Item C31lrl
Co of Mope
�'
; c' �
'�
BOARD OF COUNTY COMMISSIONERS
Mayor David Rice, District 4
Mayor Pro Tem Sylvia J. Murphy, District 5
Fl
IleOI1da Keys
m
�� u 1 , i
zm
Danny L. Kolhage, District 1
. �,
George Neugenf District 2
Heather Carruthers, District 3
County Commission Meeting
October 17, 2018
Agenda Item Number: C.31
Agenda Item Summary #4810
BULK ITEM: Yes DEPARTMENT: Social Services
TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham (305) 292 -4510
N/A
AGENDA ITEM WORDING: Approval of Amendment 4001 to Nutrition Services Incentive
Program (NSIP) Contract US -1851 between the Alliance for Aging, Inc., and Monroe County Board
of County Commissioners, Social Services /In -Home Services to reduce funding in the amount of
$5,519.68 resulting in a total budget of $26,966.79.
ITEM BACKGROUND: The NSIP provides reimbursement for the purchase of United States
produced agriculture and other food commodities for use in nutrition projects operating under
approved Older Americans Act Title III contracts. NSIP funds allow for a reimbursement to Monroe
County for congregate and home - delivered meals provided to nutrition clients participating in OAA
grant funded programs.
PREVIOUS RELEVANT BOCC ACTION: BOCC approved NSIP Contract US -1851 between
the Alliance for Aging, Inc. and Monroe County BOCC /Social Services on 01/17/2018.
CONTRACT /AGREEMENT CHANGES:
Reduction of funds
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
NSIP US -1851 AMENDMENT 0012018
BACKUP- FULLYEXECUTEDNSIP1851
FINANCIAL IMPACT:
Effective Date: 01/01/2018
Expiration Date: 12/31/2018
Total Dollar Value of Contract: $26,966.79
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:
01/17/18 NEW COST CENTER ADDED
125- 6153318
$32,486.47
REVIEWED BY:
Sheryl Graham
Completed
10/02/2018 2:20 PM
Pedro Mercado
Completed
10/02/2018 2:25 PM
Budget and Finance
Completed
10/02/2018 3:47 PM
Maria Slavik
Completed
10/02/2018 4:14 PM
Kathy Peters
Completed
10/03/2018 11:25 AM
Board of County Commissioners
Pending
10/17/2018 9:00 AM
AMENDMENT 001 CONTRACT US - 1851 Pa _ �
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 NSIP contract: To amend the current
2018 contract to reflect the adjustments received from the DOEA. These funds are recurring.
De- obligate NSIP funds by: ($5,519.68)
TOTAL
S5,519ro6
This amendment changes the total OAA contract funding of: $32,486.47 to
$26,966.79
The Budget Summary by Title for the whole Fiscal Year (January 01- December 31. 2018) is as follows:
PROGRAM TITLE
FUNDING SOURCE
CFDA
AMOUNT
Older American Act Administration
Nutrition Service Incentive Program
FGTF
93.053
$26,966.79
I TOTAL FEDERAL AWARD
1 $26 ,966.79
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 below:
Service to be Provided
Service Maximum Units of Service
Unit Rate Prior Units Additional Total
Maximum
Dollars
Eligible CNML and HDM
$0.72 45,120
-7,666
37,454
$26,966.79
CONTRACT TOTAL AS AMENDED
$26,966.79
All provisions in the contract and any attachments thereto in conflict with this amendment shall be
are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the
level specified in the contract are hereby amended to conform with this amendment.
This amendment and all its attachments are hereby made a part of the contract.
IN WITNESS WHEREOF, the parties hereto have caused this amendment to be executed by their
undersigned officials as duly authorized.
PROVIDER:
Monroe County Board of County Commissioners,
Social Services /In -Home Services
ALLIANCE FORAGING, INC.
SIGNED BY:
NAME: David Rice
TITLE: Mayor
DATE:
SIGNED BY:
NAME: Max B. Rothman, JD, LL.M.
TITLE: President & CEO
DATE:
Prepared on 07/09/2018
KII ''T 111,11 111 Jill 11'
Coiaract No, US-1851
STATENIENT OF WORK ATTAC11MENT I
THE ALLIANCE FOR AGING, INC.
NUTRITION SERVICES INCENTIVE PROGRAM
SECTION I.- SERVICES TO BE PROVIDED
1.1 GENERAL DESCRIPTION
LLI General Statement
The Nutrition Services lncentive Prograrn (NSIP) is intemled to provide incentives for the ellective clefivel-y o f ,
nuvidaus Me& to Olds!- inchv,duafs, NSIP allows progrann to incrcose tile rIUmberand/or the qUalit� of
meals served. NSIP in a casn anonn ol• commodlo Imagram that suppjeme�jjs fiunding, or food used l-I
meals served LHUler Be 0AA. Flm*kt has opted for cash pa� ments iIn HCU 01'ClOmated fibods.
lne rele%ant autfiorit� goverrang NSIP are
(1) Catai og o t'Domest ic Assistance No, 93,04 193 ,044� 93 04 i, 93,052 . and 93,053:
(2) Older Americans ZlCt 0f` 1995, aS Un1enCICLI 2016;
(3) Older Americans PWI of 1991 as amended 2016, Section 3 1 , '42 U&C, § 3030ay,
(4) 42 U&C, 303a, 42 U.S.C, 604
(5) RK 58 1-1. Florida Administrative We (FAC)::
(6) Secdon 130, 10 I. Fioricki Slaws. ant
(7) Catalog off'edeiral Domestic Assimance (CH)A) 9105,
1" Scope of Seri lee
The Cmamaor is responsible for Ow programnatiq n xal w nperadmml ammgmmnt of the NSIP,
ii lit oruwinnHdon so` keopemdonsorRssukonaaaeciprovi(ler, Theprogrimservices
provided under this contract shall be proviided in as mannerconslstent Mth and described in the Contractor's
CL1111'rCilt'areas plan Update. Wiich r; incoiporated ls� rel and the current DOEA Program ratid Savices
Handbook, %%ljjcjj is also inempopted by retkowe.
1x23A & Whng Ow tams or W4 HgmemenL the Comractim scope of'ser% im shall consist of coispoly, 0 1 ,
be Wuhm smice msks! ( 1) Uol I wyhjjjt� Oeterraairn�a�tic�aa; (2) Prol.fl• I'll 1(3)
Program Coordination Wid 01 (4) Usuring LAmopharic % Pre scribOrl ;Nutriric)n Requirements"
(5) Ensuring QnVliwice "ith 11we•ked F%d Origin [�cqnircnvrms: 16) 1-bVilplidnLe aar1. Pro'giram
Repohng and Recunk Wmgcmeja [Requimmeruts; and (7) %nitorinup the Peribi ol'Subcontractors,
L112 'Me CoMmuor shall use the NS11 fimcfill this CMUOU R) sa,tppj l'undingfor flood u,t!d in meak
sc ed under the OA A.
