9.3. If clients are to be transported under this contract, the Provider shall comply with the provisions of Chapter 427. F,S- and Rule 41-2, F. A. C, 9.4. Subcontractors who are on the discriminatory vendor list may not transact business with any public entity, in accordance with tire provisions of sr 287 1"' . rs' 9.5. Tire Provider will comply with the provisions of s. 11.062, F,S,, and a. 2) 16.347, F.S,, which prohibit the expenditure of contract funds for the purpose of lobbying the legislature, judicial branch or a state a 10. Background Screening 10.1. The Provider shall ensure that the requirements of s, 430.0402 and Chapter 435. F,S., as amended, are (net regarding background screening for all persons who meet the definition of a direct service provider and who are riot exempt from the Department's level 2 background screening pursuant to s. 430.040 F.S, The Provider Most also comply with any applicable rules promulgated by the Department and the Agency for Health Care Administration regarding implementation of a. 430,0402 and Chapter 431, F.S. 10,2, Further information concerning the procedures bur background screening is found at 10.3. Background Screening Affidavit of Compliance - To demonstrate compliance with this contract, the Provider shall submit A D, , Background Screening Affidavit of Compliance annually , by January 15th, ,a I I I � G ri eva n ce Proced a res The Provider shall comply with and ensure subcontractor compliance with the Minimum Guidelines for Recipient Grievance Procedures. Appendix D, DOA Programs and Services Handbook, to address complaints regarding the termination. suspension or reduction of services, as required for receipt of funds, L) 0 4- 0) N cr 00 0 L) 0 a) 04 CO 0 Q E EEMM 124 Audits, Inspections, Investigations, Public Records and Retention 12.1 The Provider shall establish and maintain books, records and documents (including electronic storage media) Sufficient to reflect all assets, obligations, unobligated balances, income, interest and expenditures of funds provided by the Alliance under this contract. Provider shall adequately safeguard all such assets and assure they are used solely for the purposes authorized under this contract. Whenever appropriate, financial information should be related to performance and unit cost data. 12.2 The Provider shall retain all client records, financial records. supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this contract for as period of six (6) years after completion of the contract or longer when required by law. In the event an audit is required by this contract, records shall be retained for as minitnurn period of six (6) years after the audit report is issued or until resolution of any audit findings or litigation based on the terms of this contract, at no additional cost to his Alliance, 12.3 Upon demand, at no additional cost to his Alliance, the Provider will facilitate the duplication and transfer of any records or documents durim L - the required retention period in Paragraph 12,20 12.4 The Provider shall assure that the records described in Paragraph 12.2 shall be subject at all reasonable times to inspection, review, copying. or audit by Federal, State, or other personnel duly authorized by the Alliance. 12-5 At all reasonable times for as long as records are maintained. persons duty authorized by the Alliance, DOEA and Federal auditors, pursuant to 45 CPR 92.36(i)(10), shall be allowed Jall access to and the right to examine any of the Provider's contracts and related records and documents pertinent to this specific contract, regardless of the forin in which kept. 12.6 The Provider shall provide as financial and compliance audit to the Alliance as specified in this contract and in A*rTACI-IMENT III and to ensure that all related party transactions are disclosed to the auditor. 117 The Provider shall comply and cooperate immediately with any Inspections, reviews, investigations, or audits deemed necessary by the office of the DOEA's Inspector General pursuant to s, 20,055, F. S. 13. Nondisc rim ination-Civil Rights Compliance 13.2 Durim the terin of this contract. the Provider shall complete and retain on file as thusly, complete and UICCUrate Civil Rights Compliance Checklist (ATTACHMENT B). 13.3 The Provider shall establish procedures pursuant to federal law to handle complaints of it iscrirm nation involving services or benefits through this contract. These procedures will include notifying clients, M- employees, anti participants of the right to File as complaint with the appropriate federal or state entity. 13.4 If this contract contains federal funds, these assurances are a condition of continued receipt of or benefit from federal financial assistance, and are binding upon the Provider, its successors. transferees, and assignees for the L) 0 ca 4- 0) IVI 00 is 0 L) 0 a) 04 cc 0 r- (D E M 1 T 1 Except to the extent permitt ed by s. 768.28, F. S.. or other Florida law. Paragraph 15 is not applicable to contracts executed between the alliance and state agencies or subdivisions defined in s. 76&28(2), F, S, 1 8. Insurance and Bonding L) 0 4- 0) N 00 0 L) 0 a) C`4 CO 0 Q E the Alliance has copy of the most current written verification of insurance divers throughout the term of this contract. Stich coverage may be provided by a self-insurance program established and operatiray under the laws 7 —1 M- ofthe State of Florida, The Alliance reserves the right to require additional insurance as specified in this contract, 1 &2 Throughout the term orthis agreement, the Provider shall maintain an insurance bond from a responsible commercial insurance company covering all officers, directors, employees Laid agents of the Provider authorized to handle funds received or disburse(] tinder all agreements and/or contracts incorporating this contract by reference in an amount commensurate %vith the funds handled, the degree of risk as determined by the insurance company and consistent with good business practices, 19. Conridentialitv of Information The Provider shall not use or disclose limy information concerning a recipient of services under this contract for any purpose prohibited by state or federal law or regulations except with the written consent of a person legally authorized to give that consent or when authorized by law. 21). Health Insurance Portability and Accountability Act Where applicable, the Provider shall comply with the Flealth Insurance Portability and Accountability Act (42 USC 1320d.), as well as all regulations promulgated thereunder (45 CFA 160. 162, and 164), 21. Incident Reporting 21.1 The Provider shall notify the Alliance immediately but no later than forty-eight (48) hours front the Provider `a awareness or discovery of conditions that may materially affect the Provider or Subcontractor's ability to perform the services required to be performed under any contract. Stich notice shall be made orally to the Contract Manager (by telephone) with an small to immediately follow. 21 w2 The Provider shall immediately report knowledge or reasonable suspicion of'abLise, neglect. or exploitation of a child, aged person, or disabled adult to the Florida Abuse Hotline on the statewide toll free telephone number (I -800-96A BUSE). As required by Chapters 39 and 415, FaS_ this provision is binding upon the Provider, Subcontractors, and their employees. 23. Sponsorship and Publicity CO L) 0 4- 0) C4 00 0 Ca 0 a) 04 CO 0 as E 23,2 The Provider shall not rise the words "Tile State of Florida Department of Eilder A fairs'" or "Alliance for Aging, Inc." to indicate sponsorship of a progrant otherwise financed, unless specific authorization has been obtained by the A I Hance prior to rise. 24. Assignments 24A 'file Provider she[[ not assign the rights and responsibilities under this Contract without the prior'%vritlen approval of the Alliance, which site]] not be unreasonably withheld, Any sublicense assignment, or transfer otherwise occurring without prior written approval of the Alliance will constitute a material breach of the contract. 24.2 The Alliance shall at all thries, be entitled to assign or transfer, in whole or part, its rights, duties, or obligations under this contract to another agency upon giving prior written notice to the Provider. Ira the event the alliance approves transfer of the Provider's obligations. the Provider remains responsible for all North performed and all expenses incurred in connection with the contract. 24, ) This contract shall remain binding upon the successors in interest of either the Provider or the Alliance, 25. Subcontracts 255,1 The Provider is responsible for all work performed purstrant to this contract and the Service Provider Application in response to the 2012 OAA RFP. Any subcontracts shall be evidenced by a wrinen document and subject to tiny conditions of approval the Alliance for Arijjjl deems necessary. The Provider further agrees that the Alliance shall not be liable to the subcontractor in any way or for tiny reason. The Provider, at its expense, shall defend the Alliance against any such clairns. 25,2 The Provider shall promptly pay any subcontractors upon receipt of payment from the Alliance. Failure to make payments to any subcontractor in accordance with s. 287.0- RS., unless otherwise stated in the contract between the Provider and subcontractor, wil I result in a penalty as provided by statute. 26. Funding Obligations 26,1 'rhe Alliance acknowledges its obligation to pay the Provider fear the performance of file Provider's duties and responsibilities set forth in amy contract or agreement incorporating in this agreement, 26e2 The Alliance shall not be liable to the Provider for costs incurred or performance tendered unless such costs and performances are in accordance with the ternis and conditions of any contract or agreement executed between the parties, which incorporates this Contract, including but not limited to terms. governing the Provider's promised performance and unit rates and/or reimbursement capitations specified. 63 The Alliance shall not be liable to the Provider for any expenditures which are not allowable costs as defilled in the CYR. Title 45, Parts 74 and 92, as amended, or which expenditures have not been made in accordance with all applicable state and federal rules. 26.4 The A I I lance shal I not be liable to tile Provider for expenditures made in violation of repo let ions prormi lgated Linder the Older Americans Act, as arnended- or in violation of applicable state and federal laws, rules. or provisions of any contract or agreement incorporating in this Contract. I L- co L) 0 4- 0) N ca 00 0 L) 0 a) 04 cc 0 as E M 2833, The Provider and Subcontractors shot[ provide units of deliverablesa including reports. findings, and drafts as specified in the contracts or agreements and attachments which incorporate this Contract to be received and accepted by the Contract Manager prior to payment. 28.4. Payments will be made to the Provider based on a complete and correct invoice, invoices that are incomplete or wiih incorrect total will not be processed and will be returned to the Provider for correction. Fiscal staff' wi H not be able to correct or make changes to the invoices, Returning invoices far corrections may result in failure to receive payment for that month, Invoices shall be submitted timely as per ATTACHMEN'r viii in order to avoid any payment delays, 2M, Each service performed shall be recorded as specified in the client infiarmaimn and registration tracking systern (CHITS) guidelines. Supporting documentation of services provided must be adequate to permit fiscal and programmatic evaluation, and ensure internal manatenrient. 