Item C12BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 06/10/2015 Division: Social Services
Bulk Item: Yes X No
Department: —Social Services_
Staff Contact Per
AGENDA ITEM WORDING: Ratification of Amendment 4004 to the Alzheimer's Disease Initiative
Program (ADI) Contract #KZ 1497 between the Alliance for Aging, Inc. (AAA) and Monroe County Board of
County Commissioners (Social Services/In Home Services) for the contract period of 7/1/14 to 6/30/15 to add
facility -based respite services into the original contract, transfer funds within the contract, and correct unit rates.
ITEM BACKGROUND: The purpose of Amendment #004 is to add facility -based respite services into
the original contract, transfer funds within the contract, and correct unit rates. This will allow Monroe County
Social Services to provide Facility Based Respite services via ADI funding to the citizens of Monroe
County.
PREVIOUS RELEVANT BOCC ACTION: Prior approval granted by the BOCC on 10/17/14 for
Amendment #003 to the Alzheimer's Disease Initiative (ADI) Contract # KZ 1497, between the Alliance
for Aging, Inc. (AAA) and Monroe County Board of County Commissioners (Social Services/In Home
Services) for the contract period of 7/1/14 to 6/30/15 to increase the contract amount.
CONTRACT/AGREEMENT CHANGES: Amendment 4004 adds Facility -Based Respite, transfers
$17.17 from In -Home Respite to Case Management, increases the contract allocation by $.01, transfers
$46,509.50 from In -Home Respite to Facility -Based Respite, corrects the Case Management unit rate
and the In -Home Respite Service unit rate.
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $145,693.21 BUDGETED: Yes _ No
COST TO COUNTY: 10% CASH MATCH SOURCE OF FUNDS: Grant funds
REVENUE PRODUCING: Yes X No _ AMOUNT PER: MONTH: $400 YEAR:
$4,800
(Source of revenue — client co -payments)
APPROVED BY: County Atty. OMB/Purchasing Risk Management
DOCUMENTATION: Included X Not Required To Follow
DISPOSITION: AGENDA ITEM #
Revised 8/06
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: Alliance For Aging, Inc. Contract: KZ 1497 Amendment 4004
Effective Date: 07/01/2014
Expiration Date: 06/30/2015
Contract Purpose/Description:Rati f ication of Amendment 4004 to the Alzheimer's Disease Initiative
Program (ADI) Contract #KZ 1497 between the Alliance for Aging, Inc. (AAA) and Monroe County Board of
County Commissioners (Social Services/In Home Services) for the contract period of 7/1/14 to 6/30/15 to add
facility -based respite services into the original contract, transfer fimds within the contract, and correct unit rates.
Contract Manager: Sheryl Grah i (305) Social Services/Stop 1
292-4511
(Name) (Ext.) (Department/Stop #)
For BOCC meeting on 6/10/2015 Agenda Deadline: 5/26/2015
CONTRACT COSTS
Total Dollar Value of Contract: approx. $145,693.21
Budgeted: Yes ❑ No ❑ Account Codes:
Grant: $145,693.21
County Match: $10% CASH MATCH
Additional Match:
Total Match $10% CASH MATCH
Estimated Ongoing Costs: $ /yr For:
(Not included in dollar value above) (e.g.
Current Year Portion: $
125-6153614
ADDITIONAL COSTS
iti
CONTRACT REVIEW
Division Director
Risk Management
0. M. B. /Purchasing
D to In
0�y�
-
s� I I t.�
Changes
Needed
Yes ❑ No
Yes ❑ No
Yes ❑ No
viewe
Date Out
County Attorney
'� � � � �
Yes ❑ No'
Comments:
utvii3 v orm Kevisea zfz,//ul Niur #2
Amendment 004 CONTRACT NUMBER KZ-1497 Page 1
THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereinafter referred
to as the "Alliance", and "Monroe County Board of Commissioners, Social Services/In-Home
Services "amends contract KZ-1497 for Fiscal Year 2014/2015.
The purpose of this amendment is to make the following changes to existing contract.
• Add Facility -Based Respite services to the 2014-2015 original contract.
• Transfer $17.17 from In -Home Respite to Case Management.
• Case Management increase by $0.01 to correct the 2014-2015 original allocation.
• Transfer $46,509.50 from In -Home Respite to Facility -Based Respite.
• Case Management service unit rate should read $50.51 instead of $50.48.
• In -Home Respite service unit rate should read $24.13 instead of $24.03.
This amendment changes total contract funding from $56,746.00 to $145,693.21.
Section II, Contract Amount, is hereby amended to read:
Services to be Provided
Service
Unit Rate
Maximum
Units of
Service
Maximum Dollars
Case Management
$50.51
106
$5,353.98
Facility In Respite
10.70
4,347
$46,509.50
In -Home Respite
$24.13
3,889
$93,829.73
TOTAL FUNDS AND UNITS IN THIS CONTRACT: $145,693.21
All provisions in the contract and any attachments thereto in conflict with this amendment shall be
and are hereby changed to conform to this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the
level specified in the contract are hereby amended to conform with this amendment.