1,2-A Term or fr ision ol'.Seri ices
t - 11: t,1 0I IN, LOMIAW! 10 the dchm J wn we, "No! %, 'I., c f
, 1" in 1 001100 ; A U3 —,ol i,
hi"mr, for the puMow of wong Llpoll tj W r ai pro, i'ded
TU CMUCt AMIl NMaia OPCII WILH Dec rnfvr 2018,
1.23 Major Program Goals
The mqjur guals ofthe \Sll. ge , j ,
(1) To umplemem funding ffir food Used 1 meds somed b 0AA Nutrition Program Providers: and
(2) Provide incentives for the OWN delivey ofinutritious i rneals to older individuals,
1.3 INDIVIDUALS TO 13E SERVED
m
Contract No, US-] 831
I
C'ontract No. IJS- 'I 851
6. Official I'Livee and It 'Names. Addresses, and TO ihoge Numbe
7. All 'Fernis and Conditions Inelkii[jecl-
.--- ----------
Fhk 'contract 111d hS IMMChlnents, i, I I L V' 11. ;'~ anii,i I I s am bits l s.6d auachment, ;, rooedler
w th any doc I k I Iments incorporated h%, rel'crencie. Cfflll.,I�al aH dic terms and conditim- a�, i� ti
eCd Upon b le Partie.s, T
I here
are no pr(wimons, ler ills, con(fi[jollS, or obhuafiUlIS Oihel 111,311 d10510 C01lUd110L1 JJCJ armcl EiliS C(3111ract Shiffl SLIPMede
A previMis commurucations, represenuitions or aureements, either m or �erbA bet%veen
IN WITNFSS 'I I 1ER[71 017 [I 1.1jr-q iCS IWI 11,MC CMlsed this clonvact. to he evoewed b� fli& Undersigned officidis as
dLfll� authorized,
Contractor: Monroic Counit Boaril oricounty
Commissioners, Su" Seri, , jecs/In-Home Su'vices
DA'1'E I'Ll / 91 ;7()I1 - - - I-
77 7'1 e.
D
it WERCADO
kMSTANT COUNTY �TTqfty
I
The Cluntreactor name. as shown on page .1
N`101111`0e C Minty Board ofCounty Comaussiminers,
n.
tNs contract, and mai I Ing address ofthe of`116afl
S06al Serv�cesflin-1 Ionic Servicies
MTe to %t time piyrnenl shall be made 9 s:
1100 Shnonton Sirect, 2` Floor
Kev West, FL 33040
305-292-4510
Sheryl Grafiarn
The narne of the contact. person and strect adidress
M011FOC COILIHA� Board orCounty Commissioners,
bi,
where financial and adininimrativie records are
Social Services/In-Home Services
maintained is.-
1100 Simonton Street, 2' Floor
Key West, Fi, 330419
3 3105 -292-45 10
SherV] Grahmn
'Flile name, address, and teiephone number of
Mmroe COUnly Marti (ViCounly Cornmissioners,
this represemative oi'lhe Contractor rosponsibik-
Social Services/in-Home Services
l'oradministration ofilfic pri Undcr this
1 100 Sinionton Sireer. 2` Floor
Contract is:
Kev West, FL 33040
305-292-4i 10
d.
The section and location vithin the AH iance
Fiscal Officie
A I I i ance 1`6 r Agi in s., I nn,
I
where Reqmsts iDr Pa ment and Rece", and
760 NW 107"' A v on M. S trite 2 14, ? floor
Ex pend i [Lire fi'wnns are to be nmded is
Mialnl 1 33 172
Cointract,Manager
e.
The rian address,, and telephinne number
A I I i ance flor Agi ng, I nic,
z�
ol'die Contract Manager for this contract, k�
7 60 N %% 107"' &� entic. Suite 21 -C 2" Floor
Nliami. FL 32172
1(305) 670-6iOO
Upon
change ol'represioinimfivLs (narnes, addresses, telephone
Irar.rmb ers) by cidler piu nolice sharp b,
providi0d
In %%ritiing to the cwther party and tile notification attuhicd
lit.) the ori-hials offlii contraict.
7. All 'Fernis and Conditions Inelkii[jecl-
.--- ----------
Fhk 'contract 111d hS IMMChlnents, i, I I L V' 11. ;'~ anii,i I I s am bits l s.6d auachment, ;, rooedler
w th any doc I k I Iments incorporated h%, rel'crencie. Cfflll.,I�al aH dic terms and conditim- a�, i� ti
eCd Upon b le Partie.s, T
I here
are no pr(wimons, ler ills, con(fi[jollS, or obhuafiUlIS Oihel 111,311 d10510 C01lUd110L1 JJCJ armcl EiliS C(3111ract Shiffl SLIPMede
A previMis commurucations, represenuitions or aureements, either m or �erbA bet%veen
IN WITNFSS 'I I 1ER[71 017 [I 1.1jr-q iCS IWI 11,MC CMlsed this clonvact. to he evoewed b� fli& Undersigned officidis as
dLfll� authorized,
Contractor: Monroic Counit Boaril oricounty
Commissioners, Su" Seri, , jecs/In-Home Su'vices
DA'1'E I'Ll / 91 ;7()I1 - - - I-
77 7'1 e.
D
it WERCADO
kMSTANT COUNTY �TTqfty
I
Contract No. US -185 1
ALL d AGING, INC. �.
NT T`
NUTRITION SERVICES INCENTI
hereinafter THIS CONTRACT is entered into between the Alliance for Aging, Inc.
Monroe C ounty m
referred to as the"Parfies," i
1. PUrj30Se0fC0Rtract
The purpose of this contract is to provide services in accordance with the terms and conditions specified in this contract
including a ll attachments, forms, exhibits and references incorporated, which constitute the contract document.
2. Incorporation of Documents within the Contract
The contract will incorporate attachments, proposal(s), state plan(s), grant agreements, relevant Department handboo
manua as an integral part of the contract, except to the extent that the contract I
o the event of conflict in language among any of the documents referenced above, the specific provisions a
requirements of the contract document(s) shall prevail over inconsistent provisions in the proposal(s) or
materials not specific to this contract document and identified attachments,
. Term of Contract
T "lots contract shall begin at twelve (12:00) AM, EST on January 1, 2018 or on the date the contract has been signed by the last
party required to sign it, whichever canes later. It shall end at eleven fifty -nine (11:59) Pfvl EST on Decem 31, 2018.
Contract No. L S -111 .51
1. .1 Congregate Maids
CUM diWWHW 11 congregate mcahk k, as lblio%�s:
(1) Sich viduals age 60 or MY;
(2) Spouses (regardlem usage) MwIn. t di.nira tileir 0i hale spouw;
(3) Persons wide a diMity, rcgardless, ol'aga raWbg hi a hMM&g NOMY OCCUPied primarily by okicr-
inclMdUalS Mitre congregate nutrition see ices are pinybded;
(4) Persons with disabilities residing M Imme "ith amf zicconiparrying! an elig�iblc person to the dirt as
ceMeq and
(5) VOlUnteers, regardlesi ofage, providhig essendal scrUkes on as regular bask &wMjg wwal hmws
13.2 Home Delivered Meals
Ciient efigibiiity fior congregate rneals is as blkn%s.
(1) individuals agg 60 or okhr %ho are homebound bs reason offflness, disabihy or kolation;
(2) The SPOL190 of d hoinebound cHWWe ind"AwL regard4s, of'a ifule pr 0f'111e'LC)11'MC'r;.1i Mell
supports rna-intainAg the hornebound OiLgible individual at icnnio,
(3) individuals witil a disabifitN , regardless or age, inniAng at honx "idi eligible nlffivduak and are
diependerit on thern f'or care;
(4) Persons at nutritional risk having
, plyMcah emotional w bawk ioral conlifirions. whi c[ voald retake their
presence at the congregate Mte inappropriate: arml
(5) Pemons at nutritional risk %kho am sodrdb or oTooke VoWtud and unable to attend as cit.ingregate
nutrition site.