29. Return of Funds The Provider will return to the Alliance any overpayments due to unearned funds or funds disallowed and any interest attributable 10 SUCII hands pursuant to the terms and conditions of this contract that were disbursed to the L) 0 4- 0) N cr 00 0 L) 0 a) 04 Co 0 as E Provider by the A I I lance. In the event that the Provider or its independent aUdiner discovers that an overpayment has Been made, the Provider shall repay said overpayment immediately WithOUt prior notification from the Alliance. In the event that the Alliance first discovers an overpayment has been made, the Contract Manager, on behalf of the Alliance, will notify the Provider by letter of such findings. Should repayment not be made forthwith, the Provider will be charged at the lawful rate of interest air the outstanding balance pursuant to a, 55.03, F,S., after Alliance notification or Provider discovery. L) 0 4- 0) N 00 0 L) 0 a) 04 CO 0 as E consultant tinder a contract with any public entity and may not transact business with any public entity in excess of the threshold amount provided in s. 28 F.S., for CATEGORY TWO for a period of 36 months following the date of being placed on the convicted vendor list. 34, Emergency Preparedness and Continuity oft peraations 34,1 If the tasks to be performed pursuant to this contract include the physical care arid control of clients. or the administration and coordination of services necessary for client health, safety or welfare, tile Provider shall, within thirty (30) calendar days of the execution of this contract, submit to the Contract Manager verification of an eern ergency , preparedness plan (Continuity of Operations Plan.) In the event of air emergency, the Provider shall notify the Alliance ofernergency provisions, 34.2 In the event a situation results in a cessation of services bv a Subcontractor. the Contractor shall retain responsibility for performance under this contract and intist follow procedures to ensure continuity Of operations Without interruptions, 36. The PUR 1000 Form is licreby incorporated by reference and available at: In the event of any conflict between the 1 1000 Form and any terms or conditions of any contract or tigreernent terms or conditions the contract shall take precedence over the l LJR 1000 Form. Flowever,117 the conflicting terms or conditions in the PUR 1000 Form are required by any section of the Florida Statutes. the terms or conditions contained in the FUR 1000 Form shall take precedence, 37. Use of State Funds to Purchase or Improve lReal Property Any state funds provided for the purchase of'or improvements to real property are contingent upon the Provider or political Subdivision granting to the state a security interest in tile property at least to the amount of state kinds provided for at least i years frown (lie date Of purchase or the completion o improvements or as further required by law. 38. Dispute Resolution Any dispute concerning performance ofthe contract shall be decided by tile Contract Manager. who shall reduce the decision to writing arld serve a copy on tire Provider, 3 9. Financial Consequences of Non-Perfoemance Co L) 0 4- 0) N ca 00 0 L) 0 a) 04 Co 0 as E 39.1 If the Provider falls to meet the minimUM level of service or performance identified in this agreement, or that is customary for the industry, then the Alliance may apply financial consequences commensurate with the deficiency as referenced in ATTACHMENT 1, See. 3.x.2. Financial consequences may also include contract suspension, refusing payment, withholding Payments Until deficiency is cured, tendering only partial payments, and/or cancellation of contract and reacquiring services from an alternate source. 39.2 The Provider shall not be charged with financial consequences. when as failure to perform arises Out Of Causes that were the responsibility of(he Alliance. 40. No Waiver or Sovereign Immunity Nothim contained in this agreement is intended to serve as a waiver of soverchyn immunity by any entity to which sovereign immunity may be applicable, 41. Venue If any dispute arises out of this contract, the venue of such legal recourse will be Miarni-Dade County, Florida. 42. Entire Contract This contract contains all the terms and conditions agreed upon by the parties. No oral agreements or representations shall be valid or binding upon the Alliance or the Provider unless expressly contained herein or by a written amendment to this contract slimed by both Parties, 43. Force Majeure The Parties will not be liable for any delays or failures in performance due to circumstances beyond their control, provided the party experiencing the force majeUre condition pro•. ides hurnediate written notification to the other party and takes all reasonable efforts to cure the condition. 44. Severability Clause The Parties agree that ire court of competent jurisdiction deems any term or condition herein void or Line ri forecable, the other provisions are severable to that void provision and shall remain in fall force and effect. 45. Condition Precedent to Contract: Appropriations The Parties agree that the A] liance's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. 46. Addition/ Deletion The Parties agree that, notwithstanding the terms of the procurement documents and actions leading to this contract, the Alliance reserves the right to add or to delete any of the services required under this contract when deemed to be in the best interest of the elder population targeted by the Area Plan and reduced to a written amendment signed by both Parties. The Parties shall negotiate compensation for any additional services added. 47. Waiver The delay or failure by the Alliance to exercise or enforce any of its rights Linder this contract shall not constitute or be deemed a waiver of the Alliance's rh7ht thereafter to enforce those rights. nor shall any single or partial exercise of any such right preclude any other or further exercise thereof or the exercise of any other right. 48. Compliance The Provider shall abide by all applicable current federal statutes, laws, rules and regulations as well as applicable Current State statutes, laws, rules and regulations. The Parties agree that failure ofthe Provider to abide by these L) 0 4- 0) C4 00 0 L) 0 a) 04 cc 0 Q E M laws shall be deemed an event of default of the Provider, and subject the contract to immediate, unilateral cancellation of the contract at the discretion of the Alliance. 50. Renegotiations or Modifications Modifications of the provisions of this contract shot[ be valid only when they have been reduced to writing and duly signed by both parties. 52. Termination 50.1 This contract may be terminated by either party without cause upon no less than thirty (30) calendar days' notice in writing to the other party unless a sooner time is Mutually agreed upon in writing. Said notice shall be delivered by US, Postal Service or any expedited delivery service that provides verification of delivery or by hand delivery to the Contract Manager or the representative of the Provider responsible for administration of the contract, ' 50A failure to have performed any contractual obligations with the Alliance in it manner satisfactory to the Alliance will be a sufficient cause for termination. To be terminated as a contractor under this provision, the Provider L) 0 4- 0) N 00 0 L) 0 a) 04 Co 0 as E M must have (1) previously failed to satisfactorily perform in a contract with [lie AH lance, been notified by the A Iliance of the unsatisfactory performance and failed to correct the unsatisfactory performance to tire satisfaction of the Alliance; or (2) had a contract terminated by the A I I lance for cause. 50.5, Waiver or breach of -,my provisions orthis contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification orthe terms and conditions or this contract. The provisions herein do not limit the Alliance's right to remedies at law or to damages of a legal or equitable nature, 53.L The Alliance's authorization pursuant to this section does not authorize electronic transactions between the Provider and the Alliance. The Provider is authorized to conduct electronic transaction, with the Alliance only Upon further written consent by the Alliance. 53.2. Upon request by the Alliance, the Provider shall provide tile Alliance or D with non-electronic (paper) copies of records. Non - electronic (paper) copies provided to the Alliance of zany document that was originally in electronic form with an electronic signature trust indicate the person and the person's capacity who electronically signed the document on any non - electronic copy of the document, 54 Special Provisions: The Provider agrees to the following provisions: 55. Enforcement: L) 0 4- 0) N 00 0 L) 0 a) 04 Co 0 Q E 55.1 In accordance with Section 430.04, F.S., the Alliance may, without taking any intermediate measures available to it against this Contract rescind this Contract if the Alliance rinds that.- 55.2 An intentional or negligent act of the Provider has materially affected the health, welfare, or safety of clients served pursuant to any contract or agreement incorporating this Master Contract by reference, or substantially and negatively affected the,operation of services covered under any contract or agreement: 55.7 In the alternative, the Alliance may, at its sole discretion, in accordance with section 430,04.F.S.. take immediate measures against the Provider, including: corrective action, unannounced special monitoring, temporary assumption of the operation of one or more contractual services, placement of the Provider on probationary status. imposing a moratorium on Provider action, imposing financial penalties for nonperformance, or other administrative action pursuant to Chapter 120. F.& 55.8 In making any determination Linder this provision the Alliance may rely upon the findings of another state or federal agency, or other regulatory body. Any claims for damages for breach of any contract or agreement are exempt from administrative proceedings and shall be brought before the appropriate entity in the vanue of Miami-Dade County. 56. Training The Provider will attend all required trainings and meetings schedule by the Alliance. L) 0 4- 0) N ca 00 0 L) 0 a) 04 CO 0 as E EMMH= 57. Official Payee and Representatives (Name, Address, and Telephone Numbers) Tire name, address, and telephone normser of the representative for the Alliance for this contract is: Max B. Rothman, J[y LL. M. President and CEO 760 NW 107th Ave. Suite 214 Miami, Florida 3.3172 (305) 670-6500, Ext. 224 The name, address, and telephone number of the representative of the Contractor responsible for administration of the program under this contract is: .......................................................................................................................................... ... .. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... The Contractor name. as shown on page I of this ........................................................................... Monroe County Board of County Commissioners, A contract, and mailing address ofthe official S S S ocial ervices/fil-Flome ervices payee to whore the payment shell be made is: S I 100 imonton Street, 2"' Floor Key West, FL 33040 ....................................................................................... .. ... ... ... ... ... ... ... ... ... ... ... ... .. 305-292-45 10 ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...... ................................... ***'***'***'***'***'***-x- ............................................................................................................ Sheryl Graharn T he narne of the contact person of the Monroe County Board of Countv Commissioners. B Contractor and street address where financial Social Services/In-l-lorne Services and administrative records are maintained ise I 100 S inionton Street. 2 nd Floor Rev West, FL 33040 ..................... .................................................................. ... ... ... ... ... ... . .. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... 305-292-4510 ............... 1111111111111111111 ..................................................................... ............................................................. Sheryl Graham The name, address, and telephone number of the Monroe County Board of County Commissioners. c representative of the Provider responsible for Social Services/In-Home Services administration of the program under this 1100 Simonton Street, 2 rsS Floor contract is" Key. West, FL 33040 . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. .................................................................... ............................................................... 305-292-4510 . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... I I lance for Aging. Inc, The section and local ion k.' idiin the AA J.: -ere Fiscal Department Requests for Payment and Receipt and 107th Avenue. Suite 214 Expenditure forms are to be mailed i Ani. Florida 33172-3155 .. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ................................................................... .............................................................. 305-670-6500 . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... cc L) 0 4- 0) 04 00 0 L) 0 a) 04 co 0 Q) E The name, address, and telephone number of the Contract Manager for the AAA f or this contract is: L. Contract Monitor Alliance for Aging, Inc. 760 NW 107th Avenue, Suite 214 Miami. Florida 33 1 72 -3 1 55 305-670-6500 Upon change of representatives (names, addresses. telephone numbers) by either party, notice shall be provided in writing to the other party and Inc notification attached to the originals of this contract. 58. All Ternis and Conditions Included This contract and its Attachments. I through X, A, B. C� D, F, F, G, I-I and any exhibits referenced in said Co attachments. together with any documents incorporated by reference, contain all the terms and conditions agreed upon by the Parties. There are no provisions, terms, conditions, or obligations other than those contained herein, and L) this contract shall supersede all previous communications. representations or agreements, either written or verbal 0 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 sensed this 71 page contract. to be accented by their undersigned officials as duly authorized. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, SOCIAL SERVICESIIN-HOME SERVICES SIGNED BY: ALLIANCE FOR, AGING, INC. NAME: MAX B. ROTHMAN, JD, TITLE: -60L�La ./kjnajAiSj[ C` TITLE: PRESIDENTAND CEO DATE- I DATE: 0) C4 00 0 L) 0 a) 04 Co 0 Q E INDEX TO CONTRACT ATTACHMENTS ATTACHMENT ATTACHMENT DESCRIPTION PAGE ATTACHMENT I STATEMENT OF WORK 19 -31 ATTACHMENT II CERTIFICATION REGARDING LOBBYING 32 ATTACHMENT III ATTACHMENT III EXHIBIT I ATTACHMENT III EXHIBIT 2 ATTACHMENT IV ATTACHMENT V FINANCIAL COMPLIANCE AUDIT ATTACHMENT AUDIT REPLATIONSHIP DETERMINATION FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT CERTIFICATION REGARDING DATA INTLGRITY COMPLIANCE CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION CON TRA CTS /S UBCONTRAC TS ATTACHMENT VI ATTACHMENT VII ATTACHMENT VIII ATTACHMENT IX ATTACHMENT X, EXHIBIT I ASSURANCES NON - CONSTRUCTION PROGRAMS 33 -35 36 -37 ' 38 39 40 CONTRACT BUDGET SUMMARY BY SERVICE AND TITLE 43 OLDER AMERICANS ACT CONTRACT REPORT CALENDAR REQUEST FOR PAYMENT I 45 RECEIPTS AND EXPENDITURES, TITLE IIIB, IIIC1. AND IIIC2 46 ATTACHMENT X, EXHIBIT 2 ATTACHMENT A ATTACHMENT B RECEIPTS AND EXPENDITURES, TITLE IIIF ' 47 DEPARTMENT OF ELDER AFF AIRS' PROGRAMS & SERVICES HANDBOOK (ON Alliance FOR AGING, INC. INTERNET SITE) DEPARTMENT OF ELDER AFFAIRS' CIVIL RIGHTS COMPLIANCE 49 -54 CHECKLIST AND INST RUCTIONS r ATTACHMENT C D ARTMENT'S CO PL'TER USE POLICY AND ITS SOCIAL MEDIA i 55 POLICY, PROVIDED ON CD INSTRUCTIONS ATTACHMENT D BACKGROUND SCREENING AFFIDAVIT OF COMPLIANCE 56 ATTACHMENT E VERIFICATION OF EMPLOYMENT STATUS CERTIFICATION 57 r F INESS ASSOCIATE: AGREEMENT 1 58 -64 ATTACIIMLIvT G + ADRC POLICY AND PROCEDURES FOR OVISOL RCE.D FUNCTIONS 65-) IF AT TACHM ENT H CERTIFICATION REGARDING SCRUTINIZED COMPANIES LIST 1_ �.L 1 s 6 I­ Page 18 of 70 - U 0 04 c� 0 U O 04 d O Q EUMM Alliance FOR AGING, INC. STATEMENT OF WORK OLDER AMERICANS ACT PROGRAM TITLE III SECTION I- SERVICES TO HE PROVIDED ATTACHMENT I 1.1 Alliance For Aging, Inc. Mission Statement The Alliance mission is to promote and advocate for the optimal quality offily for older adults and their families. 1.2 Program Specific Terms Area Plan: A plan developed by the area agency on aging outlining a comprehensive and coordinated service delivery system in its planning and service area in accordance with the Section '006 (42 U&C� 3026) of the Older Americans Act and DOEA instructions, area Flare Update: A revision to the area plan %%hercin the Alliance enters OAA specific data in the Client Information and Registration Tracking System (CIRTS), An update may also include other revisions to the area plan as instructed by the DOEA. Child: An individual who is not more than 18 years of age or an individual with disability, Family Caregiver: An adult formly mernber, or another individual. %% [to is an informal provider of in-home and community care to an older individual, Frail: When an older individual is unable to perform at least two activities of daily living (ADLs) without substantial human assistance, including verbal reminding, physical casino or , supervision: or due to cognitive or other mental impairment, requires substantial SUpervision because the individual believes in a manner that poses a serious health or safety hazard to the individual or to another individual. Grandparent: A grandparent or step-grandparent of a child. or a relative of a child by blood, marriage or adoption and who lives with the child; is the primary caregiver of the child because the biological or adoptive parents are unable or unwilling to serve as the primary caregiver of the child; and has a legal relationship to the child, Such as legal custody or guardianship. or is raising the child informally. 1.3 General Description L) 0 4- 0) 04 ca 00 es 0 L) 0 (7) 04 0 as E 1.3.2 Authority In accordance with Chapter 287 F. S,, amended, and Department of Financial Services' Chief Financial Officer Memoranda, the following memoranda are hereby incorporated by reference: (1) CFO lento No. 02: Release date, October 3. 2012; (2) CFO Merno No. 07: Release date, June 27. 2012: (3) CFir memo No.01: Release date, July 26,2012; and (4) CFO Memo No. 06: Release date, June 30, 7010. 1.3.3 Scope of Service The Provider is responsible for coordinating and assessing the needs of older persons, and assuring the availability oaf f quality services. The services shall be provided in a manner consistent with, and described in, both the current DOER Programs and Services Handbook and the Provider's Service Provider Application(s) submitted in response to the 2012 OAA RFP. 1.3.4 Major Program Goals 'rhe major goals of the OAA program are to improve the quality of life for older individuals, preserve their independence and prevent or delay more costly institutional care. These goals are achieved through the implementation of a comprehensive and coordinated service system that provides as continuum of service alternatives that meet the diverse needs of elders and their caregivers. 1.4 Clients To Be Served 1.4,1 General Description Preference shall be given to those with the greatest economic and social needs, with particular attention to low- incorne older individuals, including those that are low-income minorities, have limits([ English proficiency, and older individuals residing in rural areas. 1.4 1.2 OAA Title 11113, Supportive Services. Client Eligibility (1) Individuals age 60 or older Co L) 0 4- 0) C4 ca 00 0 L) 0 a) 04 0 Q E 1.4,1 .3 OAA IIIC I and HIC2, Nutrition Services, Client Edibility 1 A1 4 OAA Title I I IC I, Congregate NUtrition Services [A-1.5 OAA Title HIC2. Horne Delivered Nutrition Services 1A.1.6 OAA Title I I IE. Caregiver Support Services, Client Eligibility w L) 0 4- 0) N 00 0 L) 0 a) 04 Co 0 as E SECTION 11 — MANNER OF SERVICE PROVISION 2. 1.1 Supportive Services (I I I B program) Supportive services include a variety of community-based and home-delivered services that support the quality of life for older individuals by helping them remain independent and prodUCtive, 2. 1, 1, 1, Services include the rollowing: (1) Adult Day Care/Adult Day Health Care; (2) Caregiver Training/Support; (3) Case Aid/Case Management; (4) Chore Services; (5) Companionship; (6) Counseling (Gerontological and Mental Health); (7) Education/Training: (8) Legal Assistance: (9)Material Aid; (10) Occupational Therapy, (11) Outreach; ( 12) Personal Care; (13) physical Therapy. (14) Shopping Assistance'. (1 5) Skilled Nursing; (1 6) Specialized Medical Equipment, Services, and Suppi es (1 7) Recreation; 18) Ern a rgency Alert Respo nse; (1 p) Escort (20) Ficalth Support. (21) Home Health Aid; L) 0 4- 0) C4 00 0 L) 0 a) 04 Co 0 Q E U 0 N c� 0 U d 0 04 d 0 as E 2.1-1.5. Caregiver Support Supplemental Services (IIIES Program). The following services are provided to 2.1 r? Use of Volunteers to Expand the Provision of Available Services 2,1 Z 1 Use of Volunteers to Expand the Provision of Available Services 2 1.2.2. The Contractor shall submit an annual undilplicated report of volunteer hours oil the formal provided by the Alliance. The data collection period is from January I December 31 for each calendar year. .1 'he data submission date is 5 working days following the close of the contract period. 2,13. Monitoring the Performance Of Subcontractors The Provider shall conduct at least one monitorin ,a per year of each subcontractor and:or vendors paid from funds provided under this contract. The Provider shall perform Fiscal. administrative and programmatic monitoring (if f cach sub-comractor to en�n rre contractual compliance, fiscal accountability, progralornatic performance, and compliance with applicable state and federal laws anti regulations. 2.1.4, Subcontractor Outreach Reporting Requirements The Provider shall document its performance of Outreach activities, by submitting it uniform reporting formal provided by the Alliance that includes the follooing: number and type of provider events or activititnc, date and location; total number of participants at each event or activity, individual service needs identified; and referral sources or information provided. The Provider shall complete and submit this report on outreach L) 0 4- 0) N 00 0 L) 0 a) 04 co 0 Q E M activities at least semi-annUally, Reports must be submitted by June 30 and December 31 of each contract year, 2.2 SERVICE LOCATION 2.2.1 Service Times The Provider shall ensure the provision of the services listed in the contract during normal business hours unless other times are more appropriate to rneet the performance requirements of the contract, and it shall monitor its subcontractors to ensure they are available to provide services during hours responsive to client needs and during those times which best meet the needs of the relevant service cormounity, 2.3 DELIVERABLES 2.3.1 Services Title Provider shall provide the services described in the contract in accordance with the current DOEA Program and Services Handbook, Units of service will be paid pursuant to the rates established in ATTACHMENT V11, 2.4 REPORTS The Provider is responsible for responding in a timely fashion to additional routine and/or special requests for information and reports required by the Alliance, The Provider must establish due dates for any subcontractors that permit the Provider to rneet the Alliance's reporting requirements. 2,4.2 Surplus/Deficit Report The Provider will respond to the consolidated SUrplUs/Deficit report in a former provided by the Alliance to the Alliance's contract manager. S Urpl us/De licit reports must be submitted with tile monthly request for payment. This report is for all services provided in this agreement incorporating in this Contract between the Provider and the Alliance, The report will include the following: co L) 0 4- 0) 04 co 00 0 L) 0 a) 04 co 0 r- 4) E M 2.6 RECORDS AND DOCUMENTATION The Provider shall maintain documentation to support Request for Payment that shall be available to the Alliance or aUthorized individuals, such as DOE A and De am - neat of Financial Services, upon request, 2.6,2 Data Integrity and Back-tip Procedures 17 PERFORMANCE SPECIFICATIONS 2.7,1 Outcomes and Outputs (Performance Measures) At a minimum, the Provider n1ust: (1) Ensure the provision of the services described in this contract are in accordance %vith the current DOEA programs and Services Handbook and in the Manner of Service Provision described in this contract, (2) Submit to the Alliance all information described fit this contract, (3) Develop and document strategies in the Service Provider Application (SPA) to support the Department's performance outcome measures in the following criteria: L_ L) 0 4- 0) 04 00 0 L) 0 a) 04 co 0 as E 2,7,2 Monitoring and Evaluation Methodology The Alliance will review and evaluate the performance ofthe Provider tinder the terms of this contract. Monitoring shall be conducted through direct contact with the Provider throe '-la telephone, in writing, and/or art oft-site visit. The Alliance's determination of acceptable performance shall be conclusive. The Provider agrees to cooperate with the Alliance in monitoring the progress of completion of the service tasks and deliverables. Z-1 The Alliance may use, but is not limited to, one or more ofthe following methods for monitoring: 7 .3 Rernedies-Nonconforming Services The Provider shall ensure that all participants served under this a , greement are eligible for the program, and that all monthly and/or quarterly performance reports and financial records are maintained for each reporting period and submitted as stipulated in 2.4. 15, 2.6, and 17. 2.8 CONTRACTOR'S FINANCIAL OBLIGATIONS L) 0 4- 0) C4 ca 00 0 L) 0 a) 04 Co 0 as E I ) The Provider assures compliance with Section 3 ) 15 offlic OAA as amended in 2006, in regard to consumer contributions; 2) Voluntary contributions are not to be used for cost sharing or matching; 3) Accumulated Voluntary contributions are to be used prior to requesting federal reirnbursernent; and 4) Voluntary contributions are to be used only to expand services. 2,83 Use of Service Dollars The Provider is expected to spend all federal, state and other funds provided by the Alliance for the purpose specified in the contract. The Provider must manage the service dollars in such a manner so as to avoid having a wait list and a surplus of funds at the end of the contract period, for each program managed by the Provider. Pro ram SUFFILISCS must be reported to the Alliancx. 