Item C16
rf*~
Louis LaTorre, Senior Director
Social Services/tabt
Revised 2/95
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
MEETING DATE: 7/26-27/00
DIVISION: COMMUNITY SERVICES
BULK ITEM: YES X
NO
DEPARTMENT: SOCIAL SERVICES
AGENDA ITEM WORDING: APPROVAL OF MASTER AGREEMENT NO. P A129 FOR FISCAL
YEAR 7/1/00 -6/30/01 BETWEEN THE ALLIANCE FOR AGING, INC., THE AREA AGENCY FOR
PLANNING AND SERVICES AREA 11 AND THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS/ MONROE COUNTY SOCIAL SERVICES (MONROE COUNTY IN HOME
SERVICE PROGRAM, THE CASE MANAGEMENT AGENCY).
ITEM BACKGROUND: The purpose of this of this master agreement is assure that services are being
provided in accordance to the conditions specified in any contract(s) with the Alliance during the period
this agreement is in effect.
PREVIOUS RELEVANT BOCC ACTION: None
STAFF RECOMMENDATION: Approval
TOTAL COST: -0-
BUDGETED: YES NO NA
COST TO COUNTY: -0-
REVENUE PRODUCING: YES NO X AMT.PER MONTH YEAR
- - Jjj
APPROVED BY: COUNTY ATTY....x.. OMB/Purchasing...x.. RISK M NAGEMENT ~ Q'~'
DIVISION DIRECTOR APPROVAL:
NOT REQUIrEDCl
AGENDA ITEM#: - ~
DOCUMENTATION: INCLUDED-A T
DISPOSITION:
AGENDA.DOC
TABT
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract #PA129
Contract with:Alliance For Aging Inc. Effective Date:July 1. 2000
Expiration Date:June 30. 2001
Contract Purpose/Description:Approval of Master Agreement between the Alliance for Aging.
Inc. and the Momoe County Board of County Commissioners.
Contract Manager:Louis La Torre/tabt () %~
(N ame ) (rr (Ext.)
Social Services
(Department)
for BOCC meeting on 7/26-27/00
Agenda Deadline: 7/12/00
NA-___
NA-
----
NA-
----
ADDITIONAL COSTS
Estimated Ongoing Costs: $_/yr For:
(Not included in dollar value above) (eg. maintenance, utilities, janitorial, salaries, etc.)
Total Dollar Value of Contract: $
Budgeted? Yes[gJ No D Account Codes:
Grant: $
County Match: $-0-
CONTRACT COSTS
Current Year Portion: $
CONTRACT REVIEW
Changes Date Out
Date In Needed~---~eVi~fI), Il I
Division Director ./ /rvJUT} YesD No~ f~oe.v. ., I' 2.p_~d
~anagement '11/3100 YesDNo0 (\. ~ rc~clv'- ..,\\,,\.
O.M.B.lPurchasing1{r.;/uv YeSDN~ a ~ '7-;3-a!
County Attomey ?/I'I/fHj YeSDNO~ ?--/~
Comments:
OMB Form Revised 9/1 ]/95 MCP #2
7/00
Agreement No. PA129
ALLIANCE FOR AGING, INC.
AREA AGENCY ON AGING FOR MIAMI-DADE AND MONROE COUNTIES
MASTER AGREEMENT
THIS MASTER AGREEMENT is entered into between the Alliance for Aging, Inc., hereinafter
referred to as the "Alliance", and the Monroe County Board of Commissioners, hereinafter referred
to as the "provider". .
All contracts executed between the provider and the Alliance shall be subject to the conditions set forth
in this agreement for the duration of the contract period(s). Any and all contracts executed between
the provider and the Alliance during the effective period of this agreement will incorporate this
agreement by reference and shall be governed in accordance with the laws, statutes, and other
conditions set forth in this agreement.
The parties agree:
I. Provider Agrees:
A. To provide services according to the conditions specified in any contract(s) with the Alliance
during the period this agreement is in effect.
This agreement covers all services provided by the Monroe County Board of
Commissioners, which includes, but is not limited to, the following programs:
. Older Americans Act (OAA)
. Community Care for the Elderly (CeE)
. United States Department of
Agriculture Meals (USDA)
. Home Care for the Elderly (HCE)
. Alzheimer's Disease Initiative (ADI)
. Medicaid Waiver Program(MW)
B. Federal Laws and Regulations:
1. The provider shall comply with the provisions of 45 CFR, Part 74, andlor 45 CFR, Part 92,
and other applicable regulations.
2. The provider shall comply with all applicable standards, orders, or regulations issued under
Section 306 of the Clean Air Act, as amended (42 U.S.C. 1857(h) et seq.), Section 508 of
the Clean Water Act, as amended (33 U.S.C. 1368 et seq.), Executive Order 11738, and
Environmental Protection Agency regulation (40 CFR Part 15). The provider shall report
any violations of the above to the Alliance.
3. The provider must, prior to execution of this agreement, complete the Certification
Regarding Lobbying form, ATTACHMENT I. If a Disclosure of Lobbying Activities form,
Standard Form LLL, is required, it may be obtained from the Alliance's contract manager.
All disclosure forms as required by the Certification Regarding Lobbying form must be
completed and returned to the Alliance's contract manager.
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Agreement No. PA129
4. The provider must, prior to execution of this agreement, complete the Certification
Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
Contracts/Subcontracts, ATTACHMENT II.
5. The provider shall comply with the provisions of the u.S. Department of Labor,
Occupational Safety and Health ,Administration (OSHA) code, 29 CFR, Part 1910.1030.
C. Civil Rights Certification:
The provider gives this assurance in consideration of and for the purpose of obtaining federal
grants, loans, contracts (except contracts of insurance or guaranty), property, discounts, or
other federal financial assistance to programs or activities receiving or benefitting from federal
financial assistance. The provider agrees to complete the Civil Rights Compliance
Questionnaire, DOEA forms 101 A and B, if services are provided to clients and if fifteen (15)
or more persons are employed. For providers employing less than 15 persons, the Alliance
requests completion of the Civil Rights Compliance Questionnaire, in accordance with the
Governor's One Florida Initiative, Executive Order 99-281.
The Provider assures it will comply with:
1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000d et seq., which
prohibits discrimination on the basis of race, color, or national origin in programs and
activities receiving or benefitting from federal financial assistance.
2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits
discrimination on the basis of handicap in programs and activities receiving or benefitting
from federal financial assistance.
3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq.,
which prohibits discrimination on the basis of sex in education programs and activities
receiving or benefitting from federal financial assistance.
4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits
discrimination on the basis of age in programs or activities receiving or benefitting from
federal financial assistance.
5. Section 654 of the Omnibus Budget Reconciliation Act of 1981, as amended, 42 U.S.C.
9849, which prohibits discrimination on the basis of race, creed, color, national origin, sex,
handicap, political affiliation or beliefs in programs and activities receiving or benefitting
from federal financial assistance.