13-3 Restrictions
Meal-, served to an elderly Alividial arnind in Me ur in pan LIM10- thiO %IC(kidid Waiver, Home Care
Ir to Ekkdy or Communly Me Pw Q I M, PmgmmN or other nwani tested pro,,' rnap not �be
includied in the NSIP ct..,j
SECTION M MANNER OF SERVICE 1"ROVISION
2.1 SERVICE TASKS
2 . 1 .1 Client Eligibility Detern'divatfini
The Contractior sl-aH ennwe jiya applicant data k evd uated to determine eli Eli&ibiln w beciouric
as Mt is bored 'M nWabg CM 1WjU;N11MJ1 de: : ihed in dd-, ki LMENT 1, Section 11 2.1 jja(
Section 1 133, 1.3.2, and 1.11
2.1.2 Program Eligibility Requiremients
VMS nwst Melot die e•ke ra iin order M be. Bpi Ibl for pt,ram parficQpation.
(1) An ageny that has rec6veil as gMM Unda tile OAA Tide 1H (0 "u.,\ section 3 1 l(l 2 1.1-S4 C',31030a)): and
(2) A Mitritiort siorvice pro%Ma UNn venus incalb and is Under lhejorkdiction, C01111 [URMHUMCITI '111d
auwt awma orthe Wea Agenc; an Aong M the Mpartrilent or EIderAlfirs,
113 Contmetur's 'Nutrition Seri ice Operallons
The QnVacwr shad "WrWC lAW nfflriti M sera.iice Ofleradorli oll the pro%k1ur h) einure duo the requirovenri
or ATTACHMENT I am nwL as "A' a, w* 0wr qVikalk regLi1xions and pAlks pwwHWd b) Hie
Ekpartrinum orl leakh aun! I lunmn SaMej I ND h MMe and kwal ht-alth departments or j jjjs ojjj a
designaled to inspect nical k ju a jit� t:, s tato
2.1.4 Prescribed Nutditional 11equirements
The Contractor shall ensure that each local pw ided under this NSIP coritract toeets tile 1 criteria:
Contract No. IJS- 1851
(1) C0111ply With tile CLUTent I)ietarN GUidelines for Americans. pi.iblWied b the Secretaries of' the
Department of Health and FILIman Services and the Department ol'AgricultUre; and
(2) Provide a minimum of a1 1 percent ofthe dietary reference intake4adequate imakes for an age 70+ v";':
flemale as established by tile Food and Nutrition Board of the Nationai Acaderriv ol'Sciences,
a Food Origin and Commodities Requirements
Consistent o,ith existing requirements Ofthe N1.1trition Services Inicentke program, the Contractior and its
service providers may Use NSIP cash to PUrchase I'dods ol'U.S. origin flor their miltrition prqieCIS Undu'Fiflie
I I I of the OAA. NSIP Funds MILISt be WsLd to e\pand meal ser ices to older adIL111S,,
IL7 Use of Subcontractors
11 this contract involves the LISC Ore Subcontractor or t1drd part . then the Contractor steal I not delay the
implementation of its agreement %%ith the Subcontractor. id" arny circarristances occur that may rmllt in as
de av Iler as period i days or itiore of' the initiation of' the Subcontract or in the pier 1 of' the
SlIbcontractor. the Contractor shall no die %I ian c e Contract Manager in %%ri . ung o r -; -°Cl i delm
The Contractor shall not permit as Subconmictor to perrorin Lei Ii tO thiS V611101Ht
havino as bin in Subcontractor aoreement CXMItad. I h e A I I iza it c e e ill noE be responsible or HaHe
for any obligations or clailtis residtiiri� from SLICII action.
2.1,8 N the Performance of Subcontractors
The ContracLor shall monitor at least orice per year each of its Subcontractors, Subrecipients. Vendors
I nder this contract, The Contractor sh all perlorm fiscl, a
,ITI(1/01 COTISLIltantS paid firorn runds provided Li
administrative and programmatic monitoring to ensure contractuA compliance, fivscall &CCOLlntabilitN,
programmatic perl'unnance and compliance appilcaHe state and llederaV hms and reOiLliations, The
Contractor shuH munitor to ensure that time schedules Lire met. the bUdget am] scope of am are
accomplished aaitVaira the specified thiie pQri0d,` WILL ofl,er pcirk godtLz, St'atet] kn thiP, C011hi c are
2.2 S EFL I C E "' N ES
2.2.1 Service Times
The Contractor 1-hall ensure the scriices, lisml in this contract are Isailable at times appropriate to meet
client service needs, at a milliIII'Llill, dLirimz normal business hioul \01`111,11 bLlSicCSS h0li are ii as
MOnd,l) thr()U�,fli Fri,Liy. 80) In 5.001)illl.
Contract No. US-] 85,1
23 DEWERABLES
2.3.1, Service Unit
The Contractor shiall ensure the provision of the servjce described in [lie cant rac! in accordance Nvith
111C CUrrent Department of Elder Affairs Flrogranv, and Survices llaraClkr)ok and tile service tasks
dew0bed in
ATTACI-EN'TENT 1, SECTION If Part 2.1. His chart belov, lists tl-w type of' s erv i ces a ll oo , e( I
and the U11h. ofnieaSLArcnient�
&I nXii "Q
Congreglaie tvleahs Nwal
Hurne-Deilvered Nlej,.i
`vlcaf
2A REPORTS
The Clintractor shall respoild to kidhional rowirte ind cm speL:jal reqUeSt.S fl)r hil0i'Moti0f), Eind reports required
b], tile Alliance in as timely inanner determined Ian, the Contriu INIariager. Thre Contractor shall e9whikh
due dwes A an, SLibcontractor� fliat pa; mil Me ChmitmM to nwe� 0e Alh ince's report ing requirenienN.
2. 4.1 Client Infurniathin and Registr;tHun Traddng Symem (CIRTS)
Reparts
The CAmtnictur shall inpul N P spechIc alma into Clb, I S to ensurc CHO'S daw accuracy. Fhe
Cimumetor sh&I tme CIRTS jWnwood wpay %QPh Kkkk le kdon
(1) (Alert. Reports;
(2) a onikwing Reports;
(3) Sev� ice-, lZeptsm,
(4) 1NfiSCCilaaC0LIs Repma:
( f iscal Reports;
(6) Aging Enid DimbHhy Ile sotwce Center Repow and
(7) otltCoa _ne IMCaISnl
2.5 RECORDS AND
DOCUINIENTATION
The Limumemr shall enenv We CUILLIVI 0111 ajj,IiIHCMIIILe 01'Chejj, anj,j hilorlllaflon on as nond
basis Kni the CIWI S or anyitich s slam dcAgnawd by Ow Depwat,
txickups of ail data—ind systcIlIsLiccording in Ekpartnwrn manddl_Lk
L&I Each %nmewr and 141conmuor, urnong odwr ralivninu, nwSt 0011cifate aW ywqam lia• le
loss rifinforniation proces'sing capabilities. the rorahe backing up orall date and soft eare is
reClUired to recover Win losses or ouyes of the compum sincin.. Daw and sol'troare essential to
the condinted operathn or Conwelor linclans IMISI be backed up. The scawh) comrok eater Me
hackUll resources Wall 1 W as Wh9wil , dw pnmadmi rupRod s low romy ryYny4 It i
recoimnemled 1 un as LIt I f C 0 Kiked ul Ua ne mod i i a s�`cuw, nitrite hkatoh, 1 e.