2,8.4 Surplus Recapture In accordance with its surpluckleficit management policies, in order to maximize available funding and Co minimize the time that potential clients must wail for services, the A] liance in its sole discretion can reduce funding awards if the Provider is not spending according to monthly plans and is projected to inxUr a surplus at the end of the year. L) L _ 0 4- 2.8.5 'The Provider agrees to use funds as detailed in the Budget Summary, ATTACUMENT Ali. Any changles in the amounts of federal or general revenue funds identified on the Budget Summary herm require a contract amendment. Providers must adhere to Alliance's Modified Spending Policy, incorporated by reference, when requesting changes to the badger Summary Form. 2. .6 Title I I I Funds The Provider assures compliance with Section 306 of the Older Americans Act, as amended in ' that funds received under Title III will not be used to pay any part of a cost (including an administrative cost) incurred by the Provider to maintain a contractual or commercial relationship that is not carried out to implement Title 111. 2.9 ALLIANCE'S RESPONSIBILITIES: 2.9,1 Program Guidance and Technical Assistance The Alliance will provide to the Provider guidance and technical assistance as needed to ensure the successful fulfilliiietitol'tliccoiitractbvtliePros -ider. 1 lie Prto.idcr... rnu�t ;iucnd all required training session and meetings, SECTION 11111h METHOD OF PAYMENT 3.1 General Statement of Method of Payment The Method of Payment for this contract is a combination of fixed-loClUnit rate, cost reimbursement. anti advanced payments, subject to the availability of funds, The Provider shall ensure include only those costs that are in accordance with all applicable state and federal Statutes and regulations and are based on audited historical costs in instances where an independent audit is required. 12 Advance Payments 3.2.1 The Provider may request up to two months of advances at the start of the contract period, if available. to cover program service costs, - The payment of an advance will be contingent upon the sufficiency and amount of funds released to the Alliance, The Provider shall provide the Alliance documentation justifying the need for an advance and describing how the funds will be distributed, 0) C4 ca 00 0 L) 0 a) 04 Co 0 Q E 3.12 The Provider's requests for advance require the approval of the Alliance. If sufficient budget is available, the Alliance will issue approved advance pqyments after January 1, 2018. 12.3 Requests for tire first through the twelfth months shall be based on 'tire Submission of actual monthly expenditure reports beginning with the first month of the contract. Tile selledule for submission of advance requests, if available is shown on ATTACHM ENT V I I I of this contract. 3,2A All advanced payments made to the Provider shall be recouped in accordance with the Reporting Schedule, ATTACHMENT Vill of this contract. 3.2.5 Interest earned on advances must be identified separately by source of funds, state or federal. Providers shall maintain advances of federal funds in interest bearing accounts unless otherwise exempted in accordance %vith 45 CFR 74.22(k). Earned interest must be returned to the Alliance at the end of each quarter, 3.3 Invoice Submittal and Requests for Payment 3.3.6 In order to properly manage the prog rarn budget, the Provider Must submit invoices for payment no later than 90 days after the end of the month in which the expense was incurred, except that invoices cannot be submitted after Closet act Report date. Invoices submitted late will require the approval of tire Alliance's contract manager. Approvals must be requested prior to the invoicing deadline. Late invoices will not be paid unless justification is Submitted and approved b) the contract manager, 3 3 ),7 Date for Final Request for Payment The Provider shall summit the final request for payment to tire Alliance no later than 45 days after tile contract end date. L) 0 4- 0) N ca 00 0 L) 0 a) 04 Co 0 as E 3.4 Documentation for Pavment The Provider shall rnakatain documentation to support payment requests that shall be available to the Alliance or authorized individuals, such as Department of Financial Services, upon request- Supporting documentation of services provided must be adequate to permit fiscal and programmatic evaluation and ensure internal management. 3.4,1 Payments will be inade to the Provider based on a complete and correct invoice. invoices that are incomplete or with incorrect total will not be processed and will be returned to the Provider for correction. Fiscal staff will not be able to correct or make changes to the invoices. Returning invoices for corrections may result in finlure to receive payment for that month. Invoices shall be submitted timely as per ATTACHMENT Vill in order to avoid any payinent delays. 3.42 The Provider must enter all required data following g DOEA's CIRTS Policy Guidelines for clients and services in the CIRTS database. Data Must be entered into CIRTS before (lie Providers Submit their request for payment and expenditure reports, a 3.4.3 The Provider shall ran monthly CIRIS reports and verify that client and service data in CIRIS is accurate. This report must be submitted to the Alliance with the monthly request for payment and expenditure report and L) must be reviewed by the Alliance before the Provider's request can be approved by the Alliance. L- 0 3.5. Remedies for Nonconforming Services The Provider shall ensure that all goods and/or services provided under this contract are delivered timely, completely and commensurate with required standards of quality, Such goods and/or services will only be delivered to eligible program participants. .3.3.1. Corrective Action Plan 1. Contractor shall ensure 100% of the deliverables identified in ATTACHMENT 1. Section 11 (Manner of Service Provision) of this contract, are performed pursuant to contract requirements, 3. If the Contractor falls to correct an identified deficiency within the approved time period specified in the CAP, the Alliance shall deduct the percernaae established in ATTACHMENT 1, See. 3,5,2, of this contract, froul the payment for the invoice of the following month, 0) 04 ca 00 0 U 0 a) 04 cc 0 Q E 4, If the Contractor fails to timely submit a CAP, tire Alliance shall deduct the percentage established in ATTACHMENT 1, Sec. 11.1. ofthis contract foreach day the Cali is overdue. The deduction will be made from the payment for the invoice of tire Following month. 3,52 Financial Consequences of Non-Performance The Alliance will withhold or reduce payment if the Contracior fails to perform the deliverables to the satisfaction of the Contract according to the requirements referenced in ATTACHHM ENT 1, Sec. I and Sec. If of this contract. The following Financial consequences will be imposed if the deliverables stated do not meet in part or in whole the perficrinance criteria as outlined in ATTACHMENT 1, Sec. 11 of this contract. 1. Delivery of services to eligible clients as referenced in ATTACHMENT 1, Sec. 1.4 and See. 2,1 of this contract .- Failure to comply with established assessment and prioritization criteria as evidenced in CIRTS reports will result in a 2% reduction of payment per business day. The reduction of payment will begin on the first business day following the Alliance's notification to the contractor that the identified deficiency was not cured or satisfactorily addressed in accordance with the Alliance approved CAP, referenced in ATTACHHM FINT 1, See, 3.y. 3. Administrative duties as referenced in ATTACHMENT 1 Sec. 2.4, 2,5. 2.6, and 2.7 of this contract Failure to perform the performance specifications and oversight or Program operations will result in a 2% reduction of payment per business day. The reduction of payment will begin the first business day following the Alliance's notification to the contractor that the identified deficiency Was not Cured or satisfactorily addressed in accordance with the Alliance approved CAP., referenced in ATTACHMENT 1, See. 3.5. 4. Timely submission of a CAP Failure to timely submit a CAP within 10 business days after notification of the deficiency by the Alliance contract manager will result in as 2% reduction of payment per business day the CAP is not received. The reduction of payment will begin the first business day following the Alliance's notification to the contractor that the identified deficienc y was not cured or satisfactorily addressed in accordance with the Alliance approved CAP. referenced in ATTACHMENT 1, Sec. 3.5.1, 5. Exceptions may be granted solely. in writing, by the Alliance. Co L) 0 4- 0) 04 ca 00 0 L) 0 a) 04 Co 0 as E ATTACHMENT It CERTIFICATION REGARDING LOBBYING CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND AGREEMENTS The undersigned certifies, to the best of his or her knowledge and belief, that: ( No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any state or federal agency, a member ofcongress, Lin officer or employee of congress. an employee of member of congress, or an officer or employee of the state legislator, in connection with the awarding of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant. loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of congress, an officer or employee of congress, or an employee of a member of congress in connection with this federal contract, grant, loan, or cooperative agreement, L) the undersigned shall complete and submit Standard Form-LLL, "Disclosure Forth to Report Lobbying," in accordance &_ 0 with its instructions. 4- (3) The undersigned shall require that the lange Z__ _-a offlas 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-contractors shall certify and disclose accordingly, This certification is a material representation of fact upon which reliance was 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 1332, Title 31, U.S. Code, Any person who fails to file the required certification shall be subject to a civil penalty of not less than $ 10,000.00 and not more than $ 100,000,00 for each such failure. Lll�- - Signature SJ S k—fe" � -ql cz��_� Name of Authirized In IiVidUal Late a — L,? " t Contract Number M,!Glr\ A 4— Name and Address r ization z 3goo DOVA Form 103 0) C4 ca 00 0 L) 0 a) 04 Co 0 Q) E ATTACHNIENT HI FINANCIAL AND CO-_VIPLIANCE AUDIT ATTACHMENT III The administration ofresources awarded by the Alliance to the provider may be subject to audits and or monitoring by the rill' ancearid/ordic Depannientas described in this section. 1. MONITORING PARTI: FEDERALLV FUNDED This part is applicable ifthe prow ider is as State or local government oranon- profit organization as defined in OMB Circular A- 133, as revised. In connection with the audit requirements addressed in Part [, paragraph 1. the Contractor shall fulfill the requirements relative to auditee responsibilities as provided in Subpart C of OMB Circular A- 133, as revised, I f the Contractor expends less than $7, in federal awards in its fiscal year, an audit conducted in accordance with the provisions of OMB Circular A-] 33, as revised. is not reqUired. In tire event that the 'on or expends less than S750,000,00 in federal awards in its fiscal veer and elects to have an audit conducted in accordance with the provisions of'OMB Circular A- 133, as revised, the cost oithe audit must be paid from non-federal resources (i,e., the cost of such audit Must be paid firorn Contractor resources obtained from other than federal entities,) PART If: STATE FUNDED This part is applicable if tile Contracloa is as nOn-State entity as defined by Section 215,97(2), F, S, L) 0 4- 0) V4 ca 00 0 L) 0 a) 04 00 0 as E Inconnection ofth the audit requirements addressed in Part 11, paragraph 1. the Contractor shall ensure that the audit complies pith the requirements of Section 215,97(8), F.S. This includes submission of a financial reporting package as defined b% Section 215.97(2), F.S., and Chapter 10.350(local governmental entities) or 10,650 (nonprofit and for-profit organizations), Rules ts` the Auditor General, If die Contractor expends less than $750,000.00 instate financial assistance in its fiscal year(for fiscal years ending September 3f), 2004 or thereafter), air audit conducted in accordance with the provisions sal` SecEion215,9 F,S, is not required. In the event that the Contractor expends less than S750,000.00 in state financial assistance in its fiscal year and elects to have an audit conducted in accordance with the provisions of Section 215,97, F.S., the cost of the audit must be paid from the non-state entity's resources L) L_ (i.e.. the oast ol'suchan audit inner be paid from the Contractor resources obtained front rather than State entities), 0 4- IL PART III: REPORT SUBMISSION Copies of reporting , packages for audits conducted in accordance %vult OMB Circular A-133, as revised, and required by PART I ofthis agreement shall be submitted, when required by Section 320 (d), OMB Circular A-133, as revised, by or on behalf ofthe Contractor directly to each of the following, 'Fie, llia at cachofthe following addresses: Alliance for Aging, Inc. Attn: Fiscal Department 760 NW 107"' Avenue Suite 214 Miami, I'L 33172 The Federal Audit Clearin-house designated in 01'vIR Circular A-I 33, as revised (the number of copies required b% Scc;ion� 320 t; b (db 1) and (2), ONIB Circular A-] 33, as revised. should be submitted to