Item C33lrl
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BOARD OF COUNTY COMMISSIONERS
Mayor David Rice, District 4
Mayor Pro Tem Sylvia J. Murphy, District 5
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IleOI1da Keys
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Danny L. Kolhage, District 1
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George Neugenf District 2
Heather Carruthers, District 3
County Commission Meeting
October 17, 2018
Agenda Item Number: C.33
Agenda Item Summary #4829
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 Contract 4 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, to make the following changes
to the existing contract: decrease Home - Delivered Meals by $5,000; to add Emergency Home -
Delivered Meals for an allocation of $5,000; to decrease Congregate Meals by $5,000; to add
Emergency Congregate Meals for an allocation of $5,000. This amendment does not change the
total OAA Contract funding 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 Standard Contact AA -1829 between the
AAA and the Monroe County Board of County Commissioners /Monroe County Social Services /ln-
Home Services and Nutrition Program on 01/17/2018.
CONTRACT /AGREEMENT CHANGES:
adding emergency meals to current contract
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Monroe County AA -1829 AMENDMENT 0012018
BACKUP -FULLY EXECUTED OAA 1829
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
10/02/2018 4:47 PM
Pedro Mercado
Completed
10/02/2018 5:10 PM
Maria Slavik
Completed
10/03/2018 10:24 AM
Budget and Finance
Completed
10/03/2018 11:03 AM
Kathy Peters
Completed
10/03/2018 11:04 AM
Board of County Commissioners
Pending
10/17/2018 9:00 AM
AMENDMENT 001 CONTRACT AA - 1829 Pa c:�
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.
To add emergency shelf stable meals to the current contract.
Decrease Home Delivered Meals by:
($5,000.00)
Add Emergency Home Delivered Meals
$5,000.00
Decrease Congregate Meals by:
($5,000.00)
Add Emergency Congregate Meals
$5,000.00
TOTAL $0.00
This amendment does not change the total OAA contract funding from: $628,937.57
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
Title 1116 - Support Services
U.S. Health and Human Services
93.044
$112,771.48
Older American Act Administration
Title IIIC1 - Congregate Meals
U.S. Health and Human Services
93.045
$151,811.42
Older American Act Administration
Title IIIC2- Home Delivered Meals
U.S. Health and Human Services
93.045
$228,495.60
Older American Act Administration
Title III E- Caregiver Support Services
U.S. Health and Human Services
93.052
$103,386.71
Title III ES- Caregiver Support Services
$32,472.36
TOTAL FEDERAL AWARD
$628 ,937.57
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:
Prepared on 04/20/2018
AM ENDM ENT 001 CIONTRACT AA -1829 Paj �
Service to be Provided
Service
Unit Rate
Maximum Units of Service
Maximum
Dollars
Prior Unitsl
Additional
Total
CHORE 111131
$25.00
624
0
624
$15,589.42
Homemaker 1116
$24.87
1,923
0
1,923
$47,822.00
Personal Care 1116
$29.00
1,649
0
1,649
$47,822.00
Screening & Assessment 1116
$26.22
59
0
59
$1,538.06
Congregate Meals C1
$9.25
15,873
-541
15,332
$141,825.03
Emergency Congregate Meals C1
$9.25
541
541
$5,000.00
Congregate Meals Screen C1
$20.00
96
0
96
$1,925.00
Nutrition Counseling Ind C1
$70.56
34
0
34
$2,424.39
Nutrition Education C1
$0.50
1,274
0
1,274
$637.00
Home Delivered Meals Frozen C2
$6.53
32,225
-766
31,459
$205,427.84
Emergency Home Delivered Meals Frozen C2
$6.53
766
766
$5,000.00
Home Delivered Meals Hot C2
$6.53
1,872
6
1,878
$12,264.76
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
765
0
765
$17,586.84
Respite In- Facility IIIE
$10.74
5,752
0
5,752
$61,771.59
Screening & Assessment IIIE
$26.22
60
0
60
1,575.00
Caregiver Training /SupportGroup IIIE
$100.90
71
0
71
7,151.26
Caregiver Training /Support Ind. IIIE
$75.00
204
0
204
15,302.02
CHORE IIIES
$25.00
297
0
297
7,425.33
Housing Improvement /Material Aid IIIES
Cost Reimb.
16,991.00
Specialized Medical Equipment IIIES
ICost Reimb.
I
I
8,056.03
CONTRACT TOTAL AS AMENDED
$628 ,937.57
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.
Monroe County Board of County
Commissioners, Social Services /In -Home
Services
SIGNED BY:
ALLIANCE FORAGING, INC.
SIGNED BY:
NAME: DAVID RICE
TITLE: MAYOR
NAME: Max B. Rothman, JD, LL.M.
TITLE: President & CEO
DATE: DATE:
� E
ALLIANCE FOR AGING, INC.
STANDARD CONTILWl'
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`-Lilly
Executed
OLDER AMERICANS ACT PRO GRAM TITLF III
THIS CONTRACTis entered into between the Alliance for Aging, Inc., hereinafter referred to as the "Alliance," and
Monroe County Board of County Commissioners, Social Services/in-flome Services, hereinafter referred to as the
"Provider", and collectively referred to ass the "Parties," The term contractor for this purpos'e may designate a vendor,
sub-grantee or sub-recipient, the statUs lo be Further identified in ATTACHMENT Ill. Exhibit-2 as necessary.
L Purpose ofContract
'111C purpose of this contract is to provide services in atcordance �ifth the terms and conditions specifiediri thi
contract including all attachments and exiiihits. -,%hich con - the contract document,
1� -
Definitions
ADL Wkides of Daik L,jtiroy
APS AdUlt PrOtWiVe Services
ADA Americans with Disabilities Act
Alliance area ikoenqon Agin
g
AFICL — Assessed Priority ConSUmer List
C IRTS — Client Information and Registration TrackinrT 0 Sy steal
DOE A — Department of Elder Affairs (The Department)
I&:R — information and Referral
1AD1 - — InstrUITICrYtill Activities of'Dail� Lk ing
',VI0A — NleniorandUrn of Agreernent
\401 Nlemorandurn ol'Understandinu
0AA — Older An'.cricms Act
I-IS Plannin- and Scr� ice Area,; corrc;punLha!_ it) Jr'Jk] \,lonro-c cgwv�Fz
SPA -- Service Provider Application
3. Incorporation ofDocumeats within tile Contr.,jej
The contract incorporates by reference attachnienti, propo ,a!(s). sciiicitation(s F,, Pro% ider's Ser% ice Provi ler
App"'cation. and the current DOEA Pro graim, and Seri, it I landbook. \m and A I contracts or agreements CXeCLIted
betweewthe Provider and khe Alliance during the CttWke PC60d 01'thk Lrnlract shall be 2
( inacclordance
ilk' iI)L,' 3PP1iC,01JC ta 11AS 1111d 1,'1tUtL!
4. Incorporation offleference Memoranda
In LICLWILWICC vJth Chapter 23 7 F.S., arxndecl, a d Dqm:twem c a l I w,wJ,jj S eri i U 1 441 tic i'd officer
the 1011oMn- menionanda are hereh\ ; by Nl'ffe' Le-.
CFO Nlemo No. 02: Release date. ocru' °er 3 . 2012:
12) CFO Mcnio No, 07 Release date, Junc 2 2012;
i2) CFO i No, 01 Release Lkne, kd� 26, 2012: and
(4) CFO Merno No. 06: Release date, JUne 30, 2010,,
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Attachment: BACKUP-FULLY EXECUTED OAA1829 (Amendment #001 to OAA Contract AA-1829)
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Attachment: BACKUP-FULLY EXECUTED OAA1829 (Amendment #001 to OAA Contract AA-1829)
AA-1829
8.1,6, A contract aware[ with an aniount expected to a�aqral or exceed $25,,000.00 and certain other contract
awards shall not be rnade to parties listed on the government-wide I'Excludell Parties List ystern, in
accordance. with the tar it trial lira Lit 2 UR I
L- 80 that implCUTICIn E'XeULaiVC Orders i 2549and 1? 689,
"DoNarment and Spuspension." 'I be ExclUded 11 tirtieS Ust SYStem contains the narnes of'partics debarred,
suspended, or otherwise excluded b as well as parties clechared inehgiblC Under StatUtory Or
I
regUlatoz-y authority other then ExecLINVC Order 12549, The Provider shall comply with these provisions
before doing business or entering into sUbcontracts receiving Federal Funds pursuant to this con
L� tract,
7
The Provider shall complete arld sign ATTACIT'vIEN'r V prior W tile execution of this contract,
8.2, The Provider shall not employ an UrIaUthorized alien, The Alliance shall consider the employment of
Lill aut horized aliens as violation of the Immigration and Nationality Act (8 U,S,C, 1324 a) and the'Immigrafion
Reform and Control Act Of 1986 (8 U.S,C, I 10 1 f . SlIch vir)1a1tion' T
this contract by the A I I lance, i shall be cause for unilateral cancellat of'
8 j
3. If the Provider is as rion-prol'a pro rider and is subject to internal Re on €e Service (Ili ) tax exempt
corganizati on report in reqtdreinents ( ri I in g as Inca-rte 990 or' Fonn 990-N) and fasts its tax eve III P1 stmuF revoked
for failing to comply with the fifin
1� 9 rerjUl I offlie 2006 fart -,loo Protection Act or for ally other reason,
the Provider must 110fli'V the AlNince in - varitrnu % thirty (30) daNs ofreceivin�- tile IRS notice .01'
revocation, C� -
8,4 The Provider shall ccmnplV With Tidu' 2 CFR Pajj°j 175 regrardinsTTrafficl n Pc son
&5a (Jilless exempt un&r 2 U R Part 179.1 1;1-j(, Prt ide �Jidl; oja!ph. vkh [lie reporting requirements ofille
Transparenc Act its exPressed in 2 C1 R 170.
8,6, F0 corrlplly vvith Presidential F.'Xccuti°�e Order 12989 and State ofr'lorida Exe eta b, Order INUInber 11 -116.
Provider al;reeS TO UtiliZe [lie U- S, Department Of FlOU'leitilld Securit%'s HI-veriN system to verit'v the
employment of all new employees hired by Provider ClUri
I no the c assets act torm, Provider shall inClUde in related
subcontracts a reClUirel that subcontractors performing work or providing services PUI ttt tile state
C
contract UtMZC the E-veriR system to veriPv ernployl l'all new-milloyces hired by t1w subcom
I ractor
'JUHM thre contract term, Providers n1colin- the t"n an] conditions offlj,�,� s are dect t o be
M, Z, I stem Y
in compliance with this provision,
9. Compliance 1billr State
This COMRICt iS CWLI.Itd Jnd entered into) in the State rat IT oriohi, and shell be conStrUed. perfOrnied and
9 -1, 1
enforced in all respects in 'accordartee oitil flic j Lno includirst; Florida prok isions for conflict oflav s
9.2, The Pro shall colnpl% %lrith the requirementai of s, 287,0'58, F.S. as MT10n&d.
9,2.1. The Provider shall provide unni cpfdeli� eraWes. inciudin' � c iervicei, and ill son inmance.s
o'11% ir)LIALIC 1-0PWIS jlk�,Jj��,�,, comrwt . .,l �,h 11w ("mict "d u 1- ill t"t
11 1, 1 11 r �c� I . ,
I L µ° OF t 11 '. , I 1 1 k 'Ind 1
9Z1 1 he llrmider shall subrinil hill 1'()r or Other cornpen hor ion, eNj)0j1SeS in Snjfj'jr,. llt Llonaj
1 a proper pre-awfit and 11( it,
9. 2.1 1 frteIn ized P,3 MINH fi)r h' c' c,klpewws i permitted in thi, comi.ractw th.e coMractol- v,jjj submit bills I'm
an% tra%cl e\lpense in acu)rLLIA10 12,061, F- S- 01' At SUCh hAktir raw. as rna be prmirrlt!"sj irI h1j."
condam,
9,2 , The Pro% i der shal al I DW PUb I i c acce,,�.; to g a l l dOC UlTic nts, papers, I eurs, or oilier publ records as
defined in subsection 119M if 12), F.S_ nuide or received by the contracror in (oYnjUnction with dais
contract except for those records %%hich are rriade con flidentlai or e. by I aw. The Provider's refusa I
to comply ,,vith this provision shall constitute Eiji iminediate breachr of contract for which. die Allkince fcn-
Aging, Inc, ii unilaterally terininate the contract.
93. If clients are to be transported under this contract, the Pro ider shaH comply %vith the provisions of'Chapter
427, F". &, and RUle 4 I -'. R A. C.
9A. Subcontractors who are on the discrinninatory vendor list may not transact bUSiness with anv public enfiry, in
accordance with the provisions of s. 287, 1 3 r. S.
9, 5, The Provider wil corriply with the provisions of s. 11,062. F,S,, and s. 2 16.347, F,S,, which prohibit the
expenditure of contract funds for the pUrpose oflobba ing the legisfatUr"C', jUdicial branch or a sUite agenc, y,
.. t� - 1
9,6 In accordance with s. 287. 135 F. S.. any contractor on the Scrutinized Companies with, Activities in Sudan List
or the Scrutinized Corinpanies %% ith Activitic in tire [ran Petrohnini Erier-- � Sector List (Lists), created PUSUant
to a, 215A73 FS- is inehuible to enter into or rcoc a contract funled t�lroug a DOEA contract for -oods or
services oFS I rnillion or mrorc, The Alliance mai, teri this contract if Provider is found to have
submitted as false certification offts staturs, on the Lists or Nas been placed on, the Li9ts. Further. the Provider is
subject to civil perlillfies, attornev's t`ces and costs and any costs for investigations that led to the findinf; of
'kise certification. If this contract contain-S $1 MilliOn 01' more, the Provider shall complete and sip-11
ATTACHNIENT I L Certification Regarding Scr. Cornpanies Usts, prior to the CXeCLIIi011 Offl'65
contract.
11•, Backilround Screeninu
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10, 1, The Provider ,shall ensure that the reqUirenienti of's 430,0402 and Umpter 435, F,S., as arnerided, are met
regarding background screening for all persons who meeE the definidon ofa direct ie lit
0 sery c
' - ovider and vv ho
are not excinot from the Department's level 2 background screening' pUrsuant to s. 430.0402(2)-(3'1, F . The
Provider must also comply with any applicable rules prorriulgated by the Department and tire Agency fbr
Health Care Adininistratiort re( rding irnplementafitm) of's. 430.0-402 arid Chapter,435, F.S
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10-2. Further information concerning the procedUres for backLYOUnd screening is Lit
M.tn �
10 Background Scrreenin AlfilddVit [)I' LOMIALInCe 'Mfll jd1i", ciuntra,t, the, Provider
:pa st ib ji i t AT' FA C I I Nv I L T D, B: Ic k ro an d S c rQe n i n a A t fi � la i t o annttally. b J a a tia r% 1 5 t 1i
11. Grievance Procedures
The Provider shall comp I p, cvkh and en sa.rlaContraac orcornpllarrtLe vo id dhe Mrinimtrn Guide I iric-; tear R ipient
Grievance Procedures, Appendix D, D' A Prograi and Scrrvices I iancibook. to addreh corrjplaitrrv. regarding the
t�;rj.nirs, Ofservices. as required forreceipt. offunds,
HIC Prg.)"vidcr iliall clew clop afid hnphln�,-, ;Xnip,a"nt aud Clhtlre thca . suhcontrac!( dQW10P "Ind
n p I e rri c n t. c o i n p i ai n t proced u res to proc c.ss an d re , o k e c l i ent il i r,sal i 1ec t i o n o, h son. i c e s . C o rn p I a i n t
p roced u res s lia I I addrQ s , the q ., at I i i y ,: Ertel I i i iie I i it o f ne r% i c es. p ro, i de r a it d d i rcc t ,, ie ry i c c v, ork e r c i ) in p kt i ri t F,
or an ot ier a& ice relaited to complaints ot.1jer than SUs )r Nik
pension i r uctim in er6.,es that
require the ue%a
dnce proLcs,s ,je described in Appendix D. Departm ent u eir A N
eat` Pro,rarn.. and Scr� ices
Handbook. complaint procedures shall inCkKIC nrotificatic-m to a ll C lj� m Jrtj oj 'fl W Conipl;.Jnit prog:CCILMO and
include tracking the date, nature ofcornplaint, and the determination of each cornphaint,
tsf
12. Audits, Inspections, Invest igl Halls, Nblic I - lecords and Retention
12.1 'Fhe Provider sliall establish and maintain books, records and docuunents (including electronic storage rnedia)
SUMICiCrlt to reflect ball issets, obligations, Unobligated balances. income. interest and expendittwes of funds
providled by the Alliance under this contract. Provider shall adequately safeuiard all such assets and assure
M
they are used Scala lax for 111C PUrposes aphorized under this contrao_ Whenever appropriate, tinancial
information ShOUld be related to performance and Unit cost daun.
