4th Amendment 03/21/2018 ORIGNAL
Fully
Amendment #0004 Executed Contract No. KG070
THIS AMENDMENT, entered into between the State of Florida, Department of Children and Families, hereinafter referred to as the
"Department," and Monroe County Board of County Commissioners, hereinafter referred to as the "Provider," amends Contract
No. KG070.
Amendment #0001, executed 02/04/2016, replaced the CF Standard Contract 2014, Exhibits A -F and Attachments 1 -2 with the CF
Standard Integrated Contract 2015, Exhibits A -F and Attachments 1 -2. Furthermore, the amendment decreased the contract funding to
align with the AOB; revised the Deliverables; added required language pursuant to Section 215.97, F.S.; and corrected the additional
financial consequences language.
Amendment #0002, executed 12/21/2016, revised the unit rates for Homemaker, Case Management, Home Delivered Meals, and
Personal Care services pursuant to Section 216.0113, F.S. in compliance with the Preferred Pricing Clause identified on Page 10,
Standard Integrated Contract 2015, Section 7.6, Preferred Pricing Affidavit. This amendment also added language to EXHIBIT A-
SPECIAL PROVISIONS, SECTION 6: PENALTIES, TERMINATION AND DISPUTE RESOLUTION, to allow the Provider to terminate
the contract. The revised pricing terms were retroactive to the effective date of this contract. Payments made in excess of such pricing
were deemed to be overpayments and are required to be promptly retumed to the Department as provided in Section 3.4 of the Standard
Integrated Contract 2015.
Amendment #0003, executed 02/15/2017, revised contract rates to reflect pricing which is no less favorable to the Department than for
those similar services under any existing contract with any other party. Consistent with Section 216.0113, F.S., the rates in Amendment
#0003 reflect the most favorable prices that the Provider offers to other parties.
The purpose of this Amendment #0004 is to reduce the total contract amount by $19,000.00.
1. Page 1, CF Standard Integrated Contract 2015, SECTION 1.1, PURPOSE AND CONTRACT AMOUNT, is hereby amended to
read:
The Department is engaging the Provider for the purpose of providing in -home Community Care for Disabled Adults
(CCDA) services to all eligible permanently disabled adults aged 18 -59 who are in need of assistance to maintain
reasonable independent lives in the community in Monroe County and to prevent unnecessary institutionalization, as
further described in Section 2 hereof, payable as provided in Section 3 hereof, in an amount not to exceed $207,065.50.
2. Page 36, CF Standard Integrated Contract 2015, EXHIBIT F- METHOD OF PAYMENT, SECTION F -1.1, PAYMENT CLAUSE, is
hereby amended to read:
F -1.1
This is a fixed price (unit cost) contract. The Department shall pay the Provider for the delivery of services units provided in
accordance with the terms of this contract for a total dollar amount not to exceed $207,065.50, subject to the availability of
funds. The annual contract totals shall be, $40,866.50 for Stata Fiscal Year 2014-2015; $61,733.00 for State Fiscal Year
2015-2016; $61,733.00 for State Fiscal Year 2016-2017, and $42,733.00 for State Fiscal Year 2017 -1018 subject to the
availability of funds.
3. Pages 36, CF Standard Integrated Contract 2015, EXHIBIT F- METHOD OF PAYMENT, Section F -1.3, PAYMENT CLAUSE, is
hereby amended to read:
F -1.3
The Provider agrees to provide local matching funds in the amount of $4,590.00 for Stata Fiscal Year 2014 - 2015; $6,858.89
for State Fiscal Year 2015 -2016; $6,858.89 for State Fiscal Year 2016 -2017, and $6,229.99 for State Fiscal Year 2017-
2018 subject to the availability of funds.
CF1127 Monroe County Board of County Commissioners
Effective July 2015
(CF- 1127 -1516)
. •
Amendment #0004 Contract No. KG070
This amendment shall begin on February 21, 2018 or the date on which the amendment has been signed by both Parties, whichever is
later.
All provisions in the contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform
with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract.
This amendment and all its attachments are hereby made a part of the contract. IN WITNESS THEREOF, the parties hereto have
caused this two (2) page amendment to be executed by their officials' thereunto duly authorized.
PROVIDER: STATE OF FLORIDA
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS DEPARTMENT OF CHILDREN AND FAM IES c / 1 /
SIGNED BY: . /, . SIGNED BY: a
NAME: David Rice NAME: Bronwyn Stanford
TITLE: Monroe County Mayor TITLE: Regional Managing Director
DATE: mietivit. 24 'a— +8 DATE:
Federal ID Number: 59 - 6000 , :.
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ATTEST. KEVIN • • •'
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CLERK • ' p.' - pOV E G � ,
PEDRO J. MERCADO
ASSISTANT ' OUNTY ATTORNEY
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CF1127 Monroe County Board of County Commissioners
Effective July 2015 080jjN dOj O31Id
(CF- 1127 -1516)