Item C22 C.22
t, BOARD OF COUNTY COMMISSIONERS
County of Monroe Mayor Heather Carruthers,District 3
IleOI1da KeysFl
Mayor Pro Tern Michelle Coldiron,District 2
l �p.° Craig Cates,District 1
David Rice,District 4
Sylvia J.Murphy,District 5
County Commission Meeting
January 22, 2020
Agenda Item Number: C22
Agenda Item Summary #6469
BULK ITEM: Yes DEPARTMENT: Social Services
TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham (305) 292-4510
N/A
AGENDA ITEM WORDING: Ratification of Standard Contract 4 AA-2029, 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 01/01/2020 through 12/31/2020 in the amount of$695,115.85.
ITEM BACKGROUND: The OAA program is a Federal program initiative that provides
assistance to older persons and caregivers and is the only Federal supportive services program
directed solely toward improving the lives of older people and assisting them in remaining in their
homes as opposed to premature institutionalization.
PREVIOUS RELEVANT BOCC ACTION: Approval of Amendment 4003 to Standard Contact
AA-1929 between the AAA and the Monroe County Board of County Commissioners/Monroe
County Social Services/In-Home Services and Nutrition Program on 07/17/2019.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Monroe OAA 2029 Contract
BACKUP Fully executed OAA amendment 4003
FINANCIAL IMPACT:
Effective Date: 01/01/2020
Expiration Date: 12/31/2020
Packet Pg.411
C.22
Total Dollar Value of Contract: $695,115.85
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: No
Additional Details:
01/22/20 NEW COST CENTER ADDED $695,115.85
125-6153020, 125-6153120, 125-6153220, 125-6153420, 125-6155320
REVIEWED BY:
Sheryl Graham Completed 01/07/2020 12:09 PM
Pedro Mercado Completed 01/07/2020 1:45 PM
Budget and Finance Completed 01/07/2020 3:15 PM
Maria Slavik Completed 01/07/2020 3:37 PM
Kathy Peters Completed 01/07/2020 4:37 PM
Board of County Commissioners Pending 01/22/2020 9:00 AM
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Page 3 of 73
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Thc Provider shall Comply 1xidi and ensure stftcm(ra.etors are i n carmpi ianoe w'ifli the recquirevricnin, o I"
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.imid Scrvicc'.'i 1 liax-IN-wk, I'lle cortt jflaina prucwdums shall Nd Ude nobhWi anw a I I c 11 icnt5 o rtlw 0
cornphint procedure and inidude twx1by the daW, naurre uFoompWint, OW WaMpOwt orcac�l'C�"nmpkjirll�' E
arrd OW 1,0110w,up vVim the clientio onnue, wfis( ,Vlk�in, veiIl'i (lie re�c'doqic)n
1""A 11fic 11"�ecords and: R-ac ittiom
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Page 4 of 73
Packet Pg.416
I L IA. Enmiry dwt pubhe FemAlk Char two oxem pl. or con WMa I a I Id exen'tiM, fr<,�tffl pti:bl ic rucordis
usu'n.': req t'i i IvTo VI AS a ry ni'm �rl except us n"M hmilized by law fcmr'd ic dorat ikm ,A'I he
an''d kblh�vwhl Colvnp"loirvVI al'"111C,c0furact if'flic,("imirador does 110t the
19,1,4 of Ili(-coutrilr'l, 01C,Cg)'0ftvh:TuF' VVI'll chlio transfer-at nu cam to Ow Mom.all
Ivubh'c ieuord% iw'o of he Contr'rIx"(Or' ur o d I keep MY nMAMii.,r1 pufdic retloh-cqd
�b the fftbc Contrack",hr qllans'Crs "i'll J-)oblic recorcls lotire
c:ornj°flel tin't al! ItK"I" 'sh�fli d'�e'stlo lu,',,'� dopheme plulilic rccorrI5 that are
cvvl I'V4, c'n, com fil dent iim 1, aml exc' .
.v iwl' frnrn ivmliuiveivnenu',,. tklh,�
art"d nui nk ains J�wh 10 remmds upon mrildulaii of Ow COMMCL W CoMmoWr
Au'l1t, vra"'ref, all" ruqualow.,nts R9 Qlniqg pSdic imords. Afl "u�r,,,ol
l e1.11ulbe i,&�
� waL Muter miat that M(Mursdibbe wnh thest prrwd �mflic E
husumoo og
cv
t 1, 1-he el�11 o �nay,run i Liv'c'ra'�l ly cano:l tjj"�ds Con't�ad, putu-'i I I'vian"d gn s."a
" ,ny 401hp?"r n I' this
u'pliti-act, ftw by die(WhIclor 10 cornoy ukh ATTACI WERT"I by,ncx allov,'ing
0
IN it �.rccc�,s tc) al birrivults., IM ur ol lier matedal Made Ln-I'MCK v0d Q W COMMur in 1.
t"he rmov"Jr',"""Ir cw con%Udl a"d exempt fhxn SmAni 0)
C12:41
14"p'3) rd" Arf"�Oe I hurl' the Soalio CoriA i i R IVI i(":�n iirid I l 1),0"A 07 F"S' �
I if-rij v CON TR ACT-OR IMS QUESTIONS MUGA Rf)ING 14111, APT,E,lC,4L"JV',10,IS'()Ir C"I CAP TER 119,
FIA)RIDA, STATUTE$ M 111F., 111,71"Y 1`0 11110V'1l)11 PUBL"IC R4,C0,13,I)s
RE'LATF,NG TO '11111S cosrumn-, ("',0,NTA(7'ft1E MTOVIAN OF RECORDS All or-
Pilblic ftcuot'ds Coo'l-dirmliji-
F1,01*10 I)r]"111-t'i,11101or 04'Eldler
AlTaiv-s, 4041"k Eq0kinade Way
8514 140301 C
(;"t;",tr -dS4
04
tuvcts'dgwiJorm, Public Revords',fmd Reterifion 04
1 W Mt' recadomctirrien"Is J'1ijlcloditr!, elearorde "oarugc Pvxeec rill ssiig vfi � e, 4flei e4 F .s I00lw p11. h al
11 i uid cx 0AFvuWd* ,
�d I YUJIL It asset-5,and nsiure C
0
MY we W SWAY RW he PuTtaws aulhwked mmkr I k coMma, Mr',hei iveci approipvi.�,vte, fii na,ncral
6t fim"nalrunj slicm Id IN tel,"Med" h, per-farl tumm mid Mi cask dMa.
12.2 lli:c Pu,-)vkle,1 dMH ruln will cHien I vocord ' rul"ancrM, ivcim'ds dvwmeMs, sIalislical ivcords,and E
: df , , , -W [Iact o peiodud sure
Yelrs
der 0W 1e dp n 11 n , .rNlur � qefarty ohc ch)curnent%(i cb.16 � L Mqg m
reccyrdsmI�wbeivrl�rwl fbrnaWr wprexJ [�Y laW 10tler The audh r wWso or Ww fSKI6yoms a Wqxmt 1Odor uW,�ninhnuu� cilixJ
MA kidon of ORY audi t find'ingN'or 1 i ltgM On band an be =5 of IN Contna ct,at no ad:'�J il ii')rud Cust to the
Affiguze.
113, Upan Mmud,at no addhcmaJ cost to theAlhance, [lie t'OH f" cifitalc daP4,GaAi,0iT,,zndvanq(�r of
any rtuards c)r dociottenh durirj,,,�T,the rtNu ii-e-d-reLerrl ion ptrind in ParaD-aph 12.1,
12A 'I'lic Prn-wide'z sh"al I assirre H Nit 0'te-0 ecork.'l
ISMCIM,
or aud I by FaBIL Stak, or Am pemmirre] d ul,y aulhorlzol 1�ryllie Affiancv v,
Page 5 of 73
Packet Pg.417
AX,WH
1'2,5' At a.,,i 11 ru"asionabIC 11 rneSt`6,,i ias Iorqp,as rccolt am nm rluty jux0u��tiwti [lie AH W rice, DOEA
pei-s
amd RAW and Wq pw5warIt W 41 CFR W 71 sNA be WnRd 110 access to FUU!the light to wainhic any
of Q%WdWs conl�jact�,and rclaxed rev')rd.s,wid docunicnis pordnent to This SPOLifiC od
[[te 5�prrn in k1;,hii;h kept
12-6. '1 h-e Oall PMVWc a 6=11 and Compliarice aW HAo We Alliariecas s�,xcifiod in tll�is cONNUA and
emus hat N I related 050paly hmnsmww Onirs aredise losied to Lhc auditog,
17he Pw6dershali C.i..)mply and,,CO,qenatc iinnnrlfiate;,y, wifli tiny, ins'poctic-ins, revkrws, iqveeslig
4I1,idiI.s,dcc1i11cd nocemaey by the office nf the DOEA"s PUMUM to 0 2015%FS. Mwds-
1110cr agfees tial it skull WAR in relawd subumni-mos a typ A emeat 101 SLOcnivackors an;for
venl)m pedbrn-ARg wak rw ➢PrOVAQ;servicem purnamt to 09 CWmad OVMC 10,0-)Ol'Wrate with�hric
AUSKU ex Inspector Genera I inany investignHon ,atofit,Wpechan lienring jx,.�,xs'ua III [of C14
Si ckon 2R05R51 FA. By excoution, otthis k;i'rMs,axt, flic, Prov iIcr and ccnnt-Ahv, %vir�,b diis
sobsect%
0
1.
Rights ("I.,11"Phance NO
CD
Cv
Fir The PmVider shall emccine assurances in ATTACHNfENT V1 1hat it I I 31'I'll (fisxrimkwu-�againsi, person
Ala Me provoon all i,,ices no benefils, Urld-er'll't i's cunlrac,I O1 in Afflt beCOUSC Of rllCe,J`+�illl!gjfui.
Rational a�xigin, pmalila I sri,,141,15 Ot WX i 1 t %N%11 state,,and fwA."deral law wvd
1111'("PY,ider furilijer 0104 all veridrus, it I h-g),ranr,ms, ar %%ihanl 0" or-
2rrarnt',�,gs lo,�) prrrvido St"17vices (51 lx�netl is i n coniiecf,Ion Mot wly A:Vr n'jnd ikcti%ril are
Asaimhunrl ng agai nsi el itnvul, UT C.1 110 FXCaUse of apc, race, 1-40 ig4 vo,col �Esabi I it�!, narjaw),il otfigi n,
I I'mritaF �Oanxs Czg,Lmwx;
13 22, During the mrrn,of t[ri-s' the, shal[cornplete afrid rcut�n on flile a tkp,ely,coniplziv aw�:u,,raw IT
Civil Cliecklist altached Iii IIIFS COOIRICL
0
113 TY Sudder shaffl estabi i Sh,pi cicedtire.,,; piti 5uali'1 R,'rfpeilll 1zrov to handle c�opmplaiink kd'chscriiu I ivtficr�,n
C4
i rTV1 01 Villf�4� %CrV,iCQs or benenis thruggh his cantrur The pru�)C",'x.lu I C% wdl inctude I 10i"idying" dit"Ilu, CC:41
arwj I, Flicitiants cd Me dog W lilea COMPI Ant WW,-�,, ft%..Fcra(,I c,,)r
114 Rader.,d fu,xjs, 1hesn assi n an"";es,are a cam&On af Cal Iitvni led w ecei rxi of(.'Xl t WcRll CO
0
0
lkdorfl zSsiM:xnr:c, aml we bindingtqx)n frb-c-,Pnivideq is SuawmMs" tt,aiwtdl-ccs, ;i�ncl as4nees [or "r-
[11C,j`,X1d(S(j k1vol ng,voijiCh 5"11CII Vissistalicc i's pl,ovide'd, The 1"R-wido-fiufi�hv wttres ffut ah %tilic 0
vudwt rw mhet-,, wi 11-i wh(,,.Nnr it arrAngcs to prav Wvsery ices 0! Lxtriefits in l:-&1r66jx1nrs at 4%pluyaas in
von,nedifon willi an,y ol"its pn�igritrns and azAlks we no thmFe Inwicipar1r.'s of
vrnplo,yw5 in viok,�Ilion'oft"'he zdx,�Ivc stalititi, x 1➢4,h�pukdiijins, 0 mifiel i"ncs,atoi mwrndw,irk��, I ri Ili c e,�cnt o r 11;'Jiui e to E
CmMply,flic Provkjer, unde"Lm'ds i'l-13i:the AN= may, al ius discretion,welk a Oottil u,rden
Con'tp,liance with the terri-is of tlis�rssi i1-""unu!41r.st otht,,r a�,Ippcopriate jUdici'al ar z4 I i inis,rafive relief
indl,u-kng but hiniteci In, term" inalion of and denia�cd'Curlller asf"5i�(,Hnve,
1 , Prwision,11"If Services
tbe Flv -wicjer Shall provick I lic ser�a tefri,rivd iri in A V11 I in the nuannff(F,.C5c]!'j hod in,tfic W, A
progmms k 1" en I kaiu]N Ak,and the PruvIda"s Serviix (S][�`A). In 1he event da cociflict
�,EVO%Verri Ott SCMicc '11rovicte,"r fl)is aaarw rr.l.x the CA.A11111d L311g,UngC I,'VJ-cA1%Hj Is
15 Nionituring bythe Affi:4nxe
"ne Provider shall pernfaii I.,teiirsorni Iry the Alliance lea ins'pel-1, 'arwl Go�py atty rex,,-,ordrs,
and stvvices of the Pr vWcr whioi,aferelevant lu diis tx, i tervinv I'Lily
Ra,ge 6 of 13
Packet Pg.418
rap P)mvideq- to OSMOV dwAllizince Of1he,
the le mns and coadwon ofrhisurnflract FbIlmOng nth reviewSe AII&M&H ddivm to OW
a, 'ivritten report of is findings, and %where ap1mugWaN die WOW ShaD '1"f-'v,dqP a AWun Pla�a,,.
(( AR), Tire W ltn',CL�, correct all dericien6m, idcrodl�edinthe CAI)
K Word innted PROONOring widi Other Agmncies
If Me PMV Her Fruebes fund Mg hur one cw numv;of Te Smw u f Flcindj,h apmu �t�! rJes.,in aj'pju ion U
I'A",
,AD Swe f4rum thein a joiint.'nnonhowg Vok WhAsT Sab own, be%hotuded, For[lie purpaws or
Ian
coniracc,ancl prammA tD& 287A571 FS, as ammu!Q FkAls hurnar"t,selvie'e k3p,
"C]16'esshall Jaclu'de,Me
Ckpartment of ChHdren atld the ofl-lealth,flz= AgcncV, (`h;,r, tile,
IlTaannan Of Ve'�.'erx�rns Aflkdvs,at-id Ole Deparnlynent of Ekler A ffikirs, L�xxyi nntJriC'1lJ(tn arld t),w stf[Isecluent
mledding af Umb a Vkh by thc rigear ,s IMA Rodribtrative c�oardi:llatar, dic Provider sliall corn ply and:
cmVwMe "At all rnorntars, irisl'�ee"Iun. nnd'drlr u9vvslip�11(?rs.
C14
17 Indmi Ahmilivan
I h�e provider Shad hidernuffy.save,de Q$ and hW,,t tuu ra[ s I fie. ir;,,;v and i 1.5 ag rm(ts and,carp laycv*, frorn a3hy 40-
and OH Warns, UJUSeS, of melon of Whatenr natme or c.harm".ner, Ansing uftx by rcmmn I,Wthe M
emeunon a rVis agreement or rx�Ahrrn,,�,,t,nce or mornicas Iwavided Rx hook. hAs undo-�,twpd and agreed flint ll-le 2:41
ProvOr is rrat IVILdred to indeibiQ Me AS= lot clahis_dormands, actimn nor causes of ac6on alling so bly out T
af We AUMMe's ne ligc-nee.
17,1 Extuix to the s. 768.28, KS" Florida ko.,vI, lla rag rV['k 15 is� FUD2 mpplicab�'�&e I'a IM.
cortmels,-execuird herwwwlhe,I,�H i,ancc'and'"'rate,agetweies N'rr,subtfi"wrisions dJefirieaJ in,S. 768.28(2), I,-",1S,. or-
IN, Inso ralice a md 8DR(fin.g,
I&I Ila ProOdn"&,'h'aH canflqnoo�vs adeqsa,,[,e I iabi I ity i'nsuirarrce caverage dul 11ric c-xi, ten a" 0'1 his
Coi rtracl and arty re"ne'war((S)and i L ByexLccution,Op fllk C"(1011-IRA, 1111IMS it is R 51'ale agefi�y 017 IT
w=fon as defined by suhmeW 7WAS(21 48,Me ProWder accep ISH fibridenit(yurg
0
and deternlicibig, d"Ie type(s)and cvto-jt �'Jl�ahflily irr�rn-ance rimessary �,Wpruvridr reasciriable Ab-atae,,�i�d, " , I
J�x�Wetfians RN'the I'MAdelmnd do cNeats to be Sowd under dis ewanwt, T[le A I I izince shall tx i nc I&Id as C04
all ad d i I iml a 1,in stj re'd ofl" I I'l c I"'n,oN�i dei"S 1,i a bi I i t�y insurance poliq err Qcim an,rd a cjj ii�,Lmccrti,�icatc or CC4:1
[m,1 rrance,51W I be pudded Onwralf,or w herl arly d iongo --accor', The finlit's of coveragc Mader each Imahcy
mainlained by t1le,Prrrvi'd do nal.fimk'11 Ig habi"Elyand,oIfljVmji-Yns ntrlder thiN,confract 11te CO
Providir s1mll Orntne that Khe.Alliance U%c"y of%ina:rl C,091"S'e[H USUM 'ANNOWN ("f ilVSkmAnce Coverage 4)
-icc rrsvrves the H&I 10 rmquino additJorwal
and op mating unda'Se W ul'be Sute or Florida, The AHim 0
irv!wl A ax c as spcci 11 rd in this, up;'Ara CIL
1&2 mhma n n,t, ,11ye, Flo mWiont a re5.'*nsbi% f roNvce mamah an humm c E
L"DIFF"I'l le"'r-cial i 11F'Irrance umnitmny Lave'ring all (,Afflwo's, di rtrctclrs'mriplclyccs an,d a,_�er its tif the Rrowiler
audworded ra WK c. Rmlds recei'v"o�.J ru d isim"'I'med rrndel'a I! agreetntrits aridlor corapers Incurpotsky dos
col"Itrao, I'�yrefer'ry rr'L'V in an arriour"A Comruer"Bwwx with A Rinds handbul lit de give nFrisk as dwerrAned Q�
company and candmout nth gwid butsii ie�s,
TH Provider NO, nv,�,�t t is�e,or disekne aqy keel-rhi I rg'a r, ,ed under thig Con&'c[ibrill 1�'
Purpose j:'-'YrOJ6bdzd Q sm or I( 1er l la vt or rc�j,?,tj 1111 e"S"C'elvt vvit`ht]le "V1'"Omcn o'f,a persun lepAN'
RWIlorizedl to gjvel I inr aunwra or when autha&ed by lsw
Page 7 of 13
Packet Pg.419
AW2029
�O° Health 11ts'Uran"ce forl'i"tabi1jty U4101 "ACCOuWabifily Ut
Whmv q3p%ble,die Pruvider Comply -�Vill Te Hadl A.Cculmulbility, Act 1(42 I)S(,'
1 320d ), as,wel4',as,al I rqu'lati'lon[s I'mumad-p ewid(,tr(45 CFT. 160, 162,mid I
Incidenit Repcwfbig
21A Rie Provider CAI natil Me Awnswe hnn-ledi wAy No no Imor r harl Rm(y-cight(48),d,Ix-)kms fiwitti die 11'ruvider'I
mwallvness M c'."fim."'Ovevy af(Luindid i�vzs,thal may miaxed A ly aftbu the,Pi(v6,ider'&, ;tilx!mdTautitr's cur vendivC s,
Why to PCOnn l,he sery ices,req nirrj lll �,"Oe �mfbf rn&l �i�itdcr any cnrlH-a0. V,,I� 1-10:1 ioe S haJ] be nuide cm-a I I''y
10 Ae Columck h4amager with an erria,4, lo
2L2 Ile WO der An ht,t re'llart k.llcplxled
r-H' ol"almm, Or cxpb�'ilation or
a/m Chd&Agw3 persiin, or seadq-uuh., I'D bffiyc Illoaprktclia s Abne H 4odineon.bthe swevwikilwe l UiAs!b Ninedet tw e�,qpkynme 0Ea4munber
�ri
Pm' ocq m0miummom, vmdm, and dwwempkly'ees,
Notificofioit 10
CO)
04 It ml�ally 11me ifu6ng tt,� rerin oFflus be Prvvidcr, ill assippevs,wobconunctom.vert&ws ar Wam fOes a
CNN Ir bmIniptcy, to PwAsnmot be d"Wiauce, 'OV11hin geum,e(I(t)cha�s after iwgiFicalion, dic Cv
Pruv ider mat alwo,p7,),��ide��'hc I`6H nwing Whrmm6on to the Al I htrti:c (1),Ae dMe DrRbg of the Q*nqlw��,
,pp elit,kml, ( ) the (""'ase the Itmil mm me and the div isium in wh Wthe PeOdon was Red (e. p,.., Nim hcr�t,
District of I)ivisior(); mild,,(4)the namm.ad&em.zhdle�q)hone number o(Fthe Nj;rjktqxcy
aimomqy,
0
Spolmovship,a nd 11,1214icity
23.1 As requ,'ired ty S. 2812 5, FS-, if�ffic a nong
Wrn witich
Wimmed whWj or in p�,-jgt Lin s twx RmAq hwwdwg mqv Nn&OWNS tiln.,)l 1, 11 tdsY5 or'l nmtrao, it A41 W
zg, vrtisg q &m , "S: mgored 17 ( 1vie'dAm"s
D I
0lhCfo m ,pmbci dA in ,, C
mme Inc," If 1he Sjxmis(,)rsh,(P
Khrance is in wri lufn rri'a"'Wi6al,the,wuz&s""S"tate of I"Jori'da, Del.mirtment Uf Elider Affid r-,"atig,11"ek, ance for ON
Aglqg, Incl sbal] appear in ar, tcwq, t1le sm,"fywe,size leltels,01,ty,11C Ts p'Ile nal wl".o'f 111 e
232, Tive P'l-ovidr,"r ld not i'm tite vwlards "Thc of E.Id,cn AITbir%" cw"All iarlce R.Fr 0
,Aging. Inc!'ta indicalve;PmwOFddP of a PRgimm Wherwiso Gnanced. tirdess SrWel 6c mulihi.irizHii ni i has t,*eei 1 00
I-
l3blaJoed hy the A"H5arif'-e P for tolise, C
0
�4,- Assignments
E
24 e wiO w"Sipi Owr(gts awl reVoris n04 Anract% 6"I'voto 'OVprii�'I -xiincn
wClm A ae N , '
al m" [ ll 1 ,
Atija'sul-6cermic,
i:Vtllervvi s"(." KUK P$W NWhen appamil of die A.Riance wi 11 a irmiterim] brcatit cif'flw
vmmwl,
24.2 Ue Ad i ance SW I as WE Ems,;,,)e eraitledAsn assign cxr �mw is flcr, in Wle w pa�i v 6ghm d MkN m
cAll��;mmxls undel, �,'hiscccrytracl to minwOr agerlcy� qmn W vog POW Uen noice U�) der. [n th,,,c everl 11
flic AtI ktnm aprxrove's lrar'l&fer of the ProvWW5 obli rg;itions,, tiw,,Priwider re"13-ii'm mmsx ils!I'le for al.I work
peirliannod and W I cxpervws ii*�urled in ammmlon will Me cmMad,
24-1 Jlik c�,mlrsct Slizd] remairm binefing,upon the sumesms ki unerest q),)J,6t`hcr 111-te, Ptovidrer Im ifle ?Viiallre.
Page 8 of"
Packet Pg.420
AA-200
2: SmbeumAracts
211 lie Wider rw tespunsiblz fc)i all -mk rmrhmmd pmumv� 10 j:hjs Lrlrt,gj Lhe sawke hoodel,
AWORatinnhave,ponse tuK2W9,C)AA hanhhed by Me pmWelswAs
Any subclxrtracl,�9mH be eviUmed by a INH11,01 dg,w,cismm'r and subj'CCA 191 Any
the Alliampe The Pimider mum mmure thrown the ARianur
Ins a ckillero tam, smbevnmkkl[lf:� Inelfor vef"u](ns, The Provi,I&I" Rulber apees that the Alianoeshall mol.
tv,, 'Hal"A 0 tc)I be Su l7contraclf)r Ov Velldm ill am�'I way of Ryl my IC"Iscol 1. T J,m at ils cx.,
de,k)-.nd t1te, Adli&vweikogimna'any such"c4linis.
25,2 11we FrowidevskmAll t-x-T�4njm1v JxV aqy �pubcomrmtors,, vem.'Iursupoll ffi.ml the
At Kcs FA At W moke pqymen is to any suboontractor anithm vendur in,accordunce w itt)s, 287,G585, F.S
us 0sawsm smoud in [Ile crvrar-�,,n:P, lei lmmvn Me PmvMm-amd vun& r,Nom,rmoi ivi a
Im"nalty as prolvidell by stauxle", C14
24. [tidepuident
0
JOS he Werm and of To partim At Me PravAq or any cd'it% dal r&'or venclors,arc 1.
C)
mcle�N'ndent Cl rIfidCLOrs WKI are IMM emplipyees ofdm Aniance and sl)mfl �,ttO hold thrmsclv Ivul,as CC4:1
t , ' h hfue n I nd pena ha ,e15 uftlx M spi eAL , Is
o ),fneol reackm uft roOderand s NhyhPres aA 1cA [6rmcerf4ws' cm Currtl tc ee C�
vvagv, allllu`IYa
or wher labnr amd e0p1qnViChl Wns apArlm I& I'll o-41(Jew its
andiforvembrs. AA dmkoknis for social UVXes, 414:011lc taxes, ccuffiributicirts to
Flunds and A rlece , me mersH bew e mqmnMyof 0mK " 0
I Ile flrov,klm
271. Psymeats "I H be WMWO dw Awl der pusuam io 1. 211422, KN.as semVes ammAmed and bwoked bY
F�heehovidcr. Tbe M H awe QH hot RnaJ approvall W'Mei rivoice rc)r �"mymc,-nt"am) will alpgpl ove thp, ir-woi Ce 00
l'br p"apimal ol I ly if'che 111 ov"'idu Im rnet a na"' terms al Id Condfri(:nrls of th"e"cantrax-,i, untess thm Ib spee s,
i ri c a r,i aIm
purchasc order,or 11fis cuntrizi s[xd(y c4lierimise, C04
CD
fliscad s,,nnion 176,r appro
val and llruccs�sing, Dis)pute� invoicing 4ind 9�oayilrlcms NH1 IV C14
ve'd en,curdance Nvitti lbe, lx','�visiovts ofs. 21$.4,2,'�Z' I
Co
21 Z "Me Pmvdcr ag=to sulm,rii:[ lecs or Vr menricesiv expense in sul"ficient dermir 00
kwa prorm"m.Ilre-indh and POM and Nikelvoll The ciumtracu'n,shall,eornplv wilr"h'I I 1C parlix,1114,11, requiru"nurlus "r-
0
unde'r 111c MHOW09 NMI IS guidd 1 nes 1hat ale sylplicable to the,canva,,!ts ovagrep""'Irml Its d I is
Cunirm,by WeRamwe:(a)parapaph(16o)(h),of SOWOU 216,18 1, F.�., Rule 091-
P't I Cl 3 F.A C- Pum--wininn 10 WKWon of ExpenWUms Own mate nmdK mmk )Me InKee Requ homms of
Me ReWence Guide forStal"o Expenditure's frcmrl rl�pp
DqNm.,rvnieo1 of Fruumciial, Scrvices w: E
..........
'11hre Prowdu vviii CUOY Vol WNW k rwall&v to sk-SPIXIrl each hem on,The 1149.Pmized invoicc
requesK Wr cost rehabuned'cxqvnses, Fixe n me r d d oehmeb m's C`CYfl S O 11'&Ar ag,)�ccrllcnts
h',11LDFrW-H7t.1n1g jj'-Irs,0xntmcr, I.Py referencr-, w,ncln-,Img CS,
I'mid vendor and will hM
puc"Idt'lu."Al ��^
requcvA hylhe Alliance,The flmsidcr wki ("mi'ller lif� thw requests are unly,Ifiv alkm'4be experises mN,dftr1,C%1 in the �&Ws md pading circu,Jms vit�NJ in Seetions 4 uf�hi�i(ontract, irl ffice,femmx uide fut, State 11%:tiendilures, and any Am laws ur vcj;
3, �l I,W F t 0 v i d d l Is S dxmmm a 0 t 5,am"k)I,v e It dars S thm,I I p m v W c md U o f d 0 has W a,Ed u W n g m pmB, &W in gs,
alui draltsas sj�vav i 1-ted in I hC CE),11U,ads,or agrmYnents and alunch"me'ros, yvto,ch We IIIVuf Cnn"mLo" to,'be
mp,,d tiy t"b"e,Cmarilict"'Aarl'oger pr-k,)r to pa"ytmei 0
Page 5 of 73
Packet Pg.421
AA-2029
2 f'ra ynias �i H e n f-74, QWhhn thavuumbt Wude u) berPmvWw band oltn corrijAte"undcct lnvdx ce, 41voi&B I I'u�lt a •
re im"..orr-r UJ wilI ao. bemottsedand b to cxnrrectk,wJsc r, staPTlVe
MH no be Welio LAjrr-,acr:or lnOx O'Iang'es ra''111b i Kc-tnrning inwilee's l7bi-CuTrecticws lwy resi�,,41 i It
Fai"I'arc to Feccive Jx�y oricni fi�r tha I inaogh, I nvoices shm]I be subinived flincly as,fer i% I J'A(.' KIEN 1" V 1�11 �jt,
','wder Ltvavaid any pa ,,rnera del,ays.