12.2 The Provider shall retain all client records, financial records, supporfing documents, statistical records, and any
other docurnents (inclUding electronic stora'ge rnedia) pertinorit to this c for a period of six (6) years after
Completion of the contract or lon when reqUired by law, In the event an alldit is re(ItHred by this contract,
records shall be retained 1"or as rninirnuill period of six years after the audit report is issued ' or until resokitiolt
of an Y aUdil Findings or lifigation based on the terms o 'this contract, at no additional cost to the Alliance,
12.3 Upon dernand. at no additionel cost to the Alliance, Ine Pjovider %1�ill flacifitate fl dUpfication and transiler of
any records Or &Cuniieno; durimy the required retention Perri
ID od in Paragraph l? 2,
12A The Provider shall assure that the records described in Paragraph 12,,2 shall be SLJl�ject at all reasonable tinics tk)
=1
inspection, review, copying, or aUdit by Federal, State, or Other personnel chid y audiorized by the Alliance.
115 At all reasonable thnes l"'or as tong as records are rnaintained, persons dul% arehorized by the A"i'ance, OE
and Fedenal aUditf.'W& [)Ursian to -15' Itr 9136t l 0). shall be alioced fUll access to and the righir to exaliflne
arly ofthe Provider's contracts and rejale'rj
oftfic (orrn in which kept, I - ecords and documents perlineril to th is speciffy contrao. regardless
12,6 The Provider sluill PrOvide as financial and compliance aLldit to tile Wiance as specillied In this contract and in
ATTACHNIENT III and to ensure diat all related part. transnuions are disclosec] to tile auditor.
117 The Provider shall comply and cooperate ininiediateh, v, 11 Jn pcctions, revievis, stave stir a
tir trons, or aridits
deorned nQcessar by the offi ce of (lac DOFWs lnspc�elor General purSLUVIt to .s. 2fV) 1 5 5 � 1', S, g
11 Nondiscrimination-Civil Rights Contpliatice
leaf I'll C PrO c i (IC r 5 1141 11 sass C L! t C a1 i u ra 11 L a I - F A (A I 'v I I , \1 ' 1 1 I I clot. 3 c r i rnr n it te a a a i tri - t an,, pe rso n Ira
dic proa iiion cal ur ice,-
,, or bencln tai er tfrlys Lontract L);' ! clnph , �nnvnk because ofa4e, nacc, rchgion. coltm,
disabifit�. national origin, mantal stoat :s or se\ i[I L0111plialIC
X M"ith -laie and federai lax and rel-Rdafi(MIS, "f "ite
Provider further assues that all contl_ZMM�S� Wbf.,ontractors� iurbraxitces� or odhers, oith whorn it arranues to
provide services or beneflits in contrection vJ11i an ate pruurarn anal acfi,-ifie. are not discriffliFlaitno against
clients Or cinplwyee because ofage, race. rudigion. colc)r. dis national ori-in, marital SUIRIS orsex.
1 3,2 During the ierm (-Wdji~a cnni.r 10, the Pr 'o, '[dQr n�' a" c "T el art 011 l -10 ; till 'Ind
Ck,il l"'iLdn" ( 41 111 ( he"" h" (A
113 The Pro%ider shall estabfish procediires pur-stun! its federal i:v" to ' all(fle Co nplainlL, of'discrintination
in-,olv ing ser or bencfit�� d1rouall thi,� coqlmx,�_ The"'e Pr
z:1 - OCCLI 110S o all i icludlk a od b, ing chwn1s,
eir yees. and parflciparnts offfia riud it, file I con vjtj tb I p r , 1 , -
o Tle llederal or state entiv,.
13, if dais contract contains federal funds, these assur;inces are a condition of continUed rucipt of or bcnefit frorn
federal financial assistance, and are binding upon the Provider, '
its successors, trarisfivrees, and assignees fo
:2 , r tile
period ClUring which st.wh assistance is provided, The Provider further assures that all subcontractors, venclors
or others with whorn it arranges to provide services or beriefits to participants or ernployees in connection with
1 �
anv or its Prourarns and activlties are not discriaiinating against those participants or erriployees in violation ol'
the above statutes, regulations, gk,fidClincs. and standards, 11 the CVCnl Offallure to coniply
I the Provider
understands 6 the Alliance mav, Lit its discretion, seek a court order reqUiring compliance with the terins of
this USSUrance or seek other afppropriatejUdicial or administrative relief" including but riot finlited to,
termination ofand denial of Ford - ter assistance.
14. Provision orServices,
The Provider shall provide the services refierred to in ATTACHMEN"J' Vj[ in the manner described in the DOEA
Programs & Services Handbook and the Provider's Service Prov ider Application (SPA), In the event of a conflict
between the Service Provider Application arid this conn contract 1,1111OLMOe prevails.
L- =1
15� Nionitorin ' f; by the Alliance
T he Provider shal I Perron. Persons &I'Vauthorized b%, the MHance to irv+pect arId copy any records, papers,
dOCLIMCnt,S, facifitics, goods and services ofthe Proii.lcr vdiich are rele to this contrast, and to irucr%icvt an%
clients, employees and subcontractor ernpicr, Les ofthu Provider to assure the Alliance of the satisfactory
perforl'na c12 n I of the terms and conditions of this contract. I'Ol1OV,irI SLICh rcviev . the AlHance will deliver to the
Provider I written report of its findings an request for de% elriprnent, b,, the Provider, a corrective action plan where
appropriate, Tire Provider hereby agrees to timely correct all deficiericio5 identified in the corrective action plan.
16. Coordim Monitoring with Other Agencies
H'the Provider recu+,es fundin- from One CW 11101c of tlie Y,ue 11, hQUM S-Or% LlUeoCie-.,. in addition io
Alliance Funding then ajoint monitoring -isit ilh:lddinl! SUCh. other Lugencies rna hC 'WhedUriod, For the purposes of'
this contract, and, pursuant to s. 287.0575,, t °. S, as arnended. Florida's hUrnarr service agencies shall inclUde the
Department of Children and Families, the Department ofHealth, the 2 wenc%. for Persons with Disabilities, ffie
Department of'Vewrans Affairs, arid the Depi.irn of Elder Affairs. Upon, notificatilcm and the SUbset.lUent
scheduling ol'such a visit by the designated agenc Is lead administrative coordinator, the Provider shall cosrlrlplv and
cooperate with all nionitors, inspectors, and, or investicators,
17. 1 nileninifica fion
'['he Provider shal I indemnify. save, delend, and hold harrnles.s the A lliance and i ts ;a its and unnployccs from an
and all clairns, deiriands, acuons. CaLISCS C)f el�dOrl of't0MCWr natUre or character, aris�n- out of or bl, reasisn of the
C%ecution Of thils aurcenlent or perl A'the iceh Pro% fticd ff-w hercl 1. It i'! Un"Jorstood anq] M
2reCu'rd LILA e lh
Pro idor is riot reqUirOl to indernnih, the Mhance for c ajm dell",indS, aLd,)ns or c.'iu ol arriiin'
of the Afliance', negli
17.1 Except to the extent perrnitted by s, 768,28. F.S- or other Florida, laav,. Parurap.i 15 is noi. applicable to
contracts executed berv� een the AMance arid Stcae d'-MICiu-S OrSkAbdi% isionn deli ,..d in s. 76&2812). F S,
18, insurance and Bondinu
M
18,1 1 [w Pro idV'r hall pnw, i,Je �.ontjn €;) , IJF,e11 I ': k , l i , LI 1`, 11 C ( i—Q' , i t, j , "I 1 1 t I I e f 1
cc)MI'act and an% renev-d(s) and ofQ, B% execudon ofthis c$. ntraCT. LH1 ik is as Aawa ur
as dellned br Sklbsecticirj 7 68.28(2). 1 S- the Prwi, iduN� acCQPB full rc. fiCx i n
Ila a d
deternihning, the v, pe(s) air([ extent of fiabilio, ir]Rirar ce. rlecessar to prosWQ rca able financral protection,'
for die Provider and the clients to be scr%ed 111 Hats contract. The 'alliance ifa be as -n 1-, i o a
�" , dd 6 n i
in..,Ui%-d on the provider's liubilh, in-�,Urance polic% or poh6es and a cope, rile thQ , ol'Insurance diall
be provided annualk or when as chars -e.s oectm I'he firnits of'oxora- inf.IQr each POHL`, nuintained ho, the
Provider do not linsa the Provider's habifit� and oblivations tinder this contract, The Provider shall ensure that
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27 Ludepeadent Capacity ol'Provider
It is the intent and and of the Parties Gnat the P•ovidor, or ary Ol'its subcontractors, are independent
contractors oind are not ernployees offhe Alliance and shell not hold ti'Ll"i-s6ves ot.-t as ernployee or agents or die
Alliance without specific aUthorization from the Alliance, ft is the flurther intent ;and undermanding of the Parties that
the Alliance does not control tile eniployment practices orthe Provjrj andshall riot 1 liable loran miage and hOUr,
m
"Ployment discrimination, or other Jal�lor and eMPIOYMC-ilt clairns against the Provider or its su bcon'truc All
deductions for social SkXurriy, vvithholding Laces, inconle tax-Is, contributions to UnCRIPIOVIllf.-ot Crol-npeaSation funds
and all rweessary 41SUrance for the Provider shall be the sole responsibihiv of the Provide'r,
28. 1 a Ptlymcrits will be made to tile Provider PLAr-suant to s. 2 5,421 I-'. S,, as services are renderod and invoiced by
the Provider. The Alliance will 1 Hinal approval of the invoice Jbr payinent, and pill approve tfe, invoice,
For payment only if tile Provider has runt all'u'mns and condition- ofthe cmitraci, unless the bid ipecifications,,
purchase order, or this contract specifi, offiel The approved illVoie'C MM 11C SUbmitted to the AllianLe',
Fiscal section for budgetary approval and proeessinu DiTiltus al over invoicing and p"naient., vvil' be
r'-solved in accordance with thic Provisions saf a.. 2 -422 F.S.
I
2&1 The Provider agrees 10 SLibmit bil ' s for ices or od compensation lbrsery ices or expenses in SUfficient detail
f*br a ro
pper pre audit. and POSt Mulit Thereof The contractor shall coniffly wills the particular reqUirements
under the R,)Howing laws and I -Ldd0fines that are appficable to tile contractS or a4 reements incorporating in this
Contract by reflerence. (a) paragraph ( 16) (b) Ofsection X 16.1 i 1 � F.S., reear dh r(_ adv, ances, (b) R tile 691-40,1
F A,C. pertaining to Restriction of 1"Apondit"res frcml "state (C dlis hl%oice Rcquirenoem (.)9 the
Ref"OIINICC (..';aide, for State ExpCII(HILINS firom tile, Department ol'Financial Services at:
Lo I
11IN11gELI 2 U e RC '011ce Guide Cor Slale E
_'o in L@�Ld i r LL C re nL
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The Provider will ccrtifv that detailed dOCUnrenuation is avaikible to sr. ppf,.)rt I-ach itrr,rTa on the itemized invoice
lit o s ,
or payment request for cost reinibUrsed e,,spenies, rLxed rate or delliverables r ct or agireerrients
incorporating this Contract by reference, inclUding .id Subcontractor invokes. and will be produced upon
r� g pa
reqUCSi by the Alliance. The Provider m� Hl Further certi R that reirtibursen reqUOStS are. only for allowable
expenses as defined in the, laws and guAling cimd,11'.i Cited in Sections 4 oftl i., Contract, hi tile Rulsrelicc
Guide R)r State E-Nilenditures., and anrs other lams or regulations, as apphcabk-,
28.3, The Pro ider °md Sulhcontmc ors znha] prm,'CiQ Ullili
sr ji the contracLs or aurcement, csj 111tacillmnli.a, n t1ok (:"oMract to he race , add and
accepted b the Contract % prior to pasjnent,
28,4, Paymerits ,,% M be made to the flag ider based on as ci. drld correct iMoicu, imoices that are incornpicte or
%Vkh hicorrect total %kill riot be processed and ,,sill be rCtUrned m tile Prmider fior correction, Fiscal staff will
riot be able to correct t rrtak-e charques to the invoices. MUrnim inn�oices td' - corrections inw, rd SU4 ill JailLIFe
to receku pa•rnent Rir duat trion'th. In%oioni shall be subtniued drneiv as perA FFACI INvIEN l Vill in order to
iu oid oaiv p nient LM a°, S�
E'iacll Ser"ice performed sliall lie recorded a, Flecihed Ill the C ic'm inlimilmion and reuku-ation tracking a
(CIRTS) guidelines. Supporting doc multiaij
on lin . ided IMN he LideLILUIC 10 [heIllit 1 d1ld
PrO� WILI enn'.ire internal ratarrtaaa'.�`taa rat.
29. Return offunds
The Provider n ill retUrn to the Alliance Lan% 0% erp"i" tile lits due to uncarned funds or funtk dkallm%ed artal am
interest auributable to such Funds pUrRiant u.) tire ternis and conditions ofthis contrast that were diskirsed to ' the
Page 9 of 70
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consulnint under a contract with any PUblic entity; and may not toumact business with any public crit4y in excess of
the threshold amoura provided in s, 287.017, 1',S_ lbr CM hGrORY'l Wo fora period clf36 nloriths flo the
date of'being placed on the convicted vendor list,
34. Emergency Preparedness and Continuity nj*0f)ej-
34.1 if the tasks to be performed pursuallt to thi contract include the physical care and control of'clients, or tile
administration and coordination of services occessarY for client health, safety or welflare, tile Provid , er shal 1,
within thirty (30) calendar days cif than execildon ofthis contract, SUbmit to the Contrast Manager verificatioll
of an emergency preparedness plan (Conflnuily of Operatioris Pian) In the event ,fall enlergene tile
Provider shall notify the Alliance orernergency provisions.
34.2 In tire event a situation results ill as cessation of sarvices by, as Subcontractor, the Contracft)r silal I maill
responsibility for perflormance Linder this contract and rrlm't filfl o% prOCCClUreS to ensure continLOIN of
operations without inlerrUpfionS.
3 4. 3 Contractors offering marition services amst hwe at Icest 3 days' worth of'shell'stable meals Ora Pre-approved
0
three-day menU for emergency marls %%,ith reseped funds s
0 ei aside to purchase the fc*d iterris and a! least orte
back-up caterer who call. provide meals inirnediatei in the event ofan cinervericy, Lit her option irlust be i
available irnmediatelv fi r s , lients in the even of all ' -7 .-
elacrIgencl to cn coritinuay ofnicai services witilout
interruption and must be included, in the Comractor's Continuity ail 'Openuions rian (COOP).
35). Use of Contract Funds to Purchase Equipment
No fitinds under this conlrzict will be used b,,. (lie Provider to purchasL CLJ=dprncnt.