Wntract,or shMI mAntain "Huen peal eWN and pnwcdmvs Rx conqwta qhwin Wup and
recovaij mid sluill 11 thcsarne requironnu in W convacts and or agnenwnB "Ith,
Subcontractors, 'I hese poficje� aaaarl PnwvWws "HI be nukk xuilal* k) We Alhance upon
request.
198MI30MENME
Contract Pit UT 1 851
2.6 PERFORNIANCE SPECIFICATIONS
2AI Outcomes
'I"he Contractor shzfll elISLit•C scarves provided Linder this contract are in ac c orda rice Mth fl1C CUrrent
DOE,k f and ,Survices Handbook,
The Contractor shall flillCly SlUbmit to 1he AlHmxe aH reports anti itif'ornirifion described in
ATTACHNIENT 1, SECTION If 2.4 and L5.
17 ALLIANCE RESI'ONSIBILITIES
2.7-1 1 Guidance and'rechnical Assistance
'rhe A IN ance %011 provide die Contractor " iI guidance and whnical assistance as needed t0Cn9Ure t lie
9LrCCCF,Sf`U_' full of thee owoau by dw ConMwWr,
2"7"2 Contract Monitoring
1 Alliance will revinvand evaluMic dic pcHbri ohhc Contmaorunder the gratis 017HISCciraw.
TIAMNng shil he condLwted through dAct contact Mth the Contractor throtij- telephorre in
or an on-sire vish. The A I 11 a n c c's determlinadon of' acceptable perflorinwe W In concMe.
The Conumclor agrees to cooperate with be Mime M moniiori rq,;
the pro.gress ofcornpledon of the
savice to and deNvembits. The AMmwc may use. but is iml Wiled to, one or as re orthe CoUlmqinuy
niethods for inonkoring:
, (I) Desk revlowsand analyiicifl rewle"S:
(2) Scheduled, unsell(XILded and 1 -tip on-she vjs4s,
(3) Client vidits-,
(4) Reviov of independent aUdhior's reports:
(5) Review urdiird-part� dOCLID andlor CVt1J1U,.1ti0r1'
(6) Review of progress reports:
(7) Revie" ofc.Munier satisl1w1birr sirweys"
(H) Agreedoupon procedwes ret, lcka 'b an external Mrdkor or consultant
(9) UiAteid-sciope revie%%s, and
(10) Other p -ocedure% x deenwd nece9sa',
SECTION M, iMETHOD OF IIAN MENT
3A GENERAL STATENW-M OF MFT1110D OF J'AYMEN'r
Tails is as Rxed rwe ctwitrau, Me AlHwxc AM Me palmem to the Contractor, j `t )j - prob j, 3 j 0jjj 0 1" Cr % tip
a maMmum number or unihs of so i ice and at the Prospective rate staled el %%:
Wyke to he Pr4wided Arndt orscir ice � _ d�aadt d�aates
Eliuilsle Congregaie wul I unh I rneWl
Eallic Deliwred
'The prospeaKe W is baod cri tic olhuabod 0 Uk giant a%wil.
ME=
I
I�EMMMHUIFI
UnArau ?Q U& 1851
12 REQUESTS 1 PAYAlEP41'
311 Request for II&Iy1lient
A COntracuar shall subunit all request, flor reirnbursernent in accordance with ATTNCHMEN'll" 1. All
requests l6r.reirnbursoment inust include the hlkiwing�
(1) The Cinaractor shall aUbniit flic request lbr reirnbr"IC01CM on EX)EA Form I I 7PQSIP, 14S]II
Request for RehlIbUrSCnient, (ATTAC11MENTX11);
(2) The Contractor shall subrrht a CIRT report with DOEA Form I 17N SIP as supporting
documentation flar the total number of meals reported, TTw CIRTS rVart mum nmmh me
number of awalls reported on DOE Forni 117NSIP;
(3) All requests for payment shall be based on 01C SUbmisdon of actual monthly ExpCIlditUrC Report
heginniqg Kh the first month of Te contrul. The schedule Or submission of invoices is
Inv oice Schedule, ATTACIIEVIN'r X. A pa) ient due un der the lern of this contract ina)
be withheid Unfil all reportsdue froirn the Ma nL n and necessar� adjmlinents thereto. have been
approved hy [lie AHiance.
(4) The Providersell ScknA !Me Ant invoke Or pay ment to dw Alliance as speell5ad in
ATTACHAUyiT X Irthe Pnnkler lulls to submit final request Or payment by the deadline,
then all rights tio jokyrnent mg be forleited and the AN hirtce ma; nit howr an) mqwsls
m6nnitted aRer dw ahwunid dMe per5d. An, pa) nient due uncla the wrms of this co=wt nra2,
be whhheld UMH 011 repons due 11hont the Pms ider and necessarN add usirrients thereto have been
appmved by the Alliance.
3.3 Documentation for Pa)rnenl
3.3.1 1 lie Contractor , dual rnaintain to supp pgrneilk req,iie'sts that shall be. auailable to
the Allince or audwHzed hWi0JuX such a, We Alfiancio ofFinancial Services, upoll ruqwit,
331 Any payment due h; the Alliance under the terms of this conlrou nmy he "Miltahl pending Me mceipt
and approval by the Alliance OfCOITIPIM aml mcwme firimmial and progarrimatic reports due fr(im the
Unwoewr and an, aQ mirrieras thericio, including any disal lowEince [lot resolved or pending
resolution,
3A3 The CAmwasac• mmi enter all required data Pu (ATTAUIVIEN'r it. The data MUM be einered
00 dw CIRTS before the S atrN ytit dwir ivquest for lxq ivent and expendiunv reporti to
(lie cOnt!"Ictor, I he ('Ontra,t )r 0,11 ewaKU Quic Awws to asRwQ cornplhnm " Uh due dams 11w i1he
sOnnis,hon of ral oe.sts ior p in011 Auki 0XpCnd i 1. Lire repor(,,,; i flle,'Ojj ,
uInce.
3j.4 the Untraclor must run nionthy CHITS naporls and voitj diall and service data ire the CIR is
accurate, I his report must be .,obo to Me Convactim u hh Te rrionflill reClUeSt for pay 11jelit and
expend0re report and VIIU t be rude"ed hY the Gwitmetor beRwe the SubomtmcwCs reWww Or
pal ment and expenditure reports can be appwk ed by the Convactor,
333 Ronalies for Nonconforming eri ices
11W U'll ILOW 00! V 1 1 yj Ann W ja; f�"C, U umkr dd, cmHrmt aN dQIkWVd
Kdy Lompkk) and commen Wile "ith N(jUirCd. o1quildy. Stich pxxis and orwin Re',
doll onJ3 he deliwed to ch"Ible progrini parkiparns,
�r
116 V die ContnIew 146 to nwei: the presedbCd LVMHq standards l'Or SUChi %kill 110i
be reirtibarsed L.HWer d? CnMnwl., In h1dWon. any nonconfilrnifilu ;oods 1l lnCkidinll 110111C (jeliwred
rneals) and or services not jncedrt�g itich standards will not be rehnbUrSed Linder this contract, The
Contrallor's syrrmure on dw rquoi f padyrrienl form ciertifies maintenance of suppol-ting,
lwlzm�IWENE
Contract No. (,` +S-1 851
doe imnentation and acknoMedgerrient that the Contractor drail sole1v bear the costs ussociated with
preparing or providing nonconibrining imods and or ilervi,LC "HI llLance requires irnmediate noilce
of any significant and/or s�stemrc infractions ihat clornprorni the pillilly, securiq or confimlit) of
service, to clicntls.