Z75. Eml scrKe pedbrnted sliatl bc�riccurdec-1,as,specified i,n I I ree[�ero in,fi,)nwlion rj,,nd re,gistra.liort trackii ig
skirjj�wl�i i,�; doci in tenwr,�,�mi,�o�f selviva pnw Red nwa be late tc�,Iwi,n I i I i isca�
and am"I ensilre intunal
28. "Return of IN nxts
TIm Novider wili ratuni in Ow A I I Wnce aqy oveqjymms duc to walsed howls or ktruls i lcwd 0,�uJ awy
it ttiv rcsl attri bwAll to SUCKSK ptusuant to lhe terrm and cx)i idiri uns a t"ltli,5•convao tbat d isklminjeld ni rhe C14
[Iyov ideirby the A I I iance, 111 �[�)e d'u'll dixt [Inwid"C"'r as 4axlelvitidert! auditur dt%co,vu,", ltru an
bom ade,,tbe Prc.av ider shaN s;(j jm,j<yyeipOyr�ftenF irnincd,6161y vvhtjo ut pdor wificalkni. front tl-e M 16 nee, lu
tl'x,r,,we,ro Owil tire A]�iance fil I-St discoveirs Oil owerplynterv; Ws'betnl rna,&�, the Cbn lt%,x3, Nfana,�- �,j,on, bc4i,111'c)f ltw 4—
,All w,ifl anti(y thw Plovider Ego Wer of sucli I nOngs, Sb(�wld ruiJayrneni Drit Ibrilt"wi tivi, d,le, ["I C04
ovider CD
will be Oktrga,] al, be OWN raIC Of ATIMM ()D ffiC Uld.91,3ndil-wg NOW wJIBWIW 5 .WRY, J: $, atictr A I I taraim C�
hotificaticin cir FrO04iei &�Cuveiy.
29. Volta I,JlWgri(�And SafegmkavdlJr,,,ig Inforroafioji
i Is Saconaaws andkw wenAms SO I kume an,,Tpp,�oprixle leve�,,ofdata SUCIA ity kir Id-le or-
d-iz I�Irryvl�fel,is callwing or Wy in fj-,�,'z PcV6x'Fn,,w'Ite offis cantrita. An alippop�rhje NO OWCUT Y
insludes aprooving am.1 11oder Mai requext syslemor ilflbn`rl'alion ac.cm and, emiiving'112L
LISCI,2CQC5N W1,,,IT� 1XICII a I I tcrni i nwed emphym, The mnang 06wo rew6manul; Inust
awicirxite and pre-pa re Ibr I I* 4 sst I'i I I F6,11nadinin Pl'-DCC!5SkI9 Capblin. All on and %Ivary sh,,fl 1 be,,loativaely
lwacked lip U) rec"Irvery, firorn [o� es oi,uiflap�n cifthe con-lputcr lymern, lie we"Hy aver the habogd,&W IT
C
is;to Ix as mringerm,as Ihe l'-wic4ccli0i i requi red of die I i�,C [ITaVid"or Sha"I I emmre�,a[I quIxontraclows 0
arvdkm'vcndurN inai ntai n xvril w en pmMures Am ecompner yswrn, and ruavery.The [Ifryvio �r,!dlal I icolVtplete
Fad d S -1NI C1141'tVpjio t Ib \onuI in cc rWU caztti act.
C'4
al
04
30, conl,peaer NI se a od Socidl Media 1" M M
ahey I
The )EA I'ria, n,� ruplic,,nientc ad nvnv Sociedia Fl
N ulicy, in to I (70"rrlpl,fler U N)Hq, wnrcl,'I to, 0
A I mmop"C& C01,15 Wtaat5j, C)Fs and Cel�s, inc]udi ng a]I M,swr)tw",W�, afl`-iI,,5alzd %,62h, thircf 00
as, hixt nW I&AM!W, Area A� n6'esairp Aging and,midors.-Any CrIlity that aw's tllira,DOE,Vs "a
CMMPUWr lesource Syserns Inust canypfy wilh [lie DOEA's pohoqy regarding soci wl t-riedhi SWLial 14odia inc 0
I 11des
Imm; W not H M had to 1:40gs,PrAC03e; WSCUSSAMI totl nns, VVik ts, R� S"S f�,,I, , 4dec,sh'ari ng, &oeial i H
N'lYspacc, F4Cv"lxx* a,"nd Twirteir, wi -xcll as content sbari ng nemls guch as FlAr and QuIlte, This lea hey is Co
ay%lxle an DUENI We she at E
31. Cann"ieg of
The MUM shall mulb%saRquit-cls bi FuMbit miployees, hi��Iard me"ItAx".�rs, �aroj
irnd;Vor vet'tdors fi,aal LWng dwir pow Ws a, ;,no l7 so.-, that ranstiiutc r:o pt,mrns the,aj.9pcorancc of, pcns,onai w
gairt- NVPthrnjAoYk�L-,, cifficer n�,rag, CM ot,the Provider()I
andAr vandw sh.,tl I parlici J'�naw, in,sic le.icliol 1, c,)r ir�ON(!awal d or,arl ag"I eel I IcIal Supported by SIII;te�or F"k o id I'Lrriljs� i C IL
COIRW 0 F Afews;Mal allpatvi"'R, wxmd�d b� izn�,Ukrcd. Izzlla d"40 %votl Id atim%vhCn: (a)the CUP110yee,offiler
o'l agelm(b)anv rnmnl:x�r of hWhe n-nnewas thidly;(c)fds cw hrr par,ntlr, (d)art aigalri�mfion whicl-i unplays.
Cm is moms to CmPk", aq; of Se ahuvr, a 6nancialiv i Itteresi., [I tl lhc firm .50,wvi;l ror witrd, 'I Iie ;,)ravjdCr
of an; suboDntractot's a'affil LWS, emptayces ot,- ag
:. . ge ls ] IWi' rer I icit na a -ri
,jr anyting,of VeNe hVM C( lxxential canhamlon; or PaYdes to stlbtonlracls- 1"11c Provikils lbaal-d intuit to The A H knee aly ruhttinmship whkzllw may be,, l"I'my be�NIccji've(t
Page 10,07�
Packet Pg.422
AA,20219
tie 1[rirty(30)Calendar days ufan individkwl"s origina.] appaintnimit or phicenrievit in,
theft pusicitr1r."'ar 1 11,11-, 14"I'di'vlCh"ilal isserv'ing a's 111) 1 lv�"i thiln ghix�y (10) Luden(,Lar' days of title Cumniencernent,
of WS CoWnwC, The Pruvidicj`,S employe and Wountralams,r,ilix'Par vendiors 11PI-A ITIak:lC OW Sarne (Ij ,
g -e%
deqcra Jalx'lVc to the T)"Olvic.1'er's bDarrli-tfilirectois" Cul'npli,"Muc mrith, ThJS pt'olvision Will be nioniliwed,
.121 1"uhliv Eutity l
PuImmm"n W TST 131 FS. the Suawbg pnwoti us W-u 0awd on he albi I i Iy izic"Iri f plu"tip"ic en 1hy
A persoin,or al:1-1 1,i ale el has bole,n l�i lacod,on Ott con victed vendor 1 1,
frAlowing"a et"llivic.liun for a pulilic eatity A Me nM,r not subunit a bid. plopusal,or Feply nn a vmOul m pal my
goudg ar scrAms Co a pubhc c0q; may not swWri A a bid. i eply ll 41 C"011'111-ne'I w I III a J-�Itt Iitkw lz�ntfty tbr
the 001MMUIC601-1 or rlepa4'ofa rwbl ic bu i Id ing l piub"lic "vw k� ftta�')" I v"A. 1,bkls, p)roposal s, cpi teph.ts an lelztse'� of
real pl,opeTty to a PuLdic Cn6ty" nnty ri'oltw &�vurd-J air polorrn wink as, a Cdorl"I'l-elaur., supplic-'r"
vaWar;or COMMIMMAmider a umwnwl W any public eir lil,:v; and ir ia,,y not Ira vBazl Im.Is i rit-n1is vvitli l pahl it etltli�y ir� a
exe'(l i"I ftl le [I ureshold amumn prov Ade d ittAuue
a 2 9T O Q.F,S A CATEGORY f%'() R,)r a,jx't ill f�.W.S ir Ilianth's C14
AAAWNg dw Alme u f
0
Entergency pleprodit"ll to iW Cc'�'rrtinui ry Of Operatknicv
33.1 If the tasks io be pici R'm I icmzl Iwrsr'wn"1 1'<'� thisct)IIETRLI h"ICILIde the P"'hysic'al C�
KNOWino and=6nawn A sawkpi pN�,.essar.v 15)1 dient M: Ith,S,Ili`�ty welf�U4.1� the,Provider
MiGn MY(30) LOenllUr da�'s ofthe executkin of u:) thc�C�c,-,ntr 1, Mauaglei vevifiicaticml
of an eamr9muy jxqYwrdnlxs'p1,ar I O'hwity of Qmwhins Plan) I n Te enn!of an crnerguKy,ae
Providu sIM11 Wity the Whanue a,)feirlet-gency TA AmUnudy ofoperalicons Hari it O(ti'll)r-nkBt 00
addll ess c6i itirnii ty especral ly for mu"E'd an"d non r-relaled entlorgei ic.Iles
K'1,2 slubcantractor andlor vendor,lie Fluvider shall
Main resporAINQy lbrperfminance niust SH01VTWOCeduresto mameumd"Iyuf
Open was Raw in IT
C
0
313 CwWadus 0110bg ninblion linvc. an Allianee apimu,'ved �jhrlf.qabEo rnoliti M01,at least 3 Cu
vvortt, orsiiei f sUibi lcrixals 'Pw4h'reserAed filurid�'S Set uside to rpurl tla)v rood iwrris i a urdcr to ensuie C04
uuntinuil.
Y nt"'scry'Jil withouit interrupf"im"L's k"U no--&'z)"110mr Tclatol:l
34. Use Fm luls k) P131rchuse E'q 11Jpritelkit Co
040 Wds wader th K cmaino oT be, ustxd [Y 111C P'no'k,lder teat 00
!Awpmud mi:WK(W 04 node having a usefhl I A of mom 60n raw C
0
year amid an acqUiJon Cou Mich cqWs lix exceed"s 11 le tes�icr 4)f,the cl,�lr uswh]ished', hm, (he
j CW o put lsw I muaor Nile„ nowxpink,by wnple
upeo i WIrAdal Ajdsl
" anom-Cordunal ir ' Wih anao'luw UCI00 oope win -%,pl , 0clr
u501A Nre(ixius b bo" COA c E
" i arc'Ibliwk Exxuad bDoks ill m udent"S CW be gumml PAH. wdo
%0KC l C4$250(.10 or ni cire [Rii slar fulllisj -ru-
5, 'I�lle )TR I DOO Form is hemby i I ium p-nated by, alv ai lab"lle&L
its The evail of any COMIA be(tweeri tIae ["UR 1!000 I","onn an,,,�,,ter als or condi tians n f any contraGE. Or a,t;rcenllenl
' :o"r atutu
ptelodence overthe I"(flA [ N)() Foiflri [R)We ,ei. if"the al
cumdiln Contract "Mall terifis kI 's [,I�R.100C) Furna are rcqi6)jk'x'j by, ai-iii,Seetion oftj-'it phrida SWU,iles, lbe tenns ur e.,ondil,k-Ins
C"w"ttained in the P'ljR I ffl()j"cp[rt"i slh%U uk-c precedcncle,.,
Page 11 of 73
Packet Pg.423
36, Use of Slule FurrAsuo Furchaw ar Impimle,Aeol Proyietly
No RmdS UQCUTW cmumet will Ix ased by lllt, "rovi'der,to purchow or improve Real P
"dray' skwe t"tirlds Im rvNi&,-.d Or dbe i,-,f air hn,prave"Incrils to rcal p�,l nfiei ty atw,contiragenl ul!xm I ll,c Pru vider or
pAtical SubOvision g1walin"g, lu t stme a Samrity immm in Me pmpuw"t least U)the anxamt of we Rnjs
proWed 07 at [CUSt Sycor5 froin date ofjnirchas,e ar the oftlile, (Yr as fill-flu"!r rQqvired
by baw"
37, Dispu W ReSohflinn
Any' chs"prtte Coi icerl lirl!,g FXnfffirl no nee of conaraer, shall kw.-dnu ided I lie,G;,mttiact Mamt,�,,e;,, w[a u sh�--'jtl rediuce,the
decision go wril i ng,and a eopyun 11-1c providev,
AH, f6rinance
Ea
A 1 K be PmvWcr (iwis ro rrwt i he m inknuml level of'se'r-11 ice www pexl,wx rrmwe iderr I i ned in this agmcmcm.or that C14
le KAUM 14 Men % Xfliam rrtayr a,1:ply Ana rre WJ cnrisequec�a s CXATI OWN�I!Sdratf, i�vidl 111C
de asas N w r N I W WTA(TH All ENT L Sm 152. Mmuchl cansequences mgy zOsa wrra la.walre, contract
4-
w spensiumm i, rellitsing pay nmut, wilhohl bg pqamnm rrmildefik,�,,i ency, is curcd,tcrvdcring�on lxn ia�
ply menh.Wor cance!I'm ion of Cormad,�,rnd reacquiring seryicvs Ban an Mwa= gumms,
Cd
A2 Ile SuWder AM I not be dim9ed w hh Ammki consequences. owlen.a W we hi perform caw�,�JeS <
that M."m [Ile t
M
or-
NoTing vlrftai�ncd�m Illis is intend,6d to Ser,,X US Im k"Ya of s(wer6 pw� ly iLily! elai ty lo
scivereign hrnrmnily ntay, be iqiplicable
40. Ven me,
I F any fl alrise�Oto of this Cantract, the VOPRAe,of,'svch 1,eLgal rt%-Our�e wi 11 he Nl iam i-19ade("'Ouray^ Rol lda.
C
0
Thi's uuntrart conl�',nns A do terms and cnerdWon's ligrvw�,I upoal-�y i1ae panics. N"n oral eel nen(5 C04
CD
I erm csel%mlimns shml I he w16 id,or, urnmi the Alhance or this AM der Wes w ex,,pressi.y coi nained rw�5,y
ID liras' as signed 1a� both Rm,6u�,
CO
0
TIV Parties %vill nat be li"able Or any (Seays 01 railures in C
pril vi,&uf 0
, 1"he fxbrce nROOM CmWAAn provOw kmwdhv.,- written �iot,,Jfiutliwon dw nAm-
pany and Wes all re,,,,mAirmble eff�)M, [D Lua rc thc WhIn,
4 3, SewalMi ty CAamse E
thm if a cuum of any tem I I or wndilin%n he min wzwl or, u,,nenf61CCablc,
L h as aam r p nQ s&n s,a r e s er e r a W e r.o A w VI d pm v A 0 it art,d 9 FLl I i ranrnrr wn i n fir'I I fl�a rc u, A it d c i fzc.
4 L AndWOR 1`1'ecedelkl 1000MI-'sel" ApIpropli(ations
Tic Panics apee awt the A]liarioc's perfbmmnccangy tr.r,pay, undexthis,contract is corrdngg�nt upon 0,33
a I av
4-5,
,rhe Parties agrce dial, lwolwillfwtatwd i rag flx lc«m n1silfthe 11 d"exu"rnevris V,tnd adions�.Icadhig to 0J,,,7,cui-aaa,
the Maw reserves Ow Qht Ut wsd Gr to dele[e. arty ofthe scrvicc!i rmynimd whm.,mi drcnicd to, be
ern 11110 tw:,,o, i I ame F� of me t0darTapdainn b tire, Area Mao, &nd T,,O&w,-d tD a W1111"m
ix:Wh PwAs The Ponies shall nego6me cumpemmAmn f6r any adtied,
Page 12 of 7��
Packet Pg.424
AN2029
46. N"Vai'ver
7,119,delay Or lbilu�re LI-re"IN11 ian�"x' ercil� or eafince any of Is rights th'is SI'mil not cwtstiltalc ar,
bc dwgied a waku of Me.AlHance"s rigkt Momahm,to erafbrcc Lhose�ri:,ght�,nor shal I any single, Ev lNirlial exerc�,se
a lF rvqwch right f=100 Ony OW Or 09017Cxercise thc'n"Ulf'or be ear6w of W" 01hurrifit.
47, (,'fj Wlij,"ip 11 C 0,
The 5121ulz5, Ims, rules aR iegulations as vmffl zas aplflicab""Ie
Sla WO,11KCS WId regQ110as Thz-Piixfies ii�;roc rdhar failktve N�tf'dre lltv'videi to abi& b d1m ese
lawi 5114 I'm,�)Jeern%'xi an,e"Velauf defairl't (fl"[h,;,, Prrrvi,der', ,m)clsu[ject the Lonfracl to inimediaro,'wiflateral
vancCINK of Me MW at Me diweeli(m ixfthm', Alfizince.
4K FWal I
TO Pravider shall suNwh1he Ina] Ku Ve Or payment to,dta A 11 kv, as 51*6 sod in sc�.cnon 113 (W Rw 0 ma 1 014
request rim,lviv niesa),of ATTACTI N1 1ENT 1, 11 t[ie' pro v ider N'% trk ufbnlit I nal request A quyinew III dic dead I i ne,
Ohm aU vigits tE��pay'are'llL may he and (lie ADiairoe,inay not honor aiv�, rcqucsm�,u6lltlted�afto, i�lw!
0 1.
Any rmyawfil due under-the wrins oft"J5 oxanraol may bc Until all rcp�"Arts'�')'W C)
ilrli.- ['Fcwv ider R,'d "ceLmizily 01i MIMS therehi imave bren all,P1-cvvc�l (ly ltw A I I ia 11m CC4:1
C�
or NRid iflca lii)lls
N&M MOMS of he of N'li s"cmdowl shal I be vand onlymhen 61y havy'e"',i�leer� rv'�cfi iceg"I if") '�4"l it'i 1-'�g ancl'd I'A"y
,xi t,ft pa i I i es. M
rwd �,).y t
0
50,,Sas ptni,, bjm,of%Vork: U
Ile Maw rnly in is Sale dhavEn mpend aRy of all avivtties Un&r,Ili 's Canti-aa, and arly Unuvict or
agmeiraq WpotUng in dis Convict,at any dam.when byte hat Jxwerems of Ille Stale lo do m,.' J1u),,,AJharjce
,drall 1317LIN'i'dC Ili c flruvidar w6nen Mee oudirviv� rd PaTificulau-s ttre emsun i'ar
8'1r8fWrtsium irte I udie:, but axe riot fini ited tr'p" 1"vvidgerary col'rstl�i ints, dec�arai ion of crznrr,�,)ency, m eodler s"cwh IT
Alner leceivirrg,�a natice,be 111),wirfer SIMH emnNy nth dte;Wca and AwU am amepr 0
ar, purchase cuders. Abill nWay days,cic a ii lOnger ptriud, aprecd LEI by NINdr PMWW14 Me A H i aive W S&T
Wic a nWe 1-CHLUTIPUMI 04401k, Mt YJ)'i"Ch cirne&-6vit�y shiffl" ICS1,11,11c, or(�') Wrfnnare(I've colln'Act cm, INM
OrdCr' Sv-"'J'w"miorl not erobifle if-ic Provh"ler I'vl
51, co
0 0
511 This cantrut may be Unit naved 11 eith t:,r[Xrrtv ukhmrt camic r1prcirl no,les's than 1hi ry CT)calendar days r-
0
v�'E�p6oe in ',viiiing. lothc other parly rioless a mooner titrie is uliR3'aally muced irlian in,vvritin�j, Said rioijee scha[I
be deUvered by US. POW Savicc cw any c,�pv%lvl 01 d�d ivery sen,Jce, 11rat 1�m cwides vcri filcal icar ol:vdfT�'vvy' em
h#y haind wp the,(��!onV'kw[Man""ager or-0�v,'TrIxesenwAve ofthe ProvNer iespmwj,R)1'U' f�x
ckffllc conllad% ca
5L2 In the 11mrds foir r.layjllul'ill Puluaril to this cantracl lxmne umavaflablie% tIC M I ianxr''I'llay tcjjnhjnate tiv'�s
c't-jnixact rrPari ric, 1055 than twenykvur(24) hatrrs" nuts in IMAN toltw:Flovider�, Sflicl nofiet sh;jH be,
deNrY Oy US. WMI Sen No or wRiy,exjv' ,Iiwd del i ver� mvn6ce that Fwovides wri fiiczrt ion of EM,,i, , -, -
'wely LY1 by
Wej o C we ,'uWonhAut anag b , MenNjjrJve N>f Ow 1,11 awidei reg-mi is i b1c for of
Of W11 inaVul nf Mis Con tra(�t,the PrevkJ.-Jer w i I I I conqpeir�lalx!d 16r any ,,vink nrijfl eted pri cn
to the idaeo i"termirt,'.,nion.
TH s ommd nqy be lern I i nated, 1,"(wcausR by the AU'Jarlce th"Jxyn I lca less 1 hal I -fbur(24)liotms" natju in
waivvr of 0101 WAY PRO ons o ruts All Shall be dcerned((-,%be a
Page Ij of 13
Packet Pg.425
Ah ,2029
waive"r
V.m:her Ilreachand AaH nat hu ommmcl t(l 1W a lt'Kidifk.,atiol I ofthe terrvis and cmd mom of INS
provi-00115 he"lein(Jd.; no( [il,rdt the Alfianl:e"s or thc hxwide.r's rights to,rftrwdi?ns at, law or in
OT11,
51A IRA I,=10 havc,pc r(rvrrnevJ ai iy uon)tnoixluill (ibliL,,pi ions vvill, 111c AliuUnce 'u'l,a roannet sati�fawtury ID 1l1'c
,A]I iatwe, �v i I I be;A suf6cical causr �1)'r Lin.
`en be as 4 conmact M
f"rovider rnti5l, I-ove F'Ylevitlusly raHed to W&MoMy par wrn ii,,i acurarac.,O. wilh,lhe AVIH,arlce, been notified
InY lhxr- Affiame la the unmlisRwuw , Ixn,1bttnal'lcV 10'zchrnxp' th"('r'� to 0"4C'
sacs rason o I-the kinance; of(2) had a OMOMU le!iniriatexi by ffic A I I ial'icc f(,,w ca"se,
51.1 Waiver ufIxcta6'h i,t pl"Kw i own Onh"VMbun%H not he dgemed to be a waiver uf"any cAher breach nrld,
An am be unwnwd to lic,a, N nodii lkak�y'nl dnl Ille leu-rnsilu id,coi iditions of MN cmama. Ile PMWMOU he&n
c�in n,nt htrJt right 14), rerncid L-W law rw to damaggins tlf A or cquiu.6[c nali.,ire,
i
C14
Of !Awn WrlubMimn of his conmm:t, th"V 1-No"OW is Wondor"i shau"'z)'�'ra"' & r'o'[11if
AR,ian,r,e%, [uirBf�r dd] I:nibhc recurdsin'llicir priwessi�,)n to the Alli�rtu:e and dcslra3 any e1uplicalc thal
4-
lut exanpk rwconddentia] and floin Public rn ordli,6s'C1QSllM requirovents. All M
valuer ll("l ricafl�,sha�,'l Ipc pixmArided n'vRw Al I ia nae i'n a Rimnat that hs calnpadbk "Ob am CCD4
syslei-ns of the Alliancr. C
'9.7, Electro"pli't, Recur'-ds and Signature
The AV,"ianci,' butdu�n na,[�rcquirc, tbef"rovider l,0 ClNPN1A,L,'and retain clecuwxnic rcuvrds� axid,�(J,Use IM.
dedrulc CMWMI DIM&t.Gcvrts I u.ccs.wlzy to Carry nia tile te'-'t'rns of d9s Conrad. A, UTHAI'traL Wol I hat or-
czu,,w'A(s muJ re.11a','hn elcumnic rcL-)rirds anill umB elivionie vvith L1.e,
CNMltahled irl I I'm Uni forin Dcct allic Transxgdon Acq& 6%51 F lil Star. A 11,c lcdri-cniz ri,,cm,xis atust
Ee&Ry audRable;are sullect to Rolida"s lltibliz Recorx1r, Law, ch, 1194 Fla, SM: rnus't cori i with s2cfi,ml .18,,
Data IntegRy saki,SA f&�!"uurding I n fix nuo W; mnust MAWS AI cam I'MMMt as aRACQW; Mul InM be rutakied
and nvhAined by the Plodder W he swnlc-Cxlent"a'5 tMOMIS Me rctainL and inahaaimxt p reql6re(.1 IT
by his C"unt rac"j,
0
u
52.4, 1110 MUMM'S M1011:16=60n PUI-SUaRt tO thlis 5CC40a does itot auglilk.'),rize cl, tuvnic uwl actiang ba"Weell,the C04
Q
Prov idu and the Allia"llr'e" The Pl'resvidei is mahwhod,to conductefl,ecll'ollic u'an&WIii"ns With to Mhmv udy C14
UJ�K)rl, Rtllhtr wri (�al I'sont by Ow Al I i ance, I
CO
511, Ljmi mq=M by lbe AHianm the WOOK Shall pr(widethc Alharice or DOEA wN 00
ecyj"6es Orl-ccords. " Vn-clwtronic (pape'i)a,` la providnd to he Adkancc ol,"any AME was Oirighmuy 0
in, �i,vi th an clectramic sip 0
patljrv'�Jnlusu't 11'W' el ffic per capacity*[lof
signed W dmumon un m y nnn Occtt%;rflr.,a,.opy Of the
as
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1lic 111,r(w[deragwes to do Muwhg prow Wow 0
53A h'i of JT,nJulo I All 1,4 926�,xls
All lvp�in d"im ignr.iika c6mirld intatir an the parr of Me pmvWu or any ~ubcurnbaurprq,and/of %,ouR,,krs al"Id
agwoen itueno.,ii ar Awchgonly apuq: rn wk be sw te,t1w., Al I ialze. I f rhe l"'I ovidcr has reason
bi."l ant l ieve that tim,Al'U'pt i On's Wi4i, IV ref6'red It) 11 le StaLe AtIon icy,a law en ror(mlliellI agelley, he LA i lcc.l
SUMUMUnn'safficc,oT nither ga g,varnmentaf agency, die Woulder%hall notil":p, tl`ic Alfiance irnnloiiaNely° A
Copy'of al I 6xutl"IeM 5, reparu", riot es,(n, ul"11cl,lxr�'ttcjl nialeri;"iii Crinacemainge I Ile in vestignifiurl"whzfhc�'""fft ll le
punis'ns inn of thr: Pt'ovider, NM subcotal urve'u',dons, r,,,Taust be,sent to the AIII Gonti-aet,Irlanith),wr
sob a S Wrl n lary (11"i"l"t,,ve irre"igg-ajon ixix.Jal[ogwkms,
PRje 14 of 7.1,
Packet Pg.426
AA-2029
512 Viflumem:
The Pmvdm-IN mnmr A use of"Wood vA unt ems in pawkhg di rev" Service's de]i to ahler
i ndiv iduals,arid 4i(,.Bj iduids ve i di disabifitics neccfirig "irmz"It If p�>Sik.sle" 11'rowidel Shid I i I'l,
Como nown WWI Omar im;pOQdKgmAnkj, placcinent, and stipends r6r
vu I LintecTs ar organ izoOotls ii nig mat ashninisterecl by f,,,'hc
Cor1xv.,nion fom Naiicirld and Conrinwity SmAcOin icimomwiq suvWc soling
54, Enfarvenmaml.
IC 1, In amordame wJth Se0jort GaK VS, do Ahhnoc 1'ri'a'y' iivitfionl uaki'np
aw aka ble to it againw1his mscind Alifiammv,finds 14,ak�R
541 A n or Ineg'I igent act of we pmvidim Ims mawrlRy m0cwd lhu heal IA's, vird f'avc,or Szdf�(y DF C[iemts
Serven.1 PLIrsimiaL to any contracl nr agraiNin nt o,'[ swilsvinhally ar�"d negalloy"al the i��perwiu,,n, �af sury ices
cmwixl underan'v
10
54.. T f he "raiiidcr lacks 1, bi'kty wfl-kia"M t(I Meel writrac'wal obkgafiorrs i"r that On"Arz"Ictuid fixnds, h2VC C)
C241
Sm ro i!�aqxrqwinlrd; Cv
54.,t H-x Primider Jwksr orni m 611ed rini'd I m ple ii relvatei] viol6mo of lyd amid rma giOmary man dirds, vigaGess cyr
mwh hv"w�' ur rt'vl lal iom we en bore; by Me AlUmmix or Me PmvWo' hm con-wrn illed i repeared
00 ai k�mm o 1, A I I ktnce mandards: or-
AJ IN Provi�.'Ie h,,m� 1'6il"Cd lit")ccm it i I nit iuThc'prov iskin or- ex pangim i or 5mv km after At WmKon oF a state of
ernergenc�"anul1ov
5fJ
16 The Pnwidw [m, fai1vd to a�,�,Ihcre in the terms of any onntmo ow agrovnm:o� �nc,mprati i ig in i 1"i is Cooltay'--T'
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54,7 In 1.1 ic allm-nabive, them.Ah AMM TnOy,m A sA d4sam Aw in amodance w Ah UTIAM ATIOWS., lake U
P'rovide"'T, C04
wrinpimmy www1pWri ofMis opemdon of one or rivmx, IAIC t"rovidicr on, 'C:41
i mpomng a mommi motor; NOOK aCI&A ANnAg Rnmwdl pmviveg G I
llonj��O rar"I"'nalux,(m 1"mirm"larri tri �""'S. CO
as 0
AR M u�mlerihwpmwWon% vkKance may mly :upon C
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Jideral agency, or Wher regulauny, body. Any chAins rnrdan�,agcq far bnmeb of any contract or are
exenilipjit �mOfmtzru..Irtt i insv 16v'e Liari,L-] shzil I be bmipem.b5mic thir,apprii,)I�wmle'Cvslit d'in t'lw ve"'Rue
E
TO prowider 011 aftl,,d aR,' ro.p lama d u jai li6rlg� avid irteetmg!; schedof el;y the A ance.