6. The Americans with Disabilities Act of 1990, 42 USC 12101, et. seq., which prohibits
discrimination against, and provides equal opportunities for individuals with disabilities, in
employment, public services, and public accommodations.
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Agreement No. PA 129
7. All regulations, guidelines, and standards as are now or may be lawfully adopted pursuant
to the above statutes.
8. The provider shall establish procedures to handle complaints of discrimination involving
services or benefits through this contract. The provider shall advise clients, employees,
and participants of the right to file a complaint, the right to appeal a denial or exclusion
from the services or benefits 'from this contract, and their right to a fair hearing.
Complaints of discrimination involving services or benefits through this contract may also
be filed with the Secretary of the Department of Elder Affairs or the appropriate federal or
state agency.
9. The provider further assures all contractors, subcontractors, subgrantees, or others with
whom it arranges to provide services, will comply with the above laws and regulations.
D. Requirements of Section 287.058, Florida Statutes:
For all contracts covered by this agreement, the provider agrees:
1. To submit bills for fees or other compensation for services or expenses in sufficient detail
for a proper pre-audit and post-audit.
2. To submit bills for any travel expenses, in accordance with section 112.061, Florida
Statutes.
3. To provide units of deliverables, including reports, findings, and drafts as specified in the
contracts, the contract attachments, and the service provider application, to be received
and accepted by the contract manager prior to payment.
4. To allow public access to all documents, papers, letters, or other materials subject to the
provisions of chapter 119, Florida Statutes, and made or received by the provider in
conjunction with any and all contracts referencing this agreement.
E. Withholdings and Other Benefits:
The Provider is responsible for Social Security and Income Tax with holdings.
F. Indemnification:
If the provider is a state or local governmental entity, pursuant to subsection 768.28(18)
Florida Statutes, the provisions of this section do not apply.
1. Provider agrees it will indemnify, defend, and hold harmless the Alliance and all of the
Alliance's officers, agents, and employees from any claim, loss, damage, cost, charge, or
expense arising out of any acts, actions, neglect or omission, action in bad faith, or
violation of federal or state law by the provider, its agents, employees, or subcontractors
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Agreement No. PA129
during the performance of all contracts incorporating this agreement by reference, whether
direct or indirect, and whether to any person or property to which the Alliance or said
parties may be subject, except neither provider nor any of its subcontractors will be liable
under this section for damages arising out of injury or damage to persons or property
directly caused or resulting from the sole negligence of the Alliance or any of its officers,
agents, or employees.
2. Provider's obligation to indemnify, defend, and pay for the defense or, at the Alliance's
option, to participate and associate with the Alliance in the defense and trial of any claim
and any related settlement negotiations, shall be triggered by the Alliance's notice of claim
for indemnification to provider. Provider's inability to evaluate liability or its evaluation of
liability shall not excuse provider's duty to defend and indemnify the Alliance, upon notice
by the Alliance. Notice shall be given by registered or certified mail, return receipt
requested. Only an adjudication or judgment after the highest appeal is exhausted
specifically finding the Alliance solely negligent shall excuse performance of this provision
by providers. Provider shall pay all costs and fees related to this obligation and its
enforcement by the Alliance. Alliance's failure to notify provider of a claim shall not release
provider of the above duty to defend.
3. It is the intent and understanding of the parties that the provider nor any of its
subcontractors are employees of the Alliance and shall not hold themselves out as
employees or agents of the Alliance without specific authorization from the Alliance. It is
the further intent and understanding of the parties that the Alliance does not control the
employment practices of the provider and shall not be liable for any wage and hour,
employment discrimination, or other labor and employment claims against the provider.
G. Insurance and Bonding:
1. To provide adequate liability insurance coverage on a comprehensive basis and to hold
such liability insurance at all times during the effective period of any and all contracts
incorporating this agreement by reference. The provider accepts full responsibility for
identifying and determining the type(s) and extent of liability insurance necessary to
provide reasonable financial protections for the provider and the clients to be served under
contracts incorporating this agreement by reference. Upon execution of each contract
covered under this agreement, the provider shall furnish the Alliance written verification
supporting both the determination and existence of such insurance coverage. Such
coverage may be provided by a self-insurance program established and operating under
the laws of the State of Florida. The Alliance reserves the right to require additional
insurance where appropriate.
2. To furnish an insurance bond from a responsible commercial insurance company covering
all officers, directors, employees and agents of the provider authorized to handle funds
received or disbursed under all contracts incorporating this agreement by reference in an
amount commensurate with the funds handled, the degree of risk as determined by the
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Agreement No. PA 129
insurance company and consistent with good business practices.
3. If the provider is a state agency or subdivision as defined by section 768.28, Florida
Statutes, the provider shall furnish the Alliance, upon request, written verification of liability
protection in accordance with section 768.28, Florida Statutes. Nothing herein shall be
construed to extend any party's liability beyond that provided in section 768.28,
Florida Statutes. (See also Indemnification clause.)
H. Abuse Neglect and Exploitation Reporting:
In compliance with Chapter 415, F.S., an employee of the provider who knows, or has
reasonable cause to suspect, that a child, aged person or disabled adult is or has been
abused, neglected, or exploited, shall immediately report such knowledge or suspicion to the
State of Florida's central abuse registry and tracking system on the statewide toll-free
telephone number (1-800-96ABUSE).
I. Transportation Disadvantaged:
If clients are to be transported under any contracts incorporating this agreement, the provider
will comply with the provisions of Chapter 427, Florida Statutes, and Rule Chapter 41-2,
Florida Administrative Code.
J. Purchasing:
1. Procurement of Products or Materials with Recycled Content
Any products or materials which are the subject of, or are required to carry out any
contracts under this agreement shall be procured in accordance with the provisions of
Section 403.7065 and 287.045, Florida Statutes.
2. Equity in Contracting
Pursuant to Section 287.09451, F. S., the Alliance is committed to embracing diversity in
the provision of services to Florida's elders and in providing fair and equal opportunities
for all qualified minority businesses in Florida. The provider shall report information to the
Alliance on utilization of certified minority, and non-certified minority providers and vendors
for all subcontractors and vendors receiving funds pursuant to all contracts covered by this
agreement This report shall be submitted quarterly to the Alliance.
3. Front Porch Community Initiative
The provider is encouraged to identify in the service provider application any geographic
location(s) that has been designated as a Front Porch Community by the Governor and
to direct services to that Front Porch Community as appropriate.
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Agreement No. PA129
K. Sponsorship:
1. As required by Section 286.25, Florida Statutes, if the provider is a non-governmental
organization which sponsors a program financed wholly or in part by state funds, including
any funds obtained through contracts executed in accordance with this agreement, it shall
in publicizing, advertising or describing the sponsorship of the program, state:
"Sponsored by the Monroe County Board of Commissioners, the State of Florida,
Department of Elder Affairs and the Alliance for Aging, Inc.". If the sponsorship reference
is in written material the words "State of Florida, Department of Elder Affairs and the
Alliance for Aging, Inc." shall appear in the same size letters and type as the name of the
organization. This shall include, but is not limited to, any correspondence or other writing,
publication or broadcast that refers to such program.