the Federal Audit Clearinghouse), at the following address: Federal Audit Clearinghouse Bureau of the Census 1201 East 10"' Street deffersonville, 1 N 4 0) VNI 00 ca 0 L) 0 a) 04 00 0 as E at Other Federal agencies and pass-through entities in accordance with Sections .320 (e) and (F. ONTB Circular A -133, as revised. Pursuant to Sections .320(o. ONIB Circular A-133, as revised, the provider shall submit a copy of the reporting package described in Section .320(c), ONIB Circular A-1313, as revised, and any management letter issued by the auditor, to the Alliance at each of the following addresses: Alliance for Aging, Inc. Attn: Fiscal Department 760 NW 107"' Avenue Suite 214 Miami, FL 33172 Additionally, copies offinancial reporting packages required by Part 11 ofthis agreement shall be submitted by oron behalf of the Contintraor directly to each of the following: The Alliance at the following address: Alliance for Aging, Inc. Attn: Fiscal Department 760 NW 107"' Avenue Suite 214 Miami, FL 33172 L) 0 4- 0) 04 ca 00 0 L) 0 a) 04 0 as E M 0 in Any reports, management letter, or other information required to be submitted to the alliance pursuant to this agreement shall be submitted timely in accordance %vith OMB Circular A-13 RS- and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for - profit organizations), Rules of the Auditor General, as applicable. Contractors, when submitting Financial reporting packages to the A I I i a it c a for audits done in accordance with OMB Circular A-133 or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General. should indicate the date that the reporting package was delivered to the Contractor in correspondence accompanying the reporting package, Ill. PART IV: RECORD RETENTION The Contractor shall retain sufficient records demonstrating its compliance with the terms of this agreement for a period of six (6) years front the date the audit report is issued, and shall allow the Alliance and the Department or its designee, the CF0 or Auditor General Access to such records upon request, The Contractor shall ensure that audit working papers are made available to the Alliance and the Department, or its designee. 01 or Auditor General upon request for a period of six (6) years from the date the audit report is issued, unless extended in writing by the A I I i once, NEW= ATTAC11MENT III FINANCIAL, AND COMPLIANCE AUDIT ATTACIIMENT EXHIBIT I PART 1: AUDIT RELATIONSHIP DETERMINATION In accordance with 2 CFR Part §200 and or Rule 691-5.006, FAC. Contractor has been determined to be: Vendor not subject to 2 CFR Part §200.38 and orSection 215.97, F.S, Recipicra-subrecipient subject to 2 CFR Part §200,86 and §200.93 and-or Section 215.97, F.S. Exempt organization not subject to 2 CFR Part §200 and/or Section 215,97, F.S. For Federal awards, for -profit organizations are exempt; for state financial assistance projects, public universities, community colleges, district school boards, branches of state (Florida) government, and charter schools are exempt, Exempt organi7ations must comply with all compliance requirements set forth within the contract or award docurnent, NOTE: If a Contractor is determined to be a recipient/subrecipient of federal and or state financial assistance and has been approved by the Alliance to subcontract, they must comply with Section 215.97(7). RS., and Rule 691-.5006, FAA [state financial assistance] and 2 CFR Part §200,330 [federal awards]. PART H: FISCAL COMPLIANCE REQUIREMENTS FEDERAL AWARDS OR STATE MATCHING FUNDS ON FEDERAL AWARDS. Contractors who receive Federal awards, state maintenance of effort funds, or state matchin.- funds on Federal avvards and who are determined to be a subrecipient must comply with the Following flscal laws, rules and regulations: ,STATES, LOCAL GOVERNMENTS AND INDIAN TRIBES MUST FOLLOW: 2 CFR Part §200.416- Cost Principles* 2 CFR Part §200,201- Administrative Requirements** 2 CFR Part §200.500- Audit Requirements Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules and regulations NON-PROFIT ORGANIZATIONS MUST FOLLOW: 2CFR Part §200.400-.41 I-Cost Principles* 2 CFR Part §200,100 -Administrative Requirements 2 4v 1° Part §200,500- Audit Requirements Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, rules and regulations EDUCATIONAL INSTITUTIONS (EVEN llA PART OF A ST-CFE OR LOCAL CCAVE RNSIENT), FOLLOW: 2 CFR Part §200.418- Cost Principles* 2CFR Part §200,100-Adininistrative Requirements 2 CI Part §200,500 -Audit Requirements Reference Guide for State Expenditures Other fiscal requirements set forth in program laws, miss and regulations L) 0 4- 0) so ca 00 as 0 L) 0 a) 04 co 0 QD E ul *Some Federal programs may be exempted from compliance with the Cost principles Circulars as noted inthe 2 CFR Part §200,400(5) (c). "For funding passed through U.S. Health and Human Services, 45 CFR 92, for funding passed through U.S, Department of Education, 34 CFR W L) 0 4- 0) N ca 00 0 L) 0 a) 04 0 r- 4) E M 0 ATTACHMENT 1111 FINANCIAL, AND COMPLIANCE, AUDIT AwACHMENT EXHIBIT 24UNDING SUMMARY L_ote Title 2 CF• § 20033 1, As Revised, and Section "S 15.9713), Florida Statutes, Require "['but Information About Federal Pro rar is and State g IT Projects Be Provided to the Recipient and Are Stated in the Financial and Compliance Audit Attachment and f"'Nhibit 1. Financial and Compliance Audit Attachment, ENhibit 2-Funding, Surnman. Pro% ides Information Regarding the Funding Sources Applicable ?o This Contrast, Contained Harem, Is A Prediction offunding Sources and Related Amounts Based on the Contract Budget, I . FEDERA L RESOURCES A WARDED TO THE SU ECI P'l ENTPURSUANT TO THIS CONTRACT CONSIST OF THE FOLLOWING: PROGRAM TITLE FUNDING SOURCE Older Americans Act Administration r FUNDRNG SOURCE TitlefflB SupportServices L.S. Health and Human Services Older Americans Act Administration Title 111CI Congregate Meals L'.S. Health and Human Services Older Americans Act Administration Title III C2 Home Delivered Meals U.S. Health and Human Services Older Americans Act Administration I Title III E— Caregiver Support Services L.S. Health and Human Services Title III ES Caregiver Support Services TOTAL FEDERAL A WARD CFDA I AMOUNT 93.044 $112,771.48 93.045 5151,815.42 93.045 5228,495.60 93.052 $103,386.71 S32,472.36 $628,937.57 CONI PIL IA NC E R, FOG I REM ENTS A TO TH FEDERA RESOU RO ES A WA R DE D 1 U BE IJA NTTO "TH CONTRACT ARE AS FOLLOWS: LEDE FIIN S. . D� 2 CFIT Part 200- Uniform Administrative Requirements, Cost I"rinciples, and Audit Requirements for Federal Awards, OIid1B Circular A -133 as amended- Audits of States, Local Governments, and on-Profit Orazinizations T. STATE RESOURCES AWARI)ED - I - OTHE RECIPIENT PURSUANT TO THIS CONTRACT CONSIST OFTHE.' FOLI..,OWING: NIATCHING RESOI.J('1ES FOR FEDERAL PROGRAMS EIPR 0 G REA TALI T I T L E T L E ErIlolgDIING gSOURCMECrDA] NANIOUNT Tj� TOTAL STATE- RAWARDig STATE FINANCIAL ASSITANCE SUBJECT TO sec. 21.5,97. F,S PROGRAlkITITLE r FUNDRNG SOURCE -------- Cl - DA T AIMOUNT . r'1r'O'Ir'A 7 ! LA % V , -k I .�WID COMPLIANCE REQUIREMENTS APPLICA ALE TO STATE RESOURCES AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: STATE FINANCIAL ASSISTANCE: Section 215,97, F-S„ Chapter 691-i. FL Admire Code, Reforence Guide for State Expenditures, Other fiscal requirements set Ron in program la%v& rules and regulations, program 0 0) C'4 00 0 L) I a a) 04 0 Q E I Packet Pg. 1069 1 ATTACHMENT IV CERTIFICATION REGARDING DATA INTEGRITY COMPLIANCE FOR AGREEMENTS, GRANTS, LOANS AND COOPERATIVE AGREEMENTS The undersigned, an authorized representative of the contractor named in the contract or of to which this form is an attachment, hereby certifies that: (2) Management Information Systems used by the contractor. sub-contractor(s). or any Outside entity oil which the contractor is dependent for data that is to be reported, transmitted or calculated, have been assessed and verified to be capable of processing data accurately, including year-date dependent data, For those systems identified to be non- compliant. contractor(s) will take immediate action to assure data integrity. (3) Ifthis contract includes tile provision of hardware, software, finoware, microcode or imbedded chip technology, the undersigned warrants that these products are capable of processing year-date dependent data accurately. x111 versions of these products offered by the contractor (represented by tile undersigned) and purchased by the State will be verified for accuracy and integrity of data prior to transfer. In the event of any decrease in functionality related to time and date related codes and internal subroutines that impede the hardware or software programs from operating properly, the contractor agrees to immediately rnake required corrections to restore hardware and software programs to tile same level of functionality as warranted herein, at no charge to the State, and without interruption to the ongoing business of the state, time being of the essence. (4) The contractor and any crab-contractor(s) of services under this contract warrant their policies and procedures include a disaster plan to provide for service delivery to continue in case of an emergency including emergencies arising from data integrity compliance issues,+ The contractor shall require that the language of this certification be included in all SUbagreements, SUbgrants, and other agreements and that all sub-contractors shall certffv compliance accordingly, This certification is a material representation of fact upon which reliance was 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 OMB Circulars A-102 and 2 CFR Part 215 (formerly OMB Circular A-1 10). Monroe County Board of County Commissioners. Social Services/fil-l-lorne Services 1100 Simonton Street, 2"' Floor Key Wes I'L 3 Signature Date �� Name of: .%kidlodz' Y L) 0 4- 0) 01 ca 00 0 L) 0 a) 04 co 0 r_ Q E ATTACHMENT V CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION FOR LOWER TIER COVERED TRANSACTIONS ( The prospective contractor certifies. by signing this certification. neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded frorn participation in this transaction by any federal department or agency. (2) Where the prospective contractor is unable to certify to any of the statements in this certification. such prospective participant shall attach an explanation to this certification. Date OD Ccc� C. Ell Agency/Organization Instructions for Certification I ,Revised June Z-XJ) L) 0 4- 0) 04 00 0 L) 0 a) 04 0 as E ATTACHMENT V1 ASSUIZANCES—NON-CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your projector program. If you have questions please contact the awarding agency, Further, certain Federal awardine, agencies may require applicants to certify to additional assurances. If such is the case, you krill be notified. 3, 4, 5. N 7, N 0 L) 0 4- 0) 04 00 0 L) 0 a) 04 Co 0 as E EEO= SIGNATURE 01" AUTI IORIZED CER rIFYING OFFICIAL I TITI E 4�cknA:t(x'lS�rafbC` APPLICANTORGANIZATION I DATF SUBIMITTED MONROE COUNTY BOARD OF COUNTY COMMISSIONERS. SOCIAL SERVICES/IN—HOME SERVICES t* L) 0 4- 0) 04 00 0 L) 0 a) 04 0 as E CONTRACT BUDGET SUMMARY BY SERVICE AND TITLE 1 TS SUMMARY FOR TAGE A TTACHMENT VII Service to be Provided Service Unit Rate Maximum Maximum Units of i Dollars :' Service No. of Clients Chore IIIB $25.00 624 $15,589.42 �© Homemaker IIIB — $24.87 1,923 $47,820.00 3 '� Personal Care IIIB Screening & Assessment IIIB _ $ 29.00 $26.22 1 59 $ 47 , 820.00 $1,538.06 Congregate Meals C1 $9.25 15,873 $146,825.03 l Congregate Meals Screening C1 $20.00 96 $1,925.00 r Nutrition Counseling Ind. C1 $70.56 34 $2,424.39 Nutrition Education C _ _ _ $ 0.50 Home Delivered Meals Frozen C2 $ 6.53 Home D Meals Hot C2 $6.53 1,274 32 1 $637.00 $210,427.84 _ $12,264.7__ + $190.00 q C ,! S _ Nutrition Counseling Ind. C2 $70.56 3 _Nutrition Education C2 Screening & Assessment C2 _$0.50 $26.22 724 + $362.00 t 200 $5,251.00 (Q Q In -Home Respite IIIE $22.98 765 $17,586.84 ¢r Respite In Facility IIIE $10.74 5,752 $61,771.59 Screening & Assessment IIIE Caregiver Training & Support - Grp IIIE $26.22 60 $1,575.00 $7,151.26 r] $100.90 _ 71 Caregiver Training & Support — Ind IIIE $75.00 204 $15,302.02 p Housing Improvement /Material Aid IIIES Cost Reimb $16,991.00 ' Specialized Medical Equipment IIIES Cost Reimb $8,056.03 Chores IIIES $25.00 297 $7,425.33 Total Contract 1 $628,93 ?.7 i - F ATTACHMENT VIII OLDER AMERICANS ACT CONTRACT REPORT CALENDAR ADVANCE BASIS CONTRACT Report Number Based On Submit to Alliance On This Date January Advance* January 1 2 February Advance* January I January Expenditure Report February 5 4 February Expenditure Report March 5 5 March Expenditure Report April 5 6 April Expenditure Report May 5 7 May Expenditure Report June 5 8 June Expenditure Report July 5 9 July Expenditure Report August 5 10 August Expenditure Report September 5 11 September Expenditure Report October 5 12 October Expenditure Report November 5 13 November Expenditure Report December 5 14 December Expenditure Report January 5 15 Final Expenditure and Request for Payment February 15 16 Close Out Report February 29 Legend: * Advance based on projected cash need. Note # 1: Report 4 1 for Advance Basis Agreements cannot be submitted to the Department of Financial Services (DFS) prior to January I or until the agreement with the Alliance has been executed and a copy sent to DFS. Actual submission of the vouchers to DES is dependent art the accuracy ofthe expenditure report. Note # 2: Report numbers 5 through 14 shall reflect an adjustment of one-tenth of the total advance amount, oil each of the reports. repaying advances issued the first two months of the agreement. The adjustment shall be recorded in Part C. I of the report (A'I"rACHMENT' IX). Note 93', Submission of expenditure reports may or may not generate a payment request. If final expenditure report reflects funds due back to the Alliance payment is to accompany the report. L) 0 4- 0) 04 00 0 L) 0 a) 04 cc 0 as E 00HROM ATTACHMENT IX ........................ ............................................................ ----------- REQUEST FOR PAYMENT OLDER AM ERICANS ACT .......................... 'T .. —'� .................................... .................................. J ............ ................ .......................................................................................... a fg vmg mDu�a cmrx �Dl V"O Vt ....... ...................................................................................................... Dap' - el *"V �F� �N 'N,4 . ....................... owe Apow Fa e -'-� ------------------------------ r -------------- -------------- ------------- .................... ------------- ------------- ----------------- ------------ ............... .................. r ........................................... . ommTROMW 1 � � AMU a B =i "KA Us E MV 1, A ymy"il Dal Dal HGO! AD i i i D D� am, H i A WMMM HAMS 0 a'! o mol c 1 cN, o all 0 Nj am same J C 00 c Do! o all 0 N" ymwmoa Homy4 Dal 0 mc! c a 00 0 W 0 .................... . .. . ....... . ---------- -------- - - -- ------------- - - --------------------- ................... ............................................. r :M. My c I G Of DWI 'el sews Dal 00 1 S " I Do OW 1 �4'uedt Hec" D al DWI c uj 0 Do Q W.. n DO ............................. .. ... .............. ..................................... .................................... sa i �r- .................................... r 31 ---------- — -ps " vy: b". ow"AnA. ON 1 ON 1 Dal oil ON r 1 owl ON, L . . . . . . . . . . . --------------------------- - - - - - - - - ......... ..................... - - -------------- - - : OW POW-1 ZO 17, C 00 0 L) I I co 0 as E I�Mssmu�suo AA-1829 ATrACHMENT XlEXHIBIT-1 RECEIPTS AND EXPENDITURE REPORT OLDER AMERICAN ACT by Date _ Apponed by Data PARTA BUDGETEDINCOMEIRECEPTS I Approved 2 Actual Receipts 3 Dold Retreads 4 Percent of Budget For This Report Year to Date Approval Budget 1 Federal Funds $000 $000 $000 S. State Funds $000 $000 $000 Sam S. Program Incrents Saco $000 SO (h) Is Local Match S. Local Cash Catch r HCE and Other) $000 SOOO $000 % S. SUSTOTAL. CASH RECEIPTS $000 $000 $000 S. Local In-Vand Match $c Do $000 $000 $0130 7 TOTAL RECEIPTS good 3000 $000 3 Incerest PARTS EXPENDITURES ,.:d I Appirraid S c 2 E rannum 2 Expenditures d r.. S Ex pan ou so Percent at Lf Percent at i Zp a, CAP, Unbudgered PI Receipts YTO Budget a in Fle For Report Year to Date 74 L 7.- Approved Budget M ea IS I least Agreem S s $000 00 $000 'a 00 $0001 _% 2 SeNce Subcontractor SO.00 SS SS Soon! % 3 Other DODO SO AS So 00 % 4 Indbyad Cost $0,00 $000 SO 00 % 5 TOTAL EXPENDITURES $000 SOW $000 % PART C OTHER EXPENDITURES 'For Tracki 9 Purposes only I Islands a 0 and In-KInd Sam $000 $000 A, Is Local Match SO AS DOW 5000 % 2 USDA Cash Race S0,00 $0 AS $000 3 TOTAL OTHER S0,01) I 5000 L 4-- $0130 PART 0 OTHE Of REVS NUE AND SS SS 71 �Pm;�F ---------------- 2' Addition l ost A i�mauva Prograrn Maurits 3 Incerest grain reason Or a Ap proved ud Bge S a Earned on OR Advances a, CAP, Unbudgered PI Receipts YTO 4 Raceitted. STD fy_ b Forturn of GR Adisince c Expernfibutes, 5 c, Other Earned a ---- - -- — - — ------- DOEA FORM 105as reatied 1 0 4– 0) 04 00 0 L) 0 (7) 04 0 Q) E ..."'AMENTX EXHIBIT 2 L) 0 4- 0) N 00 0 L) 0 a) 04 0 as E ATTACHMENT A I 1 04 d 0 as E ATTACHMENT B x , I A I t Ul I WtV PART L READ THE ATTACHED INSTRUCTIONS FOR ILLUSTRATIVE INFORMATION WHICH WILL} F YOU IN THE COMPLETION OF THIS FORM. 1, Briefly describe the geographic area served by the program/facility and the type of service provided 7. Compare the staff composition to the population. Is staff representative of the population? If NA or NO. explain. NA YES NO tK 8, Compare the client composition to the population. Are race and sex characteristics representative of the Population? If NA or NO, explain. NA YES NO ta L) 0 4- C4 00 0 L) 0 a) 04 0 Q E 9 Are eligibility requirements for services applied to clients and applicants without regard to race, NA YES NO color, national origin, sex, age, religion or disability? If NA or NO, explain Page 49 Df 7U EEIRM M Are all benefits, services and facilities available to applicants and participants in an equally effective manner regardless of race, sex, color, age, national origin, religion or disability? If NA or NO, explain, NA YES NO 1:7 " S 10 11, For in-patient services, are room assignments made without regard to race, color, national origin or disability? If NA or NO, explain, NA YES NO 12. Is thi' program/facility accessible to rig clients? If NA or NO, explain. .................... ............................................................................................................................................................................... . ..... 13. Are employees applicants and their protection against discrimination? If yes, how? Verbal 0 Written Poster if NA or NO explain 14. Give the number and current status of any discrimination complaints regarding services or employment filed against the program/facility. . - .. 4. IS. Is the program/facility physically accessible to mobility. hearing. and sight-impaired individuals? If NA or NO, explain No YES NO El PART Ill. THE FOLLOWING QUESTIONS APPLY TO PROGRAMS AND FACILITIES WITH 15 OR MORE EMPLOYEES 16, Has a self-evaluation been conducted to identify any barriers to serving disabled individuals. and to make any necessary modifications? If NO. explain w L) 0 4- 0) (N 00 0 L) 0 a) (NI co 0 Q E 17 Is there and established grievance procedure that incorporates due process in the resolution of complaints? If NO, explain. YES NO 1 54 11 I& Has a person been designated to coordinate Section 504 compliance activities? If NO, explain, YES NO 19. Do recruitment and notification materials advise applicants employees and participants of nondiscrimination on the basis of disability? If NO, explain. 20. Are auxiliary aids available to assure accessibility of services to hearing and sight impaired individuals? If NO, explain. YES NO X 1 FOR PROGRAMS OR FACILITIES WITH 50 OR MORE EMPLOYEES AND FEDERAL CONTRACTS OF $50,000 PART IV. OR MORE, 21 Do you have a written affirmative action plan? If NO. explain. YES % NO [:] L) 0 4- 0) 04 00 0 L) 0 a) 04 0 Q E Elmmm INSTRUCTIONS FOR THE CIVIL RIGHTS COMPLIANCE CHECKLIST IBM= 9. Do eligibility requirements unlawfully eXCIUde persons in protected groups firorn the provision of services or ernployrnent? Evidence of such may be indicated in staffand client representation (Questions 3 and 4) and also through on-site record analysis of persons who applied but were denied services or employment, 45 CFR 80.3 (a) and 45 CFR 80.1 (b) (2). L) 0 4- 0) N 00 0 L) 0 a) 04 CO 0 W E fire alarms. and other essentials should be installed at an appropriate freight for arability impaired individuals. 16. Section 504 of the Rehabilitation Act of 1973 requires that a recipient of federal financial assistance conduct a self-evalUation to identify any accessibility barriers. Self-evaluation is a four step process: 17. Programs or facilities that employ 15 or more persons raust adopt grievance procedures that incorporate appropriate due process standards and provide for the prompt and equitable resolution of complaints alleging any action prohibited by Section 504.45 CFR 84.7 (b). 18, Programs or facilities that employ 15) or more persons must designate at least one person to coordinate efforts to comply with Section 504.45 CFR 84.7 (a). 19. Continuing steps must be taken to notify employees and the public of the prograrn/lociliWs policy ofnondiscrimination on the basis of disability. This includes recruitment material, notices for hearings, newspaper ads, and other appropriate written communication, 45 CFR 84: 8 (a), 20, Prograrns/fisci I i ties that employ 15 or more persons must provide appropriate auxiliary aids to persons with impaired sensory, manual or speaking skills where necessary. Auxiliary aids may include, but are not limited to, interpreters for hearing impaired individuals, taped or Braille materials, or any alternative resources that can be used to provide equally effective smices, (45 CFA 84.52 (d). 71. Prourarns/facilities with 50 or more employees and $50.000 in federal contracts Must M develop, implement and maintain as written affirmative action compliance program in accordance with Executive Order 11246. 41 CFI 60 and'fitle VI of the Civil Rights Act of 1 964. as amended. Co L) 0 4- 0) N ca 00 0 L) 0 00 0 as E ATTACHMENT C a) 04 0 as E MPARTNIF'ol M ATTACHMENT D BACKGROUND SCREENING ELDER AFFAIRS Affidavit of Compliance - Employer STATT Of FL61tiDA AUTHORITY. This form Is required annually of all employers to comply with the attestation requirements not forth in section 43ST16(3), Florida Statutes. The term 'employer' means any person Or entity required 1w law to crablocs background screening, induff'rit but not limited to, Area Agencies an Aging, Aging Resource Centers, Aging and Disability Resource Centers, Lead Agencies, Long Term Care Ombudsman Programi, Serving Health Insurance Needs of Elders Program, Service Providers, Dounrulan Providers, and ano other person or entity which hires foriplaybec or his$ volunteers in service who meet the defini'min of a direct service provider See fly 435 02, 430 0402, Fla Stat A direct Fertility provider Is - a person 19 years of age or older who, pursuant to a Program to provide services to the elderly, has direct, face-lo-face contact with a agent while providing sinivices to the cl but and has access to the c;kent's living area, funds, personal property, of personal identification unfarmatkan as defined in s 817.5" The term riducles; coordinators, managers, and supervisors of residential isc-lities, and vivoinseers ' § 430 0402(ldiff, Fla Star Name of Reprawn radve that the above romed employer IS In compliance with the provisions of Chapter 435 and section 43 ff. IN1,02, Flori hates, regarding level 2 background screening Tignallu'r Lepeesentative ' Date STATE OF FLORIDA, COLUTTY OF CdLLO ',e Sworn to for affirmed) and subscribed before me th-s - 4k day of 20 by (Name of Representative) who is personailly known d to arse Or Produced as proof of identification. x 5 to ir I i p C om rn t -on 9 o N j m a a I rt o il a i N DOCA km to r 35 vindo*n of Cwrplovinr fo I Riuvr A;43 tfu 2 L) 0 4- 0) Vil 00 no 0 L) 0 (7) 04 so 0 as E of AW Page 66 of 70 E!,i ATTACHMENT E Verification of Employment Status Certification 111111111,7111CILA Con�ipav N�ainc L) 0 4- 0) 04 00 0 L) 0 (7) 04 0 (D E ATTACHMENT F Alliance for Aging, Inc. Business Associate Agreement This Business Associate Agreement is dated by the Alliance for Aging, Inc. ("Covered Entity") and Monroe County. Board of County Commissioners, Social Services/in- Home Services, ("Business Associate a not-tor-profit Florida corporation, 1.0 Background. Ll Covered Entity has entered into one or more contracts or agreements with Business Associate that involves the use or Protected Health [nrormation (PI-11). 1.2 Covered Entity, recognizes the requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and has indicated its intent to comply in the County's Policies and Procedures. 1.3 HIPAA regulations establish specific conditions on when and hoar covered entities may share information with contractors who perform functions for the Covered Entity. 1A HIPAA requires the Covered Entity and the Business Associate to enter into a contract or agreement containing specific requirements to protect the confidentiality and security of patients' PI-11, as set forth in, but not limited to the Code of Federal Regulations (C.F,R,), specifically d C.F,R. §§ 164,502(e), 164.504(e), 164,308(b), and 164.314(a-1a) (as may apply) and contained in this aareement. The parties therefore agree as follows: 2.0 Definitions. For put ofthis agreement, the following definitions apply: 2,2 AR RA, The American Recovery and Reinvestment Act (2009) 2.3 Business Associate. "Business Associate" shall generally have the safne meaning as the term -- business associate" at 45 CFR 160.103. and in reference to the party to this Agreement. Monme County Board of County Commissioners, Social Services! I n-Home Services. L) 0 4- 0) 04 ca 00 0 L) 0 a) 04 CO 0 as E EEMEM -3-4 Covered Entity. "Covered Entity shall ' g encrally have the same meaning as the term "covered entity" at 45 CPI 160,103, and in reference to the party to this Agreement, shall mean Alliance for Aging, Inc. 2.5 HIPAA Ruleic - HIPAA Rules" shall mean the Privacy, Security. Breach Notification, and Enforcement Rules at 43 CFR Parts 160 and 164. 