56.,OCHdal Payee and Represenintives,(Narne,Address,awi:'reVeliltante Namhers)
The nanw ad&tsm, and uftl ie repi'vm Inifive f'61-ffic dill hanve fcmr M is Lon trmct q!5�n
PAUX E8- IT), Pre'J'ki and CE0
760'N'W �,,07th ?%wc,,Sintc�2 14
(305)671650% Ea. 20
Pwile 15 of 7
Packet Pg.427
171-x narlul"" 21d"f�lrcss' and, l,e]ephc-ne,nuinLmr of dw mpmSedaVe af'llle GuvrlraCK(11 lbr admNSUMIn ONV'-
The C`rrraractor rumne,,'is shown U"ll pug"b I q'�:d' So�,ial Survizesll n llorne S(wv k.,-iie'si,
At this Saf'(I'leuffii�ial I l 00 7'"'1
po�yeeii h(wri tbc pw)'ni en 1.shat'l hic'! rll"mdc is u� Wc--o, F1, 33010
305492-4510
She,I Wahmn
II ic the C"IInlad'per."Im c)f 11he Nwnwe COWAYtl��rnurl of, V"rjry
I i'a 1 'S
I - 1� ices,
addMS% WhIC fi Z0 l-IR11601 s 000 Skwnwn Sawn 2" M017
tewr&are rnaintained is, Key �S'Ves" FL 330'.1()
C14
.......................................... ��-� 112- 1-11 ' >-
Sheryl Grabam
The rwu n'e' a,d<fi'eS5'I"I"I id,vz�lepborw rl i,1111 be"r 4�4 mr':qIrroo. Ciyawy finard ol'C'ewxnty Cornn,6ss ii-irwis,
10
C Me reprtsenw6vi!of the FIrrivider rerijinn5ib[c WeNJ SerAm', 0
for'uh I 63kiAral iuin i�i f d ieprrdnlr, OaN nvjl,,Ixer tkis I 100 Shne'nuyn srx"e'et' 2"I"l C4
Kg ,' West, FIL 310AO C�
305,292-45 10
Alliance far Aging, Ine.
TI le"�kzez't kn-l'anrl wlthi n ti,'iz A, A.A vvi iere, NO I'kh� )Ihl WWNIC
Rxquesls ftm: [Illy mitnit.and Rec-vip)l, tind 76(l'NN,'A%!' 1071 Su he,2 14 or-
Ex;p("rrd4i'j;IV lbra Is to Nt rtuli[Od is, rvi iai ni, I-Iovicia 1.1 172-3,155
30167TOCK),
ITIC namr, Add rcs�.i, and 1cIcpEi,rnvc nnnrabu af �N I Harfee for I'mc,
we ComnWit Mal R)F�fl,le'A li� Rpl 7,610 NAV I(')7'th Averale, S uite �l,'I IT
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I Conum W" i'vI igrn i, (lzt r 1 7 2- 15 5 0
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Upan Change ov'I'L C-4
-presenRalivCs("l-lan'tc-s7 numben) Qy Whar paq, MAO�,.,dlafl lie pn)vided ill
MAQ to he UGN-party and the nolifislion, anaulle4] 11) the th"is I
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57, A,01 1"caqvps 4udled 00
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This ummea and Is ATTACHM ENTS LAL H 4 W, V!I, V 1:11, 1 X, X, B. R K and C�i and an;y exh a bio,'s re,(Jerei'uzex] i n
0
&,I i'd gatachnsel 112;, w1b any docuirlenis WoMmmmd Oy rateix%comal n a"Am rums and
ageed 1"Ipm Che pailes, Therc axe izrm i,canIticimq or abli,gations cyl.licir 1.1,10in,lha�e'C"unwirled
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hcreill' zind thig uunlr".&Z'I SEH S"Cnwe ON previous emmm"iewKs, Aymewntmions or agreemarns, Wwr writen E
cw wbd bdweui Ope, FaAie-i,
Page 16 of 73
Packet Pg.428
By signing this coat,:racj.. the vailits a,6-r=, 41wol lheyhave redd and agrcew the mire.
YN MINtESS TIJEREOF. harcoo,have cuusedlli� 73�pagc c(ol'I'044.tolm:execialRd bythck-ui�&,rsigned,
,officials as(July MuChorized.,
MONROE COUNTY BOARD OF COUNIN
COMMIS&IONt', WCl AL
ALL�AN(-,,F FO.R MING,NC'-,
Roe
95Y�------ SIGNED
W
AME,:,-..�l i2xl,Yllf I—��i NAME MAX 0.- ROTHMAN.1b"'] LLM, C14
TITLE:
nTLE: PIZI-STI)ENT AND CID
0 4-
DATE: '2 - 2.1 DATE
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Packet Pg.429
C.22.a
ATTACH N�TVNt` ATT.fit:,H IE ".���"���."�t.�.��"'A'.��'�:�P'� ���.�w(;'E
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P a el, ,L'8 of 73
Packet Pg.430
AN,2029
ATTACJINENT I
A I AlANCE FOR,AG ING, I NC..
S]A'1'E?+1WN'T'()F W()RK
01,11ER AAHRICANSACT
SIN CI ION 1d SERVIt"I'VISTO, 117" VIO)VIDE,1),
1.1 AffiAnce fixr Aging, Inc. Mishan Slatenimit
Ile AMawe rnissicm k,Fuca jit,w,Itnote wid advocate I"or OW Ophrml Taky offific f6ro[Jer adolfts arad th6i fi.'andies-.
Ama PWA pNn cKdoped by the ama ag�,.mwzy anagi VIC arrid C'001(ij ij,wtc(j
dc-4"iVC'r$ s"ysm"n in and scrvicc area 4%accurdilnee vorth d-ic 'Section 3e"06 (142� I JS C. .30'26)afflic,.. C14
(XVer Nvne6cans Aa and CK)EA,
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,A asp Ilia n Urtdaw: A revimcni M the ama phn Wher5n die AHIme CMWS CO A,s,pe6fic,cina,in The 0 tent 1.
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InAumahon amd Agimajort RatkiRg SjAem (oRTS),, Ari uj�ida[e inny 11SO WON CAS1 MV510 LU he MVa CCO,
Man as husuacd by the IXTEA, Cv
Chid: An i 14 VWt 181 is nOL mare than I 8years,uof a�MoN ar"t indiviii rial %vi 111 d N�Ahflir'y
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Cri N Id, I I ighcst-1"evel Cr er"I'l,.
FWAy ChnjhvT'� Ant ad,N.III flurjilj inember, or onvorher indiviclual, %�,Iio is an 06=11 pixivider of in-Knic and
COMMUN" car M am a1do IT
0
Ftail: W"hen Ali older i ndi vidual i�,; tii mble tc-� pci-forin al le"asIt two adj Sks of dai ly I i'0 1 rq,(A C 0
)ILS) wid iour. U
SubmanGat hconazi asOma% Wulng ovi-bat reminding,physicai cueing (m (A dIAQ 14-1 (yi- 1CM4
CD
WAT MCMMI Apai nment, rnqu Ars saArimw ia I i-wuause flvt i,nd ividual behaves in a tmanner Or poses 014
21 seri"Dirs li�azard Iii thc n1d"'iVidual duw 1Go d'iw'worweN irudiOdua]. I
0
6 randipao"Carl� A grandparent or mp,andparem of a chal tor a rciarive ofa c-Ji i 1,13 1'ry niarriage or 00
adoption anxJ %,viro I AS WS the chAl is Me pdMW),"Caregi ei del the chi Id becarasr d N, 1-riologica] (,vr adc p C 0
parems we uname or mW Hng V) Suve as we primmy CMVW VU of do�Child-, and has,a 1cp 0
"Jis lep,l cmdady or guaMinwhy,or is mis ing the chRd 1 Armaj.
Living Roux frby-' E
1.3 Gene I 1%cripdon
Ly I Aram m] stawmw.
Tl,,te ()AA Pri'jArain is,a ftxkfa�' iftiiiati've ffill myd
'is,1heon"fy fed'end i a,escrviceq rxogrriti) d i rvcied Si')Ie 'y' in-mrovin,,9 t1le 1i'ves eolder pCn;Pk,
T[ie Frcp�,nnn prx?vides a Rarnewaii Rw a pmawn ho am ong am di ffetei it 1!e��eis,of'goverrurneiv and I he pt Iblic
and privale sectors with a common Qedbq irnprovkg dic quality fibill all oh:hu individij4,uu by helping
i1xin't to mnmai jidieperidei it., and RW PAMMY PurTme of Me OAA prc,�,Igrarn is ro, f6stcr the,
WeLpment and hulflerneradtion oCcumr4che:�nsive ancl Gooidiaater'J �iysierns to SN"01V 6,�Jer 11rc
()AA [frogranr uscs, Qw ')Cs e 5"ysteqns r',O assis� old'er-individimls Wattq'in and Ind nif'zi"in lnaxinain�[ in&�n'dervce
Page 19 of 73
Packet Pg.431
AN2029
an(l, or Ihe ugmbi,fil.y af sdkwa 'Will arpralmome SrIppottive!
The Mkit, �-Ircmidcs Axembes or dfrt� uffi�ulzve dortivWxy ol"llorritiou"s rneals 10P CddCr rT1diVldLHIIS.INM :'
al[UWN �,M"�FAVA,$1,0 increase Me numlx�r and,�or ineais wetwed. NSIP is a call m0mumm c�;r
llull. Supl�llcnnulls Wding or hod UW(l irl Vvicals sel vcd liurder'dw, (YAA, Fkwida
has cqqud t""al Cash 1:1,",lyrnents ill ImIA (60(1s,
1.3.2 A 1 r0,,u-,t16,,ty
I'VEI 0,J)PI"Ica"bic f6.]Crpl lmw% I riul mu wall proglaul insuo' lions, reviev guil'Ics'a,11cl
ON A r dmu me i mAm rdowd k"he kkowQ
o. C-uuabg urr Fcrk�raJ Doms6c ASO sumce No. 03 AJQ 91 G&I, 9104191051 and 0100":,
0 icams Axt af 1965, ammmadmi 204 6: C14
C. ider i%,vrs ou, awns An! of 1965. as ame"ed 1 IN 6, Sek t jon 1 N (42 1, S,C., 310,3 Oa)�:;
tj 4;2 l"J'S'C' 0604:,
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Rt"t,"Ju 58 A IL 1"',1 u� Adilmi i l i imtlur�i w� �F AC), I.
f "~�cajmi ad43a 10 L FRIda Smmws (! .I Y mad C04
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CKWA %grams and C'N
L3 3 SC(V]jC 43 i'SET-ViCC
11m, Provider I MPUMSible 6, 00
'File, scirwicc-5,AM! he pmoded in ariddc.,scribed in,
Wh the cmarmut DMA Pr(�,gmrrns md Services Ifundhouk and*c I�rovil,is Se Provider ApoicatiorKs.)
mAbrrdflvxJ ill res[lollsc vo the �()I K, ()JI�A REP, lfieucrwirq t1w, prl�vvidershafl tik, N"SIP furlding
10 nTpunely hwwn , For rewd used in awals served by(MA Nubdort Prognim Provi dom.
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3A M NNJla Pruqgp zi i I Ga 0
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11c mWor pat of Q,0AA Fxrcw�r arn are lea impme the quMuy lif !ilr d.,,Adtnr iridividuzds, iprcsemk,, thej:r
indri'lendence and preven'tor cjehl; naute, untly institutional C.'a"re, 111,ese are ac],,Yitved through,
C4
i al iiin CA,ia Campr dlem,i VC a rid i nared nsam dral PVVWCS a COM6 mumn of suviec 1124
,lbenulows dMI unal,th itlrlliver,,z neLd5,Of"O'da"ns Villd'd reir
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1 3.`5 1 0 0
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iridividuals, Thc Jlt'D� vklernlusl also provide, cumlllilrl,i[�,- ICINIMIlip on aging
j"Im I' ofiat f6r Ow. C10i;"lly o"'ilhi n the Conirl I unil�,� in Ccm-.iFm,,T3holl ,vi th agercies,orgpini 2-firions and
inrlividlm',ds ill McLiviries frind"I by Ore imlildc, iri4ialiny,,pmWe
charlg i n putfl ic or ptim poi and,311i tIA(ilEs-Wwards Wder pums, IaP, ig ac.1irinlil irriprovirc, RIGICh r"Y E
obbi nwe AmOms, wh ic,ha,dvers ly in"I on, I i wts ul"alcler;)cuons, (P:r cx�pre5siu,g,sul, ion fim-�,,,dcftr persmw 11 m
and dwk iriterests. Advocacy aclivi6es nnay lie bro a,"T"'Y supjx.wtive of Cbe ilItcl-V91's or older[wr'sons 01,
may invo,Tve axlivkics,on be'llali"c')f
L4 Chierils,tu Be Serwil
L4.1 (jorm!,ral &.)escrijx�,Jon
Prrih,ircmacm,hifll (w, gjverl w thgmk,, d it dw greatcm mmum-nicarid,social nec,�,�Js, wilh frar6euku &VIcIltion In
hl,w-in-coftue older r ilrdividumlls, Ot"ose Ininuri"lics, have, hrffltcr�
prormietw"'.y,a:rid,RAlldl i l"Idiv idl.1"a I� I-CYJ&MIgUr rl,n,`dA�
Page 20 of 73
Packet Pg.432
AAM29
1 AIA OAA Thle did Am crW MrS E H WINy
(briTumer's";Jm[l rloi ix dually wwwwci in arl (),AA, 1�irugrarn and a h4wiNd caolmed Ing4en-n
,Cd,l e wrill 0-re 1:11'Cor'sulnus in need DF OAA Lop I iwistnnee wrwic li and()A.A
Ntullilicin irl,elud,'ing hunqonadon SOVAMs and floril Cullgrepte nical
Lif 12 NSH)
iierlved to an riderly lroh'-i Onded in whisk or K pmrl. uriiiJler Sww-widc
Manned CwVWn , 1rnc w. , �' " Jlly9 (,are RIr I'l ier
Pregia,ins. nr,ii n1was temed prqgmnismay norbBJuded ira 11"re N81 11'coun,l,()AA,,
Oused Om"Migme rrient"",pr(, vk]od to SNIMC L I C:° choir-, lrii;iuy bct in the N�fl'4'
1 4,1,11 3 ()A Alifiz H d 11" siinrvieics, C I ie"ra r,"A�g
60,x 6dor
C14
LTIA UNA Titks 1111_'l �j,nkj Nutritkm
(�;eniera I fackrr,S thil"t flw'14(f he Cd,Iinsi clem-irl i n estabAsid ng prici&y An nuA(iion nxrvizcs mcl Dide 11 kme
c4dc"'r kwho lirrei llxz 1w 1 4-
(I"i ez"Inlint aff em, CDC04
(2) L,ack skilds ork nc!A�,I,edgel,10 awlec L anti pepare u)wish i ng amd wS i-balancied rnea[is�,,, C�
4
1i [Rve hini 1�o'.] ni ub�ln:y whib may impart and lr i:qxwiq to shop and cook &1hemsd wn; or
(4) 1 hwe
ig,il"ll"Diess in,physic;,r] crrn(1,6orr or 1"lave dxetl,,
se i ot 3,'high i uwl ri I iortal 6A
0
1 4,L5 llflc! d1d. d ( i r�glvgftle NuIrriurs Scrivic.",
In adf6on to uwAy Mic gamm! nwriGun".gel-Aces Ch'u"ibility in
ATTAONENT I., Parap,..�raph 1.4,J,3 individuals ii Ix. rilinbile,rri,,�t ill'itI ri'lYN1,C211y,
lilenuffly an"41 mcodixally W lo abond a cuRpegme nuNkin pmgmin. Inkfividnals
congreg"aix, IT
aEx, 64) ar abder; auH,,A C
0
2) Any q,pfju%c. (r,egard[ess ni,agC) o-fio wlortrk�'I ho edin i ng Cenlej ovi th,blis"he-'r Ch"gib,@'p
(3) 1111%OisabMt"i" (...Pfagpe, who Pi in a Dj,,craip)ic,d pri'l-naffl!v,
C'4 al
I,-,,�,y tflder i rid i yidtwd.~i Que ampmpe n"tird,60,11 Serviu-Sa re prriv ld" d; C14
(4) Disabled Iveai son swhu�mside a? hDrilic wuh and a(VOCNIXIF(Ii fill cligN',C 1,1"Crsan toi if dirling I
Center;and 0
5 J Vcjlunteelbw nugardhO DFOSQ Who pwMeenivallselvic'esorl a regllktr I Siseduringiric"al 00
hirJur's, C
0
EA.1 A OAA Thle HIC2, H,riniz- Services
�',n,wjdit�,tyrj Jl) I lteel bg&0 ammmi marflon 50VAS el igibi I ily, requ i rcrrwr tN, Jisled i ri 0
1', Fiuzlgr�,.,Iph 1.4.d 3, midixiduals nunt be hanwbuumJ and or E
rine d ic,,,i I I y L i n, WNW&ehg% ta receive 007 to
rn,eals; i,riclurde 111c. frdwwQ�
(1) 1 ruhividivals, age 6C'w(it Wdei w I ic)are hol-rulbo,"uArld by rewxrni.d'i I Ir iess, di I hy or Nwlaliun;
(2) The SpDusc it" 6igible,irn,,d,,`lvi dmil, regari-Pess r,W age, i fl he 1�i rjrNiFic)n n f dr)e
Clfllaleraj rllca� si-li"PoM nlaini fig dre 1N.+rsun whoune,
Indi vidualswk'ilill regal ii age" reside zrl irucrnc, wil h c!i giWe i rmifiv iduals and
axe dependew cni theni for care:arxi
FersioMal OuffritiOnal rf5k w4rp have Corliii would
rT,,,Ae 0%,,Jr I)l esence",al,Life con?ria'Falic Sire i iale; and persons 411 ril MA',k,��llal i isk i
sodmHy or odlenwhe rsolatcid and llluabik?40 atrend a nutrii:irm site.
Page 211731
Packet Pg.433
AA-2029
LU 3 OAA ITFIT 11[l)- Pwx�r',rl 10,)NAOO) INAL M MMY1 I�S
(1) 1 AgOL i nd i v W wals agyr shQ60) or Men ancl
(2) Priority will be given wryivsidiri,� in nwdkol[y arras.
Lj Cl OAA ThO H Lq Chragi ve opport sel,vices,
(1) Family age 6,,�t arulder;
(2 ("'i I andpw ewu,5(utwgdTM 55 (A-611 LIC17)or Mer Mvid ard's (agc 55 or(".4ler) who are rehalive,
Caregi VMS-,
3 Friv,)riIy wiH be given to fiirnily Cawgivetz WhD provIdc care for indi'vid!AdN with,AlAmArwr's
discase arv,,J rehited dis xminrs,lwrlfl,w rw�rfrflogiczrl and tirgainio OWn dyshww6crn and th6i".
.,iveirs who lirmIde care,
severe disabilm; and
(41 AY nad ke and a faahly comqVver mum be proodog care
itidividUal INhi))"licwts the definitionofflic ticrrn,"trairin(DA& as per All"AIC1,1MENNT 1, C14
Mon 11,
0
1.
SECTIU 11 - MANNER O)FK1111R)ACV [IRIOVISION, C04
CD
Cv
to, I he gw,ds td"Orc C)AA progravn,the pre're ider s]IM11 vfwnwe?[,],,w fol[oviving,zas.,ks:
"Hiz 511"'All ertm.lrc�, thd� a lrU dui r wNr dzrt,,",) anr run dly to,
Mannino A igpN Hty pri or I ro ren&z ingser.,mes iW to Morne a cl rmit is hmseN.1<-w rric ini';the 00
reqt6rornents d, si;:r d-rtd in this CATMaCt,
(2) Targetbjg amd 1,,.wreeni rig, of selvice, I I i vrry f6wNNew OTHerow The PravidarsImll develop wid ivrq%ncn',l
policles aix! procrthays Cons islel'R widi,CtA A ImpeORg and screenog NMI.
ca
(3) Prrwgranr Services
needs OfPddqr5 aw"11 theit CaregOmm. The Provider shan ensure he perlwmame �, jjd, repon 1:'�Crfinnnancc,of IT
the fb1h,�v0q,"ng scrwim arc,in,accorcbi with dw wreni DOEA Proparns and Scr,�riccq j Fgqjvjho6,,
0
(4) Prop,,rann FIJ� ibflily F�.,eqiurenrcnts
C04
Eodhies must incel: t1w t;rN[C,6zj ILI be efig�`Nc- (61, jxoggvaln CC:41
r No agcncy I hat lips rcceived a 99wr u rmler 00% Th!k I U [CIA, A section 3-1 ]11�,,42 U,"i",C% I
3030on. a n(i CO
A numidan 5CO&C prolder that serves imcals al"d, is undt."r, qhc juri. licticul, ec�,rat'4:4, 00
lowngernou am"i �,,Irldil iafthe.Arca on Aging and to Fkmda C
Aff'lIlrs, 0
Service C)peTfttimm
Ile CorumctorAoll cnmue the nuvirJvrn servicle of(hje provider rnw, flic 0
" c by Ilec orrtw,�i of dIIis(x"AtNU7 swe 3as any odwrappUcab6 reguhihnsand pol w E
E)Ol"A FrN�lgn,,uris and' Services liandOok, Ile, ENImirwern of HedM and Hurnan 0
l���dSI_lIa" - 1)(A f, and I out helkh deparnmen tv EM RR, or a ny Mer agervy deignawd to ki rpov i
wal, quality, (,"'ar-the Arae, The 13CMUMCCOr must agree to nodf; flw,,,, ,A1N.vwc w,)fany saniladon
inspozlifz)as. estR,,ecially those-that tnchxie hWh Qmfy MaGns and 1wovidc,�d) ccvpy of[he repoo,
to ffiv Alhwncc veil l"lin 24 N,'),urs. toost he AIJ Foo'd
savke v"doin nwo p"wWw a own II cormcdvc arc hou pl,Vn u,� Idrq MsArilion F°n',)Vid,"cr fo"r arty
high H
peo wyy tohre Tll,ruvicaws RD amd Min rtuation iirspec6aim I"k co weu& adb. n phns rp jgrcrfi�dee finIdings sarttedwdhe 111D ('31",Ure Ihai de ru,reire"ies a;�nC.a d wo be
remedK.
S 1t J ensure that C;KJ1 Uncal pww Wed Uncler dis con traa wos the NA hym ing
a I
Cifebl':
Ile 22 of
Packet Pg.434
lec"li'mcni, I")ietar'y(3,ti i,del mes fim A,i rjerician,w publ is-hed 13y the,$ccret awiv.,-N o
J, Crimijil ies with.tl
th-e! Depaimtent,of HeAth and Wilan semcm an(i ate I)eparvrriero of,uricuhuw,
5. PlumAks a m0mum (W33 13 pemelt of it dielary,zvfd rcncc iahtkcs att
Ago 70-Ainuile as coeb,11 islied by tl,w Food ud Nfulan Boud of Me Naholul Aculerny of
Wjencesz atul,
A IS sened hom and a,14m,mi,ed A[fiavxv nianu,
d, I w erl Ch i,gin and
(onsimmu yW,r exisling WK NSW W,,. ariod pr(')S iders rlra.y
u-se. N$I 11 Ca's'll'i 10 pilmNse Us or KS. Wgh Wr Acir nutrithmi p;rojmcls un,clitr"I li[v [11 rz4"flic
W wk. NS I P hinds inviist bc a,r awl ,(!!"CXPMYHJ treat wNces Lo Alai, awks,
(A) N1 on WK ng 1hu pnhwmame a F is mAcornmunim anWo"wams
(6)Compky"widi Me Al Unce I Firikil ii!,un pol iceiesa i id procod i ires
Use ol:'Sulw writs actor s andtor Verulons, cv
If 1his Ccudyaul invoWs themse uN s"Wouracoor andAr wendor Men slialt dcla)�, 111C
Wrtlr 0
01,lis rl ell I Nviffli thc or wendon irapy cimunistarlee occung thai agy result 4-
in a ddA; A; a pur Nd o If&vy (Mn days or nunr Lbe A Wan of Me mummurao Avn&w or Me passm mwe C104
of We subconmeaurNendor, Ili c ProvAr Arall Wy Me AH',iarre arla��,Cr in �%Fhillg od"'i'�m"ll cic,'10 CD
C'
liormila, to Ire rN.,wna suvo,es i3O,arxr,,J to Nvi[holrl
n CAX"LINCE]. 1111C .Alliarmc wik,, Iw 1)(Csl,.)rul"r ^i�',,)4',e,o�r liabft!" frwr
aqv, Or c4arl11s sur ,,h
C
0
11A Cq%of SOmmumod%jols
k1 o ,welidorw lo,I lie Al I C01,11AACtN1 arw�,,oThe Prcmider shalI SubirlIIPoll K ff
WJ1hill fliirly (30),d e
each siu[xrml ma agman"l, Thmugkoli or mancl. FMAJ,
the Provi"'i'ler ""hall slihafit all d w',itallggies Lo :Wlicontructou,to the Atlianrc Crlmtracl
Manager.
W2 WANW9 Me PoAxlmalue of S libcon li actors anrl,woi Vindws C
The Fruv$der sha 11 (1,1lon,iF,,or, r,Iff, le',L, once per yolk CaCh Of i:15
vendurs,andOr conpiltants Q1 frot,ri km irls 11rcMded N wder,!ll is (,onunict
C4
a. S,lib-recip ierrl; The PrOvAlri-sludl PCI-I"m M 11,w al, adl I I kl r,51 I i've an<1 or manic iii uni tu'l rrig CC4:1
to envue Contrudual wXyliarleq is acemmunbili(y, prapain,, ,nvalic po"A"i-inarwe And
comptImce Wth aplYledWe Mate and 146mal la%S ark] 1`og(1rh,Ri021S. 1"he Pricrvider shall lurmilor to 0
eumme WAlin c sc heddes mv mat, the bLidgc,C road s"Tc ormmi aire aep,',<�rtnpl islierl w ilfriw,i !lie 0
0
spec i Vled tirrl e artd perfcm monce goids unted in this umilract aiv ac C
b% Vcndnis The Now% WH parbann adnWilrathle and prqpArlmnahe monkod ng to enmwc 0
awwactud cornrd ionce, pmgmumuldc pw �wld complia nce vidn SPW RaWe We and
Nat l Wws and regli WK& 'The Pnivider shal I rnaiduor to ensilre fl-Mr thr"ve w",l 1�kzxllflrm W,'e rt"tel, Nlrwd 5
Ac soop: of umrk is air compikhed Whin ahe sycURd We per-Wo and Wer perfurcriarlee goal's, E
state d in this,cunlrawz t shim acWnwUTJ-lv Provider sba R pedorrn a i fied fi;�uzll iz,,milli-lori V.-I g I'D
WhWe W protedurcs and reconci I iutk,)rl t,a crisure, filwa I ACC(�)iil)tab i 1 il�,,'y aik(l
si vslaiinabi I i ty,
21.3 The Pr uvider shall c,,rasrur that all requ Ww"d C hvnt R)r services Im ovided,' su,11conLractors zin,aJ rg
ve,,,,,.ndor� we entered W the CWTS database pu dic, ()cparlir-writ"s (71R1S Polic Grlidelirvb hb±,daur
m no be emewd the C I RTS dMaNse heRWO the PFDV&Cr Sir 11111 i t,9 fl1(1,, R equim ror 118YI llenl 4ind
Expenditurmo, Rrl wvs w 0,w A I haum-'e", The 11tovider AM I eswbhsh thrue framms wK is s
And ww,tildON 113 Vivith dams or Me Re"WSIS 1"laytraen'l and 117"Aperlditurct,
RePIMIS to ate wk I I An cc.,
Page 23 of 73
Packet Pg.435
1-3 Staffing Requiremen is.
23.1 RM1% jxve��,
The Pruvdcr A I awyn &own KnWIMM K amJ sqVom W as neelRIA the tpKks,,,
dKes under 00 Cunt,,rn,NCt ennme Lho ded"R.'rae
we sta fr acuordi ngi y.