2. If the provider is a governmental entity or political subdivision of the state, the Alliance
requests compliance with the conditions specified above.
3. The provider shall not use the words liThe State of Florida, Department of Elder Affairs and
the Alliance for Aging, Inc." to indicate sponsorship of a program otherwise financed
unless specific authorization has been obtained by the Alliance prior to use.
L. Use of Funds For Lobbying Prohibited:
To comply with the provisions of Section 216.347, Florida Statutes, which prohibit the
expenditures of contract funds for the purpose of lobbying the Legislature, a judicial branch
or a state agency.
M. Employment
If the provider is a non-governmental organization, it is expressly understood and agreed the
provider will not knowingly employ unauthorized alien workers. Such employment constitutes
a violation of the employment provisions as determined pursuant to section 274A(e) of the
Immigration Nationality Act (INA), 8 U.S.C. s.1324 a (e)("section 274A(e)"). Violation of the
employment provisions as determined pursuant to section 274A(e) shall be grounds for
unilateral cancellation of any and all contracts incorporating this agreement by reference.
O. Audits and Records:
1. To maintain books, records, and documents (including electronic storage media) in
accordance with generally accepted accounting procedures and practices which
sufficiently and properly reflect all revenues and expenditures of funds provided by the
Alliance under all contracts under this agreement.
2. To assure these records shall be subject at all reasonable times to inspection, review,
audit, copy, or removal from premises by state personnel and other personnel duly
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Agreement No. PA129
authorized by the Department of Elder Affairs, as well as by federal personnel, if
applicable.
3. To maintain and file with the Alliance such progress, fiscal and inventory and other reports
as the Alliance may require within the period of this agreement. Such reporting
requirements must be reasonable given the scope and purpose of the contracts
incorporating this agreement by reference.
4. To submit management, program, and client identifiable data, as specified in the
Department of Elder Affairs Client Services Manual. To record and submit program
specific data in accordance with Department of Elder Affairs Client Information Registration
and Tracking System (CIRTS) Policy Guidelines.
5. To provide a financial and compliance audit to the Alliance as specified in ATTACHMENT
III and to ensure all related party transactions are disclosed to the auditor.
6. To include these aforementioned audit and record keeping requirements in all approved
subcontracts and assignments.
7. The provider agrees to provide client information and statistical data for research and
evaluative purposes when requested by the Alliance.
P. Retention of Records:
1. To retain all client records, financial records, supporting documents, statistical records, and
any other documents (including electronic storage media) pertinent to each contract
covered under this agreement for a period of five (5) years after termination of the
contract(s), or if an audit has been initiated and audit findings have not been resolved at
the end of five (5) years, the records shall be retained until resolution of the audit findings.
2. Persons duly authorized by the Alliance and federal auditors, pursuant to 45 CFR, Part
92.42(e), (1), and (2), shall have full access to and the right to examine or duplicate any
of said records and documents during said retention period or as long as records are
retainedl whichever is later.
Q. Monitoring and Incident Reporting:
1. The provider will provide progress reports, including data reporting requirements as
specified by the Alliance to be used for monitoring progress or performance of the
contractual services as specified in the service application. The Alliance will establish
performance standards for providers with weights assigned to each standard. Standards
will be tracked monthly by Alliance staff through desk reviews of available fiscal, CIRTS,
and research production reports and any other system or process designated by the
Alliance. This information will allow staff to determine if on-site monitoring of the provider
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Agreement No. PA 129
is necessary. Examples of review criteria are surplus/deficit, independent audits, internal
controls, reimbursement requests, service provider monitoring, targeting, program
eligibility, outcome measures, service provision to Adult Protective Services high risk
clients, data integrity, co-payments, client satisfaction, correspondence, and client file
reviews.
2. The Alliance will perform the 'required administrative monitoring of the provider in
accordance with the Department of Elder Affairs' unit rate contract monitoring checklist.
3. To permit persons duly authorized by the Alliance to inspect any records, papers,
documents, facilities, goods and services of the provider which are relevant to contracts
incorporating this agreement by reference, or to the mission and statutory authority of the
Alliance, and to interview any clients and employees of the provider to be assured of
satisfactory performance of the terms and conditions of the contract(s). Following such
inspection the Alliance will deliver to the provider a list of its concerns with regard to the
manner in which said goods or services are being provided. The provider will rectify all
noted deficiencies provided by the Alliance within the time set forth by the Alliance, or
provide the Alliance with a reasonable and acceptable justification for the provider's failure
to correct the noted shortcomings. The Alliance shall determine whether such failure is
reasonable and acceptable. The provider's failure to correct or justify deficiencies within
a reasonable time as specified by the Alliance may result in the Alliance taking any of the
actions identified in the Enforcement section, or the Alliance deeming the provider's failure
to be a breach of contract.
4. The provider will notify the Alliance within 24 hours of conditions related to performance
that could impair continued service delivery. Reportable conditions may include:
· proposed client terminations
· provider financial concerns/difficulties
· service documentation problems
· contract non-compliance
· service quality and consumer complaint trends.
Provider will provide the Alliance with a brief summary of the problem(s) and proposed
corrective action plans and time frames for implementation.
R. Safeguarding Information:
Except as provided for Alliance auditing and monitoring purposes, not to use or disclose any
information concerning a recipient of services under contracts incorporating this agreement
by reference or subsequent contracts for any purpose not in conformity with state and federal
regulations (45 CFR, Part 205.50), except upon written consent of the recipient, or the
recipient's authorized representative.
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Agreement No. PA129
S. Assignments and Subcontracts:
Alliance approval of the service provider application shall constitute Alliance approval of the
provider subcontracts if the subcontracts follow the service and funding information identified
in the service application. The provider must submit all contracts for services under the
service application to the Alliance for prior approval when the proposed subcontractor is a
profit making organization. No such approval by the Alliance of any assignment or subcontract
shall be deemed in any event or in any manner to provide for the incurrence of any obligation
of the Alliance in addition to the total dollar amount agreed upon in contracts covered by this
agreement. All assignments or subcontracts shall be subject to the conditions of this
agreement and the contracts incorporating it by reference (except Section I, Paragraph J.1.,
Paragraph J.2. Paragraph J.3, and Section II. Paragraph A.) and to any conditions of approval
the Alliance shall deem necessary. Section I, Paragraph M. is only applicable to state
agencies or political subdivisions of the state.
T. Return of Funds:
1. To return to the Alliance any overpayments due to unearned funds or funds disallowed
pursuant to the terms of all contracts for which funds were disbursed to the provider by the
Alliance.
a. The provider shall return any overpayment to the Alliance within forty (40) calendar
days after either discovery by the provider, or notification by the Alliance, of the
overpayment.
b. In the event the provider or its independent auditor discovers an overpayment has
been made, the provider shall repay said overpayment within forty (40) calendar days
without prior notification from the Alliance. In the event the Alliance first discovers an
overpayment has been made, the Alliance will notify the provider by letter of such a
finding.