EqUiplMat means: (a) an article ot'nonexpendaille, tain�dble personal property having l], USION] like ofinore than one
year and an acquisition cost which eqUab; o c ed
r , �ccs tllc lesser oFthe capitalization level established be, the
or liar dice lImancial Statement PUrposes. or S5,000,00 It'rir federal fundsl, or (b), nonexpendaf)len tarrt-ibic
personal propetiv ofa non-conSUmable nature an acqUiSdi011 COS[ of$1,000.00 or more per unit. and exil'seted
USeffil life Of at least one year; and hardback bound books not circillatert to students or the general public, with a
VnIUC or cost or $250.00 or more [for staw fundsl,
36. The PUR 1000 Form is herchy incorporawd ly, referencv and za at:
I rl th e ven ! o 1 1 ' an,� cc n 11 i c t be t o, ee 11 t lie lm[. 1 1 ?` 1000 Forl n and a ivs terms Or' C (J n Lh t i L) [IS 0 1"Ll ll� C 1,A1 t reC t of 30 1'eCrIl
terms or coriditions, the contract Shall take prCLedullee 0VUi' the M R 1000 Form" it'llie corifficti term or
conditions in the PUR 1000 J:orrjj are . Cquircd by an SCUion ofthe Florida Statutes, tile terms or conditions
Contained In the PUR 1000 Form shal take Precedencu,
37, Use of Sate Funds ter Purchase or Improve Real Propertv
Anry state runds provided flor the PUrchase w'm to real propero, are contillLelit upon the Pro%ider or
political SUhdi%i urilillil to the mato a in the piv to Flic '1111caint of ''t rte
JVW I dQd Ibi A 1111: L1,11,' 01 1. L h�0 tA ja lmpr,nelllk!nt� Of 'h Hrlh',r r,%j 1, led
b� Iwo,
38d Dispute Resolliti()II
Ali% dis'pule concerning perl'ormance ofthe Contract iliall be dccided b tll:a Contract %lanager, vdio SlUll UdLlCe 111c
decksion to m,riting and Sei C d COP� on the 1 ider,
3% Financial Consequences of Non-Perforniance
FITTSTIF9.
391 If the Provider fails to rncet 11rC n'linh-ruimi. levul of'survice or perform--rice identilied in this agreernent, or thmi i..
I
CUSUOrnary for the irridustm then the Alliance rnav apph, financial conseqtwnces CORMIMISUrzac vJth tile
2 aricial conseciLlences may also include con
d eficienc r
y as eNrenced in ATI I
ACI MENT 1, S-e c, 3 . . I im tract
skis pems i on, refusing payment, widiholding pilyfflents until deficiency iS CUITLI. tenderim oniv Partial paymea:�.
and;or cancellation of contract and reacquiring services Frorn an afternate source.
39,,2 Tile Provider shall not be, charged with Financial consequences, %OIC11 as ftkiklrC 10 perform, arkes out ofcaul.,es
that were the responsibility of the Alliance,
40,, No Waiver of Sovereign Irrimunit)r
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Nothing contained in this ageeirmit i, imended 1c) serve &, a VWi -et` Ot el'ehlo hlir[ by any entirt to which
sovereign iMM11114V may be applicable.
41, Venue
If am diSPLIteari.s - iC 'YCr1Ue0l'SUCh lega remurse-,011 be \4 i at-n i -Dade Co ,inv, . Fc,-rik-k,
42. Entire Contract
This contract contains all the terms and condid are .; a-1 upon by tile parties, No oral agreement
or representations
shall be valid or binclin- upon the Alliance or the Provider unle s expresMN contained herein or b) as written
amendment to this contract sh=red 'lee both Parfle�,
43. Force Majem
'file Parries vvill not be liable l any delays or faiLl r in perforniance dUC to cirUlalstances be,-,ond theircontrol,
provided the part.� experiencin, the ilort.c riiqjeuru condition pro% kdes irnmediate orinen notification to tke other
party and lakes all reasonable OTOMS 10 CLIN tie condition,
44. Severabilit Clause
The Parfl agree that if a CoUrt deems an turin or hercin oid or Ununforceablel
the otlr.ler provision are severable to that , ol d pro ision and shall remain in filffl o. ru and clb_-ct,,
45. Condition Precedent to Contract: Appropriations
I he Pai-6c , uaree thm the Alliance's perlbrn ; ce is I as [,'I liti a to pa tkcr thii_i
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annLla nj)pf'Opriador b the LeuisknUre,,
46. AdditioniDeletion
The Pattie aaree drat. now, ithstandim time torm- A'tkc procurOMU'Vit LIOC,irnen action, lcmd'nuro this contract,
tile Alliwncc reserve. One rhaht to add or to dcletc aro, of taw soryicc.^ , required under this contract clu to be
in the best i riterest ot'llie ecder poptilidon tarlyuucd b� the Area Plan and I'CCIUCOdl to a ,,. ritten irtriendnienT skmed br,
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both larder;. The Parties shall natzotiale Cf' kl)rarlR, i<.ldhiomflr ser adled,
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I lie dela oi 1`eil,tre the Alliance to L!\Crv'�Nc �)1 enfl;rce ari 01' it-, 1121'1 L1111,11 Ihk nt.
be deeiW� l :i k%aiver ofthe Alliance's right there,.Wer to erilorce those riul nor 'sha, ,im sin alp or parfi,,O
am SMh ri lit prcclude am arlier or fuj1here\erLkC dlei'kMfOr tile 01 11% C C er riall!
The Provider shall abide ttcey all applicable current federal qWUleS, klo-s. mle� and reg"dations as ,%ell a 1:
CUrrent State statUMS. hays, rLdeq and regulations. The Parties aoree that failure of the Provider to abide by these
Page 12 of 70
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AA-1829
m us L have �( l ) previ OUS ly 1 7 a i lled to sit i s.rqc bod I � pert nrrn i n a c oil l. riac L w i th I I ie A I I lance, been not i I led by I lie
Alliance fthe Unsads factory peirflorinance and failed to �corriect. 111C Unstifisfactory perform-ancle tic) the
sadsfacfirsn of the AlIliance, or 1(2) had contract teirirrdnntt-d b the AFHance f01' CaUSe.
50.5, Waiver ol'bricach ol'any provi4ons of thili contract t,Jial I not be deerneld to be a waiver of any other breach and
s 'hall not be cowArued to be a tiniodiflicadon of the ternis and concHfions of VIA cci The Provis heruin
do i n0t limitthe Alliance's riahit to reirnediie�� at bees or to darnages ol'a legal i equitable natUre.
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53, Electronic Records and Signature
The Alliance aUthicrizee, bUt does not require. the Provider to create and retain electrk records and to liisc
electronic signatures to canduct transuctions nicces,rary to carry out the terITIS of this Contract, ( contractor that
creates and retains electronic records and uses electronic Sil'I'MUIMS to conduct tran-actions shall comply with the
requirements contained in the Uniflorm Electronic Transaction Act, s, 668-50 I la, Srat. All clectronic record -.. muA
be fully aUditable, are subject to Floridu's Public Records Law, ch, 1 19 1 St at- anist compk %sith -raction 28, rata
Integrity and Sai'C'U'Liarding Inrol'aled0n; ITIUSI maintain all con fide rld al io, as applicable: and mu!,t be retained and
maintained by the Provider to the same exterit as, non-electronic records are retained and maintained as required by
this Contract,
53, 1, The Alliance's aUtill0rization pul'SLN.Irlt ne this section does not authorize electronic tri.inactions Isemeen the
Provider and the Alliance, The Provider is authorized is condLICIt electronic trmsactioni; a itl the Kliance only
upon Further isrittcrr consent bN itic Alliance,
53,2. Uport rcquest by the Alliance, the Provider shell provide the Alliance or DOLA with nor)-c'ecironic (paper)
- i
copies of records, Non-clectronic (paper) copies pruvidcd to the iklliank,:c doc� ir that %;1 o re nalk
in clectronic form with an electronic SiLIFIMRIol MUSt indiCtlte the person and tile person's capacit� akho
electronically sianed the dOCLIMCnI cm au non-electronic copy of the docurnent,
54. Special Provisions:
Fhe Provider aurecs to the following proi. isions:
54,1 Imestivation ofiCrimina] Alte-ations
\11s re'l"clit thi it nplies criltlimil int ro on the Part ot'fllc! Primider or 111% 'Sutv�ornracwrs and riderrsd 10 d
, or imesti TUMIC� 111LI:,i b,w sent to flic Alhanr -e, l$ the llro�Jder ties reason to belie 4e that
the allogations m, ill be rellerred to dw State Atturne'- as Lm cnfc)rcernent auencb, the United Sintes Autorncs 's
offilm Or ojjj r "Overnmental a-enm the Provider shall notify the A;liance irnmcdiately A cop) of all
documera:;, reports, notes or other %mitien rnaterial concerning the imestigation. Miether in the possession of
the Provider or Subcontractors. m ist be sent to the Alliance's comntct nianlagicn kviih an surnrnar) of the
ina esdgaflon and allegations.
C�
I' lee P ro" I d", I H ej I. UN 1A I Q' !'J' k,ad a 6 1 L I I I to olkkn
;indMduak and indisidtiailn as %liabilitics tieedllh! SLIL I lf posO)Ic, the I-Inovidershall oork in
coordination v, ith or ' ganiz,tilions that hwe ekperience in pro fl
6ng rr placenren and nd itipends tor"
VO Unteur or partICIP"'Ints (Such Lh i-)r CM7% i 111-' 01,11 tCderal ser% ici pro-rams adni inistered ib� the
Corporxicin i'()r National and Coil MUnit% Ser', iice). in cowmimit\ , ,er ice ieuing-,.
55, Enforcement:
I
55.1 In accordance with Section 7 4, F,S,. the A I Hance may, VVithOUI takin, intermediate mea a
sures vailable
9 an,�
to it against this Contract rescirl(J thi Contract ifthe Alliance 11nds that:
5i.2 An intentional or negfigent. act of the Provr&r has rnaterij:jI I affected the health, welficare, or salbtt; ofcfients
served purSLIant to any coruiract r 8
at
incorpor in "., this Mastur Cmitract by ref'crence, W Ribstanflallv
and negatively affected the openation ofservices covered tinder 'ativ contract or aureement;
553 The Provider lacks financial stabilit SLIffiCie-nl to rune: contractual obligations or that contractual funds have
been misappropriated;
55.4 The Provider has cominitted InUid]110 or' repeated violations ofjcgaf and o
n!' Ulatory standard s, r egardless f'
9 1
vdiether such laws or ref'Ulation4 are erifOrced b die Afliance, or flie Provider has cornmitted or repeated
violadoru of Alliance standurdl-,
55.3 Fhe Provider has fiffled to coliffilue 11 provision or expansion ofservices after the declaration ofasunte of
crnergenc andlor
55,6 T'he Provider ha�i frifled to adhere ELI the terins of aay contract Or zu'reement incorporating in this ("ontract.
55 In die alterriadve, the Alliance ni', at its sole di, in accordance with Rection 430.04.1-S. take
hilmediate measures against the Provider, incluirling: corrective act'
wri, unan nou need special rnonitoring
tumPOnary a';sUmptiol Ofthe operaflor ol'orru or more contractMfl �;er Placement ofthe Provider on
probationarl, stx,r:. er :10 i financial penaQ� ld Im
noriperf'ormance, or other admh , traflve action P1.0 to C'JaJpte� I R 120
rs,
I n i na in t any determination U io
trader this pro thu Afliance rna'k, rel% upon the findings Ofanod stare ,
federal a0encv, or other re-Uiator3 bod'y, Aril lairns for darnaues'lor breach of Marv" contract or agreerment are
exempt from administrative proceedings and shall be brought before the appropriate entity in die venUe of'
N COUInN.
56. Trainin,
The Provider 3sa 111 attend ail required trainings and lueetirigs schedule b,, the Alha nce,
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Attachment: BACKUP-FULLY EXECUTED OAA1829 (Amendment #001 to OAA Contract AA-1829)
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C011tract Monitor
The narne, address, Lind lelephone nurnber ofthe
Uhance hic,
Contract Managu for the AAA for 11fls contnact. Z� n
7
is: 60 NW 107fli Avenue, SUite 214
khami, Florida 33 172-3 155
305-670-6500
Upon change of representafives (names, addresses, telephone nUmbers) bv cither part�, notice shall be provided in
writing to the other party and the notification ailtached to the originals of�hi'-; contract,
I.,
58. All Terms and Conditions Included
This contract and its Attachments, I 1'::rough X. A, 13, C, D. L, F, G, I I zur'd ank e\hibils, rL ficrenxed in said
attachment-, together witi-I aliv LIOLUments incorporated b ref'O'C° :Le, L,()FF, a111 the terms and condition aureed
upon by the Parties. There axe no provisions, terms. corjdltiojl=�', or obfiga6ons other than those contained herein, and
111i'S CO
mrau _,hafi 3uperK Lde -111 previous coliun in czitwns, repre.....entarm- or agreement�,, either 1,kriuen cr verbal
between the Parties,
BV Sionin" tills contracf' the flarti a u-ec that they ha', c re d an'.] agree �c' the , i aire cmuract.
I IF'REOF, !hC P!H_dC'i hT010 11,1%0 C&ISCLI CdS "I r).T_A� Li', io be e,\,!c,aed their uIldersi
o lea; al.'3 as d(fly aId
Ic I 'OR ,LiENG� JNC�
SIGNI BY:,
I I I I E: PRI IDENT AND CEO
D, VI E: DEC 2 9 2017
AA-1829
INDEX TO CONTRACT ATTACHAMENTS
Page 18 of 70
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Alliance 1 AGING, INC. ATTACHNI ENT I
STATEMENT OF WORK
OLDER AiNw,111CANS ACT PROD RANI TITLE III
1.1 Alliance For Aging, 1110. Mission Statement
"I'he Alliance mission is to promote and advocate for L)e optimal qUality of lifie ffir olider adUltS,111id their families,
1.2 Pro -ram Specific Terms
ft
Area Plaw A plan developed b the area agjcncp 0 11 L1 outfining a comprefic
delivery system in its plannin a
g nd se r vic- - 4r 0 [1 14`o' and coordinated surv�We
- area in accordance with [Ile Section 306 '42 LJ�S�C� 3026) offl e Oldt,�,r
Americans Act and 1 instrixtiolls. k 61
ley, A
A rea Plan Update: A revi to the area plan Mwruiti the Alliance enters nAAspecif cla i
t rl the Cm
he
I
1 formation and Registration - 1 racking S�-- (CIRTS)� An LIDdate may al 0 ibWkid other r v
,)Ian as instru if ctec I DOEA, ision ,� to the arel-�
,
Child: as indivicLial who is nf. more it-tai-I 18 years ofat-ae or an indhjc %% iti c ii sa bili tV ,
Fanlilv caregh
cornunun ty cart! to an ofdej' i1ldi`,iffLML
Frail: When an olds indivi,Jllual is unabh.- to PerdbrInat 1 %k 0 Llctk itic Of daik Hving (AIJRLs� %0thOUt
substantial 11LIMMI assislancc, im , erbaf remirldino- PlMical Cueing or SUP OrViSioll- Ol (ILL C to Co nitive or
the meMal impairimea, reqtdrc,'; bcJMISC I-11C if M"ILKIi IICIIRVef, in a niannerthat poses
a, scrious health orsafety Ilazard to the individua )r l , to airmth er individULki,
Grandparent: A grandparent of cililci, ora relaike 01'a child lb blood, I 'C 0i
adoption anid wh, lives vitil tite c1lik1: is th,' j "mrimary careuk er of"the child becdLlSe the biolooical or::doptive
pd,rcnk, LIN Unable 0,- L111kViHjrj1-7 i'
W"..cl - B The ¢ nrllrmr' carQuiver ofthc c1
C!ffld, LICII cj je�vqj ' '.1 ? - llikj.� arld has a lega relation-hip to tile
th" ch't I
L3 General Descj jptj
1 3) 1 1 ,31-neral `,;latennent
[past PI ides assis ance to - l' . lc' rersons kind far o%,.J jjrjd
The OA�' Program is s, tederaf Proq7
is tile onk 1l�doral suppor se a dircocd S0101% tcmsurd imp r - the lives caf kk-r PCOPV" 1
program 1"Wovides a, l a partnership MImm" the difl�,rent '.. and the [,ujbj`c it
Zll�
prn,ate sector�, v, ith <1 in the quakt% W jil'- f'O" ""I"t I C 1 f: 1 1-
€1». o " I c t I k I
�311 i I pie lu'cn oldon ofc'onwre)ensj"'k and ccordilimcd
k p n tr.l.a
u uh"'osu s-'Slerns to :'Iisi'sl older indi� i4ual', t 1 s :.ai end maintain M11%i111dM Hidepen"Jence and
1101 "cm ircumiont aoj jjjuo i f'kW01C Clltfldb"R. "kid' a11
mWom
13.2 Authority
In accordance with Chapter 1 -87 F, S,, arnendedr, and DqartIT of I inancial Services' Chief I inancial
Officer I'demoranda, the followim memoranda are hereby incorporated bN reference:
(1) CF0 kNalerno No, 02: Re lea --e date. October, a 2012-,
(2) CFO Memo No. 07', Relea-,,e date, Rine 27, 2012;
(3) 1 merno No. 01: Reic, date, Rily 26, 2012: and
(4) CF 0 iMemo ldo� 06: el arc date, JUne 30, 20 1 O,
1.3.3 Scope of Service
The Provider is responsiMe for coordinating and assessing the needs of older persons, and assurim, (lie
availability Of (ILIUlity serldLes, me services shall be provided in a manner consistent whn , and descri -ed in,
both the CUrrent DO EA Prograrns and Services Handbook and the Provider's Service Provider Applicafiow.-I
subt In reeponse to flie 2012 OAA Rf 1
1 .3.4 Major Prograill Goal
The major final of the OAA progran are v, improve the CjUaflt ofhf� fear oil r iodiva.lara kl , pres erve fl
independence and prevent or delay more cwitk institutional care. These goak are achieved thrl]Ugl '. the
implementaGon ofa comprehensive and coordinated scr%ice system that pro ides a confintil.1111 ref .ser% ic
afternatives that mcet the diverse needs of e1 and their carel", I vers,
I -3. 5 Leadership and Arkocac
As a deskmated Focal Point, a pro% ides m i cncoura, to pro, i Je coordination cif , for older individuals.