3.4 Financial Consequences or Non-Perforinance
304.1 Ifthe Provider 1 to am iuct Ole 111111hilum 1CM ot survice or peOlormance identified in diisagreernera,
or that is cuAornary for the industry, then this Mhancie may appl) fimancial conseqLlerlOeS COmmenSlUrate
tvith the deficknic� as referenced in ArrACH MENT 1, m 3.5. Financial consequences it m also
iniClUde contract sUspionsion, refusing payrnent, withholding pay,17MIUS U1161 deficienic , y is i
tendering only particd payments, and. or cancellation of contract and reacqUiring services from "ill
alternate SOUrice.
3.4.2 1 he Provider shaH not be charged with finimcial cimseqUences. ",lwin as likikire to perform arises OLn 01'
i that %%ere the rcsponsibiliv� ol the AlHancic,
3, 5 Remedies for Nonconforming Selr�icei
The Provider shall Q11SUre that all goods and or su, ices provided under tin, contract arcideliviered tirnO
complerell and coryin rate idi reqUil standardi ii.) f'qua I iv, . Such good, an I or services %% ill on I be
delivered to eligiMic prog arn participants. e.
H'the Provider Fails to rinciot the prescribed qua lit standards f0i'WtAlCeS, SUCh SCrViCCS %%' Ul not be reimbursecl
1 ood- (incl iding home dQfiwcired m eak ) and orsmices not
under �hi contract, [it alkfitkm, an% noncontbriming g
lneedn-" SUL11 standards %s111 not be reirubursed undler thk con urao. [lie Pro%kler's side ,',111 Lire on the i I01
pa� mum f6rin LCI iii 111dill[Orlannx ol supporling documentation drid acknm led-cment that the Prow ider sh,Al
soMv beer the costs associated %%ith preparing or pro noincionibri -Oods and orservices. The AWance
reqUil inuntxiiaw notice ot'aim Si-Ifl flL,11V andk)r systiti in 1ractiori, dKit, LOMPI the qUal i 1%
SOCUiriv, oir
WrldoUit% of'servicce to clients.
3-5. L Corrective Action Plan
I ) Contractor shall ensure 1009 of delkerables iderififiti ill ATTA CH �M ENT 1, Seefitm 11
(IManner ol'Service Provi� Of this COntract, are peribrined pUl M C01MI'Lld reCl Uireillenti.
1(2) 11' al any lime the Contractor is notified ih% the Alliance that it has liffled to correctly, completely. or
adcquatel� perlorm contr,rct d idemil in ATTACHMENT 1, Sec. 11, thie Contractor
k%ilil have 111 (LIN's to suhniit a CorrolIke ACt [,[.
in ("CA P to th, Mkil CCIIIIRICI %1,11MI'ler flUt
addiii the deficiencie and tates hoe, 1he deficioncies ,siH be rentedied %Niffinza thnic period
appro by the Alliance Convacit 'Mallageli 1 he \IhenLe Shall asiess a 1 Consequence for
Non-Compliance on the Cotitnactor as rel'erenc"i in Al"I"ACILMENT 1, See. 152 of this contract
ff,.)r cach deficiency identifie6d in the CAP %Oiich is riot correctiod purAL to the CAP� 'flie Alfirince
shall ako assess a Finam.Jal ConsequoncQ. for` faiLue to firnel skibrn t as C?VP
(3) 1 f the Contractor fiai Is to correct an kdellti fied delkiil[LcA thin the approved time pc6sid -speci lieirl in
the CA 1- the A i I iiance 11, hld I de$ luct the 0Z1,11b9 i in ATTA CH N1 ENT L Sic. .5.2, A'
1 ti e ! hl oi,:Q I 'I, mo; ill.
(4) Ifthe Contractor 1'.iiils to AtNuii as CAP. the Alliatl`CC -ShAt LL.Aiitl 101C fWrCe 11,12e C-iMbHShed ill
ATTACHMENT 1, See. 3.51.; ijflhis contract lor %exh cl the CAP is ovordUC. Thu deduction %0l
be nlade Irom the pa for 11"'ic Of the I'01it
I
15-2, 1 inancial ConseqUeIIUS of Non-Perforl
mmm��
Contract No. US -1851
The Alliance will withhold or rechce paTyrneot li tiac Conlractor falls to ' ATTACHMENT the deliverables to the
ststisfecduat of tile Contract, according t titr nc .lauir °�aaa�ntt naafi renc d in "T"1"ACHME NT 1, See. I aaaaat
See. 11 of this contraam The following financial raOsnSLXjn..ac:raCcs %vill Inc lrraltc sed il'the deliverables stated
cica ]tart araaect in part or in the performance crilerlaa as outlined in Al"T; C11a ENT 1, Seca. 11 of,
tlt' contract,
Contract No. L` -1'851
ATFAalMENI I[]
FINANCIAL AND COM PLIANCL AUDI I
ATTACIENIENT III
I
11teadministmdon of resaatarces a%yru'ded by Me AH We W di c prw, i der may See suYca tea wWSandnrmonTHQb> the
Affiance and the Depannientas described in this section,
1. MONITORING
PROMUMMMU
PART h 17DERALLY FUNDED
rhb pan 6 appumhk WdwpmAhr A a Smeor local gmemmem or anonTroR crI -.its del"ine-d in OVIB Circadar lk-
13 3, as revised.,
in he natt ihat the C'tintractor eMwnd, SBIWAO or more j i lidend asmis dwhig W HwO )ean Ow Commum nws
dais a snigft im- program Wt Londtoted in accordance % Me poWitins of OMB L kmkr 0 133, as reVed.
LXFHBn 2 to 1 h i s agetmou Wicate federal resnumes nuaMcd Onnugh the % lHance le; this agearts, In dete&Wng tW
waleral a%&-ards expended in hs Wal yeno dw C o n a a c i o r shad - If sowces of 1"e-dera4 3VV,#V'LK nlClUdiog redend
resources neceived t the k I I i i n c u. The dwermination of amounts of Mum! arwards experided should be in acccn
% Ith he gWhlincs emllibed b) OsIB CiML11ar A - 131 as rexNe? An audk ofthe C'o n t ra c to r conducacil by dw AwNwr
Ge,nerat iri accordance ok h flie prco isions of Chrmlar A4 Q as mvised. W meet the requkenwrns or dh pan.