16 HITECH. The Health Information Technology for Economic and Clinical Health Act (2009) 2.7 All other terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in the HIP AA Rules. 101 Obligations Land Activities of Business Associate. 3.1 Business Associate agrees 10 not use or disclose PHI other than as pen or required by this agreement or as Req ui red by Law. 3.2 Business Associate sprees to: (a) Implement policies and procedures to prevent, detect, contain and correct Security violations in accordance with 45 CFR § 164,306; (b) Prevent use or disclosure of the Pill 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 ePFII that the Business Associate creates, receives. maintains, or transmits on behalf of the Covered Entity: and (d) COMPly With the Security Rule requirements under Subpart Cr of 45 CFR Part 164, including the Administrative Safeguards, Physical Safeguards, Technical Safeguards, and policies and procedures and documentation requirements set form in 45 CFR §§ 164308, 164.310, 164.312, and 164.316. 3.3 Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to Business Associate of a use or disclosure of PHI by Business Associate in violation of the requirements of this Agreement. 3.4 Business Associate agrees to promptly report to Covered Entity any use or disclosure of the PHI not provided for by this Agreement of which it becornes aware. This includes any requests mr inspection, copying or amendment of such information and including any security incident involving PFIL 3.5 Business Associate agrees to notily Covered Entity Without unreasonable delay, but not later than tell (10) days following the discovery, of any security breach pertaining to: (a) Identification of any individual whose unsecured PHI has been. or is reasonably believed by the Business Associate to have been, accessed. acquired, or disclosed during such security breach; and Co L) 0 4- 0) N 00 0 L) 0 a) 04 Co 0 as E (b) All information required for the Notice to the Secreony of 1 of Bveach of Unsecured Protected Health Inforination, 16 Business Associate agrees to ensure that any agent, including a subcontractor, to whorn it provides PHI received from, or created or received by Business Associate on behalf of Covered Entity, agrees to the same restrictions and conditions that apply through this Agreement to Business Associate with respect to such information. 3.7 If 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 PHI in a Designated Record Set, to Covered Entity or, as directed by Covered Entity, to an individual in order to meet the requirements under 45 CFR § 164.524; and (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 CAF R § 164.526 at tile request of Covered Entity or an Individual within 10 business days of receiving the request, Z� IS Business Associate agrees to make internal practices, books, and records, including policies and procedures and PHI, relating to the use and disclosure of PHI received from, or created or received by Business Associate oil behalf of Covered Entity, available to tile Covered Entity or to the Secretary upon request of either for purposes of determining Covered Entity's compliance with the Privacy Rule. 3.9 Business Associate agrees to document such disclosures of PHI and information related to such disclosures as would be required for Covered Entity to respond to a request by an individual for an accounting of disclosures of PHI in accordance with 45 CFR § 164.528, 3.10 Business Associate agrees to provide to Covered Entity or an individual, upon request, information collected to permit Covered Entity to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR § 164.528 and ARRA § 13404. 3.11 Business Associate specifically agrees to use security measures that reasonably and appropriately protect the confidentiality, integrity, and availability of PI-11 in electronic or any other form, that it creates. receives, maintains. or transmits on behalf of the Covered Entity. 3.12 Business Associate agrees to implement security measures to Secure passwords used to access cPHI that it accesses, maintains. or transmits as part of this Agreement from rualiCiOUS software and other man-made and natural vulnerabilities to VISSUre the availability, integrity, and confidentiality of such information. 3.13 Business Associate agrees to implement security measures to safeguard effll that it accesses. maintains. or transmits as part of this agreement frorn malicious sortmare and other man-made and natural vulnerabilities to assure the availability. integrity. and confidentiality of such information. 3.14 Business Associate agrees to comply with: (a) ARRA § 13404 (Application of Knowledge Eleritents Associated with Contracts); (b) ARRA § 13405 (Restrictions on Certain Disclosures and Sales of Health Information); and L) 0 4- 0) N 00 0 U 0 a) 04 CO 0 as E (c) ARRA § 13406 (Conditions on Certain Contacts as Part of Flealth Caret perations). 3.15 To the extent Business Associate is to carry out one or more of Covered Entity's obligation(s) under the Privacy Rule, Business Associate agrees to comply with the requirements of the Privacy Rule that apply to Covered Entity in the performance of such cibligaflorns). 5.O Specific Use and Disclosure Provisions, 5.1 Except as otherwise limited in this agreement or any related agreement, Business Associate may use PI-11 for the proper management and administration of the Business Associate or to carry Out the legal responsibilities of the Business Associate, 5.3 Business Associate may use PHI to provide data aggregation services to Covered Entity as permitted by 45 CFR §164.5 only when specifically authorized by Covered Entity. 5.4 Business Associate may rise PI-11 to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR § 164,5020)(1), 6.0 Obligations of Covered Entity. 6.2 Covered Entity shall notify Business Associate of any restriction to the use or disclosure of PHI that Covered Entity has agreed to in accordance with 45 CFI! § 164.522, to the extent that such restriction may affect Business Associate's use or disclosure of PH 1. 7.0 Permissible Requests by Covered Entinf. Except for data aggregation or management and administrative activities of Business Associate, Covered Entity shall not request Business Associate to rise or disclose PHI in any manner that would not be Permissible under the Privacy Rule if done by Covered Entity. L) 0 4- 0) N ca 00 0 L) 0 a) 04 0 as E M 8.0 Effective Date and Termination. 8.1 The ]"allies hereby agree that this agreement arnends, restates and replaces any other Business Associate Agreement currently in effect between Covered Entity and Business Associate and that the provisions of this agreement shall be effective as follows: (a) These Business Associate Agreement provisions, with the exception of the electronic security provisions and the provisions translated by ARRA and HITECH shall be effective upon tile later of April 14, 2003, or the effective date of tile earliest contract entered into between Business Associate and Covered Entity that involves the use of PHI; (b) The electronic security provisions hereof shall be effective the later of April 21, 2005 or the effiective date of the earliest contract entered into between Business Associate and Covered Entity that involves the use of PHI; and (c) Provisions hereof translated by AREA and HITECH shall be effective the later of February 17, 2010 or tile effective date of the earliest contract entered into between covered entity and business associate that involves the use ofPHI or ePHI, 8.2 Termination for Cause. Upon Covered Entity's knowledge of a material breach by Business Associate, Covered Entity shall either: (a) Provide an opportunity for Business Associate to cure the breach or end the violation and terminate this agreement if Business Associate does not cure the breach or end the violation within the time specified by Covered Entity; (b) Immediately terminate this agreement if Business Associate has breached a material terra of this Agreement and cure is not possible; or (c) If neither termination nor cure is feasible. Covered Entity shall report the violation to the Secretary. M Effect of Termination. Except as provided in subparagraph (b) of this section, upon termination of this agreement, for any reason, Business Associate shall return all PI-11 and ePHI received from Covered Entity, or created or received by BLedness Associate on behalf of Covered Entity. (a) This provision shall apply to PHI and eP1 that is in the possession of subcontractors or agents of Business Associate. Business Associate shall retain no copies of the 1 and ePI-11. (b) In the event that Business Associate or Covered Entity determines that returning the PI-11 or ePHI is infeasible, notification of the conditions that make return of P1-11 or e1'- infeasible shall be provided to tile other party, Business Associate shall: 1. Retain only that PHI which is necessary for Business Associate to continue its proper management and administration or to carry out its legal responsibilities; Return to Covered Entity (or. i r agreed to by Covered Entity, destroy) tile remaining PHI that the Business Associate still inaintain in any local, L) 0 4- 0) N ca 00 0 L) 0 a) 04 0 as E M The obligations of Business Associate Linder this Section shall survive the termination of this Agreement. 9.0 Regulatory References. A reference fit this agreement to a section in the Privacy Rule or Security Rule means the section then in effect or as rnay be amended in the future. I G,O Amendment. The Parties agree to take Such action as is necessary to amend this agreement frorn time to time as is necessary for Covered Entity to comply with the requirements of the Privacy Rule. tile Security Rule and the Health Insurance Portability and Accountability Act of 1996, ptib. L. No. 104- 19 1, 11,0 Survival. Any term, condition, covenant or obligation which requires perfiln by either party hereto subsequent to the termination of this agreement shall reirmin enforceable against such party subsequent to such termination. 12.0 Interpretation. Any arribiguity in this agreement shall be resolved to permit Covered Entity to comply with the Privacy Rule and Security Rule, 13.0 Incorporation by reference, Any future new reqUirement(s), changes, or deletion(s) enacted in federal law which create now or different obligations with respect to HIPAA privacy and/or security, shall be automatically incorporated by reference to this Business Associate Agreement on the respective effiective date(s), To Covered Entity: Alliance for Aging, Inc. Attention: Max Rothman 760 NW 107 Avenue Miami. Florida 33172 To Business Associate- Monroe County Board ofd ounty Commissioners. Social Services.: I n-Home Services I 100 Simonton Street, 2"" I' lour Key West, FL '33040 Co L) 0 4- 0) N ca 00 0 L) 0 a) 04 Co 0 as E NIMENEM 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 the State of Florida, without giving effect to principles of conflict of laws. govern all matters arising under 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 affected by that unenforceability and will be enforceable to the fullest extent permitted by law. 18.0 Entire AgreemenL This agreement constitutes the entire agreement of the parties relating to the subject matter or this agreement and supersedes all other oral or written agreements or policies relating thereto, except that this agreement does not limit the amendment of this agreement in accordance with section 10.0 of this agreement. Covered Entity: Alliance for Aging, Inc. M M Business Associate: Monroe County Board of County Commissioners, L) 0 4- 0) N cr 00 0 L) 0 a) 04 CO 0 as E ATTACHMENT G Alliance for Aging, Inc. Aging and Disability Resource Center/Eider Helpline AGING AND DISABILITY RESOURCE CENTER (ADRC) — UT URGED FUNCTIONS 1. If applicable, the provider agrees to the following: A. Perform ADRC outsourced functions in accordance with the Alliance's policies and procedures, i. Policies and Procedures for Outsourced Function-Screening ii. Policies and Procedures for Outsourced Function-Triage iii. Policies and Procedures for Activation from Waithst- Client Services iv, Policies and Procedures for Termination from ?aitlist® Client Services The Assessed Priority Consumer List (APCL) is maintained when services funded by the department are not available. Contracted providers of registered services for Alzheirner*s Disease Initiative (ADD L) 0 4- 0) C4 00 0 L) 0 a) 04 cc 0 as E Alliance for Aging, Inc. Ailing and Disabilitv Resource Center/Elder lielpline Policy and Procedure for Outsourced function — Screening Creation Date: March 5, 2008 Revision Date: May 2012 Objective: To ensure that a comprehensive list of clients in need of services is maintained in CIRIS by appropriate funding source and that the ADRC is thereby able to effectively gauge the level of elder 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 DOER funded services Procedure: I ADRC Contracted Providers will collect information from callers and conduct a 701A assessment. Alternatively, if a 701B assessment already exists or is provided from another source (i,e, CARES) the information from the 701 B can be utilized. Based on the information provided via the 701A(R) assessment, the ADRC Contracted Provider will make as determination as to tile services that (lie caller is in need ofreceiving. The ADRC Contracted Provider will determine the appropriate binding source(s) that provides the needed services. 