23 2, llrcdb I I:aI"'head Ql"I'aliflication's
T'he vmmne Ihm the maff responsiblin V perbrmhyg any Oaks(M hunaimis &Mmn
cootract haNv 1he cgumliolcaoonN Na' spe6hed in Me DOEA Puul !�cr%"iccs. Hartll,'book
2,13 se�,,Vi,ec T"n-lics
"The Provirkr sho I I ensuir K pmvisj �,n of services timed III I Ails con lraur (Ill I,kigg, nui llna I huN I rw5s
11,C)i H S U111 dCSS Other 6 mes are M cue appalm1we the numt we a No S cmnrna,
Iijul il SbIar] crVonrto[ iPS, ; andbr vendma to ensme amy M VUA,ai�,,ab le,1"a �Jrjr(m,IGil4, �,,,V,rvices
r, i Ve Rp c I bra mceds and&mhg I heme [fi,13 CS %V11 iChj lN,,S1 MCI Lhenceds A I the ICRI
lelevant service cmummij,
2 3.4 1,Ise(A'Vul ur!,ILT.�rs to �-,Xjxlpml the 11r,rwisicml of,'Avai urhic N,',pjyj ees
TY-Provkdei shal I make me of aninod %%we rs V l)ru 6,d I rubyrubyailail rwt se ices c.icl I�, e Crd to ol der, dk91 Is 4-
0
alld ill diV Ida awl s-kvifli dhabOhies neNhnu such 5er ices, lfjxrsw�wible, the wcn'k in LLmn.fination CAN
With ammyn6uns that have ex""perie"'nee in pruvidkg UNK& plac� ,uenz,, SAnd CD
C'
as
part Olut as O"Ohn6orIs canjying aur l
2irrvice prograrl B adrr!ii iis'w�red 17,y the <
fail Natirrrnil
M
0
secticni provides low spVC&C quaniinalle 1MRS, and
rNuired I o o-�I lh�nce sw cm-n 0 okm or Aw ukk,i icil' in I h I s commi, The INK dercniml il
ill the tirn,cand inarner fi�rl flic rn,,ini,rvuunk to be rnet,
Each dchven6le OuMM acmplvd K mmkkg ly dic AM lance Qnnmu 01 artage r llfl,wdon, (PNe ruq,u ircnix:nl�,
Aw each dch vepAde be Kne Ic [Nov ider Su Wn As an in"aice rpTxxon g pyawnt
M
I Ile I �fl lEl I I emmue thv prl,-Ai ul,a Con tinu troi ka r sary ices that inects the th"I""As oI'it I dom and 0
1hel r ca IQ verL TO Prov idu shall ensuie d le and IVIXIa"i 11-,, ol"Ills' f6l hyv�,in p kcs,in
I,eint (XILA, hygmmm and SmN ims Hawbook and thk cvnuad. Dm i.i me,��ruw, of
C C4
C:,
SCIVOC d0iYAJ must Klodf a repoa C4
I Ig� I'mirn[3,01-cl-fc I�en M�lvecl, nwo her of scry We
un Us pNQded day sum, amd roe pu semke unk Q I cMcWM Om dua eWml We unal 4n,We amum,
CO
0
TVie N"ml idcr shatt
ices pwvWe Me sunum dcwAbed K �fi-e conbad in accim'danceunth tile curren( [)OEA Prograxn amd 0
I--c r-
�ry Ifi,,,indbook, Llnilsc�f��, rvice will brj�mid pun5tuiro,todwrares eslablished in AIJ)%(,H�[ENT'V`,H 0
'I he e,,Ier%,ice% Ilia c I h%,)l h�rky at p",cate, rl ri,es
GE
2oL I Suppo&vj!Services(1118 p,,g,,,,.r,,
suppmove smvices ir�,cllldcc a varwty an'd lumne-deliveled
quahworm Aw own IK-flptng ther)n,ivrmlhi Odependent aj)d prod,,uuike S'e"Tvices
(1) AchAl Day Care;
(2) Chmv SwNk"�
(3) Campankn0p,
(5) A lei I Reso-.-maisc;
(7) Hinncmakcr;
(0 l,,,klv5ing, I I I lix,ove"mcal;
PAge 24 of 71
Packet Pg.436
(9) Legal Assistance
10) Material' Akid;
I I"� Rersonal
(12) Recreirdow,
(13) 1'5,cmen,i i igg and' iks��essmrznt;
S 1101,7p�rig
(15) Ttai kmi"' ar�'Id'
(16) SPCCVW Ad Nlledi`uhl Equ ipmer4t, 5'terlo iees,iii id Supplics,
2.42. (,'7rj09rV�?AIe NuIrikun Services (IUCI 009twimn)
Niarilian seniicets are provkkm] in con,ple seoings aox] ftic Fac"d
NeCuAy pornute sWasom wid Ore, hcaWl an'd well4wky OfAdu hus"i'dulds (I'y irig, Ilre"'m to
C14
ht fu I'l inn
O�Fngivga"�e incal's scrumming,',
0) Nvai:G�)Ilf V'.I'CJ1i0II W1,11 nutril'kw"cxma' efiug-' C04
CD
C�
plovidCd hiunger W Riod insecurRy purnore swalhojon arw
the he'okhaild wcl 14-wl rig er di viduak h'y assis 11 rig inrl Mduak to gz�ri -*cwss lo rva,'I 6ticuri
ad0%clhewc hwa[rh PoAnolimil SUM& S"'oviers i I i el�url e L I I C,Ib I I(mv i I I g 00
(4) HIM e d 0 hemd nwal s;
(2�) NUITitiori c(ItwalJon and cwjFi,,se4 ng;
Scr
114"'4elisc Prewe"110"n lioull Flealthi pro'notion Sevyjees (ITID Pt;'igpntul) T
Disc.29c PrcvcnI:ii-n,1 an'�'CJ 11 ea I Iii pi unlolilm(PH UPRI senke Fiaaee. Imem drrrioastr,,,I ted C
dimugh Mum% to be efIRA-v, ibrinmprwiin"'g the,luuallth. weffbeing Dr 0
andIr Q upe am Ong,OW Win and, paven r0hc=widi older aukh 11"'w ACL defimes C04
as na"cefi ng ctiteria ChIly 'tieIvge =wb ihat 11'Wet tht, h1q1ws1-1r,yv1
804')%'Ved I lvxjer 11"Ie I�j D Program- F f"'I'F')[IH P ser�,viokng;in usi. bc,dc-1 i wmx� 1wr*w teqW6rernvnis of 1:11e
pru"lgrkun and cin"AM2 J310L 2,Y1111) fide]ily Ewi-:k�ncc IM'sed prograilya's ilie'hut.lc we Amowig" Co
A Nbus of Balmme 0
0
Disease C
(3) E i a'he ws'S'e NI a I I wri, uIern,[IraLp-ain 0
(4) Enhanced Fitnam
(5) liorneMeds,
E
14,5, (�Aiiwgiver Su ppar'[Sersices (LUIE h-up-mm)
I'lle fbflco��ir�g services,am humdej W Pwwide&MCL IWIP to Carrgivers"assiq in d'icf euCZ15;
IWO MI amd WaWal �iterac'vajwl aqsi�'% 'uvegi vets i ri iiiiiUri��, deck icwji, �,jmd pr bletr,'� wl�,r nk, i Owed w-I
1116.11�-
!"i v�J1 g rx)I es v�,�J retl's I�m ir s i I.iil il i es:'
(1) Aidult D;iiy (,ara�
&6 rourp);
(4 S crc c i r'j n gdP'Am e n e ri 1'
(Awegimer Supperl Siop uneni2l services qTJ eymm)
, I)k US F r
The RAIawirrg. plerntent pro v ided ly camg0w;
5 lu urni
(1) Chore ScrVice.'s;
Page 25 of ':
Packet Pg.437
AA-2D29
�2 HOUSing
j) WON Ai*,=4
M SpARM41 Me&ud Eqt,�ipmcrrt, Servic( ikrld,"StIplities.
2..11 ("'31"egNOV,Su ppu'r t,GrantIlpm Pima Servicem (111EX..' Prograrlij):
S L"r V 1�rzn��; rd,r g lo VI d 1�)&Tk?,TIIS D r DI&'"r i I V.1 j,w 1 d�'l"""'l I s,w h r;a w War 4,e ca i c g ve r s d jes i gtw'd I'(I I I e I P M e e i. I I I C i r
c.a t ieg i V i I I g,a,b I i go r I c,)n1s, i rm:,11,1 1, I"Im.- t 6,1 In w i n p,,:
�Nvi ii'sutl Icc;
15 Reparks
niel� dand rreslxrwts rWcqeR �n , h,d, in d , .t ' ead/oogci sI, cjI, s s r Ywwicrc5 y pw )Iffl " yf"ashio"i w adifigichiial rawin an c '
"'wte h duedms franyrJtr# a,*)r
alldta vcn6zms (Ita(permil dihc1rclividcr10'I)CM:theARhmwC'SMpDrirlg
4p
0
Servioe Cbst ROPOWIN I.
TH Frovider shall almh SemkC CM WPM LO MAU home annwd Y, no Wder On 90 days milli M
C12:41
hie pnovidu Fiscal year emi I"heScxvkc Can RePMS SUI icII&I acttul co"U,Of'papvidirig,eitcl"'I C�
";evv Ll Ic precMling MY der A wal yumi
rates, Owe Prc'wider shall rnake a rvqwst i'vi wriling to the All ia,'ncc i n accordailim V11h the Atliwxc'S
is IM.
0
5.2 $01"Phwuh,1164 R"rpori
Tlle flrovidcr%"Vifl r�,,naif'N'AKI 10 1 ra"Port in a, fir.m-nu'a prc)'kd'de J tby the
Afliance v.-'r'Ihe AH,iarjge`s wnrra car I mamige.r. Surpl rjt reparls,mus,[bustzbni iticd witti d"Ie
rnordhly requesi F6,r imyinertl, 11-6,.5,weport is Rm all semire,5 1-izavided io Oak;agn"Oerneril kworlwrrating
in thig col-o'lact, borween Ow bra v!xicr and the Alliance,, The rellorl will indude 111C
0
(1) A hstot�all SvA-vic,cs and ffi6r st"8rds rega"Iding qlIrriLls (Ir 11jel4-11, and M'ty llwv cfifi'e'r fAmil CU
hs ariginal budgel� rwojeuvif.mrs IM C4
(2) A dditiled Oan an bmu dw lwrphs at delcit It"i've", [% ra'agid-dy thieshokill will cc:41
tx"�ry ol"-ee(i 'I"'he plan 1=1 rolUcl J"d,:"'w t"he F)"rovider 11(lans to,
CO
(3) NOW ofHents cumeMYM IW SNOWL fAPCL),, 0 0
(4) Nwnbei o l'Uneh ipl ic"'Ll,cd Cl'ienrl sier'vext r-
0
2,5.3 V619titteer AcOvj'cy, J!jqjqojq
le 1"Itavider,sh,all wbmh an awwal urrcluplical(Ln.l relict"11, n I'voll'i no eel,�Itx�,I�tjrs on,11w, fiwniwl provOe.1 4)
Ke Mbac& The date cal locric)n rxmrxl is 1rorn hnupy I - Lk—cc-m-flie"r 31 each catendlar ycar. E
-r-
I'liedato s%jbmksi,��in date is five(5) volOg d,Mlowing I[w duse,of the cowract,pericwt 0
124 URTS
Chat I dimmalion wn Re-gislraliorl I"ack,k:�g Syslwrw(C I RTS) R
"rhe Pravidex A I I input OANspecilic wima hw)CI RTS Io en we (",IRTS rtaA n.acci iracy, '�Fhe.
Provider slud I u9c CA RTTgammi iqx)rls w,vlfichindmffc cbe (k,41o"wiing';
,(,1,) ( flenj Rv"Os;
(2) Nionhvijmg Reports,;
3) Service's ke�x')I-ts; an'I
Meamires Rqxroi',
1"Iwa[ Report,;
Page 26 of 73
Packet Pg.438
Progrant Fighlighis
TV Avvider BE stiibrp"it Fropra"ni Hi�'hiiglas re6c',rellcinigsp ific CVQFFI$ 1:1149,(111243,kfredl in previous
oxitino yem 4Y sepl.embel. of"'due Cuaweni CoUrml Yew The Phwi+,A,T pTUVidC M,nCNV sneocj;,�
or hiluiWinkres: Agwan "Me h ighlhghts,skall tw,Wri tterl fi)r a i�;,eVeVtl
,vayd fienct, Willi ni�l nerionyms or teohriJeal ttl ai& Rm/,i I I a,gei icic_% rir argani7atiaiis thal,are i e 6", o'r ei)C J i 11
the highl5glff.., Me F'rovider shall Fwavide a b6didmoiP150h 1117 aWkWisdan ur rule. The naive lense
shad! be ConfMcnay used in dw naumbiq in OWT 1"a I Ile qw6fic iruffiviElual al,
enfily that, I lie Fw-4,0i d,escri iri Me higj"El i,ght The Prilvider, d4l I Ir ova iew, Mt
Pr09MM 119N WK for clad ty, readabilly,rebrivanoe, speci Wy, inlerr's?" al ld gralnun2r' prirn-
la su[mnftving Mpn� In the:
2,5,(i 01,1110vach Aiedviity
'I he Fri�tvv4,,Jvr F*0811 W"'Poll Oil i"Afli"Vach atictivili"es, at A�Casl
y
IhTMML emalilkhed by 1hc,AlIJanae,,,, The 110mial must include be folbwirig C14
and lype of pay6der eveivs or acovities," eawtNw., and loral 11,1111obuz iA"participards BE
ow.all of aclivil�, RUN& service rizech, I cld rrat s£i or
0
l I liu.. 3 Ozlivl IN-cein I I" Ajr at
El I c�'I I V.I,r,n No r 411 (5 I'l 1,r 4 W i V 9 i e S re q u ir MI 10 be c 0 m p I wed a mn im H y M r ow P"w*w r cv
0 1,r5l, 13'e C OD 5 M a it 45 h dt e n U m h C T in f nu Ur ac h a a N h 0 S 0&,rx",I I C,e id ii�,j til ii e S C,I i rv:e Rrmi,d c,r �
Applkahan(SPA)5Ldil)jjl,ie(j ju,i ibe ',"10 1 S, ()�&A 1�FP.
7 HFar ltill trod Wellness Repwris,
'I"he Pjvvil"i 511all Submit Ntoralily Pl%) rairuilafic Rcports I r I E3 V)p l [P I V i "r I 1 00
Alikuwc Conow Maitagcr iivik ani, Ex,("""el ),i the Ibll:ow�,,Ing lahs�'
czw I I ll'un"ith)", suixess. rlrU ri(,qior(,e.,,d i h, vla,l:
Partnersiftip (oric tab l�qx&itlxl 0115, alilil iM SLIUStiCiEd 13rcakffiniii il�ige,
8—Inksmiation piovided in khe Ndonfily Efognanwok Repixi 111,11,14st R111awk, CT S d'an'l IT
and 6c FRqued Rn Nyiwiei a, C
0
It Tbe Provider shzal I relivi�ii rain docurnenlatkmi to cc sure documeraaka n k ownpIPTC
ai"o'd adkxlwately sllpj�,,ioas Ille-, rcp oi 1,e-d thv Nlontlt(y F'rogma"mOc Rrpm,,I,
CAN
pdmno s"Fan W i ng a n,esl R�'i i The Pmn kler wil I zutest Lo die review in die V14
Reporl aw.1 1:,wowide, rv,ICvfinl
regan]4%g V hie dewnlrwntatiori rWs nei"Cled Co
c,. Pirogriain Shall hwkidle at find kWSJ iinp Cleiricros: Sigtl-fr, Shoal, r�a, 0 0
ALlendance Log; Cows or docurnerilaWn derroonswoning unbus ELI, recr,"Llil C
aned pawome EHIAPIR services pri3videriq currii f"acilimi(ni c,01,10�x auk's: (,.Op�', U'r 0
pown ivensts orap0cabley and any kwms rcqtjiicuf (,)y d-wsp<xJf1e pi,opan,i, 2
ion, i ric I udes a,Sign-!ii Mwn cm Wwlawe 0
d. Prci,.ider,shal I cnslllx!ilhra prl,M,�fjf o,,Ein deiei�,;Eiiei i ti,w
Ng w Ali dan tirn, name or prograwk pmwer i lyrnt, narttes.a rld vuu'rii of)35 0pl"i'1Ll 11 E
WE KNOOO. I Me Auadame Log i:haes no [ i'l R, rpaco, frw,'rparl ici Im n l
iliddinc,nal, pnzlLqj,,ra,1Tl tnua be AwAded willi sipnauuvs 110�11t
manches lie parlkip,',jw luirnc�y riwl dates i1w t�,,se [mg. ElceOi mis may R
by Afliarrc'e Coi I'll Nilanage". Wmas mum bk,' Priade No wrizing aps'd k,,t,,.pwAh
prclvarn docurnentatioill,
ci, l"'arlicipanrs musl wrRC and sin awk name on pmgmai si�gn-in sJwzei m- Aucinditrice
AAWamce Logs QW, Fell-ticipalia nantes ly ju,"d vi jin Ipy �,,`fje ptll'Wd, Nvill nm he
a Coplee"I �s If M par 6cipant KW5 or is rrwiWe to
n,anic ai i�cl mgn, the inanctm,may sign Q,,,pn�,,my fii the pwh6pain w1h m nm rin the A gn,,
al shuel s1w.AIW Wi it is rwce5sary It,do so(Ow we needs tulle ililitirilednin] diAcid),
If"he 11midershali tibidu Eby fideb,,I), Imgi,Nkvrncirns mixt aninvOly obsery divery
of EBDPHF savRe& A Me W tw inchtdied in On Nk")11,1111Y Repo'n in the,
Page 27 of 73
Packet Pg.439
AA,2029
cmnmeras SM60n. Men a PKIMn't, Itas buen 011serv,ed, 0M ot'l 1,en ta 1.ion i I I to I hv
o�neiiai?,ian will I !!! kept and proMed lo, J-ia iVii,ance upon u�,-c.qucv
g" i be shall Conlect Me A"Ince in the eve in cfl,rinel:ner,,�:wen(
;he 1�lmvider is uumbk Ca malntain an msj�teci of tilde hl"y orthe
[HIE)PH[I scrvices(e,g— t-itinhumn or niaxialrrmn, tio,,nmbi.�,nr, of Participants) twfbie [he end of"
the vorkshap. Ar., thc diu ret,Jori of the Ah,imnGc thc servico ntay �,,xp
rcurdlia",5c,"d IMIder this ci1ilium,7t, ho)m,,,vcn, if the Fidelity is udkl 111c
prograin has Ilnkhoelu dorijiqg 0"I')e RRICques"') Processnr as dpsk, Ote,
R(lovidt"'t I Vwly not 1xc rc,!41 I I N1, e,�d I'Clr the m9mishop or Sha H be requemed to munbotse t he
A I I im c tj-ie c�s(, (,ifj I 1,�,
h rhe ProwAS shall Co"abonde amd panner widi lea o)%,-Fe1,u,,1 14, reath 1A,
gerviocs. Parmerdips shAi be Migncd V) SlAntilatu innLYWOM Of nClv
F,'-BDPl 11' service.,i, cleve[crpnioll"t ojFpvaFAA- and
leverage Mar fballing soumes Thilneishts Ovill also Mir'ns 111,uldillg 8MJ stiSiailun!; an C14
jot"fr�'turt, C tfi Ic d i esit cd E RDPH P setv We& Th K Mi,,dies� hit iaot, t4mited
to. recr"Kent 4 M10 M awl Pao ki I'ParMS, c-cm,"Ll ing costs 101 licenses. and repliating
40-
ON
CD
T m I,w�C'.I"s P s C �,l�,e Lf fc�j In'a 11 ir 1 'I mz A a o C A gma r w�, il�J�e i, id Fll",,It
g, r,� ir,�o r i l I b
rexpui lx,-�,d 1�n taO,, ("4,d,-xvtncrshi I- i 11 the,rVl oojdi ly Prop nn-n niatic Rqwq�t, rrlucAF� I he
Pro,v,N der sl Id I I rc ViQv�,,, ai Idprx")Y i VIC UP41'11C.i 25,
M
1.
2-6 Rcco,rds child Doe,Ljni,e,,Ma1J)n
C
0
Ile inake avadd%to AHAwe ammrlc 11cluliom"In imvy dcsivgraled by 1he
AHAWemdAr Dx1moman aH coiiirnx.t, r(,�Ccmis and docuinentath"Y "Tbe Pj,c Ij�,,J,,g 1hQ
CoReabon and inairtionancc orwi P99mm i-dowd ink,irnalJon—ancl doutunclusu skl,(14,t,�Yhvin
deNYMMed by dalte i�m Aanc,�ancjl),icr I A Dep;,IrUnern vblid and orifll
and sysivnis", to I)qncriniont standards. DaUL niust be usable and in a leaidiabfv b ie,
IT
Affix,�ee aod)`c,�r ifie I)Cjlav, C
0
2.6.1. CIRIS Da Uk Maintenance
C4
The Pravidcr mill eny,��,re 0,,ie acavad Mcc%,,1 arid rnafliMaaance of clim, arul sei,viee infunn,ation
a IMMY SO 1"m the C IRTS or anyouch symem dxas�grj,ah d l')y the Alliance-
inchulos val idexpmn,,,h� ai id lirjcki�,qx, 4aa ani'd,s'.Ystmrls axodlug MAIM=Mild, DOEA 0
must adfizre ra t1le Alhance CIRTS Ekitzi ling,g,,H ty 11�:d ic ies,& P,x I" L, L 0 0
41,i�,c1q,torzacd by in, to tusure da,1,.-.,i acr.uf%%Cy, C
0
06.2- Ektta InUgO, aml BKOmp Modams 2
The NuMer An H tvahimi,rij l itten l w)I n: and Fur 1� )stenl,
k,,up xnd 0
maway and Ad I ha we the same, of its E
amI d P ds d,t al a SEA I pmdt! ru «4u l a d1 IIas Nw w t.,hc Aflia,ncc, upon request
M I (Momes and Mpas (Pedbnnawe Nkwwms)—At airdni Inial i-i, flit Prcpvidcl inwt;�
Iw 15swe Me PMONNI,UFIJIV� SeTwices,descriNd K dis convact am in 11"u,cor nt�, re
Dol ' 11n.,wrmils�Irtd seovice� I h,"Ind-1,�oak and iin of'Soxvicc Pr-'-)vision ciescfid,-Td in
to CMMUM
(2) "Unel arki accundely sAwd"U Ow At but cell infronnation &,)!,,,,-,crR)vI irl Otis ciwmict-
Page 28 of 13
Packet Pg.440
AA-2029
(3) Dcv,elt.p, dDuarncn,,h WKI hi he Wke Wider Application (W)M s"porl,
the Depamuneov i fl'tl wmuwc oulci�)mc akwsllres i I) (he",JiA �
a) (451,51,(of",ne'v"-sery ice i I I I h iggh-ri Sk. marition WOMS W HI Awnwe Meir
Elul tri 6an al. qmujs.
4"') 6544 (If l'leVk"SC17ViCC Foci piclupsw ill nun nra n.Or 4niplwe theirADL V aisies n icril,SCOM
d) puss or new,ser ,ice Irs,wi II Ma i 11tain or l r,,ADL's a,issesslnent SC("rV.
Q.:) 89%ul, ffin-Oly and WRIMSASNd will �c[`,f-reporlflicy -,,cry 4kcl,,y to pTx:'rvW,e Cilre,
2,T2 NM(jo i I.,(yri n N�,acid Ev a[u,,al 6 n N'te k�,n4,)do l��kaq;y
'The lHance OR reAw�rnd eva I i:iow the n>f chx,ru Fray, L"Urlde"I I I ic, terl rni of i hi�%
elmtrafizl. Nforriai-)ring w Q Q I)e colwhlx.,J,['d through doe s Ccanct W i l h Pro,vkI`el, lftsougllu
),vrilillg, arIM'n all I-site vim"t,1"Im AH kltwe's delerTn riodon of Acccptable parf miznce Oufll �hx
COOCIUSKAbe f'l-ovidcr agl ee�i In,cm:p:'Tate %k,kil �he AU bms in MUM,W pwgren of C14
cum of he iery tasks arld dehiverablen "The Alhalme nuly lj5c�� j,�. Ilol I i ll-rile(j r,�),one Or
Mum U F WC hdW I Ig PICOKKII,s fbi,rinrg,pirhituoring;
0 I.
anid3rll ical 1-tv"C'o"s; C04
CD
(2) Selmduled, unscheduled, and fbflh,-.xvoaj��,Orl C'
(3), Client lo,ishs:,
(4) Review of ilidepmdeilt,ituditar's repurtg;
(5) Revic""v oflhir,,J-J�wirty doq iainwrft alltUi'w IM.
(6) repurts., 0 0
(7), R,,,evie,tv SAzisf'."Ictioll �iuryqs;
Agm=Yqwn, ron a nlnnY wvielxb� ari e,%'Ierilld inkhR.-W Or C01141WA211 L;
rcvpcves" arlca
10,1 Other prco:;,k%fij I es kkerned ntctnis�,iry
M
3 73 1.
Sery icL C
0
Ibc Provider Audi ensure that al I Inlefi,6 pani %erverl wee ROW A
prq,.� CAN
grani,and Ifima I I �,rnrl,nN I 1y al perl"w-ri i"ance re Dxins arid fiMi:nciat recc-FxU,are,
i"I'Milltairled f(y� e atz-h rcpurnrq,��,pey iod and 11 V as stiplAmted W= 2 J.2A mid 23.
Cd
Any 1"Vog VC, MpWh or EW9Y61h records riot mcabll,@ dre 0
r,eqkd rtnxieros of ffii°i Amiact Al I not be Q I tlg,'Ade, fi-PA, I I'N'S pftpgralli. Thc-cckpjm 0
assc,-6,nled with UsS ng reymling WE am.n4girig t4z,prcqimyn-shal I brwrle,,S(dely b 0
y Ilixt r-
Priiv i der, nip. F,01%si res i nwkc of aq Sip 6 fizal It,anthlor F-Y�,I(nn iz iMialoionis thlt 0
le"On'I"promise the Pra'Ander'5 aW Ily 0) services,,lib achieve prop larruna6z
pelIbrmauce u.)prov i dc wund I'll limbLi"al rrmi lrq erir, of,"the pr",qgt artl,
E
2.8 Cong raclor's Financlind 013figotio")
2 1 PV[Ochl z, Level of EfIM4 and Eantadving Requiememts
The Pr'KIVidcy,,,,haH prvvide rrWWh of aa ICOSI 10 pemov" uf lAlle fi-xJeral rLinds mcei'ved, Hic,
pix..) Mid er"s,match M be FnPAIc in,the Am INS, gannei ivv(�,nae Oldirriinistrafi-vt 11inds, awifcw
msouires. TV Novider aovill lhrou�'!-Iha prewisixin ill
'perlic"FAI Of the Cclo t""Or I'l this c(,',,rlLraL 1,exuept ar We i i i,,a -rim Flrovi,Jcr'9 Inatch ~hd,[I
I)c'muNd4-in, the fim,11 of,CASh arkdfcw in-Mncl restwtl,,ircos, Die Pirt)Vider Shall re,ljorl inaki'l Y litle cach At
W VW CIOM Cmillict pehaA lie Providcr nItIA propci-1,y ri-Wch ONA ILA,
2 8.2 Ccmsa=Lr Coull ihuln-ins
are to l�ic the kpt�owlng le I
Page 29 of 73
Packet Pg.441
AA-2029
I TIC prowder'Issor(t5 Section �15 n'I'llic (0,A as anti°ntivd iii 2006, hi regard"u)
2 Vo 11 f a)r Y "�'l myl 1'i�1)ul'i 4�)ns a I e I I(�I: tn its mi 4-1 r co s I-wh r i�n g c)r rna tell'i I��g,
3) Accurnul Ht C"d votonlary,"�Intrrlw icnls zire In �X-�Used prior vz'a Wera] rei it ibune nrtnt; and
1) V& ol unital Y corn i ibnfions are to I c vsed ocjl�y' exr�',kaiu.] 5evv ices.
2,83 I.Tse Lif'Servize,
I Ile provi'deris tyqxcled in sFnd ef NO" 1,We and��llher-finlids providul by fl-io Alliance t,�o,dve
spce'll,ked, �4�,lbe Comma. Ile PraWr rnmt rwmape Ow savoe dAbrs in stxh,� immrier.wi as to avoki
haw i nk, a wait I ist" as &!Oc tor ai sorj,;,lus of hadis at the end of We tawa ps io,,a,J, fim eauN� pzi3q;rani marwgod
'lay flae! F"I X:PV1k1z,1- pr%,�Fnrn surph,15es roug tv,gel"xAliftl (Lu 11 1�ff A I Hance.
18A Stuphs Reopwre
In awardame MAh" i is Skriphisidefic I rnanagarnent policlaq W arder in i naxi it0wi? ayahla% SnIng and
rrnn6ri i zv the I iti,Ne il lat p"oter ltial ChcrlrS TWOt W Mr seivW, die)kH Once in As sole chscrctinn clu I 1°ejW I
%ding zwu& 1 f Ow Fwyklals lu a srxndh (iing In monthly p�,air;�avtd i� [Cd B3 inc,zr FA ,5o rpl us
0
at dw awnf to Y=
cv
W5 Ile WOW Mines 10 ums I ndt an dewded in the kkwgrrs�vnnr�ary, A'F'-,l',A,CJ,[,MEN I V]L An��, cj,-�ange5in
le amowas of Idual ar gmeml i evenkm hurds idend ficil on the Rdgv� zi exnatnxt
ence' When
reTwsh ng changs W,(1,11 e buld PM Surnmm7 Fami
0
�-Sli I We I f I F),tnds
11W-Alovidcr assures compIN&we sc.cVlion .'106,rrl'111v as zlinended irl llwq
Wds received umder Nle I 1"l wJ I I nol be uwd M PaY'my pmrt of a W:WhW big awl adminknOve ccut)
11a lo Inainta'in a contnaoual or m laliu'lvN ship that is,nxla cairio�I W�n'at to
ca
In Omman TIN U 1, IT
r-
0
2AY ok,11JA'ANCE'S RESPOINSIBILJTIELI;:�
C4
II 1'r(kgrarn Gkdtlanuc arul FCC,-1,'-1n1JG11 Assistance
TTle A,15�lrftce,%vill provide to the Provider guidance amid �omi�blnce as neerled"to cns"v�iv sitxcv�isfol
,�Irr, 10: 1he C(�lntrKt OY the PrDyider. Ile pmvweiv must, fatencj�'aitil reLfU4td Ln1inil SeSsion an(,J CO
filffi,flnK I
oWng, The supmar;or Wck lbetrof sbdfl nor relic."t 1he Priovider fitll: perA,,rinance of"(x)nlract: 0
0
SE CTION 1117 ME711()D OF 1-1,NYM ENT
E
11 General WIVOWeal OfXlethod of Ptquicri 9
The Med,,'tt�dak-cm for this contia I is a combbutbon,of l"hodAheJurth;roe, ow ild'V211ccd
Fhe Pcovider SIM11 ensure include any,thoRs cum that :we iri
with lafl applical, Sue kind fi,,�deral st,.xtrnes rx,,�,gokrtk ffl and a�,,xe based W�n'i r1,ux:fitcd histmirsil o�xsts iia,
instaircci k,,%,hme an indepen&mt aW is mqu h-W The At Arza WH pay fbe"P"rovidel,
of Tasks/Doliverables as dRahn Won 0, 2A, 2,and 2,5, and in,wond'al-ice Wivil ailicr lonTiszrnd
aftliscontram,
12 Uuit af'Serviee
III FAS WWI Rare
Provider must incel Me nii ikv wn W 0 QuArmame smiod W the corruxt rho o At to =cbe pmy wwnl-
Me 30 of 73;
Packet Pg.442
AA4029
Poyienw A 19 xed NeW t Ro, I twx asno unis esaWN ishoch n AJTACH M 11 NT V I
31 21 Fi 110121�d R at.es R"'r N S 111 l�"rqgp'ah"I
Payinegis Mor 14S If' Fixed mic Owl I rim e r('�ee'd Ole linil''n'iw uhfsei miwe ktr,ek�vw
...........—71
Sel'Oev 40 lopi;&;itii I'Jiii t o r See'vice I�0))1 t 'TR'w(C
Lkmgi Congregote and i We DO OF& I umrrnr 1 rrrwhrd "12
.................................. ..........