This amendment is hereby made a part of the contract.
IN WITNESS WHEREOF, the parties hereto have caused this 1-page amendment to be executed
by their undersigned officials as duly authorized.
PROVIDER:
"Monroe County Board of
Commissioners, Social Services/In-
Home ice "
SIGNED BY:
Roman Gastesi
NAME:
Monroe County Administrator
TITLE:
DATE: ILI
SIGNED BY:
Danny Kolhage
TITLE: M� AYoP,
ALLIANCE FOR AGING, INC.
SIGNED BY...1 ,
Max B. Rothman; JD, L M
NAME:
President/CEO
TITLE:`Y`,,,K� iF'me2
DATE: j L I
DATE:
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 10/17/14
Bulk Item: Yes X No
Division: Social Services
Department: Social Services
Staff Contact Person: Shervl Graham
a
AGENDA ITEM WORDING: Request approval of Amendment #003 to the Alzheimer's Disease
Initiative Program (ADI) Contract #KZ1497 between the Alliance for Aging, Inc. (AAA) and Monroe
County Board of County Commissioners (Social Services/In Home Services) for the contract period of
7/1/14 to 6/30/15 to increase grant funding.
ITEM BACKGROUND: The purpose of Amendment #003 is to increase the contract amount by
$88,947.20 from $56,746.00 to $145,693.20. This additional amount is recurring funds for respite
services and also adds case management services to this contract. This increase in funding will provide
additional case management and respite services to citizens who are in need.
PREVIOUS RELEVANT BOCC ACTION: Prior approval granted by the BOCC on 9/17/14 for
Amendment #001 to the Alzheimer's Disease Initiative (ADI) Contract # KZ1497, between the
Alliance for Aging, Inc. (AAA) and Monroe County Board of County Commissioners (Social
Services/In Home Services) for the contract period of 7/1/14 to 6/30/15.
CONTRACT/AGREEMENT CHANGES: Amendment #003 increases the contract allocation by
$88,947.20 from $56,746.00 to $145,693.20 and adds an additional service; case management to the
contract.
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $145,693.20 BUDGETED: Yes _ No
COST TO COUNTY: 10% CASH MATCH SOURCE OF FUNDS: Grant funds
REVENUE PRODUCING: Yes X No _
(Source of revenue — client co -payments)
APPROVED BY: County A tty
DOCUMENTATION:
DISPOSITION:
Devised 8/06
AMOUNT PER: MONTH: $400 YEAR: $4,800
ob --
OMB/Purchasing Risk Management
Included X Not Required
To Follow
AGENDA ITEM #
V up
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: Alliance For Aging, Inc. Contract: KZ1497
Effective Date: 10/17/2014
Expiration Date: 06/30/2015
Contract Purpose/Description: Request approval of Amendment #003 to the Alzheimer's Disease Initiative
Program (ADI) Contract #KZ1497 between the Alliance for Aging, Inc. (AAA) and Monroe County Board of
County Commissioners (Social Services/In Home Services) for the contract period of 7/1/14 to 6/30/15 to
increase grant funding.
Contract Manager: Sheryl Graha (305) Social Services/Stop 1
292-4511
(Name) (Ext.) (Department/Stop #)
For BOCC meeting on 10/17/14 92 Agenda Deadline: 9/30/14
CONTRACT COSTS
Total Dollar Value of Contract: approx. $145,693.20
Budgeted: Yes ❑ No ❑ Account Codes:
Grant: $145,693.20
County Match: $10% CASH MATCH
Additional Match:
Total Match $10% CASH MATCH
Estimated Ongoing Costs: $ /yr For:
(Not included in dollar value above) (e.g. P
Current Year Portion: $_
125-6153614
ADDITIONAL COSTS
CONTRACT REVIEW
Division Director
D to In
ill i
Changes
Needed
Yes ❑ No
Rev we .
Date Out
Risk Management
O.M.B./Puresing�l
s ; (cln
1301
Yes ❑ Now
Yes El No ®
- .
(` 1 Ai
`-
9�
County Attorney
Yes No�
Comments:
OMB Form Revised 2127/01 MCP #2
Amendment 003 CONTRACT NUMBER KZ-1497 ; 3 , o� Page 1
THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereinafter referred
to as the "Alliance", and "Monroe County Board of Commissioners, Social Services/In-Home
Services "amends contract KZ-1497.
The purpose of this amendment is to increase the contract amount by $88,947.20 for respite
services. This additional amount is recurring funds. This amendment changes total contract
funding from $56,746 to $145,693.20.