2. Should repayment not be made in a timely manner, the Alliance will charge interest of one
(1) percent per month compounded on the outstanding balance forty (40) calendar days
after the date of notification or discovery.
U. Year 2000 (Y2K) Compliance:
Pursuant to the accounting and reporting requirements for federal grants management in
OMS Circulars A-102 and A-110, and the Department of Management Services (DMS)
Memorandum No.6 (98-99) which requires certification of Year 2000 Compliance for any
procurement document, the provider must, prior to execution of this agreement, complete
the Certification Regarding Year 2000 Compliance form, ATTACHMENT V.
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Agreement No. PA129
In the event a Y2K Compliance issue results in a delay of service, the provider agrees to
execute their agency disaster plan to ensure the delivery of service(s) continues.
V. Conflict of Interest:
The provider hereby agrees to develop and implement a policy to ensure that its
employees, board members, management and subcontractors, will avoid any conflict of
interest or the appearance of a conflict of interest when disbursing or using the funds
described in this agreement or when contracting with another entity which will be paid by
the funds described in this agreement. The provider's board members and management
must disclose to the Alliance any relationship which may be, or may be perceived to be,
a conflict of interest within thirty (30) days of an individual's original appointment or
placement in that position, or if the individual is serving as an incumbent, within thirty (30)
days of the commencement of this agreement. The provider's employees and service sub-
contractors must make the same disclosures described above to the provider's board of
directors. .
II. The Alliance Agrees:
A. Contract Payment:
Unless otherwise stated in the contract(s) covered by this agreement between the Alliance and
provider, payments made by the Alliance to the provider must be within seven (7) working
days after receipt by the Alliance of full or partial payments from the Department of Elder
Affairs in accordance with section 287.0585, Florida Statutes. Failure to pay within seven (7)
working days will result in a penalty charged against the Alliance and paid to the subcontractor
in the amount of one-half of one (1) percent of the amount due, per day from the expiration
of the period allowed herein for payment. Such penalty shall be in addition to actual payments
owed and shall not exceed fifteen (15) percent of the outstanding balance due.
B. Vendor Ombudsman:
A Vendor Ombudsman has been established within the Department of Banking and Finance.
The duties of this individual include acting as an advocate for vendors who may be
experiencing problems in obtaining timely payment(s) from a state agency. The Vendor
Ombudsman may be contacted at (850) 488-2924 or by calling the State Comptroller's Hotline,
1-800-848-3792.
III. Provider and Alliance Mutually Agree:
A. Effective Date
1. This agreement shall begin on January 1, 2000 or on the date on which the agreement has
been signed by both parties, whichever is later, and shall end on December 31,2000.
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Agreement No. PA129
2. All contracts executed between the Alliance and the provider during the effective period
of this agreement shall reference this agreement by number, incorporating it therein, and
shall be governed by the conditions of this agreement for the duration of the contract
period(s).
B. Termination:
1. Termination at Will
Any contract(s) covered by this agreement and incorporating it by reference may be
terminated by either party upon no less than thirty (30) calendar days notice, without
cause, unless a lesser time is mutually agreed upon by both parties, in writing. Said notice
shall be delivered by certified mail, return receipt requested, or in person with proof of
delivery. In the event the provider terminates a contract at will, the provider agrees to
submit, at the time it serves notice of the intent to terminate, a plan which identifies
procedures to ensure services to clients will not be interrupted or suspended by the
termination. In the event that an agreement between the provider and a subcontractor is
terminated, the provider shall require the subcontractor to submit to the provider and the
Alliance, a similar plan ensuring services to clients will not be interrupted or suspended by
the termination.
2. Termination Because of Lack of Funds
In the event funds to finance any contract(s) under this agreement become unavailable,
the Alliance may terminate the affected contract or contracts upon no less than twenty-four
(24) hours notice in writing to the provider. Said notice shall be delivered by certified mail,
return receipt requested, or in person with proof of delivery. The Alliance shall be the final
authority as to the availability of funds.
3. Termination for Breach
Unless the provider's breach is waived by the Alliance in writing, or the provider fails to
cure the breach within the time specified by the Alliance, the Alliance may, by written
notice to the provider, terminate the contract(s) incorporating this agreement by reference
upon no less than twenty-four (24) hours notice. Said notice shall be delivered by certified
mail, return receipt requested, or in person with proof of delivery. If applicable, the Alliance
may employ the default provisions in Chapter 60A-1.006(3), Florida Administrative Code.
Waiver of breach of any provisions of anyone contract covered by this agreement shall
not be deemed to be a waiver of any other breach and shall not be construed to be a
modification of the terms of other contracts covered under this agreement. The provisions
herein do not limit the Alliance's right to remedies at law or to damages of a legal or
equitable nature.
C. Enforcement:
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Agreement No. PA129
1. The Alliance may, in accordance with section 430.04, Florida Statutes, take
intermediate measures against the provider, including: corrective action, unannounced
special monitoring, temporary assumption of the operation of one or more programs,
placement of the provider on probationary status, imposing a moratorium on provider
action, imposing financial penalties for nonperformance, or other administrative action
pursuant to Chapter 120 Florida Statutes, if the Alliance finds that:
· an intentional or negligent act of the provider has materially affected the health,
welfare, or safety of clients, or substantially and negatively affected the operation of
an aging services program.
· the provider lacks financial stability sufficient to meet contractual obligations or that
contractual funds have been misappropriated.
· the provider has committed multiple or repeated violations of legal and regulatory
standards, regardless of whether such laws or regulations are enforced by the Alliance,
or the provider has committed or repeated violations of Alliance standards.
· the provider has failed to continue the provision or expansion of services after the
declaration of a state of emergency.
· the provider has failed to adhere to the terms of this agreement or the terms of any
contract(s) covered by this agreement and incorporating it by reference.
2. In making any determination under this provision the Alliance may rely upon the findings
of another state or federal agency, or other regulatory body. Any claim for breach of
contract is exempt from administrative proceedings and shall be brought before the
appropriate entity in the venue of Leon County. Before the Alliance formally rescinds the
designation of the provider or initiates any intermediate measure, or either party
commences equitable or legal action of any sort, both parties agree to engage in informal
mediation through a meeting of each party's representative at a place and location
designated by the Alliance.
D. Notice and Contact:
1. The name, address and telephone number of the Alliance for this agreement is:
John L. Stokes berry
Alliance for Aging, Inc.