in connection orith d audk requinurnents addressed in Part i, pm Lthe Conara,. shall fuli die req wire nietits t
ta aultee respomkilkes as pro% SO in Ohriml Cof ONIB C Oulu A- 133. 4S NO Ad
j rLhe Cbriamim expoWs Ins ban 5751000AD K Nderal awards in its an audh ounducted in accordance Wh the
provisions or 0 M B Ckmhr Ad 11 a"vh& is not r•3 1r. In We et tKu the (Awinnor expends less th iii S750.0WHA in
OWN au a its is fiscal ) aw and elects tc: him, ctin atkit cWULted W =Lordancc %, Rh We fxck isions ol'Os[B Circular %-,
13 3, as reviwd. die cost of the atirdir mum he paid low nrm-hedmd rats-twus ,Le. to com of such inkht onum he paid Rom,
(7onmuciox resources obtained troni other di an 1' deral entit ie, l
An auTt con&wwd fri accordance %%fth this pan shall covcr Ow entire rZ Rnizxion Or the trgankmion! Wal year,
Lomohinu findrigs related to agreemenn with flitc AHian e shall be Wad on dw agrc,-, rnent`s reqUivetnents. inclading zvi�
rules. rd gulation& or sutoes reRynned in die agmemem. rhe OWN eta tenents, di's""Iose �x h ther for nu' the
nriatchina, requOrnent r zis mu�t fisr each Wmbk aamernent. 111 ammkined coms and fiabifit.J zs dme to the Adfiance id or
we rkpanment shiH he Kdn TmOmed in Mv audd retimt "Ah reArence to the Wad nce warunwint WoKed. lfrrw
""a to! wd n roUrry! 10 WoOn 3 AWY 4041H - wuW Y1 it ao" WL , hv ;hadn't ofuNrundburn W
Nda, a"md"hidl identgh e\n,ndkwvs b% awnemon nonk; kvewi awwrnent i0h No Wance inefkat cknOu the
m a - ) , , " " r C ,,
kfii period� t inancial reponing package; mquiVed under flu:� part must be submittod v, hhin ithe d , 1, hei e eu: f
urate Wit i or 9 imunths aller the crul o&ffie Ccmtractor fiscal yew end,
PART I h S1 A rE FUND ED
rhis pan is appficabie iniu.-corimictoris rinwounte Wy as del1ited by Senion 2149171 1 1,
IMEMIMEMSEMOS
Contract Ncy, LJS- 1851
In the: cl 111 Elie contractor expends as total amoirra of state firiOncial assistance equal to or in excess of %7.50,000.00 in am
fiscal cear ol'such Contractor (fbr fiscai �ears ending Septc-inber 30, 00-1 or therealtor). the Contra
clor must ime 3 S13tesingleor
�a D Project-specific audit fbr such fisc kear in C 'Aith Section 215 ,
accordiloc C rules o D
f the epartment of Financial
97, U S r� ap ph
Sesames, and Chapiers 10 i.50 (lanai gocernmenial Crititie%) or 10 650 tnoryprofit and for-pry orman i7,Rt joy i), JkLi]CS ofille Auditor
General, EX1111317 2 L this a ' greement indicates state finamiel assislarae waarded through [fie All lance b this agrealitlent, in
deterinining the stale finaricisi eNpended in its fisLill scar, the Colitractor shall consider UILMMur—ces Ofstate firtancial
ossistance, inClUding state rulancial assistance receNed from tile AlFame. either state ai envies,. and other non-state Critities. state
financial Ussist does not include Federal direct ;r pass-through waarcls and rcso�i�r�ccs recci lea. arise-state eFljjt for Federal
Program matchinix reqmremerits,
Iriconilection ,Mth ific audit mquirements addressed irl Part ll, ptJragrap
= 11 L IhL Contractor shall ensure that the audit Complies ,title the
requireirwyin; of Section 2 15,97(8), F, S, This includes submission of as financial reporting Darkailw as defined bN, Section 215,97( ),
F,&, and Chapter 10 530 (local gmernmentil entities) or 1 0,650 (tionprofn auct For-PrA"a org-an i cat ions), pities of the Auditor General,
Ifthe Contractor expends less then SM instaue fimaneial teisistance in its liscill %car (ftm• !kcal cears ending September 30,
2004 or tlrereziftcr)„ are audit conducted in accordance ocifl, til provisions leaf 'Seation215,97, F&, is nol requirerd, III tile event that
tl Contractor exPeads less than $7 n, State fifl,1116111 USSiStence in its fiscal year and clects to have an audit conducted
in accordance with ilia provisions of Section 2 1.5 97, l',S_ the co of' 11ye audit must ( Is folid 61 )ra tile near-slate entiV,'s resources
OX the cost Ofstwh an audit n1USt lac Paid frolin the ( ntr,!Ltor reiixur obtained firom lodwr than dtakte enlifi
kn andit, conducted if), accordance with this part shall ccr�er the entire organization fbr flic organ izat lot i's fiscal mar.
Compliance findirlas related to agreements %sitlj shall be ba; cd fle e` 'Je
applicable rules, regkilaliorls, SlIall requireni including iin�
staftlles� I lie firrancitil swernenis disdose - whether or riot flee marching requirement was
meet forcach applicable agreellicni. W questioned costs and flabillifles due tO ( f • e %HiOAX SIM11 be fiffly disr1osed ill the audit report
with reflerence to
laanct a r eEalrerat ilmalled. 11 Olher Cfi5;cjo ai required fad J�rale 691-5M3, Fla, Admill, Code, th
schedule of expenditurcs of9 cssisltlrrce . 011111 identil" expentfittires b� agreement nUillhCr K)r each agreerle!nj Ivitil e
the A I I iance in Cilecl dUHlag the audit period, 1 'nr.ln6,fl fielaelrtiea pack:UNL, NcIlliNd Uildff Ellis part must be SLA'allitted Yillij
4 days after dclivcry ortile ilridnt report, brit-il'o later 1han 12 months after the Cmtractor's fiscill ` lcar end lbr locni
-oven crifides Non-profit or l'br-profirg
t oar are required to be SUbIlIkEed °.ajtjjin 45 chays afierdeliven ON11C
audit report, but no, later than 9 illonklis after the Cntnuot fisc;11 claarxrlcf \,- .tavltfastatrla.litaw
Z abil it,% oNhis portion, the
flie npplic,
Ukince remins all right and oblivation tea monHor and ., the purl"brmanc.e of this a121`eellleffl as wiflined throughout Ellis
document ""d Plu to lava .
IL PART IM REPORT St BrNHSS1ON
Copies of rep or ' ting packa�� lo audits wrn:fuetcrl in aLLOrdMICe Vdill OMB OrLyflar k-133, as reviced, and require(I lad AR
� PT
ot'dlis agreement siiall be _�
subinitted, when required h
('oil tra ct:� r direcilk 10 CifOl Ofthe Sculi (d). O C iNuLir k-133. as revised, lean oron bola (of' tile
"ials-c 31 0, .'Ch `d the toll Allhince hw- 1
Atill: f1 Scaa1 1) e 11a 1 In C 11 t
760 N%V 107"' Averme
Suile 21
I ia rn i, FL 33 17 2
I lie Federal Audit (. learinAlOUSO de5i�_IWMC i WOB ( imi!ar A - 1 3» as re ised i dle MiMber ofcopics- required bi, Sections 320
WX 1) anal (2). 0 Circ_kdel° i, I E ,r e r S. ,
ked, dioulA 11'. <1111rujille(l 16') tile 1 x(lelal
'i(kirv, - he fi)Ho�o.inu
Feck rai aaalla t.. Ic"If
Burvall ol"the Ceases
1 201 1"aNt 151 trivet
Jefl , LVSOF]iilke, IN 4
Other le'deraf 'fact , lcie, ,
�, and jmr,,drr)rJ'Jl C,rJfiljes i 1,:k rJeilc>a" ` i Seclisai' 20 le i a d i 0 OMBI Circular \-,I
re is ed,
Contract No, US- 1851
Pur.Want to Sections .3210(t), OMB Circular A-133, as revlsed, the proOider shall submit as copy of the repaaatuun Ipackaage
described in Section 320(c), MOB Chudar A-I Ill. as revised, and an manainmient letter k.Slted by tile audkor, to the
Allizinec at each oftlic l'oflowing addresses:
Alliance for A-iing, Inn,
m
%tin. Fiscal Departimewil
760 NW 1107"" MCMUC
Suite 214
Miami, 1 L 33172
Additionally, copies offiriancial repoirdng packagCS re'LlUired b) Part 11ofthis agreeinent shallbesubmitted byorunbichall'of
m - -1
the Cic.intractor diructiv to each of [lie following:
The Alliance at the lbl lowin- address
m
k1fiance for Avino, 11m.
taut Fiscal Department
7611 NW 1107 Menue
Suke 214
NliumL 1 33172
Am reports, managernent, letter, or offier irif mnation required to busubmitted to the A I liance pursuant to Oils m- shall
be sub in lued thnul% in accordance %.sidi CAI B ("'irc A� 133, 17,S" - ind Chapters fti3O docal uovernnicnual entldc or
110,650 (nonprofit and for-profit orguinizallons). Rules of the Auditor General, as applicable.