The Provider MUSI. also provide cornmunik� leadersNp on aging isSLICs and serve as the advocate and fiocal
point for the elderly ardiin the coirwnamit� in cooperation with agencies. organizations and individuals
participating in activities fimided b the Mliance. Advocac� should inchide initiating positive chari-es in
public or private policies and rittitr.des towards older persons, taking action to improve, modifV, or clirninate
,ituadons which adversely impact on lives of older persons, or expressing support for older persons and their
interests. Advocac� activides ma� be broadlE s ofthe gelleral interest ofolder pc, or ma%
involve specific activities on behalf ofindk KILMI-."
1 A C I i en ts To Be Se m ed
.4.1 General
P re fe rence s I i a 11 bc u i v c n t those %k 6, the L N 11C ., o I lom i c and , ec' i a I neeJ I i p.i ri iL ul a r a t ten t 1 o n to v,
ioColoe older individuals, includiria th-se that are 1 0k -inCOITIC minorides, 1 r, e limited FInglish prof dents
and older individuals residing in rura, area
1.4,1,1 OAA Title 111, General Client Eliaibiht'v
Consumers shall riot be CILI,1;1% CMcflied in rAn 0AA program an,' a Medicaid capitated long-term care
co
� v, ith tile o\ i ;. I'
di i I I'll,
'ClU )l C-d ir
St INIC 1.1 b" kmim -cd cm%: pla, i:
paid for b-» OAA &S D(-* \ No6ice oHnsaruction, \0 FK F ' 025 15- 2 -1 CBS,
vildifiondily, transportation, funded thro;1 g,i Title 111B can be pro% ided to S%I'Mc 1 C enrollee,
aitendin" Con"rou'lle Ill-,m] ircs, in accortlarwe vith the Departmem's Progrmn,-, and Sei es
Handbook.
I
1-4,1,2 OAA Title 111134 Supportke C.ient E,'Huibiliv,
(I) IndiVidL11119 age 60 or older
V!
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SECTION If — MANNER OF SERVIC'E PROVISION
2.1 Service Tasks
In order to achieve the goals fthe OAA progrmu, the Provider shrill enu urtc, the P)Howing Service Tasks are
perflormed at the level specified in this contract,
(1) Client, Eligibility Determ i nation, The Provider shall ensure guar: applicant data is evaluated to determine
eligibility. Eligibility to become a client is based on ineefing the reqUir=UTILS described in this Contract,
(2) Targeting and Screening of Service Dtfl ivery for New Clienm The Provider shaH develop and iniplemem
policies and procedures consistent with 0AX targeting and screening criteria.
(3) Delivery of'Services to 1"fi gible Chents: The Provider shall ensure the provision of a continLiUrn ofervices
that meets the diverse nced of elders and their carcuivers. The Provider shall enSUrC [lie performan, e angel
report performance ofile ftfflovving ser ices are ill aCL01'C1s: aaidl the Cffrov DOEA Pro rare an:�
Services I landbook, 'r me -services fLuided pursmant to this contract are in accordance with the 0AA I itle I I L
Section 32 L, 33 1, 336, 36 f, -and 37. as folloo,s,
Section X2 Fide 11113 Supportive Sers ices:
Section 13 1, Tile HIC I Congregate Nutridarl Services,
Section 336. Title 111C2 I forne DeHlivered Nutritiori Services:
Section 373, Ti to H IE Caregiver SUPPON SUrViCe, ; and
(4) Use of volunteers to expand the provision ofavaiLable. ices,
(5) Nlonitoring the performance orils sari comractors: and
(6) Document service deliveiv in accordance to the curreni, DOEA Prcq,rain and Services I landbook.
I zn
1 1,1 SUPPOr'tive SIN-ViCeS (11[13 Prograrn)
Lipp ortke services include a variet% ofcornrnunila-ba4ed and Irmo -delivered servicez, that support 11e quJiv,
oflife for older individuals by helping lthm re amity indcpendew x;] prodtxtkc,
11 � I , I . Services include the follmsing:
Z'
(I ) Adsult Das Cire/Adult Day I lealth Carp.:
(2) Care,',�, 1'rainin—Suppork:
(3) Case Aid/Caszc ivianagentem:
(4) Chore Serviculs:
(6) C."ousaselin— I j r ; ;�', 1 ,
(7) Edt cat ,*z , %.j 5, i'r:wiiiinlz , ,
(8) Legal Assistance
(9) Material Aid;
10 Occupadonai Therapy:
I I ) Oirltreca""
12) Personal m"al"e:
13 H cd 'I hu
'
161 Spec i a"zed Medical Fgtrup
17) Recreatmil'.
IS) Era enlencN A lert Respon
19) E
(20) 1 lUlth SUppm
(2 1 ) Horne I lealth A id;
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Attachment: BACKUP-FULLY EXECUTED OAA1829 (Amendment #001 to CAA Contract AA-1829)
a
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lViliCS ill least SCMd-OHIMIaLy. Reports IIILI',,( be submitted I)y JLM 30 and December 3 1 of each conrract
Year,
2.2 SEfZVICE LOCATION
2
. Service J'iroes
TI Provider shall ensure tile provision of servj , li
C " it the contract during normal bttzanes5 11OUrs
unless other th are rnore appropriate to meet the pcHbriliance reqUirements of the contract, and it shal I
inoriner its SUbcontrauurs to enSUre they are available to provide sc�rvices during IIOUrs responsive to clicill
nceds and dUring those, fir Which bet meet tile needs Ol'the relevani service community,
23 DELIVEFLABLES
2-3.1 Services
The Pro ides ;Jial I prov i do the se described ire Haas ci..)n tract i il accordaMe with the current DOEA
Prograrn and Service� I Jand book, "irdis of service will be paled J)UrRiam to the rates establislied in
A TTA ( I I NI E NT V 11 �
2A REPORTS
Me provider i.s responsible for respondin - r ii as 6inely
era to a[j(j;jiOrs] rtnifine and/i ii spechil re,']UesB 101
inficm and reports reqUired by tile A Iflance. - 1 lie Prcwider ITILISt establish due dates for any subcontrictors that
permit the PlOvider to Illect 11 rel-orting, rqUirlements,
2A 1 Service Cost Reports
]`e Provide llal,' .ubmit Scn Coot Report-, uo the %Hiance annualk, but no later thart nine[y (90)
calendar dav-, after tile contr- 'c
act ear ends. The Sej
pr f,"Mcling eaL:l 5urvice b�, zz I icc: Co� Reports s� ill refloct acuu.1 e g
. f art lor the preceding contrau � car. Ifthe Provider desires:�I)
rene its reirnbUrsement rates, flie provider A I m I make a reqUCS1 in vvritiqu to fl Alliance in
accordance with tile Alliance's approved ReimbUrsenicmt Rate Review Policy, -
Via, refcrence, W which is incorporated
2A.2 SUrplUS"IDefick Report
lie Provider vJ11 respon,,J to dj� SLffj*X'II; Deficit report in a fort cat provi lcd b,, OW
Wimice to th, Alliaflc C(➢)JIIIN'Wt 111,11B,12ei' SUrIflu", bc SUI',"nnitucd
rqu t l pa%in nit , rcpo i�, for all pr lea. CEaa 3 as Illis Cc bewon e the PY0% id,21',Uld the Alhance. IT! r�,^porl i I incladc i =r
No fi
I A fist fol'all Services WILI [heir curr-Int .stznut regar'ling ,;r plus or JeflciL and wtv. iffer is °r to
U
its ofi-inal buch t pro'
jections.
A detailed Plan On 110 the zmrpltts ur deficit spert ling eV.-Cedill(I tjj�,! I ul - ble
resolved, The plan iouA include sptxific fated ,4c! jjjjjA),?r u) rellea hov, the Pro idr plans io
acllr thO VZIHanc
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EXECUTED OAA1829 (Amendment #001 to OAA Contract AA-1829)
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I ) The I.-Ir ovider iissurus corm p Harare with, Section 3 1 i of [lie 0A,\ as amended in 2006., in regard to consumer
contri but ions
2) VOlUntary contributions are riot to bC LISUCI fisr cot hariit,! or malching",
3) Aculoli.11]ated volurtLary contributions are to be used prior to reqUesUrn federal reimbursement; aml
4) VDIUntnry conEribUltions are to be used only to expand servicus.
183 Use of Service Dollars
The Provider is expected to spend all, federal, si:atc and other fivids provided by the Alliance for the PUrPOSC
specMed in the contrast. The Provider must nianage the � ervice dollars in SUCK as manner so as to avoid having
a wait fist and a SUrplUS of funds at the end of the Contract period. For each program nuanaged by the Provider.
Program SUrpluses must be repf orted to the Alliance,
2. 8.4 SM-111LIs RecaptUre
In accordance with lis surplus/defrCit Management policies, in order to niaximize available funding arld
minim ize the there that potential clients mu t m, ait tor services. fl Ali I iance in its sole discretion can reduce
fundin- a%vards if th e Provider is not spending accordirm to rnonthk plans and is projected w hicura StWpki,s at
the end of the yLar.
�&i The Provider - f reers to LISe fillids as decaHed in the Budoc�,t Sunumarv, ATTACH,,VIENT VH, Aiu� chan ces 1ki
=1 m
the ,irnounts off'ederal or general revenue funLis identified on the BLIC11,0, Summary corm E acoritract
aniendment, Providers LnUst adl to AfliancCs Nlc,sfiFicd S Policv, ine.orPorated by rel`erence, when
requestinul clianoes to the budoet Summar Nn in,
2X6 Title M Funds
The Provider assures compliance vv idi Section 3i'6 (,4' the 0. Ier Americans ,, kct, its an in 2006 that funds
received Under Title [11 will not be, u-sed to pa, any part of cost (inclUding an adr cost) incurred b,
th Provider to a as convactUal or commerciul relafionship that is not carried out to hnplement Title 111,
2.9 ALLIANCE'S RESPONSIBILITIE S :
art(! 1'echtrical �si_stance
.9, Program GUidarice
The AlliMice v"M provide to the Pro LWidance and lechnical as;ktance a- needed to onsure thesucceSsful
Cu It i� I mcra of t7 +.ororau bN t' Q 1',a} :&rI Th C PJIAiLIQ'I'S I B ist aite id a re,.' tra'in;riu ',,se. mi I
nwed llu
SEcrION III: METI-101) OF PAYMENT
3.1 General Statement of Method of Pavinent
The )vlethod ofTaxiiient lor this eg.3-noract i. a combination OffiXed-6'1-C Unit rate, U)it reirrib:ir,enient. and afkanLCLI
pa SUbjeCt to th-C a%silabilit,v of f"'inds, Hic Provider shall ensure inCIU&L 001 d"O'4C COS1.5, thnI WC irl
It €' al: I x�,d 1 t iuiw and r;.nrkaion wI ai 1u 01' 'Rldltt_d 1i IOHC�l + ) I , i
a .T*1' 'in a ,a
3.2 Ad% ance Pay nients
3.2'. The Pro: icicr imo, reqW-t Lit) U) qh',O H )Htlh at flie start - ,ffliv r. .t iraci per'od, Wa%allable. to cmer
prograin ser�. ice cixsu, Fhe pa i tent 01 arl KKance v, ill be confingcnt oupon us e 11.0 liCiClIC Md 'MINDUrn, at
funds Meased to the Alharice, Tl Provider shall provide the Alfianu th- need Cor
an advance and describing how the funds will be distribUtOd.
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ATTACHMEN'r ii
CERTIFICATION I�EGARDING LOBBYING
CERTIFICATION FOR CONTRACTS, GRANTS, LOANS'AND AGREEMEINTS
The undersigned certifies, to the best, ofhkor her kno isle dape and belief, that:
( No federal appropriated funds have been paki or will be paid, by or on behalf ofthe under-igneirl, to any person
Qn
to in
fo 1ploylee Of anV �, jtatje or fl
r influeficin- or auemptinu fluencie an officer or un eral a-ency, as member of congress, all
officer or employee of congress, an empliltyce of a mernber of convress,, or an of"ficer or eniplloyee (if the state legislator,
in connection with tiny awilrdino oranv federal grant, the unaking Hof am Federal loan, the entering into of any cooperative
and [lie extionsion, confinLLWO11, ronmal, ameroltinent, or modification, ofam federal contract, cnint, loan, or
agreement,
cooperative agreement,
(2) If any I'Lunds Other dian fe�ideral appropriated funds have been paid or a % ill be paid ro an� person For hlfluencin or
attC111plinil to inllUerlCe an officler or ern ofam, aoetw , a rumber okonpress, an officer or ealplo ce ofconare-s,
1 . ZP I
or an emplioyco of a meniber of congre- in connection thts 1eideral contract. gram, loan, or cooperatke agreernent,
the undersig Z In ed sha co
ll rripletic andsklbrnit Standard Form-LL L, "Disc'losiue Fon Lo bb
r to Report � in cc
g," in aordan,;ic
with its instructiowl;.