3.2. GII Nt
Payin m amy be i o'n lje R'Pr kjtv 4)[P 1�^ex jwriqlir r vre'&' J�ei I he Il i wil il S i 1-i e�,,J J�n�,V)I A(I JMI,-IIq'I
VIL all Cost RVIloc k:lr must include rwoull Rplivoll's,
If,4,c An month ofle CUMMCL The PmvWcr rim'st irioe't th". �I'vrriiwiwn 'Ig,."YOJ ul'
C14
Sraletl in Id"Ie k".-'onAiraul, lo vfeceive payrn,orri,
The Provider 4gives to diSbAc Fands as,detuilcd in, dii- BudgS Summary. INAI[11:]' ]" VI I. lu�' 0-
r his, Ao;p chmmes in dw tmal wownim of the GrAs WOOd an dw Budgm Summmy Ami PON
rcqu be m comwo amen do rah, C)
Cd
,33 Achiance Pa truents
M
I I 1he Provri.,Icr inu mqucst rrpi la twos mandis of ndmices at the start af thet.onnact.lieu ml, if avidlableM
Cowr pvgwry Suvioe 'rhie foytftn�of'ari adva,,rlce'will be oolili'ngent ugion�,vlw md"I"wipalcy and 0
*moorrt,4,'�I"Wvuds to the Warwe, "Tlw 11rov'i'dw, '§Iall' Pr4-)'VklC Ille A14Jance
11,102 riced''I"UT'air advance arid'du.scribing'how Iffic I'd rids will be dibbawd.
"TIre r qw-srs for advanm rlrarrtl Ow apliriwal, of tfic A I I If qrIffic""ica'1111taig,a L% MU
to AA hr mA t isg oe appru ve d ad`wwrze p yri-rents aficr Jai itair_y 1, .2020. Ad strwe pwayments W H not be V
Sued WiuNS 0
I Recil lests f6i,,-the 09 thivugh thc it vvcl t1h munflis sha,'U b1c. �'.iin [lie subri i issioi I i.')F'o1clual ruor��ilhl y C4
b C4
e,n,rd'ng With the fint mows of die,Corl(r.a.el, The sel"k 1,Lde',f'W SUbIt'IiS5i(Pft,,(.PI'aYJ'vaA'ICOL
(�A'Kluvs't5ii 1 l"ava i is Awwn on ATTA0,A N"I ENT V[I I W"'11i[s�,ori t rac
CO
0
33 4 All adVaTh ININI]KNIUS [71-mle, to 1'rTl.widcrl shall be I�eu(m[-,d iii filw
C
raw"IT (AIEN-1 A ii!V , V 11,1 of 0,14's (041trAdCl, 0
2
5 Irriziesl t"U'rill2d 11011 WIVEIKPL s in'tist Em Rhoaded wpaMely 'lly swivue"of[u)nds' (:a i' leral, 1,Taviders diall
f'nai'nud'n ach"artees of,fw"Yderdl Ri"'i"ofs in iroo, CSI Nmiti'rl", 'fw' 0
g unts twiless, so exeni,,pced bp accondance E
wAh, 4 S(",','FR 742Z(k), E�wncd i rimlestinusl; he returl led V'j 11w A I I i�tnccalthc and of cacl i quaftct -ru-
14 lnvoiee Sill".'Prutitt'.01,and Requtsis for-Taymseni
Paquent shall her made upon I he Providers IncsCombon of an 1 nVOIC. 6311awiving H(cceptance, andzippra va� by 11w
al Unce WADverabbs dwwn an the i rrvrkc- l"he Prmider sAmt,4' I I laidid II dOL-Lignei iml,ioi i No suplxul Imyrnant,
requerik thair,sha I I be avaHgic W die AMS=e or aulbuized NEWS,SKh as Me Deponwoof lFinm6a]
sierro'iees"'up()A MC[00t, SIAPIX41 i(Ig d(K Lfftre'nt"M ion rn fservice'5 jlrovmdeel mtim, N,wlwquate I i,,)p array
2,n i 1: Cis
progra minal"k eva"I liation w id (ristitx. i ntert NA trialaAgcimellL
11k, ['bi na, and s cd enh Kobe mkmhwd by 1�fw 9)0] lie as da61[r-rws
F%ge 11 of 71,
Packet Pg.443
1A AD n,�,�,prcsrs tbr and rep�,,rls%flvnilled 10 supjx�rt'fequesr"s I(Yx J�i'aynieu"hw be Oil
I N�j J'X)" "NT X-1 X1--1 1141,11, 1), 117 Ac I VAENT X-
Irrns 1,( (A'17"AO l'A("',l�',N4 E -
ENJABIT 2)amd I IS(ATTAO-11VIC'N'r, X-EXHIBIT 3)�
(P) Font K6
4,2) 1,"�orn 1 105 is F6 rail Opki% 'I"Acs —L.Ne,oric forni per, "I"itle
(3j, Forru I 17 iis bi.�ir NS I P
(4) FOrm I A is Wr NS IP
3A2 Th& qhAl—,s'ub1rij1 all peiyurenL YcOdsis bm-sed LE11 wtual inarit'l-dy
expewt"mc repwWwOnW ng nib die Arm am mob of Me commo, The sd ledit le, fn1'5r1bi'1,1Js5i'in Of",uNailce
requ=sts (w lien avai I able)ar-diT,�voices is A'l-l"A(!l I NIJENTVI I I tri
3A3 Any pyrnwil&w ky Ow At Am*un&r aw umrs,of ttJ atraver,, nray Im wi 0 1 hei'd perli'll ng 1he receipt and
Rp(pmva I a,A""a H firnanchd and tare qrxi iivrrai.tic,mp'ort 5'rhle fecini.the 1'�rxyvidcr arid any ad)ushr icnis t fimrc I u.
C4
3,4,,,ol Mawr Only RW momoble expen'ditu'res, wJiiv`hate in the
I i in i[s srmcl R,ediri 40-
0 C4
C)
14J MomMy rev iev R ec ipt and ExpeWumv Repoti rr�rl Ebee Forrn Ity the,, ar lhaidr,. Cv
Wil I Focus an:"
(1) No Orn curnpi, far-t - ic i he wnilx'w r'uatbo &r
(2) AihI ma�,Jelp)Ulfl on a semke py mwvi'c''e U'V't-L does irote:teeol M
,e
(No unra'rl Tnodfll'eil Fpend�ngIlm�yrlr gyp: 0
ValbKon Of'servicc u,"llits repoiled agairij-1.URTS.
3 tn order to prorx,,,,,rly nianage Ox-,,, perygram arr r Ille 1�1'rpvidu p"MI =W4 invoices, 1�r�,xtymcni iii�i latcr. 0
ri llie 64"Idny f6l liovvirq the niumh in whkh he eqmwe WaAnumul nal toexcce�d tl""wee(3),1"11i'.1,1111-is al)'el
rtse vM"as inuurexl' exxvpt that I
Close Oul Acpnxt dale Invaicas suhmnittmi late %vH I requk—the,appTru"O ardic Affiancc''s crintract 11'1"Eunag
0
L"'ue in"wices %'N"i I I I lu'l Lie J�xtidurdess j LISI i ficatiol I is S'ubini�'Iw'd aj�p Oved i I'l Wri fi I by�1,11C' PO
manager,
C',
1:1 C',
3.4-7 E)me fi.'jr Fnizrl Rp'que-sl. for Papnerd I
71m, Provider WH stArmit Eller filtra� ivqrrest Or payment to the ADhime by the doe,uxficarerl ori Atu".11naerlE CO
0
r-
34A Q mems N,vill lx made t�o t1te IOwvidel b l oti a comp!me awl ounw Wobee. invoi oes that are 0
h'�'I"C,naltploe orwi0a,irwarvegi,total, 'mvill nM be lun'd Qu he pMjVnaCl to thc 1",,rovider kir
1 isca l 44a ff-xi I I nivl:be ubk to cumcm or rm rake Shang es mi the invoices.Rebund ng invoices Or ccirreu6wr
amy reylt in Wkne to rccciec payrnent fbr fluaxmwiilh- fin"'loice's subi,r6theil tin'tely !�wef E
A]T',AC H N1 E N 1, V[I I in r�'f der ti"W xv6d pkyaaa!nt cKiys,
3.4.9
setv ces in�he CIRTSdackiFmse, 'Data rrow be eroer(NJ irvu,)CIRTS beRre Oie E, ilder's sublifli;their rNp"uma
pyin"eirr, and exivild'ilitre repo'115,
IO The run,InUrVid,41y C IRTS reqxoi%s &'A ved 1.'y fliat eli ew and,service daui i�n C IR"I'S is aecrurare,
11 n'to be �mflirriiued ta tive Ad Awe m1h Me MQMQ' relqircst fOr pmyririera arul c xqwru1it"ure repoo,
&jjjFUsj:h 'CNrjCW-ed,in,the oklHamcc We Me PmViflu's ireqnest can.be 8p ved hy, Me Aikzmp2c.pru
1 3A, I For Rrx�lvkka rMQVh9 RWdW9 RX NhWii,, Aiti servxes, NTateiiaA .Aid mitst 1:v proy4l4donly Y'dien 'there
rq no availo'ble Rijathcr programi ().unding'r,�ourceur commun'ly rniouxc''Mar.iCur6R,MCCOrilpfi!i1h
Page 32 of 73
Packet Pg.444
M-2029
11-te servi ce or%tipply dre gmxk Mar wH Umn approval Art I be MOW in, -�vriung fi-ori'l dic ANKmes
M&Mt laa'nag,�el rot putubases WS50100 or mom 'Nriilun aj:pio%jal trnr a be,S,LbrniF.Te1,d Ille reqw'A
IS
3,5.lint rntdies for'N pan ean fi !irrimtg Sv,,VVric*-4
TO Provider shalUnsupe that aJ if goods WAr savices plovidm) ki'vider this ccmtrafc,i "'Ire i1eivevvd 1N i"Inidy
col I I 131elely and CDE71 1111C"nm"rrate Wkith requhrd sundaids of clukh yn Such goods,amJ�'or qinn, �icvcs wi I I only be delivered
to el i,�,ibl!e� jmri ic�i ITariis,
I f'the Pr-w.:iviclei-ffiiiq to mert die Ficesci-ibcd gm!fiv y 51anda lx'15 l u se v i cts,,�uch scry ic,.,cs wil I nupt Ixx. reimbursed tinder
. , y wz di d . y n ) servii zwyIII is'an1111-ti � ,
plant MWWOWS will rhot be reinlbursvd lurdertbis cryntract,TIC, Provider's sipualure an tic,request ibr payrnc,,nt fniin
C"Cil i 11cs nalli menance ofsuplvi-ti ng neniaGoo and, th,urt day.. Provider shpil 1, solcly beat dh,C
cost as9xidVI with pmpwhg aw proMing nwxMikMing",gcxm.'fi'� services Nrylvilerils I'lia"y 'be, C14
a"rid"Ir-W( requ oed,to be am ncit irpfid Wkl imjdlor if 5ri pj,,,xir1 in r«roi,ozs
heing,processcd eir atr eady pai d!- "I Im A I I im ice reqUil CS i 11111rC[li Iuz,notize t)f any %i, ni rim it and/or%pat mnk: L-
inhWhins that inamipmYrOsc tlhLw q1LKIHIY. sk!°°�.Ulil)' U11--avaInwity Ofsxnrvius to clic"'IN"Is 40-
C4
3,5J, 131
8 n Cv
1. Qnvacwr Awill ensure of r.he(k,-1 idg,--nfi fie&,] ii i A'T'VACI I M EN17 1, Seeliem II (Mann rier (4'
servike RMV16n)of dos Como,WV pro nned por5u,anK, to,contr"acl
M
1.
2. 1 I'al ngy AnizAhe(Antimaor is nod ned by the A I Hance WaL it has fai 1,c.d li:,� cul ral ly, LMmqWYnm r-
0
iderrOliei'l inATTACHMENI" 3L Sec, 111,
dpys lo submit a Cc;mn-ccrivc Acdon Plan, to ffic A[liance Contract Manager thal
ad%Jrcsscs,the deficiencies and !rrjles how the deficiencimg WE, Ix rt.nnem'.fied,vvillfirt,a tJirire ptriod I p-jk -,d up rlvte
k1i the AThanoe's Comm FAUMP!t Me All Awe Shall asse, a I`tnmwi�(O Nori-
,d�anRt�lflddUlwp ,a" on 01C �.15 rek!rcricol,in AT ACI I N1("N't 1,1 Sec. 1 5-2 of Ili is 4:,,,)n lxact for c2c'b
M 1.
i'denlified in tiacl::CAP which is natconeded ptusuant ta the,CAP, The iMliatwe shafl,` alsc� r-
Fitiancia I (�,)il&efloetrjce t,6r 51 hue to hawk; mdun il a CA R 0
as5ess a,
A. If be Cmamaur has M CWMCL W1 Heated d6fiency- witirit'i the al:Tploved tiirre fx�iioi] sped in tire C4
1:1
CAP, the AR-kirwe shall deduct the piceniage esudYlOml in, «AIT`A(7HN1ENT I., 73,'552, ohhis C4
coaract. Ramme the,paynient for The i rivnice a the,lkiltxmri lignionth- I
CO
as
4, lfflu,,, N ruirractoT''t As to sbak deduct die picemage coMbed in 0
C
AI"FA(TINJEN-VII, WK 302. dAbbdarrtu t kwouh Q Ac CAP isciver-due. 0
nude Emn de paynteril 14 dic im,,Gh-c offlyz [611mving niornfi.
3 5.2, Frurvicial C(,,jl llseqppje E
Ile ARMwe Wl wirialik-Ad or redi ce FNayrutnu if,the(7nntruIrinr fai[s B-1 PO-TfDT-ni the deiivicrablcs lo dic
SaLis t-�Ctiantffr.he to 1"he rvfereneexl i,,ri ATJ dM:IIMENT 11, S(ztvi(,,�iri I and
Sea% If of dos emitiva,11re, f-c,4 I opxing t1tria"niciii I cainquences IM I I be irnposed i r tiie,:aci i verm)Fes iio
not wnew in pa cw in We Ow peMmmance AM as oraHmed in A-l"I.AC]INNIENI 1, Scanin I and Seviap 11
of dis Comma.
1. i very o t"ser,vices to el i g,,R)le clicos as rcimmcod in NIf,.N'[ I, 1,,'izc ti(,m 1.4 and Sens,on Jh I rif
tti4s contract- Pmdlurc trr crvinp[,� with hCd and prior-ii i zai iini criwria as�'.`Nr&C11LZd ill
(',IRTS r,qu'.jru will i-estill itt a,21 rediieziolr arI'%aylrient per birsiness�,Iiy, `F[re 1"'ed'i1cflorr raf Puur„ylrw 1,11 will
Ixgin Ort the flina busiriess dq r6floMng the Afli-airce's matt i,caflon to A Pnwidw that die iden0flerf,
defIciency %vas nxxi,:,,trfed or-540,'aolprily azidivssed in accazdancz kvit.,,h the AEnnce aproved,CAP,
F��fcrffnccd, in A' ACHNILN'T 1, Scc. IS, 1.
Page 33 of 73
Packet Pg.445
,AA-2029
2. as ref,'4erwed:in ATTA(75 I MENTL NOW 'II o4th is con'Mact
prov Me stivices in acconiance ATTACH NO[-'Nif I, Sec Ii cMW 2.4, 11 Ile CI rfl-cilr, ['.)(�)EA flnkgrams and 'Scrviccs
MwWbodk, Te sendees Wed onATTAICI M ENTS VI I arud (4't eqUiTN"I ld(K UlllelltafiOl I
mAl nnu It in a,251 ivducocn,o I PY mew PeNincss da'y' The veduv c:4'pxymwnt wi I I hcgi rg the
bwiinv�s day followi np, 'I lie A[h.ance's noli ficarivri to dw tlnvvider that,ffiz idcni'j"ficd,ct�z'illcicvtcy "N"as pol
c--r Ired",or satisf ckxvi ly ad 11"Ies&&d irl 'ac.,C'oe''dance Widt the A I h anu.1,1 ajj:tixwved ref et evlc.,-ed io
Arf"M I I CI, I 1�, 1-5 w I.
3, as ire AI I CHMENT' 1w secdon' ll 'ofihis eontrwzrt -,Failtwe loperf"Oirm',�
the peribrn� ,xxe speeifli cal ions 4arld' �o N,4"vpamuions w,611 nnuh in a 215 McWn of pyinov per
busixiess day. "I'lic noduchon,of payment %vill bqrin the first business day fbl,'�owi n the Al liance's-
vv.'I i f5catiorl to 11he Prov ider dat the KeWed d6eiewy M(A'zured tvl S;!d is fi"t'etw"ily ad"'11 ess&l i"11
accapdance widl the A H A=appumd CAPaMnwd 41 AI F I ACH rv'l ENTI, Sec, 3-5,1, C14
4, Undy SWMA 0 W of a(�,AP to thne!E�), stibinir,a CAP Withl EO bairless affer
0
fl jiayrnervw wd 1 Q& the Pro bus Amu,dlay ibd lcnOng tlm C04
CD
Affiarice's rwtifih,'�W atyn to: IIW.�colArik"Inr I hm !W AWAY deRdonq vus rwt, (:tured r'FI Fry1ri"Ify, C�
MIOMS5("(11 in ao"'v"'Orda"Iwe Alliance CAR, iri ATIFACHNIENT I.Sd,wa. 3,5,l
M
0
M
0
C4
1:1 C4
1
CO
0
0
r-
0
Ile RamadMicT we F IhC Pikric I Blank, E
Page 34 of 13
Packet Pg.446
A,A,2029
A'r'TACHNIENT 11
AITACHMENT If
VINANCIAL AND (XIMPLIANICE A11it'll'
l:lh v dic A 0-te pno)vi der may bcSLIV�JVCtto azi dits aruI'odor Im Dri 0:I-wrag,�y the
AHWzc wilAur I Ek1w. -Onag as in this Stetirm
L AdIONIJURING
In adds an to revienlys c�f audiii omAi,,Eed iti a='InJao e vviIl 2 (",Fr R, 11 a I i ;wN 0 0 (form e t I y ONHI (Inuhr A-n3, as
reviodh and SaWar; 215 TA ES,1 we "AUEMTS" belmv), irla"'It itol ilig, pi I-tordd,'Ires irnmy inchidc, Na mot �c, firn 4u ,od ,In, on-5itt
vkds tty die A I I kance andhat the DepeAsieta.spa Q 1I stcwe audA as defur*d by Oh"'[R I'm,A-'133,, a�s I ery i�eA tigiR:w
I�rfhrx pivc-'N'l Uirrs, 11Y rralararara kvx I'll is agre"C'St"Ien"l, the C'l-Intraz War a rms to and ,.,%w)PC'fRte ",I th arly 11111"'mirl'al iq
Waved hy L6,"�11�24xe ki tlio,evenl�OW A RK Ce madfor the Depau lAvieva: de!I thal �A
H In ited, scor. audit of The ck�l 3101,1110b], �s apim-opriale" the CbrRrsawrak4,recs lx� �.,omply with an�,y, addAi, W, ins Iva atans Frovidal by I C14
the A I I i a 0 c a a a d to r I h e Deparlotwo to he Co W nie n�l r, in� J�Jijj�." I
'j, 'kich it -a.qreo� virv� crinir"Ily
irrrd: cvxmm,1rar,,v kvilh any SPOA40% UK= irtvestrgnfions,,, of trudi'rci dorimvd necinsaryby the AM= andAn The
110P artrike wl. 0-
AUDITScv
Cv
PA RT L IFED 10 RA ULY VO N 0 ED
This part is TMe qnQ&r 4 A SmW wdm �grjvin I INrjf;nN, fjr 3,rlu"kll pro fin u`aq p&I ii.'zaiv'a As&!firuufiri()N,1101 Ca i 6r A,
13 3, as rev ised,
0
U
hi Me OWWAISIM die PMVWer expei�ds $754),000,00 or Wiltme. in fede"ral �Iikvardi fluring its riseal year, lite Fliuvidvi iviisgr have,a
sig�"v t�l Mutt dxnitvctvxl Nan arcordamcc wit]d II 01-�"' C U,1A V,vfri 2 1)0 ExHmrr 2 W AS I
ag,recianu, ind"icaun 1'ederoul resodjecs wvi;arded r5m1h be AHbrwe by WS agmemsm IVI derami"'Hing,fllNe fedcra"I awards CO
expundmi A im Pond yaw, ON F,ru v i d c r shatl ccin k�kr aLhuLmouiA," Pedvnd ffivit, ts, Nxlcral rusukii dci,rv,mi vvd t
Jim the A I I i a it c c. The dewrotimadoo of amoums of Fokmal ziwaf ds exinnded should be In aceordance Alit I'lle IT
Okjlgdvdinrs c� lwbl ishold by 2 C F R 13 a r 1 2 0 G. An aWA of to P ro v A c r c�ondim,,,Txd b�y r',he Akiditoi Go and aocur(Inue r-
0
with The pmvh An of 2 C F R.P a r t 2 0 0, wM mus Me vqWmmmra of Mh parl.
cv
lei canne"C"I iorl wv A dw awit req'ati omerits addressee.111 n W 4 pam,ph 1,Me Fqm Ida GO WHI H the requirernews rvimiwe to cy
audiivc I i6r* as F'ro v i'ded, anal ',I (-F,R, F",il r ft `2 0") 5"r?K,
0
11,111V 11-k)Ajer expends Wss Man S75090MOD in Id al awaAs in its f1scal year, on ff uJit coriducled in m,,,(ovrdanGv wNh If ic 0
pwv&O" of`2 C F 11 P a r 1 2 0 0, 0 mA myhoa Im be ramAho Ow PmWdo-expends less dian$751900AD W%Q21 2
swarAs in ks In Rcal 0
,year and ckw. s W huv wn audit conductnt in accordwace vvidi Cho proviWans W CF"R Part 200, the C
o")Aft Of lhe otrdir:gritso be pid kom nomwWwal msminew (it, A cost of soctt Wit own he pqdd fieftai Navukm 2
ahlained f"roni cid,-icr than fcdeml cn6tieij
as
A,n, wado., condacted in accoidarice whh Ns pa m shall cover 1he crithe fix, the organizaGon's fiscal year. E
r().wrip I iarice brid ings AW to,,agj, c In ent s tv I,,t lw t h(,-A�I iim ce shall,law b as'nj a In 9�"I e a gr tm�,n n Vs 10"'.,q;I I I v I!n I's mc I I,I d i q.; I,FI 7),
ar stwules referenced hi The Oqvecranml. "The 11narlciai 4tM[CFDOXIIS shal I disolmic Naluother or noti'he
rna'uAl img requi remmit wa"ne lAx cub a"I hable agiveman. A I I i pm5flopfcAl" d';osu Rni'll I iir d itirs, c�l va- hi I Alharim MawNwVor
tiiwwP F)eflai"tmevit dimfl be I I ly d Ww4d hi,the 2i,td I �t vv'ali refl,,ireIrrce ta flic A I htagrLe a,,;'-Yreelklzrit inve"I ved- I f
Whoute dhdmd as wq uWd Oy 2 C F R 11 a r t 2 0 0.5 10, diz sciredu lic of ex.,pend itt iras offbdcra I a-wai ds sha,11 ident,'j ry
expendo Wres by ag=r'nonl F'nsl f(,-Ol o"*'At og wTh Ow A HAWe AwOln dw Al Ow wA 1 poWd. Rnandai
izpoiI packages requizod ur.ider tIYis,part must!-.ie s4bmincd v,41h,iai At 909W R days 9Wr nmeWl of to subt relamn tar
l"l Ou, kmd cd'fic NOW 4WA you cnd
Page 35 of"
Packet Pg.447
PART IL STATE FUNDED
11is pam is applicaW,5%Nord ida A a wmmaw eAW ai dc Fined by Seelion 2 15-97(2),,F'.S.
In he amm dut Q ProvIder cqxnls th Icdal mrw1int of L",Ime fiet"Incial, i'qlad 'm of imrl evzc'�s of $750"COON) itl.atl.v
05 a'"'11 )e"or rJ sko"I"I yvriN cr%fin(g, 5uptenlbrr 30, 2004 or 1F 'K,,r," 1"im 1001 rvit lair m7 a S,'mc single or
prAcchypedficamN fr.wa �oxh fr.L 1 year in aumAlnu lob smtro 2 1�S 97, I'S., rui,, s c& be 1)epanineta crf Financial
Sown; W (lopas 1155) Wit or ED,650 1rmnpn�ROr1 imd Ib'T'prv141 [Woc,'i olllm Awditoi
CknnWL EXH[Bn' 2 u,- this agrcelncrll k'ldicab-"l st"de finm16""11,ftsFklaia'c'e awhrcie'd uk'a'oLo'y,h the A I I in tl cc b 6A agicumcrd, [n
thawrn%g A SI'Alc rinrin.0a'A ftSr'i'sf"ww-x r'sperlded i'n iu yew Me palvicier 4011 cc,<�istdu hannah]
shisance, Wh4ing maw nranchl assimance woei�ud ffowt do A Kiaiwe:,4A,N61- iWt 0.l�y�AIC ics" alk] tnlfir'.'ies. SIAT'e
finoj'ncialj ,r15sislaa1 l duc�!� 11""rx' inchldv direwA U"'rarlfs arid rcq"rwr.,cs Irruc-N%,',d by arrjrnwsiate crjvxiln, fir 1 cLkml
PWIMM, MMUKI rujAmmem
vfitb Ohe aihd["t rtQ6t&104,Nj r fuJ t,daa ilt 11,IL'tn'tgup'fi L Me W"K 9`IN11 OMa we Olvis Opp Qaxfil 111C
qf ic4;lOr 2H 97(,H1, I'S, This WN&s a6mohn of a I'MMUN rermulin"g, paclipc, m du,6,rvd by ScWkxi 2 15.9 7(2),� C14
FS, nd Chqhp tl�J,-,50 ql)wn"d elvi at Ot WOO monpiolfir, amd%pall eWjO;lWA%SX We$ 0 do Wor Genval,
0
1 Ithe hoe&',cxpkn�t&less ship$750AWWWO bame firUipic"i Ar', ll oe W W I cm I gear �,fil,,i N Fi s La 1,y e ftrs L n di rt g I e m be r 3 1 2 0 64 1.
oir lherewox'�r), Ha midir conxJ'w:tcd in Pvlccordwicc'M lit 1hepiirroviswris of Sectionl 15.97, F.S., �snal rcqihed. to the event tug the C104
CD
fl(ovki,er vxp,ends, rhkin 6 swe ROMW xymmo mob Rural yar and Ack lo 11wer. :11a corofixWO In Cv
sccci�r4finct wit IN IN, pmvkhas of SnAba 115ST FS, be ant. afffic aildii ff'vdts't be. Paid fic-ot fl%z noff-state cndlq�i I C;ioa"'I'LTS
tl a,it OOM 0 f 0 C I m�17,l a t 1,4 i'�r I�l�!"�5 1)1,'r pa l cl rtlarrla Ilr,Ewa V,i d V I r C�*1,0 rr:v-% ol�a o rra 0 VJ i i-o"A a 1'i'I h r I l"I ra n c,0 r l'I i v i.4 s
M
ill uic"rIrdarw)e wiiIh Olis ixart shaH' MW ardire N,xg 14r rltr clG 'An'i 6 tk 1';'Ir
UmpUmme Andings mWod to ag roemcrits wkh The Alkwe Wl I be L�iiscd an 11ric agreernRnt's rcqLkrewients,,, k6l,WiJ12 0
$'J'Pplk:oblc lllrld e ngkjlani'on cw 51"Almns, Thc Or"rr,ancial sukrnic'nis wri R IOPJo5c' "'I7vVdwrc'4- not, lhe Was
VVAh r6mvpce co IN A Ihavwc oFFccmort pwjlvt�d Ni f nol ad;lcrvvisc lh,5-,kewd wiw rcqwiii cO� R Av 691-5,00, Ila, Adrn in, Code,thr,
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the, wMti le i dlir rar in effixt as riu Ole mArill glcl'iod' �)'�)Flam)""01 rr'I70ai'11'gp;wk,s rvqArvd Frost IT
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Page 36 mf 73
Packet Pg.448
1102029
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chapters 10,5NINcedgmemmmal entffic-,spar
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hum Ow dmv A aucl i�" k,, issm,tnd, un lessc xlended m hyi he [kpar"Ini"inmL,
Page 37 of 73
Packet Pg.449
AA-2049
FINANC]AL, ANI) C0M1q.JAN,CE.AUDYF A'71'71'AC14MENT
PART 1: AUDURELATION"'SH111
Psmider; Who rezeuve suuw, 1,-w fieitelal rvx+pqgrti,s' 17,1;ky 0"I not In SlAgal 10 or=61 rap0mman OF 2 AN too §2015%D"
anAr WOW I 11111% SUL Pra,v,i d e r s who aredeivnr ined to be w subvccjipierits of RAW awwAs an&br AMe
I,e Qj an two oy and kr"uhmmertm I f to oust sirr forlh,ill Pat I arlrf,'Or Part I F
of WAS I is mwt 11 r ov, a ci cr s ooh o hmv been dwam hwd W kw vmdmm we nm swWmt w,the aiid it reciti ircmorrts of 2 C Fl1
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approved I�y, rite Al I v., to subcortusla. Wey rpusi emply wkh S"%Cl 5 9N7 K F S , md Ruk 69,Mok PAC I= I
Hmanckh moigunce] nd 2 CFR Put NOWD JAW wxards]. co
PART ": FMCAL(]X)N1P'LJAWE REQUIRE "EN TFS t
M 1.