Contradors, when - ,ubmitting financiii reporting packages to the � I 1 i a n c e fOr midits done in acicordance with ONIB
I z -
Circular A-11 or Chaplers lO.550 (loc'al -mernnvcri!1a1 endfilos) or 10,6 (nonprofit and for-profik orqwtflzadon). Rtdesof
die kiud;m-,: r Getieral, AlOUld hldicaw the daw that thc repor p , alas defiieired to the Contractor it ixrrv ,pm onktice
acclarnpanying the mportim pukqx,
[it. PART IV. RECORD RETENTION
The Contractor shall retain SUffiCi'm records denionstratin.- its compliance �i,ltfi the terms of this agree.metat flor a period of
six (6) years firorn the date the nadir repoa is ksuied. and shall allms the k I I iance and the Depam ment or its desigme, the
CF0 or Auditor General Access to ittich recoirdS Upon re(JUeSL T'he COMMOk)r ShdH CMSUN flhlk IlUdit mot'Ung papers are made
0
avaik'ble to die Alliance and ffic Depanmem, or iti desk-mee, Cl 0, or \ixfitor General upon request for a period Of 5N (10)
years from the date the audit report. is iSSMCd. U111CSS CXWMdCd in wiflnu b% the � I g iance,
I
Coraract No. US-1851
ATTACH MENT M
FINANCAAL, AND COiNIPLIANWAIM11 ATTAMMEM
EXIIHINT I
PART 1:
CuMmOOM t% receNu Me or fiederal resouives nw) or nay Im! he SAW 10 le widh mquImincras 'of CFR If art §20M500,
and or Scethn 2119, n SUL CnMractors who nwdetwini rte d to Rai. riocipients orsubirccipIents of ilederall aNvardsand or
state financial assNUMM MY be suWact to MuMm if the audit thmshold requicknerus se t rorth in Part I and or
Part 11 ofExhibit I is IMUL Contractors whahasm been detennKed d be Vendors are not subject tia tn and iit requirealients
of,2 CFR Part §20131 and br Scotion 2 1191 Fla, Sim, Reganlass ofuhcler dw audit requiremenis are met, Cioutraict. oirs
mAn We bun dommined W be reclIms oc subrecQ0enN of Federal awarxis and or stmic 1 assistance inust comply %vibi
app lkable programniaticand Fiscal cornpliance recit6reawnw,
hi accordance whh 2 CPR Part §200 and or Ratle 6 FAC. Contnaci[ �r has buen deternflned to Ibe!
Veridc3r�ilotsLil�jeictw2CFR Part' 21C00,18 rand scar Sect Inn 2 15,97A - S.
A_ subject. inn 2 crR Paq §M0116 mid §MDN3 as or YuYn 210,C)T FS,
Exempt orgartization tiot subject to 2 CFR Pan §MO and or be�,nion 215 97, F,S, For f'ederal tiavards, 16rprofii[
organkaifflls ;Ire Cxeri 11br mew tlnwcia�l assistanicu P phlk unkurskks c ca~ ilicges. districtsch
boards, branches or stme (Fladda) gai,cnimcm. and cimmer whools are eumpt. Exempt organizations must. con,pf)
With 'all coripliancic reWdremenis SO kMh ukhIn the contract or a%urd doetunciv,
NOTE: I a Qo n t rac I a r is doermhed to be a recylem m6mcipow or sm wid oir state finjjjm�j assisiance and has been
appro%ed by to Alliance to subcontraict, the) ruirst corilly WA Seclion VVY&L IM mum Rule 69IN5006, revc isn",
WWI nAimmirt, as 2 CFR Pan §MmIM pd
PART 1h FMCAL CONIPLIANCE REQ(. 111T i[WEN I'S
M
FEDERAL M Afl OR S'IATE M kTICHING ON FEDER M W 'W DS 1 74nimcmrs "pan WL&C I ak&
amM. Me nmWw=mcu or caort hunk Or 5t,ne fillni 0111 Flederal Mmrds and %0io are daurinfi ned to The a
%tibrecipient must c`r"P� whh be N fi n S I
,_ ocal la�%s, rLdes and reg s°
315, Alt! I- FOLLON� -
srvrEs, LOCAL UOVER`M EN TS 01) ENDI.A N' T1111 S'
2 CF f §200A 1 6- C,, st Prin
CFR Pan § 4 MWEAMak c Rmpkown6
2 CF Part §200.5100- Reqiuoremeius
Rel'erence Gukfo RV Stalle Expendlllnres
Wwr Hand rquVenit, set p q it pa,,, Q% , r dw winj vguk,4,,
Njjj%j MLLONA:
2 CT'R Parrs §200,4100,41 -C ust llrincip�lcs I
CFR Put MOW -Admbigmthe jy qu p onenjs
CFR Part MOMP1 AM RequkemenB Rebronear iGuide Wr SLaW Expenditures
Other Rscal requirements so Anh W progmij knns, rides and regukv,ons
EDUCATION,kl, INNTITL Tloxs (El EN it A P % RT W A STAI E CPR LOU % R„ M F R% WN r) M( q I
FOLISM:
2 L I R V ul PMA L P
CFR Put W IOU- AdminiqrM e Requ"Vmul 1s
CFR Part MOM -Au A[ kqklirenrontr; ReGNme Guide G, %me WwWh=
Chher lWal requicrnmN so R A in prograni In" q. Was and regul,aj '
"Sonie Federal Paynnus ma) be cwmpwd 1101H conqMwe nn h dw ug pduy,
C Fran..;,,: r nvoaed m [he 2 CC IIZ p 1
_2100,400( 5) (c).
a * Ar Rmdhg pnsod Through U.S. I luldi arid Hummi Serviu, 45 C FR 91 IN fmdhg passed duo ugh UAL. Mpnmoll
WMMN 34 C: FR So,
Contract urea. US- 185 1
S TATE FINANCIAL ASSISTANCE. C ontractors � ho receive stem. [ "snanciid assistance and oho are determined to b
a recipf ent':subrecilrolent MUSt c0111ply With tlae I'OHaaIMM„ f Mfl lmvs, rules and rca ul.at1Oils:
Section ? l 5.97, Fla. SLat.
Chapter 691-5, Ha, Admin. Code
State Projects Compliance SUpplernent Referencc Guid
for State E`xpen itanres
Other fiscaaV requirements set Bartle in rogram kms, mules and reg ulatucauas
FINANCIAL, AND COMPLIANCE AUDIT XrrACHMENT
EXI411311'2-FUNDING SUMMARY
N_otp: Title 2 CFR § 00,331, As Revised, end Section 215°97(5), Florida Statutes, Require That Infortnation 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 Contract, Contained Herein, Is A Prediction of Funding
Sources and Related Amounts Based on the Contract Budget.