(3) '1110 Undersi-ned shall require that the Lim—Wa"C Ol'this cerfification be hICILKICd in the award doCLIMents for all
SUb-a%vards it all IiCrS (kICkiolhii subcowlu ,
and contracts under grants, Wn-, mid cooperative agreiarmmts)
and thaE al I =ub cortractor, "(1A Uell I 6 I) fUl J 'jiSCkY-".e accordina
I Ns certification is a material representation ot'llacir upon v0iich •eHance oas placed vhen this transaction vus made or
entered into, Submission of this certification is as prereLlUiSiU.' for makima �or enterma into thi. uransacdon imposed b�
sect I on 13,5 T4 le 31, U S, Code. A ny person ,a lms 1�,i I s to fi le the req u i red cc rt 6 fication shall be Kibj ect to a C i ii
peria l t. y of'not less than S 10.,000,00 anal not more than S 1 00,1000,00 for each SUCH Fai I LIN,
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ATTORNEY
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Attachment: BACKUP-FULLY EXECUTED OAA1829 (Amendment #001 to OAA Contract AA-1829)
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MEMEM,
Other Federal a and pass WitIfies in accordance %vith Section 3 ? (c) and (0 UNIB Circular A -133, its
revised,
flumoHrlt to Sections .320(f)., 0,'%,[Li Circular A-i 33 as revisedt the pr-idcr 51 submit R copy Offfiv reporting package
described in Section .320(c), O�MB Circular A-133, is revised, and anv marial-inew letter issL1 C �P
Alliance at each ofthe fbil addresses: I ed by the aLiditor. , to the
Alliance For Isgi j jjcn
r,
Atm. Fisral Depa
760 NIW 107"' Avenue
Suffe 214
IN'ThImi, F L 33172
Additionally, copies of financial reporting paci�.�WL�i requud dam Part I I ofdii.s agrverilent shali be submirtted b� or on behal i'ol'
tile Contractor directly to caell of the I'ollrjw� lna�
The Alfial at. the fiejllie%vinr; address:
Alfi,ance for kgitw file.
Attm Fiscal Dep artmetit
76' ' 10 Avenue
Suite 2 14
Miami, FL 33172
Any repoo,.s, mana letter, orodier hifornlation, required to be submitted to the Alfiance pursuant to tjjjj wrreementshall
be SLlhmitted thiv,+, in accordance IMIll OMB Cir(,-Lda• W 13, F', and Chapters 10.5-50 doenl eo%ernriiemal enfitiej) oy
10,650 (nonprol'it and Few-prolit orgimizations), Rules ol'the Auditor Generzil, as appireable, "
Cc.mtractors, mihen submittirig Financial t° e fro rtiM Pack"oes to the a n c e I'm audits done in accordarice with 0'
Circular A- 133 or, Chapters
�P M (bcal governmental Critities) or 10,6 (non, rf fi nd fi)r-prora or-allizations), Ruh:s ol
the Audiior General, sillstild indicate the date that the MP Ttiili! JXILkage- mas defivered to tile Contractor hi correspondence
accompanybig die reportsr" paackaage.
IV- IUCORD RETUATION
ThC Clirltrt.jCtor shall retain sufficAunt records desacra ,v,jrzjt, jji its cosy pl -, ,, , ,
(6) � firom the date t1jo , - I i (I, terius tit' this fl or i period of'
e
jtj,�,Ft In] -h i�� 31 ' ),", " aild the Departn'teni or its deiigne the
m,c' mpon r.:,j JmH ti audit v orkitlt Irf)er
IN .S nN made
, '%a QWc to file AAiaflce and dw Department, ur ki 10, v Vi fit ,r Genamal upom request fictr a period 4 six (6)
lr,: the 61c the audit repert is kq qn c ,,, ., '-
in irftt nvl b" the k I I i,
a n Cc
A I F %C II MENT III
FINANCIAL. 4 0, N N
IND COMPLAANC E AUDIT A I'TACIF 11go I
EM111311 I
PARTI. AUDI'17RELA�1'10�NSIIIPDEl.'EIINIIN't�]'I.ON'
Contractors who receive state or federal resources mlky ca may not be sUbjeU to the aUda requirommo; of 2 CF R Part §
end or Section 2.15. T, Fla, Stat, the o nt rac tors who are detennined to be recipients or subrecipients ol' fed cTaal a%vards and or
state financial assisnince may be subject to the audit requirements ifthe audit threshfdd reqUirem. set ffirth in Part I and or
Part It of Exhibit I is mm Co nt rac to rs who have been determined to be vendors are nor subject to [tic and it requirements
o f ' - ) CFR. Part §200.38, and. or Section 215,97, Fla, Burt., Regardless oflMiether tire aUdit reqUiremems are met, Co n t r a c t o r s ,
vyho have been determined to be recipients or SUbrocipierits of 1'ederal wwards and or state financial assistance anwi cornply with
applicable programmatic and fiscal compliance requirennents
In accordance with 2 CFR Par §200 and or Rule 691 FAC, C: ntrjcic r hus been. determined to bc°
Vendornotsub ecto.)2 CVR Part §200.38and or cti
Secn -" 1 7, ,97. 1
J
-X— Recipiient subrecipient subject to 2 CFRL Part §20U6 and §200.93 and or Sectii,:n M 97, F%S,
Exempt organization not SUbject 1c. 2 C1.'R f'art §200 arld. or Se.cticjn 213.97 1 S. ror Federal avvard fc',r-prk fit
organizations are exempt; fior strue Fn•ncial assistance prctiects. pubfic unkcrsiti-s, community colleges, distHct-school
.1
boards, branches of state (Florida) government, and charter ichoiAs are exempt, I xempt organizalions, rnustcornply
with all compHance requirevnents set forth within the coniract or amard &I ctuncril
I
"140 11'a (7 on t ra c to r is deteronined to be a rftlj),Ce; C1 1Ud,!Njj J; , f j (jr t _ x 1 ll h a I)CC I
approved b) the A I I iance to subcontract, tlw nium comply o ith Section 2 f 5.97(7). 1 °.S., and RUIC 691 ,5006, f ° C [state
financial assistancel and 2 CI R ['art §200,330 1 federal avardsj.
PART I[ FISCAL. CONIPLIANCE IS
FEDERAL ALA OR STATE iNIXF(AHNG FUNDS ON FEDERAL A.ViARDS. Contracnars who receive Federal
awards, state rnaintenance of' effisn funds, or state matchin,- funds on Federal awards and who are determAned to be as
subrecipient must comply vith tire fbilowing fiscal laws ndes and rQualkition;:
STATES, LO( 'AL (-'OVERNN11[,NTS AND INDI VN TRIBES M1
S I' j
2 CFR Nan §200.416- Cost Principles*
2 l*R Part , - 2 00.2 1 0l- R Ll
(TP
Pan §200,500- kudit ReqLlh'
R.oNrence Guide f Suite Expenditures
Other fiscal requirernents Set forih in, prograrn kv�,s, rtde and N'!Lll,t
NOiN-Pft0l Nit. STFOLU)W.
2 CFR Part §200,400-.4 I Priniciples*
2 C FR Part §200. 100 -.Administradve Requimnenti
2 CrR Part §200.500-Audit Requires ients Rel'srence (Adde for t,ja ' \r
idwr fiiCMI set 60ri'll ill. provar kr h, rt[L- m I ray_ 1 u
EM ( % FIONAL IeS H ITTIONS a EN 11° C p-%I� r m: % -'fl' % I L OR I OC ki, GON ER'SNI 1"'s I 1 00, S1
FOLLM� -
'FR Part §200.4 18- Co�.,t PrincipIcs"
Part Requirement
2 Cl� R, Part �,200-500 - kudit RefONNIC ( jUrth! 101'
Other fiscal reqtdr set forth in prograni lavvi, rult':sand re'-Ullatkl--i
Page 36 of 70 jw%
z�� anIS may be exempted from cOMPlidifIce with Ille Cost Prin,Jp.IQs Circulars as noted in 1.1he 2 CiFIR ilau
Some Fiederall pm,gir,
§200.400(5) (c),
"For funding passecl through U.S. Hicalth and 111mi'lin Services f5 (A R. 912; IT:'m 1 "U 1 11(fing passcid tivrough TTJ.S.Dcpartjllctj�
Of"EdUcinflon, 34 CFR 810, M
STATE FINANCIA I, ASS I STANCE. CionLractiurs who recicivic slate f I assistance anti who uric diuTiermined to
n recipilumt/SiLlbreciTipient must coulpiTy jv jtf j the fbi 0 ��q L
11 r� � fiscal hmrs, rules and rumdations:
Section 2 15.97, Ha, Stat, Fn
Chapter 691-5, 1 Wmin. Code 04
00
State Projects CDMf)HIHICC SLIPPIC[TRMIL Relvirence Gukiic
for State ExpenditILIMS
OtIller riscal requirements slut 51 in program
4D Imys, rides and rIOI'LIIddOin,
LAI
A
ATTACHMENT 111
FINANCIAL, AND COMPLIANCE AUDIT AT
EX WHIT 2-FUNDING SUMMARY
N�otv'Fitle 2 CC R § 200,331, As Revised, and Section 215.97(5), Fiorida Statutes, Require'niat information AbOLH, Federal Programs and State
Projects Be Provided to the Recipient and Are Stated in the Financial and Compliance Audit Attachment and Exhibit 1. 1 and
Compliance Audit Attachment, Exhibit 2-Funding Summary Provides Information Regarding the Funding Sources Applicable to 71iis Contract,
Contained Herein, Is A Prediction of Funding Sources and Related Arnounts Based on the Contract Budget.
1 , FEDERAL RESOURCES AWARDED TO THE SUBRECIPIENT PURSUANT TO THIS CONTRACT CONSIST OF
THE FOLLOWING:
PROGRAM TITLE
-------------- * ----- ' - I
N
I ANIOL'r
FUNDING SOURCE
CFDA
AMOUNT
Older Americans Act Administration
TiflefflIB —S ortSiervices
U& Health andHuirnan Services
93.044
S i 12,771,48
Older Americans Act Administration
re 'ato M
Title 111C I — Conrre g 'L _ - s
gate Meals
U & Heakh and Hurnan Services
91045
$151,911,42
Older Americans Act Administration
Title [11 C2 — Home Delivered I'vicals
US, Health and Human Services
91045
S22 ,495P6
Older Antailcairs Act Administration
Title 17.1 E— CaregIver Sqpport Services
IJ& Health and Flurnan Services
93.052
$103,386,71
77fle III ES— Careffiver Sth"tcort Services
532,472.36
TOTAL FEDERAL A WARD
S628,937.57
COMPLIANCE REQUIRLMENTS APPLICABLE- TOTHE FEDERAL RESOURCES AWARDED PURSUANT TO THIS
CONTRACT ARE AS FOLLOWS:
EEDFRAL FUNDS:
2 CFTC Part 200 Uniforrn Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. OINVIB Circular
AA 33, as amended Audits of States, Local Governments, and Non Organizations
2, STATE RESOURCES AWARDED TO THE RECIPIENT PURSUANTTO THIS CONTRACT CONSIST OF THE
FOLLOWING:
MATCHING RESOUCES rOR FEDERAL PROGRANIS
T
0
PR RE I CFDA
�""' TTL
-------------- * ----- ' - I
N
I ANIOL'r
TOTAL AWARD
'ro TA STATE
L
STATE FINANCIAL ASSITANCE SUB IOC TTO sec, 21 i.97, ES,
PROGRAM TITLE ER-NDINIG3 SOURCE
CFDA AMOLJ11'
TOTAL AWARD
coal=
CERTIFICATION REGARDINC, DATA INTEGRITY COA11UANCE ATTACHMENT IV
FORAGREMMENTS, GRAN LOANS AND COOPERATIVE AGREMMENTS
['he LHICICrSigned, an aLlifictrized
attachment, heireby clurtiffieF that: cointructor ilmwd in tile oontract or agricernent to which this floirm is an
(1) The Contractor and any SlUb-cisnlractors ofservicesunder this clontract have financial urlanagerrientsystems cap O f
Providing certain inFonnation, including: (1) accurale, CUITCnE, and copnp:etc diSCIOSUiru of the financial results ofeilcil
grant-funded pr9ject or prograim in accordanice vith the prescribed reporlinor requirements; (2) true. source and
application of Funds R)r al I agreement supportcd activities: and (3) the comp 'OF OLidJYS Witil IbU dgetCd MON[
US
for each award, The inabiliLy to prociess inforrnalicm tn ac with Eliesic rtqUirenICIUS COLdd reSUIT.in arcturn CA'
grant Funds that have not been [ICCOLITACCt Cor properl�.
(2) Nfana-ciment information Systenns used b" � the contractor, sub-contractork), or any MRSid n w
e entity on time
Contractor is dependent for Ilia thal kto be i repaorte d. trar in i tied or calicL haw Ilicen assessed and veriflied to Ibe
capabie of'processinin date aCCUI'a[10�, inC I LICH11" " "air -clot dependem r laj, Fol- qj SV stT11s ; to be lion-
compHant, contractor(s) will take hmmiedime ac6on Wassure dau inieHtv.
C
(3) ll'this contract inchidLs the provision ofhardware, softk4 iare, Hirrnwarc,, microcode or imbedded chip techm)loov, th
Z�_
Undersigned warrants flMt 011CS10 PrOCIUC(S' lire capable of'rjrocessinE �ear-datedcperldent daut EICCUratelly. All versions of
those products offered by tile cantrjjia. (representud b� the PUrchased by die SMic wiH be merified
For ICCUNJC V , armed integriLy ofdata prior to tran Tei%
111 tile event oi';uny decrease �n flunctionafitv rehatied to time and date reLj co jus and inwrnal Ribri)UtilleS dlet nopo(lic
the hard%� are or soffw�,arc prograing .rani o p properli,, tine contractor a-rces irnmediatio I v imaake required
�o t a c � I -T h ncdonahv, as ��arrzantcid herejj�j,
correcdons to restore hardware am I sofkm ixe progr anns, ki� at rmo
Charge to th�- State, anid WithOlffl, i ntcrrUP61011 '10 flic-onu-Poing bUSineSS oftfie st �, tjuIle (ma drug of' the essence,
(4) The contractor and arry suib-contractor(s) of services under this contract their policies and procedures irICILldC as
disaster plan to provicfe For service ch,-Hvep� to wntiri,w do case ol'an ealerlyen%_ klCklding emergencies ad,4i From
ig
data integrity COMPHarICC iSSLIC.S.' �n 1, M,
Fh contractor roquire iha[ time lanluLMAIC Ckfdd i certilic'Ition be hlClMled k) Jj' sU`�w_lrocimenl , s ihmnt�. an d ofli , .y
' 41
dA'WTMILS' a mrmcdtda.ait. al I sub-contractors Shal I L01i 1`�� L('171f)l W11CL: nub,
I .
cc i a maleri,al representation of 11LICt UH M , � a
I)OliCil rL�ji,jjjc �S Pl� "'hCH !N 11 i��as made -or entered
iwv), Submission ol'this certification is a prcreCi, lrisite R)r making or entering unto tifl �, !ransacticm irnposed by OMB CirCUlars
A-102 and 2 CFR Pall 21 (tcwnnerll� 0%TB CimUlair \-1 10), -
, Monroe CIDILHItV Board ol'dl`uunt� Comnflsi
. I M 21`� ioneu, S06a1d Ser�� ices 111-1 IMITOSCr iL10S
S i � lie t u re
Y Jd ' arm er
Nai, ; e o f', , N ithorfl
(Rc+ =.xd J une 2008)
d itch:
[Xu
Yv a a+-o Y-
EEMM
ATTACHMENT
CEEIRTIFICATION REX-ARDING DEFIARNIENT, SUSPENSION, INELIGIBILITY AND
VOLUN EXCIA.P'SION" FOR LOWEIRTIER. COVERED TRANSAcrIONS
(1) 'riu prospective contractorcenifies, by sVgnurig thlis cerflfillcPStion, 1!'G6therit nor its prhcipak alre preseraly debarred,
suspended, �propoqed For debarment, dec1 are-.1 ineh"gible, or VOILintarHY excluckxi t rx.micipation in this transacfion by arP.
Cederal departiment or agency.
(2) Where t1 prospec-dwe contractor is unabIlle to certif'V to any ;ssw the statements in this cenificatiov- SUCh r0SpCCdVC
p and c�p,ant shA attach an explanation to this curdfilcal"101'..
m" € bra ' ". �.. """" '°. a � �
............................................ . ............. . ..........