FIDERM. AMARDS OR STATE NIATCHING, 17UNDS ONFEDERAL A%%'ARDS—IYw0d=s %Ao rexmve, Fe-detal or-
avith 5WE rl.udowd.mwance 111 oWl Nrids or .Mme mMAO,; oll iwar�1��mW -Ap am doWmirwd w bp a CC)
st,ibi-c6piew rrvust cori'lply %vi&, 11me rbllalx6g rlicat 1mvi, rules ar"] C04
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S-1-A"FES, LDC',AL GOVERNMENTS AND 1NDIAN TRIZES M,U'S] FOLLDNN1�
2 CPR W IMAM- Com Pdmiq&0, I
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2 CFR Pan INO 5 W)-.A vdit R L,quifevvNeats, Whyeace Guide Wr SlareWpendRures,
('01her fiscal set, �brlh iil prograrn lwxs, rqflc s &R41, rq.,wFi1pkMi
EDUCABONAL. INSTITUTIONS (EVEN IFA, PAR OFA STATE OR JADC,"AL ('X)NIERNMENT) NWNT
2 C I"'R Pan §2W,3A 19- Czsl, P;,inc ipics
2 CFR Pal J"O
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Age 38 of 73,
Packet Pg.450
AA-2025
Some Wull p a 2'rn"'� 1;'lay 1"10 s.ke�rjlpwd (Iv"I II, wil`h on Cow PAN:Iplc-s care""-m iml",4S"pokgl I IN the F,R �'Njl"1
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STATE H NANCIA LASS wrANC E. Providers mto rcuive maw fiamcig whawe aW Kam dow, irim! whea
ip igot"w"1,11 IVipipmrl noosl W4 "!Jt d1r. fo4e'�w laws"ru[0", Arlei,'Trguhx6r,111s",
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Page 39 of 73
Packet Pg.451
MAM'.714L, ANV, (C)NIPPLI&MAE, AUD11" ATTACION"PENT
I HWIT SVAI PIA kY
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rr,hu'-d"wn'rxims ba!, cannset
L. FEDERAL RESOURCES d,%WARP[JFD "Fo THE SUMOMENT RURSUAM''T01,111S
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UnUr AA33 -Aulls mr suites,, uical K'a"n-PfoEt N
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Page 40 of 73
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I�age 41 ol'73
Packet Pg.453
,AA-2029
A,NI) ASS UIZAM--vS
FS FA M I I avvard Oids tot h ss I he Nay Wer com IMm CER 11 F1 C.,(VF[IONS A ND
A I,wrRAN Wn pmImmamc of th k conuma. The; Prow i der pirm!to is MAO ng awWkerHmn ami
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4. Haw r nut "Win a three-year parId pre ced i try dis app hMoRprapum! had one or mmm p Mc
WASKI hms(FedmmL Stu,e-_ or llxiO) ke"I'minaled ('orcaust.
Page 42 of 73,
Packet Pg.454
11C unklypwd' 51"Ial 1 rvnr�'l I'Jiid "hw Ja this cerl TWO kin be inaluded in r1w 1`cs'r aI''
subrurarausal all dus(indudirig under grtint5, lomnsand
coqpuati ve alven icn!B) and P,h"a t a II SLID I-ec.I pic Iris arld ConiAnICEA)rS sfui I I pi av ide Ihis Cori i fiical kir'l
pcc,ord i nglY,
11" C!IF,RIT 11.1 CN,T,10'N" REGARDING 1,01MVING ' CERTI FICATI()N F'O'R('70N'FRACTS'
G R ANIS,, L()AN 8, yk pw[) rt,V'F'I VE AG T4 F F M V,NTS,
f1te [""rurvidur L.-xrtifies' Lo 1h"V bcsl of i1skn0vvtcdvge and befiet� dial:
N o MY a RwNmia Wd 6 wd5 4a,ve bccu'P�"i I d ", s'v"I I� lie Paid, tv��- or 0, MMM dic undmopwdja a M
tvl.Son, Rvr i'rlflkper li:ing or 1,11 Rnmill'ing lx.) in I'l I Iclice a li offn.:,erar ornpiqyce of Congress. or an emplayer of a
Membet of Conge joM oy edolaI act,,Ilirssnconaman rlgf m i I I, fai oy, C14
gi a rit. I he ina king 1:cilicir-4 I orrcri I I of'ar i�y agreern ent . and the extensOn
WINg 11 HJU ion renexv a],aniendment mrmod Wat km ofany f1deml cantrml pmno loan orcdcIpsmOve
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I F any funds ol Mg than FedetAl a 11wopriawd 11 ndi 1-,m VC Vixen or %%'il l be laaic[ 1 k�)a I ly Purso 1, f6l �
i 01MUMing or weni p4wg (G. i It 0 lxnee an off,"ree(, 4vr of an a gm mq% a Mcm her of(Mrign%v an
n!l C"Irl"'j,-doyce of Congress, or emphyce of a FACM Of Coifngl%�"-;S ln, a Ftricrall
COVIINV grillit. lum.11r. CiF U."OtIt"I'Ellive mgI-et"Incla., the shnfl grri(I,Sobnti! Standaucl IM.
[A L, "Diselosure Foal to Report ill vkilh its 41stta""Ihons' M
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SWOOROW al IT t in Qc Wng suRmAradi. hu&gMnIS and CMMIC Is u nWg;rA0rS. I(D"rit"Is and'
agree menu) an If that a 11 Sub- "ulu'l C"'c'MI I,actor"i Slia I�'cort'i("�"and Ic"Se no.,rrrd in
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mide or emad Ono, SUMS of Nis ccoRkation W nrakkrp or inalorin',", intrI lhis 0
Ccb',w°"ract i I I I 1xised b'y' 16,21.' An): person sulrIu fads to fi[e [lie requircif cerlificaticrin, shall be ON
11CI ;!) Ci"�i[ J�x"radij of no US Man $1 G,000 and Pro "awe than SIOCIA00 Mr each Suctl fa lure'
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C" NON-DJ S,(�,,R I NUN ATIO24 At EMAL OPP(JiRTUNITY NSSURANCE' (2�) � 17j PART ? A,N'D 45 0 0
C'FR, VA RT 80 L, iks a awidibn of I e Cbroxacc Provider assores Mal it %0 11 ews rdy My &?I Te LE
rimid kcri nA nali;on and equa I oppon-unny Fxuvisiolvi of tlic fiAloNx,i I I'l-, S 0
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rk We I nVNRaical Act of 19PS (Mq A K(PU W 1. 1 OV221 . Whob PMhT 15,
d1suhn Wal W agm I risk a II in hv Wt III n '1 lie (J It!Wd I= on die,Imsi S of c otbr. rr4"'igion, , �ICx 1 lag k"'l la I" E
oriminle. Pu4i, afi=l affdhiviom cw b AU am l agpirist owi r'fi basis e i�4`6ah ol
CAMUNWMINS as a KWRMY Mawmd, trv-vork Or lhe l''hirlired, S�a"tes or,
in Me"WhN 71 IS hAMWO I Q ass kl�'-xj progi Or'octivioy'
Wkle V1 aMe C041 Qhts QL of 1964(Pub. i_ arnd oil b�r
ot pu rmmnt [(,� Ose R�tgi I I atioc't of 1l lie, Dep"'irtrnent of Fleah"'h MIXI I 10 InAt I :�ry lc'("'S 0,-""l 5, C'FAR pr4ri, W)l,", tl ch'o'
a," Ill ZJCC Jjdajwc wkh TA N1 of thal Act and 11110. kCgUkUiCAF1! 111G1 l`X.'TS.'(ML kt' dre Uniwd Stale N shafl,
mi Ge grcmnd of'racc, colim, or matic'n'tal N'ripjrr be: exclud'ed fionr pal ii6pi^aiim in. bk., deram�d the bc'n0,lils
(Tdhe rptinwion ulia"Jf an� ji,v _ , , ounri or m"'dviq' (or vvhich th"o Applk&'nr
ieceIves Moil Walickal �Issisvtnce fio'n ate
Page 43 of 73
Packet Pg.455
A02029,
3. WOW 504 W the RchablWahan Act or 1973 (Pub. 4. 9111 ) Ps arnended, and A requiTcoicnii innpo.sn I
1:�y d:sr 1141 m 1,411,11 to Ole ltegldalbn Dt'."'pi'lfflnenl Uf WWI and ]Iurrinn Survicus�'45 0FR' F�ult 10
11W,Crid 11IM" 'it) "Ah NOW 504 offlorl A"m and', Regnidwio,rt. d,�,o o,'Jiecoise, qtm ffled
handkapped hiclividiud In the lJowd SMMS Shall. sol"Cly by Nom'nu n ofhlis tm'r%(hca��P' 0-'orn
paakyatkni in be deded Twe belvenm oC or be mQcwd to d I sca-i I'll i rail itrri IDIrden ,!iny activky,
km' wFuch, tlrc,', Applicani receives FcderO' 1-niancial fr,,�on the
I Ile Age 01KCS"inal0i Aet of 1975 (Pub. 1.04-1351. as arriended-and Ldl reqWremems lqwmd Ew or
ua flie (-'rthe 04, 1 le"allh m"'t't] 1 145 (DF,R, Paw k 91 o,,,die eel
lhal., in Ntcccdrdzincc with 1he /kCI-ta'14"I Ow i1c) pc7rson Infl-Ic Unhvtl Staws Nbalf, CK1' IIIQ hasiso''
ago he deded I bervofi is,c1. he cuf&cd G)m pnrtici l3atin n 'I rI, iir tao si,Nh�j'ccted 141 &-sc ritri hniit iw,� rr,nd.cl
any program cy,acWhy h,-ir vvitiCh 111C APISMI I Icii'rl
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InDpi"'Sed t�ry ng 13 trsu'astl in the 14'e rvWagkM n oftl-w Dcparu-neni or Ha0h Amd Homan SaWs N5 CFR Flo
86Y to the end LbW, W kICC-93rdi3nL1! veil I I fhk I X and be Kpi I latiorr, n"o, pee Stet I n dl�w [Jr� sr ale Sl I a 11" 4-
on I he bats of sex. be exc Wed' WWI Pal%PAIVY1 W, be de,Wed the We% &,i-be o(l-'terv6W su��!jucwd C04
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I o�i�l i5crim iivai or I imi rdcr jul'y" edu Pat on pingIum or actuvity f`cw vkh ictv ihe A pp Nc,,,i ra rccc,i celcra �
firrinlciid msita.larte'e 1i-0111 the DePHIII-tulle"PIR
6. 1"he American "'kah of 1990 (Rub. 1, 1 U1 pivihIbits rkscjjinjn,,ilion in afll
empioptivril piar..-�Licus, kwhol Nag fuli apphWon procedures. hOAgAhmg.,RlclviLiicc�, eiil. C
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14aini,nig, at"I cWh('"OUTDIS' cc#n"Jitioirts, and prWilegas oforphymaL ItaprKS tO 0XV0MCOL advoAsing.
layo[4" leavc." hinge bencnn. and aIfl
Providers aW asmes that it 011 CMN$y %Ah 29 CFR W 37 aind all imlu,.'-T, 11"k
WArM ;M(wt," aj"ipfics lo, th'c WLIA, title
pl-pyrumn or ac&hy. and in a 11 cnnir'zu,-.1,R, P'Pzw�pdcr ini.,,ikcs I o carr"ar [wil the 1 A fil le I,- 1'�Inanciafly,,,I A! ,;i m ci]
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prcyram or acL i y 11—Pro vider widersi t'hal A and Me LK Wd StXUS hbve the H g1slo W#0 00 1 U
cubmcn-wal Whe assuionce, C04
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DW ti I Idersi gneic�] Shau requ& LKH hugwqv 0 F dos asmuz nce be WNW i n Lhe documen LS Wr Al I
stibconwacts al aH Ilos (WduAng venn"k"'S' 0,1141 contracts under x0% lom awd 0
nn'd diilt HII CaaWla recipkias and contrauors shall 11;-ovii.fe 111is assu"nince
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01111 CLRTT1e1C0%1]1"'U'YN RECARD[NG PUBLIC ENTFn!CRM4ES,sr rtax 287 13J� I S", as
'CXn"617Wan thar. tleitbei Knor on), person,w affiliate eaf has 01'a E
Clinic Irs, deRned in scaimi 287,133, F.b., iu ' 1-daccd, mi the cowvk:tod vcndor IS jU--
ProwNT unt-dici-Stands zirid agyccs Ilim it is requiied to irtfunn DOEA� Lipon arly
flds sqdmtls
IL ANNOCIATIOAN INICANIZATIONS RM RVA44451,
RES'1'1�I("I'l 10r'NS'ASS Lf",R XN: (Pva. L I t I-117).
Aa a oom[Jt On o r6m WM mint Pr mj&V anums Owl 0 Mi U om"I P'1�" Mull„, Wk,-1th I he, r"'10'f a I 6on'd l'n
roodchon s Penn&1 R9 W AS)IRS1 and i W su WNW per t he WsAdmcd A p pvpH at Wns AK 1,"0[0,
1)1 k,I S iN.ni sct�tion 5 t I (Pu L. Ll I I-I 17). 11c Cond n u I ng A ppilnial hyns No 2011. IIII 0 1 mn d 103'
(PuK L. 11 K24 "2)- 1,ir ov idestl ui I appVpSt 5"S inade Whr Pu W. L H U4 17 aw awd We ua%
cotidilIons, JTrd;"Iyldcd 1'71ola, 1- 11 F, I l 7
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Packet Pg.456
AA-2029
fl,ee underJa ",vwd shalt require Mat 1,,angjoaj, k,.,, ofilliii be in the Wall
'M.-Pen 11,111-acts al 4111 dcrs (OWding,-, vi,,:ncloni, sub,ains and cvnurrcls tyrmlcr granl,!d loans an'I'l
CWTOW be aqvOrinno aml I I I a I I s Lib ru cipic nts mrY cmaneams SO prov be I is in;malfir ic,4, accal
WRICHCATICIN FS,
l""fttfris( 1�1Podrad„1 is K we arnawo Cos! Blow or rilov. it )"41,h,1he ireqvalnems ofseownr
2$T 135, FA., Flro,vijo that it is no[ ppoklyahIg in a boycori afAwAcl, is nol hood oil
Ci ther 11rc Scruti niztd ComImn Is Q di A LAA'V il i CS In udan Lin or the Corr]parl ies A ivil rrs
ill han Ensly Sena l J,Jst. and 1h;.ri it dtu� a not have busirw, s v,�qxr�,,liclnjs Ji"'I C-irlpa Syria-
Both Nos a m cmal eal' p itf 5l la ril Im S,c,wJ ion �1,473, F, ,
Provider tauloWalub durt pwinaw to SeWon'ST 135�. F S- Oves obi"n lion ofa NO rnay
arl*c I Promid'o ro coo Pam 4 it aitorne,�,"s t'e,�es, and!("I C14
I Ff'�F()Vi(�Or iS,'Unnb1k.-, to L;erflg� any <il-ile smi.emews iri thig certi%zicw Provider shall attach air
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1, 1 he Mnn'%ld"'Or wild wan)e of!wivices nndCF this murecl Filmmcull
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s.�slvtnsi cajxd,,)le u,,FPr0Vidi`Rg Certain inbrivalion. Welding (,1) awlrale. CIA!"re"I'W rmd
dd,Sclosure(4 Ille, 11nancial resuhs of each grainlinded ot, jlgog,rmejol ill
In scribed mpoilirrg wqpsurruents: 1) rhc s,:�wrcc and appli,main"'n of"fund:s for-all cunim"v-1
mi W AKE anti (3) be coin rmdson o f oudays Q I hudgded airrouras AV em h MMW Zfhe Wbil ity to
i 11 k'wnwa ie,�ar� in widi I hese reqUeme nis wu ki resur I I in a mim as orpmw folds dwt IT
frIVU 110t 1NX!r,1 ACC019nrizd 1!crr Ivrop,rr-ly.
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on which W!
hor Wom that is to tNic rcjxw,lecl, I rzinsrn Wed or unkmbinf, hava bccn CCR
assesmm;l a nd verined U) bel-AF)Rbi c of preacxss'ing,d-a un, UC CEWH lelj , i af,",I I K"i i 11�'g'da'eftr'-d,aie daul- I
add ntitled,lobe nancoriphint, Provider wifl takot hnnroiiary ""Joh:Tri t%,'l iasswv efi,:1ta 0
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3. 11-this cc�,ral-ad includes the pnivishms liririwate,
!" Ow,oa,attwsjgvmd %varrants Mat these PMAMS am C�qx�.,H'v ot J�woccming,
derwildon dwa accurmMy. All vosWas of timse FumAcm uGhmd Qy he PAMIrth'21- tly 1he as
UrIders,igneid) ran d Immi-cFosed by thit-, Mae U111 be WeAW, [-WIr allid cd'data, jx,"ior to E
4 1 ri rl,w eveni, cd'arry dewase i n hadixiahty velmexl lo i i rive and dam reh hxl Wes and Weand
su WoHnes I hat impede Ow hadwav or W wme pagmmi, operal i prk,"pc�,rl tfic FlIrnv klen
1"Igrees to roq,tiwed correcHons N) mume hudwn,it andsor,11%,"R ' jmx')p,,1-a1 I is W the
same leveJ a fful ns vomrrni i Led� he I V i 11, 2i! iddo Charge It o'N I srale", zjmJ w1i"ll"101ra"t to,
dw cwigoBrig bu?i nens a f to swre, 5 an be Q of Me e was e'inn,
5., T1 ic hIruyi�,zlcr a4d aye p9cm4moors and&r vcndm-s Of SON 1"C4'S n IldeF i 11a is C'untrad %'w,firra 111,Ki I
pu I i eics,w id 11,,rocedures i rwhicle a d4mki-j-da it ua) f6i,service del ivol Y CCd Cl)irli 11 rw i1h case o'r,
an emaymul WJuding emegemJes �,wis4rg, fron-1 Jarra integ"I 4Y Ch�Prllrfliancc, issucs
Page 45 of 73
Packet Pg.457
AA Xn
llllr VERIFICATY)IN' OV f;',MPU)V1`lCNT STATUS
Ai a cmWiLkir KnoribmUirIg nth die flowda l3cpanivent nF UK Anihs, rrovidor wrtilles ilic kssc (!)f
the I. DepaNmew ofl-lornudarid Securkjs BveedY sygm kt vvri,dy 111C
TICIX t"I 1.1 11tRyces til ri d hy f,11C 1'rovider drn i ng the Coro hect ter al 10 lx'l1'cmrtr ern P1 I'vi cltAies J)fursuil 1"K, [0
I% comma and, 11o"lialy subcantracts indude an express reqnireincro fl%ai
perfim vi"rvrR or providirL9 SeLvioes ptirrs,'-aam this Conti,acl Ill'ih:& dle to ver'd'y the
cmpbyrntm KgRAMy of A new amplOyees Bash. by the s0contraw and/or veodwndurK9 dw eMQ
COVIVACI Writ
Me Pro&dendmi I require that tb(,, tal%glita�,1,e o I (h�ws C0111cal On be incladed wwa a H subwgreenwMk SULV,
Dims, and Ober and that all SHbe()FrIj`RZI0r5 ADC1,4)r ve.ptj`w!-rz, cortif'y c,,oFnplifvlGv
WCMA&gly C14
111 i s uurli Fk:zt!icirl i N a.,l ruanc rial represcrusbon a f Q1 upnn vvh We h Q it nee %Y S placcd wiW,I lien 1 ts I ransak!!4 i ovi
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irtn�>, Sttb,,lY,NJssiwi of LES CWWWOn is 0 Pr0IVLWKQC Rw nukmgmemoblinuA"s 1.
bounwa in Apmed Ci I c ir law s A-102 will Z CFR Rar,t 200.aml 2 15 (Rmrncl4`,vt)N11 11 Ci w I t l�ti, A, A
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1. REC09,1310SANI) 1)(11(,-Al V1 F N'V�,%1"I()N
I'he flr4 Vider ke,avzri�mb?z La I)c"'Parume'ra 'Faafl'zi ndfcv any parry des ignatc.,d liy I tte, Dc,,parl I I eat M
aw,] all rt"Jw.ed tec',cv1d"s mid and C
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n0nmonance orall pvvkpjzi,m ix,�kned ORWmadon and jocumentation on any such symern, b��, Ille"
1kpavVnL Nhibitenance indudrs vA A cxpw and hock ups of A hus and sysigm, accovMng to
1)0,parunenl s4andard"s.
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1.
J, ("FIRTIFICATIffN R,E,(3'AJk1)1N(; INS,[*F µ�TWIINI 0F PUBLIC R,E `11()RDS C
1. In addlin to the rcwiovWAlw 'ln 7 (4 oV " ' , ) 01( M )1"' S- and,al,'Iy odie!l n4pp'l Irable 13 Ca A w H AM is ommmomcd as=mnoaWd by Siwxt.'Jon 1 19,l,17)1(4),
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FA.and Ow %munmtF, is m tire 661 aaiam NoWT agivw LO dKenuAQ and hoW hmmOms be CC4:1
Mpmunart Rw a qy coos incowd by the Depmurrenu and:LAY,anovneys? tons assessed Or mv�a;rded agrlius'l I
1he Depi�rvncva 11-onr a fluIblic Pxcords Rallwa mde pn-MpAnt 1,4,1,Challiel [ [9, 1: S- CoRwerniRg thi's 0
hereund 0
ez, 0
m Nconvihstan daW wWW�a1 L
ding Secticrin, I l, F,S., or [`kvrida klev TO secticro is le-4 It) C
conn-mas cxenacd bm ween Q kepsturlem and WAv agmc ds or MWIhms dAwd i 1) 0
SeKau 76RIS121 FX
2. NoWn 11%01(3), Es., MAWS upli'll1i,r: fonclsarc cxpealdc l by an agency 4 1myrnsuordws or E
nwmbewhp=Kribulkins fbr any perso, fbillidariolin,7''I I'll gtr" assockhmi, guy, or ovor CY
org�,"orizah"an, afl linanciah Nosiness, asKI membevshil��i an OFIVY m1bich perimin to the
" SCCIJDr�, I ,
puhU r ngency(Flwidho De pa ilment of 171tter A ffaiitv) are publk: records _JL �7 5 1
evier�� lay rsol I whcr hw; a pub Wmeard shAl pennh dw record aver he WNW am! wpod 0�,,
s?qrly pur ': 1 dni 16 1,v do -.io, Nand c.r reasona h le c AvinnsLances
Page 46 of 7j
Packet Pg.458
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Addilionallyj ccrvvf ],IILq ik", —ON'ms'J"Pot —provide for Inslituflicinad!
FIrcivider'q signature,below Writ%ts llwi reinzd4 peri mirting io,!lam ducs or mcri-,ibcmImp applicAl Wen by(fic Alfiancc
and Ow,Npartateapt ax-c available, for in�ptmlionmq filar alinvQ,
Gov excuution,of"Ibis contraa,,ProvJdvrjTgrsc ine I ad"e.chase 1.11'ravisions in all rdmed mAcantract agmmuriaws(if
mppIsr,aWc')I-
By''excTilabn ofillis amitract,PrcMder gaum includr dicsc proyisikint(A-IjKira til] rtlAted&ubemmin aortmatenis(If'
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By signirig below,, the O"U1,11ned, iri pimrcsA thraxioi J ahovc,of true,mid oonrcxa-
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Packet Pg.459
AA-2029
AITACHMENT'VI
PROGRAMS
Public rcj-�,�nrling kvirdi�11 A M KHMIK of KHMMon is estimuMed W avenqppc 45, inimnes per-response, inchuhng,Eme hir
a askwo'ces, g�vtflkring arld rna,Jntaixtivk o,Bite data needt.."d and ex.-'anpleling and"
Send comment!,regarding,A Men evin-lote lyr wry otber l.lf th"i's 'Of
hlc1Wwg MygesNons Rwr reducky this hudkir,hi the OfEce nFManagcr'rcntand 13M,1go-
Pr(qcu (003 484,,X143't, MM10191:01"',, 0(7 205()3,
f'[,EA,,S E DO N()T RETUR N YOUR CONVIRLM"ED I k M,1 -111 1� OF'Vl C1 '0 F NI MN A(5F,,N1 EN IF AN D 11IL11)(3 ET,
S END A TO III F ADDRESS FROVMH) BY-TIM AGEM"Y'
No,te (.,�erhtin ofthesie assurwes 11MOV not hC app�iz9v1YlA2 In yawx 11myea or pagwani.1 r yCal hawe,quesoonsl,rflease cornitin. Fix a
awardirig F',urfher, ceoudri F,edenal z'1wz),rd,n1g bpevxiu�'nlay retluire apphcants U3 cendy to addiainnal H""mr0w,
is the Case, y'llu Nvi I I be notified,
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I 14aq [he lega"[ to a�flffly Ir Fulml msimance,and Ole KAWAM anunap,�2:rial and flinancia[ (inx;:htjJ!,ng
fUndli,SH RIC iC.111 W,Ftiva (Itc,non-[cNlera 1 51!qire l,cost)A iffl!klk PlOpet 19ah,hiAg, Management and coi np lel iiln rlf ihcY c"S
projec"t desc-ribexf ill ih.+ Cd
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authurizell repiresent0ve,access toand Me 60H U)exan-lim,8H lxwksh. jja�xns, l.vr relzvled Lo Ifle aviard;
and WO U eslabhfhii 1:wupei iww uininp,systeni il.%i1ccolikknce "Oth gertcr4fly,ae",(-cprod crtiq nky°
VCH v e S, 0
N. M estabhsh'lei NgUMalp to PrOt'-'it cmplk�,Yees fri,)irl using Their pmktions lb r a plvjx Se thal cormituir.es of presents the
appearance"af personn] Nmr urp conflict rlf"inwrest, l)rper7)orw,1
%vi 11, i n it i" anxi c"'Or'ltp lele the work %,i thin I lie, aj-hphcabEc time kamw Mer reccipt or approval of the awarding
I IOU cornoy w1h Ow lwagmmummal Mrsonnel Act of 197�,','142 4728 4763) re to talc s,,cribtd sw nadards t6r t
I l 101 ir, �'y srep"ns furprograrns fi I aded"cinder 01 lc_r, 19 stams or rQgpl KO on5 speci f1ed i,,ri Appevidi N, A of OPM SwAmAs
Aw riN[eirit Of"Pel sonrje�l Adi i 6cii5"h id i on(5 C.F.It. "0"SR'd'apar"t F). 0
Wulf comply off Fc,dvral sim iws relating 10 nondisai KaMM" T1 It ind odr to a ar e rl(m I kni'tcd Fcx (a,�'fi t1c I`I of,[Ile
(Av R RiWms Act DIF 1964 tRL.SM 52)Mitch pwahibhs discruni nat"Jon r"l Ole t,xtsl�s 4,tfrace,, cxplcor cw nal ic'ital(viLL;in�(b) CC4
I'Ale IX of"11�ie E�dtkicwlioirt Amendruents of
E 102,as amv,,rad,,d(2 S.C. 161-183,andE 685-106 ,,"which prcd'vRqr 0
i ltiol I m7
ftsul111 SN Rt,�IMMt17L C �; , bwt At of 9 arnee9S. . ,M)�, wl 11ch I
pl-Mbis iiscrirnhatkm an be bash 0 Ap �or 1975, �m ameluk,-d(44 21 U.&C 6101- 0
6,107) wllhrrll pixllli bAs&SUVA nM&n 0M the bads of age;(c)the Mag Abuse Mce and 11mimcni Ao,, 011'P-Y72 (P,L 2
)55�1, a�s wncrular
ed, re�afing to an Te Nut ohdtwgabuse� (r�t1"t'r Acuhd Atyu5c arW r-
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Mco"hu:flisin Prcvcllfi(mm, am.-I Rehal)HWW Act of 1974�1 j1j,,, 9 1,61% as awwndaL rewting to nol lr.,fi icrilni lial i orI 2
on We basis of aksbal aboewr micaholism; (gj 523 and 527 of dw,iN,,zhik I lcallh 'Scrvicc Axl: +nd I g)l 2 (42 290
alld,'V)fle� a's arnendaL rebl5ng to avIdwAlky of akoohoJ armi dego, nbu&e l-tal.iem rcwr&; M) isle V�,�11 rtrttw CA— E
QMs Aa and 196A (41 LKSAA MG�, el,, se(f), as arrlenpde , Mai ng U) in sale, re.,nlifl ur financing,,rd M
CY
ho,u�s Ing: fj)an�f, ()I I le'r I lon'd iscril i i i natia,n pmMons in he syci f ic staw"w(s) undc"r- .hrjl jeh "ypj jQ,41 jC�" 1b,,t 1:( 1,a ssi'mance
is bdn g vMdeand GYM wqKMnwnh of my Menwadschad rlatia-1 I stavate(s)whic It 111a'y appil, , t1w wlpp�Jcatkmr
, y to
1. �Xl I or IMS al rcndy cls'rnpliecll, with the rop"4mvnents of Tits I I and I H of([te uni Fort'it Rtlg;tialion ALssi stance and
Real lialmrb; Acqu&idun Mkks Act af I�)110(11,1,. 1KI-646) wh ich 1br 4,ijr,and e treal wlent of persalls
d isplaced or vArnejivaj)er'�y, LN 2,LLl ui red asa Fesul tc)f FedmmJ w MW ly assi;o'cd 1'hew app[�, to
AR i Memsm in rM rwopevt;,, acquit,ed lmject pul Jglmes regallRess epf Fec',IL�M] porKpMhn hi ptushines.
K 'WE] compOn as nPOWK w4h The pfl-wisions Yhp"thi.I A o (5 k 1,&X! 501-1508 and 7314732 Ry mthl 10 hih r-
pol Went adi liks of era ployces NY haic pri ncipa I emjlfrj�mcllt victivirics a"re ('rlmdr,11 in, wholk, al lea part kv klii Fha era[ futids.
9. Will cr as apW KbA'w i th zhe provi,yiom of am Davi,Bawiii Aca (40 L .S.C. 2 76a lo.276a-7). the C"apdail d.) Acl (10
t,J - 276fic awl 1,4 z"',s"C' 1 874) and I he if ows and Sakj�y Starvdards Ad f 4(,) L��S.E, _`,V27-.113
red asrdiang Lubin mlindauls Gx IMARy aMcd oansvufction" trb 01p, ments,
Pap 48 07
Packet Pg.460
C.22.a
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1 . Will,cumply if aptal o»i;,able, wllh flood nisror nut 1nuT,ciiUr! fion N 02(a)of die 5,71 od, �glow,'"tolccli lro
Act of 150 3 ,11 L. 3-23 41 whic1i r ,.M� m c � 1a rlicil;w t ill,* lnmflampwm on nmrl 1 i ir��s�>� r gams t�era � i,�laul 11u ,��rl����.� tiw�
Iauwrch'aw food P.nsarra nce 1V the trmtmm 10094 af jnesum4l mml rucljam and ecgW54hi n is ].0,000.00 tw rrwre.