4. If the caller is in need of a service(s) that is not provided by the ADRC Contracted Provider, the ADRC Contracted Provider will refer caller to the AbRC Elder Flelpline utilizing the ADRC Referral Ferro and/or to an ADRC Contracted Provider that provides the needed service, The caller will be provided with general information regarding the ADRC as well as tile ADRC Elder Helpline contact number, 6. 'File caller will be inforl of the services and funding sources that they are being placed on the wait list for in CIRTS, 7. ADRC Contracted Provider will create as client record in CIRTS (if there is no existing record) and enter the services needed for the caller by funding source and service. [If there is an existing record in CA TS, the appropriate Fields will be updated]. 19. IF the ADRC Contracted Provider determines that tile caller may qualify for more than one funding Source. ADRC Contracted Provider is encouraged to enter the appropriate information tinder multiple funding sources, [I I' there is an existing client record in CI TS. the client record in CI TS will be updated %% ith appropriate information]. 1. ADRC Contracted Provider will inform caller that they will receive a follow -up call (or holne visit in case of active client) to check on their ztatus based on DOE Wait List Reassessment Standards and encourage caller to contact the ADRC Elder Helpline with any questions. L) 0 4- 0) N ca 00 0 U 0 a) 04 cc 0 as E mm�� 1EMOM Alliance For Aging, Inc. Aging and Disability Resource Center/Eider Helpline Policy anti Procedure for Outsourced function - Triage C� 2. Based on the information provided via the 701A(B)asseshmnent, the ADRC Contracted Provider will update tile client information in CIRTS specifically as it pertains to level of need for services by funding source. 3. The ADRC Contracted Provider will ensure that the CIR IS prioritization score is accurately maintained. according to DOE A Standards. 4. If the caller is in need ore service(s) that is not provided by the ADRC Contracted Provider, the ADRC Contracted Provider will refer caller to tile ADRC Elder Helpline utilizing tile ADRC Referral Form and/or to an ADRC Contracted Provider that provides the needed service. 5. The caller will be inforilled ofthe services and funding sources that they remain on the wait list for and/or have been removed from the wait list for, 6, ADRC Contracted Provider will advise client of any change in their CIR'rs priority score based on the updated imlontlation. ADRC Contracted Provider will remind client of the ADRC Elder Help Line contact number and to contact the ADRC Elder Help Line with any questions or concerns, S. As funding becomes available, ADRC Contracted Provider will run CIRTS Prioritization Report and activate clients according to DOER 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. U 0 4- 0) N 00 0 U 0 a) 04 co 0 as E M Alliance for Aging, Inc. Aging and Disability Resource Center/ Eider Helpline Policy and Procedure for Activation From Wait mist — Clients/ Services Creation Date: March 5, 2008 Revision Dale: May 2012 Objective: To ensure that elders in need of DOER funded services in Miami-Dade and Monroe Counties and on [lie CIRTS wait list begin to receive services as funding becomes available. Policy: ADRC will work with ADRC Contracted Providers to ensure that clients waiting for DOEA funded services begin to receive those services as funding becomes available. Procedure: 1, ADRC Contracted Provider will activate clients on cjR*rs wait list based on DOEA prioritisation polices and funding availability. 2, ADRC Contracted Provider will update CIR I'S status by funding source and service for any services being activated for the client using appropriate CIDTS codes, 3. Client may be left on wait list of a different funding source than the one being activated if ADRC Contracted Provider determines that it is appropriate. 4. Client may also be left on wait list in CIRTS if they are being activated by the ADRC Contracted Provider under a ternporary non-DOEA funding Source and ADRC Contracted Provider determines that the clients' need will persist after the temporary funding source is exhausted. 5. ADRC Contracted Provider will inform the client of any services/funding source that they are being activated for as well as those services and funding sources that they will continue to be wait listed for, 6. ADRC Contracted Provider will inform client to contact the ADRC Elder Helpline ifthey have any questions or concerns regarding the status of any of their services. Alliance for Aging, Inc. Aging and Disability Resource Center/ Elder Helpline Aging and Procedure for Termination From Wait List — Chen ts/Sery ices Creation Date: March 5, 2008 Revision Date: May 2012 Objective: 'ro ensure that the comprehensive list of clients in need orservices in CIRTS is appropriately maintained by funding source and that the ADRC is thereby able to effectively gauge the current level of elder service need in Miami-Dade and Monroe Counties, Policy: ADRC will maintain an accurate and current list of clients in need of elder services in Miami- Dade and Monroe Counties with the assistance of the ADRC Contracted Providers. Procedure: L 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. L) 0 4- 0) N 00 0 L) 0 a) 04 cc 0 as E REMO= ATTACHMENT H CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS The undersigned, an authorized representative of the Provider named in the contract or agreement to which this form is an attachment, hereby certifies that: (1) The Provider understands that pursuant to a. 287-135 F.S., any company at the time of bidding or submitting a proposal for a new contract or renewal of an existing contract, that is on the "Scrutinized Companies with Activities in Sudan List" or the "Scrutinized Companies with Activities in the Iran Petroleum Sector List (collectively, "the Lists") is ineligible for, and may not bid on, submit a proposal for, or enter into or renew a contract pursuant to which funding is provided by the Department of Elder Affairs (Department) for goods or services of $1 million or more. (2) The Provider understands that, pursuant to a, 287. 1 '55 F.S., any company that submits a false certification is subject to civil penalties, attomey*s fees and costs and any costs for investigations that led to the Finding of false certification. (3) The Provider understands that the contract to which this form is an attachment may be ten by the Alliance if the Provider submits a false certification or has been placed on the Lists. This certification, required by Florida law, is a material representation Of fact upon which reliance was placed when this transaction was made or entered into, Submission of this certification is a prerequisite for making or entering into this transaction. L) 0 4- 0) C4 ca 00 0 L) 0 a) 04 Co 0 as E AA -1829 INDEX TO CONTRACT ATTACHMENTS ATTACHMENT ATTACHMENT DESCRIPTION PAGE ATTACHMENT I STATEMENT OF WORK 19 -31 ATTACHMENT II CERTIFICATION REGARDING LOBBYING 32 ATTACHMENT III FINANCIAL COMPLIANCE AUDIT ATTACHMENT 33 -35 ATTACHMENT III EXHIBIT 1 AUDIT REPLATIONSHIP DETERMINATION 36 -37 ATTACHMENT III EXHIBIT 2 FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT 38 ATTACHMENT IV CERTIFICATION REGARDING DATA INTEGRITY COMPLIANCE 39 ATTACHMENT V CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION CONTRACTS /SUBCONTRACTS 40 ATTACHMENT VI ASSURANCES — NON - CONSTRUCTION PROGRAMS 41 -42 ATTACHMENT VII CONTRACT BUDGET SUMMARY BY SERVICE AND TITLE 43 ATTACHMENT VIII OLDER AMERICANS ACT CONTRACT REPORT CALENDAR 44 ATTACHMENT IX REQUEST FOR PAYMENT 45 ATTACHMENT X, EXHIBIT 1 RECEIPTS AND EXPENDITURES, TITLE IIIB, IIIC1, AND IIIC2 46 ATTACHMENT X, EXHIBIT 2 RECEIPTS AND EXPENDITURES, TITLE IIIE 47 ATTACHMENT A DEPARTMENT OF ELDER AFFAIRS' PROGRAMS & SERVICES HANDBOOK (ON Alliance FOR AGING, INC. INTERNET SITE) 48 ATTACHMENT B DEPARTMENT OF ELDER AFFAIRS' CIVIL RIGHTS COMPLIANCE CHECKLIST AND INSTRUCTIONS 49 -54 ATTACHMENT C DEPARTMENT'S COMPUTER USE POLICY AND ITS SOCIAL MEDIA POLICY, PROVIDED ON CD INSTRUCTIONS 55 ATTACHMENT D BACKGROUND SCREENING — AFFIDAVIT OF COMPLIANCE 56 ATTACHMENT E VERIFICATION OF EMPLOYMENT STATUS CERTIFICATION 57 ATTACHMENT F BUSINESS ASSOCIATE AGREEMENT 58 -64 ATTACHMENT G ADRC POLICY AND PROCEDURES FOR OUTSOURCED FUNCTIONS 65 -69 ATTACHMENT H CERTIFICATION REGARDING SCRUTINIZED COMPANIES LIST 70 co c� 0 04 Go 8 0 d 0 IV Go 0 E c� cu a� E c� d Page 18 of 70 AA -1829 ATTACHMENT III FINANCIAL, AND COMPLIANCE AUDIT ATTACHMENT EXHIBIT 2- FUNDING SUMMARY Note: Title 2 CFR § 200.331, As Revised, and Section 215.97(5), Florida Statutes, Require That Information About Federal Programs and State Projects Be Provided to the Recipient and Are Stated in the Financial and Compliance Audit Attachment and Exhibit 1. Financial and Compliance Audit Attachment, Exhibit 2- Funding Summary Provides Information Regarding the Funding Sources Applicable to This Contra Contained Herein, Is A Prediction of Funding Sources and Related Amounts Based on the Contract Budget. 1 . FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT CONSIST Ol THE FOLLOWING: PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT Older Americans Act Administration U.S. Health and Human Services 93.044 $112,771.48 Title IIIB — Support Services Older Americans Act Administration U.S. Health and Human Services 93.045 $151,811.42 Title IIIC1 — Congregate Meals Older Americans Act Administration U.S. Health and Human Services 93.045 $228,495.60 Title III C2 — Home Delivered Meals Older Americans Act Administration Title III E — Caregiver Support Services U.S. Health and Human Services 93.052 $103,386.71 Title III ES — Caregiver Su port Services $32,472.36 $628,937.57 TOTAL FEDERAL AWARD COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL RESOURCES AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: FEDERAL FUNDS: 2 CFR Part 200- Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. OMB Circul A -133, as amended- Audits of States, Local Governments, and Non-Profit Organizations 2. STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF THE FOLLOWING: MAT("NiN(: RFSC)i IC'F.S FOR FEDERAL PROGRAMS PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT TOTAL STATE AWARD STATE FINANCIAL ASSITANCE SUBJECT TO sec. 215.97, F.S. PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT TOTAL AWARD COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS CONTRACT ARE AS FOLLOWS: STATE FINANCIAL ASSISTANCE: Section 215.97, F. S., Chapter 69I -5, FL Admin Code, Reference Guide for State Expenditures, Other fiscal requirernents set forth in program lav rules and regulations. CJ 0 04 Go 8 0 O d 0 Go as CD CU CL E 0 �a a� E c� d Page 38 of 70 AA -1829 CONTRACT BUDGET SUMMARY BY SERVICE AND TITLE CIRTS SUMMARY FOR THE AGENCY ATTACHMENT V Service to be Provided Service Unit Rate Maximum Units of Service Maximum Dollars No. of Clients Chore IIIB $25.00 624 $15,589.42 Homemaker IIIB $24.87 1,923 $47,822.00 Personal Care IIIB $29.00 1,649 $47,822.00 Screening & Assessment IIIB $26.22 59 $1,538.06 Congregate Meals C1 $9.25 15,873 $146,825.03 Congregate Meals Screening C1 $20.00 96 $1,925.00 Nutrition Counseling Ind. C1 $70.56 34 $2,424.39 Nutrition Education C1 $0.50 1,274 $637.00 Home Delivered Meals Frozen C2 $6.53 32,225 $210,427.84 Home Delivered Meals Hot C2 $6.53 1,872 $12,264.76 Nutrition Counseling Ind. C2 $70.56 3 $190.00 Nutrition Education C2 $0.50 724 $362.00 Screening & Assessment C2 $26.22 200 $5,251.00 In -Home Respite IIIE $22.98 765 $17,586.84 Respite In Facility IIIE $10.74 5,752 $61,771.59 Screening & Assessment IIIE $26.22 60 $1,575.00 Caregiver Training & Support — Grp. IIIE $100.90 71 $7,151.26 Caregiver Training & Support— Ind. IIIE $75.00 204 $15,302.02 Housing Improvement /Material Aid IIIES Cost Reimb $16,991.00 Specialized Medical Equipment IIIES Cost Reimb $8,056.03 Chores IIIES $25.00 297 $7,425.33 Total Contract $628,937.57 CJ 0 04 Go 8 0 N 1 Page 43 of 70