Signature Date
q'i S�rul'br R�2qs e
T i t �C on
Agenw� Or
(Certfiffikutdon signalU.N. shuould be sawx as Conffluc,
[nstruc6on�s 16r Cet
i. - ns "covered'ransa �ebarrecf" "SUSPCM cfigib'e," lwmertier covered trans-acdo V
The ten eflon," "d - , I I M "erso",
$' i exc hi,
pri covered transaction," and I U 1 —4 A � V US c t s i r
e (!I h -11 r t, i n. � - u , I �,e h e n ij ea n I ngs se t c) i. in S C i 0 il n 0 C L
--dti `CIR Voum-
imnmememdn- L-wcun;e Ord er � WAOI-
U v
ccni:act dic Contrann 1°1w-N1,vr Fix asskumce in obtm'ning a cops oll'thocC NqUiationts.
2, Thk lea tificatiorI isa material reprosentaflon offixt-supon vdldch reharicle mas placed vdhun tile part wsentered k this
t
warisackion, If k, k 1atl-r determh thiat the contractor vendcred an erroneous ce nu.'Ication. in addition to other
leoll-C,dies avadable to dw f'ederal governime-ml, the dq.)artinen ma', pUrsue availatfle renICWCS, 'ITICIUCHT11,1 SUS' UNIS111 IHICIP'Or'
debw -nent.
Tht coruradu�r wdl provide in written nwice to the Contract �Manage- i'atnnv ume the contractor 14,-,arn,,- ,hat its'
C'urtirication, vvus errorlCOLIS WIWI', siubmitted or hms become errorlMls bv reason offchan- d ch T! e ccironaevu
as decWe thle rtwthod and freouenvv bv MRfle'l it dcwrjijines the :'00 . I 14% ol' its; pdhnicipal s, Each par'm ant to a iover
Lier cover transactir. may, bLR is No required. to. checK thie LxchUded flartfi es List S (EPI-S),
4, lRe conaracnir MH itichUdle a "Certificadon I eu rchmz Debal Slispemsicm. Inefi�uibil'v and Vokiritar IA&F'ion -
e r '11'iie r ('ovl, 'Frans.e:t wirij i ni aI i ti 1k) I,%,.'r r, I L i Cil.;L L T sact � ou I s a, li'd i n al 1 ~di)1€ Bc.x.ae 2 " , n -_, t br er 0,"r C'I%hl
tran "suctions.
'I he contractur a- ees thaa ska 1 not knom, epacr �nn.) jovwi tik:n C-0% un ": lffansz'�ctiort ith a purovt
debalTUNG', SU5j.W11lkd. deter-ninjud hijeligible or vollli,marfl", Lxcluded trom w-fless odiermise aridvxized 1 1,Y,
fiedera� v,. €`nment.
6, If the contractor knowh--1,-1v enters into a IWAer IM co`vCrecl I PCI'5011 %0") i� deb,,
nehLu.. 71 c, or volunumil y CXC[Uded frorn participotior, uk' ion, in ud t o oluker rwdle,�s avaH, cp t
u� $( "`s# d is transak-
n.
Jeru1 goverm the dep ru ent may pu rs ue avadaMe rewled'es, r1ch"'(fing su unil ordebarnent.
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Attachment: BACKUP-FULLY EXECUTED OAA1829 (Amendment #001 to OAA Contract AA-1829)
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10 Will comply, ifapplicable., with flood irlSklrance purchase requirernent. of'Section 102(a) ofthe Flood Disaster Protection
Act of 1973 (P.L. 93-234) which requires recipients in as special flood hazard area to lie program and to
particVte ill t
purchase flood hISUrance if the total Cost Of'illRirable construction zin�' I acqukition is $10,000.00 or more,
I Will comply with crivironrnermil stared w
dards hicl may be prescribed Pllr',utint to the flbllowing (a) institution of'
environmental quality control rrieaSUFTS tinder the National Environrnentaf Poky Act ol' 1969 (RL 91-190) and Executive
Order (F-0) 11514; (b) notification ofviolalirl" filCilifieS pff. Riant to EO 11738, (c) protection ofoiedands PUrSUanI to E
11990; (d) evaluation of flood hazards, in floodplains, in accordarwe With 1"'0 11988; (C) aSSUrance of project consistency
M ith the approved State manageo"Iel"It program developed Linder the Coasual Zone c0ariagernent Act of 1972 (16 U. &C
1451 et se q.); (Cl conformity of Federal actions to Slate (Cle-zir Air) Implementation Plans tinder Section 176(c) of the
Clear Air Act off 95 i, as amended (412 USE. 7401 et seqj (g) protection Of Underground sources ofdrinking water
Under the Safe Drinking Water Act of' 1974, as arnendecL (P,L. 93-523), and (h) protection of end angered species Linder
the Endan-ered Species Act of 1973. as arnencled, (P,[.,. 93-205),
12 Wil I compfy with the Wild and Scenic Rivers Act of 1968 ( i US C 1 72 1 vcv related to protecting cornponents or
potenfial colT'iponents offfic national wild and sconic rivers s ' ,sEcrm
13, Will assist the awardinu agency in assuring compliance oith Suction 1 C, cd'the National I figtoric Preservation Act of' 1966,
- Operties), and tho Archaccflo zinc]
as arnend (16 U.S,C. 470), Eta 11.593 (iderififlcnvi�ii and prote(Iltion W ?IFAtcnlc w
I lisloric Preservation Act of 1974 (16 U,S,C. 469zi-I eL seq,),
14 Will COITIPIV With RL 93-348 regarding the prot.,xu on offitiOnall s 50iijects" i w. ON ed in research, development, and related
COVItIeS SlIpported b� this av-ard of assistance.
1 : Will comply wilit the Laboratory Animal Welfare Act of 1966 (P.1 . 89-544, as arnended, 7 U,Sa C, 213' 1 et seq,) pertaining
to the care., liandlim g, and treatti ient ol'warrn bfooded animak held for re teachiml. o by r other activities SUpported
this award ofassistance,
6. Will cornpl% %w ith the Lead-Based Paint Pokortin- Pr I C,
1, 'n, V'I ;4 AS01 a sou.), 4,%1alc.la Prohibits the use oHead-
bused paint in constrUCti0o or rehabilitation ot're,iidencoc
17. Will cause to be peribnned the reqUii financifl -'Und cornphance austiit, io a ordancc asith the ir gle Audit Act
Amendments ol' 1996 and 0fvIB Ch-CUlar No, -1 725, Audits of SEates, Local Governments, and No
n-Pro lit Or-an i eations.
18, WM COITI�r� , ith all applicable reqUir-Irr"cras Icllf aH
tier ;,
CIRTS SUMMARY FOR THE
ATTACHMENT
ATTACHMENTV111
OLDER AJM ERICANS ACTCONTUACTRE PORTCA LEM)AR
ADVA%.N'CE BASIS CONTRACT
Report Number
Based On
Submit to Alliance
On This Date
I
Jammry Advance*
January 1
2
Febmary Advancu"
JanUary 1
3
JallUary ExpcnditUre Report
February 5
il
Febt Expenditure [Zcp(,,)rt
Nlarch 5
5
INIM EXPCIlditUre Report
Apri 1 5
6
April ExpenditUre Report
Mav
7
�vlay E'xpenditure Report
AMC 5
8
June E,�..pcndiWre Report
JLIIY 5
9
Jul,, ExpendiLure Repo�l
AL1,11LISt. _
I
AWILUM EXP'ClIdiftire P-1'2pon
Sept'.1inber 5
I
Soptemb-cr Expenditure Report
October 5
12
October ExpenditUre ReporL
November 5
13
November ExperolitUre Report
Decentber 5
14
DecembLr ExpendiUWC Report
Jamlar� 5
15
Final ExpendiLUre and ReqLICSt fOr PLI
Februar� 15
1 6
I
C'10�e OUt Repon
FebrMil-, 2
A&,ance based on projectcd uuh noQdl,
Note I Report I 1 -Auk ance Basis Agreements cannot beiUbrnilttd U.) the DCpartment of
Financial Service (DFS) prif,.)r to January I or until the ageemwm Mth the A I �ilnce his
been executed amd a copy senE to DFS. ACtUal subrnission of the wnw to DFS is
dependent on the tICCUracy of the c\pcnditure, report,
Note 2: Report nurnbers thrOU 1 4 shall reflecL an. adjustrneV Of(MC-tellth 01"1110 r0tid ZILMIFICe
al7IOL111t, on each ofthe repaying advancei k-sued t ie first mo monflis ffl'the
a Tho ad
justn'ent diall he 1 Cl)r�jcd M Par! C. I' the report ( Vrl \Cl [\IF\ I
IX
Note -1: reporti ma% or nw not gencrue a pal ,iricm request, Iffinal
e report, rtflects f111 (ILIC 61ack to the \11'ame pa%ment is io accornpaws the
report,
14
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Attachment: BACKUP-FULLY EXECUTED OAA1829 (Amendment #001 to OAA Contract AA-1829)
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AA-1829
A7`TACHNIENTXEXI IT I
REMPTS AND EXPENDITURE RF_M"
OLDER ANWRICAN ACT
................. . ..... . . . . . . . .. .
-------------------------
. . ...........
CONTRACT 8,r
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'REPORT1
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ATTACHNIENTX EXHIBIT 2
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Attachment: BACKUP- FULL`( EXECUTED OAA1829 (Amendment #001 to CAA Contract AA -1829)
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AA-1829
ATTACHNIENTIli
STATE OF FLORIDA DEPARTMENT OF ELDER AFFAIRS
CIVIL RIGHTS
COMPLIANCE
P 7,m —IF CHECKLIST
rag �t of m ssi
Nvlonroe County Board of County Com miss j oile rs ,
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PART 11. USE A SEPARATE SHEET OF PAPER FOR ANA' EXPLANATIONS REQUIRING MORE SPACE
6 Is an Assurance Of Comp ance , r file w th DOES, if NA r NO e p a
7 Compare the staff Cornposition to the popu at.. on Is staff representahve of the 11 population'?
If NA or NO explain
8 Compa the c ent compos ton to the pop i at n A e race a d sex 'a a ter st cs aprese tat v,
of the Population? If NA or NO explain
9. Are elig bility requ ref ents for services app *d to c ients a d app cants w th Lit egard to race
color, national origin sex age rel ion or disabiltty? If NA or NO explain.
NA S N
age
10, Are ail ben fits. ser0ces and fa i the avatlab'e to appljcanV, and participants In an equally effective
mariner regardless of race, sax cwor aria national origin raligi on or disability? If NA or NO, explain.
11, For sn- patient servIces are room asbs' rmerts made without regard to race color national origin or
dlsadillty? If NA o NO, explain
' NA
YES NO
12 Is the program/facilit accessible to nom- Eng'isl- speaking c ants? NA or NO explain
13 Are employees, applicants and participants ipan,ts Informed of th �.r protect on against dlscrlm ...nati n r
If yes . how? VerbaI Written � Foster ��f NA o NO a p am
1 Gies the mummer and current status of any d s r rninati , "E :,;mplaint;s regarding
services or eirnployment filed a &nst the program facility
15 Is the propr rnn; facility phys a'ly acc stale U :.,c ty l , e - and s�dnt- Inipared
indwiduals? If NA or NO axp °. in
IuA YES NO
PART III, THE FILL It to QUESTIONS APPLY TO PROGRAMS AND FACILITIES WITH 1 OR MORE
E MPLOYEE S
16 Has a self- evalluat!on been cond :tad Io rlant,f/ any d ',e "s t s v 'p d s b 'ad Ind v d,:@ s
and to make any necessary rrr dxf caUons'a If NO axpia
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IS Has a Person been designated to coordmate Slection 504 comphance activities? If NO, expUn 0
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19 Do recruitment and notiflical rnaten s advise appicants employees and
part of nondiscrjrn�inafin on thie bas Escf cisabil ty'' " NO expilain
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■
ESEENOMMMM
INSTmicyriONS FORTHE QVIL RIGIII'S CONIPLIANCE
CHECKLIST'
I � Ekscribe the geograpi.lip service area sudi as is diarica. count!'. city or Otivr"r loca(it) , 11'
the serVUS LI S(°.CC'1flC mrget popudadon smh as uhMem Make We
uarget POPLdation. Also, defline dic v� pe (A'sic:r% ice pro Ad,
1 FMwr the percent of the pop uiladon sawed b) race and sex, TIW, POPLIkid(M served includes
persen: in the geographical area Ar "hich ser are 1 icled such, rars, at city, count� or
other regionil are, Poydathn wmiqWn can Q oNained Anni local chambers ol"
cornawnce, fibrarics, or an) pubUcation frorn the 1980 Census cormaining llorida
ImptAmOn statisM McIe le so-wcc ca'yotir �. stadmics. ( races
inclUde Ask. Manthas and Auraic�an incflan Al, Nafi),CS,)
3. Enter the Loud number off'011-lime MT and Air percent, b�. race, ses� - tnd disability, hICILICle
the efi"�-ctive daLe ofyot,ir s
A Lnwr We wal number ol clienis "ho we euohod. registered ":a ctlrnundp, sci by the
progt or n0by and H dwir ywrcent to raco set mid AubQ% Mcle he date At
enrolhilen" �%as coumed
I Law be M-'Il nUtIlbui 0( Ad bawl nymbers mid their percent 1, rac, scx. and
disabiht . II there is no ad%AuQ agmemiq hoaM. Wave Ods secuun bhmk.
6. Each rmi0ent ot'fedcrai financial assMance inwit, hzv.u nn ffle ari Zs ,SSUNAMOC fll;A 0 progral'.1
'.'g ill be rconducacd in comphojau ith A Pro% a. reqUin.-d inn 45 UR
8(f This is usual[c, as standant pral of Me amat sHa 16i EY)F,-%, recillients zurd their
suib-grant 45 OR M4
1, Te race. ne- md nakwi , t !"'an X%kw oft . we Vul P"WhAM! 1 0!"
examplo if , ol the PkTloudon k 1TYM0% i:i there nz Perceotage of
I 16panic MaM
Where therc is 3 syMmm %arhMon bn wn to rRct- s h, oredtflic ofd cliera'
ma TeRmailAHiq in ke popu ation. the prugrmn NQ has the respanskik* todetennine
the reasons Ar such %admion and take "haw-%cr ;--icticni Ira, b mocc." to Correct an's
discriFtination. Some legiffinate disp aril es nmy exist Mn pnograms we sawtimwd to save
larget populations nwh as elded; cm dNabled persom 45 UR
1�18311�181
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REIRM
ATTACHMENT D
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Affidavit of Compliance - Employer
AUTHORITY: This forrit Is squired' annually of W1 amployars to comply wfth Itho attastatlon
requirements set forth ht Section 435.0 3)r Nwida Stattites
The term "ernplaycir" menns any person or entity requirad by Nnv to candvrt backgrnund screening
nciluding but mot Urnited to, Area Agencies on Agjng Agirag Rencurte OsnterN, Agnr and DisabiNtor
ke5ourceCenters, Lead Agencie5Jong 'term parr 0- rM,,' Lid vrnan Prejeram, Serving Heakh nsurancer,[ecdr
of E dei3 Program, Ser,ice P77nder5, 0, ver�,;rn Pr o-wi and anv cthe vqr-,on or entity lvh,,P hkre5
ar-Prince Or has volvntcvr5 in Scrvice sriho the dcflokian LA a Nrcct service (krwi der See §�3
4
.� Wk, 430.0 Na StOk
re A dwerl service Provide is "I pt rson 19 'JeafS Of 3&e 01' 0110f whl% �)VfWlflt TO I 0f0 tO PrWO&-
iem cei to the Mdeely, ha dtrecr, fare-to'faco colitlet WI a eigent whaf" ')r&'Jd1nR 5ervl0ti TO ltli? diem
and has accer tc the tfienrr, IvArig aron, Nnd, perwo.0 on. or per-Ainal Went ification tinformatbr
as defined in 5 817 5E,13 The term includes ctordsnatars, manaGeri, 3,na supenamrs of res denva!
facil riL . anci , olllkinceFs " 5 .170 FIP, S-21
that the ai narned eMployLr : - urnpliance vifth chi= p-< - vsor:g of Chapter 415 and secLion
A300 .5 FICort - "qn,tps, rpgard - r 7 backgrmind =� 7
signawr&. ep e5entnti-,-
5
.j [ATE OF FLORIDA, CQJNTV OF
ATTACHLOVILNT F
Verification of Employment Stgatus Certification
. ..... . ...