11 Will smairtuts wbichmay,be Imrc mn ib d purnawl to,["lie Ulawing: err) Nrrstitutio n of
ro.m�iirm rrnncm;mt. l qmlily warmu r vl rnmmmnurvi V1,114jer 11°0 ;N~awuliowm l; mm lrnrtuwr rml l Volijvy Act of 16 (PA.- 1 1 0)mid Ekecutive
,(1 ) ;(`)ncr4aGrcm,,GN,r i°o�b1a,.l iiig 1"awcdilrics prist, wot Ira EO 1.17Mw( �)1hwiMtmtmmm rar° Iaua»Pummant,to EQ
ME)- (d)evalnumiuiii rr1"4lnuwd 1m rids inn fl000plabis in acriardame withED III 1 klily (m.)mu,11wilcermClmwm�� �t�rmmasl�t t't
Wi 11m 1'is allo r°crw d)tote rn nz,pcn"lranl pwrwl nammn E C11qmd hind'er lb Co stm1 Zonc:I i nageme+rt Act of 072�N ski'U,S C,
14,51 I sm q); (Q r.wmnfm mmit of' Vpu-drnr l awmmtiyons 1rn Bloc ( i rrr ,i )I.rrrp,lcrrrcrataiii n Pfam, ur d r ctioa 1 6(c)i;af"El
Cle m. "ir r t�c�r 1955.gig awrrmm rw,494(4,12 U,SmC 7401, ow , a (R)pw'utccwi n uul" undcrgrlommd murices ref diihking Wakr
un der thwr Safe, P rirwikirkh"i `ahtur ALI4171974,a,%, rr'icrm ail, (E»1 A 93-52J),,; wm O 1.1,,1,prri� o ti n nd`cna rirr��rcr1 species i ndu
dic End anger° d' ci Act of 1'973,as rrrrn iradcdw P,I,"" ::4-'2"'05)"
17, WW olu,I wti ihln mile Wild a�rr cn,ic fCNwr rs cm f 19M 146,LYS.C. 17 1 ism S&I rvlutiawl 1,u 1mr(,X ctin l m ccirf n wnls wnr 04
Imw etn,pwal r riAoumpwomm wrl oftiic malirmnat° 11d riu,d rma niia r ;rstcin, t3
1:1 ill rassmi m1 lbe Awildin ,Vmcy in assuming m ompliam vwiih Sectirmi 1 06at lha Natimal HiNtoric Prrr?irm riora a i:l of 066,
s amie and d wk l tw 1"i'w ,,1 u 4 70). EO 11593 pJdxmfl i fwmm k mm areal lxv mcction al,'In tiaric priipwics�, nird 1:is Ar 1'i�nriilagi n,l n nsl
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this ward of Assislarice,
1 Will rromply With the Lca , 'ascd fi'mirri Poisollirig tevelt,'lio n Act 2, 4801 ct seq.),which prdhibirs 11ic we of I,ruad- gcj
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tem
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Packet Pg.461
AA-20,29
AT1°A01 NI EN'T'Nll,
CONTRACT BUDC'F"'r su",,VIM A 10" BY S E,R,V'IC'E ,,A,N 1)TITLE
CIRTS 5,U I Y FORTH E AGENCY
Serwite Unit Maximum
Servioe to,be Pftvidecll Rate U'llits,of Dollars
Servite
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chllalrl� lily6 V) 1,6,)Q44-29
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Eltort 1118
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�iorne Dehvo,,fed Meals Hot C2 4, 92 62,571,61
----------------
Emergency Hoar:P,, De[lveied Meal,,,.s AM $2,,Szo,ko
Stuet"I C2 r_
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................ ...........
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trig r, ucatiO4
on,C2 �13. 732. 3o.66,19 04
ile lmt,llurne I HE $22,.OG 891 191,610,32
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i"-r I rahiin Su Hit $83,75 87
ive "t i a s CIL 0
ME, ?0 6110
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Page f 73
Packet Pg.462
„vr'1'ACJ1MEN"1['VH1
OLDER ANtERICANS A ”CONTRAC"T REPORA"C,:ALV1NDAR
AIATANCE BASIS (7ONTRACT
Iteport Number Omed Overt- A arm mit toMiame
Oo Tbils Dutir
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2 Ahmmy Advmcc*, knuoy 16
3 Mrtimry Exp4av,,Alure Report F'el)nxasy 6
4 ,!-"Cbnmry Repm�lvt MMM6
.5 Mamh Exymdhmc kqmn Aphl 6
6 ApAl ElpemdWre Apart: thy 6
04
7 MY Exprud4un; Report Jmm 6
8 A unc. Liliend-itule Rcpnirt MY
9 My" did Port Aulat 6 0
1 110 Auput ApenthRue Aporl SeNemler 16 cw
11 'S,,q'mx-.Fribcr Exportditurc,kicp art Oculer 6
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1 NovernN�i,ENpandl urre [3,qxmi, December(6
14 Decernber Anum ('r,
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16, Close An Apoa 7;8 0
L,cd�Clxk Advattce t%x &I on cash rietn.],
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been excamed aml a copy Solt to DFS. AO-mg of alv ul DFS i,. 0
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Packet Pg.463
C.22.a
L22g
ATTACH MENI"IX
REQUEST FOR IPAMENT
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Packet Pg.464
A,A-,=,�
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Page 53 of 73
Packet Pg.465
C.22.a
,AA-2029
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Pape 4 of 71,
Packet Pg.466
A,A-20Z.15
EXH HA 131
PSAIPROVIDER, MONTHLY MEALS, REPORT'
PSA Numjher
Mordh of Rpepwt 0
Psmabor of dqys served US mondi
1"Otal rurnber of meals., regardlew Off UINTRg SoUrew sawd fya:
aH pamons 60 yeam ed age or oWei- ond their 5pol"Iso"s, re g., ard"'le,7"s of age
vo[untewz. regardtesu.; of ag@, ,v,,ho pravider zarWops r rrr7rm rmr, ap iroc mr on any RegUlm basis
handicynDed or dmabled, in&4duaJs, rtsidinq, in 1,koming facilimtifks c1ccup i&d primaMy by 40-
Weil; aunhich com,gaw meal services ,wore proWder dudog the monM, N
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Provider Name Go
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Packet Pg.467
AA-2132T
ENT 8
SIATE OFrLORFOA DEPARTIMME T N' OF ELDER Af'FAIRS
Clv'ljl,,,. RIGHTS
CaMPLIANCE
C H E CKLI 5 T"
P3,raqram�F� flity Narnr- F-.C�f ad&C"clunt v
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PART
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READ THE ATTACHED INSTRUCTIDN'S I III LLUSTRAT1VE 11INVORMATION WF1JCH
WILL HELP YOU IN THE COMPLETION OF THISFORM,
'I, a.riefiy ciervc,;ribe the gaograpNc aroa &mved by 11-ie progrannaacHly and 0)e rype, ofser6ce, Prr:)vb,&,,,d C14
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PARTH. U,$E',ASEP,AR,ATE SHEET'OFP'APER:FOR A,NY EXPLANATION sR�OkJ1IRINC-7MORE,5PACT C14
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7 Itle s,�,&ff corn(n( ,,,Neositian to Cfle,poWirpl.14�Jtio,,n lstlallf oupresendatNe of the pl,Wu,43,tjrjn?
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coffin, ralional cgrgrn, 5f-
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Rage 51,6 of 73
Packet Pg.468
ALA-2029
ke Ml b,enefft, %0MC01., WKI f0difleS aVEMab[P-' 10 appliCanj,'q �wlfd paFII61mals 0 ,",,cn, ecluafly e4fedrve umnner
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NA 2
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12 Art emn'lpfb�oas, applicanl,7jozni� Mfrxrm� N�P.iirprotacfion
huw� Verba wrimer" pamer L Aor NO, axplawr�. C It YL 0
....................................................... .......
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1-1 �1111-1-1- ....... ......... 0
Q1. Give tha ruimber and current qlatu5 of ary 6sc,0,minabcr( cornpafnts regardhn-g 8orv�ces or
E�mploymanl filed against Ile program,lacilly
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PARTMI�, TliE FOUXYMN0,Q01109TIONS APPLYTO PROGRAMS ANC)FACILITIESMTH 15 IDIRMOIRIE EFARLOYEE15,
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T,,15, Hai a:&elf-leVah0bon bem,conducted U,'�,jdemtdy an bwrie"r,,#A lo goonnng disableci 'and,"" I'o E
make any oecen,�sary irto(iftulions? If NO, ox,pIla-irl
915...............
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16 ps there amed establistle grievance f.�r=vrjurU Ih Ut 0,hrb.rpuratrm due,proce-sa
of romplla'WIN �ZNQ— If NO, explain,
............... ............... ..... ......-.—.......... -------
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Page 57 oaf:'
Packet Pg.469
,N 1029
17, Has 4 pe,r!5,qn he,-p.de5lpwed to coordt,nim ction 50.4 Comp fianca activAiEs? It NIC), explain
...................
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Dry thia haMs ovf,rtsah,ikl,re If NO, cixpAm'mi�'
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aids iwbklla to assure accassibibly serv"'c;e 5'Ix h-) a'arirl, ana, s igta atnp,.,,'kad 0
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PART IV
�rOR P 13 011GRA WS GI R FACILITIESWITH,$0 OR MORE EMP11 OYEES AND FED ON'tRACTS OF 0
S 50.0 00 OR,MORE,,
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Packet Pg.470
C.22.a
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Revhevoved By lin Coro llan e YES rp Q' a
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the I�ste,"sex, anul rrzv�.i,cm iI �aafin�i reml��' e gRaail`nYr�l��aN"l�'Ke",Ymv���h �;Veimaraal jiop%A aal o,'rj`" (",or vxaul slap i f,A L..s
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aI v'ral'Ilwabi['J`°y 61 the 'r j:tii'B lalt INaPn" theJ' i og"l9 'Ir'1 04'CRJI'y 105 rt'le m"six'.1ruii".A l n;y 10 V IC'ael Tril0'w,'l'17d.. V c.rsoris 66"T
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Page 55 of 71
Packet Pg.471
,AA-2029
9, EX)eHWbOdy UMJR-61UH CXCIWJC pwsais in,pi�rr iectxd Apourps fi-c)rn the provision 1.4'
serVen w aniphymeo? Evidame or swo may be i ndik,,aml in sraff arld cl ierrt represenim io"
3 arad 4)mrid aho th.rough [Ku-Sit',O N,vhoi apl flicd I %yere d-Aar--Ilcd
'gervice's oreniploymem, 45 CTR M3 (a)arr,(,145,CFR 80.Il (b)(2).
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nd rccrcatkmol tlro-,j ajxic" ccial mcd i"Ilg arK�i s
S(."%x,color" nali'arad) aripin,refigkin, agg r r(fisallifity. Oxtrtesy tides,appobitment riclictfrifing and
accuracy of mccad kmphg nitrusi bt Hldfbrgnl�y arid Mnthomri TCd141%1 ft)FUCC, sex,cukm, rraliavad
'origir'l' religion. Ejrjy��jjjCCS, T(jL)1rrS7'lecel-ition arcus, rcstruorns zind Other
WCOUCS Inrnr alwtx""eqtudly available iu,iilthc-uts, 45,CF'R
SM 3(b),
C14
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gncd la rourris, wanils7' CIC , �;VAIIGUI.' 10 RICC,
tralio'%A oirgir,;, ei drsabilit'y- Msc�, re,,�,Sidcnis rriu.'si not, 17c,asked, kwhether flwj" are tu 40-
sh�,-rre:d,cc,,,orrArrrOdj1 iewhs Vvilli persuns a diff�°renlrace,cahr, rest itind OWn or d&dAKn 45 CFR 0
8(13 CD
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It, The prqpam1hcRhy and all rrarst tva,accessiMe 10 participatto grid applicarits, 4reltfxcling
drosx, pns'orrs vdnt zrazy nor.-speik C,�,npjhh. In gmyntplic alruas �NAICI-C'a sigruilLELIH Of
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MWT In w;rtdrw r udu,rrrrrea ir is mriffi,erf t to have a polcy or phn Av saken such as a cunem lit of names 0
,A rid P"unben of h Imud i ridiv iaduals IA"Itu''Md"I am isr in I he 1uirovisiorr,of 45 CF1-
13. Nagmm1hei I ities rrrai make Ki furpriation rqpdrdits'g r.hie nifl,
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available to OR participirts, beneficiarics or arly-athm-intercrilcd I-mrdes. This shotaAd mcludic 1.
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infoirmwinn on tlub-do! ix-,i fidea cojinplaout ofdIcAndripilon m6rh AN we Wilda Depanment of 0
Elder Affbirs tl�rtv.�'ITS. Departmeni ME!IS The imArmaArr rnay be s,%xj wH,ed veihally rain
WE, Lau evmy individual,or may be mToWd hrmTh to we of an tr"Irury pcAic�'d.X)51'cr N
o( 80,61 C4
t 4. Rel.-rut number the Indicatc dw:&A ey,, CO
as
race,color., (xced, sex,;%,ge, rwo iorwd o g rii n,di%llbi I R .'y re'u)I ko ii)n Mtws trro,,A v' eocl,e,g,,services o:pr 0
lerrriirialixsru,, dc. IndicAn dw Kil righis law or jw1Hu,,y, alleged to haave been C
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con i n t�,,ms teen 6 IN I MAMMe CUMN MOAUS,I 9�M21A iw i wsm=e riots Coo n"d, J",,aJ I r1re
i H'alt, fiiih rrcta,cacwrx,,ratv.,,undcr Fcwiek%.,Lirc. E
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'I F')r Nic telephone,Testrcmni ffiLildlius, witlyor fri"nxi1r.airt2�, inf5irrnation,arax.i
Aniissicj f"fivesshoukA lx:nucinsible, vi idlhs,.�i�nrl t1m flICAMOS Of M&MV.&A We Offees",
calleries, resuvrnns, rccroMM areas,cpurilcrs rLnd mving line5 shau[ c;diwrvrd fnr
Fle-vwiwrs lac c)bserved, 6,xv doorwidCh,arrd RraOAz wnr raised
SwAhes awl controls 56r'figj"11" 1141awt' veniikai,rin, be
1 nmalled at an appr,,'.'qx6are hei, ,,[ft lur roobi I i ty iri ipaired i riarvkh lzils
16. Acton 504 of We r"V"qu,"rrcs f1hat a c'N"jederal riptaricial ass'4,stancc
cf..rrrdlrct "I szff-e%HIUR[i'011 idtnifi("Y aqy anceg"Why bar%n is' a riviv slop
Pole 60 of 13
Packet Pg.WIT]
AA-2,029
With thz ws"ima,,Ixx evaluatc, otHrenq practicps and prilides
whwb rfo not wvrply %whb 564fi
Nh�,l lJ i f,� pol is sum! packees tharr'.dio 1 lol, rneel 5K ction 5G,-1 IVI'l I Ikerneals.
0 Me tmvedhl Mps to ehmimnl aqy LE�rizl il rl i 11,161ai I thi.a his lwei i idenw,ilrd
Nla��ixta6l 61C.(ThichMsproly to salJqt`w nqaimmml Wthc5c
FMn.:w delis �',,uvwv been l'oflowiti] 45 8161.
171 prqpWas or fnj Hoes Int wnpwy, Or IRCOM 11075C)'I14 Illi"Isl wlopI 1,kn-Anc 0 pv%wvdurc" 1:1 lat
a J.),pl oplilaw dule process 5�,Xr the 1"w4`0 I IVO 3"Fid, lesobaiol.I F
cornpla hUs alleghg apy oction pvc4lbfed ly Seaimi 5GA45 (111 8C7(b
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n la"lenals, Of ally al MIS we 1wources Cho can W ONE e(,j IIM�ly e ffm ce,"Oye ym-rvic"es",(45
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Page 610 73
Packet Pg.A-4031
C.22.a
029
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Affidavit of"Compliance—1 Eim,ploy
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ATTACIWENT F
Wame Mr Aon% W.
DAIt" PT6mavy and rnn'11'y Business,,,kisocin tvAgreenivill(f
7`44 13roO106 AsU,)(J,'Mg iNgreimcal") �,r, dFluxi -e ............_.,, by to AROW0 RW AgAD tw,
("Amanet") and NIMU00 coulay Board of C0UMqC0nWakSS010an+6q 8o"Im ('Bwxiaalo,
R nf,�Vt,for imflolik,F tkmi,
i,I llwd)Ahijnr Ina s I,-,v ilurccl l rite,one cm sumc cmucts or agreemews wRh WrIess Amoc him (75cindoc AgwracW)
MmAm dwo di,�a oie rI l"),1(oloevied Inillio"gi ("P10 I'(
12 1% ARWave; maWdns fe w,,af tjm J,Jionlk+� Inowank;v Pomr,1,011ily awl Av ol 1996
(FURAA)amd has intilhated its inUml ta ccanply list file Couray"s Poficki and 11n.-Yce6ares.
1.3 S tat e and 1'edarril la pNs n rid JLL�i- "Japi lDnN 0
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e:0rRnkc0,I5 0K pirkynt fhmamim; ('uw alkiih("?w thm cnfurvr;;I,4,on aum ln kopt prhqilc C04
ond s&cu,,,,re,, and hovv hoWds, vmmc be givLm ao.:,L-esa io dldr Stich lavri and rulc-i, 10 uhe 2"AACIA CD
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io,flu"Rvi-viry Agmonvit, will be Weamd to in lhis Kl�, A,grc(micm as rfw("onfiderhalky 1,41ws,
J'A' The oarcu,.,,, vvi,�I rjs flult all ondr,,vid,'v,,,nN(y 1dcrit(6,31bir healthl or snlfirr pP,-,rwnaJ dala ugsad and
Whod pwwwwm to dic Seivilce Agreenten?. i.s Upy, sective and uied and dhxloNed only as perrnint'd Icy lilt"
AnUmehlbly ."fir
111m 11"Calth 1,11 Sul ll Wably and Accouplab,Aly Act cpvt 1996 amd as 0
("1111PAA")wad Q IWO Ro,Enmenhe and CHnWJ 1kahli AQ2009) and ils
6,1pl u'lod ing rcgixhtk,,,nv nVAm bmhms ass 'Raw ms utvx vcrvf andWs to cow iply NW&the H WAA Sam my
as Eel re"'l-th in,,bvt nol I LOW m 45 CIA. J§ 1W30k I WIT 1613 11 avad 164.316(2009)and such gad cidamR&P co
"sppl lo~ A a,l'a cu vard end VV in tho sante rmaximer that sink stc,"t ioms, u,,pply to tfic, covercd civilry.
N
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aml;as parni Iled"Lq Confidelt Lial ky Laos 0
Tl pmljes I"Irm,iVfiffe:24"vee,aN fbI C04
04
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as
it AxnsL Tbe abd lot or 1he imeawns nccessary lcn,read, vvi lLtc, irricidify, c)l UlRlUrn.inkale, sow othtnyiw
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developrnom., ivn)t�!!PlL",a"I'uc�dilaii(nIfl, and of �a uriry mi-asirres lo lIrem�ect dectro.,Onk Reallh E
Inforawaion (0111) nnd la, mnnaga (ho: pondtict of thic rnfity's ifflnTWbn;,,,r in rr6rlon lo the proticuion ol' Am
infi)rmlaficia, MU
�2.3 Aufhalirkehlitioli, Theaq"°l c4"gitalit"opw flnlyl i"i j ru' ')w I,', whir n,tae,c"t"ll'at"ed-
I'll Avalka[ji�1'ay, "Vic propcmy Mot dola cow inhunallon W acces3ib'llearld 11,wahlo,equal sl Yrv'Il t111ay awl Audw"),vined n",
21 111,re"14 111W izu�d ac"i[nisitvurn,in:uM,IRSCI,I"'I of PHI ON Pumpmaws lific'5o�wriq�q�,Iq pl�vau;y
of iuch infb,rrnza�,A�.
2.6 CouRldemAnk, Tht thal ijara of irtfi.-Irivul icain is I&nialle sNaHabkk or dis6osed to I.jri�ivilicmized posmis
OF PIRWOUN,
Pape 63 of 73
Packet Pg.A-4051
2 7 Systrm, As 6tv;4,4ipim4wned sct of ini"a"rinaGon resources mdrrihe saine dited,
thOlSharts cqmiurian A,iym.&tl 1-t6'linsally r9rem4ius 50,fvgvoxc, i ro'a, iq,III 44'Nm�voips,
amd p"T'le,
LM I mkjxity, The prupomy That deso or JAmmiarl hne ow hmn Mum,d w dinkyed M all mawlmHaA ammm,
maficious sorlware, &�dfhvzrc,EXCUMIA"a VHS,lk-'Ju�ried to ni distripts a sysleifti
71,10 ht,,Nlrwimti audwriticaficia b&-yrmil firmeDrape-sed ic-fa stfin.4,,oaf(.11,11racins.
2.1 ll p1lysival sakpal wv nw p4meal ff"ICHSuf les, its,:,aitd PrOCC6112tS 10 pf oval ai%enfil"y's eke tar ni't
symans,as Well w" 0,40 frijan nrpAvrn1 mvd cnOviumaavid hazaNh.and unaulAri-Ozed,iivkp ,isiafl.
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A Awd NO CFK 1(13,v"100h,val Svciion 456.G57, CD
'to 395.3025, &taralet"i", LAISUPITLE11p, fU%,,A ds, mod lid m"w'44 �,Ilftnmairiori pi owdou'l l,'vockm Svilio, 30 4 114 ArWa
swWo. jmnsom,,A�,dah, imficher an paptr cm clecinirmic AnN Qain V3 swwcdr-fivdcra[ layvs or rr,:,,-,&flj1fiDns
1.11se oi di SCIDSUJZ� 'nil Sll��jcct to iractual of !"Wiry, hil ilerd li,� Ov-,, im R�l vilall bo cravind ca
("fr rvw, rvvcl own mvn bAWFOAH&Wn
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`7 15 Six rrimiwy, IN!Smammy of to[kparunwi of I lcal th and Humvi Scrvkcs or his or Fier desr,'goplec, CO
1 l , l i ized acemtic, iscls , )( fiain rstuelooz qimWeW 1Xr,amvrn )td �, B mL a fey
iwo"kMwe Wilk qw1viv upinlimm A am wkmowurl symorl
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symcal ON
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721 101 cither lemis used, mc4 criflienv'ric ddWal K thb BA Agwomment KAI havc to mme nmmhg whosoemn IM,
ire I4.,,ule,
of Amiprinte,
As,gym ckto qpues;4),jsol,4iso ir,ul 4,'1 5c14ne PHI Outer An as pervimi lvd w ivqui i-vtl rjy Ibis I A,1,p-vCn,qm,r,
Serviov Agrelorne-n ,or� Rvqur red by Lavi,
3,2 Bltiit'WS�&A sqoeiate q jtp td:�,
(a) hvlp ernenr arld procodorva No �xld 01rittl Semmy volahnon weWhirim WA,
(h) "Ne'velu Use 1:'m, of be RH over omit"mxs 1;llovii1t;41 Rm by t1i is A ppw"01011r(IR4 o's I I'NiTril 17y
Page 64 of 73
Packet Pg.A-4061
AA-2023
hasonly mid appleprimij pwom the 1,1111 lhatthe Business
k5SOCialt VFUAZVi,LT06VCS,111ahlMinS,OF WarmInits on hchatl'ofthe Alharirc„and
Oki Witil, th"p, SWAY Role ;Vqx'6vr'vxj1vn'kS 1"hysical Sa[Lgurirds,
FcchffucL Safeg'vdardsl, wind p6licin- and piveedures mv.] rquirenrovs set, fililk in 45 (",Vk
16 1 AAA, 164,5,]I(), 16 11,31 11 1,6,h,�O 6,
3 P 3 jky"dxifltc qvrcwl� fi) mmgmc go 60 Umvi mrlq- h.-vunfi,41 ef,,F'.,,ct dw, is Bwivie&5
,Amt �,iatecd a use lq ffi.jsiric."As�,iaciate in violaziori of1he requirr.micais ofiltis BA Agreelneqc
BuFifkcss AAsociare agree; to pmmO4 (Wilhill 4s ho.i'rs� repent to Allhanizc mly IAr.,Or di""Clamlrc hz-'rqpic FUl ac'q
pwA&d Q ly Ns BA Agroomm slit nfich it becomem 11"ev.11 is Wdu day,"! nary,, n'!quw3'1% for, eopyhq'"
(it airlem'dmerlE(d,stieh,,iriftirmatian ind i'ff'dudi l"I ally SL'curity incideit'l Ea-,d.,Avirig P1 11.
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is Ouiaw AMOK agivo M nolike ARWe wkMWAnnwwmW ddav ofarr�� break,,,h w: C14
11) IdoniheaUt iridivid"ni 4opw' isoseei'lf,ed 111H has bee, cc is masaaabb, behend Ry Um BmWass
ARicma',mc lo brca, socemed,auquked,mUmbsW hrWg sub smNuky W*mid 40-
A H Wmakys, i"jil kvO ricilice"I"roqldrol by ioill SO U 7 1, BoAda RaMes. as vadl on, Om Privacy FUde SON
wd Smutty RdA aml such,othu i equested Ily fld��N'M iancc CD
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4
3.ul,R Business A ssoeiime Ng.,rees, rn enstme tUt apy agmt, i rwhjjr1j'L1, 'h W MAMM it PMjQS Phil TVumvgd
frowl, or amomh or i AX:O"i YcO (,ly Aswelaw air bOW1'of d,ldp. A 1hance, ag!'f Ces lkl F'J"vc.'SaiTIC I C-im'-jefico"is an"d
Corniftiolui,th"Ll applf," Armgh LMS BA, Agreanew:and the Scrvka Agrconew to BUrins vvilh v:,,,,spvd (0,
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4A e ome 10 ine ,j ay 'r -ck'i%q Oe reque CMW d
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CD
rvl'm li)Him Nrarr anid of P11 I P'rrvivv-d Crolli'ul orea'wd lir I VDllkiijvess k,',am W kale em bdd f d Me by
ADAme, lo�,he A4141,as�eoir iniddvanz rydNwymWwAkqmhkk may SoWdedreSonvury,upon I
43fthr �'Uhffllek:e cw i�he secrclayy Jbr w0h Apoicable CO
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b4 lenl'pl'ivv-A'J fccr Ore AlWulie.-L d� i'v9pood to & �equesl by an indiVWL."ad for rig 0('Pji',] �"n 0
UICONLEWICC,with ffic: 1"identi,a1hy I zws, 2
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T I a Bus�,vicqs Assocd'are, agleas lo Inovi de tcR d%z ,k1kanor" iqw�pn re-cp lesi, in(bi nuitlion Wwwd w pamd Ow Mmc w 0
ropmd lxP n reklurst by ir"'n Indi'vidluj"'I Ow n'O l%j';of,CUK-k)swes t4 R ki accardarice,with the ca
Laws
111 i1ixiwhveq� specillefilly, ag'vees L'."l &Se i"ecufily mfusales [hat reaqrmithly and appropi6tuly prouct flier,
con rfdmi liality, htlegirry, an'd avrdle�ifily c),111111 iR clerirvaitic,ar'3111y ft�l im" Out 4 o om,es" I ece"i'ves,
or it amvivr its on 1,vOhod f A I ka),;l(r,vt,
112 Whom AnuMm mgrms w 6WkMWW SMWfy MaSSM". K.tl seciae jmsrdwovds umd w amao PHI Im h limmses,
mairanins, Ot as pot of dds BA A.g-cconeir I fT oin nio1k,kms softwiun. a4i lo oflho 1;101r"lrlalt'� W,ld lw"tvill g p, )
A U BuMness Associatir, ingire's to kWWmant;=why Imeamovs tD saNgood PHI Im h aunwq omktakq or Umso9s,
a* pm of AN ON, Apemwo Eggs m ramp icluaus solbvar-c-airdathor all"d rutru'laJI vuhriarabflilipvs lu t155llrx'lhc
avaOmAy i iviegrity,inid aimildendWi,of such Kkunimion,
Page 65 of 73,
Packet P g.A-4571
IA 4 BmWms Assodaze agn, M eagnpl,y with AM ol,`h,.r oppkTr;a1de Onv m,"ol limited go,
monvAn an dw sa�k of l`H1 =1 any WpHons undue ltx "or 11clenfialky La,,vs dc`4atcd by the Alh&lIct '10
Bmhmn Aawdabq WAQ aq-4hp4m ianJer. 01"'! J"ri*mcy wO a 1.rto 1n,sw On
MAKWO necamary Pit to Nib ils dbligaderns,undv.�rt,,Ks,BA Agaminent wid,theSeer is Ageeniera.
4 Al LAS a MCI Emsdasulms 11,
Wept as alholdso,hro i'401 61 lhi5,A,grc,,crpcnt or one rclou"d, Busjricass A sscx4iitc in rf use car d P'l 11,
W Pal Ann NOW, &'oh"Oties"or services lbi,,cm, un behalral" Allifltloe as specifiiied in anyiirid all coirtniog.'s with
'A lI hiflcL�, pi I ov lj lflrp�I "IrC[j NI e e�I I afisc,I�uls'l I ry vna,rp,(I I wu,I,ViO I a I e 1"llt:[lpi I'm'-y I�k4rr- i fi�10114- �,7V A41 A I I CIC Or I kV fll�16 17 R I I n
mommmy pM W and,procecl-aj es rf ffie, A I Hatuce
to SledRe LNeamd Dr Ammv PankWmi.,
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R I Exwo mi oAenOse Yj ad, in this DA A,recakeol, TAIL, Servid.c! Aa wve rara'arl or any AnAdulahty Law, Bu"wss V
A ro&)T;iWc,Tnoy,Usell"ll Ril,p"he proln.R.Wlucr,%Nperncn,,l and adininisurmk%it al'On Elusiness or M cary ow Um
1cpd reqm1ruibUhic.sof Lhe llusi rVess A ss�,,x.Jale 40-
12 Opp CN
as Wenvke I NEW i n ON BA.Aptewem, Ae SOW A��,,,i oeruvvrri,a� fviy
A!iscoct,,atr inay disclasc Pg•11 fiar flic pipaper innnaggrnrne,and adin inist ralJoin c,r lhe BaAaess ihssucimi., pix.s'N ided ilixi C�
d kc lassiesai e. Rcquircd By I a%v,wr Ehisineis Ame ti a!L, ",,i oewumlalfle assul lwock,',$fi a NCO 1110."pLkl wr@ to%Alool Ole,
dkjclowd lhal Its lI�wrernain ruirther dhdosed anly m Rm;u4rd By I.,arw ar Fv--r.