9500 South Dadeland Boulevard, Suite 400
Miami, Florida 33156
(305) 670-6500 SC 455-6500
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Agreement No. PA129
2. The name, address and telephone number of the provider of the program under this
agreement is:
Monroe County Board of Commissioners
5100 College Road - Wing III
Key West, Florida 33040
(305) 292-4573
3. The name of the contact person, street address and telephone number where financial and
administrative records are maintained:
Louis LaTorre, Executive Director
5100 College Road - Wing III
Key West, Florida 33040
(305) 292-4573
E. Renegotiation or Modification:
1. Modifications of provisions of this agreement and of any and all contract(s) incorporating
this agreement by reference shall only be valid when they have been reduced to writing
and duly signed. The parties agree to renegotiate this agreement and any affected
contracts if revisions of any applicable laws or regulations make changes in this agreement
necessary.
2. The rate of payment and the total dollar amount may be adjusted retroactively for any
contract(s) incorporating this Master Agreement by reference to reflect price level
increases and changes in the rate of payment when these have been established through
the appropriations process and subsequently identified in the Alliance's operating budget.
F. Special Provisions:
1. Property
a. Non-expendable property is defined as tangible property of a non-consumable nature
with an acquisition cost of $1000 or more per unit, and expected useful life of at least
one year; and hardback bound books not circulated to students or the general public,
with a value or cost of $250 or more. Hardback books with a value or cost of $25 or
more should be classified as an OCO expenditure only if they are circulated to
students or the general public.
b. All property, purchased under contracts covered by this agreement or purchased by
the Alliance and received by the provider shall be listed on the property records of the
provider. Said listing shall include a description of the property, model number,
manufacturer's serial number, funding source, information needed to calculate the
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federal and/state share, date of acquisition, unit cost, property inventory number and
information on the location, use and condition, transfer, replacement or disposition of
the property.
c. All purchased property shall be inventoried annually. An inventory report will be
submitted to the Alliance upon request by the Alliance.
d. Title (ownership) to all property acquired with funds from any contracts covered by this
agreement or otherwise purchased by the Alliance shall be vested in the Alliance upon
completion or termination of the contract(s).
e. At no time shall the provider dispose of non-expendable property except with the
permission of, and in accordance with instructions from the Alliance Any permanent
storage devices (e.g.: hard drives, removable storage media) must be reformatted and
tested prior to disposal to ensure no confidential information remains.
f. A budget amendment is required to be submitted and approved by the Alliance's
contract manager prior to the purchase of any item of nonexpendable property not
specifically listed in the approved budget.
g. Information Technology Resources
The provider must adhere to the Department of Elder Affairs' procedures and
standards when purchasing Information Technology Resources (ITR) as part of any
contract(s) incorporating this agreement by reference. An ITR worksheet is required
for any computer related item costing $1,000.00 or more, including data processing
hardware, software, services, supplies, maintenance, training, personnel and facilities.
The completed ITR worksheet shall be maintained in the Alliance for Aging's LAN
administrator's file.
2. Copyright Clause
Where activities supported by any contract(s) incorporating this agreement by reference
produce original writing, sound recordings, pictorial reproductions, drawings or other
graphic representation and works of any similar nature, the Alliance has the right to use,
duplicate and disclose such materials in whole or part, in any manner, for any purpose
whatsoever and to have others acting on behalf of the Alliance do so.
If the materials so developed are subject to copyright, trademark or patent, then legal title
and every right, interest, claim or demand of any kind in and to any patent, trademark,
copyright, or application for the same, will vest in the State of Florida, Department of State,
for the exclusive use and benefit of the state. Pursuant to Section 286.021, Florida
Statutes, no person, firm or corporation, including parties to this contract, shall be entitled
to use the copyright, patent or trademark without the prior written consent of the
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Department of State.
3. Grievance and Appeal Procedures
a. In accordance with ATTACHMENT IV, Minimum Guidelines for Recipient Grievance
Procedures, the provider will develop procedures for handling complaints from persons
who complain service has been denied, terminated or reduced.
b. Provider will establish complaint procedures for older individuals who are dissatisfied
with or denied services. These procedures must include notice of the right to complain
and to have their complaint reviewed.
4. Investigation of Allegations
Any report that implies criminal intent on the part of this provider or any service provider
agency and referred to a governmental or investigatory agency must be sent to the
Alliance. The Alliance must investigate allegations regarding falsification of client
information, service records, payment requests, and other related information. If the
Alliance has reason to believe that the allegations will be referred to the State Attorney,
a law enforcement agency, the United States Attorney's Office, or other governmental
agency, the provider shall notify the Alliance immediately. The Alliance shall notify the
Inspector General at the Department of Elder Affairs immediately. A copy of all documents,
reports, notes or other written material concerning the investigation, whether in the
possession of the provider or service provider, must be sent to the department's Inspector
General with a summary of the investigation and allegations.
5. Disaster
In preparation for the threat of an emergency event as defined in the State of Florida
Comprehensive Emergency Management Plan, the Department of Elder Affairs may
exercise authority over an area agency or service provider to implement preparedness
activities to improve the safety of the elderly in the threatened area and to secure area
agency and service provider facilities to minimize the potential impact of the event. These
actions will be within the existing roles and responsibilities of the area agency and its
service providers.
In the event the President of the United States or Governor of the State of Florida declares
a disaster or state of emergency, the Department of Elder Affairs may exercise authority
over an area agency or service provider to implement emergency relief measures and/or
activities.
In either of these cases, only the Secretary, Deputy Secretary or his/her designee of the
Department of Elder Affairs shall have such authority to order the implementation of such
measures. All actions directed by the department under this section shall be for the
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purpose of ensuring the health, safety and welfare of the elderly in the potential or actual
disaster area.
6. Volunteers
The provider will promote the use of volunteers as prescribed in Section 306(a)(12), Older
Americans Act and Section 430.07, Florida Statutes. In addition, the provider will increase
the use of volunteers in the planning and service area by providing training, technical
assistance and funding, where possible, to their service sub-contractors.
7. Business Hours
Lead agencies and elder helpline providers must at a minimum maintain business hours
from 8:00 AM to 5:00 PM daily, Monday through Friday. This provision shall not apply to
all other Alliance subcontractors.
8. Client Information Registration and Tracking System (CIRTS) and Management
Information Systems.