I . rEDE RA L RES OU RCES A WA RDED TO TH S U B RE C I P I ENT PURS UANT TO TH
CONTRACT CONSIST OF THE FOLLOWING:
I -
— E 1_1�
FEDERAL F'1JNDS-
2 CFR Part 200- Uniform Admirastradve Requirements, Cost Principles, and Audit Requirements for Federal
Awards, OMB Circular A- 133, as amended- Audits of States, Local Governments, and Non-Profit
Organizations
2. STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANT TO T!-CIS CONTrtACT
CONSISTOF'rFiF. FOLLOWING:
PvbkTCI II RESOD ES FOR FEDERAL PROGRAMS
PR het FUNDING SOUR CE CFDA
TOTAL STATE AWARD
STATE FINANCIAL ASS ITANCE S1.J13JEC`T - ro sec.
215,97, F.S.
PROG Rix im N
TrFLE UDI NG- SOURC
................ DA AMOUN I
COMPLIAN0[,�� REQUIREMENTS APPLICABI E TO STATE RESOURCES A WARDED PURSUANT
TO THIS CONTRACT ARE AS FOLLOWS:
z !_ AT F - I �NN C' �ll - S �S_1; �C � �
Section 215.97, F.S_, ampter Egi-5, FL Ad C
p
, cfemnee C f dt
or Satte E , fi
fbilh in program laws, rules and regulations. luide Ter In', 0111 1
Page 17 of 20
Packet Fig. 851
COMPLIANCE REQUI REMENTS A PPLICABLE 1 THE FEDERAL RESOURCES AWARDED
PURSUANT TOTFJIS CONTRACT ARE AS FOLLOWS:
Contract No. US-] 85➢
, --------------------------------------
ATTACI-IMENT X11
I -------------- I -----------------
PROVOE,P,TIAP.IE,A00f ESS, P HCPlEg ame FSR
TYPE OFREPORT
,KS RECUEST PE'MOO
Psym*rt Request,
Fr,,m_ T a
Fmat
ROPOM v_
C C nrtacl Cc Cat"
C"a1ra„19
PSA V_
cERnFICAT!Gw I hWeby COMFJ 11M to the U431 of
C*r
Ienm,%dgR the ulfwwl= IR 011 TIPM o a-Wrdl�
and cCrrrIWm,
awJ thae jJ c;Xd WIM
`re PUIPOSOS
Iffy
set forth In the vwa mt OcurrIt
Pr ovid b•-
A00fc,ul
b,.
Cato
PART A. RE:NSURSE.MENT MAPUTATICH
:bPRENT MCNT - H
CONG .5GATE
MC ME
DELIIJFRFO
CCN CREjArm
OCUVERED
�_J_.WE
L 'Munbor of Media smea
T_
0
Z L:Pal I 1!rnv: I i ^> Conti per Merl
1 4 SO �
SO
S000
SO a 0
tM as
Year To Claim I c1M Moms
11
CwGrA AdOMM TW3, Mail
Year To Colo Total Ro - rrx ad
3C cc
- atal Rs busmem Requomd
S0,10
PAAT6 CCMTRAC
I AM 'Ad ceomIW A,`e
3 YOM 311 1361 delta
' Sat ltP
4 kroul to wl, Rembeased - Thm Ropon
t5 7
5 - Prum Bal jpc�
E
E
LO
00
U)
D
CL
U)
z
Contract No, US- 18,51
ATTACHMENTX
OLDER AMERICANS ACT' CON'T'l?ACT'l�E13011F'CAL,I,NI)AR
ADVt%NCE BASIS CONTRACT
Report Number Based to
Submit to Alliance
On This Date
I
2
JanUm Advancet,
kInUary 1
FebrUary Advincc*
Jan'WIry I
3
JanUary Expenditure Report
F e bruary 1
41
Fobruary FxpenditUre Report
Nlarch'5
5
March ExpenditUre Report
April 5
6
Aprii Expenditure Report
May 1
7
Ma xpen&Ure Report
J Line 5
8
JUne EXPCriditUre Repori
h1v 5
9
Ally Expenditure Report
August 5
10 AU11,1!o Expenditure Report
September 5
I I
September Expendittwe Report
October i
12
October Expenditure Report
November 5
November Expenditure Report
December 5
December Expenditure Report
JanUary 5
1.5
Fimfl Expenditure and Request 6or Pa�,ment
FebruarN 15
P 6
Close Out Repon
Febrinw, 29
L'ouend:
W% MICC 1XISed 00 PI Cash need.
Now # 1:
Report fior Ackance BMis Agreements cannot be SUbmirted to the Departiment of'
Finan6al Services (DFS) prior W hF11Lhar- ° I or until the
agr �% i1h the Alliance has
been eXCCUted and a ciopy �� t OFFS. Actual SUbrnissio ol'thic vouchers to DFS is
dependent on tile aCCUracy ukhe expenditUre report,
Note Pr 2:
Report 11IL11mbers 5 through 1.4 shall reflect ail a 1djUSl1T1e11(
[Kkancu
amount, on ealch ol't1le reports, repqyin- advzincei jistlecl
Z-
tjjo I - it mu months o
. firs I ' tile
o
a reement, 0 The adjILUS[ment shaH be recorded in Pari
ol'the report (A1 1AC1 1\11'NT
I X).
Noto � j S"b0)iSSiD11 D1'C.\PCn(fiUUre repcorts ratan M' 111a not -enojlg.Jte EA Pil�i1h L 11 fin,fl
expend it Lire rujxir� •ufflects 11111CIS LIU,! 6ack to the Alliance jjr.a % Ille k Waiccompam the
report.
ATTAC TIME NT H
Contnict No. US-1851
I
CERTIFICATION REGARD] NG' SC RUTI N1 ZED C IPANIES LISTS
I 11C Undersigned. an Mithorized representati% c okhe Contractor earned in the contract or agreement to which this
lbrrn is an attachment, herebN certifies that:
(1) Tile Contractor Understands that PUrSUant to s, 287,135 F.S., any cornpaw, at the tune of bidding or submitting
as proposal For a new contract or renewal ol'an e\isting contract, that is On the "SCrUtinized Companies with
C�
Activities ill Sudan List" or the - Scrutinized Companies with Activities in the Iran Petro[CUM Sector List
(collectively, - the Lists") is ineligible 1`6r, and rnaS not bid on, SUbmit as proposal for, or enter into or rene%% a
contract with the Department of Eller Affairs (Department) lor goods or ser% ices of S I million or more.
(2) The Contractor understands that, pUrstrant to s. ?97,1 J5 F S- as conipamv that SUbmits a false certificatioll
to the department is SUbject to civil penalties, attorney's fees and costs and aw, costs 1'or investigations that
led to the findim- offialse certi I ication.
'rhe Contractor Understands dial the contract to Miich thk loran is ain attachment rna% be ternlinated b% the
Department ifthe Contractor SUbmits a false certification or has been placed on tile Lists.
'!'his certification, required bN Florida lm%. is as material representation 01' FLICt UpOn VdliCh reli a �as pl, a
ced
%%hen this transaction v as made or entered into. 'Aibrnksi� of this certification is as prereqUiSite for making or
enterin- into this tranhacLion.
SignatUre
(S.Une as contract signature)
L I
Date
Moqnoe (�om±y - Bcic�4—snc:i - al c Servic e,5
Cornpan� Name
W
W:M��,