File fi;!a, INN id,1:ww OMAN LO the pagn,and A pwvon nu=i The 06moss Amble of Omy Ohms Elm.
of wh1b jUs aw= in,vohic'h ylar confideroiality i)f ffie inibramlion I-,Easlw.cu bra adwd. r-
0
U
53 lJOAMOSS Assodate inly use PF" lo p;cw�ldc dala aggicT. ;ifica Per0ces w The AAlanov as perrnhted' by d'le
ClAdmAW; Lawv bw an I wkm sqeMcAy adwrind h ad&,4y Me A Woe CO
f"WAr Obfiga boos id A t
M
61 'Me ARAMO AaH p A 6 BwAss Assocm of any lvywiaium lo Ibc ur 4,$r dvcrwre 9 Ph I W;Akh Q A H=c 0
has agreed ha the extewl MM smh w9hWon niAy aff ct Business cw NCI clasur?O,f:pl.11.
C-4
CD
6.2 Prinin issib[e, Recpicits by t"he All lance, Emcql Rw dwa aggmyMn or rnanqpnenl and adni,inim rafive actkil Naas of C14
lllx$�hWSS Assw;i;xle, 6c Alhiricc �aafl no',� rcquqm' Ovil me 4',�r chschx;c 1�11111 iiu w.q wan'ller tkal
would nm be penn issible c1rixter the Privacy R dc il'daric hp.y Aflianc.e. I
CO
as
7D Effee live 1),a te and Teran Wadam, 2
r-
0
711 I' WyA i M Or lle Parfiesl A , s eTe 1% above wul WtvLAWS, I ESUIE,' 211d 2
my vW 9whos Assm1w Agimnirni in rJTc.,c,,t beq),veen for AA two md BvOmn Aswdme,
as
T1 Tina Wadon, ror Cansx, llpc.nii the b),,,, Busineis ikssociatc, the AlWlawx
ang MU
Pr 6 lc an, vppoFlivlly' (6),r 13"kisinxm, A55owim"t IW cum Q birarb ("Or ":nd' Ow, "jri-,,,dW4lo and luri in"atc Ov's
agreerr�cq �fR l o E cure_ I'lle Ineh rand ovi lin tinlple lirv. Spiifl sB ow aefled by dw
A Wour cyr
(b) lmniedialcky inmkme W BA AgwNnmd and mqy zlsolcrndnal�, Asmoiale
114,5 rtateTflal teTin of this Agpvsemant and,cu"T-, k rlot possible,
13 Effect offernikeadan. Exceptas provided in st,nbj�)aragniph(b)a,f this seeflon,i,,q)on lcn-rfl,`nahon of IhJs agpecniext,
forAmy leasom, busillma Ammok NO moomoll A=to Wue M ervw.,od n,f reopivLd hy
Page 66 of 73,
Packet Pg.A-4581
(a) Fhis' I �"trml I mIpply vt $11-t1: r'hm"u i,; in the lynssession C4 sub c cuvlrac,,Iilm ou AWnts of BuyHmss A
lfushwss A,ssociatr shaFl r,,,.min no cWics cd'tht P1 fl-
(b) In 4he eviml that Elmhum Asweiste oKkINamoc i0mmirtes mm Imumog Ae PI 111%inftasd'Aie� and YfiAfiC-.'v6a11 of
the COWN&N own make vakwo rdplil h0emN,,c Amll lae pmAded to The A00jimr, 11'tim Aifffiivx agpjr-,cs thnt
Ixrminmixi Is inftnsiblc, Rashass Associmet rtidkv rp vo !If 1166 ginivi Ifie J'Eff, 4,uhicet lo the i,equireime, BA
Almamem.1)A 11""'iness AA 1 thc:protmfions of Oth BA Agmmmm to smc+mained F4 11 and
firther,asets a.,nd d'k'C"1(vs't&"e5j of sudh retaimed P111 6,'m Bosiniges �i P1�soc. Vd
SA IblWmary References A re Rq cri(ce i It, III is a., reelivent to a SeCIA00 in We 1"ei vacy Rule ov S,eLuvir,.v R ide c'wj otirjei
("f"11 j fiP"Jcto W i�y 1,rvm mcams the mium than hi chiat or as rnqy be-mmended in the Amm,
ut'v AmmWim no. Ile PaNtes iqfre mbw tal do Set actia:m as ii necessary to antaid this arnmem Omm dme to that as is ympYw a
nummm Laid � t1 C14
10,0 Survival,
40-
lit, Inimprmaliam Avy ambjWV in times IJA Agmerntnil MmA Im moNed K)pm=R Me AMiame iD v6th the CD
CD
Ctl
UA NeUmn All and mQvd,nommy Cm di�"'011050 F'o i1w'qpvvq'pIwAnn%to 00S UNA Agivmvnfnr,,
'"Ic lud ing a c1lan�r iff a&:Lrtnis Ibi, jm.mpimes of such nwims and oommuniudens, shall be m! origin asid de livel,ed
pemahy Xx the 0%psqy or = by vpmss, ?4-hcwmr gumn"imum"11 cmirritTr rn oir by m-61inI mail C
0
of be United Smes Farmal Ser oe ict, po,-Aage prepok] and num mmeft re"mej ad&emed to flie oleer tuitry as
R'Ahvws(cn LO SLA."IL 01hee v os any parly owil�hY m)lic( 1,;,)I,ht.
Co
FU I I w A I H a ivc"P.: AHAme A,Aghg, We
)t(CrIG01v "an K"otlirrvan
C
76,0 N'W 10 F Avenue 0
C4
I A NRmirm,Cix,u,nvt,' 13rlmrd of(""OtInty SAM SwAvAnoome CD
C14
I I OG S iammon Sm TO Fbm Co
�Key WO, FL 330401 as
2
C
A ny suc,,'h notic',v shal I be deemmed de.fivBred apcimn actual receipt. If Ely 1KAiCC ORHIMA i!)C dcliverea]cff, de1wcry thcre'DEA iti`iised, 0
delivew,, will Im,1eemediv
C
0
E
malte,rs arising umilzr[his 11A A grennewl.
m
L4.0 Seve rabdily. [I'my pioviqian in dlisagreelvien't is kilierdbittal"fle ro any emmL Me mmak%of IhEi,BA Agetemem'11,
or app hcader;Ahat provislon to any 1mrsans or c1mrammumcas wher Than those as to Vich R is hold umcnfbmembW,
wf ill nca [)nx;arfeclvd ky 1hal oad V611 he em Pn ee'al"fle to Nhe fid,4"!st e'xl Ium'pomlitl'ed b"'Y Law"
I S10 So cx'ov%qj 1-S, "A' 'Oy M'W�'CvVW"l to Dm6cm nUmble (Wher Q; w,'fivccl (n 6"Jllroo 01 tv'y I';P(IrOwuso, m),rigor"
ollmr-wise) isrequired tD assunic ffininm Associate's oblig mum arms undes this BA Agieemeitl An'tt
agm o;perkm I;h can i a A ganw-mAnner and to The Sam extem At 13i,tc"rm
Ca if lhat sucoession lind rintutken plaze.. This assalirption IT Ifiesil"Cim,ofific Buiinesi Ama lima_`s a1fligatiorks
Page 67 of 73
Packet Pg.A-41591
C.22.a
2029
6 fl, Enfire Acroumunc This BA Agrumcm,togolhawUh comichats rigor enfirc,Myrecmcm or
the aryls r1cfating toy ft,SAjccl inam r ol"Ibms Ajpremmm owf,%upwekxoll whet,anal w wrOl mreo ro6r'r;r rawrrrts or
olizics;r lallrmg lhe"t .caw r«mpl lhal this n,g"m ni arxs ma, Iilimig lht metldtft aml of Lids a r o al im C urdan0c
w rllr srrt:ioiro 9:0 of1his BA Apremmrmt„
r
I"wale
Bmsim spa,Amockl g Monrue,Cowo#two rd radr r rr l .ComilakrrJiowerl,Sadml v Servicas C14
, +
cv
CD
cv
[ rttw� rx
r*°
y Fl
ANT C
ASsIST - �" ,��
CD
4)
0
0
Page 60 of 7
Packet Pg.480
AA-2029
ATTAC104ENT C.
Alkance for Aging,I me,
oN imk g,a,ni,S Yle[jArw
AXAN(p AND WSAUJILATY HESOUR(T CENTEW(ADRC)—01 VTS0UK,(,7jA)
If I ppuemaltk.' di x prtwide'r Wgrue's to khe fullip'"411g:
A, F�crfiyrut 2kDRC 01116MILLrced funcflnn�s h-r accordancz wit" the All[fti-we,'N IrLd i,Lin amd pf'oc mNurvs.
i, pol lxi"Us arli'J,'ll'ro"�eduresft)r rig
it Pahbes and for()uu-m,,'urced
Cel
iii Pulilties"'and"Pitm.,-edluces (Iu"Kill Ciieni seivi`zes
R' n I is in C1 RTS icy,acconlui icie,wil I i DOEAre(.'j
C4
CD
C'- Acthcrvc to priHl
i zalienn and largaing as wt f6mh in the DOEA Pinpuns and Scrviccs C11
Handback,in plicable.
M
IX Enume the Nov[dees Mmia,Pkn r0c�ze,.,j At.)RC ,Oixz.sov',rccd FundiDJIS., anruEdly' (X-US r1)CTdC1d 1.
li'.i irkut'urpurj Le ADR:C" rnti sourucd functiijns. 00
F. Awe againa con Rims of Memo and inappropdate sel ke Co Vats Qf; ref'6ri-inp cansuniiffr'S in rierd
Of COLMIN�[irl r lang-terni care. �xzTviees 'bcyond the Scope ofservlif�es to "lire
Agjirag and Disal,w'i I Resou'rk'v
M 1.
1.
F. Ensunt thal ScrAts pwvided am in the climm' best iiil.erpv&t, are the gnom cc6i 0 '[figh 0
quialy.aim!are vespompi,,,e&,nd appnq)6we to C'he,Nst(rrawd rweds,
C4
,nieAssiussed Priurity, Consumer 'Lisil.(APCL) A amMmined ahun serwkes AMed Ily tlie are r1ot
av�'I'iliibje' Conhwlzj WvNem of wwmeroJ Services No Local pir,ogra"aw (L'SP) �)),,v,,rd (X,(,let XgnxT,*%,,jrB
At (OAA) vvr(OlArig AM in A ORTS daUhne Rm registt-red scrvices when firno.fing, OS an,'I 0
00
C
0
E
pap Go 03
Packet Pg.Will—]
AA4029
Allia nve fi',oy Aging, loci
Agi ug and, [Pisabilifw,licsource("vifteir/lAder Helpline
PWky and Priticedurc, rulle'dou
('reatitim Dutc: 'March 5, 20(%
Rievisii�ju T)we ()uwber 2t)19
Kewiew Thte'-- Ocro.Awr 20)19
()bjectl've- 'I o etisvttl e KNI:t HM of d"nIs ruin ed ar skn'vite4 is rnaktwirioj: i 11 C IR1's ley
apprfqxiary ft'o'Wing So=and Owl'the A DR( ls ihaeh'w, AR")�e weflubc 6"we4 `YK wr.'e I lie lowed ure](JN r
sawke need in'Mi,,ii�,irai-.Isar dc and Mcmirne Crzorralves,
FWAY; Tb oMA n rimemaj 01=06n Rom 0 ieviits in Order u as5i'9t in dxererl'n"J'n i ng lek'"C] (.,If ncol a'l pJ C14
chgibihq; OF tiegimmied,scry ices fundv.el dmxTh OAA Euid I prOITMITIS.,
0
1.
nd mr-l"chi 70 IS AhanaMNey if BEN'
0
,j],ka, infriniu,".,k)n ftc.�� caiters a ct mCD
1. wiH cicC4
70 1 AjB) exisrs or is'pro vided,Puni another NCO%%00nuathm fle"'frn Ow 70�"B C�
can be Xwed'
1, The Pr,,t),vider will the wUrvna,t�srwe&d artdt[ie aptn-otjiiale ILu"tiding scamu(S)Ihat Provides
the awded seivices, or-
I IT me 01hr, in meal a f as qmiu ja U tal Vr inO,' piT.w ided by Mu PwV Wen Che Preo'q ider wil I llelr,r ud Ier
lo E,Ner Ilelp]ilt " as Ivell&�w' EO oth"et 1'1n�widers and
3. Ile ad Or be tirovidtid %wikh genenal it I fi.'D lil"uttion,TV� rdi n9the i%DRC as wed as the ADRC Elder, IT
C
I leip�,'4te riturri her, 0
u
4. The CaHeir will 'be i n fbimcd of alma are,n-o Ves and hjn&ng Sources Ch"at they auv beni 19, 1"fl,.�wed on'02 maii C04
NVA in C1 R TS, CC4:1
1
5 F"i."Fr ruml-Case marpig"'ed Frugriumn, 60 Phwkkr Mid urvale a Chout w000rd in CIRSTS (ii there is rio 0
ex istin g rec'orii) arld wpw r ci"ta serviies needed r<'Ir I he cilt I Vr 11y Nind i ng grawr u0nd , lxire' [I('Oiere is 00
H11 record kw(',TKTN, 0-,,te-;qwoprizc Odds will be updwQ. C
0
2
OR If Me Plovider vela terisines that the Cuilier inly qwdify Q more than one peogram Or%whichrhe Provider
is "Amided, the Provider 'is uwcotvagiud 1),) cm the appalwhic-, hifimmaion urmder iiraulfip[e fund,,J)r,,q 0
E
S011FLA, chad ONAN in CIRTS QH he Updated Midi
ca
I Tic Fluvwer WHI nll6rm Ca1le'r 1bur: (hey wfll mccivic an Hiinual rcii-assessnicnit bmed an DOEA WY,
Lisa Reassr%snicril SlaiicLiirds and C"numurug'. calfllff 10 the K[',)RC B Il w de - elp iy
Pape 70 of 73
Packet Pg.482
AAQ029
Afliance for A"giog" Im"."
Aging and Disobilily RimourLe C',enterlVIder, Relphow
earl Ire M Md PI-Cmed u re 1bF
01moul-ev"d
Creatim Da le: NAwch 5,2008
lumown CNN: 0OWNY19
Revi�exv 031e� (,X13'.4m,2019
CH$wHwg To unme dw chemm in need of EWEA ftsridle)""I scrwices tweiov+e Lsas�exil Ora,the fiijws"N
I-fleed, rj'r�t' A
pl.diicy'.' F(k-dr.s �"m (.iienls in 0 furided smvkes as Kuhng,1,Nth,01AWS aVail.0afle, bawd on Owd of C14
ncmd, m riLtenrii ned b y a "S pllrpri(y 'sc:cwe'
0
11'rocedtire. 1.
L The Provi der wjR m1w annkull reassessluems tawd an DOW WK Ito Wasmsmuent StambA, C-4
CD
Cv
I If there is w) cwtou 701A in B W CIRTS, the lllrovidei, -,vill con&xq the annmat, �eassessnwrl (701s) as
Rj'lprulpffi arc liNv I on 0"Ie powWed 41 W 701 SA(B) wwwrlem, 11-le llrov'j�'Jel- rill u�"'xklla
We 0=1 k%mmion in CIII IS spedicnHy as ht pertains la IeW, afmcd furi�emriees 1.-wy func.fing soinxe
0
3, .1..jjIg' 'I'tN��xx��d»�trri".1asure [I'lat tfie CIRTS piw�wi6zmion sco',re is lllalnl'a�ned'aiwdor�lin�"' lo IX)EA,
SA'andmixis If a sJ,
�11'dti"'Cfflt change has occurled Fricir tu, 1,11C arrrm"al 11re ITHAS4 ric-,
screen, W&MOMS amd exwnpks Ofsi�ufifi'Larlt� mum in Me DOEA Programs&Smikes
Nimumr Chapel
M
4. If be Whi is in necd ofa scrvit&(s) Kh"id is, riul 1�;ru'videcf h7 ifle Pradden Me Pwidder will rehu Caller to
0
the ;XTJRC' Elder I lepi i ne, as net a% urY 40el''coult'aw-wd 13111(",*q(jp IIYd:j Cg_1�i n or$j,,�,mriwatiarxi. I'lle
,)i i ir,i un i rrN u
cz;�'Icr grill he il*)rmcd of'llrc serviecs and Rmidby smuces that do wak 49 hr akhi,,r have'bomi reinowd C04
fro'll"I dale w,"d I li��t IND
IS. 71c Provider W H I Wild cl lent of thc, AE'III C I-IcEp L hw cuntRct mumber amd to cummel to I. Co
EAder 1161) Line "lot mrq-Aucslium-'�s (wl 'CUmxerns' 00
C
0
6, As WAg beamm avW=4 The praywer W611 rall CIRTS Priantizalian Repwxt ',and owtivirle chtnts.,
according,F0 DOEA Sun"i'lar'ds lo ADRC C Non Activalik'm Pt5�',icizs wid The Ccoi icaed
rl"ro'videl' wil f'�P� lar�etillg e'riwwia" as alvvOrwiate, %'d 'J�IPJI)fitized Cheills to etN'mlw 'v'-'tiVatk)n5 11we'l, E 0
pmpmmmawl a
! mquimments.
Page 71 of 73,
Packet Pg.483
Alliance for AgIng, Imc,
Aghg and DO Mb� Rx-sa,urtv CvnlvriF]Ver 1,1 elplime
P61,"R�y and Frt.medwre Jbr
Act�vairkjn fron-p Wait List—
("rellifm 1)mte: NiArvz% 5, 2,1608
Revision Datez Oct't6ev�01 9
Rev[ev� 1)atr, October 20,)19
ONec one: Ta emm� that exfeT5 in neexi at"R")OFA fi,tm,'Jed,sevv ir,�'cs i n N-1 aand Mevitroc (",ountirs Rmd o,11
We CI RTS ,vail Itsi beghl to mceive services as fi.indirt.,g bccnrram aLvaihibk-
11pher-, NDR( mi I i, Work, w0h to C"ns that,donm Wam ng lijxia;Icn-'J servic'C5 beg i 11 to C14
receive thi.-Ase services m filmfinv"beconles dvaihWe.
Procedure, yy 0
0 1. The thaw idur W I c hcr,45 on RTS wW t ho band an VOEA 1,,viarh i7aflon jmfl kg�s, and fit n&n,g 1.
0
avahaWly C4
CD
C�
1, I ' "110pmvid", Wi I i"qxhkvI4I QWi Sc y S[C ,F),RLIi WMIE'd f'nr s ""I 'tus bi', 5H- ' ' ) ill <
[lie CHerv'A rasing M1111ropriate C]R fS, t
M
ad i'vated if' Ole pro�%'Wm may k n'
a left on wah No of a A Orem Met ng somme ftan t`hc onc bei ng� or-
drLertmines that it is app pup rime
(Went may m1m) lx-" %kai�rl it aq WORTS if dwymebe0gacOvated by OwSm1krimularatempmawy
;,a,nn-DO,LA Funding source nnd. the 1:lrov rain r thar. �&. Client's 1"'Jecnd WA pelsisl afis--rdic
tea'lj';Otam�' RvIding mit'ree is
0
0
5. Ile Prevyidervii'll inf6i flundi"rigsaurce thal they Inc Or AS ;NCH
R'S sel"'O'ices am,d Rndhg sams that they vvH 1, ti nue,k) be ,,vai t I i'm ed Ar, C04
C4
16. '11ic 11ravi&,r vii I I in fibri-ri cl icni to mamot the,ail W Elder A"Inc if bey im as m ay('LICSCiM IS ar concerns
eg V,rd i"r&g I'lle, SU11 US (4"atl�(uoftheir Servi"ces. CO
0
C
0
E
Page, of 71
Packet Pg.WIT]
AA-2029
811,im',jxe fim Aging, Iruc,
AglIng and Dha09;tiW14, Resource CenterIFIder Jjejp%,,�
FWky and Ptucedure fur
NVAII I.A'
Crea'64.'I"D Datt.: d11 aY 1m dy 0(6
ke'vkhm Vae�' 2C)19
ReNizvq, Dalz� )Cli'lbc"r 210 19
Objective. "'Fu ev"Su"'re that the crumprchensivc RM otclknts in rwod Of "s'ervim'i in,CIRI S is,
amimaked ly fbmEng s�murte,and dum ffie A DRC is dq�ei chiy awe tu eflecti ve(y th,,.';CLEI-rent teldrel
C14
Policy; AI)RC vQl mAMWO ah &mmmk,,—and ciumem hs� c4"chel-115 in 11ced,ofelder-serviusin mku.1'.6-Ou'di!
0
and Nwarve Clow,oies vvilb ass imance of 1he ADRC i trac',-,wd P',,rovidem-s,
C4
CD
Proc ure; C�
h The Pravider w i I I re-screvik C I i Y"""rilrs i'which dt,i,,�Flt�,'vvid'eAn A AR Y pKed on dw(A RTS wait lim Rm sti�v,irxn, <
bmied nn t
M
1.
Ttw re'-scmening b'e in'I lie Rinm of a phone Suaming Ora,["vmve Visit of nditig on thh.' Llient's'Aittuq 00
3, '11m,P'krep%ide,a -,vhl I Vend ne delle 0=1 1 no kmgm-in i,-wed('cm el igibh )fir wiy ufth dwy ime
"Wail-fist,e'd fix
M
1.
C
(4- 'Fhe F"I"C'A"kiff 011 WVTnhIX.e Iffte Cli,unl ffl)m 1111,� 'Vnjil IN (,Miry or Oy WOCIC gaVA) Ong K 0
kw any 5m,icesmr fbF -,viiieli the Gem is dkennKed Lu
cv
5. Ime Proyvidv wfll in1brni the c1jenl si�'Juree lheya;w being frorn tite
Wa A Rg is. CO
0 0
Priwi der A 11 n0no dets of MS Kily to be re added U) the wah I it if their of rteetf It] C
0
Chuye'.
7. The lhovider whi Man cl Qmt to cmumule ADR4,7,E[der Frv[pline if the�y [IOAV A'.Tftly IIr(�A�'prle e I pis
rr�gd!rd ing thti i,,-waa I ist gratus- E
8, Rca
efeirerrec
Page 73 of
Packet Pg.MET]
Kevin Madok, CPA C.22.b
Clerk of the Circuit Court& Comptroller—Monroe County, Florida
DATE: July 26, 2019
TO: Sheryl Graham, Director
Social Services
�s
ATTN: Lourdes Francis
FROM: Pamela G. Hanco , .C. cv
SUBJECT: July 17'BOCC Meeting �
Enclosed are six duplicate originals of the following items, executed on behalf of Monroe
County,for your handling
C13 3rd Amendment to Contract No.AA-1929, Older Americans Act(OAA) between the
Alliance for Aging, Inc., and the Monroe County Board of County Commissioners/Monroe
County Social Services/In-Home Services and Nutrition Programs for die contract period of
January 1, 2019 through December 31, 2019, to increase funding by$30,610.45. This amendment
changes the total OAA Contract funding of$695,615.38 to $726,225.83.
C16 4di Modification to Federally Funded Subgrant Weadherization Assistance Program
(WAP) Agreement 17WX-OG1 1-54-01-039 between the State of Florida, Department of
Economic Opportunity and Monroe County Board of County Commissioners/Monroe County 'a
Social Services to increase funding by$113,830.00, bringing die total WAP allocation from
$337,961.91 to$451,791.91.
X
,
Please be sure to return a fully executed duplicate original to me once signed by die state. 75
Should you have any questions, please feel free to contact me at(305) 292-3550.
a.
�s
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-
Packet Pg.486
Fufly
A RACT AA - 1929 Page 1
ORIGINALAVENDMENT 003 Executed
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.
Recurring Non-Recurring Total
Chore IIIB (340.54) 739.79 $399.25
Companionship IIIB (10.39) 22.58 $12.19
Escort IIIB (10.39) 10.40 $0.01
Homemaker IIIB (1,029.08) 2,253.64 $1,224.56
Personal Care IIIB (1,029.08) 2,240.75 $1,211.67 cv
Screening&Assess IIIB (33.60) 67.08 $33.48
Shopping Assistance IIIB (10.39) 17.40 $7.01
Congregate Meals C1 707.40 7,325.48 $8,032.88
Congregate Meals Screening C1 11.68 119.81 $131.49
Nutrition Counseling C1 9.28 96.08 $105.36
Nutrition Education C1 3.07 31.46 $34.53
Home Delivered FRZN C2 1,865.73 4,237.23 $6,102.96
Home Delivered Hot C2 716.67 1,619.57 $2,336.24
Nutrition Counseling C2 - - $0.00
Nutrition Education C2 4.19 9.31 $13.50
Screening&Assess C2 60.83 116.71 $177.54
Respite-In Home IIIE (132.46) 1,622.65 $1,490.19
Respite-Facility IIIE (465.24) 5,556.75 $5,091.51 E
Caregiver Training Grp IIIE (47.98) 570.63 $522.65
Caregiver Training Ind IIIE (121.13) 1,417.14 $1,296.01
Screening&Assess IIIE (11.86) 93.80 $81.94
Chore IIIES (55.92) 665.10 $609.18
House Improve/Mat Aid IIIES (127.97) 1,521.98 $1,394.01
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Medical Equip IIIES (60,67) 721.62 $660.95 0
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NSIP (391.69) 33.03 -$358.66 75
TOTAL (499.54) 31,109.99 $30,610.45
This amendment changes the total OAA contract funding from: $695,615.38 to: $726,225.83
The Budget Summary by Title for the whole Fiscal Year(January 01-December 31,2019)is as follows:
PROGRAM TITLE FUNDING SOURCE CFDA AMOUNT
Older American Act Administration
Title IIIB-Support Services U.S. Health and Human Services 93.044 $121,416.19
Older American Act Administration
Title IIIC1-Congregate Meals U.S. Health and Human Services 93.045 $169,166.10
Older American Act Administration
Title IIIC2- Home Delivered Meals U.S. Health and Human Services 93.045 $237,126.23
Older American Act Administration
Title III E-Caregiver Support Services U.S. Health and Human Services 93.052 $124,542.26
Title III ES-Caregiver Support Services $39,116.49
Older American Act
Nutriion Services Incentive Program 93.053 $34,858.56
TOTAL FEDERAL AWARD $72
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AMENDMENT 003 CONTRACT AA - 1929 Page 3
The Alliance shall make payment to the provider for the provision of services up to a maximum number
of units of service and at the rate(s)stated below:
Service to be Provided Service Maximum Units of Service Maximum
Unit Rate Prior Units Additional Total Dollars
Chore IIIB $24.00 683 16 699 $16,784.08
Companionship 1118 $11.00 45 2 47 $512.18
Escort 111E $50.00 10 0 10 $500.00 cy
Homemaker IIIB $25.00 1,981 49 2,030 $50,737.90
Personal Care IIIB $26.00 1,904 47 1,951 $50,725.02
Screening&Assess IIIB $25.00 65 1 66 $1,650.00
Shopping Assistance IIIB $13.00 38 1 39 $507.00
Congregate Meals C1 $9.00 17,099 892 17,991 $161,920.42 C1,4
Emergency Congregate Meals C1 $9.00 188 0 188 $1,690.00
Congregate Meals Screeing C1 $20.00 128 7 135 $2,700.00
Nutrition Counseling C1 $70.56 29 1 30 $2,146.18
Nutrition Education C1 $0.50 1,350 69 1,419 $709.50 0
Home Delivered FRZN C2 $5.00 31,664 1,220 32,884 $164,421.94
Home Delivered Hot C2 $6.53 9,472 358 9,830 $64,191.24
Emergency Shelf Meals C2 $6.53 386 0 386 $2,520.00
Nutrition Counseling C2 $70.56 3 0 3 $190.01
Nutrition Education C2 $0.50 724 27 751 $375.50
Screening&Assess C2. $26.22 200 7 207 $5,427.54
Respite-In Home IIIE $22.00 897 68 965 $21,232.97
Respite-Facility IIIE $10.50 6,604 485 7,089 $74,435.38 0
Caregiver Training Grp IIIE $81.75 87 7 94 $7,673.91 0
Caregiver Training Ind IIIE $75.00 241 17 258 $19,350.00
Screening&Assess IIIE $25.00 71 3 74 $1,850.00
Chore IIIES $24.00 347 26 373 $8,944.32
House Improve/Mat Aid IIIES Cost Reimb. $10,233.87
Material Aid IIIES Cost Reimb. $10,233.87
Medical Equip IIIES Cost Reimb. $9,704.44
NSIP $0.72 48,913 1 (498)1 48,415 1 $34,858.56
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CONTRACT TOTAL AS AMENDED $726,225.83
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All provisions in the contract and any attachments thereto in conflict with this amendment shall be
and are hereby changed to conform with this amendment.
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All provisions not in conflict with this amendment are still in effect and are to be performed at the 0
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level specified in the contract are hereby amended to conform with this amendment.
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AMENDMENT 003 CONTRACT AA - 1929 Page 3
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 ALLIANCE FOR AGING, INC.
Commissioners,
Social Services/In-Nome Services
SIGNED 'iY: SIGNED BY:
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NAM �Q u�{�Y1�y1 NAME: Max B. Rothman,J , L.M.
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TITLE: �^ TITLE: President&CEO
D --:�,- - �7 �� y DATE:
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b� 4` DOK CLERK:
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DEPUTY CLERK: M E CO A u .
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Pl_DRO .MERCADO RN �
ASSISTANT
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