For all program contracts incorporating this agreement by reference for which collection
of client data in CIRTS is required:
a. The Alliance shall employ a Local Area Network (LAN) Administrator who shall assure
the provider's compliance with the requirements of the "LAN Administrator Guidelines"
adopted by the department. These "Guidelines" delineate the roles and responsibilities
of the Local Area Network Administrator. The Alliance shall assure any other support
necessary for full "LAN Administrator Guidelines" compliance, including reporting to
the department the operational status of their LAN and Wide Area Network (WAN) in
accord with the frequency and format directed in these "Guidelines".
b. The Alliance will ensure the collection and maintenance of client and service
information on a monthly basis from the Client Information Registration and Tracking
System (CIRTS) or any such system designated by the department. Maintenance
includes valid exports and backups of all data and systems according to department
standards.
c. The provider shall enter all required data per the department's CIRTS Policy
Guidelines for clients and services in the CIRTS database. The data must be entered
into the CIRTS before the service provider submits its request for payment and
expenditure reports to the Alliance. The Alliance shall establish time frames to assure
compliance with due dates for the requests for payment and expenditure reports to the
department.
d. The provider will run monthly CIRTS reports and verify client and service data in the
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CIRTS is accurate. This report must be submitted to the Alliance with the monthly
request for payment and expenditure report and must be reviewed by the Alliance
before the service provider's request for payment and expenditure reports can be
approved by the Alliance.
e. Failure to ensure the collection and maintenance of the CIRTS data may result in the
Alliance enacting the "Enforcement" clause of this agreement (see Section III, C.).
f. Computer System Backup and Recovery
Each provider, among other requirements, must anticipate and prepare for the loss of
information processing capabilities. The routine backing up of data and software is
required to recover from losses or outages of the computer system. Data and software
essential to the continued operation of agency functions must be backed up. The
security controls over the backup resources shall be as stringent as the protection
required of the primary resources. It is recommended that a copy of the backed up
data be stored in a secure, offsite location. The provider will submit to the Alliance,
annually or upon revision, their written policy for backing up data and software.
9. Client Outcomes
a. The provider will develop client outcome measures consistent with those developed
by the Department of Elder Affairs and the Alliance.
b. In preparation for performance-based program budgeting, the department and the
Alliance will set targets for the performance of outcome measures. These targets will
be amended into contracts. The provider will be responsible for achieving these
targets.
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IN WITNESS THEREOF, the parties hereto have caused this 27 page agreement to be executed by
their undersigned officials as duly authorized.
PROVIDER:
ALLIANCE FOR AGING, INC. FOR MIAMI
DADE AND MONROE COUNTIES, INC.
Monroe County Board of Commissioners
BOARD PRESIDENT OR
AUTHORIZED DESIGNEE
SIGNED
BY:
SIGNED
BY:
NAME:
NAME:
TITLE:
TITLE:
DATE:
DATE:
FEDERAL 10 NUMBER:
PROVIDER FISCAL YEAR ENDING DATE:
59-6000749
9/30
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ATTACHMENT I
CERTIFICATION REGARDING LOBBYING
CERTIFICATION FOR CONTRACTS. GRANTS. LOANS AND COOPERATIVE
AGREEMENT
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to
any person for influencing or attempting to influence an officer or an employee of any state or federal
agency, a member of congress, an officer or employee of congress, an employee of a member of
congress or an officer or employee of the state legislature, in connection with the awarding of any
federal grant, the making of any federal grant, the making of any federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any
federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a member of congress,
an officer or employee of congress, or an employee of a member of congress in connection with this
federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit
Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award
documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under
grants, loans and cooperative agreements) and that all sub-recipients shall certify and disclose
accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction
was made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each
such failure.
Signature
Date
Name of Authorized Individual
PA129
Application or Contract Number
Monroe County Board of Commissioners
5100 College Road - Wing III
Key West. Florida 33040
Name and Address of Organization
DOEA Form 103
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Agreement No. PA 129
ATTACHMENT II
CERTIFICATION REGARDING
DEBARMENT. SUSPENSION. INELIGIBILITY AND VOLUNTARY EXCLUSION
CONTRACTS/SUBCONTRACTS
This certification is required by the regulation implementing Executive Order 12549, Debarment and
Suspension, signed February; 18, 1986. The guidelines were published in the May 29, 1987
Federal Register (52 Fed. Reg., pages 20360-20369).
(1) The prospective provider certifies, by signing this certification, that neither he nor his
principals is presently debarred, suspended, proposed for debarment, declared ineligible,
or voluntarily excluded from participation in contracting with the Department of Elder Affairs
by any federal department or agency.
(2) Where the prospective provider is unable to certify to any of the statements in this
certification, such prospective provider shall attach an explanation to this certification.
Signature
Date
Name and Title of Authorized Individual
Monroe County Board of Commissioners
Name of Organization
DOEA Form 112A
October 1993
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Agreement No. PA129
CERTIFICATION REGARDING
DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION
CONTRACTS/SUBCONTRACTS
1. Each provider whose contract equals or exceeds $25,000 in federal monies must sign this
debarment certification prior to contract execution. Independent auditors who audit federal
programs regardless of the dollar amount are required to sign a debarment certification
form. Neither the Department of Elder Affairs nor its contract providers can contract with
providers if they are debarred or suspended by the federal government.
2. This certification is a material representation of fact upon which reliance is placed when this
contract is entered into. If it is later determined that the signed knowingly rendered an
erroneous certification, the Federal Government may pursue available remedies, including
suspension and/or debarment.
3. The provider shall provide immediate written notice to the contract manager at any time the
provider learns that its certification was erroneous when submitted or has become
erroneous by reason of changed circumstances.
4. The terms "debarred," "suspended," "ineligible," "person," "principal," and "voluntarily
excluded," as used in this certification, have the meanings set out in the Definitions and
Coverage sections of rules implementing Executive Order 12549 and 45 CFR (Code of
Federal Regulations), Part 76. You may contact the contract manager for assistance in
obtaining a copy of those regulations.
5. The provider further agrees by submitting this certification that, it shall not knowingly enter
into any subcontract with a person who is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this contract unless authorized by the Federal
Government.
6. The provider further agrees by submitting this certification that it will require each
subcontractor of this contract whose payment will equal or exceed $25,000 in federal
monies, to submit a signed copy of this certification with each contract.
7. The Department of Elder Affairs and its contract providers may rely upon a certification of
a provider that is not debarred, suspended, ineligible, or voluntarily exclude from
contracting/subcontracting unless it knows that the certification is erroneous.
DOEA Form 1128
October 1993
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Attachment III
Audit Attachment
For purposes of this Audit Attachment the following applies: "provider" is hereinafter referred to as "recipient"; "contract"
is hereinafter referred to as "agreement".
The administration of funds awarded by the Alliance to the recipient may be subject to audits and/or monitoring by the
Alliance, as described in this section.
MONITORING
In addition to reviews of audits conducted in accordance with OMS Circular A-133, as revised (see "AUDITS" below),
monitoring procedures may include, but not be limited to, on-site visits by Alliance staff, limited scope audits as defined
by OMS Circular A-133, as revised, and/or other procedures. Sy entering into this agreement, the recipient agrees to
comply and cooperate with any monitoring procedures/processes deemed appropriate by the Alliance. In the event the
Alliance determines that a limited scope audit of the recipient is appropriate, the recipient agrees to comply with any
additional instructions provided by the Alliance to the recipient regarding such audit. The recipient further agrees to
comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Department of
Elder Affairs, the Comptroller or Auditor General.
AUDITS
PART I: FEDERALLY FUNDED
This part is applicable if the recipient is a State or local government or a non-profit organization as defined in OMS
Circular A-133, as revised.