The breakdown of this allocation is as follows:
Case Management: $5,336.80
In -Home Respite $140,356.40
Section II, Contract Amount, is hereby amended to read:
Services to be Provided
Service
Unit Rate
Maximum
Units of
Service
Maximum Dollars
CASE MANAGEMENT
$50.48
106
$5,336.80
IN -HOME RESPITE
$24.03
5,841
$140,356.40
TOTAL FUNDS AND UNITS IN THIS CONTRACT: $145,693.20
All provisions in the contract and any attachments thereto in conflict with this amendment
shall be and are hereby changed to conform to this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at
the level specified in the contract are hereby amended to conform with this amendment.
This amendment is hereby made a part of the contract.
IN WITNESS WHEREOF, the parties hereto have caused this 1-page amendment to be
executed by their undersigned officials as duly authorized.
PROVIDER:
"Monroe County Board of ALLIANCE FOR AGING, INC.
Commissioners, Social Services/In-
Home Services."
SIGNED BY:
NAME: SYLVIA MURPHY
TITLE: MAYOR
DATE: 10/17/2014
For Fiscal Year 2014/2015.
SIGNED BY:
NAME:
TITLE:
DATE:
Iq I',
C11ik/
Max B. Rothman, JD, LL.M
President/CEO
Amendment 002 CONTRACT KZ 1497 _ __{ ORIGINAL Page 1
THIS AMENDMENT, entered into between the Alliance for Aging, Inc., hereinafter referred
to as the "Alliance", and Monroe County Board of Commissioners, Social Services/In-Home
Services.
The purpose of this amendment is to amend the contract language regarding Attachment VII.
This contract is hereby amended to read one -tenth instead of one -twelve of advance
reconciliation starting with report# 3. See Attached.
All provisions in the contract and any attachments thereto in conflict with this amendment
shall be and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at
the level specified in the contract 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 1-page amendment to be executed
by their undersigned officials as duly authorized.
PROVIDER:
Monroe County Board of
Commissioners, Social
Services/In-Home Services.
SIGNED BY:
NAME: SYLVIA MURPHY
TITLE: MAYOR
DATE: 10/17/14
ALLIANCE FOR AGING, INC.
SIGNED BY:
Max B. Rothman, JD, LL.M.
NAME:
President & CEO
TITLE:
DATE:
Contract Number KZ-1497
ALZHEIMER'S DISEASE INITIATIVE
INVOICE REPORT SCHEDULE
Report Number Based On
ATTACHMENT VII
Submit to Alliance on this Date
1
July Advance*
July 1
2
August Advance*
July 1
3
July Expenditure Report +1/10 advance reconciliation
August 10
4
August Expenditure Report +1/10 advance reconciliation
September 10
5
September Expenditure Report +1/10 advance reconciliation October 10
6
October Expenditure Report +1/10 advance reconciliation
November 10
7
November Expenditure Report +1/10 advance reconciliation
December 10
8
December Expenditure Report +1/10 advance reconciliation
January 10
9
January Expenditure Report +1/10 advance reconciliation
February 10
10
February Expenditure Report +1/10 advance reconciliation
March 10
11
March Expenditure Report +1/10 advance reconciliation
April 10
12
April Expenditure Report +1/10 advance reconciliation
May 10
13
May Expenditure Report
June 10
14
June Expenditure Report
July 10
15
Final Expenditure and closeout
July 20
Legend: * Advance on projected cash need.
Amendment 001 CONTRACT NUMBER KZ-1497 r Page 1
THIS AMENDMENT, entered into between the Alliance for Aging, Inc. hereinafter referred
to as the "Alliance", and "Monroe County Board of Commissioners, Social Services/In-Home
Services." amends contract KZ-1497.
The purpose of this amendment is to correct amount of contract by $26,661.00 in Home
Respite services. Allocation of funds as indicated in Section II below. This amendment
changes total contract funding from $83,407 to $56,746.
1. Section II, Contract Amount, is hereby amended to read:
Services to be Provided
Service
Nlaximum
Maximum Dollars
Unit Rate
Units of
Service
IN -HOME RESPITE
$24.03
2,361
$56,746.00
TOTAL FUNDS AND UNITS IN THIS CONTRACT: $56,746.00
2. This amendment shall begin on the date it has been signed by both parties.
All provisions in the contract and any attachments thereto in conflict with this amendment
shall be and are hereby changed to conform to this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at
the level specified in the contract are hereby amended to conform with this amendment.
This amendment is hereby made a part of the contract.
IN WITNESS WHEREOF, the parties hereto have caused this 1-page amendment to be
executed by their undersigned officials as duly authorized.
--•
"Monroe County Board of
Commissioners, Social Services/In-
Home Services."
t-
SIGNED BY: vT SIGNED BY:
NAME: Sylvia Murphy NAME:
TITLE: Mayor TITLE:
DATE: DATE:
For Fiscal Year 2014/2015.
ALLIANCE FOR AGING, INC.
Max B. Rothman, JD, LL.M
President/CEO
Date
oq
-v