(Sanic as contract
-CmLn4-� ALA n-L, n't s+r r
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UTORNEY
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AA-1829
ATTACHNIENTF
Alliance l Aging, Inc.
P'. I L�
Business Associate Agreement
I Ilk 13LISinCSS Associate Aurcernent is (IMCLI FMC QrNruf ,, -1, 26 C1
by the Alliance For Aging, inc.
, ("Coi cred Entity") and Nionroe County Board of County Com missioners, Social Servicee/ln-
Home Services, ("Business Associate"), as not-For-profil Florida COI
LO Background.
M Covered Entit Y has entered ifiu. one or inore contra or a m
cts areeents kkith BLE',iness Ns.,
that involves the use as Protected I Icaith Information (PH 1)
I ..)
Lovered Lrnity, recognize the reqUirements of the Health In Portability and
Accountability Act of l996 ij and has indicawd its intent w , xiinply in the County's
I arid Procedures,
I. I 1-111"AA rLgrilations establish specific conditions sari vshen and hm% covered entities zmin share
information " ith contractors vdio perflorm functions for the Co
I'] HIPAA requires the Covered Entio, arid the Business Associate to emer into as contract or
11"TeCraenl coMaIning pecific requirenients to proiect the confidentiality and SeCUrity of
patients' 1: as set rorth 1 brat not linsited to the Code of I deral ReQULIdOrIS (C,FK)
specificalll, -1i C.NZ� §§ 164 502(,- 164308(b), air ,! 164.314(a-b) (as rwia app[)
and contained in this wm eernc
Li The Health Infomiation Technolo -, for I tononric anti ChlliLal I IeAdi A t (2009) the American
Recoverv arid Reinvestment :' and Part I — Improved Prlvac, Provisioit and Security
Provisions located at 42 United States Code (U,S.C,) §§ 17931 and 17934 (2010) require
business associates ofcovered entities to comply with the HIPAA Security Rule, as set For in,
bUt not In to 45 C.FaR- S.ibparl C ZInd SLICK SC-COOM, shall appl to a busine , , , -;�,ociate of a
covered entin, in the sarne irkannor th',It SLICh sections appIN to tile m, exed 0110tv.
Th,e pardes therefore agree as foal Ott
2. Defillitions. For purpo, oi 'wrvmllclit. tile t`i.)HOmJn- defiar"Ni apph,:
- iAJH hwe th- -arne rriean�m-
l Catch-all definifion. The fblJovJnci tern IS Used in this AurLe�,n�etv,, -J
as those terms in the HIPAA Rules: Access. Atahenticalic3n,
Av,ilabilim Breach, ConFkfendahtrv, Data ALureuadon. Record Set. Disclosue,
.
Electronic Protected Health Inrormadon I lea[U ( n . hichvidual,
Inform, Svsm.n, Intel.•its. NklftiOtls Sofl NIhi'HwArr rrsh Notice of
1 P; 1 1, i�:o JIM", H,
-,, ract 1 rd. P k I I SL60 Pr co,��ct-.�d 1 L�,1'Ns s
L'av- secrclar scc.orkll ' Suhcomrlactor, lcch t 1'10
Health InIbrination, and Use
2,2 AIMA. File Amoican Rtxo% ani.1 Reinvestment Act (2009�
2,3 Business Associate. A->Oclarc shall -cnerzflk IMNC the :,on MCnoiTI;` as EhO 10111
"IsLISiness associale" at 45 CM 160� 103, and in rellerence to Lhe pary to flik Aureernent. Nlonroe
COUnly Board of County Commissioners, Social Services In-Florric Services,
t ai
Pape 58 of 70
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MINIM
2A Covered Enfity "Covered Entity"sh gerIC11111v havv. the same rneaning as the
I C� term "covered
entity" at 45 CFR 1% 103, and in reference to tjje� party to this ALm--ement, shall nican Alliance,
for Aging, inc,
2.5 111PAA, Rules. - 1111 3 AA Rulce," -shalf mean tile Privacy, Securivy, Breach Notification, and
Enf Rules at .45 CFR Part 160 and 164,
16 111TECIL The Health Information Technolog r Economic and Clinical Health Act (fit 09)
=Y fo
2.7 All other terITIS Used, bUt 1101. otherwise defined. in this Agreement slizill have the same meamng
as those terms in the HIPAA RLticS,
10r bligationsand Activities of 1311.�j t
Business Associate zagrees to not u,e or dkc .;e PHI other Lhan zis Permitted or required b Cni,
agreement or as 1p.eqL red b L.av
3,2 Business Associate agrees to,
Z�
IrnPle'llerlt POlicies and procedure io pj ( J e t ec t, collt. . in uIld Correct Securiv,
Violations in, accon&joce %v irl,
C,I § 1643306-,
(b) PTCt'Clll UiC OW dkC10--0j:
- e ol the P] 11 ciim 0 )ro�ljc'd !"a h." das, Aoreovnent r as
O
reClUired by law; �h i - Z� -
(C) Reasonably and apprc rhiteh protect t confidentialit�, ititcuriv,, 111 1V111dl)1fiL%, l'the
09' 11 that tile BUSiness Associate - create , ,. receives, ynaintains, or trans on behalf of tile
Covered Entity; and
(d) COMPIV With t1lC SCCUrity Ruh- 1 UrItiff Subpart C of 45 U Part 164,
incl,udinc. the Adininistrative as IS, Physical Saf�gtwrds, Technical Safemiurds. and
policies and r
pocQ,r z1_
ClUres and doculTIC11tation requiremients set forth in -15 CF'R §§ 164.308,
1643 l64.312,and M43M
3 3' BtLsincss Associate agrees jo, nljti6dtO tu the e-%Ient practicable. am effect that k knoval
N) BLISiness As4ociate of a u"C (L) disclosure of JPH I b Bu-Sine""S ill " hfladon of the
requirements ofthis Agrmlrtent
3,4 BUSiness Associate agrees to prollipth, report to Co� tired Enfita an� u5c or disclosure of the PFIJ
T - -
not provided for by this AgreCITICM Of %AlliCil it becornes m%arc% This includes ally reqtwsts f'(.)r
inspection, cop ino or artiendment 01' SMChr int and iflChldinl! aaa secumv, incident
I
Business lkssoc"
�%W!Offl Unre<honabh. dufla%. but not. later
than ten ( .10) (f,.Ivs foMmin" the discoverv, ',)t , '111% S
bf 1),211ailitilu tea:
(a) IdentifiLdtioll ofany individ'4d VdIOW Lim"eCUted M 11 hras been. or k
b,� tile 13LIsiness Associaw to ha been acce,,,sed, acquired, or dis&)SC dUring stic it •eCUriv=
breach and
i
Attachment: BACKUP-FULLY EXECUTED OAA1829 (Amendment #001 to CAA Contract AA-1829)
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I
(c) ARRA § 13406 (Conditions on Ceriain Contacts as Part ol'i leakh Care Operaflow),
.1 the extent Business Associate is to CUTV OUL one or more ol'Covered EnIiPt's obliloation "s)
under the Privacy Ride, BLIShie�,,s Associate agrees to comply wiLl, di - 0 1
Z- reClUoreimno; of the
Privacy Rule that apply to Covered 1 in the performance of sucln o I igadion(s),
ib
4,0 Permitted Uses and Disclosures by Business Associate. Except as oftwi-wise Ifinited in this
Agreenient or any related agreernent, BLISiness as may use or disclose PH1 as ReqUired
By Law, as well as to perform functions, activitics, or services for, or on behaff of, Clovered
;ratify as specified in any and sit contracts with Co'verud Entity provided that such LISe or
disclosure woullid not violate the Privacy RLde if' clone by Covewd Entity or die niinim,jrn
necessary policies and procedures Or tile COVNTd F]Altltv,
5L Specific Use and Disclosure Pro% isions
Except as oflier�oiso limited in lhis at roQmerrt or an', related agreement, Bwdness A.-.sociate nriv,
use PI for the proper rnanagement and adrninistratiion Of 1110 BU-Sines; A:- or to carry ou'l
the legal responsibifideF, ortile BUSiIICSS Associate,
5.2 Except as otherwise finlited in dlis agreenient or an related agCol
reOnt. BLIShICSS Associate may
Y
disclose PHI FOT the proper managernent and achninkiradon of die Business Associate, provided
thEll discliosurcs are Required By Lay., Co' BLISiness Associate obtains, reasonable ZISSUrances fironi
tile Person to %%hoill the informatioll is disclosed t'lat it vJH renmin confidential and USW or
Further disclosed 0n] ' y as Reqnired BY Lav Or f 'tile purpc o� for which it was disclosed to the
person, and the person nodflcz, the 6usiness Associme Of 'any instances of which it is aware in
ohich the confldenflalit of 1 - Ic infiort h,a s. been breached.
,5.3 Btisiness Associate many U.Se E .1 I to provide data aggregadon services to Covered Entity as
Per ntt ad by 45 CFR §164,504(e)(2)(i)(B), only when specifically authorized by Covered
Entity,
5A Business Associate rna,, rase P1 11 to report vni ladons of laki, it) appropriate Fecterai and Srx[e
aud consistent Mth 4 i ('TR § 16-L502ifo(
6.0 Obligations of Covered Entitt,
6 1 Covered E slial I noti 1v Business \. Of c i iraaitation ry ill its notice of pricac�
practices of Covered En its lin accOrdance Mth 45 C
FR § 9 64.5210 to the extent that such
limitation rrtay affect Business AssociZIIIZ'S arse car. cfiscGosure , of H. tea providin copy orh�e
1710st current Notice of Privaacs Practices (NPP) to Bus Associate as Attachment X1 to th�k
A,'NeC111M, FLItUre Nooses and Or 1110 dificationi lo the is PP shzflll Ih e. po-,ted oll Covered 1
H mcO w
6.2 Covered Entity sjj,,,jjj jjt)tjf�, 1ASS0C'a1Q ofaric, restrict" �-q 1k tile use or d'hC1o
of PI It that Cwerfti F"Mit', Ilaaaes agreed to in acct)rdartce ui'
t I 1 45 C FR § 1 64,5 2 2, W flee CX1 C r L
IlUlt SUch restriction inaN affect BLNine'SS Associme.s trs r i alr sralaaIs Uite (A PHL
7-0 Permissible Rctillests bv Colered Entity, E-'\cept J`cr clara ao— or rriana-einent ;and
administrafise aCtiVideS 01' BLISioe.SS ASiociatc, Cwveriod Entio, shali riot request BLBiness
Associate to rise or disclose PHI in any manner that would not be'permissible under the Privacy
RL110 if"clone by Covered Entity,
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Attachment: BACKUP-FULLY EXECUTED OAA1829 (Amendment #001 to CAA Contract AA-1829)
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Attachment: BACKUP-FULLY EXECUTED OAA1829 (Amendment #001 to CAA Contract AA-1829)
3
), COoflaUC to LISU appropriate safleguards and con-ipjv With SLOplirt. C of 4i (TR Part
164 with respect to aw cpj [I to Prevolt use or diselOSLIN oftiie PH 1. odier than as prov For
if' this Section, For as long as HLISiness Associate reWins the Pi
4- Not LISe or disclose the PH I retained by BUSiness Associate other than fl or tile PUrPOSCS
flor which SUCII PI-11 was retained and subject'to the same conditiOrIS Set OUL at SeCtion 5,0,
S pec i F
o: Use and DiSCIOSUrc Provisions" which appiicd prior to the termination; and
5, Return to Covered Entity (or, iragreed to by Covered Entity, destroy) the PI-11 retained
by Business Associate when it Is no longer needed by Business Associate flor its proper
rnanagemeet and administration or to carry out its legal responsibilities.
The obligations of Business Associate under this Section shall SUr,/iVC the terraination of this
Agreernfunt.
9,0 Regulatory References� A reference in this aurcenient it) a section in the privacy Ride or
SeCUrity Rule nicans the Section then in efflect or
as may be amended in the fiuture�
10.0 Amendment. The Parties agree to take such action as is necessary to arnend this agreement
From tin-w to time as is necessar� for Cu red Fritiv. to compiv with the reClUirements of the
Privacy Role, the Security Rule and the I 1clith insurance PonAbi I it,, and ACCOLlottIbil ity Act of
1996, i'IuL L. No 1 04-19'1
I LO Survival. Any team ll, condition, covenant or obligation =»s iich requires performance by cit1jer
parq ilerCtk) SUbsequent to the 01 alai -; I='reeelelit enlbrccable
Such party subse(It"C'Ert to Stich tennination,
12,0 Interpretation, Any wribigLkV in this agreernent shall be resolved to eunit Covered Entity to
comply with the Pri Vacv Rtli and SeCUri
t', RLde.
13 0 Incorporation by reference. Anv Futme neo, reqUirement(s), changes or deletion(s) criacted in
Federal law whie'll create nev, or oblita'arons 4M fli re 0
specl to I 111 'c. priva andol-
SULurity. shall be aUlfflftladcally incorporated by rullerence to this Business Associate A
out the respective efflective date S).
14.O Notices, All FIO1iLC 1',h] C(.)niauunicatiow rte. ncce--,ar ur de!A to be Lker purr^uanl to
t -, auuo illelilthF:Q as ChdAU W'ed,[R,S 1 purpo"e", o
I such notices and WrnrnUnicado� s
alg be in j in c l cjei,sertxl personak% to the other part or sent b� ex,press 24-ho,u
t -
y -je -- r
r� ie0ce, or b certified n jil a c jj ,,tiaranteed cow r or delivc ' C M ates Postal SerJce.
Postage, prepard and return receipt requested. ilddressed to tile other part-, as FOIIO'aaS (0r° to SUCII I
Other Phase as any pariv ma, by noLic,� to the o Spec
To Cw ered Entity: I'or 'kg lric.
Attew i n - \1 I\ R, )11 7 1 1
!"VIiIIIIIi. Horida -13 172
as 13 U S i rICS 5 , � , S O C late M o n roe CO Ll [I t y Boa rd o t C os i n tA, C o ni i i i i n s i o F I L m-s,
Social Sor% ice.s, 111 Itmic Scl WeN
I 100 Simonton Street, 2 1 lour
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AA-1829
Any SLICh notice shafl I be decimed defivered UPOF1 nCtUall reccipt, If any notice cannot be delivered or
delivcry thereof is refusuld, delivery will be deemed tO 11,1VC OCCUt On the (LAC SUch deliVery %vaa
attemp�.ed.
1:5.0 Goviem-nimt ujw. 'me laws of the State of Florida, %V41110LIt giVilIg efkCt W Iprinam¢ plies 01'coliffict
of laws, govern all matters arking Under this agreement.
1&0 Severabifity. If any 1provisilon in this agreet iS Unenforceable to any extent, the irernainder of
this agreenierat, or applicaflon, of that Provision 'to any persons im 6rc'Urnstances other than those
as to whildh it is Ila eld Uneimrbrceable, v0111 not be affeicwd b)? that Unenflorcleability arrid will be
enForecable to the fullest extent pen by lw,%,
TO Successons. Any SUccessor to BUMniess Associate (whether b, direct or irldirect or' by PUIrchase�
mergicir, consoliaadon, or other%-%ise) is required to ass ume Associate's obligafilons
Under this aarcemient and agree to Perform them in the Famc imaaru.ner and to the same extent that
IBLI.Siness Asiociate WC)Ldd ha've been reqUired u-) if that SUCLU'SSi011 fUld noi takerr plaice. Thk
USSUmption by the SLICcessor of the BUSiness Associate's obli-afions shall be bv wwrkten
MYCCITIerlt satisractory to Cow ered Endq .