1. In the event that the recipient expends $300,000 or more in Federal awards in its fiscal year, the recipient must
have a single or program-specific audit conducted in accordance with the provisions of OMS Circular A-133, as
revised. Federal funds awarded through the Alliance by this agreement, if any, are indicated in Section II. A. of
the contract(s) of which this document is an attachment. In determining the Federal awards expended in its fiscal
year, the recipient shall consider all sources of Federal awards, including Federal funds received from the Alliance.
The determination of amounts of Federal awards expended should be in accordance with the guidelines
established by OMS Circular A-133, as revised. An audit of the recipient conducted by the Auditor General in
accordance with the provisions OMS Circular A-133, as revised, will meet the requirements of this part.
2. In connection with the audit requirements addressed in Part I, paragraph 1., the recipient shall fulfill the
requirements relative to auditee responsibilities as provided in Subpart C of OMS Circular A-133, as revised.
3. If the recipient expends less than $300,000 in Federal awards in its fiscal year, an audit conducted in accordance
with the provisions of OMS Circular A-133, as revised, is not required. In the event that the recipient expends less
than $300,000 in Federal awards in its fiscal year and elects to have an audit conducted in accordance with the
provisions of OMS Circular A-133, as revised, the cost of the audit must be paid from non-Federal funds. -
PART II: STATE FUNDED
This part is applicable if the recipient is a non-state entity as defined by Section 215.97, Florida Statutes.
1. In the event that the recipient expends a total amount of State awards (i.e., State financial assistance provided to
the recipient to carry out a State project) equal to or in excess of $300,000 in any fiscal year of such recipient, the
recipient must have a State single or project-specific audit for such fiscal year in accordance with Section 215.97,
Florida Statutes; applicable rules of the Executive Office of the Governor and the Comptroller, and Chapter 10.600,
Rules of the Auditor General. State grants and aids amounts awarded through the Alliance by this agreement are
indicated in Section II. A of the contract(s) of which this agreement is an attachment. In determining the State
awards expended in its fiscal year, the recipient shall consider all sources of State awards, including State funds
received from the Alliance, except that State awards received by a non-state entity for Federal program matching
requirements shall be excluded from consideration.
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2. In connection with the audit requirements addressed in Part II, paragraph 2, the recipient shall ensure that the audit
complies with the requirements of Section 215.97, Florida Statutes. This includes submission of a reporting
package as defined by Section 215.97, Florida Statutes, and Chapter 10.600, Rules of the Auditor General.
3. If the recipient expends less than $300,000 in State awards in its fiscal year, an audit conducted in accordance
with the provisions of Section 215.97, Florida Statutes, is not required. In the event that the recipient expends less
than $300,000 in State awards in its fiscal year and elects to have an audit conducted in accordance with the
provisions of Section 215.97, Florida Statutes, the cost of the audit must be paid from non-State funds
PART III: REPORT SUBMISSION
1. Copies of audit reports for audits conducted in accordance with OMB Circular A-133, as revised, and required
by PART I of this attachment shall be submitted, when required by Section .320 (d), OMB Circular A-133, as
revised, by or on behalf of the recipient directly to each of the following within 180 days of recipient's fiscal year
end:
A. The Alliance for Aging (2 copies needed) at the following address:
Alliance for Aging, Inc.
Attn.: DIRECTOR OF ADMINISTRA TION
9500 South Dadeland Boulevard, Suite 400
Miami, FL 332156
B. The Federal Audit Clearinghouse designated in OMB Circular A-133, as revised (the number of copies
required by Sections .320 (d)(1) and (2), OMB Circular A-133, as revised, should be submitted to the
Federal Audit Clearinghouse), at the following address:
Federal Audit Clearinghouse
Bureau of the Census
1201 East 10th Street
Jeffersonville, IN 47132
C. Other Federal agencies and pass-through entities in accordance with Sections .320 (e) and (t), OMB
Circular A-133, as revised.
2. Pursuant to Section .320 (t), OMB Circular A-133, as revised, the recipient shall submit two (2) copies of the
reporting package described in Section .320 (c), OMB Circular A-133, as revised, and any management letters
issued by the auditor, to the Alliance at the following address within 180 days of recipient's fiscal year end:
Alliance for Aging, Inc.
Attn.: DIRECTOR OF ADMINISTRA TlON
9500 South Dadeland Boulevard, Suite 400
Miami, FL 33156
3. Copies of reporting packages required by PART II of this attachment shall be submitted by or on behalf of the
recipient directly to each of the following:
A. The Alliance for Aging, Inc. (2 copies needed) at the following address:
Alliance for Aging, Inc.
Attention: Director of Administration
9500 South Dadeland Boulevard, Suite 400
Miami, Florida 33156
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Agreement No. PA 129
S. The Auditor General's Office at the following address:
State of Florida Auditor General
Room 574, Claude Pepper Building
111 West Madison Street
Tallahassee, Florida 32302-1450
4. Any reports, management letters, or other information required to be submitted to the Alliance pursuant to this
attachment shall be submitted timely (2 copies needed) in accordance with OMS Circular A-133, Florida
Statutes, and Chapter 10.600, Rules of the J1uditor General, as applicable.
5. Recipients, when submitting audit reports to the Alliance for audits done in accordance with OMS Circular A-133,
Florida Statutes, and Chapter 10.600, Rules of the Auditor General, should indicate the date that the audit report
was delivered to the recipient in correspondence accompanying the audit report.
PART IV: RECORD RETENTION
The recipient shall retain sufficient records demonstrating its compliance with the terms of this attachment for
a period of five (5) years from the date the audit report is issued, and shall allow the Alliance, or its designee,
access to such records upon request. The recipient shall ensure that audit working papers are made available
to the Alliance or its designee, upon request, for a period of five (5) years from the date the audit report is issued,
unless extended in writing by the Alliance.
DOEA Form 104M (rev. 5/00)
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Agreement No. PA 129
ATTACHMENT IV
MINIMUM GUIDELINES FOR RECIPIENT GRIEVANCE PROCEDURES
APPLICABLE TO ALL ADVERSE ACTIONS DEEMED TERMINATIONS, SUSPENSIONS, OR REDUCTIONS IN
SERVICE
Medicaid Waiver clients have the right to request a fair hearing from the Department of Children and Families(DCAF) Office
of Appeal Hearings in addition to or as an alternative to these procedures.
NOTICE TO THE RECIPIENT OF THE ADVERSE ACTON TO BE TAKEN AND EXPLANATION OF THE
GRIEVANCE PROCEDURES FOR REVIEWING THAT DECISION
· The recipient must be informed by the decision maker of the action, in writing, no less than 10 calendar* days prior to
the date the adverse action will be taken.
(Prior notice is not applicable where the health or safety of the individual is endangered if action is not
taken immediately; however, notice must be made as soon thereafter as practicable.)
· Services cannot be reduced or terminated, nor any adverse action taken during the 10 day period.