1&0 IMire Aureement. 'rhk agreement misduutes the onfire a rti
gremitiont of the paes relati ncy to the
51�0bject ranatt r of this ag reem ent and supersedes aH other ora�,l or �,wHtten agreements or pokies
,
relatinu thereto, except that thk a-reensem does not lim�ii the atmendment orthk a-ructnem in
acciordance w% ith section 1 10.0 ofi.his agreemem,
Covered EnUM Allhince for Adini lt��
% 000
SIGNED
ass
ATTACHMENT G
Alliance lbr Aging, Ine.
ft
Agingand Disabi Hty Resource Center/Elder I felphne
AGING AND DISABILITY IZESOURCE CENTER (AD1ZQ — OUTSOURCED FUNCTIONS
11'apphicable., the provider agree,s to the l'ollowing.
� M ,
A. Perfbnn ADRC OWSOUrced functions in accordance with the Alliance's policies and
procedUres-
L Policies and Procedures fbf' C)LIBOurced 1`uncdon-Screenung
ii, Policies arld ProceidUres 1"NOWSOLINCd l'unction riage
iiL Pokcies and PMCedffes for Activation Ermil Waidisl.- Client Services
iv, MrCiCS arld PrOCOdUrCS fbrTenninadon ftoin Waidist- Client Services
B. klaintain wai r, I ists in C IRTS in accordance kk 4h DOEA requirements,
C. Report nUmber ofelient contacts to thie Agingand Disability Resourceitenter,
tn _�
.f). Adhere to prior-itizctior, lluhic� as set Forth fad DO EA on as misnthl� basis. Reference
1 1
DOEA Notice of InstrLICdow Assessed Flriorit� Consuirter List':062906-1-1-OViCS as
applicable,
E. Ensure the agency's Disaster Plain reflects ADRC 10LIBOurced 1"UnCtiOnS. cnnUaHv or ass
neediod to mcorporaw ADRC OU(SOUMcd l'unctiom,
F. EIISUreauainst conflicts ofinteresi and inappropriate scif-referrals by referring conSUmers
C� n
in need of' options counseling or Iong-ten care services beyond the provider's scope of
services to the Acin- and 1 -labiliv,
Re Cenver.
Q En that services provided are in the cfients hest interest, are the roost cost effocdw,
of high qUaHi[N, wind are re m1d zi to [h,- assessc(l jjL:ccjs,
Th e As-s esse d Pri o H IN C'M ns u in e r L i s t (A PC I ) is n i �n ta Y10 ,1 0 n -, ervieCS Funded b the. department
are rant w-tilable, Contract.ed prov iders 1,C)f re',12iMel 3el-, iLC fi—
Uzheimer's Disease Inifialke (ADI)
and Older Arnerican"s Act (10AA) maintain 'aitinu h in the CIR I'S database I'm registered servuices
when Rindira is not available,
,Zn
D
Re 4 i ig i-;tered Services lor the above hsted progr, arc . i
Z`i tdt D Ca
Adzv, re (A[K), AdIL0t Day
Healdi Care (ADHQ, Chore (CH(J). [ ;corl. I[-'SC) I [cm Delkered Meals (ilDN.O. 1[ome I i1calth Al
(1111. \), Homemaker (HNIK), Model Da%, Can- (MI)C% Persona) Cwe HIECA), racim%-i,3,xs, (i t� . i
R i '� S esp te
Aar -1829
Alliance for Aging, Inc.
lai l,�a
Ag1ir and Disability R.e,sor.ir•ee Center/Elder Helpfine
ft
o i y carrtl 'rocedrrrt For Outsriiar•ced 1Wriraction — Screening
Creation Date: Ivlarch 5, 2008
Revision tarn. eddy 2012
1i c 'tive: To enSLire that rt comprehensive list caf c1liMrits in creed fs r^,ic s is wrrlritri.in d in CIRTS by
appropriate ftindlri sour and that the ADRC 1s Ehereby cable to e ffecfively gauge the level
ofelder service need in Nliarni -Dade and Nionroe Counties.
fl icv: To ob tain neces ary in rsria?tition From clie nt, - , in order to s list: n etx�'�°l�"�i�"inu, 1 +. ,,Ol o Ile
and eligibility fear 1 t,: EA find d services
Procedure:
1. r`tDRE Contracted Prcaa dens rr111 collect iril'orrriaadon From callers and conduct a - 01A
assessment. Alternatively. if ,.a 701B assessment aalre ads, exists or is p rovided from another
scum, - ,e (1.e. RES) the lii.frarataarion. f1~tiira tlic 701 B can he trtlllzc.d..
Based on the lial provided �1rt the 701A(B) assessment, the AD C: Contracted
Provider °m'x'rll make ta, deteriniritation a'i,S to tlic service that die ctaHer is in iic".ed o1 recr„ ivin .
Fhe ADRC Contracted 'roe ic1er % cl- , rentilne the ro1 putt 1i.ittrllr•.d sOtii C(t« ; U-2t
pro ides flic needed services.
1f the caller is in ra =;ied caf as saris ice() that is not provided br the A D C1' ContraLtolcl lice ider,
the AD C" Contracted Pro %id r witl rerer° caller to the AMC Eider HolplinC Utilizing the
ADRC Referral F(Ml r and to an ADRC Conti-acted Provider that provides the needed
service,
5. The caller i,J11 b prosided v�kh O trrrrral lr`O'rrr°inatiun recardi 'he ",DRC a., o'ell as th
AD C: Elder Hel line contact ra'i.ira be
Fhe c?ller v i.. he ill! �i "1Yw,"I T ice ; all-, ftl"!d(ilg soiilc,,, -, thart 6 e, .al,! 1. pl ac6 J,
the wait 1i,J f6r in C"11 T&
- Contracted Pro v6H create a client record in i:`IRT 1.i1` there is, no esr.°i;i
c rat
and enter the set vices need =ed for tl e cralller° by flividin :�OUrce ;:anal sir -� ce, ' I 1" fliere k, ate existin2 record in Cs1RTS' the za r =marl ite field will be trpd atedjf
11" the a DRC Contracted Prl.wider 'Jetrrrii ,:es de=nt the Caal[Cr i"ri,v- rlrrirkt'% fiaw rra re than
^,,. 'tf inu rce, VN a,,. t a... l�(, =� ra€ r" " r - J,' l
"812'ai "r'r',aaticrrr idCr l :r° rtt .'i i .., @i 1 , .4k.° _ 1t t ieN hw atrr s,eA Ulp' ' "jlet;t. 1 "+ �Aa` il'1 C 1.4,
t'ic cherit record in C 11 - 1 ill :;e rrl a..3.rtted V,lt6a rilagsrral�riatt�: lrrllrrraa.rtticari ..
9, 11,I) C Contractefd Pro r,i1 litforni cs.al:cti that tlie %,.c I r cei %era 1'01 lsw, -,.ip t: =dI l or hoyn
sisrt in case of actr�e Client) to clicck on t1 eir .stat i baaied oil �� slit 1_s'&
Standards and ettc.ritir =tf -a cirller° to contact flax d•° D C° Fklur 1 1c pline 5Mth aw, M1trCiSdons.
a
a
F
Allhance ror Aging, Inc.
Agingand Disability Resource Cenleri'Fider Helpliens
Mealier) and Procedure for
Outsourced function - Triage
Creation Date, March 5. 2008
Revision Date: fVlay 2012
Objective: To ensure that clieras in need ofDOEA l'unded se p JcL rcceive .ervices based on the highest
level of need, First, as funding becomes available.
Policy: To assist clients in obtaining, DOL k Funded services as ftrildim becornes available, based on
level ofneed as determined by as CIRTS priority score,
Procedure:
I ," ADRC Contracted Provider oill con(Elct Periodic llullov,-up walls (or hoine visit in ca ufacikc
client) to check ml client suktts-, based on DOEA Wait fist Reassessi S[andards.
2, Based on the information provided k ia the 701 A(B) assessment, the ADRC CC)Jltracted Provider
sill updare the c lent inl'braiation in IRIS spccificall�� as it pertains to ievul of need for
services b Funding source,
'I lie ADRC Coramcied hr "° ider o, i I I enstlr,: &Iu: We C I R f S nark d tizaiion score iS dCCUrZ11J.'V
maintained. accordin�, to L)OEA Standards,
I I'the cal let k in need i.-)f a ice( timt is not pro� ided b lhc ADRC Contracted Pron i ler,
ADRC Contracted Provider M11 a°3 f: caller to the ADR�,' E-Mer Helpline milizinu the ADRC
Referral Form arid/or to an ADRC Contracted Provider that provides the needed service.
5. The caller vill be inforined offfiQ , ,crvices and f1inding 4,011rces di al flle% renlain oil Elie v ait F-'t
l'or and/or have been rernoved Front the vait list For,
6" AF.)KC Contracted Provider e, ill ad% !.. o I a n%, Lhan in I I fliunh , I ,f`" priority ;cor,,- baserd
ort [lie updated inlix-maticni,
9
ADRC Contracted Prmider sails reliind Client Of the ADRC l_,. I felp I ine c rmkor
and to contact the ADD C Elder Help Une tvitil zl ipl CJp.wat; ani or co.
8. As funding becornes availaHe. U.)RC Contractled PMVidcr ;, rign CIRTS Prioritization Repurt
and activate clients accordin to DOFA Standards (rcllor l , ADVC Client Acti Polic=e,
and Procediwes), The Contrac.ted Pr 1arhi app l" ;;ffeet j�`- p ,l
k zv ipproplatc,
rwioriti/ed CFel"n' '0 ell' We
MIMMUM
Alliance for Aging, lmuff
Aging and Disability Resource Center/Elder I felpfine
Policy and Procedure for
Activation From Wait List — Clients/Services
Creation Date: larch 5, 2008
Revision Date: ?Vlay 2012
Objeefive To ensure that elders in need of DOEA flunded servlm in Nlimni-Dade and Nlonroe COUnfles
said on the CRT wait Ilkt beghi to rcceive servicies as fundin.g becornes available.
Policy: AD RC will work with ADRC Cornractod Providers to ensure that C110FILs waiting for DOFA
Fiffided services begin to receive tho- e ser%icus as Funding becomes avaHable,
Procedure:
1, AMC C,ontracted Provider ,611 acLiv,ite cficntt , on CIRTS ,,an list based on DOI,A
prioritization pofices and funding avadabi;it�.
2, ADR�C Contracted Pro Nider VJU Update ORTS staWs b'� Funding SoUrce and service for
s ervices bein- activated for the client Using appropriate CIRTS COCICS,
t, t
3, Client ma be left on vvait list of a different flunding SOUrce dian the Dne beirr- activated if
C?
AD C" Contracted Provider dotenin ne I- th,it. it is appropriate,
I
-1, Client mav ako be left on ,,alit fl-,a in �CIRI'S if the% are being aicd atied b� the AD RC
Contracted Provider Under as tempor non -[ OLA funiding SOUrce and ADRC Contracted
Provider dietermines thal the clients' need rIll persist after the temporar% Funding SOUrce k
exhaLlSted.
i, AD C'. Contracted Provider i I I inform flile client of any services, funding source that they are
being activated fiur as mefll as those services and fundinL sourLeS th,11 th C� ,,Ql confintw t be
wait fisted for.
6. ADRC Contracted Pro,ider ,%i� kiform client to cmilm Iflie \D C: 111, I Wplim-- if' ib, h- e
an fue su -, on or cw icien I "wT the : tat Ls ol'aw, ol'thc�r
SIMIMMI
A.11hancefor Aging, Inc.
m
A'0 Hild Disability Resource Center/Elder Helpline
Policy and Procedure for
Termination From Waft Ust — Clients/Services
Creation Date w 5, 2008
Revision Rate. Many 20 1 2
Objective: To enSUrethat tile conlprellensive Hst ofckrq!s in need of services in CIRTS is appropriately
maintained by funding SOUrce and that the AD RC is thereby able to effectively gatige tile
current level of elder service need in ), % Counfles,
Policy: A13RC wi I I inainofln an aocurate and CLirrent list Of Cli e in need of'eldcr services in Nfiallli
Dade and Monroe Counties,Vr i Ul El of the ' W)RC Contractud 1:
Procedure:
1. ADRC Contracted Provider sQl rt;-scruen clients ,0ich the ADRC Contracted Provider initial.1y
placed on thu Cr" IRTS we.jE fl-91 lbr services based on DOEA Reassessinent Standards,
2. The re-screeninLy may be in the lamas cal" as phone screenim or as horne �isit clepen oil [I
charits st
M�
"tus (i , e. activio/pending)
3
J. AD C: Contracted Provider %Q1 deterrnine N'the chest is no o r in need (or 66ble) l an�
of the sell-vices tile" "Vere %wlit-fisted flor,
4. AD C: Contracted Provkfer will tion the chent frou t tille %vait list (cntirel� or by scenic
SCr USing the appropriate CIRTS teen codie N' any services or hindifify sot.irce for
which the client is determined to no longer be ehgNe for or no iong
.1or in need of,
5 ADRC Contracted Provider ,Q1 inf'01111 [Ile LHOIL 01'Zlrl� services/funding SOL11"Ce that Cie� are
being reincived firom the akaiL kst fear. 4-�
Cl. ADIRC Contracted Prm ider a i I i i <aSbm C1 ie w of krci r abi I i v t.) Ile re-adcled to the l%ah h- 51
NICir k! el 01'VICCd ShOU[LICIIJIIYL'.
T ADRC Contracted Pi null inf'urm client it) contact t,ie AD RC Ekler Helphne ifflic ha
arny quesoons or concerns rogardhi�� their � ait fist MaLUS,
Z� -
. Ref'erence DOI.-,A Nofice oil' lnhtrL1Cd0W \ssesscd Prioril.� Con UHICT List� -1-MCS
appkabliu.
rMIST.N.;
ATTACIUMENT 11
CERTIFICATION REG'ARDING SCRUTINIZED COMPANIES LISTS
The undersigned, an aUthorized representative of the Provider named hi the contract Or agrCernent to
which this form is an attachment, hereby certifies that„
(1) The Provider understands that PUrsuant to s� 28T] 35 M., any company at the th of'bldding or
submitting a proposal for a new contract or renewal of an existing contract, that is on the ScrUtHzed
Companies with Activities in SUdan List" Or the ScrUtinized Companies with Activities in the Iran
PetrolCUM Sector List (collectively, 'Ahe Lists") is ineligible for, and may not bid on, submit a proposal
for, or enter into or reinew an contract pUrSUMIt to 10iCh funding is provided by the Department of Elder
pit airs (Department) for goods or services or S I rnihion or more.
(2) The Provider Understands that, pursuant t; s. 287. 1J-5 F, S., any cotnpan that submits a raise
certification is subject to civil penalties, attorvey's fees and costs and , ,my costs Ibr investigallons that
led to the findina of false certification.
Q) The Provide[' Understands that the contract to which this form is an attachment may be terunhiated by
the Alliance if the Provider subrrilts as false certification or has been placed on the Lists.
This certification, reqUired by Rorkhi I laaaa, l i , , i rnateri il reprc�Litio i oaf act upon vOich reliance %
placed when this transaction was made or entered into. Submission oCthis cerdfication is a prerequisite
for making or entering into this transaction,
-4 -
g-9 aci
Signature Date
(Same as contract skuiaftirc)
Mtle
CornpariN Narne
MOT ROE COL
r
PPMWED
. ..... IN
ATTORNEY
I
ZMEMM