. The Notice must contain:
a statement of what action is intended to be taken;
the reasons for the intended action;
an explanation of:
1) the individual's right to a grievance review if requested in writing and delivered
within 10 calendar* days of the Notice postmark (assistance in writing, submitting and
delivering the request must be offered and available to the individual);
2) in Medicaid Waiver actions, the individual's right to request a fair hearing from
DCAF;
3) the individual's right, after a grievance review, for further appeal;
4) the right to seek redress through the courts if applicable;
a statement that current benefits will continue if a grievance review is requested, and will
continue until a final decision is made regarding the adverse action; and
a statement that the individual may represent himself/herself or use legal counsel, a relative, a
friend, or other qualified representative in the requested review proceedings.
· All records of the above activities must be preserved in the client's file.
GRIEVANCE REVIEW PROCEDURE UPON TIMELY RECEIPT OF A WRITTEN REQUEST FOR REVIEW
· Within 7 calendar* days of the receipt of a request for review, the provider must acknowledge receipt of the request by
a written statement delivered to the requester. This statement must also provide notice of:
the time and place scheduled for the review;
the designation of one or more impartial reviewers who have not been involved in the decision at
issue;
the opportunity to examine, at a reasonable time before the review, the individual's own case
record, and to a copy of such case record at no cost to the individual;
the opportunity to informally present argument, evidence, or witnesses without undue interference
at a reasonable time before or during the review;
a contact person for any accommodations required under the Americans with Disabilities Act; and
assistance, if needed, in order to attend the review; and
the stopping of the intended action until all appeals are exhausted.
· All grievance reviews must be conducted at a reasonable time, date and place by one or more impartial reviewers who
have not been directly involved in the initial determination of the action in question.
· The reviewer(s) must provide written notification to the requester, within 7 calendar* days after the grievance review,
stating:
the decision, the reasons therefore in detail;
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Agreement No. PA129
the effect the decision has on current benefits, if favorable, or the circumstances regarding
continuation of current benefits until all appeals are exhausted;
the individual's right to appeal an adverse decision to the Area Agency on Aging
by written request within 7 calendar. days, except in decisions involving the professional
judgement of a legal assistance provider;
the availability of assistance in writing, submitting and delivering the appeal to the appropriate
agency;
the opportunity to be represented by himself/herself or by legal counsel, a relative, a friend or other
qualified representative;
for legal assistance service appeals, the individual's right to file a grievance with the Florida Bar regarding
complaints related to the actual legal representation provided.
PROCEDURE FOR APPEALS OF A GRIEVANCE REVIEW DECISION UPON TIMELY RECEIPT OF A WRITTEN APPEAL
TO THE AREA AGENCY ON AGING
· Within 7 calendar. days of the receipt of a notice of appeal of a grievance review decision, the AAA must acknowledge
receipt of the notice of appeal by a written statement delivered to the appellant. This statement must also provide notice
of:
the time and place scheduled for the appeal;
the designation of one or more impartial AAA officials who have not been involved in the
decision at issue;
the opportunity to examine at a reasonable time before the appeal the individual's own case record
to date, and to a copy of such case record at no cost to the individual;
the opportunity to informally present argument, evidence, or witnesses without undue interference
during the appeal;
assistance, if needed, in order to attend the appeal; and
the stopping of the intended action until all appeals are exhausted.
· All appeals of grievance reviews must be conducted at a reasonable time, date and place by one or more impartial AAA
officials who have not been directly involved in the initial determination of the action in question.
· The designated AAA official(s) must provide written notification to the requester within 7 calendar. days after considering
the grievance ~eview appeal, stating:
the decision, and the reasons therefore in detail;
the effect the decision has on current benefits, if favorable, or the circumstances regarding
continuation of current benefits until all appeals are exhausted;
the individual's right to appeal, if applicable. Except for Medicaid Waiver actions, the decision of
the AAA shall be the final decision; and
the availability of assistance in requesting a fair hearing, including a notice regarding
accommodations as required by the ADA.
· All records of the above activities must be preserved and remain confidential. A copy of the final decision must be placed
in the client's file.
· In computing any period of time prescribed or allowed by these guidelines, the last day of the period so computed
shall be included unless it is a Saturday, Sunday, or legal holiday, in which event the period shall run until the
end of the next day which is neither a Saturday, Sunday, or legal holiday.
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ATTACHMENT V
CERTIFICATION REGARDING YEAR 2000 COMPLIANCE
CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND
COOPERATIVE AGREEMENTS
The Year 2000 (Y2K) Issue concerns the ability of data processing systems to process year-date dependent data accurately
beyond the year 1999. Year 2000 Compliant is defined in Memorandum No.6 (98-99) from the Department of
Management Services, Division of Purchasing and is explicitly incorporated herein.
To ensure the integrity of the State's accounting systems are not compromised, the following language was composed to
protect the interests of the State and the elderly population of Florida who rely on the programs in place to assist them
in preserving the quality and duration of their lives.
The undersigned, an authorized representative of the provider named in the contract or agreement to which this form is an
attachment, hereby certifies that:
(1) The provider and any sub-providers of services under this contract have financial management systems capable of
providing certain information, including: (1) accurate, current, and complete disclosure of the financial results of each
grant-funded project or program in accordance with the prescribed reporting requirements; (2) the source and
application of funds for all contract supported activities; and (3) the comparison of outlays with budgeted amounts for
each award. The inability to process information in accordance with these requirements could result in a return of grant
funds that have not been accounted for properly.
(2) Management Information Systems used by the provider, sub-provider(s), or any outside entity on which the provider
is dependent for data that is to be reported, transmitted or calculated, have been assessed and verified to be Y2K
compliant. For those systems identified to be non-compliant, provider(s) will take immediate action to remediate the Y2K
problem and validate the success of the remediation effort). All systems will be Y2K compliant by January 1, 2000.
(3) If this contract includes the provision of hardware, software, firmware, microcode or imbedded chip technology, the
undersigned warrants that these products are Y2K Compliant. All versions of these products offered by the provider
(represented by the undersigned) and purchased by the State will be Y2K Compliant.
In the event of any decrease in functionality related to time and date related codes and internal subroutines that impede
the hardware or software programs from operating beyond the Millennium Date Change, the provider agrees to
immediately make required corrections to restore hardware and software programs to the same level of functionality
as warranted herein at no charge to the State, and without interruption to the ongoing business of the state, time being
of the essence.
(4) The provider and any sub-provider(s) of services under this contract warrant their policies and procedures include a
disaster plan to provide for service delivery to continue in case of an emergency including emergencies arising from
Y2K compliance issues.
The provider shall require that the language of this certification be included in all subcontracts, subgrants, and other
agreements and that all sub-contractors shall certify compliance accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or
entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by
Department of Management Services (OMS) Memorandum NO.6 (98-99) and OMB Circulars A-102 and A-110.
MONROE COUNTY BOARD OF COMMISSIONERS. 5100 College Road - Wino III. Key West. Florida 33040
Name and Address of Organization
Signature
Title
Date
Name of Authorized Signer
Y2Kfrm: created March 11, 1999
27